DEVICES AND METHODS FOR ARTIFICIAL INSEMINATION
20200069407 ยท 2020-03-05
Assignee
Inventors
- Kilby Willenburg (DeForest, WI, US)
- Christian Rudolf Simmet (Landshut, DE)
- Gregg Bevier (Navasota, TX)
- Dominik Armbruster (Tiefenbach, DE)
Cpc classification
A61M2025/0004
HUMAN NECESSITIES
C08L77/00
CHEMISTRY; METALLURGY
A61L29/06
HUMAN NECESSITIES
A61L29/06
HUMAN NECESSITIES
A61D19/027
HUMAN NECESSITIES
A61D19/021
HUMAN NECESSITIES
A61M2025/0096
HUMAN NECESSITIES
C08L77/00
CHEMISTRY; METALLURGY
A61M25/0068
HUMAN NECESSITIES
International classification
Abstract
The invention encompasses improved catheters comprised of multiple tubular bodies and methods of using them in artificial insemination.
Claims
1. A catheter comprising: a first tubular body; a cervical anchor connected to an outer surface of the first tubular body; and a second tubular body axially and slidably extending within the first tubular body, the second tubular body comprising a polyether block amide and a proximal end and a distal end, the distal end comprising an orifice formed i) in a beveled, radiused or chamfered terminus or ii) in a terminal flange comprising a beveled, radiused or chamfered edge.
2. The catheter of claim 1, wherein the second tubular body has an outer diameter between 1.5 mm and 5 mm.
3. The catheter of claim 1, wherein the second tubular body has an inner diameter between 0.5 mm and 1.5 mm.
4. The catheter of claim 1, wherein the second tubular body has a hardness between 30 (Shore D) and 70 (Shore D).
5. The catheter of claim 1, wherein the second tubular body has a wall thickness between 1.0 mm and 2.0 mm.
6. The catheter of claim 1, wherein the second tubular body has a hardness between 40 (Shore D) and 60 (Shore D), an outer diameter between 1 mm and 3 mm, and an inner diameter between 0.2 mm and 1.3 mm.
7. The catheter of claim 1, wherein the polyether block amide is comprised of PEBAX.
8. The catheter of claim 1, wherein the distal end of the second tubular body comprises a substantially hook-like or u-shaped portion.
9. A method of depositing or collecting a fluid, an embryo or gametes using a catheter, the catheter comprising a first tubular body, a cervical anchor connected to an outer surface of the first tubular body, and a second tubular body axially and slidably extending within the first tubular body, the second tubular body comprising a polyether block amide and a proximal end and a distal end, the distal end comprising an orifice formed i) in a beveled, radiused or chamfered terminus or ii) in a terminal flange comprising a beveled, radiused or chamfered edge, the method comprising: inserting the first tubular body into a sow's vagina; advancing the first tubular body into the sow's cervical canal so that the cervical anchor is seated against the cervical canal; advancing the second tubular body axially within the first tubular body, past the sow's cervix; and applying positive or negative pressure within the second tubular body.
10. The method of claim 9, wherein in the step of advancing the second tubular body, the second tubular body is advanced at least 600 mm into a uterine horn.
11. The method of claim 10, further comprising the step of depositing 30010.sup.6 or less sperm cells into the uterine horn.
12. The method of claim 10, comprising depositing 15010.sup.6 or less sperm cells into the uterine horn.
13. The method of claim of claim 11, wherein the sperm is sex-sorted sperm.
14. The method of claim 9, wherein the polyether block amide is comprised of PEBAX.
15. The method of claim 11, wherein the sperm cells are from a high indexing boar.
16. The method of claim 11, further comprising the step of freezing and thawing the sperm cells prior to the step of depositing.
17. The method of claim 9, wherein the distal end of the second tubular body comprises a substantially hook-like or u-shaped portion.
18. A catheter comprising: a first tubular body, a second tubular body and a third tubular body, the third tubular body axially and slidably extending within the first tubular body, and the second tubular body axially and slidably extending within the third tubular body, the third tubular body comprising a proximal end, a distal end and a deflecting element at the distal end.
19. The catheter of claim 18, further comprising a cervical anchor connected to an outer surface of the first tubular body.
