Concentrating therapeutic cells and transferring them from one solution into another (usually referred to as washing) are two processes involved at multiple stages of production and use of the cells. The washing and separation of materials in cellular processing is an important part of the overall efficacy of the cell therapy of choice. In particular, therapeutic cells may originally be suspended in a growth serum or in preservative materials like dimethyl sulfoxide (DMSO). Separating the cells from these fluids so the cells can be further processed is important in the overall therapeutic process of using such cellular materials. In one example, the cells are typically recovered from a bioreactor, concentrated, and transferred from culture media into an electroporation buffer prior to transduction, such as in manufacturing CAR-T cells. After expansion of cells at the final manufacturing step, they are concentrated and transferred into an appropriate solvent depending on the desired application.
Therapeutic cells are stored in specialized media to prolong the viability of these cells either through refrigeration and or freezing processes. Such specialized media may not be compatible when the therapeutic cells are introduced into a patient. It may thus be helpful to both wash and concentrate the therapeutic cells in a buffer or wash media that is biocompatible with both the therapeutic cells and with the patient. These washing and concentration processes conventionally involve the use of centrifugation and physical filtration. The washing step may be repeated a number of times. For example, the specialized media (which can be pyrogenic or otherwise harmful) may be fully removed with multiple wash steps, and the cells may be suspended in a new buffer or wash solution. During this washing process, many of the cells are degraded or destroyed through the centrifugation and physical filtration processes. Moreover, the filtration process can be rather inefficient and may entail a non-sterile intrusion into the environment for batch processing, whereby the cell culture is exposed to possible pathogens or outside cellular influences that would be harmful to the target cell culture. Further yet, with these physical filtration processes, biological waste is generated through the use of multiple physical filters which may incur additional steps for proper disposal. The cost and timeliness of this process is also not conducive to a fast or low-cost process of preparing the cells for introduction to the patient.
The present disclosure provides methods and systems for replacing or augmenting conventional centrifugation and physical filtration processes along with the multiple washing steps with a simpler, lower cost, and more friendly process for particles such as therapeutic cells. The methods/processes can be performed in a sterile environment and in a continuous form.
Disclosed herein are methods of washing particles, which may be cells. In some example methods, an initial mixture of a first media and the particles is fed to a flow chamber of an acoustophoretic device. The first media may contain preservatives such as dimethyl sulfoxide (DMSO) which are undesirable for future applications/uses of the particles. The acoustophoretic device has at least one ultrasonic transducer that includes a piezoelectric material and is configured to be driven to create a multi-dimensional acoustic standing wave in the flow chamber. At least a portion of the particles are trapped in the multi-dimensional acoustic standing wave. A second media is flowed through the flow chamber to wash out the first media while the particles are retained in the multidimensional acoustic standing wave. The particles may thus experience a media exchange, where the first media is exchanged for the second media.
In some examples, the volume of the second media used to perform the wash process may be equivalent to a volume of the flow chamber. In some examples, the volume of the second media used to perform the wash process may be multiples of or portions of the volume of the flow chamber. The second media can be a biocompatible wash or a buffer solution.
The particles may be cells. The cells may be Chinese hamster ovary (CHO) cells, NS0 hybridoma cells, baby hamster kidney (BHK) cells, human cells, regulatory T-cells, Jurkat T-cells, CAR-T cells, B cells, or NK cells, peripheral blood mononuclear cells (PBMCs), algae, plant cells, bacteria, or viruses. The cells may be attached to microcarriers.
Sometimes, the piezoelectric material of the at least one ultrasonic transducer is in the form of a piezoelectric array formed from a plurality of piezoelectric elements. Each piezoelectric element can be physically separated from surrounding piezoelectric elements by a potting material. The piezoelectric array can be present on a single crystal, with one or more channels separating the piezoelectric elements from each other. Each piezoelectric element can be individually connected to its own pair of electrodes. The piezoelectric elements can be operated in phase with each other, or operated out of phase with each other. The acoustophoretic device may further comprise a cooling unit for cooling the at least one ultrasonic transducer.
