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Title:
METHOD AND APPARATUS FOR DYNAMICALLY CULTURING A BIOLOGICAL SAMPLE
Document Type and Number:
WIPO Patent Application WO/2016/131079
Kind Code:
A1
Abstract:
The present invention relates to the field of culturing of biological samples and in one form provides feedback in a biological sample culturing system to improve the viability of biological samples wherein the feedback comprises one or a combination of: measuring and manipulating environmental parameters operatively associated with the biological sample culturing system, and; measuring and manipulating culturing media parameters operatively associated with the biological sample culturing system. In another form the invention provides control of the culturing of biological samples in a biological sample culturing system comprising the steps of: mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile; dispensing the mixed media components into a preselected culturing pod containing at least one biological sample; providing feedback for the mixing step by measuring one or a combination of environmental parameters and culturing media parameters of the at least one biological sample.

Inventors:
VOM EDUARDO (AU)
SPENCE SIMON JONATHON (AU)
LANYON SAMUEL ROSS GARLAND (AU)
Application Number:
PCT/AU2016/000044
Publication Date:
August 25, 2016
Filing Date:
February 17, 2016
Export Citation:
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Assignee:
GENEA IP HOLDINGS PTY LTD (AU)
International Classes:
C12M3/00
Domestic Patent References:
WO2009039433A12009-03-26
WO2014060360A12014-04-24
WO2014131091A12014-09-04
Other References:
PRESCOTT, L. M. ET AL., MICROBIOLOGY, 1999, Sydney, XP009505385
HEO, Y. S. ET AL.: "Real time culture and analysis of embryo metabolism using a microfluidic device with deformation based actuation", LAB ON A CHIP, vol. 12, 2012, pages 2240 - 2246, XP055474727
See also references of EP 3259342A4
Attorney, Agent or Firm:
PINI IP (Camberwell, Victoria 3124, AU)
Download PDF:
Claims:
CLAIMS

1. A method of providing feedback in a biological sample cuituring system to improve the viability of biological samples wherein the feedback comprises one or a combination of:

measuring and manipulating environmental parameters operatively associated with the biological sample cuituring system, and;

measuring and manipulating cuituring media parameters operatively associated with the biological sample cuituring system,

2. A method as claimed in claim 1 wherein the step of measuring and manipulating environmental parameters operativel associated with the biological sample cuituring system comprises one or a combination of:

altering a chambered environment for the biological sample in the cu turing system by changing temperature and gas composition;

providing individual discrete gas vessels to allow chamber gas manipulation;

applying heat stress to improve sample development

3. A method as claimed in claim 1 or 2 wherein the step of measuring and manipulating cuituring media parameters operatively associated with the biological sample cuituring system comprises one or a combination of:

manipulatio of the media by mixing on board ingredients for a cuituring dish of the cuiturin system;

changing media around the biological sample via aspiration and/or dispensing; sensing the composition of the media to allow real time feedback;

sensing of pH level of media and environment;

changing media pH level;

mixing and combining media components away from a sample's seated position; discrete dispensing of fluid into a mixing area to allow staging before dispensing into the sample's seated position;

the use of IRS to allow detection of sample media for supplementation.

4, A method as claimed in an one of claims 1 to 3 wherein the media parameters comprise one or a combination of liquid or powder forms.

5. A method; as claimed in claim 4 wherein the media parameters comprise one or a combination of

Buffer;

Water;

Amino acids;

Salts;

Sugars:

Proteins.

6. A method as claimed in any one of claims 1 to S wherein the environmental parameters comprise one or a combination of:

Temperature;

Humidity;

Gas composition

pH level.

7. A method as claimed in any one of claims 1 to 6 wherein the biological sample comprises at feast one of:

an embryo;

stem cells;

oocytes;

sperm.

8. A biological sample culturing system adapted for operating with feedback control to improve the viability of samples, the system comprising one or a combination of:

environmental parameter measuring apparatus for measuring environmental parameters operativeiy associated with the biological sample culturing system;

environmental parameter manipulation apparatus for manipulating environmenia! parameters operative!y associated with the biological sample culturing system in response to at least one output of the environmental parameter measuring apparatus;

media parameter measuring apparatus for measuring culturing media parameters operatively associated with the biological sample culturing system; media parameter manipulation apparatus for manipulating culturing media parameters operatively associated with the biological sample culturing system in response to at least one output of the media parameter measuring apparatus,

9. A system as claimed in claim 8 wherein the media parameters comprise one or a combination of liquid or powder forms,

10, A system as claimed in claim 9 wherein the media parameters comprise one or a combination of

Buffer;

Water;

Amino acids;

&>aits;

Sugars;

Proteins.

11, A system as claimed in an one of claims 8 to 10 wherein the environmental parameters compnse one or a combination of:

Temperature;

Humidity;

Gas composition

pH level.

