Method and system for processing a biological sample
11578303 · 2023-02-14
Assignee
Inventors
- Chester Henderson (Preston, AU)
- Ben Hobbs (Box Hill, AU)
- John McCormack (Warrandyte, AU)
- Benedict Stewart-Steele (Richmond, AU)
- Andrew C. Jenkins (Box Hill, AU)
- Sam Gason (Box Hill, AU)
- Eduardo Vom (Box Hill, AU)
- Susanna Brandi (Sydney, AU)
- Teija Tuulikki Peura (Erskineville, AU)
Cpc classification
A61D19/022
HUMAN NECESSITIES
B01L2200/0647
PERFORMING OPERATIONS; TRANSPORTING
B01L2200/0652
PERFORMING OPERATIONS; TRANSPORTING
B01L2300/0861
PERFORMING OPERATIONS; TRANSPORTING
C12M41/46
CHEMISTRY; METALLURGY
B01L2200/026
PERFORMING OPERATIONS; TRANSPORTING
International classification
C12M1/34
CHEMISTRY; METALLURGY
Abstract
The present application is directed to the processing of a biological sample into its constituent components for use in ART and includes introducing a sample into a first volume disposed adjacent a second volume including buffer solution, wherein the first and second volumes are adapted for fluid communication therebetween, selectively separating the first volume from the second volume with a movable closure member disposed therebetween, wherein the step of selectively separating the first volume from the second volume includes moving the closure member so that a fluid communication aperture is formed by one or a combination of the closure member or the closure member in combination with the first and second volumes to allow fluid communication between the first volume and the second volume such that motile cells migrate from the sample in the first volume to the buffer solution in the second volume.
Claims
1. A method of processing a semen sample comprising the steps of: introducing the semen sample into a first fluid volume disposed adjacent a second fluid volume comprising buffer solution; wherein the first and second fluid volumes are open to the atmosphere and adapted-for fluid communication therebetween; filling the first and second fluid volumes with the semen sample and buffer solution, respectively, to a level of volume such that no net fluid transport can occurs between the fluid volumes; selectively separating the first fluid volume from the second fluid volume with a movable closure member disposed therebetween; wherein the step of selectively separating the first fluid volume from the second fluid volume comprises moving the closure member so that a fluid communication aperture is formed by one or a combination of the closure member or the closure member in combination with the first and second fluid volumes to allow fluid communication between the first fluid volume and the second fluid volume such that motile sperm migrate from the semen sample in the first fluid volume to the buffer solution in the second fluid volume.
2. The method as claimed in claim 1, wherein the dimensions of the fluid communication aperture are proportional to the displacement of the closure member.
3. The method as claimed in claim 1 further comprising the step of: conducting visual analysis of the sperm that has entered the second fluid volume of buffer solution.
4. The method as claimed in claim 3 wherein the step of conducting visual analysis is conducted concurrently with the sperm entering the second fluid volume.
5. Apparatus for processing a semen sample comprising: i) a first well comprising a first fluid volume adapted for accommodating the semen sample; ii) a second well comprising a second fluid volume adapted for accommodating buffer solution where the first and second wells are adapted for fluid communication therebetween, and wherein the first and second fluid volumes are open to the atmosphere; iii) a movable closure member disposed between the first and second wells, configured for selectively separating the first fluid volume from the second fluid volume; wherein movement of the closure member with respect to the first and second fluid volumes forms a fluid communication aperture is configured to allow fluid communication between the first fluid volume and the second fluid volume such that motile sperm migrate from the semen sample in the first fluid volume to the buffer solution in the second fluid volume.
6. The apparatus as claimed in claim 5 wherein the dimensions of the fluid communication aperture are proportional to the axial displacement of the closure member.
7. The apparatus as claimed in claim 5 further including a third well comprising a third fluid volume for accommodating progressive sperm.
8. The apparatus as claimed in claim 5, further comprising: an optic path formed in the apparatus comprising a flow path for a thin film of fluid formed between two transparent windows orthogonally disposed to the optical path.
9. The apparatus as claimed in claim 8 further comprising: a camera disposed in the optic path for conducting visual analysis of the sperm that has entered the second fluid volume of buffer solution.
10. A method of separating a biological component from a biological sample comprising the steps of: introducing the biological sample into a first fluid volume disposed adjacent to a second volume fluid comprising buffer solution, and wherein the first and second fluid volumes are open to the atmosphere; filling the first and second fluid volumes with the biological sample and buffer solution, respectively, to a level of volume such that no net fluid transport occurs between the fluid volumes; selectively separating the first fluid volume from the second fluid volume with a movable closure member disposed therebetween; wherein the step of selectively separating the first fluid volume from the second fluid volume comprises moving the closure member so that a fluid communication aperture is formed by one or a combination of the closure member or the closure member in combination with the first and second fluid volumes to allow fluid communication between the first fluid volume and the second fluid volume such that the biological component migrates from the biological sample in the first fluid volume to the buffer solution in the second fluid volume.
11. The method as claimed in claim 10, wherein the dimensions of the fluid communication aperture are proportional to the displacement of the closure member.
12. The method as claimed in claim 10 further comprising the step of: conducting visual analysis of the biological component entering the second fluid volume of buffer solution.
13. The method as claimed in claim 12 wherein the step of conducting visual analysis is performed concurrently with the biological component entering the second fluid volume of buffer solution.
14. Apparatus adapted for processing a semen sample, said apparatus comprising: processor means adapted to operate in accordance with a predetermined instruction set, said apparatus, in conjunction with said instruction set, being adapted to perform the method steps as claimed in claim 1.
15. Apparatus adapted for processing a biological component in a biological sample, said apparatus comprising: processor means adapted to operate in accordance with a predetermined instruction set, said apparatus, in conjunction with said instruction set, being adapted to perform the method steps as claimed in claim 10.
16. A computer program product comprising: a computer usable medium having computer readable program code and computer readable system code embodied on said medium for operation within a data processing system and adapted for processing a semen sample, said computer program product comprising: computer readable code within said computer usable medium for performing the method steps as claimed in claim 1.
17. A computer program product comprising: a computer usable medium having computer readable program code and computer readable system code embodied on said medium for operation within a data processing system and adapted for processing a biological component in a biological sample, said computer program product comprising: computer readable code within said computer usable medium for performing the method steps as claimed in claim 10.
18. The method as claimed in claim 1, wherein the fluid communication between the first fluid volume and the second fluid volume allows for only diffusion-based mixing of the semen sample and the buffer solution.
