DISAGGREGATION DEVICE
20230280242 · 2023-09-07
Inventors
- Toby Proctor (London, GB)
- Riccardo Rayan Siena (London, GB)
- Joanne Wei-Gnan Tang (London, GB)
- Duncan Young (Melbourn, GB)
- Simon Waddelow (Melbourn, GB)
- Michelle Griffin (Melbourn, GB)
- Samuel Woodhouse (Melbourn, GB)
- John Briant (Melbourn, GB)
- Matthew Parker (Melbourn, GB)
Cpc classification
C12M45/02
CHEMISTRY; METALLURGY
G01N1/286
PHYSICS
International classification
Abstract
The present invention relates to an apparatus for the disaggregation of tissue. The apparatus comprises a first cutting zone comprising a first cutting blade configured to rotate about a first rotational axis, and an opening for the ingress of tissue. The opening is oriented at an angle to the first rotational axis.
Claims
1. An apparatus for the disaggregation of tissue, the apparatus comprising: a first cutting zone comprising: a first cutting blade configured to rotate about a first rotational axis, and an opening for the ingress of tissue, the opening being oriented at an angle to the first rotational axis.
2. The apparatus of claim 1, wherein the first cutting blade is helical.
3. The apparatus of claim 1, wherein the opening is oriented substantially perpendicularly to the first rotational axis.
4. The apparatus of claim 1, additionally comprising a second cutting zone comprising a second cutting blade, wherein the second cutting blade is configured to rotate about a second rotational axis.
5. (canceled)
6. (canceled)
7. The apparatus of claim 4, wherein the first and second cutting blades are configured in use to be rotated about their respective axes by one or more drive mechanisms.
8. The apparatus of claim 7, wherein the one or more drive mechanisms are configured to rotate the first and second cutting blades in the same or in opposite directions.
9. (canceled)
10. (canceled)
11. (canceled)
12. (canceled)
13. (canceled)
14. (canceled)
15. The apparatus of claim 4, wherein the apparatus is configured in use for the tissue to be sequentially passed through the first cutting zone followed by the second cutting zone.
16. The apparatus of claim 4, wherein the first cutting zone comprises a first inlet and a first outlet for the tissue, wherein the second cutting zone comprises a second inlet and a second outlet for the tissue, and wherein a conduit connects the first outlet to the second inlet.
17. The apparatus of claim 16, wherein the second inlet is configured in use to communicate tissue into the second cutting zone at an angle to the second rotational axis of the second cutting blade.
18. The apparatus of claim 17, wherein the second inlet is configured in use to communicate tissue into the second cutting zone substantially perpendicular to the rotational axis of the second cutting blade.
19. (canceled)
20. A tissue processing device comprising: a lid; and a base, wherein the base is configured to be attached to the lid and wherein the base comprises: an outer casing; a tissue receiving portion disposed within the outer casing; and the apparatus of any of claim 1 disposed within the outer casing.
21. The tissue processing device of claim 20, wherein the lid is configured to be removably attached to the base.
22. The tissue processing device of claim 20, wherein a ratchet is located on one of the tissue receiving portion and the lid, wherein the ratchet is configured to prevent the removal of the lid from the base.
23. The tissue processing device of claim 20, wherein a portion of the outer casing is configured to interact with a portion of the tissue receiving portion to removably attach the two together.
24. The tissue processing device of claim 20, wherein the lid comprises a protruding portion configured to extend into the tissue receiving portion when the device is assembled and wherein the protruding portion comprises a hydrophobic filter.
25. A method of use of the tissue processing device of claim 20, the method comprising: adding tissue to the tissue processing device; docking the tissue processing device in a processing system; operating the apparatus for the disaggregation of tissue; and extracting disaggregated tissue from the tissue processing device.
26. The method of claim 25, additionally comprising, before operation the operating of the apparatus for the disaggregation of tissue: removing transport medium from the device; and priming the device with processing fluid.
27. A method of claim 25 wherein the tissue added into the tissue processing device is configured to be disaggregated by the apparatus for the disaggregation of tissue into pieces that are of about the same size.
28. The method of claim 25, wherein the tissue added into the tissue processing device is configured to be disaggregated by the apparatus for the disaggregation of tissue into pieces having a size of between about 0.5 to about 10 mm.
29. The method of claim 25, wherein the tissue added into the tissue processing device is configured to be disaggregated by the apparatus for the disaggregation of tissue into pieces having a size of between 1.5 and 5 mm.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0040] Teachings of the disclosure will now be described, by way of example only, with reference to the accompanying drawings in which:
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[0055]
[0056] While the disclosure is susceptible to various modifications and alternative forms, specific example approaches are shown by way of example in the drawings and are herein described in detail. It should be understood however that the drawings and detailed description attached hereto are not intended to limit the disclosure to the particular form disclosed but rather the disclosure is to cover all modifications, equivalents and alternatives falling within the spirit and scope of the claimed invention.
[0057] As used in this specification, the words “comprises”, “comprising”, and similar words, are not to be interpreted in an exclusive or exhaustive sense. In other words, they are intended to mean “including, but not limited to”.
[0058] It will be recognised that the features of the above-described teachings of the disclosure can conveniently and interchangeably be used in any suitable combination. It will also be recognised that the invention covers not only individual embodiments but also combinations of the embodiments that have been discussed herein.
DETAILED DESCRIPTION
[0059] The present teaching relates to a tissue processing device for storage, transportation and disaggregation of tissue. The device may also be used for the disaggregation of other substances.
[0060] An embodiment will be described in which the design of the device allows the storage and disaggregation of tissue for use in, for example, isolation and expansion of tumour infiltrating lymphocytes (TIL).
[0061]
[0062] From
[0063] In the present teaching, the lid 4 comprises a plunger or protruding portion 3 which protrudes into the base of the device when the lid 4 is attached to the base. In the present teaching, the protruding portion 3 has a tapered end.
[0064] A hydrophobic filter 23 is positioned across the diameter of the protruding portion 3 of the lid 4. In this way, air is able to travel through the filter but liquids are prevented from traveling through the opening and up the protruding portion 3 of the lid 4. The lid 4 also has an opening to provide a single leak path for air (not shown). This is formed at the top of the top of the lid. A leak path is also formed in the side of the protruding portion (not shown). In this way, when the device is assembled as shown in
[0065] The protruding portion acts as a plunger. When the tissue has been inserted and the lid attached to the base, a separate tool may be used to deploy the protruding portion further into the inner collection space 6 to force the tissue downwards. The inner collection space 6 can be viewed through the viewing window 20 so that the location of the tissue inside the inner collection space 6 can be monitored. The tapered end of the protruding portion is shaped to be received by an opening 11 in a tissue disaggregation portion 10, discussed further later. When the protruding portion is deployed in the plunging motion, the leak path in the side of the protruding portion is in contact with the inner surface of the inner collection space 6. Thus, fluid is prevented from leaking through this path. This causes an increase in pressure in the inner collection space 6 which helps force the tissue into the cutting portion.
[0066] The lid 4 may additionally comprise a rolling diaphragm seal 22 located between the outer radial portion of the protruding portion 3 and the outer radial edges of the lid, wherein one end of the rolling diaphragm seal is attached to the protruding portion of the lid. When the protruding portion is deployed as a plunger in order to force the tissue into the opening 11, the rolling diaphragm seal 22 enables a seal to be maintained as the end of the seal attached to the protruding portion moves downwards with the protruding portion.
[0067] The device additionally comprises a tissue receiving portion 37. In the present teaching, the outer cover 2 is attachable to the tissue receiving portion 37 by a protruding lip 42 which interacts with part of the outer cover 2. When an inwardly directed pressure is applied to the outer cover 2 about halfway along its length, the upper edge is forced outwards and released from the lip 42. In this way, the outer cover 2 is removable from the lid 4 and tissue receiving portion 37.
[0068] The tissue receiving portion 37 of the present teaching comprises a funnel shaped portion 12 for receiving tissue samples or other materials requiring disaggregation. In some teachings, this portion has markings on its inner surface (not shown). The funnel shaped portion 12 is connected to a top of the inner collection space 6 into which the protruding portion 3 extends when the device is assembled.
[0069] The inner collection space 6 contains a transport medium (not shown). The markings on the inner surface of the funnel shaped portion allow a health care professional to monitor the volume of tissue which has been added to the device by monitoring the change in level of the transport medium.