20. The catheter of claim 18, wherein the second tubular body is comprised of a polyether block amide.
21. The catheter of claim 20, wherein the second tubular body has a hardness between 30 (Shore D) and 60 (Shore D), an outer diameter between 1 mm and 3 mm, and an inner diameter between 0.2 mm and 1.5 mm.
22. The catheter of claim 20, wherein the polyether block amide is comprised of PEBAX.
23. The catheter of claim 18, wherein the second tubular body comprises a substantially hook-like or u-shaped portion that conforms to the outer contour of the deflecting element.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0007]
[0008]
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[0010]
[0011]
[0012]
[0013]
[0014]
[0015]
[0016]
[0017]
DETAILED DESCRIPTION OF THE INVENTION
[0018] The invention encompasses a catheter as well as a method of depositing or collecting a fluid, an embryo or gametes, using a catheter.
[0019] In the two embodiments shown in
[0020] In some embodiments of the invention, the second tubular body 14 is comprised of a flexible, polyether block amide, which allows the second tubular body 14 to be advanced deep within a sow's uterine horn without kinking and without risk of damaging the sow's uterus or uterine horns. In a specific embodiment, the polyether block amide is comprised of PEBAX (Arkema Specialty Polyamides, Colombes, France), including a polyether block amide selected from the PEBAX 33 Series (hardness between 40 to 70 (Shore D)). In a more specific embodiment, the second tubular body 14 is comprised of PEBAX 4033 SA 01 material, which has the following characteristics:
TABLE-US-00001 TABLE 1 Typical Test Property Value Unit Method Density 1.00 g/cm.sup.3 ISO 1183 Water Absorption at Equilibrium At 20 C. and 50% R.H. 0.5 % ISO 62 Water Absorption At 23 C. and 24 h in water 1.2 % Melting Point 160 C. ISO 11357 Vicat Point Under 1 daN 131 C. ISO 306 Shrinkage (after 24 h, 4 mm, mold at 40 C.) parallel 0.4 % perpendicular 1.1 % Hardness (*) Instantaneous 90/42 Shore A/Shore D ISO 868 After 15 s 89/35 Shore A/Shore D Tensile Test (*) Stress at Break 40 MPa ISO 527 Strain at Break >450 % Flexural Modulus (*) 77 MPa ISO 178 Charpy Impact (*) Unnotched 23 C. No break kJ/m.sup.2 ISO 179 Unnotched 30 C. No break kJ/m.sup.2 V-notched 23 C. No break kJ/m.sup.2 V-notched 30 C. No break kJ/m.sup.2
[0021] PEBAX 4033 SA 01 MED is processed under the following conditions:
TABLE-US-00002 TABLE 2 Conditions Typical Values Extrusion Melt Temperature (Min/Recommended/Max) 210 C./220 C./230 C. Injection Melt Temperature (Min/Recommended/Max) 200 C./240 C./270 C. Mold Temperature 10-30 C. Drying Time 4 to 8 hours Temperature 60 to 70 C.
[0022] Referring now to
[0023] In certain embodiments, the second tubular body 14 has an outer diameter between 1.5 mm and 5 mm. The diameter must be sufficiently small so as to allow the second tubular body 14 to be able to pass through the cervix. Other variables governing dimensions of the second tubular body 14 include the type of material to be transmitted and the target location for the deposition or retrieval of that material. For example, viscous liquids may require that the second tubular body 14 have a relatively larger lumen. For the transmission of fluid, gametes or embryos, in certain embodiments of the invention the second tubular body 14 has an inner diameter between 0.2 mm and 1.5 mm, and in a more specific embodiment, between 0.5 mm and 1.3 mm. The target location for the deposition or retrieval will affect the length, hardness and wall thickness of the second tubular body 14 for a given outer diameter. For example, in order to reach the utero-tubal junction, the second tubular body 14 should be at least 100 cm to 300 cm in length. In some embodiments the second tubular body 14 is at least 110 cm, at least 120 cm, at least 130 cm, at least 140 cm, at least 150 cm, at least 160 cm, at least 170 cm, at least 180 cm, at least 190 cm, at least 200 cm, at least 210 cm, at least 220 cm, at least 230 cm, at least 240 cm or at least 250 cm in length. Additionally, in