DEVICE AND ASSEMBLIES FOR ORIENTED TRANSPORT, MICROSCOPIC INVESTIGATION AND ORIENTED EJECTION OF A TISSUE GRAFT OR IMPLANT
20220183818 · 2022-06-16
Assignee
Inventors
Cpc classification
A61F2/148
HUMAN NECESSITIES
A61F2/142
HUMAN NECESSITIES
A61F2/1662
HUMAN NECESSITIES
International classification
Abstract
The invention provides a device for secure support, storage and/or transport of a tissue graft or an implant, which allows for precise microscopic investigation and/or evaluation and quality control of the tissue graft or implant during processing as well as prior to introduction into a living body. The main body of the device is a cannula or a cartridge comprising rectangular shape, preferably with rounded edges, having two opposite openings of different sizes and shapes. The first opening has a round shape with a diameter suitable for connection to a tube or a syringe nozzle. The second opening has an elliptical, round, biconvex or rectangle shape, in the latter case preferably with rounded edges that is small enough to be inserted into a small surgical incision. The transparency and preferably rounded, rectangular shape of the main body of the device permits microscopic examination of the tissue graft or implant within the device, as well as secures the tissue graft or implant position during delivery and implantation. The elliptical, round, biconvex or preferably rounded rectangle inner shape of the second opening ensures the correct positioning of the tissue graft or implant during surgical implantation, thereby preventing issues such as loss of the tissue graft or implant orientation. The invention further provides assemblies for loading, storing and/or transporting a tissue graft or implant comprising the device according to the invention. The invention further provides a washing assembly and a method for preparing a tissue graft or implant.
Claims
1. Device (10) for secure support storage and/or transport of a tissue graft or implant (11) for ophthalmological interventions, comprising: a first opening (1), a main body (2), a taper area (3), and a second opening (4), characterized in that the first opening (1) has a round shape and a funnel-like design configured to connect with a tube (5) or a syringe (8, 12) and the main body (2) is transparent and has a rectangle shape and the taper area (3) is transparent and has a an elliptical, round, biconvex or rectangle shape, and wherein the main body (2) comprises at least two flat and parallel opposite sites.
2. Device (10) according to claim 1, wherein the second opening (4) has an elliptical, round, biconvex or rounded rectangle shape.
3. Device (10) according to claim 1, wherein the outer wall of the second opening (4) has a different shape than the inner wall.
4. Device (10) according to claim 1, wherein the outer wall of the taper area (3) has a different shape than the inner wall.
5. Device (10) according to claim 1, wherein the device (10) consists of glass, preferably borate glass or consists of plastic, wherein said plastic is transparent and has a refractive index (r.sub.i) in the range of r.sub.i=1.30 to r.sub.i=1.71, preferably r.sub.i=1.30 to r.sub.i=1.65, most preferably 1.30 to r.sub.i=1.60, which is similar to the r.sub.i=1.33 to 1.34 (at 20° C. and 600 nm) of balanced salt solution (BSS), such as Hank's BSS, Earle's BSS, Tyrode's salt solution, Alsever's salt solution, phosphate-buffered saline (PBS), Tris-buffered saline (TBS), Puck's salt solution, Gey's salt solution, Ringer's salt solution, Simm's salt solution and related buffered saline solutions.
6. Device (10) according to claim 5, wherein the inner surface of the device (10) comprises a hydrophobic coating, selected from coatings comprising acrylate, organo-siloxane, silane, epoxy, a polymer, Molybdenum disulfide, Molybdenum disulfide/graphite, Tungsten disulfide or graphite, preferably selected from coatings comprising a polymer, organo-siloxane, silane, acrylate or epoxy; or a hydrophilic coating, selected from coatings comprising any hydrophilic polymer/hydrogel, preferably selected from coatings comprising poly(ethylene glycol), poly(acrylate), poly(methacrylate) or a UV/photo-active polymer; and/or a surface patterning, being a micro- or nanostructured surface pattern or a combination thereof (e.g. nano-microstructuring) in the range of 100 nm to 20000 nm, preferably between 300 nm to 5000 nm and more preferably between 500 nm to 2500 nm.