19. The apparatus as claimed in claim 6 wherein the apparatus is adapted to provide for fluid communication between the first fluid volume and the second fluid volume that allows for only diffusion-based mixing of the semen sample and the buffer solution.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Further disclosure, objects, advantages and aspects of preferred and other embodiments of the present invention may be better understood by those skilled in the relevant art by reference to the following description of embodiments taken in conjunction with the accompanying drawings, which are given by way of illustration only, and thus are not limitative of the disclosure herein, and in which:
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DETAILED DESCRIPTION
(36) In general terms the present invention addresses the problem of separating motile sperm from a semen sample. In a preferred embodiment of the invention, semen is loaded into a first volume provided by a first fluid well. A sperm buffer solution is loaded into a second volume formed by a second fluid well and a fluid communication interface in the form of an aperture between the wells is opened such that motile sperm can swim through the aperture into the second well. In another preferred embodiment, the present invention provides for the opening of an aperture between a semen sample and buffer solution for active transit of motile sperm into the buffer solution with visual analysis of the sperm entering the buffer chamber through an optic path either concurrently or at any given time point during, before or after the separation process.
(37) A general comparison between embodiments of the present invention and the prior art DGC procedure is shown in
Interface Formation
(38) Opening an aperture is one means of forming a fluid interface between the first and second volumes providing for fluid communication between semen (S) and a sperm buffer solution (B) allowing transit of motile sperm from the semen into the sperm buffer solution. Such an interface is shown in
Open System
(39) In preferred embodiments both fluid volumes of the first and second wells 3, 4 respectively are open to atmosphere and are filled to a level such that no pressure head is present when the aperture A is opened and therefore no net fluid transport occurs between the fluid volumes. The dimensions of the interface I or width of the aperture A.sub.w allows for connecting of the fluid volumes with only diffusion-based mixing of the two fluids.
Variable Aperture
(40) With reference to
(41) The control of the variable fluid communication interface I relies in part on the reversible actuation of components 1, 2 between a sealed state separating two fluid volumes and open state creating the aperture A which provides a static thin fluid interface between the fluids.
(42) A first aspect of embodiments provides a fluid interface I by allowing the controlled opening of a variable aperture A (alternatively a weir, gate, or opening) connecting two static volumes of fluid S, B. The width of the aperture A.sub.w allows for connecting of the fluid volumes without significant mixing of the two fluids S, B. The aperture A is formed by lifting an upper component 1 with features forming one half/side of the aperture A with respect to a lower component 2 with features forming the other half/side of the aperture A.
Variable Sample Volumes
(43) The preferred embodiments of the invention allow for variable volumes of semen, when a matching volume to sperm buffer or media is added to the two fluid volumes.
Storage Within the Device
(44) The variable aperture A can be readily closed without effect on either volume S, B once a sufficient quantity has been separated allowing for temporary storage prior to using the sample in subsequent ART procedures and halting further passage of sperm and diffusion of seminal plasma constituents.
Optical Detection of the Samples
(45) With reference to
(46) A second aspect of embodiments provides visual assessment of the sperm through an optical viewing window in the buffer containing volume of the device. Motile sperm that swim through the aperture A from the semen sample S can be visually assessed by image analysis of sperm movements captured by video microscopy. It is to be appreciated that image analysis techniques utilising available software algorithms may be employed to conduct appropriate visual assessment of the processed sample, as would be appreciated by the person skilled in the art. In this respect, in one preferred embodiment, a typical laboratory instrument comprising any of the variations of the device 10 as illustrated in
(47) The instrument's optical system may automatically adjust the focus of the camera via an electro-mechanical control device. Another embodiment of this feature would be to take a number of images at varying height increments throughout the optics thin film chamber in the device, with an algorithm that detects the most focused image for detection and analysis.
(48) The accompanying laboratory instrument may also be configured to allow optical detection and analysis of raw or processed semen samples in the sorting device 10 or, alternatively, on a variety of standard microscope slides. This provides for a variety of laboratory workflows by allowing sperm counts to be completed on standard slides at initial semen analysis or after extended incubation in an existing laboratory incubator.
Sample Result Visualisation and Identification
(49) The accompanying laboratory instrument will also be adapted to display the result, or state of progress for each test to aid operator time management. The visualisation of the progress of the sorting may be by displaying either a sperm sorting time remaining until result, or percentage of sperm count complete, or motility of the sperm collected so far or some other indicative method. The display may also feature video or image feed at certain sections of the workflow, for example of the raw sample before processing and the sample collected so far. Logging of these images, videos or displayed results may be possible via instrument network access. Furthermore, the instrument may include a barcode scanner to allow the patient's ID, operator ID, and sample ID to be logged and tracked along with images and results.
Multiple Separation Volumes for Motility Based Grading
(50) A third fluid volume may be separated from the second volume by the or another fluid communication interface in the form of a second closure member to allow further separation of motile sperm present in the second volume. Fast-progressive sperm from a mixture of slow and fast progressive sperm can move into this third volume when the closure structure is opened through the formed aperture. Sperm of highest motility can move through both apertures into the third fluid volume, such that the ratio of fast progressive to slow progressive sperm in the third volume is greater than that in the second volume. A further fluid volume will also allow for any need of a middle volume between semen and buffer to better control fluid movements. As an alternate embodiment, it is envisaged that a modification to the sample processing apparatus may include three volumes where semen is in the middle and buffer on both sides, to make the separation of processed sample even faster.
(51) The instrument may include automated sample separation where one volume of fluid is removed from the chamber and placed in a separate vessel for further processing. The sample may be removed by a pipette system, fluidic tubing system attached to the chamber, ‘dip stick’ plunged into the sample within the chamber or other such means.
(52) The instrument may include multiple processing and imaging modules to simultaneously process multiple samples concurrently. The instrument may have a chamber transfer system, where the chambers are taken from the storage area, placed on the actuation and analysis module and then removed for further processing.
(53) A third aspect of embodiments allows for the closure of said aperture separating the semen sample from the buffer solution now containing a portion of the motile sperm originally present in the semen sample volume.
(54) Additional refinements may be included in preferred embodiments where: Surfaces are treated to reduce binding of sperm to the base polymer; Surface textures or structures are provided that rectify the direction sperm swim in the direction of the aperture.
(55) The complexity of processing a biological sample such as semen to remove seminal plasma and extract the motile sperm component is now able to be performed in a single consumable and automated requiring only 1× sample input and 1× sample removal. This reduces work steps required.