order to reach the utero-tubal junction or any other distant anatomical target, the second tubular body 14 must be supple enough to traverse the extremely tortuous uterine horn without damaging it and yet resilient enough to resist kinking, which would compromise the second tubular body's 14 ability to transmit the desired material. Accordingly, in certain embodiments of the invention, the second tubular body 14 has a hardness between 30 (Shore D) and 70 (Shore D), and in a more specific embodiment, between 40 (Shore D) and 60 (Shore D), and a wall thickness between 1.0 mm and 2.0 mm. In a very specific embodiment, the second tubular body 14 has a hardness of between 30 to 50 (Shore D), an outer diameter between 2.5 mm and 3.0 mm, and an internal diameter between 1.0 mm and 1.5 mm. As shown in the embodiment in
[0024] The first tubular body 12, the third tubular body 37, and the fourth tubular body 57 are comprised of any suitable polymer material and in certain embodiments are relatively more rigid than the second tubular body 14. Having sufficient rigidity, the first tubular body 12, third tubular body 37 and fourth tubular body 57 can independently be advanced into, and past, a sow's cervix, which imposes substantial resistance on catheters generally. In some embodiments, the first tubular body 12 is 40 cm to 60 cm in length and between 10 cm to 20 mm in outer diameter. The third tubular body 37 and the fourth tubular body are 60 cm to 75 cm in length in some embodiments of the invention. The third tubular body 37 has an outer diameter of 4 mm and an inner diameter of 3.5 mm in some embodiments. In other embodiments, the third tubular body 37 has an outer diameter of 3 mm to 5 mm and an inner diameter of 2.5 mm to 4.5 mm. The fourth tubular body 57 has an outer diameter of 4.58 mm and an inner diameter of 4.15 mm in some embodiments. In other embodiments, the fourth tubular body 57 has an outer diameter of 3.5 mm to 5.5 mm and an inner diameter of 3.15 mm to 5.15 mm.
[0025] In certain embodiments, the first tubular body 12 can also comprise a cervical anchor 17 at its distal end, as shown in
[0026] As shown in
[0027] As shown in
[0028] In another embodiment of the invention, depicted in
[0029] In certain embodiments, the deflecting element 33 can be bonded to the third tubular body 37 or attached to the third tubular body 37 using a coupling member 109 that fits within the lumen of the third tubular body 37 and the lumen of the deflecting element 33 (as shown in
[0030] Referring to
[0031] A further aspect of the invention encompasses a method of depositing or collecting a fluid, an embryo, or gametes using the catheter 10 shown in
[0032] Referring to
[0033] One aspect of the invention is a method of depositing or collecting a fluid, an embryo or gametes using the catheter 19 shown in
[0034] Another aspect of the invention encompasses a further embodiment of the above-described methods in which the second tubular body 14 comprises a distal end having a substantially hook-like or u-shaped portion 101. In this particular embodiment, the substantially hook-like or u-shaped portion 101 of the second tubular body 14 rests over the deflector tip 33 of the third tubular body 37 as the third tubular body 37 is advanced into the cervix.
Example 1
[0035] The purpose of this example was to 1) test the effect of semen deposition site (uterine body vs horns); 2) test the effect of stepwise reduction of sperm dose quantity; and 3) test the effect of insemination-to-ovulation interval (synchronize ovulation for 1 fixed-time artificial insemination (AI) using transrectal ultrasound to monitor follicle disappearance and PHENICOL 6000 (pregnant mare serum gonadotrophin/equine chorionic gonadotrophin (PMSG/eCG)) and OVUGEL (GnRH agonist).
[0036] Semen was collected from three boars and pooled. 635 sows were split between 8 treatment groups based on location of deposition of the AI sperm dose (i.e., the body of the uterus vs. the uterine horn) and number of sperm cells in the AI dose (ranging 1.2 billion to 75 million sperm cells per dose).