7. Device (10) according to claim 1, further comprising a cap (13, 14, 15) for the first opening (1) and/or a cap (13, 14, 15) for the second opening (4).
8. Assembly for loading, storage and transport of a tissue graft or implant (11), comprising the device (10) according to claim 1, at least one syringe (8, 12), a tube (5), and at least one cap (13, 14, 15).
9. Assembly according to claim 8, further comprising a transport device.
10. Assembly according to claim 9, wherein the transport device is a device holder (20) comprising a round neck (18) with a holder (19), finger tips which are attached on an oval shaped platform with a cavity (16), and a tilted stripe (17), which is suitable to be positioned inside a container, such as a standard tissue culture flask or a tissue culture flask with two openings (40).
11. Assembly according to claim 10, wherein the finger tips and the oval shaped platform with a cavity (16) do not optically interfere with the main body (2) and the taper area (3) of the device (10).
12. Washing assembly for washing and staining a tissue graft or implant (11), comprising a macroporous material (21) with interconnected pores and a porosity between 10 μm and 600 μm, the device (10) according to claim 1, at least one syringe (8, 12), and a 2-way extension line (31) or a 3-way stopcock (32).
13. Method for preparing a tissue graft or implant (11) using the device (10) according to claim 1, comprising the steps: a) providing a tissue graft or implant (11), b) loading the tissue graft or implant (11) into the device (10), c) sealing the device (10) by at least one cap (13, 14, 15), d) evaluation and quality control of the tissue graft or implant (11) inside the device (10), e) transport of the device (10) with the tissue graft or implant (11), f) optionally evaluation and quality control of the tissue graft or implant (11) inside the device (10), g) washing and staining of the tissue graft or implant (11) inside the device (10).
14. Method according to claim 13, wherein the device (10) is transported within the device holder (20).
15. Method according to claim 13, wherein evaluation and quality control of the tissue graft or implant (11) is performed with the device (10) containing the tissue graft or implant (11) being inside the transport device and inside a container, such as a standard tissue culture flask or a tissue culture flask with two openings (40).
Description
FIGURES
[0245] In the following, the invention is additionally illustrated in further detail by 11 figures, wherein
[0246]
[0247]
[0248]
[0249]
[0250]
[0251]
[0252]
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[0255]
[0256]
[0257]
TABLE-US-00004 Main body (2) d Outside distance between the side walls (“width”) e Outside distance between the two flat and parallel opposite sides (“height”) Taper area (3) f Outside distance between the side walls (“width”) g Outside distance between the top and bottom walls (“height”) h Distance between outer wall and inner wall at the smallest point i Radius of the curvature of the corners of the inner wall
[0258] Design A shows a second opening (4) which inner wall has a rounded rectangle shape with two flat opposite walls, while the outer wall has an oval shape. The figure illustrates clearly the flat and parallel opposite sides of the main body (2), whereby the main body (2) has the following dimensions d=3.7 mm and e=2.7 mm. Due to the oval outer shape, the taper area (3) is slightly smaller compared to the main body (2) to fit better in a surgical incision as described above. The taper area (3) of the device (10), design A shown in
[0259] Design B shows a second opening (4) which inner and outer wall has an oval shape. The main body (2) with its flat and parallel opposite walls has the same dimensions (d) and (e) as for the design A. The dimensions of the taper area are: f=3.4 mm, g=2.5 mm and h=0.3 mm. The use of an oval shape also of the inner wall of the taper area has the advantage of a smoother tissue graft or implant ejection through the second opening of device design B, in comparison to design A.
