Recovery and processing of human embryos formed in vivo
Among other things, uterine lavage is performed to withdraw at least 50% of in vivo fertilized preimplantation embryos produced after superovulation of a woman and artificial insemination using sperm of her sexual partner. After genetic diagnosis or sex determination or gene therapy, or any combination of any two or more of them, of the recovered embryos and selection of at least one of the embryos to be implanted, the selected embryos are returned to the woman for implantation in her uterus.
1. A system for recovering one or more blastocysts from a uterus of a human, comprising:
a device, comprising:
an outer guide member for insertion into a cervical canal of the human, the outer guide member including a distal portion with a seal for isolating the uterus from an external environment, the outer guide member defining a lumen having a longitudinal axis, and
an inner catheter located within the lumen and slidable along the longitudinal axis of the lumen relative to the outer guide member, the inner catheter having a distal tip positionable distally of the seal to extend into the uterus, the inner catheter including a fluid delivery lumen terminating at a distal fluid delivery port for delivering fluid into the uterus,
wherein the device defines a distal suction port for aspirating fluid and entrained blastocysts from the uterus; and
a controller programmed to automatically deliver lavage liquid to the uterus via the fluid delivery lumen and programmed to automatically apply vacuum to the device from a vacuum source remote from the device, the controller programmed to apply intermittent vacuum in between each pulse of lavage liquid at a preset frequency.
2. The system of claim 1 , wherein the controller includes a pump for delivering the lavage liquid and a pump for applying the vacuum.
3. The system of claim 1 , wherein the controller is programmed to infuse lavage liquid in periodic pulses having a preset frequency in the range of one pulse per 0.5 to 4 seconds.
4. A system for recovering one or more blastocysts from a uterus of a human, comprising:
a device, comprising:
an outer guide member for insertion into a cervical canal of the human, the outer guide member including a distal portion with a seal for isolating the uterus from an external environment, the outer guide member defining a lumen having a longitudinal axis, and
an inner catheter located within the lumen and slidable along the longitudinal axis of the lumen relative to the outer guide member, the inner catheter having a distal tip positionable distally of the seal to extend into the uterus, the inner catheter including a fluid delivery lumen terminating at a distal fluid delivery port for delivering fluid into the uterus;
wherein the device defines a distal suction port for aspirating fluid and entrained blastocysts from the uterus, and
wherein the system is programmed to automatically deliver lavage liquid to the uterus via the fluid delivery lumen and programmed to automatically apply vacuum to the device from a vacuum source remote from the device, the system programmed to apply intermittent vacuum in between each pulse of lavage liquid at a preset frequency.
5. The system of claim 4 , wherein the system is programmed to infuse lavage liquid in periodic pulses at a preset frequency in the range of one pulse per 0.5 to 4 seconds.
6. A uterine lavage system comprising:
a fluid delivery and collection device that is configured to recover one or more blastocysts from a uterus of a patient; and
a controller programmed to automatically deliver lavage liquid to the uterus via the fluid delivery and collection device and programmed to automatically apply vacuum to said device from a vacuum source remote from the device, the controller programmed to apply intermittent vacuum in between each pulse of lavage liquid at a preset frequency.
7. The system of claim 6 , wherein the system is programmed to infuse lavage liquid in periodic pulses at a preset frequency in the range of one pulse per 0.5 to 4 seconds.
8. A device for recovering one or more blastocysts from a uterus of a human, comprising:
an outer guide member for insertion into a cervical canal of the human, the outer guide member including a distal portion with a seal for isolating the uterus from an external environment and a cervical stop adjustably mounted on the outer guide member relative to the seal for positioning against an external cervical os, the outer guide member defining a lumen having a longitudinal axis;
an inner catheter located within the lumen and slidable along the longitudinal axis of the lumen relative to the outer guide member, the inner catheter having a distal tip positionable distally of the seal to extend into the uterus, the inner catheter including a fluid delivery lumen terminating at a distal fluid delivery port for delivering fluid into the uterus; and
a second catheter located within the lumen of the outer guide member and slidable along the longitudinal axis of the lumen relative to the outer guide member, the second catheter having a distal tip positionable distally of the seal to extend into the uterus, the second catheter including a fluid delivery lumen terminating at a distal fluid delivery port for delivering fluid into the uterus,
wherein the device defines a distal suction port for aspirating fluid and entrained blastocysts from the uterus,
wherein the inner catheter and the second catheter have corresponding coupling elements at their distal ends, and
wherein the coupling elements are magnetic.
9. A uterine lavage system comprising:
a fluid delivery and collection device that is configured to recover one or more blastocysts from a uterus of a patient; and
a controller programmed to cyclically deliver lavage liquid to the uterus via the fluid delivery and collection device and apply vacuum to said device from a vacuum source remote from the device, wherein the system is programmed to infuse lavage liquid in periodic pulses at a preset frequency in the range of one pulse per 0.5 to 4 seconds and to apply intermittent vacuum in between each pulse of lavage liquid.