(56) Movement of sperm through several containers, exposing sperm to damage, mishap and contamination may be avoided in embodiments of the invention utilising a single consumable where sperm stays from the start to the end of the process. This reduces sperm movements. With the use of the single consumable of preferred embodiments where sperm stays from the start to the end of the sorting process there is no need to double witness the sperm movement at every point when it is moved from one container to another.
(57) The consumable design of preferred embodiments allows fast recovery of motile sperm, the number of collected sperm being able to be adjusted by controlling the duration of the process and/or the starting volume of the sample. The process duration is short, and can be adjusted based on the number of sperm needed.
(58) With reference to
(59) A device 10 providing a fluid communication interface in the form of a toothed gate is provided (best depicted in vertical cross section by
(60) Semen is loaded, in a quantity for example of ˜1 mL, by use of a pipette PS into the first fluid volume 4 of the device, which may be situated as an outer ring as shown in
(61) Whilst in the closed state, sperm buffer B is loaded, again by use of a pipette PB, into an inner ring volume of the device 10.
(62) The fill levels must be the same or slightly higher in the buffer level to avoid flow of neat semen into the inner sorting volume 3.
(63) A fissure is created between the two fluid volumes when the cam ring 6 is rotated, as shown in
(64) The top cross-section view of
(65) If required, teeth 7 can be closed preventing diffusions of seminal plasma and further sperm into the sperm buffer volume 3 prior to aspiration of the sorted sperm S. Motile sperm can be aspirated with a pipette from the inner volume. The cross-sectional view of
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(67) With reference to the
(68) The device 10 comprises a base component 9 and closure member 8, 6 comprising a cylindrical wall separating the fluid volumes with a sealing face at the base the cylinder that mates to the base component 9. In the closed state a seal is formed between the base component 9 and closure member 8. Semen sample S may be loaded into the first fluid volume 4 of the device. Sperm buffer B may also be loaded into second fluid volume 3 of the device. The fill levels must be the same or slightly higher in the buffer volume to ensure no active flow of neat semen into the buffer sorting volume opening the closure member.
(69) As shown in
(70) As shown in
(71) Again, rotation of the cam ring 6, as shown in
(72) Side cross-section views of
(73) The closure member 8 can be actuated back to a sealed state to halt both migration of motile sperm across the interface and diffusion of seminal plasma into the sperm buffer volume 3. Sorted motile sperm can be held in the second fluid volume 3 until they are aspirated from the device 10.
(74) Alternatively, if required, teeth 7 can be closed preventing diffusions of seminal plasma into the sperm buffer volume prior to aspiration of the sorted sperm. The reversal of the rotation of cam ring 6 as shown in
Alternative Embodiments
(75) As described above and referring to
Forming an Interface
(76) Noting that embodiments of the invention rely on the reversible actuation of components to form a fluid communication interface and in that interface, according to preferred embodiments, an aperture is formed between a sealed state separating two fluid volumes and an open state creating the fluid interface between the fluids. The various embodiments described in the following have been considered and in which that function is provided.
(77) A closure member that separates the first and second fluid volumes may comprise a deformable element. In a compressed state an aperture in the deformable element may be collapsed to form a seal between the fluid volumes. Stretching of the deformable element can open the aperture in the deformable element to a controlled size allowing fluid communication between the fluid volumes 3 and 4. The deformable element may comprise one or a combination of springs, tubes. In certain embodiments, it is envisaged that the element may comprise an elastic formation.
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(80) In a general form, not shown, a cylinder forms a wall where the fluid volumes are defined on the inside and outside of the cylinder. The cylinder forms a radial or face seal with a mating surface in the two components. Vertical lifting of the cylinder opens a gap between mating faces allowing fluid contact between the fluid volume.
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(82) The embodiment of
(83) In
Actuation
(84) Actuation of the aperture of the fluid communication interface can be effected by way of automated instrumentation, as would be appreciated by the person skilled in the art. For example, the aperture opening movement may be performed by action of an electro-mechanical actuator of the instrument (such as a stepper motor or piezo-electric motor) onto the closure member of the device. The aperture may be operated so that it opens and closes by actuation of a cam whereby a cam follower is integrated on the device. The actuator is a component of the instrumentation of the laboratory that interconnects with the device 10. Alternatively, the actuator may be a component of the consumable assembly of the device 10.
(85) Automated actuation of the fluid depth in the optics window can be effected by the optics window containment surface opening by action of an electro-mechanical actuator in the instrument (such as a stepper motor or piezo-electric motor) onto the closure member of the device. The optics window containment surface may be operated so that it opens and closes by actuation of a cam whereby a cam follower is integrated on the device. The actuator is a component of the instrumentation of the laboratory that interconnects with the device 10. Alternatively, the actuator may be a component of the consumable assembly of the device 10.
Temperature Control and Logging
(86) The accompanying laboratory instrument may contain an incubation chamber(s) to allow the setting and control of incubator temperature anywhere from ambient to 40 deg C. The temperature and humidity of the incubation chamber(s) may be recorded and logged as part of the results output, or displayed on the accompanying user interface.
(87) Another embodiment may allow the devices to be stored in the incubation chamber for a period of time either before or after processing for pre-heating or post-incubation.
Sample Thawing
(88) The incubator module of the accompanying laboratory instrument may allow samples to be thawed by providing features to locate commonly used semen storage straws. The instrument may introduce agitation on demand to aid the thawing of samples. The agitation would be controlled during a thawing protocol via controlled electro-mechanical vibration.
Instrument Configuration
(89) The accompanying instrument may consist of either a single sorting/incubation/analysis chamber, or multiples of the aforementioned modules to assist with laboratory scheduling and workflow. These instruments may be modular to allow connection to existing instruments, or stand alone to accommodate to smaller clinical environments.
(90) The instrument may consist of either a single optics detection module, or multiple detection modules, independent of how many sorting or incubation modules exist. The configuration may be adapted depending on resulting analysis of the market and existing scheduling and workflows used in the industry.
Smart CASA
(91) The accompanying laboratory instrument may be able to reduce time taken to sort motile sperm by enabling a Smart CASA (Computer-Assisted Sperm Analysis) algorithm, which may read motility and concentration of the collected sample in real time while it is being processed, thus allowing the user to terminate the sorting when a sufficient amount of sufficiently motile sperm has been collected. This would allow adjusting the duration of the test to respond to specific sperm sorting needs and clinical situations.
Modifications and Enhancements
(92) Any of the above described embodiments can be enhanced by inclusion of one or more of the following modifications or enhancements: Surfaces treatments, such as inclusion of blocking agents (e.g. human serum albumin) to reduce non-specific binding of sperm to the base polymer Surfaces of the fluid volumes treated to promote specific binding of non-progressive, abnormal sperm or non-viable sperm Specific medium containing, for example, immunobeads binding certain sperm. Alternatively, beads may be added to semen or biological samples at the time of loading. One or a combination of these modifications may be employed to work in concert together Surface textures, structures or protrusions that rectify the direction sperm swim or otherwise limit the degrees of freedom of the sperms movement such that a greater proportion of motile sperm move in the direction of the aperture or inhibit movement from the buffer volume back toward the sample volume Chemical concentration gradients between the buffer and sample volumes such that sperm are induced to swim toward the buffer volume (i.e. chemotaxis) Solid phases or surfaces for temporary binding and release of sperm
(93) With respect to
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Experimental Results
(96) 1. Introduction and Aims
(97) Large numbers of tests were performed during the development of the consumable designs of preferred embodiments, including those described above, to test their performance, as well as after increased design iterations. The results presented here represent a subset of those tests, conducted with two preferred design revisions.
(98) The main objectives of the tests were to test performance of consumable prototypes in regards to the ability to sort the (progressively) motile sperm from raw semen sample. The tests concentrated in key parameters such as total sperm concentration, sperm progressive motility, and concentration of progressively motile sperm in the final washed sample (output). In addition, timing of the sorting was assessed by repeated sampling over an extended time period.
(99) The secondary objective of the tests was to capture comparison data between two particular design prototypes in order to assist in the selection of most promising consumable iteration.
(100) The tertiary objective of the tests was to assess fluidics of the devices in regards to leakages of buffer and/or semen between compartments or volumes during sorting and at the end of the sorting run.
(101) 2. Definitions
(102) Total sperm motility: Proportion of all sperm showing motility, whether progressive or non-progressive.
(103) Progressively motility: Sperm moving actively, either linearly or in a large circle, regardless of speed.
(104) Non-progressively motility: All other patterns of motility with an absence of progression, e.g. swimming in small circles, the flagellar force hardly displacing the head, or when only a flagellar beat can be observed
(105) Non-motile sperm: Sperm exhibiting no movement
(106) Raw sample: Semen in its natural, untouched state
(107) 3. Test Overview
(108) Fresh human semen samples (aim to start processing within 60 min from collection) were loaded to consumable prototypes, sample gates were opened and output samples were retrieved every 5 minutes from the Sperm Buffer compartment (=output) to assess the motile sperm's ability to swim across the device geometry. It was anticipated that short incubation periods would result in lower concentrations but increasingly more progressively motile sperm, whereas long periods would result in higher concentrations of sperm, but overall reduced progressive motility as compared to the earlier collected cohorts.
(109) 4. Test Materials
(110) Semen samples were donated by consenting volunteer donors. The donors were men between 20 and 40 years of age with unknown fertility history, ie there were no attempts to ascertain their fertility status for the testing. The study was approved by the Human Ethics Committee of the applicant company.
(111) All laboratory consumables (pipette tips, test tubes, microscope slides etc) were same as used in an IVF clinic and/or Andrology laboratories. Analysis of test parameters was performed using Computer Assisted Sperm Analysis (CASA) system, namely IVOS Version 12 (Hamilton Thorne) and Leja analysis slides (Leja).
(112) Sperm separation device prototypes were manufactured on-site with 3D printer and washed thoroughly before use.
(113) 5. Test Method Ensure that the device(s) and solutions to be used for tests are at 37 degrees Celsius Assess the semen sample initial characteristics (concentration, progressive motility, concentration of progressively motile sperm) Add 1% blue food dye into semen sample to dye it (dye tested to be safe and non-toxic, the purpose being to assist in detection of leaks) Load each device with 500 μL of semen in the Sample Compartment followed by the loading of 250 μL of Sperm Buffer in Buffer Compartment. Note: Ensure device gate is in its closed setting prior the loading. For the pre-sort reading collect the sample for reading (˜4 μL) from the Sample Compartment and assess with CASA Open the device gate and start timer (Note: do not delay starting the opening of the device in virtue of the semen reading) Collect a sample from Buffer Compartment (=time 0′) for reading (˜4 μL) and assess with CASA Repeat sample collection from Buffer Compartment every 5 minutes until 25 minutes has passed, while maintaining the device at 37 degrees Celsius At that time, close the device gate and extract total remaining volume of buffer from Buffer Compartment (=full volume output) Measure the extracted volume Throughout the testing, take note of changes in colour of the Buffer Compartment and record. If leaking happens the Sperm Buffer will acquire different shades of blue (the darker, larger the leak). Analyse the results.
(114) 6. Test Results
(115) Table 1, below, presents the results of 12 tests acquired on two separate days with samples from three different donors, utilizing two different device prototypes (based on the first and second embodiments described above and labelled ‘Stonehenge’ and ‘Twister’, respectively). Mean values and Standard Deviations are presented of Sperm Concentration (million sperm per mL), Progressive Motility (% of sperm exhibiting progressive movement) and Concentration of Progressively Motile Sperm (million progressively motile sperm per mL).
(116) The last value is the defining factor when assessing whether the processed sperm sample is suitable to be used for IVF, although the target value varies between clinics and is dependent on the type of fertilisation procedure used at the clinic. For example, if fertilization of oocytes takes place in a microdrop (10-50 μL), higher concentration is usually required as opposed to fertilization in a microwell (300-700 μL).
(117) TABLE-US-00001 TABLE 1 Semen processing and sorting outcomes with two different device design prototypes over an extended processing time Device 25′ design Value Pre-sort 0′ 5′ 10′ 15′ 20′ 25′ (full vol) Sperm Concentration M/mL Stonehenge (mean) 64.6 0.4 0.5 1.2 7.5 2.2 3.1 16.9 (SD) 18.1 0.4 0.2 0.7 11.4 1.4 2.0 17.4 Twister (mean) 59.7 0.2 0.5 1.5 2.5 5.7 6.6 19.4 (SD) 7.3 0.2 0.3 1.5 2.0 7.3 9.3 20.8 Progressive Motility % Stonehenge (mean) 37 28 36.8 50.8 60.3 71 66 43.3 (SD) 15.2 20.6 15.0 24.5 24.0 27.6 22.5 22.6 Twister (mean) 38.5 24.2 36.8 89.3 75.7 88.3 85.2 71.5 (SD) 11.9 19.4 24.7 12.5 22.8 5.2 14.6 25.0 Concentration of Progressively Motile Sperm M/mL Stonehenge (mean) 10.92 Nd 0.20 0.67 1.78 1.70 2.13 6.08 (SD) 3.8 Nd 0.1 0.7 0.9 1.3 1.5 4.3 Twister (mean) 11.45 Nd 0.17 1.32 2.18 5.33 6.15 10.68 (SD) 4.1 nd 0.1 1.3 2.1 7.0 8.9 7.8
(118) To better illustrate the changes in the sperm parameters over time,
(119) 7. Discussion
(120) As can be expected, total concentrations of sperm were higher in the pre-sorting samples than post-sorting. All the donated samples in these tests before sorting had total sperm concentrations above WHO defined lower reference limits for semen characteristics (WHO 2015 5.sup.th Edition), i.e could be considered ‘normal’ (sample range 59-101 M/mL, WHO lower reference limit 15 M/mL).
(121) Sperm output concentrations increased over the duration of the processing, being understandably highest at 25 minutes time point (Table 1 and Plot A). Interestingly, the “full volume” output showed even higher concentration than the initial sampling volume at that same time point, most likely reflecting inaccuracies in sampling due to small sampling volumes, and possibly also uneven distribution of sperm in the Buffer Compartment during processing.
(122) All other time point results were based on only 4 μL samples whereas the final full volume sample consisted of total output and ranged between 50 and 100 μL. Hence it is possible that the earlier time points may not have accurately reflected the actual concentration of sperm at that particular time point, and the concentration might have been somewhat different, possibly higher, if the whole output volume in the Buffer Compartment would have been measured. However, the pattern observed is still relevant for these tests.
(123) Progressive motility of the semen sample before sorting varied between 10 and 55%, which represents values both below and above WHO defined lower reference limit of 32%. These figures did not however reflect the initial quality of the original sample (range 11-66% soon after collection), but rather the quality of the sample at the start of processing, at which point the age of the sample varied between 35 and 177 min. It is known that progressive motility of sperm decreases over time, and a recommended clinical practice is to process semen sample within 60 min of collection.
(124) During processing this value increased from the initial 24 to 28% to the peaks of 71% (Stonehenge) and 89% (Twister), from there to reduce again in both device designs (Table 1 and Plot B). The values over 60% can be used or clinical IVF, although ideally the progressive motility percentage should be 80-90%.
(125) The reduction in progressive motility at 25′ is likely related to increasing number (and concentration) of sperm as the Buffer Compartment started to get saturated. In those conditions, it is possible that in addition to most motile sperm population, also some less motile sperm might have had enough time to move from Sample Compartment to Buffer Compartment, thus reducing the overall progressive motility percentage.
(126) The final determinant for clinical usability of the processed sample is the concentration of progressively motile sperm, a combination of the previous two values. It is reassuring to see that this value increased gradually over time from pre-sorting mean values of approx. 11 M/mL to 6 (Stonehenge) or 11 (Twister) M/mL. Although the overall value was not drastically different pre- and post-sorting in these particular tests, it still represents the portion of washed sperm removed from seminal plasma and as such the portion immediately suitable for clinical use.
(127) As can be seen from the results, Standard Deviations were high, representing large variations in outcomes between the tests. Whether this was due to characteristics of the samples themselves, or the differences between time points or device designs, is difficult to say at this point. However, the overall conclusions suggest that both designs lead to suitable sperm processing outcomes, although in this set of tests the Twister design appears more promising than Stonehenge.
(128) In regards to optimal duration of the process, both sperm total concentration and progressive motility seem to plateau after about 10 to 15 minutes, at least if considering only the results of the sampled small volumes. This time is considerably faster than what can be achieved with traditional Density Gradient Centrifugation.
(129) The following sections I-VII provide a guide to interpreting the present specification.
I. Terms
(130) The term “product” means any machine, manufacture and/or composition of matter, unless expressly specified otherwise.
(131) The term “process” means any process, algorithm, method or the like, unless expressly specified otherwise.
(132) Each process (whether called a method, algorithm or otherwise) inherently includes one or more steps, and therefore all references to a “step” or “steps” of a process have an inherent antecedent basis in the mere recitation of the term ‘process’ or a like term. Accordingly, any reference in a claim to a ‘step’ or ‘steps’ of a process has sufficient antecedent basis.
(133) The term “invention” and the like mean “the one or more inventions disclosed in this specification”, unless expressly specified otherwise.
(134) The terms “an embodiment”, “embodiment”, “embodiments”, “the embodiment”, “the embodiments”, “one or more embodiments”, “some embodiments”, “certain embodiments”, “one embodiment”, “another embodiment” and the like mean “one or more (but not all) embodiments of the disclosed invention(s)”, unless expressly specified otherwise.
(135) The term “variation” of an invention means an embodiment of the invention, unless expressly specified otherwise.
(136) A reference to “another embodiment” in describing an embodiment does not imply that the referenced embodiment is mutually exclusive with another embodiment (e.g., an embodiment described before the referenced embodiment), unless expressly specified otherwise.
(137) The terms “including”, “comprising” and variations thereof mean “including but not limited to”, unless expressly specified otherwise.
(138) The terms “a”, “an” and “the” mean “one or more”, unless expressly specified otherwise.
(139) The term “plurality” means “two or more”, unless expressly specified otherwise.
(140) The term “herein” means “in the present specification, including anything which may be incorporated by reference”, unless expressly specified otherwise.
(141) The phrase “at least one of”, when such phrase modifies a plurality of things (such as an enumerated list of things), means any combination of one or more of those things, unless expressly specified otherwise. For example, the phrase “at least one of a widget, a car and a wheel” means either (i) a widget, (ii) a car, (iii) a wheel, (iv) a widget and a car, (v) a widget and a wheel, (vi) a car and a wheel, or (vii) a widget, a car and a wheel. The phrase “at least one of”, when such phrase modifies a plurality of things, does not mean “one of each of” the plurality of things.
(142) Numerical terms such as “one”, “two”, etc. when used as cardinal numbers to indicate quantity of something (e.g., one widget, two widgets), mean the quantity indicated by that numerical term, but do not mean at least the quantity indicated by that numerical term. For example, the phrase “one widget” does not mean “at least one widget”, and therefore the phrase “one widget” does not cover, e.g., two widgets.
(143) The phrase “based on” does not mean “based only on”, unless expressly specified otherwise. In other words, the phrase “based on” describes both “based only on” and “based at least on”. The phrase “based at least on” is equivalent to the phrase “based at least in part on”.
(144) The term “represent” and like terms are not exclusive, unless expressly specified otherwise. For example, the term “represents” do not mean “represents only”, unless expressly specified otherwise. In other words, the phrase “the data represents a credit card number” describes both “the data represents only a credit card number” and “the data represents a credit card number and the data also represents something else”.
(145) The term “whereby” is used herein only to precede a clause or other set of words that express only the intended result, objective or consequence of something that is previously and explicitly recited. Thus, when the term “whereby” is used in a claim, the clause or other words that the term “whereby” modifies do not establish specific further limitations of the claim or otherwise restricts the meaning or scope of the claim.
(146) The term “e.g.” and like terms mean “for example”, and thus does not limit the term or phrase it explains. For example, in the sentence “the computer sends data (e.g., instructions, a data structure) over the Internet”, the term “e.g.” explains that “instructions” are an example of “data” that the computer may send over the Internet, and also explains that “a data structure” is an example of “data” that the computer may send over the Internet. However, both “instructions” and “a data structure” are merely examples of “data”, and other things besides “instructions” and “a data structure” can be “data”.
(147) The term “i.e.” and like terms mean “that is”, and thus limits the term or phrase it explains. For example, in the sentence “the computer sends data (i.e., instructions) over the Internet”, the term “i.e.” explains that “instructions” are the “data” that the computer sends over the Internet.
(148) Any given numerical range shall include whole and fractions of numbers within the range. For example, the range “1 to 10” shall be interpreted to specifically include whole numbers between 1 and 10 (e.g., 2, 3, 4, . . . 9) and non-whole numbers (e.g., 1.1, 1.2, . . . 1.9).
II. Determining
(149) The term “determining” and grammatical variants thereof (e.g., to determine a price, determining a value, determine an object which meets a certain criterion) is used in an extremely broad sense. The term “determining” encompasses a wide variety of actions and therefore “determining” can include calculating, computing, processing, deriving, investigating, looking up (e.g., looking up in a table, a database or another data structure), ascertaining and the like. Also, “determining” can include receiving (e.g., receiving information), accessing (e.g., accessing data in a memory) and the like. Also, “determining” can include resolving, selecting, choosing, establishing, and the like.
(150) The term “determining” does not imply certainty or absolute precision, and therefore “determining” can include estimating, extrapolating, predicting, guessing and the like.
(151) The term “determining” does not imply that mathematical processing must be performed, and does not imply that numerical methods must be used, and does not imply that an algorithm or process is used.
(152) The term “determining” does not imply that any particular device must be used. For example, a computer need not necessarily perform the determining.
(153) The term “buffer” may refer to buffer or media and is used indiscriminately herein. For example, further definition of a “buffer” may include a description of aqueous solution of compositions of matter such as salts, proteins, sugars, or other compounds.
III. Indication
(154) The term “indication” is used in an extremely broad sense. The term “indication” may, among other things, encompass a sign, symptom, or token of something else.
(155) The term “indication” may be used to refer to any indicia and/or other information indicative of or associated with a subject, item, entity, and/or other object and/or idea.
(156) As used herein, the phrases “information indicative of” and “indicia” may be used to refer to any information that represents, describes, and/or is otherwise associated with a related entity, subject, or object.
(157) Indicia of information may include, for example, a symbol, a code, a reference, a link, a signal, an identifier, and/or any combination thereof and/or any other informative representation associated with the information.
(158) In some embodiments, indicia of information (or indicative of the information) may be or include the information itself and/or any portion or component of the information. In some embodiments, an indication may include a request, a solicitation, a broadcast, and/or any other form of information gathering and/or dissemination.
IV. Forms of Sentences
(159) Where a limitation of a first claim would cover one of a feature as well as more than one of a feature (e.g., a limitation such as “at least one widget” covers one widget as well as more than one widget), and where in a second claim that depends on the first claim, the second claim uses a definite article “the” to refer to the limitation (e.g., “the widget”), this does not imply that the first claim covers only one of the feature, and this does not imply that the second claim covers only one of the feature (e.g., “the widget” can cover both one widget and more than one widget).
(160) When an ordinal number (such as “first”, “second”, “third” and so on) is used as an adjective before a term, that ordinal number is used (unless expressly specified otherwise) merely to indicate a particular feature, such as to distinguish that particular feature from another feature that is described by the same term or by a similar term. For example, a “first widget” may be so named merely to distinguish it from, e.g., a “second widget”. Thus, the mere usage of the ordinal numbers “first” and “second” before the term “widget” does not indicate any other relationship between the two widgets, and likewise does not indicate any other characteristics of either or both widgets. For example, the mere usage of the ordinal numbers “first” and “second” before the term “widget” (1) does not indicate that either widget comes before or after any other in order or location; (2) does not indicate that either widget occurs or acts before or after any other in time; and (3) does not indicate that either widget ranks above or below any other, as in importance or quality. In addition, the mere usage of ordinal numbers does not define a numerical limit to the features identified with the ordinal numbers. For example, the mere usage of the ordinal numbers “first” and “second” before the term “widget” does not indicate that there must be no more than two widgets.
(161) When a single device or article is described herein, more than one device/article (whether or not they cooperate) may alternatively be used in place of the single device/article that is described. Accordingly, the functionality that is described as being possessed by a device may alternatively be possessed by more than one device/article (whether or not they cooperate).
(162) Similarly, where more than one device or article is described herein (whether or not they cooperate), a single device/article may alternatively be used in place of the more than one device or article that is described. For example, a plurality of computer-based devices may be substituted with a single computer-based device. Accordingly, the various functionality that is described as being possessed by more than one device or article may alternatively be possessed by a single device/article.
(163) The functionality and/or the features of a single device that is described may be alternatively embodied by one or more other devices which are described but are not explicitly described as having such functionality/features. Thus, other embodiments need not include the described device itself, but rather can include the one or more other devices which would, in those other embodiments, have such functionality/features.
V. Disclosed Examples and Terminology Are Not Limiting
(164) Neither the Title nor the Abstract in this specification is intended to be taken as limiting in any way as the scope of the disclosed invention(s). The title and headings of sections provided in the specification are for convenience only, and are not to be taken as limiting the disclosure in any way.
(165) Numerous embodiments are described in the present application, and are presented for illustrative purposes only. The described embodiments are not, and are not intended to be, limiting in any sense. The presently disclosed invention(s) are widely applicable to numerous embodiments, as is readily apparent from the disclosure. One of ordinary skill in the art will recognise that the disclosed invention(s) may be practised with various modifications and alterations, such as structural, logical, software, and electrical modifications. Although particular features of the disclosed invention(s) may be described with reference to one or more particular embodiments and/or drawings, it should be understood that such features are not limited to usage in the one or more particular embodiments or drawings with reference to which they are described, unless expressly specified otherwise.
(166) The present disclosure is not a literal description of all embodiments of the invention(s). Also, the present disclosure is not a listing of features of the invention(s) which must be present in all embodiments.
(167) Devices that are described as in communication with each other need not be in continuous communication with each other, unless expressly specified otherwise. On the contrary, such devices need only transmit to each other as necessary or desirable, and may actually refrain from exchanging data most of the time. For example, a machine in communication with another machine via the Internet may not transmit data to the other machine for long period of time (e.g. weeks at a time). In addition, devices that are in communication with each other may communicate directly or indirectly through one or more intermediaries. Similar meanings applies mutatis mutandi for devices or components that are described as in fluid or liquid communication with each other.
(168) A description of an embodiment with several components or features does not imply that all or even any of such components/features are required. On the contrary, a variety of optional components are described to illustrate the wide variety of possible embodiments of the present invention(s). Unless otherwise specified explicitly, no component/feature is essential or required.
(169) Although process steps, operations, algorithms or the like may be described in a particular sequential order, such processes may be configured to work in different orders. In other words, any sequence or order of steps that may be explicitly described does not necessarily indicate a requirement that the steps be performed in that order. The steps of processes described herein may be performed in any order practical. Further, some steps may be performed simultaneously despite being described or implied as occurring non-simultaneously (e.g., because one step is described after the other step). Moreover, the illustration of a process by its depiction in a drawing does not imply that the illustrated process is exclusive of other variations and modifications thereto, does not imply that the illustrated process or any of its steps are necessary to the invention(s), and does not imply that the illustrated process is preferred.
(170) Although a process may be described as including a plurality of steps, that does not imply that all or any of the steps are preferred, essential or required. Various other embodiments within the scope of the described invention(s) include other processes that omit some or all of the described steps. Unless otherwise specified explicitly, no step is essential or required.
(171) Although a process may be described singly or without reference to other products or methods, in an embodiment the process may interact with other products or methods. For example, such interaction may include linking one business model to another business model. Such interaction may be provided to enhance the flexibility or desirability of the process.
(172) Although a product may be described as including a plurality of components, aspects, qualities, characteristics and/or features, that does not indicate that any or all of the plurality are preferred, essential or required. Various other embodiments within the scope of the described invention(s) include other products that omit some or all of the described plurality.
(173) An enumerated list of items (which may or may not be numbered) does not imply that any or all of the items are mutually exclusive, unless expressly specified otherwise. Likewise, an enumerated list of items (which may or may not be numbered) does not imply that any or all of the items are comprehensive of any category, unless expressly specified otherwise. For example, the enumerated list “a computer, a laptop, a PDA” does not imply that any or all of the three items of that list are mutually exclusive and does not imply that any or all of the three items of that list are comprehensive of any category.
(174) An enumerated list of items (which may or may not be numbered) does not imply that any or all of the items are equivalent to each other or readily substituted for each other.
(175) All embodiments are illustrative, and do not imply that the invention or any embodiments were made or performed, as the case may be.
VI. Computing
(176) It will be readily apparent to one of ordinary skill in the art that the various processes described herein may be implemented by, e.g., appropriately programmed general purpose computers, special purpose computers and computing devices. Typically a processor (e.g., one or more microprocessors, one or more micro-controllers, one or more digital signal processors) will receive instructions (e.g., from a memory or like device), and execute those instructions, thereby performing one or more processes defined by those instructions.
(177) A “processor” means one or more microprocessors, central processing units (CPUs), computing devices, micro-controllers, digital signal processors, or like devices or any combination thereof.
(178) Thus a description of a process is likewise a description of an apparatus for performing the process. The apparatus that performs the process can include, e.g., a processor and those input devices and output devices that are appropriate to perform the process.
(179) Further, programs that implement such methods (as well as other types of data) may be stored and transmitted using a variety of media (e.g., computer readable media) in a number of manners. In some embodiments, hard-wired circuitry or custom hardware may be used in place of, or in combination with, some or all of the software instructions that can implement the processes of various embodiments. Thus, various combinations of hardware and software may be used instead of software only.
(180) The term “computer-readable medium” refers to any medium, a plurality of the same, or a combination of different media, that participate in providing data (e.g., instructions, data structures) which may be read by a computer, a processor or a like device. Such a medium may take many forms, including but not limited to, non-volatile media, volatile media, and transmission media. Non-volatile media include, for example, optical or magnetic disks and other persistent memory. Volatile media include dynamic random access memory (DRAM), which typically constitutes the main memory. Transmission media include coaxial cables, copper wire and fibre optics, including the wires that comprise a system bus coupled to the processor. Transmission media may include or convey acoustic waves, light waves and electromagnetic emissions, such as those generated during radio frequency (RF) and infra-red (IR) data communications. Common forms of computer-readable media include, for example, a floppy disk, a flexible disk, hard disk, magnetic tape, any other magnetic medium, a CD-ROM, DVD, any other optical medium, punch cards, paper tape, any other physical medium with patterns of holes, a RAM, a PROM, an EPROM, a FLASH-EEPROM, any other memory chip or cartridge, a carrier wave as described hereinafter, or any other medium from which a computer can read.
(181) Various forms of computer readable media may be involved in carrying data (e.g. sequences of instructions) to a processor. For example, data may be (i) delivered from RAM to a processor; (ii) carried over a wireless transmission medium; (iii) formatted and/or transmitted according to numerous formats, standards or protocols, such as Ethernet (or IEEE 802.3), SAP, ATP, Bluetooth™, and TCP/IP, TDMA, CDMA, and 3G; and/or (iv) encrypted to ensure privacy or prevent fraud in any of a variety of ways well known in the art.
(182) Thus a description of a process is likewise a description of a computer-readable medium storing a program for performing the process. The computer-readable medium can store (in any appropriate format) those program elements which are appropriate to perform the method.
(183) Just as the description of various steps in a process does not indicate that all the described steps are required, embodiments of an apparatus include a computer/computing device operable to perform some (but not necessarily all) of the described process.
(184) Likewise, just as the description of various steps in a process does not indicate that all the described steps are required, embodiments of a computer-readable medium storing a program or data structure include a computer-readable medium storing a program that, when executed, can cause a processor to perform some (but not necessarily all) of the described process.
(185) Where databases are described, it will be understood by one of ordinary skill in the art that (i) alternative database structures to those described may be readily employed, and (ii) other memory structures besides databases may be readily employed. Any illustrations or descriptions of any sample databases presented herein are illustrative arrangements for stored representations of information. Any number of other arrangements may be employed besides those suggested by, e.g., tables illustrated in drawings or elsewhere. Similarly, any illustrated entries of the databases represent exemplary information only; one of ordinary skill in the art will understand that the number and content of the entries can be different from those described herein. Further, despite any depiction of the databases as tables, other formats (including relational databases, object-based models and/or distributed databases) could be used to store and manipulate the data types described herein. Likewise, object methods or behaviours of a database can be used to implement various processes, such as the described herein. In addition, the databases may, in a known manner, be stored locally or remotely from a device which accesses data in such a database.
(186) Various embodiments can be configured to work in a network environment including a computer that is in communication (e.g., via a communications network) with one or more devices. The computer may communicate with the devices directly or indirectly, via any wired or wireless medium (e.g. the Internet, LAN, WAN or Ethernet, Token Ring, a telephone line, a cable line, a radio channel, an optical communications line, commercial on-line service providers, bulletin board systems, a satellite communications link, a combination of any of the above). Each of the devices may themselves comprise computers or other computing devices that are adapted to communicate with the computer. Any number and type of devices may be in communication with the computer.
(187) In an embodiment, a server computer or centralised authority may not be necessary or desirable. For example, the present invention may, in an embodiment, be practised on one or more devices without a central authority. In such an embodiment, any functions described herein as performed by the server computer or data described as stored on the server computer may instead be performed by or stored on one or more such devices.
(188) Where a process is described, in an embodiment the process may operate without any user intervention. In another embodiment, the process includes some human intervention (e.g., a step is performed by or with the assistance of a human).
(189) While this invention has been described in connection with specific embodiments thereof, it will be understood that it is capable of further modification(s). This application is intended to cover any variations uses or adaptations of the invention following in general, the principles of the invention and including such departures from the present disclosure as come within known or customary practice within the art to which the invention pertains and as may be applied to the essential features hereinbefore set forth.
(190) As the present invention may be embodied in several forms without departing from the spirit of the essential characteristics of the invention, it should be understood that the above described embodiments are not to limit the present invention unless otherwise specified, but rather should be construed broadly within the spirit and scope of the invention as defined in the appended claims. The described embodiments are to be considered in all respects as illustrative only and not restrictive.
(191) Various modifications and equivalent arrangements are intended to be included within the spirit and scope of the invention and appended claims. Therefore, the specific embodiments are to be understood to be illustrative of the many ways in which the principles of the present invention may be practiced. For example, the following embodiments also fall within the scope of the appended claims.
(192) Based on embodiments as shown in the accompanying drawings, a fluid communication interface may be provided by a toothed gate is between sample and buffer volumes where a concentric arrangement of the volumes is provided in which the sample may be provided on the outside and the buffer disposed within the inside volume. (Equally, in an alternate form the two volumes may be disposed in a vice versa arrangement with buffer disposed on the outside volume.) The aperture opens upon rotation of a cam ring. A top component lifts on this action. Vertical apertures open between teeth at ˜1:10 ratio of vertical travel. Sperm can swim along multiple trajectories to buffer through apertures. Semen is loaded (˜1 mL) into the outside of volume of the device. The device is in the closed state with a seal between the teeth of the upper and lower parts.
(193) Sperm buffer is loaded into the inside ring device. The device is in the closed state with a seal between the teeth of the upper and lower parts. The fill levels must be the same or slightly higher in the buffer level to avoid flow of neat semen into the inner sorting volume.
(194) A fissure is created between the two fluids when the cam ring is rotated clockwise. The upper component is accordingly pushed up by ramps on the cam.
(195) If required, teeth can be closed preventing diffusions of seminal plasma into the sperm buffer volume prior to aspiration of the sorted sperm.
(196) As with other described embodiments, motile sperm can be aspirated with a pipette from the inner volume.
(197) In an alternate embodiment, semen is loaded into the outside volume of the device. The device is in the closed state with a seal between the base component and a cylindrical top piece. Sperm buffer is loaded into the inside ring device. The device is in the closed state with a seal between the teeth of the upper and lower parts. The fill levels must be the same or slightly higher in the buffer level to avoid flow of neat semen into the inner sorting volume. Again, if required, teeth can be closed preventing diffusions of seminal plasma into the sperm buffer volume prior to aspiration of the sorted sperm and motile sperm can be aspirated with a pipette from the inner volume.
(198) In the following claims, means-plus-function clauses are intended to cover structures as performing the defined function and not only structural equivalents, but also equivalent structures. For example, although a nail and a screw may not be structural equivalents in that a nail employs a cylindrical surface to secure wooden parts together, whereas a screw employs a helical surface to secure wooden parts together, in the environment of fastening wooden parts, a nail and a screw are equivalent structures.
(199) It should be noted that where the terms “server”, “secure server” or similar terms are used herein, a communication device is described that may be used in a communication system, unless the context otherwise requires, and should not be construed to limit the present invention to any particular communication device type. Thus, a communication device may include, without limitation, a bridge, router, bridge-router (router), switch, node, or other communication device, which may or may not be secure.
(200) It should also be noted that where a flowchart is used herein to demonstrate various aspects of the invention, it should not be construed to limit the present invention to any particular logic flow or logic implementation. The described logic may be partitioned into different logic blocks (e.g., programs, modules, functions, or subroutines) without changing the overall results or otherwise departing from the true scope of the invention. Often, logic elements may be added, modified, omitted, performed in a different order, or implemented using different logic constructs (e.g., logic gates, looping primitives, conditional logic, and other logic constructs) without changing the overall results or otherwise departing from the true scope of the invention.
(201) “Comprises/comprising” and “includes/including” when used in this specification is taken to specify the presence of stated features, integers, steps or components but does not preclude the presence or addition of one or more other features, integers, steps, components or groups thereof. Thus, unless the context clearly requires otherwise, throughout the description and the claims, the words ‘comprise’, ‘comprising’, ‘includes’, ‘including’ and the like are to be construed in an inclusive sense as opposed to an exclusive or exhaustive sense; that is to say, in the sense of “including, but not limited to”.