In various embodiments, the initial mixture may have a density of about 0.5 million particles/mL to about 5 million particles/mL. The concentrated volume can be 25 to about 50 times less than a volume of the initial mixture. The concentrated volume may have a particle density of 25 to about 50 times greater than a particle density of the initial mixture.
Also disclosed in various embodiments are methods of recovering greater than 90% of cells from a cell culture. An initial mixture of a first media and the cell culture is fed through a flow chamber of an acoustophoretic device, the acoustophoretic device comprising at least one ultrasonic transducer including a piezoelectric material that is configured to be driven to create a multi-dimensional acoustic standing wave in the flow chamber. The at least one ultrasonic transducer is driven to create a multi-dimensional acoustic standing wave in the flow chamber, and thus to concentrate the cell culture within the acoustic standing wave. The initial mixture has an initial cell density of about 0.5 million cells/mL to about 5 million cells/mL, and the concentrated cell culture has a cell density at least 25 times greater than the initial cell density.
In some embodiments, the concentrated cell culture has a cell density of 25 to about 50 times greater than the initial cell density. In other embodiments, a volume of the concentrated cell culture is 25 to about 50 times less than a volume of the initial mixture. The concentrated cell culture can be obtained in about 35 minutes or less.
Also disclosed are acoustophoretic devices, comprising: a flow chamber having a fluid inlet, a first outlet, and a second outlet; at least one ultrasonic transducer proximate a first wall of the flow chamber, at least one ultrasonic transducer including a piezoelectric material that is adapted to be driven to create a multi-dimensional acoustic standing wave; a reflector on a second wall of the flow chamber opposite the at least one ultrasonic transducer; and a thermoelectric generator located between the at least one ultrasonic transducer and the first wall of the flow chamber.
The acoustophoretic device may have a concentrated volume of about 25 mL to about 75 mL. The acoustophoretic device may have a cell capacity of about 4 billion to about 40 billion cells. Various lines can connect the acoustophoretic device to containers that provide or receive various materials to/from the acoustophoretic device.
These and other non-limiting characteristics are more particularly described below.
The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawing(s) will be provided by the Office upon request and payment of the necessary fee.
The following is a brief description of the drawings, which are presented for the purposes of illustrating the example embodiments disclosed herein and not for the purposes of limiting the same.
The present disclosure may be understood more readily by reference to the following detailed description of desired embodiments and the examples included therein. In the following specification and the claims which follow, reference will be made to a number of terms which shall be defined to have the following meanings.
Although specific terms are used in the following description for the sake of clarity, these terms are intended to refer only to the particular structure of the embodiments selected for illustration in the drawings, and are not intended to define or limit the scope of the disclosure. In the drawings and the following description below, it is to be understood that like numeric designations refer to components of like function. Furthermore, it should be understood that the drawings are not to scale.
The singular forms “a,” “an,” and “the” include plural referents unless the context clearly dictates otherwise.
As used in the specification and in the claims, the term “comprising” may include the embodiments “consisting of” and “consisting essentially of.” The terms “comprise(s),” “include(s),” “having,” “has,” “can,” “contain(s),” and variants thereof, as used herein, are intended to be open-ended transitional phrases, terms, or words that require the presence of the named components/steps and permit the presence of other components/steps. However, such description should be construed as also describing compositions or processes as “consisting of” and “consisting essentially of” the enumerated components/steps, which allows the presence of only the named components/steps, along with any impurities that might result therefrom, and excludes other components/steps.
Numerical values should be understood to include numerical values which are the same when reduced to the same number of significant figures and numerical values which differ from the stated value by less than the experimental error of conventional measurement technique of the type described in the present application to determine the value.
All ranges disclosed herein are inclusive of the recited endpoint and independently combinable (for example, the range of “from 2 grams to 10 grams” is inclusive of the endpoints, 2 grams and 10 grams, and all the intermediate values).
