RoboICSI KISAR 2018

RoboICSI Team was at KISAR 2018 at Hotel Le Meridien, Bangalore on July 14th and 15th. There was a presentation and a two day stall at the venue for RoboICSI. A soft-demo setup of the device was kept at the stall were anyone could have a hands on experience of the device.

Many keen doctors, embryologists, clinicians, scientists visited the stall and used the device to get a feel of the product. Lot of questions, suggestions, feedback were given by the visitors.

There was also a quiz conducted by the team for the visitors. The quiz was very simple were they had to grade a given oocyte image. The idea behind the quiz was to make them understand that how easy it will be to grade the oocytes using the RoboICSI Dashboard. A special goody was given to all participants. It was a Petri dish holder, which also works in the same principle as RoboICSI – “compliant mechanism”.We had 20 enthusiastic visitors who took up the quiz.

RoboICSI team had a very attractive offer of providing the Dashboard free for first 6 months for all the visitors who had signed up with RoboICSI at KISAR. There was a total of 35 people who had signed up for the free Dashboard. The username passwords were sent to them the very next day.

These are few photos from the event:

Dr. Santosh Bhargav presenting about RoboICSI at KISAR 2018

 

RoboICSI Team at the stall

 

Dr. Ramnath Babu at the stall, explaining about the device

 

    

RoboICSI Soft-demo setup

 

RoboICSI goody for all quiz participants

 

 

 

 

RoboICSI is at KISAR 2018!

RoboICSI will be featured in a presentation during this KISAR conference on July 14, 15. You are invited to our stall, as well as our session:

Bio-mechanical Insights showing RoboICSI is superior to conventional ICSI

Positioning and pipette alignment problem

During ICSI aligning the holding pipette (HP) and injection pipette (IP) in a straight line is very important. Proper alignment is important to avoid the IP entering the oocyte in an angle relative to the HP. If this happens then it creates increased tension on the oolemma, which may lead to tearing of the oolemma. This also leads to miss-deposition of the spermatozoa into the oocyte. [2]

If both the pipettes are not in same plane the oocyte starts rotating off the holding pipette and as injection pipette passed into the oocyte, due to this, the oolemma stretches and it will be prone to rupture. [1]

A tension gets created if a bevel tip of holding pipette is not in parallel to bottom surface of the Petri dish, hence the holding of the oocyte becomes difficult, as the base of the dish avoid the oocyte from meeting squarely on to the holding pipette. [1]

RoboICSI: RoboICSI alignment can be controlled with few touch point actions and getting the RoboICSI Holder in plane with the IP is very easy. And during the alignment of RoboICSI Holder there is no fear of the consumable getting damaged. RoboICSI is highly robust compared to HP.

 

Suction pressure problem

To immobilize the oocyte firmly, air/oil suction is used, and a petite portion of the oocyte is repeatedly sucked into the holding pipette.[1]
This process creates tension in the membrane surrounding the oocytes and thus when an injection pipette is pushed against oolemma, the oocyte is prone to rupture. [1]

RoboICSI: This is a suction free type of immobilization.

A modification in existing holding pipette for promoting oocyte wound healing!!

New technique for mouse oocyte injection via a modified holding pipette by Lyu QF et.al . In this study, a holding pipette (HP) is modified to a trumpet-shaped opening for deeper injection into the oocyte as it is immobilized. [3]

This modified HP with trumpet-shaped opening with 45-55 micrometer ID at the end allows some zona and oolemma to be drawn into the trumpet, which provides more depth for insertion of injection pipette. The advantages of this type of modification are, they allow the oocyte membrane channel to stretch and naturally prolongs the time of extended oocyte membrane channel to return to its normal shape. As a result healing of wounded oolemma will be complete. [3]

Even in case of RoboICSI the holder is designed so that the oocyte is immobilized in such a manner that it provides more depth for deeper injection which has the same advantages as mentioned above.

 

Fertilization rate is higher when the sperm is deposited near the meiotic spindle

Fertilization rate is higher when the sperm is deposited near the meiotic spindle
Highest fertilization rate was found when sperm cells were injected adjacent to the meiotic spindle. It all depends on positioning of polar body relative to the opening of injection needle and this is obtained when the polar body is placed at 6’o clock position. [4]

Assumption: Immobilizing the oocyte using RoboICSI brings the polar body near to the sperm irrespective of position of polar body, either 6 or 12’o clock. When the oocyte injected from 3’o clock position, the deposition of sperm will be very near to the polar body compared to the conventional method.