[0037] Sows received a 2 mL IM injection (18 gauge, 1.5 needle) approximately 0.5 lateral to the vulva of either 600 IU of eCG (PREGNECOL 6000, Vetoquinol-Calier, Lavaltrie, Quebec) or a sterile saline vehicle alone. At 3:00 to 5:00 PM on day 3 post-weaning (Thursday and Sunday), sows' ovaries were scanned by transrectal ultrasound (Aloka 500+UST-5561 7.5 MHz transducer fixed on a custom PVC handle) to estimate average follicular diameter. Detection of estrus by the back-pressure test (BPT) during boar exposure controlled by a boar cart were also performed at that time. At 5:00 PM (80 h post-weaning), all sows received an intravaginal infusion of 2 mL of OVUGEL (200 mcg triptorelin acetate). At 3:00 to 5:00 PM on day 4 post-weaning (Friday and Monday), one more BPT was performed and sows were scanned at that time and for every 8 hours (12:00 midnight; 8:00 AM; 4:00 PM) to document time of ovulation. Regardless of estrus, all sows received one insemination, around 4:00 to 6:00 pm (24 to 26 h post-OVUGEL), in accordance with one of the 8 treatment groups.
[0038] Insemination in the uterine body was accomplished using a conventional post-cervical AI catheter. Conversely, insemination in the uterine horns was accomplished using a catheter of the invention (comprising two tubular bodies, with the first tubular body with a cervical anchor, and the second tubular body comprising PEBAX 4033 SA 01 MED (hardness of 40 (Shore D)) and having a length of 254 cm, an inner diameter of 1.27 mm and an outer diameter of 2.794 mm. Insemination in a uterine horn was accomplished by advancing the first tubular body into the cervix and once properly seated, advancing the second tubular body until it could not be advanced any further into the reproductive tract. Table 3, below, shows the results for each treatment group in terms of pregnancy rate and the average number of viable and non-viable embryos for each sow.
TABLE-US-00003 TABLE 3 Dose + Non- AI Spz, Site Flush, Sows, Viable Viable Preg Embryo Trt Bill Depo mL n = Pregnant, % Embryos Embryos Viable Mort, % 1 1.2 Body 40 67 81.4 5.1 14.7 0.6.sup.a 1.6 0.2.sup.a 12.0 31.2 2.8.sup.a 2 0.6 Body 20 + 20 70 84.1 4.6 13.6 0.6.sup.ab 1.9 0.2.sup.a 11.4 37.0 2.7.sup.ab 3 0.6 Horn 20 66 78.7 5.2 13.1 0.6.sup.abc 1.8 0.2.sup.a 10.3 39.5 2.9.sup.bc 4 0.3 Body 10 + 30 62 78.0 5.4 11.6 0.6.sup.cd 1.5 0.2.sup.a 9.0 45.6 2.9.sup.cde 5 0.3 Horn 10 + 10 71 83.3 4.6 12.1 0.6.sup.bcd 1.5 0.2.sup.a 10.1 43.4 2.7.sup.bcd 6 0.15 Body 5 + 35 68 76.7 5.4 10.8 0.6.sup.d 1.5 0.2.sup.a 8.3 49.7 2.9.sup.de 7 0.15 Horn 5 + 15 65 87.7 4.3 11.3 0.6.sup.d 1.6 0.2.sup.a 9.9 47.5 2.8.sup.de 8 0.075 Horn 2.5 + 17.5 64 75.0 5.8 10.4 0.6.sup.d 1.2 0.2.sup.b 7.8 51.6 3.0.sup.e Within a column, means that have no superscript in common are significantly different from each other P < .05
[0039] Table 4, below, shows the pregnancy rates achieved for each ovulation group (ovulation 18.5 to 34.5 hours after OVUGEL treatment; 38.5 to 42.5 hours after OVUGEL treatment; 46.5 to 54.0 hours after OVUGEL treatment; or 55 or more hours after OVUGEL treatment) as a function of sperm dose.
TABLE-US-00004 TABLE 4 18.5 to 34.5 38.5 to 42.5 46.5 to 54.0 55.0 AI Trt Spz, Bill Sows, n = (6 h) (17 h) (24 h) (?? h) 1 1.2 67 83.5 10.9 86.3 5.8 84.8 10.1 55.2 17.8 2&3 0.6 136 61.9 12.3.sup.a 92.4 3.0.sup.b 87.0 7.2.sup.b 27.7 10.9.sup.c 4&5 0.3 133 80.7 8.9.sup.ab 90.0 3.6.sup.a 74.9 9.1.sup.bc 51.0 13.0.sup.c 6&7 0.15 133 77.2 9.3.sup.a 82.7 4.5.sup.a 89.9 5.6.sup.a 39.5 15.3.sup.b 8 0.075 64 83.1 15.5 80.5 6.4 81.4 12.2 All 33 76.0 5.2.sup.a 86.9 2.1.sup.b 83.7 3.9.sup.ab 36.5 6.4.sup.c Within a row, means with no superscript in common are significantly different from each other P < .05 Effect of AI Trt, = .42; Ovclass, <.0001; Lact, <.05 Effect of AI Trt Ovclass, <.0001; Lact, <.03
[0040] Table 5, below, shows the average number of embryos obtained from sows within each ovulation group as a function of sperm dose.