A value modified by a term or terms, such as “about” and “substantially,” may not be limited to the precise value specified. The approximating language may correspond to the precision of an instrument for measuring the value. The modifier “about” should also be considered as disclosing the range defined by the absolute values of the two endpoints. For example, the expression “from about 2 to about 4” also discloses the range “from 2 to 4.”
It should be noted that many of the terms used herein are relative terms. For example, the terms “upper” and “lower” are relative to each other in location, e.g. an upper component is located at a higher elevation than a lower component in a given orientation, but these terms can change if the device is flipped. The terms “inlet” and “outlet” are relative to a fluid flowing through them with respect to a given structure, e.g. a fluid flows through the inlet into the structure and flows through the outlet out of the structure. The terms “upstream” and “downstream” are relative to the direction in which a fluid flows through various components, e.g. the flow fluids through an upstream component prior to flowing through the downstream component. It should be noted that in a loop, a first component can be described as being both upstream of and downstream of a second component.
The terms “horizontal” and “vertical” are used to indicate direction relative to an absolute reference, e.g. ground level. The terms “upwards” and “downwards” are also relative to an absolute reference; an upwards flow is always against the gravity of the earth.
The present application refers to “the same order of magnitude.” Two numbers are of the same order of magnitude if the quotient of the larger number divided by the smaller number is a value of at least 1 and less than 10.
The acoustophoretic technology of the present disclosure employs acoustic standing waves to concentrate, wash, and/or separate materials (such as particles or a secondary fluid) in a primary or host fluid. In particular, as shown in the upper left image (A) of
As shown in the upper right image (B) of
The three-dimensional acoustic radiation force generated in conjunction with an ultrasonic standing wave is referred to in the present disclosure as a three-dimensional or multi-dimensional standing wave. The acoustic radiation force is proportional to the particle volume (e.g. the cube of the radius) of the material when the particle is small relative to the wavelength. The acoustic radiation force is proportional to frequency and the acoustic contrast factor. The acoustic radiation force scales with acoustic energy (e.g. the square of the acoustic pressure amplitude). For harmonic excitation, the sinusoidal spatial variation of the force drives the particles to the stable positions within the standing waves. When the acoustic radiation force exerted on the particles is stronger than the combined effect of fluid drag force and buoyancy and gravitational force, the particle can be trapped within the acoustic standing wave field, as shown in the upper right image (B) of
As can be seen in the lower left image (C) of
As the particles continue to coalesce, clump, aggregate, agglomerate, and/or cluster the particles can grow to a certain size at which gravitational forces on the particle cluster overcome the acoustic radiation force. At such size, the particle cluster can fall out of the acoustic standing wave, as shown in the lower right image (D) of
Desirably, the ultrasonic transducer(s) generate a three-dimensional or multi-dimensional acoustic standing wave in the fluid that exerts a lateral force on the suspended particles to accompany the axial force so as to increase the particle trapping capabilities of the standing wave. A planar or one-dimensional acoustic standing wave may provide acoustic forces in the axial or wave propagation direction. The lateral force in planar or one-dimensional acoustic wave generation may be two orders of magnitude smaller than the axial force. The multi-dimensional acoustic standing wave may provide a lateral force that is significantly greater than that of the planar acoustic standing wave. For example, the lateral force may be of the same order of magnitude as the axial force in the multi-dimensional acoustic standing wave.
The acoustic standing waves of the present disclosure can be used to trap particles (e.g. therapeutic cells such as T cells, B cells, NK cells) suspended in a first media in the standing wave. The first media can then be replaced with a second media (e.g., a biocompatible wash or buffer solution). Put another way, the host fluid of the particles can be replaced. Prior to replacing the first media with the second media, acoustophoresis can be used to perform a diafiltration process, as shown in
In
With reference now to
The flow chamber 110 is the region of the device 100 through which is flowed the cells surrounded by the first media. In this embodiment, the flow chamber 110 is defined by inlet 112, permeate outlet 114, and concentrate outlet 116. The flow chamber 110 is further defined by a sidewall 115 to which the ultrasonic transducer 120 and the reflector 130 are coupled. As seen here, the sidewall is shaped so that the ultrasonic transducer and reflector are located on opposite sides thereof.