 

Importance of cumulus and immobilizing the oocyte with cumulus

The percentage of embryos reaching to blastocyst stage in IVF is more compared to ICSI. Cumulus cells possess highly specialized trans-zonal cytoplasmic projections that pierce through zona pellucida and form gap junctions at their tips with the oocyte. This intimate association allows cumulus cells to fulfill vital roles, supporting the maturation of the oocyte and relaying endocrine and other environmental signals. According to studies performed with the oocytes possessing cumulus clusters, these type of oocytes showed significant increase in blastocyst formation. [5]

Assumption: RoboICSI can seamlessly immobilize the oocytes with cumulus and helps in injection.

References:

  1. https://www.researchgate.net/publication/267979757_Oocyte_Degeneration_Subsequent_Intracytoplasmic_Sperm_Injection_ICSI
  2. http://journals.sagepub.com/doi/pdf/10.1177/205891581000100207
  3. https://www.rbmojournal.com/article/S1472-6483(10)00458-X/fulltext
  4. https://www.ncbi.nlm.nih.gov/pubmed/10527988
  5. https://academic.oup.com/humrep/article/21/11/2972/2939480

RoboICSI ESHRE 2018

At ESHRE 2018, RoboICSI team had a wonderful experience by presenting in front of the enthusiastic audiences. After the presentation there was a soft-demo session of the device ,were many keen audiences came forward to explore and have a Hands on experience of the product.

These are few images from ESHRE 2018 Barcelona, Spain

 

 

Dr. Santosh Bhargav, interacting with the audiences at the soft-demo session

 

            Dr. Ramnath Babu presenting about RoboICSI at ESHRE 2018

 

RoboICSI Icon Sheet

Iconsheet

RoboICSI is at ESHRE 2018!

RoboICSI will be featured in a presentation during this ESHRE 2018 conference from July 1st – 4th. You are invited to our session as well as the soft-demo of RoboICSI :

 

RoboICSI Brochure

Brochure RoboICSI

Quick Guide to RoboICSI

Quick Guide to RoboICSI

Gametogenesis

Gametogenesis is the process of development of mature haploid gametes from diploid precursor cells.

Gametogenesis in female and male is called Oogenesis and Spermatogenesis, respectively.

 

Oogenesis

Oogenesis

Gametogenesis in females happens in ovaries and the formation of gametes in the ovaries is termed as oogenesis.

Oogenesis in females begins before they are even born. It starts at the 6-8th week of the fetus development. At this stage, the primordial (primitive) germ cells starts differentiating into oogonium within the ovaries. They start dividing vigoursly, at around 20th week of fetus development, the amount of oogonium present will be around 6-7 million in number. After 20th week, the oogonium starts degenerating and by the time of birth around 2 millions of oogonium will be found in the fetal ovaries. [1]

Oogonium, are diploid (2n) stem cells that divide mitotically to produce millions of germ cells. Even before birth most of the cells degenerate in process known as atresia. The oogonium that is survived starts differentiating, where only few of them forms primary oocytes. So at the time of puberty only around 60,0000 to 80,000 primary oocytes are formed and will be in arrested phase of meiosis I prophase (diplotene stage). During this arrested phase each primary oocyte is surrounded by a single layer of flat follicular cells, and the entire structure is called a primordial follicle.

Oogenesis Process

Out of 60,000 to 80,000 primary oocytes at puberty only around 400 will mature and ovulate during the women’s reproductive lifetime. Each month after puberty until menopause, gonadotropins (FSH & LH) are secreted by the anterior pituitary gland which further stimulates the development of several primordial follicles. Out of which only one will typically reach the maturity needed for ovulation and develops into primary follicles.

The primary follicle which was arrested at meiosis I prophase (diplotene stage) starts dividing and forms secondary follicle. The secondary follicle eventually becomes larger turning into mature (graafian) follicle.[2]

Just before ovulation the diploid primary oocyte completes meiosis I producing 2 haploid (ncells of unequal size each with 23 chromosomes. The smaller cell produced by meiosis I is called the first polar body, is essentially a packet of discarded nuclear material. The largest cell known as secondary oocyte receives most of the cytoplasm. After the formation of secondary oocyte it begins meiosis II, but will be arrested at the metaphase II stage.

The mature (graafian) follicle soon ruptures and releases its secondary oocyte, a process known as ovulation. At ovulation the secondary oocytes are swept into the uterine tube, if fertilization doesn’t occur the cell degenerates. If the sperm is present in the uterine tube and one penetrates the secondary oocyte, the arrested meiosis II resumes. The secondary oocyte splits into two haploid cells again of unequal size. The larger cell is the ovum or mature egg. The smaller one is the secondary polar body. The nuclei of the sperm cell and the ovum then unites forming a diploid zygote. [2]

References :

1. Principles of Anatomy And Physiology 12th edition By Gerard J. Tortora and Bryan Derrickson

2. Langman’s Medical Embryology 12th edition by T.W Sadler

%d bloggers like this: