The present invention relates to devices, systems, and methods for cutting tissues. In some embodiments, the devices, systems, and methods of the invention relate to cutting tissues into fragments that find use in tissue culture and drug testing applications.
Various diagnostic applications require tissue to be cut into thin sections. Conventional methods are limited by the speed of cutting and require one or more manual steps. As such, an unmet need exists to cut tissue into sections at high speed and precision, in an automated manner without causing significant mechanical damage to the tissue. It is also desirable to maintain maximum tissue viability for various downstream applications requiring live tissue, such as ex vivo drug response determination in various precision oncology applications.
One aspect of the present disclosure provides a tissue cutting system including a tissue holder with a hollow cavity. The tissue holder is configured to hold a tissue sample within the hollow cavity. The system further includes a first cutting component configured to cut a tissue sample contained within the hollow cavity of the tissue holder by scoring cuts in a first dimension and in a second dimension respectively, to produce a scored tissue sample. The system further includes a rotating device configured to cause a relative rotational movement between the tissue holder and the first cutting component, between a first relative orientation and a second relative orientation. In the first relative orientation, the first cutting component is configured to cut the tissue sample contained within the tissue holder in the first dimension. In the second relative orientation, the first cutting component is configured to cut the tissue sample contained within the tissue holder in the second dimension. The system further includes a second cutting component configured to cut the scored tissue sample in a third dimension to produce tissue fragments.
Another aspect of the present disclosure provides a tissue cutting system including a tissue holder with a hollow cavity, a proximal end, an opening at a distal end, and a sacrificial tissue-support positioned within the hollow cavity. The sacrificial tissue-support is configured to support a tissue sample. The sacrificial tissue-support is configured to be driven out of the hollow cavity to expose a portion of the tissue sample through the opening at the distal end. The system further includes a cutting component configured to cut the tissue sample to produce tissue fragments. The cutting component is configured to cut an exposed portion of the tissue sample by cutting through the sacrificial tissue-support. The system further includes a reservoir filled with a fluid material, and a portion of the tissue holder is submerged within the fluid material.
Another aspect of the present disclosure provides a tissue cutting system including a tissue holder configured to hold a tissue sample. The system further includes a cutting assembly including a mount, a first cutting component coupled to the mount, a second cutting component coupled to the mount, and an oscillator coupled to the mount. The oscillator is configured to move the first cutting component and the second cutting component. The first cutting component is configured to cut the tissue sample in a first dimension and a second dimension to produce a scored tissue sample. The second cutting component is configured to cut the scored tissue sample in a third dimension to produce tissue fragments. The system further includes a rotating device configured to cause a relative rotational movement between the tissue holder and the first cutting component between a first relative orientation and a second relative orientation. In the first relative orientation, the first cutting component is configured to cut a tissue sample contained within the tissue holder in the first dimension. In the second relative orientation, the first cutting component is configured to cut the tissue sample contained within the tissue holder in the second dimension. The system further includes a translation stage, wherein the tissue holder is coupled to the translation stage. The tissue holder translates with respect to the first cutting component and the second cutting component in response to activation of the translation stage.
Another aspect of the present disclosure provides a tissue cutting system for producing tissue fragments from a tissue sample, the tissue cutting system comprising a cutting component configured to cut the tissue sample into tissue fragments of a defined size and a reservoir configured to collect the tissue fragments. The system further includes a filter assembly attachable to the reservoir, wherein the filter assembly is configured to retain tissue fragments larger than the defined size.
Another aspect of the present disclosure provides a method of cutting a tissue sample using a tissue cutting system with a tissue holder including a hollow cavity, a first cutting component; and a second cutting component; the method comprising: preparing a tissue sample for cutting by positioning the tissue sample within the hollow cavity of the tissue holder; positioning the tissue holder in a first relative orientation; creating relative motion between the first cutting component and the tissue holder to make scoring cuts in the tissue sample in a first dimension; rotating the tissue holder by an angle to a second relative orientation; creating relative motion between the first cutting component and the tissue holder to make scoring cuts in the tissue sample in a second dimension, thereby producing a scored tissue sample; exposing a portion of the scored tissue sample through an opening at a distal end of the tissue holder; and moving an exposed portion of the scored tissue sample across the second cutting component, wherein the exposed portion of the scored tissue sample is cut in a third dimension to produce tissue fragments.
Another aspect of the present disclosure provides a method of preparing a live tissue sample for cutting comprising: providing a tissue holder including a hollow cavity, an opening at a distal end, and a sacrificial tissue-support; positioning the live tissue sample on a portion of the sacrificial tissue-support, wherein said portion of the sacrificial tissue-support is exposed out of the hollow cavity through the opening at the distal end of the tissue holder; coupling an encapsulant-reservoir to the opening at the distal end of the tissue holder, the encapsulant-reservoir includes an internal volume filled with an encapsulant precursor, wherein the sacrificial tissue-support supporting the live tissue sample extends into the internal volume of the encapsulant-reservoir filled with the encapsulant precursor; and retracting the sacrificial tissue-support supporting the live tissue sample into the hollow cavity of the tissue holder, wherein the encapsulant precursor is drawn into the hollow cavity along with the live tissue sample.
Another aspect of the present disclosure provides a kit for preparing a tissue sample for cutting, the kit comprising: a tissue holder comprising a hollow cavity, an opening at a distal end, and a sacrificial tissue-support. The sacrificial tissue-support is configured to support the tissue sample, and the sacrificial tissue-support is configured to be move relative to the hollow cavity. The sacrificial tissue-support is configured to be cut. The kit further includes an encapsulant-reservoir containing an encapsulant precursor. The encapsulant reservoir is configured to be detachably coupled to the opening at the distal end of the tissue holder thereby permitting the flow of the encapsulant precursor from the encapsulant-reservoir into the hollow cavity of the tissue holder.
Another aspect of the present disclosure provides a cutting assembly with a mount including a first surface and a first mount surface that intersects the first surface at a first angle. The first angle is 90 degrees. The mount further includes a second mount surface that intersects the first surface at a second angle, wherein the second angle is within a range of 1 degree to 20 degrees. The cutting assembly further includes a first cutting component coupled to the first mount; and a second cutting component coupled to the second mount surface.
Another aspect of the present disclosure provides a method of cutting a tissue sample using a tissue cutting system with a cutting component; the method comprising: moving the cutting component cyclically at a constant velocity in a first direction and at a constant velocity in a second direction opposite the first direction; moving the tissue sample toward the cutting component when the cutting component is moving at the constant velocity in the first direction or the second direction.
Other aspects of the disclosure will become apparent by consideration of the detailed description and accompanying drawings.
These and other features, aspects, and advantages of the present technology will become better understood with regards to the following drawings. The accompanying figures and examples are provided by way of illustration and not by way of limitation.
Before any embodiments are explained in detail, it is to be understood that the invention is not limited in its application to the details of construction and the arrangement of components set forth in the following description or illustrated in the following drawings. The invention is capable of other embodiments and of being practiced or of being carried out in various ways.
The singular forms “a” “an” and “the” include plural referents unless the context clearly dictates otherwise. Approximating language, as used herein throughout the specification and claims, may be applied to modify any quantitative representation that could permissibly vary without resulting in a change in the basic function to which it is related. Accordingly, a value modified by a term such as “about” is not to be limited to the precise value specified. Unless otherwise indicated, all numbers expressing quantities of ingredients, properties such as molecular weight, reaction conditions, so forth used in the specification and claims are to be understood as being modified in all instances by the term “about.” Accordingly, unless indicated to the contrary, the numerical parameters set forth in the following specification and attached claims are approximations that may vary depending upon the desired properties sought to be obtained by the present invention. At the very least each numerical parameter should at least be construed in light of the number of reported significant digits and by applying ordinary rounding techniques.