TABLE-US-00005 TABLE 5 18.5 to 34.5 38.5 to 42.5 46.5 to 54.0 55.0 AI Trt Spz, Bill Sows, n = (6 h) (17 h) (24 h) (?? h) 1 1.2 67 17.9 1.6 16.1 0.9 17.5 1.6 13.4 2.7 2&3 0.6 136 16.8 1.5 15.4 0.6 15.2 1.1 13.4 2.1 4&5 0.3 133 13.3 1.1 13.5 0.6 14.3 1.2 12.3 1.6 6&7 0.15 133 12.7 1.2.sup.ab 13.5 0.6.sup.a 10.6 1.0.sup.b 13.8 2.3.sup.ab 8 0.075 64 12.2 2.1 11.2 0.9 13.3 1.7 All 533 14.4 0.6 14.0 0.3 13.8 0.6 12.7 1.1 Within a row, means with no superscript in common are significantly different from each other P < .05 Effect of AI Trt, <.0001; Ovclass, = .56; BA, = .0003; ORclass, <.0001 Effect of AI Trt Ovclass, = .54
Example 2
[0041] The purpose of this example was to determine the distance that a catheter of the invention could be advanced in a sow's reproductive tract compared with a catheter comprised of metal and polymer (DeepBlue porcine AI catheter, Ref. 17113/0100, Minitiib GmbH, Tiefenbach, Germany (Catheter A)). The catheter of the invention was comprised of two tubular bodies, with the first tubular body with a cervical anchor, and the second tubular body comprising PEBAX 4033 SA 01 MED (hardness of 40 (Shore D)) and having a length of 254 cm, an inner diameter of 1.27 mm and an outer diameter of 2.794 mm. Catheter A had a length of 182.88 cm.
[0042] Seven sows in heat were utilized in this example. Catheter 1 was advanced in the sow's reproductive tract until significant resistance was encountered, and then withdrawn. 40 minutes later, Catheter 2 was advanced in the same sow's reproductive tract until significant resistance was encountered. A summary of the order in which each sow received Catheter A and the catheter of the invention is provided in Table 6, below.
TABLE-US-00006 TABLE 6 Sow Catheter 1 Catheter 2 1 Cath. A Invention 2 Invention Cath. A 3 Cath. A Invention 4 Invention Cath. A 5 Cath. A Invention 6 Invention Cath. A 7 Cath. A Invention
[0043] The results of are provided in Table 7, below. In Table 7, the improvement in distance achieved by the catheter of the invention in each sow was standardized to 182.88 cm, the length of Catheter A, so that a more accurate comparison could be made. Additionally, Table 7 provides % Corrected Improvement, in which the percentage of improvement was corrected by eliminating the results achieved for sows 4 and 7, since for each of those sows, the entire length of Catheter A was able to be advanced into the sow's reproductive tract.
TABLE-US-00007 TABLE 7 Catheter A Invention Improvement Distance Distance vs Catheter A, Advanced Advanced standardized % Im- % Corrected Sow (cm) (cm) to 182.88 (cm) provement Improvement 1 160.02 254 71.12 38.89 38.89 2 171.45 254 71.12 38.89 38.89 3 127 231.14 48.26 26.39 26.39 4 182.88 213.36 30.48 16.67 5 147.32 254 71.12 38.89 38.89 6 165.1 254 71.12 38.89 38.89 7 182.88 200.66 17.78 9.72 AVG 29.76 36.39 STDev 12.37 5.59
[0044] Although the foregoing invention has been described in some detail, one of ordinary skill in the art will understand that certain changes and modifications may be practiced within the scope of the claims.