Inlet 112 is located at a first end 106 of the flow chamber 110. In particular embodiments, the ingress of material through the inlet 112 can be configured to occur toward the bottom end of the inlet 112, such that the inflow of fluid into the flow chamber 110 occurs closer to the bottom end of the flow chamber 110 than the top end thereof.
As depicted in
In the embodiment depicted in
In the embodiment depicted in
As can be best seen in
In some embodiments, the collector leads to a collection container that is filled with the second media. In this way, the second media is not flowed through the flow chamber of the device. Instead, as the cells are trapped in the acoustic standing wave and form clusters that grow to a critical size and subsequently fall out of the multi-dimensional acoustic standing wave, the cell clusters fall into the collector and are led to the collection container. The collection container can be separable from the rest of the device.
As seen here, preferably, fluid flows through the device upwards. The cells surrounded by the first media enters the device through inlet 112 at a bottom end of the device and then makes a sharp turn to flow upwards. This change in direction desirably reduces turbulence, producing near plug flow upwards through the device. Flow continues upwards through the annular plenum 117 and up into the flow chamber 110. There, the cells encounter the multi-dimensional acoustic standing wave(s), which traps the cells, as explained herein. Concentration of the cells occurs within the acoustic standing wave(s), which can also cause coalescence, clumping, aggregation, agglomeration and/or clustering of the cells.
As the cells are concentrated, they eventually overcome the combined effect of the fluid flow drag forces and acoustic radiation force, and they fall downwards into collector 140. They can then be flowed through flowpath 119 and collected at concentrate outlet 116. A much higher number of cells is obtained in a smaller volume (i.e., the target cells are concentrated).
The piezoelectric transducer(s) of the acoustophoretic devices and systems of the present disclosure can be single monolithic piezoelectric materials or can be made from an array of piezoelectric materials. The piezoelectric material can be a ceramic material, a crystal or a polycrystal, such as PZT-8 (lead zirconate titanate).
Each piezoelectric element in the piezoelectric array of the present disclosure may have individual electrical attachments (e.g. electrodes), so that each piezoelectric element can be individually controlled for frequency and power. These elements can share a common ground electrode. This configuration allows for not only the generation of a multi-dimensional acoustic standing wave, but also improved control of the acoustic standing wave. In this way, it is possible to drive individual piezoelectric elements (or multiple, separate ultrasonic transducers) with arbitrary phasing and/or different or variable frequencies and/or in various out-of-phase modes. For example,
The piezoelectric array can be formed from a monolithic piezoelectric crystal by making cuts across one surface so as to divide the surface of the piezoelectric crystal into separate elements. The cutting of the surface may be performed through the use of a saw, an end mill, or other means to remove material from the surface and leave discrete elements of the piezoelectric crystal between the channels/grooves that are thus formed.
As explained above, a potting material may be incorporated into the channels/grooves between the elements to form a composite material. For example, the potting material can be a polymer, such as epoxy. In particular embodiments, the piezoelectric elements 208 are individually physically isolated from each other. This structure can be obtained by filling the channels 210 with the potting material, then cutting, sanding or grinding the outer surface 204 down to the channels. As a result, the piezoelectric elements are joined to each other through the potting material, and each element is an individual component of the array. Put another way, each piezoelectric element is physically separated from surrounding piezoelectric elements by the potting material.