The phrase “and/or,” as used herein in the specification and in the claims, should be understood to mean “either or both” of the elements so conjoined, e.g., elements that are conjunctively present in some cases and disjunctively present in other cases.
Use of ordinal terms such as “first,” “second,” “third,” etc., in the claims or specification to modify an element does not by itself connote any priority, precedence, or order of one claim element over another or the temporal order in which acts of a method are performed but are used merely as labels to distinguish one element having a certain name from another element having the same name.
The term “coupled,” as used herein, is defined as “connected,” although not necessarily directly, and not necessarily mechanically. The term coupled is to be understood to mean physically, magnetically, chemically, electrically, or otherwise coupled, connected or linked and does not exclude the presence of intermediate elements between the coupled elements absent specific contrary language.
The term “configured to” describes hardware, software or a combination of hardware and software that is adapted to, set up, arranged, commanded, altered, modified, built, composed, constructed, designed, or that has any combination of these characteristics to carry out a given function.
“Subject” as used herein is any mammalian or non-mammalian subject. In some embodiments, the subject is a human subject. In some embodiments, the subject is suspected of or diagnosed with cancer. The cancer can be any solid or hematologic malignancy. The cancer can be of any stage and/or grade. Non-limiting examples of cancer include cancers of head & neck, oral cavity, breast, ovary, uterus, gastro-intestinal, colorectal, pancreatic, prostate, brain and central nervous system, skin, thyroid, kidney, bladder, lung, liver, bone and other tissues.
“Tissue” or “tissue sample” as used interchangeably herein, is a biological material obtained from a subject. The tissue can be from any organ or site in the body of the subject. A tissue can be obtained from a subject by any approach known to a person skilled in the art. The tissue can be obtained by surgical resection, surgical biopsy, investigational biopsy or any other therapeutic or diagnostic procedure performed on a subject. In some embodiments, the tissue contains or is suspected to contain tumor cells. The terms tumor cells, cancerous cells, and malignant cells have been used interchangeably. In some embodiments, the tissue is a tumor tissue. In some embodiments, the tissue is obtained from any organ or site in the body of the subject where a cancer has originated or where the cancer has metastasized to. In some embodiments, the tissue may also contain immune cells, stromal cells etc. While the tissue can be in any form (such as frozen or fixed), in preferred embodiments, the tissue is a live, fresh tissue. In some embodiments, the tissue has not been subjected to any tissue fixation techniques known to a person of ordinary skill in the art (such as formalin treatment) or not been stored under any condition or for any duration of time to significantly reduce the number of viable cells.
Tissue fragments are fragments of the tissue sample that have detached from the tissue sample, wherein the fragments are obtained by cutting the tissue in one or more dimensions. In some embodiments, the tissue fragments are obtained by cutting the tissue sample in all three dimensions, such as a first dimension, a second dimension, and a third dimension. In some embodiments, (such as in the case of a biopsy tissue sample) where the tissue sample already has the desired sizes in two dimensions, tissue fragments can be produced by cutting the tissue sample in only one dimension. The tissue fragments can be of various shapes, with non-limiting examples of shapes including cubes, square cuboids, rectangular cuboids, parallelogram prisms and the like. In some embodiments, the tissue fragments are substantially cubical in shape. In some embodiments, the size of each tissue fragment is equal to or less than 1000 μm (such as 1000 μm, 500 μm, 450 μm, 400 μm, 350 μm, 300 μm, 250 μm, 200 μm, 100 μm or 50 μm) in at least one dimension. In some embodiments, the size of each tissue fragment is between 50 μm and 1000 μm in at least one dimension. In some embodiments, the size of each tissue fragment is between 100 μm and 500 μm in at least one dimension. In some embodiments, the size of each tissue fragment is between 150 μm and 350 μm in at least one dimension. In some embodiments, the size of each tissue fragment is between 50 μm and 500 μm (such as 50 μm, 100 μm, 150 μm, 200 μm, 250 μm, 300 μm, 350 μm, 400 μm, 450 μm or 500 μm) in at least two dimensions. In some embodiments, the size of each tissue fragment is between 100 μm and 350 μm in at least two dimensions. In some embodiments, the size of each tissue fragment is between 50 μm and 500 μm in all three dimensions. In some embodiments, the size of each tissue fragment is between 100 μm and 350 μm in all three dimensions. In some embodiments, each tissue fragment is between 300 μm and 350 μm in two dimensions and between 100 μm and 150 μm in a third dimension. In some embodiments, the tissue fragments are uniform in size. As used herein, uniform means substantially uniform, wherein the size of the tissue fragments are within ±30% of one another, in at least one dimension. In some embodiments, the tissue fragments are live tissue fragments, wherein the cutting processes did not substantially reduce the number of viable cells that were present in the tissue sample. In some embodiments, the tissue fragments are live tissue fragments, such that one or more functional assays can be performed on the tissue fragments. A specified size is the desired size of a tissue fragment in one or more dimensions. The specified size can be user-defined or pre-defined depending on tissue type and/or end application. According to one or more embodiments, the tissue cutting system cuts the tissue sample into tissue fragments of a specified size. The size of the tissue fragments is specified in one or more dimensions. In some embodiments, the tissue cutting system cuts the tissue into tissue fragments as per sizes specified in all three dimensions. As used herein, a tissue fragment of a specified size does not necessarily imply that the tissue fragment has the same size in all dimensions. For example, the tissue fragment of a specified size can have the same size in all three dimensions (such as 300 μm×300 μm×300 μm), it can have the same size in two dimensions and a different size in the third dimension (such as 300 μm×300 μm×100 μm), or it can have different sizes in all three dimensions. Tissue fragments that are cut in sizes greater than or less than the specified size (such as in one, two or all three dimensions), depending on the end application, are unwanted tissue fragments. In some embodiments, tissue fragments within ±50% of the specified size (in one or more dimensions) can still be usable or are desired tissue fragments. For example if the specified size is 300 μm×300 μm×300 μm, tissue fragments with a size of 450 μm in one or more dimensions might still be within the range of specified size (hence desired tissue fragments), however, tissue fragments with size exceeding 450 μm in one or more dimensions might be outside the range of the specified size and hence are unwanted tissue fragments. The size that is acceptable within the range of specified size may be user defined based on the application.
A cutting plane is a plane at which the tissue sample is cut. A cutting event is the process of cutting the tissue at one cutting plane. In some embodiments, the dimensions at which a tissue is cut (that is, the first dimension, the second dimension and the third dimension) are mutually perpendicular to one another. “Successive cutting planes” as used herein refers to a plurality of substantially parallel cutting planes in one dimension.
A cutting process is the process of cutting the tissue sample at a plurality of cutting planes in at least one dimension. In some embodiments, a cutting process comprises multiple cutting events. A first cutting process is the process of cutting the tissue at multiple cutting planes in a first dimension, a second cutting process is the process of cutting the tissue at multiple cutting planes in a second dimension, and a third cutting process is the process of cutting the tissue at multiple cutting planes in a third dimension. In some embodiments, the first, the second, and the third cutting processes are sequential. In some embodiments, the first and the second cutting processes are scoring processes, where the tissue sample is cut at successive planes in the first and the second dimensions respectively, but tissue fragments (i.e., fragments that detach from the tissue sample) are not produced. As to be understood, a “scoring cut” is a cut that cuts a tissue sample but doesn't produce tissue fragments that detach from the tissue sample. As to be understood by a person skilled in the art, a scoring cut is a shallow cut that does not penetrate the entire depth of the tissue sample to produce a fragment that detaches from the tissue sample. A “scored tissue sample” is a tissue sample or a portion thereof that has been cut by scoring cuts in the first and the second dimensions, but tissue fragments (i.e., fragments that detach from the tissue sample) are not produced. In some embodiments, tissue fragments are produced only after the tissue sample is cut in all three dimensions. A “slicing cut” is a cut that produces tissue fragments which detach from the tissue sample. In some embodiments, the cut in the third dimension by the second cutting component (after scoring cuts in the first and the second dimension) is a slicing cut. In some embodiments, especially for biopsy samples (where the tissue sample already has the desired sizes in two dimensions), the cuts in a single dimension produces tissue fragments that detach from the tissue sample and hence is a slicing cut.