[0070] The bottom of the inner collection space 6 is connected to the disaggregation portion 10. Tissue or other substances requiring disaggregation is configured to be fed into the disaggregation portion 10 through the opening 11. In the present teaching, the opening 11 is funnel shaped. This enables the centring of the pieces of tissue before they enter the disaggregation portion 10. Once the tissue has been disaggregated, it leaves the disaggregation portion through outlet 19. The disaggregation portion 10 will be discussed further later.
[0071] The tissue receiving portion 37 has at least one docking feature. In the present teaching, the tissue receiving portion 37 has two docking features 8, 9. The two docking features are used to ensure the device is docked at the correct orientation and aligned correctly. One of the docking features may include a magnetic feature 43. These are located on the outer radial side of the inner collection space. These will be discussed further later.
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[0075] As can be seen from these figures, the tissue receiving portion 37 may comprise tubing holding portions 40, 41 attached to its outer radial surface. When the device is in the form as shown in
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[0078] The disaggregation portion 10 comprises at least one cutting portion. In the present teaching, the disaggregation portion 10 comprises two cutting portions; a first cutting portion 17 and a second cutting portion 18. In some teachings, the disaggregation portion 10 has a single cutting portion.
[0079] In the present teaching, the tissue is configured to be passed through the first cutting portion 17 followed by the second cutting portion 18. As can be seen from the figure, the first cutting portion 17 has a larger diameter than the second cutting portion 18.
[0080] The disaggregation portion 10 of the present teaching comprises a housing 13. A first portion 14 of the housing encases the at least one cutting portion. A second portion 15 of the housing encases a drive gear 26, discussed further later. A seal 31, for example an O ring seal, is positioned between the first and second housing portions 14, 15. This prevents leakage of transport medium or processing medium from the disaggregation portion 10.
[0081] The opening 11 through which the tissue enters the disaggregation portion is formed in the first housing portion 14. In the present teaching, the opening 11 has a circular or oval shape when viewed from above, see
[0082] In the present teaching, the first and second cutting portions 17, 18 are rotatable about coaxial rotational axes. In the present teaching, tissue is fed into the first cutting portion 17 in a direction substantially perpendicular to the axes of rotation. In other teachings, tissue may be fed into the first cutting portion at a different angle to the axes of rotation. For example, the tissue may be fed into the first cutting portion at an angle of between 15 and 90 degrees to the axes of rotation.
[0083] In the present teaching, each of the first and second cutting portions 17, 18 comprise helical blades. In the present teaching, the pitch of the first helical blade is larger than the pitch of the second helical blade. For example, the pitch of the first blade may be 52 mm and the pitch of the second blade may be 22 mm. In other teachings, the pitch of the first helical blade may be from 26 mm to infinite wherein when the pitch is infinite, the blade is parallel to the rotational axis of the cutting portion. The pitch of the second helical blade may be from 11 mm to infinite. In other teachings, the pitch of the first blade may be from 30 mm to 70 mm or more preferably from 40 mm to 60 mm and the pitch of the second blade may be from 5 mm to 40 mm or more preferably from 10 mm to 30 mm. The blade pitch is chosen so as to prevent clogging of the tissue in the blade. The diameter of the cutting blade may be between 0.5 and 16 mm. In some examples, the diameter may be between 4 and 8 mm.
[0084] The helices of the helical blades of the present teaching have opposite ‘handedness’. Specifically, one of the two helical blades is right handed and the other of the two helical blades is left handed. This enables the tissue to be driven from the inlet to the outlet of each cutting portion. In the present teaching, the first helical blade is a right handed blade and the second helical blade is a left handed blade and the helical blades are rotated anticlockwise by the drive gear 26.
[0085] In the present teaching, each of the helical blades has two flutes. In other teachings, each helical blade may have more than two flutes. For example, each blade may have up to five flutes.
[0086] In other teachings, other non-helical blades may be used. For example, as discussed above, a rotating shaft with one or more blades running along its length (i.e. with infinite pitch) may be used. Alternatively, a blade with right angle cut outs may be used.
[0087] The first and second cutting portions 17, 18 are configured to be rotated about their respective axis using the drive gear 26. The cutting portions may be configured to rotate at a speed of between 1 and 1000 rpm. In some examples, the cutting portions may be configured to rotate at a speed of between 50 and 200 rpm.
[0088] Primary and secondary flushing conduits 24, 25 are connected to each of the first and second cutting portions 17, 18 respectively. Processing medium enters the disaggregation portion through the opening 11 and passes over each of the blades. At each cutting stage, further processing medium is flushed through tubing connected to conduits 24, 25. This prevents clogging of the cutting blades and prevents overheating due to friction. The processing medium may be pumped into the disaggregation portion through the conduits 24 and 25 at a speed of 0.1-2 litres/minute. In some examples, the speed may be 0.2 to 1 litres/minute. The fluid flow rate is limited to minimise foaming of the fluid caused by protein content in the fluid.
[0089] The first housing portion 14 is attached to a part of the tissue receiving device 37. A second seal 32, for example an O ring seal, is formed between the first housing portion 14 and the part of the tissue receiving device 37.
[0090]
[0091] As can be seen from these figures, a conduit 28 extends from a first cutting zone outlet 33 to a second cutting zone inlet 34.
[0092] The conduit 28 is formed from a groove in the first housing portion 14. The groove is installed within part of the tissue receiving portion 37 such that an inner surface of the tissue receiving portion combines with the groove to from the conduit 28. This is shown best in
[0093] As discussed above, in other teachings, the first helical blade may be left handed and the second helical blade may be right handed. In this case, an alternative location of the tissue inlets and outlets is used to that shown in the figures due to the different direction of movement of the tissue once it enters the disaggregation portion.
[0094] Once tissue is inserted into the disaggregation portion 10 through the inlet 11, it passes through the first cutting portion 17. The helical cutting blade cuts the tissue into smaller pieces. The tissue then leaves the first cutting portion through the first cutting portion outlet 33 and travels along the conduit 28 to the second cutting portion inlet 34. At this stage, the tissue pieces are directed into the second cutting portion 18. In the present teaching, the pieces are directed onto the blade substantially perpendicular to the angle of rotation. As with the first cutting portion 17, in other teachings, tissue may be fed into the second cutting portion at a different angle to the axes of rotation. For example, the tissue may be fed into the second cutting portion at an angle of between 15 and 90 degrees to the axes of rotation.
[0095] The tissue pieces are cut into smaller pieces by the second cutting blade. The disaggregated pieces then leave the second cutting portion through the tissue outlet 19. Tubing (not shown) is connected to the outlet 19 to carry the disaggregated tissue away.
[0096] When a disaggregation portion 10 with a single cutting portion is used, the tissue enters the first cutting portion 17 as is shown in
[0097] The disaggregation portion 10 may have an infrared temperature monitoring window 21. This is shown in
[0098] A description of a method of using the device will now be explained.
[0099] A health care professional receives the device in its form shown in
[0100] The device 1 with the tissue inside is then returned to the lab. Once in the lab, the technician removes the outer casing 2 of the device. As discussed above, this is done by the technician squeezing a lower portion of the outer casing 2 so that an upper edge of the outer casing is released from the lip 42. Once the outer casing has been removed, the device is as shown in
[0101] The docking features 8, 9 are used to dock the device on a docking port. As has been discussed above, in the present teaching, one of the docking features 9 includes a magnetic feature 43. Once the magnetic feature 43 is brought into contact with a corresponding feature on docking port, it is possible for a motor to be driven which rotates the drive gear 26. This ensures that the motor is only driven once the device is docked correctly.
[0102] The tubing connected to inlet 7 and to the conduits 24 and 25 is connected to an integrated four way manifold tube connector (not shown) which is connected to the outlet of a pump and a processing medium vessel. The tubing from outlet 19 is connected to the pump via an elution vessel. This is done by sterile welding.
[0103] The elution vessel is also connected to an output vessel. The processing system also includes a bag connected to the elution vessel and the outlet of the pump.
[0104] Once the tubing from each of the inlet 7, conduits 24 and 25 and outlet 19 have been connected in the laboratory, the transport fluid within the device 1 is removed into the transport medium vessel by applying a negative pressure to the tubing from inlet 7 and conduits 24 and 25 and clamping the tubing from outlet 19 so that fluid cannot pass through.