The concentration efficiency of the acoustophoretic device was tested. First, a T-cell suspension having a cell density of 1×106 cells/mL was used. A feed volume of between about 500 and 1000 mL was used at a flow rate of 10-15 mL/minute. The results are graphically depicted in
A yeast mixture was then used to test the dependency of the percent density reduction (PDR) on concentration and flow rate. The results are graphically depicted in
The concentration efficiency of the acoustophoretic device was again tested with a higher cell density. A T-cell suspension having a cell density of 5×106 cells/mL was used. A feed volume of 1000 mL was used at a flow rate of 10-15 mL/minute. The results are graphically depicted in
During testing, it was also discovered that active cooling of the ultrasonic transducer led to greater throughput and efficiency and more power. As such, a cooling unit was developed for actively cooling the transducer.
It is noted that the various inlets and outlets (e.g. fluid inlet, concentrate outlet, permeate outlet, recirculation outlet, bleed/harvest outlet) of the flow chamber are not shown here. The cooling unit can be used to cool the ultrasonic transducer, which can be particularly advantageous when the device is to be run continuously with repeated processing and recirculation for an extended period of time (e.g., perfusion).
Alternatively, the cooling unit can also be used to cool the fluid running through the flow chamber 7010. For desired applications, the cell culture should be maintained around room temperature (−20° C.), and at most around 28° C. This is because when cells experience higher temperatures, their metabolic rates increase. Without a cooling unit, however, the temperature of the cell culture can rise as high as 34° C.
These components are modular and can be changed or switched out separately from each other. Thus, when new revisions or modifications are made to a given component, the component can be replaced while the remainder of the system stays the same.
The goal is to begin with a culture bag having a volume of about 1 liter (L) to about 2 L, with a density of about 1 million cells/mL, and concentrate this bag to a volume of about 25 mL to about 30 mL, and then to wash the growth media or exchange the media within a time of about one hour (or less). Desirably, the system can be made of materials that are stable when irradiated with gamma radiation.
The advantages of providing a cooling unit for the transducer can be seen in
After being concentrated and trapped/held in the multi-dimensional acoustic standing wave, the microcarriers can coalesce, clump, aggregate, agglomerate, and/or cluster to a critical size at which point the microcarriers fall out of the acoustic standing wave due to enhanced gravitational settling. The microcarriers can fall into a collector of the acoustophoretic device located below the acoustic standing wave, to be removed from the flow chamber.
During testing, steps one and two (i.e., concentration and washing) were performed using red and blue food dye to make colored fluid. The concentration mixture included SoloHill microcarriers in red fluid. The wash mixture included blue fluid and was passed through the device three times. The concentrate was observed under a microscope, as shown in the leftmost image of
The decrease in red light absorbance and increase in blue light absorbance evidences the feasibility of the washing steps.
The testing of the acoustophoretic concentrating, washing, and separating process showed that the process is appropriate for cell therapy and microcarrier applications. The concentrate and wash steps were performed with a resulting efficiency of greater than 99%, and the separating step e.g., separating the cells from the microcarriers, was performed with greater than 98% efficiency.
On the right-hand side of
The use of collection bags at the ends of the concentrate and waste lines advantageously creates an enclosed primary environment within which concentration, washing, and/or separation of cells and cellular materials can occur, which helps to prevent the cells/cell culture/cellular material from being exposed to possible intrusions, pathogens, or outside cellular influences that would be harmful.
The system illustrated in
Concentrating and washing cell culture is useful for producing biological products for industrial use. The systems of the present disclosure can be continuously improved and scaled up for handling of larger volumes.
In some examples, the acoustophoretic devices of the present disclosure may have a concentrated volume ranging from about 25 mL to about 75 mL. The devices may have a total cell capacity of about 4 billion to about 40 billion cells, or from about 4 billion to about 8 billion cells, or from about 20 billion to about 40 billion cells, or from about 16 billion to about 35 billion cells. The fluids entering and exiting the acoustophoretic devices may have cell densities from about 160 million cells/mL to about 670 million cells/mL, or from about 160 million cells/mL to about 320 million cells/mL, or from about 260 million cells/mL to about 535 million cells/mL, or from about 305 million cells/mL to about 670 million cells/mL, or from about 0.5 million cells/mL to about 5 million cells/mL.
The following examples are provided to illustrate the devices and processes of the present disclosure. The examples are merely illustrative and are not intended to limit the disclosure to the materials, conditions, or process parameters set forth therein.
The ability of an acoustophoretic system of the present disclosure to concentrate Jurkat T-cells was tested. Jurkat T-cells have a diameter of 11 micrometers (μm) to 14 μm. An acoustophoretic device was used, and a Beckman Coulter Vi-CELL X was used at various test conditions to measure the cell density reduction.
In the first trial A, the T-cells were concentrated, and the cell density of the permeate was measured. The dotted line indicates the feed cell density. Desirably, the cell density in the permeate is as low as possible, indicating that the cells are retained in the concentrate. The graph in
In the second trial B, the T-cells were concentrated, and the cell density of the permeate was measured. The dotted line indicates the feed cell density.
In the third trial C, the T-cells were concentrated and washed. The concentrating occurred for the first 18 minutes, and washing was subsequently performed.
The liquid volumes used to completely wash the concentrated cells were tracked. Tracking the liquid volumes can be useful in applications such as, for example, removing electroporation buffer from a cell culture prior to transduction or transfection of the cell culture.
A blue wash media and a red growth media were used. A Molecular Devices SpectraMax spectrophotometer was used to measure the two different wavelengths of these two media to identify a complete flush/washing out of the old growth media from the system. Three samples were measured: 100% wash media (100 W-0 G), 50% wash media and 50% growth media (50 W-50 G), and 100% growth media (0 W-100 G). Three samples of the actual process were then tested (1 Volume, 2 Volume, 3 Volume). As seen in the spectrophotometer results shown in
Table 2 below shows the input, output and performance experimental values for the low viable cell density (“1LE”, 1-5 E6 mL-1) acoustic concentrate wash (ACW) volume reduction.
All the tests were performed according to the specifications, yielding a concentrate volume between 5 and 7 mL in under an hour. The processed volumes were about 1100 ml with cell densities between 1.8 and 2.5 E6 ml-1. The total number of cells processed ranged from 1.9 to 2.8 B cells with cell viability exceeding 99%. After concentration, the collected cell concentration volume varied from 5.8 to 6.9 ml with cell densities between 243 and 357 E6 ml-1. This represents a cell recovery of 1.4 to 2.1 B cells with no noticeable drop in cell viability. The viable cell recovery was therefore between 73 and 84%, which constitutes a volume reduction factor between 160 and 187 and a cell density concentration factor ranging from 135 to 143. The process times was about 50 min.
Table 3 displays the input, output and performance experimental values for the high viable cell density (“1LH”, 10-40 E6 mL-1) ACW volume reduction.
Processed volumes were about 950 ml with viable cell densities from 31 to 39 E6 ml-1 corresponding to a range of cell numbers between 29 and 38 B cells at cell viabilities exceeding 98%. Cell concentrate volumes averaged 49 ml. Process times were between 31 and 36 min.
The 5 W test yielded a low cell recovery of 62%. The increase to 8 W increased the performance to the desired range (cell recovery of 78 to 86%), whereas a power increase to 10 W did not seem to improve the cell recovery (83%) (
Multidimensional Acoustic Concentrate-Wash (ACW) for low cell concentration is shown in
During the start-up portion of the concentration/wash unit operations, a recirculation is used to generate the initial clusters in the standing wave, e.g., performing a seeding of clusters. Once the initial clusters are formed, the trapping efficiency increases due to secondary acoustic radiation forces, whereby the larger clusters exert an attractive force on the incoming cells.
The 1LE application was performed in triplicate (experiments designated as 1LE-1, -2, and -3) using primary cultures of T-cells and fixed process parameters. The acoustic elements were assembled, double-bagged and gamma irradiated to perform the concentration in an aseptic environment. The process parameters were a nominal flow rate of 30 mL/min (−2 L/hr) and acoustic drive conditions of 2.24 MHz/40 W per channel. The recirculation period is required before the concentration step because the 1LE system's efficiency is enhanced by the number of cells that have populated the acoustic standing wave. Recirculating the waste back to the feed allows cells to enter the system and be retained by the acoustics, gradually building efficiency, without losing the initial unretained cells to the waste stream. Based on previous testing with Jurkat T-cells, the recirculation mode duration was selected to be 15 minutes because the system is approximately 80% efficient at that point for feeds in this cell density range.
The 1LH ACW was operated at different powers to assess the effect on viable cell recovery. Four tests were performed at the input feed specification using a fixed flow rate of 30 mL/min (−2 L/hr). The first test was performed at a power level of 5 W. The second and third tests were performed at 8 W, and for the fourth test the power was increased to 10 W. The waste of this fourth test was reprocessed through the same element to simulate the operation of a two stage ACW (i.e. two acoustic elements in series). At higher feed cell densities, a significant reduction in transducer power is achieved, i.e., 5-10 W for 1LH versus 40 W for 1LE, which eliminates the need for any cooling of the system.
The methods, systems, and devices discussed above are examples. Various configurations may omit, substitute, or add various procedures or components as appropriate. For instance, in alternative configurations, the methods may be performed in an order different from that described, and that various steps may be added, omitted, or combined. Also, features described with respect to certain configurations may be combined in various other configurations. Different aspects and elements of the configurations may be combined in a similar manner. Also, technology evolves and, thus, many of the elements are examples and do not limit the scope of the disclosure or claims.
Specific details are given in the description to provide a thorough understanding of example configurations (including implementations). However, configurations may be practiced without these specific details. For example, well-known processes, structures, and techniques have been shown without unnecessary detail to avoid obscuring the configurations. This description provides example configurations only, and does not limit the scope, applicability, or configurations of the claims. Rather, the preceding description of the configurations provides a description for implementing described techniques. Various changes may be made in the function and arrangement of elements without departing from the spirit or scope of the disclosure.
Also, configurations may be described as a process that is depicted as a flow diagram or block diagram. Although each may describe the operations as a sequential process, many of the operations can be performed in parallel or concurrently. In addition, the order of the operations may be rearranged. A process may have additional stages or functions not included in the figure.
Having described several example configurations, various modifications, alternative constructions, and equivalents may be used without departing from the spirit of the disclosure. For example, the above elements may be components of a larger system, wherein other structures or processes may take precedence over or otherwise modify the application of the invention. Also, a number of operations may be undertaken before, during, or after the above elements are considered. Accordingly, the above description does not bound the scope of the claims.
A statement that a value exceeds (or is more than) a first threshold value is equivalent to a statement that the value meets or exceeds a second threshold value that is slightly greater than the first threshold value, e.g., the second threshold value being one value higher than the first threshold value in the resolution of a relevant system. A statement that a value is less than (or is within) a first threshold value is equivalent to a statement that the value is less than or equal to a second threshold value that is slightly lower than the first threshold value, e.g., the second threshold value being one value lower than the first threshold value in the resolution of the relevant system.
This application is a continuation-in-part of U.S. patent application Ser. No. 15/942,427, filed on Mar. 30, 2018, which claims the benefit of U.S. Provisional Patent Application Ser. No. 62/479,309, filed on Mar. 30, 2017, and is a continuation-in-part of U.S. patent application Ser. No. 15/586,116, filed on May 3, 2017, which claims priority to U.S. Provisional Patent Application Ser. No. 62/330,947, filed on May 3, 2016, and to U.S. Provisional Patent Application Ser. No. 62/359,182, filed on Jul. 6, 2016, and to U.S. Provisional Patent Application Ser. No. 62/374,910, filed on Aug. 15, 2016. This application also claims the benefit of U.S. Provisional Patent Application Ser. No. 62/554,569, filed on Sep. 6, 2017. The disclosures of these applications are hereby fully incorporated herein by reference in their entirety.
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