A cutting cycle is the sequential or concurrent occurrence of a first cutting process, a second cutting process and a third cutting process to produce tissue fragments. In some embodiments, a cutting cycle is the sequential occurrence of a first cutting process, followed by a second cutting process and finally followed by a third cutting process, to produce tissue fragments. In some embodiments, one cutting cycle cuts only a portion of the tissue sample into tissue fragments. In some embodiments, multiple cutting cycles are required to cut the entire tissue sample into tissue fragments.
A cutting component is any object configured to cut a tissue precisely. The cutting component is configured to cut the tissue precisely at cutting plane in a given dimension with minimal damage to the tissue at the cutting plane or at adjoining regions thereof. According to some embodiments, a cutting plane is a plane at which a cutting component cuts the tissue. Non-limiting examples of cutting components include blades, wires, or scalpels. In some embodiments, the cutting component is a blade.
As used herein, the term “processor” (e.g., a microprocessor, a microcontroller, a controller, a processing unit, or other suitable programmable device) can include, among other things, a control unit, an arithmetic logic unit (“ALC”), and a plurality of registers, and can be implemented using a known computer architecture (e.g., a modified Harvard architecture, a von Neumann architecture, etc.). In some embodiments the processor is a microprocessor that can be configured to communicate in a stand-alone and/or a distributed environment, and can be configured to communicate via wired or wireless communications with other processors, where such one or more processor can be configured to operate on one or more processor-controlled devices that can be similar or different devices.
As used herein, the term “memory” is any memory storage and is a non-transitory computer readable medium. The memory can include, for example, a program storage area and the data storage area. The program storage area and the data storage area can include combinations of different types of memory, such as a ROM, a RAM (e.g., DRAM, SDRAM, etc.), EEPROM, flash memory, a hard disk, a SD card, or other suitable magnetic, optical, physical, or electronic memory devices. The processor can be connected to the memory and execute software instructions that are capable of being stored in a RAM of the memory (e.g., during execution), a ROM of the memory (e.g., on a generally permanent bases), or another non-transitory computer readable medium such as another memory or a disc. In some embodiments, the memory includes one or more processor-readable and accessible memory elements and/or components that can be internal to the processor-controlled device, external to the processor-controlled device, and can be accessed via a wired or wireless network. Software included in the implementation of the methods disclosed herein can be stored in the memory. The software includes, for example, firmware, one or more applications, program data, filters, rules, one or more program modules, and other executable instructions. For example, the processor can be configured to retrieve from the memory and execute, among other things, instructions related to the processes and methods described herein.
As used herein, the term “network” generally refers to any suitable electronic network including, but not limited to, a wide area network (“WAN”) (e.g., a TCP/IP based network), a local area network (“LAN”), a neighborhood area network (“NAN”), a home area network (“HAN”), or personal area network (“PAN”) employing any of a variety of communications protocols, such as Wi-Fi, Bluetooth, ZigBee, etc. In some embodiments, the network is a cellular network, such as, for example, a Global System for Mobile Communications (“GSM”) network, a General Packet Radio Service (“GPRS”) network, an Evolution-Data Optimized (“EV-DO”) network, an Enhanced Data Rates for GSM Evolution (“EDGE”) network, a 3GSM network, a 4GSM network, a 5G New Radio, a Digital Enhanced Cordless Telecommunications (“DECT”) network, a digital AMPS (“IS-136/TDMA”) network, or an Integrated Digital Enhanced Network (“iDEN”) network, etc. In some embodiments, systems comprise a computer and/or data storage provided virtually (e.g., as a cloud computing resource). In particular embodiments, the technology comprises use of cloud computing to provide a virtual computer system that comprises the components and/or performs the functions of a computer as described herein. Thus, in some embodiments, cloud computing provides infrastructure, applications, and software as described herein through a network and/or over the internet. In some embodiments, computing resources (e.g., data analysis, calculation, data storage, application programs, file storage, etc.) are remotely provided over a network (e.g., the internet).
In some embodiments, as represented by
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In some embodiments, a first cutting component 100 (
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In some embodiments, a second cutting component 200 (
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In some embodiments, an oscillator is configured to oscillate a cutting component (e.g., the first and/or the second cutting component) about one or more axes of the cutting components (e.g., a linear axis and/or the transverse axis). In some embodiments, an oscillator includes a motor e.g., a piezoelectric motor, a set of piezoelectric motors, an electric motor, or the like. The oscillator controls the frequency and the amplitude of oscillations of the cutting components. In some embodiments, the cutting component is configured to be oscillated at frequencies within a range of approximately 20 to approximately 200 Hz. In some embodiments, the cutting component is configured to be oscillated at frequencies within a range of approximately 50 to approximately 200 Hz. In some embodiments, the cutting component is configured to be oscillated at frequencies within a range of approximately 120 to approximately 200 Hz. In some embodiments, the oscillator comprises a voice coil actuator. In some embodiments, a voice coil actuator drives the oscillation of the cutting components. In some embodiments, a single voice coil actuator drives the oscillation of both the first and second cutting components.
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In some embodiments, the tissue sample is moved from one cutting component to another at specific rates and motion patterns to create the scoring cuts with one cutting component 100 and slicing cuts with the other 200. In some embodiments, the only motion of the cutting components during the cutting operation is the oscillation motion driven by the oscillator.
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In some embodiments, the sacrificial tissue-support 412 comprises a non-flat surface. Various types of non-flat surfaces can be envisaged, such as a concave surface, a U-shaped surface, an angular V-shaped surface and the like. In some embodiments, the sacrificial tissue-support comprises a surface that is wide at one end and tapers into a groove at the other end. The groove is configured to receive and support the tissue sample 300. In some embodiments, the sacrificial tissue-support has a V-shaped surface. The tissue sample is supported on the groove of the V-shaped surface of the sacrificial tissue-support. The non-flat shape of the sacrificial tissue-support ensures that the tissue sample supported on the groove can be positioned as close as possible to the center of the tissue holder. The sacrificial tissue support can be of various form factors that best suits the input tissue. For example, biopsies with long cylinder-like shapes need a differently shaped support from excisions that are amorphous blobs.
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The sacrificial tissue-support 412 is composed of a material that can be cut with a cutting component (such as a sacrificial material). Non-limiting examples of materials of the sacrificial tissue-support include wax, silicone (such as polydimethylsiloxane (PDMS)), polycarbonates, polypropylenes, polyurethanes, cyclo-olefin polymers or combinations thereof. In some embodiments, the material of the sacrificial tissue support 412 is biocompatible and non-toxic to avoid damaging or altering the tissue properties. In some embodiments, the material of the sacrificial tissue-support is such that the sacrificial tissue-support does not bend or buckle significantly under the pressure of a cutting component, thereby minimizing any mechanical damages caused to the tissue during cutting. The sacrificial tissue-support 412 advantageously serves to mitigate any shape deviations, relative to the intended dimensions, that can be caused to the tissue or tissue fragments during cutting.