[0105] The device is then primed with a processing fluid. The processing fluid is pumped from the bag through the elution vessel then into the device. This is added through inlet 7 and conduits 24 and 25 whilst maintaining the clamping on the tubing from outlet 19.
[0106] The disaggregation of the tissue is then carried out. The processing fluid causes the tissue to travel into the tissue disaggregation portion. If required, the protruding portion may be deployed into the inner collection space 6 by the technician in order to force the tissue into the tissue disaggregation portion. The motor is driven which rotates the drive gear 26. The one or more cutting blades are caused to rotate by the drive gear 26 which enables the disaggregation of the tissue as has been discussed above.
[0107] During the disaggregation, processing fluid is circulated throughout the system. Fluid enters the device 1 via inlet 7 and conduits 24 and 25 and exits the device 1 via outlet 19, to which a negative pressure is applied, along with the disaggregated tissue. The disaggregated tissue enters the elution vessel from which it is transported to the output vessel for further use. The flow rate at which the processing fluid is pumped through the conduits 24 and 25 can be altered to control the size of the pieces of disaggregated tissue. Specifically, if the flow rate is increased, the tissue is chopped into larger pieces.
[0108] The invention will now be described, by way of example only, with reference to the following Examples.
EXAMPLES
Example 1
Generation of Tissue Pieces
[0109] Swine lymph nodes, anterior cervical, parotid, retropharyngeal, sub-maxillary and trachea-bronchial, were isolated from adult porcine plucks. Nodes were stored in phosphate buffered saline and frozen at −20° C. On the day of investigation, samples were warmed in a water bath at 37° C. until completely thawed. Lymph nodes of approximately 0.5 g in weight were placed inside the inner collection space of the tumour processing device, in phosphate buffered saline. Tissue was then disaggregated in a tissue disaggregation portion with a single cutting portion using a combination of different fluid inlet flow rates of the processing fluid e.g., 0.4 L min.sup.−1 or 1.0 L min.sup.−1, cutting blade (cutter) diameters e.g., 6 mm or 8 mm or cutting blade (cutter) speeds e.g., 56 rpm, 170 rpm or 876 rpm.
[0110] Disaggregated tissue was collected and photographed on an illuminating light plate. Images were analysed using Fiji (ImageJ, Opensource), identifying the minor axis length of the best fitting ellipse encompassing each particle. Minor lengths were then analysed and plotted using GraphPad Prism v9.0.2 (GraphPad Software, La Jolla, USA).
[0111] Increasing the fluid flow rate of fluid entering the inlet from 0.4 L min.sup.−1 to 1.0 L min.sup.−1 resulted in a detectable increase in the median value of the minor axis length of populations of particles generated from swine lymph nodes, where the cutting blade (cutter) speed and diameter were controlled. Increasing the flow rate from 0.4 L min.sup.−1 to 1.0 L min.sup.−1, with the cutting blade speed set at 56 rpm for an 8 mm cutting blade, resulted in a significant (p <0.001) increase in the median minor axis length from 2.63 mm (n=77) to 4.88 mm (n=20). These results are shown in FIG. 7.
[0112] Increasing the cutting blade diameter from 6 mm to 8 mm resulted in a detectable decrease in the median value of the minor axis length of populations of particles generated from swine lymph nodes, where cutting blade speed and fluid flow rate were controlled. Increasing cutting blade diameter from 6 mm to 8 mm, with cutting speed set at 876 rpm and a flow rate of 1.0 L min.sup.−1, resulted in a significant (p <0.0001) decrease in the median minor axis length from 4.74 mm (n=30) to 2.68 mm (n=92). These results are shown in
[0113] The various embodiments described herein are presented only to assist in understanding and teaching the claimed features. These embodiments are provided as a representative sample of embodiments only, and are not exhaustive and/or exclusive. It is to be understood that advantages, embodiments, examples, functions, features, structures, and/or other aspects described herein are not to be considered limitations on the scope of the invention as defined by the claims or limitations on equivalents to the claims, and that other embodiments may be utilised and modifications may be made without departing from the spirit and scope of the claimed invention. Various embodiments of the invention may suitably comprise, consist of, or consist essentially of, appropriate combinations of the disclosed elements, components, features, parts, steps, means, etc., other than those specifically described herein. In addition, this disclosure may include other inventions not presently claimed, but which may be claimed in future.