[0260] Design C illustrates another device (10) according to the invention. The main body (2) with its flat and parallel opposite walls has the same dimensions (d) and (e) as for the design A. The taper area (3) does not have a constant thickness as design A and B and is linearly decreasing, until it remains in a constant thickness towards the second opening. At the smallest section, the taper area has the following dimensions: f=2.5 mm, g=1.8 mm and h=0.3 mm and the inner walls as well as the outer walls of the taper area (3) have a rounded rectangle shape. The second opening (4) has a rounded rectangle shape as well.
[0261] All designs allow for tissue graft or implant injection in small surgical incisions (2.4 mm to 3.0 mm incision width) as described above.
[0262]
[0263]
[0264]
[0265] For loading the tissue graft or implant (11) into the device (10), the device (10) is attached to a laboratory dish/petri dish (9) containing the tissue graft or implant (11) in a suitable liquid medium (e.g. BSS or nutrition medium). Loading is performed from the first opening (1) which is big enough for gentle tissue graft or implant (11) uptake due to its funnel-like design (the diameter of the opening increases slightly towards the edge). Therefore, the first opening (1) of the device (10) is gently placed on top of the tissue graft or implant (11) without touching the tissue graft or implant (11), and the syringe plunger is moved to upload the tissue graft or implant (11) inside the device (10) by use of hydrodynamic flow (
[0266] For storage and/or transport and evaluation, the tissue graft or implant (11) is positioned inside the main body (2) of the device (10), which can be called ‘transport position’ (
[0267]
[0268] According to the invention, different kind of caps are suitable to close the first (1) and the second opening (4) of the device (10).
[0269] For secure storage and/or transportation of the device (10) with the tissue graft or implant (11) the present invention further provides a device holder (20) as shown in
[0270] The use of a macroporous material (21) for washing and staining is shown in
[0271]
[0272] Additionally, the washing assembly comprises either a 2-way extension line (31) or 3-way stopcock (32), both comprising flexible tubes (33, 34) with male (preferably Luer Lock or Luer Slip) connectors (26), as shown in
[0273] The 2-way extension line (31) as well as the 3-way stopcock (32) have a flexible tube (34, 33) with a male connection (26) for attaching the device (10). The male connection (26) is preferably a Luer Lock or a Luer Slip connector. Both the 2-way extension line (31) and the 3-way stopcock (32) have two other connectors, which are preferably female connectors (24, 25). The female connectors (24, 25) are preferably Luer Lock or Luer Slip connectors. The female connectors (24, 25) are suitable to connect a conventional syringe (8) or (12) and can optionally be closed with a cap (22, 23). As shown in
[0274] For tissue graft or implant (11) washing and staining, a syringe (8) filled with balanced salt solution (BSS) is attached to one female connector (24) of the 2-way extension line (31) or the 3-way stopcock (32) and another syringe (12) filled with staining solution (e.g. trypan blue) is attached to the other female connector (25). The volume of the BSS-filled syringe (8) is preferably greater than the volume for the second staining solution-filled syringe (12). The syringes (8 or 12) are not shown in
[0275] The use of the assemblies shown in
[0276] For removing air from the assembly, in the case of using a 2-way extension line (31), a clamp (28) of the tube (30) at the position (25) with the staining solution-filled syringe (12) remains open, while another clamp (27) at the BSS-filled syringe position (24) outlet is fully closing the tube (29). For the 3-way stopcock (32), the tap position is adjusted in a way that the staining solution-filled syringe (12) at position (25) and the male connection (26) outlet are connected while the position (24) with the BSS-filled syringe (8) remains closed.
[0277] First, the tubing (30) and the position (25) attached to the staining solution-filled syringe (12) is fully flushed with staining solution. The staining solution must not enter the male connection (26) of the assembly (31, 32), since this step is only needed for air removal.
[0278] Next, complete air removal and flush of the assembly with BSS solution needs to be performed. In the case of using a 2-way extension line (31), a clamp (28) of the tube (30) at the position (25) with the staining solution-filled syringe (12) is fully closing the tube (30), while another clamp (27) of the tube (29) at the BSS-filled syringe (8) position (24) outlet remains open. For the 3-way stopcock (32), the tap position is adjusted in a way that the BSS-filled syringe (8) at position (24) and the male connection (26) outlet are connected while the position (25) with the staining solution-filled syringe (12) remains closed.