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As used herein, an encapsulant precursor is a component that forms the encapsulant in the gel state under suitable conditions of gelation. The encapsulant precursor can be in any physical form such as in liquid or in solid form. In some embodiments, the encapsulant is formed by a covalent cross-linking of the encapsulant precursors, while in some other embodiments the encapsulant is formed by a physical aggregation of the encapsulant precursors. In some embodiments, depending upon the tissue type, the percentages of the encapsulant precursors and/or gelation conditions can be varied to obtain encapsulants of varying mechanical stiffness.
The terms “gelling” and “gelation” as used herein, means physical aggregation and/or chemical/covalent cross-linking (or polymerization) of encapsulant precursors to form the encapsulant. Gelation or gelling conditions are conditions that cause physical aggregation and/or chemical/covalent cross-linking of the encapsulant precursors to form the encapsulant. Non-limiting gelling conditions are temperature change or photo-irradiation. In some embodiments, gelling or gelation conditions cause sol to gel transition of an encapsulant precursor (in the sol state) to the encapsulant (in the gel state). The gelation conditions preferably do not cause substantial damage to the tissue sample. In some embodiments, gelation happens at a low temperature, within a short time, and preferably under mild chemical conditions.
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In some embodiments, the drive assembly (or a component thereof) is configured to be coupled with the tissue sample via a member holding the tissue sample (e.g., the sacrificial tissue-support 412). In some embodiments, the tissue sample is supported on the sacrificial tissue-support and the drive assembly is coupled to the sacrificial tissue-support. In some embodiments, a portion of the drive assembly or a component thereof is configured to extend into the hollow cavity of the tissue holder. In some embodiments, the drive assembly comprises a linear actuator. Various kinds of linear actuation mechanism can be envisaged by a person skilled in the art. In some embodiments, the linear actuator comprises leadscrew, where the turning motion of the leadscrew is translated into a linear motion to drive the tissue sample. In some embodiments, if finer positional adjustments are required, the linear actuator comprises a piezoelectric actuator. In some embodiments, the linear actuator is configured to couple with the tissue sample via the sacrificial tissue-support. In some embodiments, the drive assembly comprises a gear mechanism, wherein a rack and pinion type of linear actuation can be envisaged. In some embodiments, a member holding the tissue sample (such as the sacrificial tissue-support) has edges designed on its sides. These edges interface with the circular gear mechanism (or the pinion) and the spinning gear action drives the tissue sample forward and optionally backward. In some embodiments, the drive assembly is configured to cause a two-way motion, that is to drive the tissue sample out of the hollow cavity of the tissue holder and retract the tissue sample back into the hollow cavity.
In some embodiments, the cutting system includes a rotating device 500 (such as shown in
A relative orientation is the rotational orientation of the tissue holder 400 relative to the first cutting component 100. As used herein, “a first relative orientation” is an orientation of the tissue holder 400 relative to the first cutting component 100, wherein the first cutting component 100 is configured to cut the tissue sample 300 contained within the tissue holder at a cutting plane in a first dimension. As used herein, “a second relative orientation” is an orientation of the tissue holder 400 relative to the first cutting component 100, wherein the first cutting component 100 is configured to cut the tissue sample 300 contained within the tissue holder 400 at a cutting plane in a second dimension. A relative orientation can be achieved by rotating the tissue holder about the longitudinal axis 408 without rotating the first cutting component (such as shown in
In some embodiments, the cutting system includes a translation assembly 800 configured to cause a translational motion of, for example, a cutting component and/or the tissue holder. A translation assembly can comprise various types of translation stages with linear actuators to cause motion in one or more axes (such as a linear translation stage for single axis linear motion, an x-y translation stage for motion in x and γ axes, or xyz translation stage for motion in x, γ and z axes). Non-limiting examples of linear actuation mechanisms include an electro-mechanical actuator (for example, a screw-type actuator such as a leadscrew or a wheel and axel-type actuator such as a rack and pinion, and the like). In some embodiments, if finer positional adjustments are required, a translation assembly can comprise a piezoelectric actuator. In some embodiments, the tissue cutting system comprises one or more translation assemblies to drive translational motion of the tissue holder and/or a cutting component with respect to each other to cut the tissue sample supported by the tissue holder. In some embodiments, one or more translation assemblies cause translational motion of the tissue holder with respect to the cutting components. In some embodiments, one or more translation assemblies 800 (such as comprising an x-y translation stage shown in
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The internal space of the reservoir 1000 is temperature controlled. In some embodiments, the internal space of the reservoir 100 is configured to be heated. In some embodiments, the internal space of the reservoir 1000 is configured to be cooled (such as at temperatures close to 0° C.), without freezing the tissue or the tissue fragments. In other words, the reservoir 1000 is chilled without contaminating the contents of the internal space with ice or other chilling fluid.
In some embodiments, an indirect temperature control mechanism is utilized. In some embodiments, as shown in
In some embodiments, the nest 1200 comprises internal features to enable circulation of the heat transfer fluid. In some embodiments (as shown by the section views in
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In some embodiments, the filter assembly 1410 is configured to be coupled to the reservoir 1000. In some embodiments, the filter assembly is coupled to the reservoir at the end of the cutting operation once the entire tissue has been cut into tissue fragments. In some embodiments, the filtration system is an in-line filtration system (
In some embodiments, the reservoir is connected to the filter assembly with the help of a connector 1450 (such as shown in
As detailed herein, some embodiments relate to a tissue cutting system comprising, a tissue holder 400 comprising a hollow cavity defined by a sidewall, a proximal end and an opening at a distal end, wherein the tissue holder is configured to support a tissue sample 300 within the hollow cavity. The tissue cutting system further comprises a first cutting component 100 configured to cut a tissue sample contained within the hollow cavity by scoring cuts in a first dimension and in a second dimension respectively, to produce a scored tissue sample. In some embodiments, the tissue cutting system further comprises a rotating device 500 configured to cause a relative rotational movement between the tissue holder and the first cutting component, from a first relative orientation to a second relative orientation. In the first relative orientation, the first cutting component is configured to cut the tissue sample (contained within the hollow cavity of the tissue holder) in the first dimension, and in the second relative orientation, the first cutting component is configured to cut the tissue sample (contained within the hollow cavity of the tissue holder) in the second dimension. The tissue cutting system further comprises a second cutting component configured to cut the scored tissue sample in a third dimension to produce tissue fragments.
In some embodiments, the tissue holder 400 further comprises a sacrificial tissue-support 412, wherein the sacrificial tissue-support is configured to support the tissue sample. In some embodiments, the sacrificial tissue-support comprises a non-flat surface comprising a groove, wherein the groove is configured to support the tissue sample. In some embodiments, the second cutting component is configured to cut the tissue sample by cutting through the sacrificial tissue-support. In some embodiments, the non-flat surface is a V-shaped surface.
In some embodiments, the rotating device 500 is coupled to the tissue holder and is configured to rotate the tissue holder about its longitudinal axis from a first relative orientation of the tissue holder to a second relative orientation of the tissue holder. In some embodiments, the rotating device 500 is coupled to the tissue holder 400 via a coupling element 502 (such as shown in
In some embodiments, the rotating device 500 is coupled to the first cutting component and is configured to rotate the first cutting component (such as about its transverse axis) from a first orientation of the first cutting component to a second orientation of the first cutting component (such as shown in
In some embodiments, the tissue holder 400 or the first cutting component 100 is configured to be moved (e.g., vertically or side-ways) with respect to each other. In some embodiments, a translation assembly is configured to cause the translational motion of the tissue holder and/or the first cutting component. In some embodiments, the tissue cutting system comprises a translation assembly coupled to the tissue holder and configured to cause a translational motion of the tissue holder with respect to the first cutting component. In some embodiments, the translation assembly is configured to move the tissue holder between successive translational positions (such as from a n−1th translational position to a nth translational position) with respect to the first cutting component. In some embodiments, the successive translational positions are vertical translational positions. In some embodiments, the successive translational positions are side-ways (or horizontal) translational positions. In some embodiments, at each translational position (such as a vertical or a horizontal translational position) of the tissue holder, the first cutting component is configured to be moved towards and away from the tissue sample contained within the tissue holder, thereby cutting the tissue sample at successive cutting planes. In some embodiments, at each translational position (such as a vertical or a horizontal translational position) of the tissue holder, the tissue holder containing the tissue sample is configured to be moved towards and away from the first cutting component, thereby causing the tissue sample to be cut at successive cutting planes by the first cutting component. In some embodiments, translational movement of the tissue holder is a vertical translational movement, wherein n−1th translational position is above or below the nth translational position. In some embodiments, the translational movement of the tissue holder is a side-ways (such as horizontal translational movement), wherein the n−1th translational position is on the side (such as left or right) of the nth translational position.
In some embodiments, the tissue cutting system comprises a vertical translation assembly configured to cause a vertical movement of the tissue holder and the first cutting component with respect to each other. In some embodiments, a vertical translation assembly is configured to cause a vertical movement of the tissue holder with respect to the first cutting component. In some embodiments, the tissue cutting system comprises a vertical translation assembly coupled to the tissue holder and configured to move the tissue holder containing the tissue sample to successive vertical translational positions with respect to the first cutting component. The vertical movement can be upward and/or downward movement. In some embodiments, the vertical translation assembly moves the tissue holder from a n−1th vertical position to an nth vertical position (such as from a 1st vertical position to a 2nd vertical position, from a 2nd vertical position to a 3rd vertical position and so on). The nth vertical position can be below or above the n−1st vertical position depending on whether the tissue holder is moved downwards of upwards. “Moved vertically” or “vertical movement” used in the context of the tissue holder (or the first cutting component) is not necessarily a movement in a direction perpendicular to a horizontal plane. A vertical movement is a movement that moves the tissue holder in an upward or a downward direction with respect to the first cutting component (or vice versa) from a n−1th vertical position to a nth vertical position, wherein the n−1th vertical position is below or above the nth vertical position. The vertical positions need not necessarily be directly one above the other. In other words, side-ways vertical movement and staggered vertical positions are also within the scope of this invention. In some embodiments, the movement of the tissue holder between successive vertical positions can be precisely controlled, such as with a piezoelectric actuator. In some embodiments, the translation assembly (such as the vertical translation assembly) is configured to position the tissue sample (such as by vertically moving the tissue holder) with respect to the first cutting component, wherein the first cutting component cuts the tissue sample at a desired cutting plane. In some embodiments, the translation assembly moves the tissue holder from a 1st vertical translational position (where a first cutting event occurs) to a 2nd vertical translational position (where a second cutting event occurs) and so on.
In some embodiments, the tissue cutting system comprises a translation assembly configured to cause a horizontal movement of the tissue holder and the first cutting component with respect to each other. In some embodiments, the translation assembly comprises a x-y translation stage. In some embodiments, the tissue holder is mounted on the x-y translation stage. In some embodiments, the x-y translation stage is configured to move the tissue holder (containing the tissue sample) to successive horizontal positions (wherein the n−1th translational position is on the side, such as on the left or on the right of the nth translational position) with respect to the first cutting component. In some embodiments, at each horizontal translational position of the tissue holder, the x-y translation stage is further configured to move the tissue holder towards and away from the first cutting component, thereby enabling the first cutting component to make successive scoring cuts in the tissue sample contained within the tissue holder.
In some embodiments, the first cutting component is located near the opening at the distal end of the tissue holder. In some embodiments, the first cutting component is configured to be moved towards and away from the tissue sample or the tissue holder containing the tissue sample is configured to be moved towards and away from the first cutting component (scoring motion), to cut the tissue sample by a scoring cut at a cutting plane. When the first cutting component moves towards the tissue sample or the tissue sample (contained within the tissue holder) is moved towards the first cutting component, it is to be understood that the first cutting component moves into (such as to penetrate) the tissue sample, thereby cutting the tissue sample at a cutting plane. After the tissue sample is cut at the cutting plane, the first cutting component or the tissue holder is retracted to the original position. In some embodiments, at each vertical or horizontal position of the tissue holder, the first cutting component is configured to be moved towards and away from the tissue sample contained within the tissue holder, to cut the tissue sample at successive cutting planes. In some embodiments, at each vertical or horizontal position of the tissue holder, the tissue holder containing the tissue sample is configured to be moved towards and away from the first cutting component to cut the tissue sample at successive cutting planes.
In some embodiments, the first cutting component is configured to be oscillated during the first and the second cutting processes. In some embodiments, the first cutting component is configured to be oscillated at a frequency of about 20 Hz to about 200 Hz. In some embodiments, the first cutting component is configured to be oscillated at frequencies within a range of approximately 50 to approximately 200 Hz. In some embodiments, the first cutting component is configured to be oscillated at frequencies within a range of approximately 120 to approximately 200 Hz. In some embodiments, the oscillation of the first cutting component about its axes and the movement of the first cutting component towards and away from the tissue sample (scoring motion) are caused by a voice coil actuator. In some embodiments, the oscillation motion and the scoring motion of the first cutting component are synchronous.
In some embodiments, the first cutting component is oriented with respect to the tissue holder (such as during the first and the second cutting processes), wherein the linear axis of the first cutting component is at an angle α1 with respect to the tissue holder (such as the longitudinal axis of the tissue holder). In some embodiments, where the tissue holder is oriented horizontally (such as where the longitudinal axis of the tissue holder is parallel to a horizontal plane), al is the angle that the linear axis of the first component makes with respect the horizontal plane. In some embodiments, α1 is about 20°. In some embodiments, as shown in representative
In some embodiments, the first cutting component is configured to cut the tissue sample while the tissue sample is contained within the hollow cavity of the tissue holder. This prevents any wobble of the tissue sample during the first and the second cutting processes, thereby enabling the first cutting component to make precise scoring cuts. In some embodiments, the optimal design and dimensions of the tissue holder ensure that there is space to allow the first cutting component to cut the tissue sample, while the tissue sample is held stably.
In some embodiments, the sidewall of the tissue holder comprises a slit, wherein the slit permits the first cutting component to pass through and cut the tissue sample while the tissue sample is contained within the hollow cavity of the tissue holder. In some embodiments, the sidewall of the tissue holder comprises a plurality of slits, wherein each slit in the plurality of slits permits the first cutting component to pass through and cut the tissue sample while the tissue sample is contained within the hollow cavity of the tissue holder. In some embodiments, the width of each slit 410(w) is between about 1 mm and about 10 mm. In some embodiments, the spacing 410(s) between two adjacent slits in a plurality of slits is between about 300 μm and about 2000 μm. In some embodiments, the depth 410(d) of the slit is between about 50 μm and about 1000 μm.
In some embodiments, the first cutting component is configured to protrude within the hollow cavity through the opening at the distal end and cut the tissue sample while the tissue sample is contained within the hollow cavity of the tissue holder.
In some embodiments, the tissue cutting system further comprises a reservoir 1000 (such as shown in
In some embodiments, as shown in
In some embodiments, as shown in
In some embodiments, as shown in
In some embodiments, the tissue holder is configured to be driven towards the second cutting component. In some embodiments, the tissue holder and the reservoir are configured to be driven towards the second cutting component. In some embodiments, the translation assembly (such as comprising the x-y translation stage) is configured to drive the tissue holder and the reservoir towards the second cutting component. In some embodiments, the translation assembly is coupled to the tissue holder. In some embodiments, the translation assembly comprises a linear actuator mechanism that causes a bulk directional motion, in a forward as well as a reverse direction. In some embodiments, the translation assembly 800 comprises a translation stage (such as a x-y translation stage). In some embodiments, such as shown in
In some embodiments, the tissue cutting system further comprises a drive assembly 600 configured to be coupled to the tissue sample, wherein the drive assembly is configured to drive out a portion of the scored tissue sample through the opening at the distal end to expose a portion of the scored tissue sample. In some embodiments, the drive assembly is configured to be coupled to the tissue sample via a sacrificial tissue-support. Any portion of the tissue sample that is exposed out of the hollow cavity of the tissue holder, such as through the opening at the distal end of the tissue holder, is referred to as an exposed portion of the tissue sample. Any portion of a scored tissue sample that is exposed out of the hollow cavity of the tissue holder, such as through the opening at the distal end of the tissue holder, is referred to as an exposed portion of the scored tissue sample. In some embodiments, the second cutting component is configured to cut an exposed portion of the scored tissue sample. In some embodiments, the exposed portion of the scored tissue sample is configured to be driven across the second cutting component. In some embodiments, the drive assembly and/or the translation assembly is configured to drive the exposed portion of the scored tissue sample across the second cutting component.
In some embodiments, the second cutting component is located at the distal end of the tissue holder, that is, near the opening at the distal end of the tissue holder. In some embodiments, the second cutting component is located beyond the first cutting component, that is, the second cutting component is located farther from opening at the distal end of the tissue holder than the first cutting component. In some embodiments, the second cutting component spans over the portion of the tissue holder that protrudes into the internal space of the reservoir. In some embodiments, the first and the second cutting components are mounted on a single cutting component holder but oriented at different angles with respect to the tissue sample.
In some embodiments, the second cutting component is configured to be oscillated. In some embodiments, the second cutting component is translationally fixed, and the only motion of the second cutting component is an oscillating motion about the linear axis of the second cutting component. In some embodiments, the second cutting component (such as the linear axis of the second cutting component) is oriented at an angle β with respect to the tissue holder (such as the longitudinal axis of the tissue holder). In some embodiments, the tissue holder is oriented parallel to the horizontal base of the reservoir and the second cutting component is oriented at an angle, wherein the linear axis of the second cutting component is at an angle β with respect to the horizontal base of the reservoir. In some embodiments, β is about 0° (wherein the linear axis of the second cutting component is parallel to the horizontal base of the reservoir). In some embodiments, β is between about 0° and about 40°. In some embodiments, such as shown in
In some embodiments, as shown in
Some embodiments relate to a tissue cutting system for cutting a tissue sample comprising: a tissue holder comprising a hollow cavity defined by a side-wall, a proximal end, an opening at a distal end, and a sacrificial tissue-support within the hollow cavity of the tissue holder; wherein the sacrificial tissue-support is configured to support a tissue sample, and wherein the sacrificial tissue-support supporting the tissue sample is configured to be driven out of the hollow cavity to expose a portion of the tissue sample through the opening at the distal end. The tissue cutting system further comprises at least one cutting component configured to cut the tissue sample to produce tissue fragments, wherein the cutting component is configured to cut an exposed portion of the tissue sample, and wherein the cutting component is configured to cut the exposed portion of the tissue sample by cutting through the sacrificial tissue-support. In some embodiments, the tissue cutting system further comprises a reservoir filled with a fluid material, wherein a portion of the tissue holder supporting the tissue sample is configured to be submerged within the fluid material. In some embodiments, the exposed portion of the tissue sample is supported on the sacrificial tissue-support. In some embodiments, the tissue sample is a biopsy tissue sample, that is a tissue sample obtained by biopsy, wherein cutting in a single dimension is sufficient to produce tissue fragments of specified size. In some embodiments, the sacrificial tissue-support comprises a non-flat surface comprising a groove, wherein the groove is configured to support a tissue sample. In some embodiments, the sacrificial tissue-support is configured to support a plurality of tissue samples for simultaneous cutting of the plurality of tissue samples. In some embodiments, the sacrificial tissue-support comprises a non-flat surface comprising a plurality of grooves. In some embodiments, each groove in the plurality of grooves is configured to support a tissue sample for simultaneous cutting of a plurality of tissue samples.
In some embodiments, the reservoir is configured to receive the tissue fragments. In some embodiments, the surrounding wall of the reservoir comprises an opening 1010 to receive the tissue holder, wherein the tissue holder protrudes into the internal space of the reservoir through the opening. In some embodiments, the opening is fitted with an O-ring to prevent any leakage of the fluid material. In some embodiments, the fluid material is maintained at a temperature between about 1° C. and about 10° C. In some embodiments, the fluid material is maintained at a temperature between about 35° C. and about 38° C.
In some embodiments, the cutting component is located near the distal end of the tissue holder. In some embodiments, the cutting component spans over the tissue holder. In some embodiments, the cutting component spans over the portion of the tissue holder that protrudes into the internal space of the reservoir and is submerged within the fluid material. In some embodiments, the tissue holder is oriented parallel to a horizontal base of the reservoir and the cutting component is oriented at an angle, wherein the linear axis of the cutting component is at an angle (e.g., β) with respect to the horizontal base of the reservoir, wherein the angle is between about 0° and about 40°. In some embodiments, the plane of the cutting component is at an angle (e.g., γ) with respect to the surface of the tissue sample to be cut, wherein the angle is between about 0.25° and about 30°. In some embodiments, the cutting component is configured to be oscillated at a frequency between about 20 Hz and about 200 Hz. In some embodiments, the cutting component is translationally fixed. In some embodiments, the tissue cutting system further comprises a drive assembly, wherein the drive assembly is configured to drive out the sacrificial tissue-support to expose a portion of the tissue sample (supported on the sacrificial tissue-support) out of the hollow cavity of the tissue holder through the opening at the distal end. In some embodiments, the tissue cutting system further comprises a translation assembly. In some embodiments, the translation assembly comprises a translation stage on which the tissue holder is mounted. In some embodiments, the translation assembly and/or the drive assembly is configured to drive the exposed portion of the live tissue sample across the cutting component to cut the exposed portion of the live tissue sample into tissue fragments.
As shown in
In some embodiments, the first cutting component and the second cutting are mounted on the cutting component holder in a relative orientation with respect to each other and with respect to the tissue holder, wherein the plane of the first cutting component is at an angle α2 (e.g., α2 is about 90°) with respect to the surface of a tissue sample contained within the tissue holder and wherein the plane of the second cutting component is at an angle γ (e.g., γ is between about 0.5° and about 2.5°) with respect to the surface of the tissue sample contained within the tissue holder. In some embodiments, as shown in
In some embodiments, the tissue cutting system further comprises a rotating device configured to cause a relative rotational movement between the tissue holder and the first cutting component from a first relative orientation to a second relative orientation, wherein in the first relative orientation, the first cutting component is configured to cut a tissue sample contained within the tissue holder in the first dimension and in the second relative orientation, the first cutting component is configured to cut the tissue sample contained within the tissue holder in the second dimension. In some embodiments, the rotating device is coupled to the tissue holder and is configured to cause a rotational movement of the tissue holder with respect to the first cutting component from a first orientation of the tissue holder to a second orientation of the tissue holder.
Some embodiments, as shown in
In some embodiments, the two or more components of the tissue cutting system are operatively connected to one another. In some embodiments, one or more components of the tissue cutting system and the overall tissue cutting assembly are controlled by a control system 2000 (e.g., a controller) (
In some embodiments, one or more component of the tissue cutting system are disposable and/or sterilizable. In some embodiments, during operation, the tissue cutting system forms a closed system in order to maintain the sterility of the tissue sample. In some embodiments, the tissue cutting system is an automated or a semi-automated system, wherein the components of the system are configured to perform their designated functions with minimal human intervention. In some embodiments, as shown in
Some embodiments, such as represented in
In some embodiments, STEP B to STEP G comprises one cutting cycle. In some embodiments, one cutting cycle cuts only a portion of the tissue sample into tissue fragments. In some embodiments, the STEP B to STEP G are repeated to cut the entire tissue sample into tissue fragments. The “entire tissue sample” as used herein means substantially the whole tissue sample. In some embodiments, the tissue sample is a live tissue sample. In some embodiments, the first and the second cutting component are both located near the distal end of the tissue holder. In some embodiments, the first and second cutting components are mounted on a single holder (e.g., mount) at different relative positions with respect to the tissue holder, wherein the tissue sample contained within the tissue holder first makes contact with the first cutting component, wherein the first cutting component cuts the tissue sample to produce a scored tissue sample. Subsequently, the tissue holder containing the tissue sample moves towards the second cutting component, wherein the second cutting component cuts the scored tissue sample to produce tissue fragments. In some embodiments, the tissue cutting system further comprises a reservoir filled with a fluid material, wherein during STEP B to STEP G, the tissue holder containing the live tissue sample is submerged within the fluid material contained within the reservoir. In some embodiments, the method further comprises collecting the tissue fragments in the reservoir.
In some embodiments, the sidewall of the tissue holder comprises a slit. In some embodiments, the step of cutting the tissue sample while the tissue sample is contained within the hollow cavity of the tissue holder comprises, driving the first cutting component through the slit into the hollow cavity containing the tissue sample. In some embodiments, the side-wall of the tissue holder comprises a plurality of slits.
In some embodiments, the method further comprises i) moving the tissue holder to successive translational positions while in the first relative orientation, and operating the first cutting component and/or the tissue holder to make a scoring cut in the tissue sample at each translational position of the tissue holder, thereby cutting the tissue sample at successive cutting planes in the first dimension; and ii) moving the tissue holder to successive translational positions while in the second relative orientation, and operating the first cutting component and/or the tissue holder to make a scoring cut in the tissue sample at each translational position of the tissue holder, thereby cutting the tissue sample at successive cutting planes in the second dimension. In some embodiments, the translational movement of the tissue holder is caused by a translation assembly coupled to the tissue holder.
In some embodiments, the translational movement of the tissue holder is a vertical translational movement. In some embodiments, the method further comprises i) moving the tissue holder vertically to successive vertical positions while in the first relative orientation, and operating the first cutting component and/or the tissue holder to make a scoring cut in the tissue sample at each vertical position of the tissue holder, thereby cutting the tissue sample at successive cutting planes in the first dimension; and ii) moving the tissue holder vertically to successive vertical positions while in the second relative orientation, and operating the first cutting component and/or the tissue holder to make a scoring cut in the tissue sample at each vertical position of the tissue holder, thereby cutting the tissue sample at successive cutting planes in the second dimension. In some embodiments, the vertical movement of the tissue holder is caused by a vertical translation assembly coupled to the tissue holder.
In some embodiments, the method further comprises i) moving the tissue holder to successive horizontal translational positions while in the first relative orientation, and operating the first cutting component and/or the tissue holder to make a scoring cut in the tissue sample at each horizontal translational position of the tissue holder, thereby cutting the tissue sample at successive cutting planes in the first dimension; and ii) moving the tissue holder to successive horizontal translational positions while in the second relative orientation, and operating the first cutting component and/or the tissue holder to make a scoring cut in the tissue sample at each horizontal translational position of the tissue holder, thereby cutting the tissue sample at successive cutting planes in the second dimension. In some embodiments, the translational movement of the tissue holder is caused by a translation assembly coupled to the tissue holder. In some embodiments, the translation assembly comprises a x-y translation stage on which the tissue holder is mounted.
In some embodiments, the step of operating the first cutting component or the tissue holder to make scoring cuts in the tissue sample (contained within the tissue holder) comprises moving the first cutting component towards and away from the tissue sample (contained in the tissue holder) or moving the tissue holder (containing the tissue sample) towards and away from the first cutting component. In some embodiments, the step of operating the first cutting component and the tissue holder to make scoring cuts in the tissue sample (contained within the tissue holder) comprises oscillating the first cutting component while moving the tissue holder containing the tissue sample towards and away from the tissue sample.
In one example of a representative cutting cycle, the tissue holder is positioned at a first vertical position (as shown in
In some embodiments, after the first cutting process, the tissue holder is rotated, such as by a 90° angle, about the longitudinal axis of the tissue holder, wherein the tissue holder is rotated from a first orientation of the tissue holder (shown in
In the second orientation of the tissue holder, the tissue holder is again moved to successive vertical positions (shown by arrow “d”). At each vertical position of the tissue holder, the first cutting component moves towards and away from the tissue holder (such as shown in
In an alternate example, the tissue holder is positioned at a first vertical position (as shown in
In one embodiment, as shown in
In some embodiments, the step of exposing a portion of the scored tissue sample is performed with the help of a drive assembly. In some embodiments, the drive assembly drives out a portion of the scored tissue sample through the opening at the distal end of the tissue holder to expose a portion of the scored tissue sample. In some embodiments, the step of driving an exposed portion of the scored tissue sample across the second cutting component, is performed by the drive assembly and/or a linear translation assembly.
In some embodiments, after the tissue sample is cut in the first and the second dimension to produce a scored tissue sample (such as shown in
In some embodiments (such as shown in
In some embodiments, the drive assembly drives out a portion of the scored tissue sample through the opening at the distal end of the tissue holder to expose a portion of the scored tissue sample. In some embodiments, the translation assembly drives the tissue holder (and optionally the reservoir) toward the second cutting component causing the exposed portion of the scored tissue sample to be driven across the second cutting component, wherein the exposed portion of the scored tissue sample is cut in the third dimension to produce tissue fragments. As to be understood, it is required that the exposed portion of the scored tissue sample be driven across the second cutting component in order to cut the exposed portion of the scored tissue sample in a third dimension to produce tissue fragments. The order of movements of the tissue holder towards the second cutting component (driven by the translation assembly) and the tissue sample out of the hollow cavity of the tissue holder (driven by the drive assembly), is not limiting.
The sequential events of the first, the second and the third cutting processes constitutes a cutting cycle, such as a first cutting cycle. In some embodiments, after a cutting cycle (such as a first cutting cycle), the tissue holder and the reservoir are moved back to the original position, such as by the translation assembly. In some embodiments, one cutting cycle cuts only a portion of the tissue sample into tissue fragments. In some embodiments, the first, the second and the third cutting processes are repeated for plurality of cutting cycles, wherein substantially the entire tissue sample is cut into tissue fragments.
In some embodiments, the tissue holder further comprises a sacrificial tissue-support and wherein the step of preparing the tissue sample for cutting further comprises i) positioning the tissue sample on the sacrificial tissue-support and ii) encasing the tissue sample supported on the sacrificial tissue-support with an encapsulant.
In some embodiments, one or more steps of the method of cutting the tissue sample into tissue fragments are automated or semi-automated, that is the steps are performed with minimal human intervention.
As shown in
In some embodiments, the step of positioning the live tissue sample securely on a portion of the sacrificial tissue-support comprises attaching the live tissue sample to a portion of the sacrificial tissue-support using an adhesive. In some embodiments, the step of retracting the sacrificial tissue-support supporting the live tissue sample into the hollow cavity of the tissue holder is performed with the help of a drive assembly, wherein the drive assembly is coupled to the sacrificial tissue-support.
Some embodiments relate to a kit for preparing a tissue sample for cutting, comprising: (a) a tissue holder comprising a hollow cavity defined by a side-wall, a proximal end, an opening at a distal end, and a sacrificial tissue-support. The sacrificial tissue-support is configured to support the tissue sample. In some embodiments, the sacrificial tissue-support is configured to be driven out of and retracted into the hollow cavity. The sacrificial tissue-support is configured to be cut by a cutting component. In some embodiments, the kit further comprises (b) an encapsulant-reservoir containing an encapsulant precursor within an internal volume of the encapsulant-reservoir, wherein the encapsulant-reservoir is configured to be detachably coupled to the opening at the distal end of the tissue holder thereby forming an interface, which allows the flow of the encapsulant precursor from the internal volume of the encapsulant-reservoir into the hollow cavity of the tissue holder. In some embodiments, the sacrificial tissue-support is configured to be driven out of and retracted into the hollow cavity with the help of a drive assembly coupled to the sacrificial tissue-support. In some embodiments, the kit is disposable. In some embodiments, the kit is for preparing a live tissue sample for cutting. In some embodiments, the encapsulant precursor is an alginate solution.
In some embodiments, the sidewall of the tissue holder comprises a slit, wherein the slit permits a cutting component to pass through and cut a tissue sample contained within the hollow cavity of the tissue holder, wherein the width of the slit is between about 1 mm and about 10 mm and wherein the depth of the slit is between about 50 μm and about 1000 μm. In some embodiments, the sidewall of the tissue holder comprises a plurality of slits, wherein the spacing between two adjacent slits in the plurality of slits is between about 300 μm and about 2000 μm. In some embodiments, the sacrificial tissue-support comprises a non-flat surface comprising a groove.
Some embodiments relate to an operational assembly for cutting a live tissue sample into tissue fragments, comprising: (a) a tissue holder comprising a hollow cavity defined by a side-wall, a proximal end, an opening at a distal end, and a sacrificial tissue-support within the hollow cavity of the tissue holder and (b) a live tissue sample positioned on the sacrificial tissue-support within the hollow cavity, wherein the sacrificial tissue-support supporting the live tissue sample is configured to be driven out of the hollow cavity to expose a portion of the live tissue sample through the opening at the distal end. In some embodiments, the assembly further contains, (c) a first cutting component configured to cut the live tissue sample by scoring cuts in a first dimension and a second dimension respectively to produce a scored tissue sample, wherein the first cutting component is configured to cut the live tissue sample while the live tissue sample is contained within the hollow cavity of the tissue holder; and (d) a second cutting component configured to cut the scored tissue sample in a third dimension to produce tissue fragments, wherein the second cutting component is configured to cut an exposed portion of the scored tissue sample by cutting through the sacrificial tissue-support. In some embodiments, the assembly further contains a reservoir filled with a fluid material, wherein a portion of the tissue holder containing the live tissue sample is submerged within the fluid material and wherein the reservoir is configured to receive the tissue fragments. As used herein, an exposed portion of the scored tissue sample is a portion of the scored tissue sample that is exposed out of the hollow cavity of the tissue holder, such as through the opening at the distal end. In some embodiments, the exposed portion of the scored tissue sample is supported on the sacrificial tissue-support. In some embodiments, the operation assembly is a closed system. In some embodiments, the operational assembly or a component thereof is maintained at a temperature between about 1° C. and about 10° C.
With reference to
With reference to
With continued reference to
As detailed herein, the first cutting component 100 is configured to cut a tissue sample contained within the tissue holder 400 by scoring cuts in a first dimension and in a second dimension respectively, to produce a scored tissue sample. In particular, the first cutting component 100 is configured to protrude into the hollow cavity 406 and cut the tissue sample 300 while the tissue sample 300 is contained within the hollow cavity 406. The second cutting component 200 is configured to cut the scored tissue sample in a third dimension to produce tissue fragments.
With continued reference to
With continued reference to
With reference to
With reference to
With reference to
With reference to
As detailed herein, a method of cutting a tissue sample using a tissue cutting system with a cutting component comprises (STEP A) moving the cutting component cyclically or periodically at a constant velocity in a first direction and at a constant velocity in a second direction opposite the first direction (“blade motion” of
In some embodiment, moving the tissue sample relative to the cutting component includes rotating the tissue sample relative to the cutting component (e.g., a “spin cut”). The spin cut is an alternative cutting method. With a spin cut method, the rotational stage is be employed to spin the tissue sample, providing relative tissue sample motion to a stationary cutting component. In other embodiment, the otherwise stationary cutting component makes a single long stroke, utilizing the full length of the cutting surface while the tissue sample spins against the cutting component. Given the sample cut rate is RPM x radius of sample remaining and the radius decreases as the sample is being cut. As such, the rotational velocity increases to maintain a consistent cut rate. When the radius approaches zero, a hybrid approach of using the sawtooth or triangle cut profile motion to finish the cut be implemented.
With reference to
During operation, the cutting assembly 50 is at least partially received within the reservoir 1000. The reservoir 1000 includes an internal space 1002 (e.g., a cavity, a bowl, a bucket) and a fluid material is positioned within the internal space 1002. The reservoir 1000 is configured to collect the tissue fragments within the internal space 1002. In the illustrated embodiment, the internal space 1002 is at least partially defined by a sidewall 1004. In the illustrated embodiment, a lid 1006 is pivotably coupled to the sidewall 1004 and movable between an open and closed configuration. In the illustrated embodiment, the mount 54 of the cutting assembly 50 is coupled to an oxygen source, the oxygen source is fluidly coupled to the reservoir 1000 when the cutting assembly 500 is submerged in the fluid material and is configured to oxygenate the fluid material in the internal space 1002 of the reservoir 1000.
In the illustrated embodiment, at least a portion of the tissue holder 400 protrudes into the internal space 1002 of the reservoir 1000 and is submerged within the fluid material. In the illustrated embodiment, the tissue holder 400 is at least partially received within an aperture 1010 (e.g., an opening) formed in the sidewall 1004 (
With reference to
With reference to
With continued reference to
As detailed herein, in some embodiments, the nest 1200 is fluidly coupled to an external heat exchanger. In some embodiments, the heat exchanger is configured pump the heat exchange fluid through the cavity 1210 in the nest 1200. In some embodiments, a temperature sensor 1214 is provided and configured to detect the temperature of the fluid material in the reservoir 1000. In some embodiments, the temperature sensor 1214 is submerged within the fluid material. In other embodiments, the temperature sensor 1214 is spaced from the fluid material. In some embodiments, the temperature sensor 1214 is coupled to the lid 1006 on the reservoir 1000 that moves between open and closed configurations.
With reference to
The present application claims priority to United States Provisional Patent Application Serial Nos. 63/313,819, filed Feb. 25, 2022 and 63/242,542, filed Sep. 10, 2021, the entire discloses of which are hereby incorporated by reference in their entireties.
Number | Date | Country | |
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63313819 | Feb 2022 | US | |
63242542 | Sep 2021 | US |