[0279] Now, the assembly is fully flushed with BSS by pushing the plunger of the BSS-filled syringe (8). There should be no air left in the assembly as well as there should be no staining solution eluting from the male connection of the assembly. Fourth, the device (10) containing the tissue graft or implant (11) is attached via the first opening (1) to the male connector (26) of the 2-way extension line (31) or 3-way stopcock (32) and placed into a BSS-filled laboratory dish/petri dish (9, not shown in
[0280] To decrease the probability of tissue graft or implant (11) slipping out of the device (10), the second opening (4) of the device (10) can be closed by a cap (13, 14, 15) or can be placed onto/into the macroporous material (21) from the washing assembly during the whole staining and washing process. If applicable, the liquid transport medium can now be flushed out of the device (10) prior staining by gently pushing the plunger of the BSS-filled syringe (8) at position (24). Alternatively, staining of the tissue graft or implant (11) can be performed without prior washing with BSS solution.
[0281] Next, for the use of a 2-way extension line (31), the clamp (27) at the BSS-filled syringe (8) position (24) is fully closing the tube (29), while the other clamp (28) of the tube (30) at the position (25) with the staining solution-filled syringe (12) outlet remains open. In case of the use of a 3-way stopcock (32), the tap position is adjusted in a way that the staining solution-filled syringe (12) at position (25) and the male connection (26) outlet are connected while the position (24) with the BSS-filled syringe (8) remains closed.
[0282] Now the staining solution is gently added to the tissue graft or implant (11) in the device (10) by pushing the plunger of the staining solution-filled syringe (12) at position (25) and left for at least 1-2 minutes for sufficient staining. Extended staining will cause increased cell damage. After staining, in the case of using a 2-way extension line (31), the clamp (28) at the position (25) with the staining solution-filled syringe (12) is fully closing the tube (30), while the other clamp (27) of the tube (29) at the BSS-filled syringe (8) position (24) outlet remains open. For the 3-way stopcock (32), the tap position is adjusted in a way that the BSS-filled syringe (8) at position (24) and the male connection (26) outlet are connected while the position (25) with the staining solution-filled syringe (12) remains closed.
[0283] Lastly, the device (10) is fully flushed with BSS by pushing the plunger of the BSS-filled syringe (8). The solution in the device (10) should be completely transparent and no staining solution should remain. Now, the device (10) and the respective tissue graft or implant (11) are ready for ejection of the tissue graft or implant (11), especially for injection the tissue graft or implant (11) into the living body.
LIST OF REFERENCE NUMERALS
[0284] 1 First opening [0285] 2 Main body [0286] 3 Taper area [0287] 4 Second opening [0288] 5 Tube [0289] 6 Luer Slip connector [0290] 7 Luer Lock connector [0291] 8 Syringe [0292] 9 Laboratory dish/petri dish [0293] 10 Device [0294] 11 Tissue graft or implant [0295] 12 Syringe [0296] 13 Cap [0297] 14 Cap [0298] 15 Cap [0299] 16 Finger tips with oval shaped platform with a cavity [0300] 17 Tilted stripe [0301] 18 Round neck [0302] 19 Holder [0303] 20 Device holder [0304] 21 Macroporous material [0305] 22 Cap [0306] 23 Cap [0307] 24 Female connector [0308] 25 Female connector [0309] 26 Male connector [0310] 27 Tube clamp [0311] 28 Tube clamp [0312] 29 Tube [0313] 30 Tube [0314] 31 2-way extension line [0315] 32 3-way stopcock [0316] 33 Tube [0317] 34 Tube [0318] 40 Tissue culture flask with two openings [0319] 41 Screw Cap [0320] 42 Screw Cap [0321] 43 Neck with thread [0322] 44 Neck with thread
REFERENCES
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