12. A system as claimed in any one of claims 8 to 1 wherein the media parameter measuring apparatus comprises an Optical Spectroscopy device.

13. A system as claimed in claim 12 wherein the media parameter measuring apparatus comprises NiRS.

14, A method of controlling the culturing of biological samples in a biological sampte culturing system comprising the steps of

mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile; dispensing the mixed media components into a preselected cultu ing pod containing at. least, one biological sample;

providing feedback for the mixing ste by measuring one or a combination of environmental parameters and culturing media parameters of the at least one biological sample

I S. A method as claimed in claim 14 wherein the media components comprise one or a combination of liquid or powder forms.

1.6. A method as claimed in claim 14 or 15 wherein the media components comprise one or a combination of

Buffer:

Water;

Amino acids;

&alts;

Sugars;

Proteins.

17. A meihod as claimed in claim 14, 15 or 16 wherein the environmental parameters comprise one or a combination of:

Temperature;

Humidity;

Gas composition

pH level.

18. A method as claimed in any one of claims 14 to 17 vvherein the at Seas! one biological sample comprises at least one of:

an embryo;

stem cells;

oocytes;

sperm, an embryo.

19. A biological sample cultunng system adapted for operating with feedback control to improve the viability of samples, the system comprising:

mixing apparatus for mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile;

dispensing apparatus for dispensing the mixed media components into a preselected cultunng pod containing at least one biological sample- feedback apparatus for providing feedback for the mixing step by measuring one or a combination of environmental parameters and culturing media parameters of the at least one biological sample.

20. A biological sample culturing system adapted for interactive control to improve the viability of samples, the system comprising;

sample handling apparatus for immersing a preselected culturing pod containing at least one biological sample with a generic base media;

mixing apparatus for mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile;

dispensing apparatus for dispensing the mixed media components into the preselected culturing pod containing the at least one biological sample;

environmental control apparatus for adapting one or a combination of environmental parameters of the at least one biological sample in response to one of a predetermined user selection or a predetermined user profile.

21. A system as claimed in claim 19 or 20 wherein the media components comprise one or a combination of liquid or powder forms.

22. A system as claimed in claim 21 wherein the media components comprise one or a combination of

Buffer;

Water;

Amino adds;

Sa Its;

Sugars;

Proteins-

23. A system as claimed in an one of claims 19 to 22 wherein the environmental parameterscomprise one or a combination of:

Temperature;

Humidity;

Gas composition

pH level

24. A system as claimed in an one of claims 19 or, 21 to 23 wherein the feedback apparatus comprises an Optica! Spectroscopy device,

25. A system as claimed in claim 24 wherein the feedback apparatus comprises NIRS.

28. A method or protocol as herein disclosed.

27. An apparatus, system and / or device as herein disclosed.

Description:
Method and Apparatu for Dynamically Cuituring a Biological Sample RELATED APPLICATIONS

[00013 This application claims priority to Australian Provisional Patent Application No. 2015900536 in the name of Genoa Ltd, which was fifed on 17 February 2015, entitled "Method and Apparatus for Dynamically Cuituring a Biological Sample" and the specification thereof is incorporated herein by reference in its entirety and for a!f purposes.

FIELD OF INVENTION

[0002] The present invention relates to the field of testing, evaluation and cuituring of biological samples. It will be convenient to hereinafter describe the invention in relation to the evaluation and cuituring of biological samples, particularly zygotes, embryos, oocytes, stem cells and sperm located in a cuituring space, however, it should be appreciated that the present invention i not limited to that use, only. The invention is also useful in simultaneously providing optimal and safe cultivation conditions for incubation during embryo development.

BACKGROUND ART

[0003] Throughout this specification the use of the word. Inventor in singular form may be taken as reference to one (singular) inventor or more than one (plural) inventor of the present invention.

[0004] It is to be appreciated that any discussion of documents, devices, acts or knowledge in this specification is included to explain the context of the present invention. Further, the discussion throughout this specification comes about due to the realisation of the inventor and/or the identification of certain related art problems by the inventor. Moreover, any discussion of material such as documents, devices, acts or knowledge in this specification is included to explain the context of the invention in terms of the inventors knowledge and experience and, accordingly, any such discussion should not b taken as an admissio that any of the material forms part of the prior art base or the common general knowledge in the relevant art in Australia, or elsewhere, on or before the priority date of the disclosure and claims herein.

[0005] Assisted Reproductive Technology (ART) is becoming increasingly important in developed countries as a means of assisted reproduction. By way of background, after being introduced into the United States in 1981 , approximately 150,000 ART cycles were performed in the United States during 2010, resulting i 47,090 live births and 61 ,564 infants. Although the use of ART is still, relatively rare as compared to the potential demand, use has Increased vastl over the past decade, such that today approximately 1% in the US arid 2-4% in others countries of all infants born every year are conceived using In Vitro Fertilize ion{IVF). In this respect, further reference is made to the recent Internet article { http /www. cdc .gov/art) of the US Government's Center for Disease Control and Prevention.

[0008] IVF involves hormone stimulation of a woman's ovaries in order to mature multiple eggs,, which are removed, fertilized in the laboratory, cultured for 2 to 6 days, and transferred back to her uterus for gestation. Fertilized on day 1 , an egg that has duplicated its chromosomes and undergone cellular cleavage twice and reached the 4-ceil stage by early day 2, and reached the 8 ceil stage by early day 3, has a higher likelihood of giving rise to an offspring than an egg that duplicated its chromosomes and underwent cellular cleavage only once and reached the 2-ceSI stage on day 2 and the 4-celi stage on day 3. One widely accepted indicator for embryonic viability and contributor for subsequent successful pregnancy outcomes (notwithstanding patient specific factors) is an embryonic development pattern that is appropriate and timely, i.e. cellular cleavages occur in a normal fashion and at appropriate times.

[0007] Little is known about the basic pathways and events of early human embryo development, including factors that would aid in predicting success or failure to develop. Consequently, in order to increase the chances of pregnancy through IVF, multiple embryos are often transferred to the uterus, despite the potential for well -documented adverse outcomes (e.g. see Pinhorg 2005 s ).

[0008] As a response to this problem, many IVF programs extend embryo culture to day 5 or 6 to transfer a singl blastocyst. This practice successfully decreases the risk of multiple gestations while yielding a higher implantation/pregnancy rate per transferred embryo for women under the age of 36. Bu fertilized eggs from many patients do not form blastocysts in culture. Moreover, the well-studied mouse embryo model indicates that the rapid cleavage rate that occurs in vivo between the 4-cell and 16-ceil stage is not

5 Fsnb«!;g A (2005 ). ! VWlt ' Sl i in pregnancies: risks and reyed cm. ilimen Reprndttwo Update 1 1 : 5-593. reproduced in vitro under existing culture conditions. Because blastocyst formation begins at a defined interval after fertilization, independent of the number of cell divisions, mouse embryos developed in vivo have more than twice as many cells at the blastocyst stage than embryos developed in culture. Should the situation be the same for human embryos, extended culture would lead to blastocysts with fewer cells available to form the fetus— a possible explanation, for the low birth weight reported for some IVF babies. (Kiessling, et al. 1991)

[0009] The oocytes required for the IVF procedure are retrieved by transvaginal ultrasound-guided needle aspiration. From one to more than 40 oocytes may be retrieved, although 10 to 20 is typical. The oocytes are then placed in a culture medium based on human fallopian tubal fluid and incubated at 37°C. Usually from about 100,000 to about 200,000 sperm are then added to the oocytes i a small drop of media, or a single sperm is directly injected to the oocyte using iniracytoplasrnic injection (ICSI). Fertilization can be documented 12 to 20 hours later b the presence of a paternal (from sperm) and maternal (from egg) pronucleus indicating that fertilisation has occurred. Fertilisation rate can vary between 0 and 100%, but average about 8-70% fertilisation is normal. The embryos with the "best" morphologic grade are subsequently selected for transfer,

[0010] Many factors affect the development of mammalian preimpiantation embryos in vitro. In addition to adequate temperature control and culture media formulation, human embryos are generally susceptible to oxidative stress. Therefore human embryos are generally cultured under low oxygen concentrations (about 2-7%) although some centres still utilize atmospheric oxygen concentrations (about 20%).

[0011] Given that IVF procedures are assuming increasing clinical importance, the morphological assessment of retrieved oocytes is still rathe superficial (Rienzi, &i aL 2011 2 ). A typical investigation of in vitro collected oocytes is restricted to assessment of the presence and rough morphology of cumulus using a stereomicroscope . Subsequently, a rapid evaluation using an inverted microscope is also performed after denudation (removal of cumulus cells), including evaluation of the cytoplasm, perivitellinespaee, and zonapellucida. (Rienzi, et ai 2011 ). This evaluation provides very superficial information

¾isazi L, V¾fta <¾ Uba! i F (2011 ), Predk$rv¾ value of ooc te . morpihofogy to h»maaIVi " : a systematic review of the literature, litima Repmd ii»fi Update 17: 34-45. about the stage of development [metaphase 1 (Ml) or iVli l] and qualit (by looking for degenerative signs in the cytoplasm, polar body, or zonapellucida). Subsequently Mil oocytes are subjected to !CSI (Intra Cytoplasmic Sperm Injection) and from that point the developmental potential of th obtained embryo is estimated exclusively on the basis of the morphology of the embryo proper, regardless of the qualify of the oocyte it was derived from (Rienzi. ei al. 2011).

[0012] Once a fertilized embryo is in culture, morphologic assessment becomes a key procedure.. Routine inverted microscopic investigations are performed at predetermined checkpoints, routinely ever or every second day of in vitro culture, and internationally acknowledged criteria are applied for quantitative characterization, although there are some concerns regarding the predictive value of these parameters (Cummins, et al.,1986 3 : Emi!iani, et 3L2008 ).

[0013] A number of different approaches have been developed with a view to identifying those embryos with a high implantation potential. The most widely supported strategy to choose viable embryos is to rely on the number of blastomeres and the appearance grade of the embryos at the time of embryo transfer (Beuchat, et ai 2008 s ), defined as a grade given to embryo according to one of the few internationally accepted embryo grading criteria. However, thes morphological aspects do not correlate sufficiently with embryonic viability to allow unequivocal recognition of the optimal embryos able to produce a successful pregnancy. A number of alternative strategies have been proposed to improve the prognostic accuracy embryo viability estimations, including selection of early cleavin embryos (Shoukir, et ai. 1997 6 ), culture up to the blastocyst stage (Gardner, et a! 1993 ? ),

-uinrnrns JM, Brem TM, Harrison KL, grai. (1986). A formula for scoring human embryo gro th rates in m - tm fortiiiz&tion: its vgto&iD predicting pregaaae and m omparison with visual estimates; of embryo qsalit . Journal /«

Vttre Pertil af n Embryo Trcmxf ? 3: 284-295,

¾¾«Haai S, Fasano G, Vartdamm©8. < et al (2006), Impact of the assessment of early cleavage is a single embryo transfer policy. Repmtfuciiv Bioi dicmti Online 13 : 255-260,

'Bsttekit A, Theveaaz P, Unser , & al (2008), C¾an.E!taivem.oiphoriietrical clwaeier zaa n of human prowiek-ar zygotes. mitmRepmiuctiov 25: If 83-1992.

6 Sh «fcir Y, Campana A, Farley " L «ί-χί (1.997), Early cleavage of ϊη-vitro fertilized human embryos to the 2-ce!I stage: a novel indicator of embryo qoaifty and. viability, tinman ReproducUm 12; 1531-1536.

' •• Gardner D . Ve!ia P, Laae M„ et ai (1998), Cfc!rore and. transfer of human blastocysts increases, implantation rates and edoes the seed for multiple embryo t ansfers, FsrfUtp and Sterility 9: 84-88. scoring of pronuelear (FN) stage zygotes (Ebner, et a/. 2003 8 ), analysis of metaboiomic profile of embryo and examination of its chromosomal composition after cellular biopsy.

[0014] Despite the improvements offered by the abov methodologies, they are still inherently subjective measurements and a number of algonthm-drivert automated scoring systems have been devised in an attempt to further refine the prognostic accuracy of embryo scoring. These include pronuelear zygote scoring systems (Beuchat et a!. 2008). More recently, time-lapse imaging has been incorporated into some scoring algorithms, including those which estimate cleavage timing (Arav 2008 s ), blastocyst development rate (Cruz, et al 2011 ,0 ). and combined phenotypic measurements such as time-to-mitosis, cytokinesis., zonapei!ucida thickness, etc. (Wong, et «/. 20lO n ). Regardless of the morphological scoring system used, there is an inherent increase in prognostic accuracy for embryo scoring which is enabled by time-lapse imaging (Moniag, eiai. 2D11 12 )

[0015] Published International Patent Application No. WO 2012/047878 (Auxogyn, Inc.) provides a system for the automated imaging and evaluation of human embryos, oocytes, or pluripotent cells in which an automated dish detection and well occupancy determination are described. In addition, a multi-well culture dish and an illuminatio assembly for bimodal imaging are described. These devices are used in identifying or in facilitating ide tification of embryos and oocytes in vitro that are useful in treating infertility in humans. The apparatus of WO 2012/047878 includes a standard incubator with one or more shelves for holding imaging systems. The imaging systems have loading platforms and are placed inside the incubator to image one or more embryos cultured in dishes mounted on their loading platforms, in other words, a number of entire imaging systems are placed in situ with the incubator for one or a number of embr/os associated with the mounted dishes of each imaging system.

¾baer T,.MoserM, Softmergnjber " , et ui (20 >3). Sekctm bas d on morphological assessment of oocytes and embryos: at different stages of remmlaatati ft development: a review, ffumati R pmc cticm Update.9: 251 -262. 9 Arav A (2008). Predietioa of embryonic ½wlopmeatal com etence by time-lapse observation and "shortest-hal ' analysis, Repm miive i&smdmm O line 17: 669-675.

Hi Cmz: M, Gadea B, Gamcio N, at. (2011). Emb yo quality, blastocyst and ongoiag pregnancy rates ia oocyte donation patieats whose embryos were motmored. by time-lapse imaging. Journal (/f ' Jxs ed Rispn lucth and ϋ&ιΜ&ί 28: 59-573.

uWoBg CC, Loewke KE, Bosserl NL, etai. (2010), Nea-mvas-ke imaging of uman embryos before embryoai gettome aetivstioa predicts develo ment to the blastocyst stage. Nttfttre Biotesiknvfagy 28: J.1 15.-112.1,

s :i Moatag M. Uebettthro&J, Koster M (2 1 i). Which morphological scoring system is reievaat i human embryo devsiopateafc [0016] Generally speaking, it is important to minimise patient mix ups or misideniifieation of biological samples. In current systems including those having time lapse facility, ther is often a requirement for hand written labelling o the lid of a dish containing the biological sample or the sample may equally be not labelled on the dish and lid itself. As the embryos are kept on the dish, t is to be noted that a dish lid can be separated by the embryos. Further to this, dishes can be removed and placed in different locations therefore a time lapse image may no longer match the actual embryo,

[0017] With respect to embryo viability, current incubator systems may be operated on a 'set and forget' basis, in other words, a single temperature is set for the entire instrument. Furthermore, embryo development may not be enhanced during the cuSturing.

[0018] Current systems may also provide varying levels of disruption to the culturing environment of a biological sample. Fo example, 'bench top' incubators with no time- lapse ma require dishes to be taken out of the controlled environment on a regular basis. With regard to the particular time lapse system disclosed by WO 2012/047678 (Auxogyn, Inc.), this system merely provides only a time-lapse device where multiple devices ar placed into a large incubator and accordingly, the incubator environment is not controlled for any individual biological sample of a patient. By way of example, the Embryosoope™ incubator system of Unisense FertiiiTech A/S and in more general terms, tio e-lapse systems, may requir that all the dishes are placed info a shared environment and, therefore if one patient's dish is removed the other patient samples may be effected. Further to this, these systems involve a single camera and a shared environment. A result may be that patient samples are disrupted as b virtue of the instrument having only one camera, the samples are constantly moving thus being disturbed in their environment.

[0019] Much research has been conducted regarding the optimal culture media for developing embryos, and whether embryos benefit from developing in a mono-culture environment or in a number of media, ie sequential media, designed to mimic conditions in vivo. This research has contributed largely to improved success rates following assisted reproduction.

[0020] However, the research and refinement of culture media and the conditions in which embryos develop can only improve the percentage of embryos deemed suitable for im plantation to a certain extent. Even in these optimized situations, there are still embryos thai are deemed poor outcome embryos not suitable for implantation. Additionally, the conditions and media that may optimize the development of some embryos do not apply universally for ail embryos and so may not provide to each embryo the specific things it requires for the best chance of developing into a good outcome or viable embryo.

[QO213 Existing research has focused on identifying good outcome embryos from poor outcome embryo through the assessment of a number of factors, primaril through imaging of embryos for an appropriate embryonic development pattern, as discussed above. It follows that by only implanting embryos that have been deemed to be good outcome embryos, the chance of a successful pregnancy outcome is improved.

[0022] However, little work has been done on attempting to change an embryo thai is expected to have a poor outcome into a good outcome embryo. If a higher percentage of embryos can be good outcome embryos suitable for implantation, the chances of a successful pregnancy are increased. This i especially important for women who for various reasons such as age and existing conditions have a lower number of good outcome embryos.

[0023] It is desirable therefore to have a biological sample cuituring environment that can provide more than simply an outcome or indication of outcome of poor or good but provide the capability of improving or changing a poor outcome to a good outcome.

SUM A Y OF INVENTION

[0024] It is an object of the embodiments described herein to overcome or alleviate at least one of the above noted drawbacks of related art systems or to at least provide a useful alternative to related art systems.

[0025] in one aspect the present invention provides a method of providing feedback in a biological sample cuftursng system to improve the viability of biological samples wherein the feedback comprises one or a combination of: measuring and manipulating environmentaS parameter operativel associated with the biological sample cuituring system, and; measuring and manipulating cuituring media parameters operatively associated with the biological sample cuituring system. [0026] Preferably, the step of measuring and manipulating environmental parameters operatively associated with the biological sample culturing system comprises one or a combination of. altering a chambered environment for the biological sample in the culturing system by changing temperature and gas composition; providing individual discrete gas vessels to allow chamber gas manipulation; applying heat stress to improve sample development,

[00273 t is also preferable that the step of measuring and manipulating culturing media parameters operatively associated with the biological sample culturing system comprises one or a combination of: manipulation of the media by mixing on board ingredients for a culturing dish of the culturing system; changing media around the biological sample via aspiration and/or dispensing; sensing the composition of the media to allow real time feedback; sensing of pH level of media and environment; changing media pH level; mixing and combining media components away from a sampte's seated position; discrete dispensing of fluid into a mixing area to allow staging before dispensing into the sample's seated position; the use of NIRS to allow detection of sample media for supplementation.

[0028] The media parameters may comprise one or a combination of liquid o powde forms and may further compris one or a combination of Buffer; Water; Amino acids; Salts; Sugars; Proteins.

[0029] The environmental parameters may comprise one or a combination of: Temperature; Humidity; Qas composition pH level.

[0030] In another aspect the present invention provides a biological sample culturing system adapted for operating with feedback control to improve the viability of samples, the system comprising one or a combination of environmental parameter measuring apparatus for measuring environmental parameters operativel associated with the biological sample culturing system; environmental paramete manipulation apparatus for manipulating environmental parameters operatively associated with the biological sample culturing system in response to at least one output of the environmental paramete measuring apparatus: media parameter measuring apparatus for measuring culturing media parameters operatively associated with the biological sample culturing system; media parameter manipulation apparatus for manipulating cuitunng media parameters operatsvely associated with the biological sample cuitunng system in response to at least one output of the media parameter measuring apparatus.

[0031] The media parameter measuring apparatus may comprise an Optical Spectroscop device and preferably, comprises MIRS.

[0032] in another aspect the present invention provides a method of controlling the cuitunng of biological samples in a biological sample cuitunng system comprising the steps of: mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile; dispensing the mixed media components into a preselected cuituring pod containing at least one biological sample; providing feedback for the mixing step by measuring one or a combination of environmental parameters and cuituring media parameters of the at least one biological sample.

[0033] Preferably the at least one biological sample comprises an embryo, stem ceils, oocytes or sperm.

[0034] In yet another aspect the present invention provides a biological sample cuituring system adapted for operating with feedback control to improve the viability of samples, the system comprising; mixing apparatus for mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile; dispensing apparatus for dispensing the mixed media component into a preselected cuitunng pod containing at least one biological sample; feedback apparatus for providing feedback for the mixing step by measuring one or a combination of environmental parameters and cuituring media parameters of the at least one biological sample.

[0035] in still a further aspect of the invention there is provided a biological sample cuituring system adapted for interactive control to improve the viabilit of samples, the system comprising; sample handling apparatus for immersing a preselected cuituring pod containing at least one biological sample with a generic base media; mixing apparatus fo mixing individual culture media components in response to one of a predetermined user selection or a predetermined user profile; dispensing apparatus for dispensing the mixed media components into the preselected cuituring pod containing the at least one biological sample: environmental control apparatus for adapting one or a combination of environmental parameters of the at least one biological sample sn response to one of a predetermined user selection or a predetermined user profile.

[0038] in the above noted system the media components may comprise one or a combination of liquid or powder forms. Furthermore, the media components may comprise one or a combination of

Buffer;

Water;

Amino acids;

Salts,

SsuQo s,

Proteins.

[0037] In th system noted above the environmental parameters ma comprise on or a combination of:

Temperature;

Humidity;

Gas composition

pH level.

[0038] In the system noted above the feedback apparatus may comprises an Optical Spectroscopy device and preferably the feedback apparatus comprises IRS.

[0039] in a first aspect of embodiments described herein there is provided apparatus for automated assessment of cultured samples comprising at least one independently accessible module adapted for incubating at least one of a plurality of samples wherein the at least one module is operatively associated with a light source and a movable optica! inspection means adapted for motion about a viewing axis through the module to enable a sweeping of viewing area.

[0040] The motion of the movable optical inspection means may be confined to one or a combination of: an X-Y plane that is normal to the viewing axis, and; a 2 direction that includes the viewing axis. Preferably, the motion available to the movable optical inspection means comprises the optical inspection means being able to freely translate within an X-Y plane that is normal to an optical viewing direction of the optical inspection means with a further degree of freedom of movemen in an orthogonal Z direction that includes the optical viewing direction. The motion of the movable optical inspection means may, in particular embodiments, be eccentric or orbital in nature.

[0041] Preferably, the movable optical inspection means is adapted for motion by means of an elliptical-rotating objective lens system or more generally, a rotating objective lens system. The at least one module may comprise a lid and latch mechanism for sealing a cuituring chamber having a controlled environment within the module. The module may comprise means for controlling the gas composition and temperature within at least the cuituring chamber for maintaining cultured samples. Preferably, th at least one module further comprises equilibration means. The optical inspection means ma comprise one or a combination of a camera and a microscope in operative connection with the elliptical- rotating objective Sens system. The preferred apparatus may further comprise a culture dish including a plurality of spaced micro-wells for accommodating cultured samples wherein the culture dish is adapted for placement within the module. Further the apparatus may also comprise alignment means for locating the culture dish in precise positioning with respect to the optical inspection means.

[0042] In another aspect of embodiments described herein there is provided a method of assessing cultured samples for viability comprising the steps of:

disposing biological samples in a substantially elliptica arrangement within a cuituring chamber of an independently accessible module:

imaging individual samples of the substantially elliptical arrangement with optical inspection means within an X-Y plane that is normal to a viewing axis through the module to obtain time lapse recording or measurement of development of individual samples.

[0043] The above method may further comprise the step of transmitting the images of individual samples to data processing means to obtain the time lapse recording or measurement of development of individual samples. The method may also furthe comprise the steps of independently controlling one or a combination of temperature, gas supply, C02 levels and humidit within independent culture chambers. The step of imaging individual samples preferably includes utilising syngamy as a reference point for assessing subsequent sample development event in the time lapse measurement.

[0044] Other aspects and preferred forms are disclosed in the specification and/or defined in the appended claims, forming a part of the description of the invention.

[0045] in essence, embodiments of the present invention stem from the realization that providing a feedback mechanism to the sample culturing environment by way of measurement of culturing conditions and sample properties during cuitunng as control variables will enhance the proportion of viable samples that may be produced. Furthermore, a stable environment for cultured samples with controlled conditions can be provided and maintained wherein observation of the viability and assessment of the cultured samples can be obtained wit movable inspection means without disturbing the development of adjacent or proximate samples.

[0046] Embodiments of the present inventio provide a modular system for the maintenance and imaging of biological samples comprising one or a combination of zygotes, embryos, oocytes, and p!uripotent cells, enabling high-throughput cultivation of those cells in a highly controlled optimal environment, which incorporates an inbuilt optical inspection {microscope /camera) system with image capture and remote processing. Preferably, the optical inspection system incorporates a unique elliptical rotating objective which enables multi-well scanning without disturbing developing culture samples (eg embryos),

[Q047J Further scope of applicability of embodiments of the present invention will become apparent from the detailed description given hereinafter. However, it should be understood that the detailed description and specific examples, while indicating preferred embodiments of the invention, are given by way of illustration only, since various changes and modifications within the spirit and scope of the disclosure herein will become apparent to those skilled in the art from this detailed description. BRIEF DESCRIPTION OF THE DRAWINGS

[0048] 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:

Figure 1 illustrates an incubator module configuration of a biological sample culturing system in accordance with a preferred embodiment of the present invention;

Figure 2 displays a biological sample culturing system as shown in figure 1 with a specific time lapse incubator module in accordance with preferred embodiments of the present invention shown as removed;

Figure 3 shows a cross sectional view of the time lapse incubator module of figure 2 in accordance with a preferred embodiment of the present invention- Figure 4 shows a camera with a rotating lens assembly in accordance with an embodiment of the present invention;

Figure 4a indicates a preferred system for environmental control of a culturing chamber in. accordance with a preferred embodiment of the present invention;

Figure 5 shows a camera with rotating lens assembly moving to multiple culture dishes in accordance with preferred embodiments of the present invention- Figure 6 shows a camera with fixed lens assembly moving in an x and y axis to multiple culture dishes and multiple positions on the dish in accordance with a preferred embodiment of the present invention;

Figure 7 shows the rotating lens moving to each of the embryo positions in accordance with preferred embodiment of the present invention comprising indicia for identifying individual samples; Figure 8 s ows a cuituring dish in its simplest form in accordance with preferred embodiments of the present invention; the culture sample dish is equipped to identify individual samples with indicia and includes gripping means for users;

Figure 9 shows & cu!turing dish of preferred embodiments of the present invention with an exploded close up in cross section;

Figure 9A shows an alternative culture dish of embodiments of the present inventio with an exploded dose up in cross section;

Figure 10 shows an improved culture dish in accordance with an embodiment of the present invention;

Figure 11 shows culture dish with abutments being orientation pins i aecordance with a preferred embodiment to ensure the dish is relocated in the correct position repeatedly;

Figure 12 illustrates the image quality achievable using embodiments of the present invention in which figure 12(a) shows 2P embryos, figure 12(b) shows 2-celi embryos, figure 12(c) shows hatching blastocysts, and figure12(d) shows hatched and hatching embryos;

Figure 13 shows images captured in preferred embodiments of the present invention using POC2 a) without masking and, b} with circular dark-field-styie mask;

Figure 14 illustrates an alternate biological sample culturing system for embryos in accordance with another preferred embodiment of the present invention;

Figure 15 displays a embryo culturing system as shown in figure 14 with a time lapse incubator module in accordance with an alternate embodiment of the present invention shown as removed;

Figure 18 shows a cross sectional view of the time lapse incubator module of figure 15 in accordance with an alternate preferred embodiment of the present invention; Figure 17 shows a camera with a rotating lens assembly in accordance with an alternate embodiment of the present invention;

Figure 18 indicates another preferred system for environmental control of a culturing chamber in accordance with an alternate embodiment of the present invention;

Figure 19 shows exemplary controlled inputs, outputs and controllable system characteristics in accordance with a preferred embodiment of the present invention;

Figure 20 illustrates a sample culturing system in accordance with a preferred embodiment of the present invention adapted for feedback with media manipulation;

Figure 21 illustrates a sample culluring system in accordance with a preferred embodiment of the present invention adapted for feedback with environment manipulation;

Figure 22 shows a mixing and dispensing stage of a sampl culturing system in accordance with a preferred embodiment of the present invention;

Figure 23 is a flowchart showing a workflow required for an environmental correction and change of the chamber of a sample culturing system in accordance with a preferred embodiment of the present invention;

Figure 24 is a flowchart showing a workflow progression of fluid components to the point of dispensing into culture dish of a sample culturing system in accordance with a preferred embodiment of the present invention;

Figure 25 is a flowchart showing a workflow progression of powder components and their dispensing into a culture dish of a sample culturing system in accordance with a preferred embodiment of the present invention.

DETAILED DESCRIPTION

[0049] In th context of the present description the following definitions of terminolog will be a plied. [0050] Embryo is used to refer to both the zygote that is formed when two haploid gametic ceils (eg an unfertilized oocyte and a sperm ceii) unite to form a diploid totipotent cell, eg a fertilized ovum, and to the embryo that results from the immediately subsequent cell divisions, ie embryonic cleavage,, up through the morula, i.e. 18-cell stage and the blastocyst stage (with differentiated trophoeetoderm and inner cell mass}.

[0051 ] Oocyte m used to refer to an unfertilized female germ ceil or gamete.

[0062] Zygote is used to refer to the single cell that is formed when two haploid gametic cells {eg an unfertilized oocyte and a sperm cell) unite to form a diploid totipotent cell.

[0053] P!unpatent cell is used to mean an cell that has the abilit to differentiate into multiple types of cells i an organism. Examples of pluripotent ceils include stem cells oocytes, and 1 -ceil embryos (ie zygotes).

[0064] Stem ceii is used to refer to a ceil or population of cells which (a) has the ability to self renew, and (b) has the potential to give rise to differentiated cell types.

[0055] Mitosis or mitotic ceil cycle refers to the events in a cell that result in the duplication of a cell's chromosomes and the division of those chromosomes and a cell's cytoplasmic matter into two daughter cells. The mitotic cell cycle is divided info two phases, interphase and mitosis.

[0058] First cleavage event Is the first division, i.e. the division of the oocyte into two daughter cells, i.e. cell cycle 1, Upon completion of the first cleavage event, the embryo consists of 2 cells.

[0057] Second cleavage event is the second set of divisions, i.e. the division of leading daughter cell into two granddaughter cells. Upon completion of second cleavage, the embryo consists of 4 ceils. [0058] Cytokinesis / ceil division is that phase of mitosis in which a cell undergoe cell divisior .e. it is the stage of mitosis in which a cell's partitioned nuclear materia! and its cytoplasmic material are divided to produce two daughter cells.

[0059] First cytokinesis is the first cell division event after fertilization., i.e. the division of a fertilized oocyte to produce two daughter cells. First cytokinesis usually occurs about one day after fertilization.

[0080] Second cytokinesi is the second cell division event observed in an embryo, i.e. the division of a daughter eel! of the fertilized oocyte into a first set of granddaughter cells,

[00613 With reference to figure 1 , embodiments of the invention comprise an apparatus 10 which is a modular system for the cultivation and continuous monitoring of biological o cultured samples. The apparatus is particularly suitable for the cultivation and imaging of zygotes, embryos, oocytes, and pluripotent cells.

[0082] A preferred apparatus comprises multiple incubator modules 20. having a fid 13 and opening latch 12 as shown In figure 1 , that can be operated and controlled independently,, each being capable of temperature monitoring and control, gaseou monitoring and control, microscopic observation and image capture, time-lapse image processing and connectivity to an external data analysis device,

[0063] In more detail of one preferred form as shown in figure 3, each module 20 has a Iid33 operated by lid latch 32 that seals the incubation chamber 38 as shown, from the external environment and enables independent access to said chamber 38. Effectively, this provides for removal of suitable culture samples without any disturbance to neighbouring modules 20. This provides an important advantage over traditional bulk incubators which expose all cell cultures to changing atmospheric and temperature conditions when the door/lid 33 is opened to retrieve cultures. Figure 1 generally illustrates an example of such an apparatus indicated as 10. in practice, there is no limit to the number of modules 20 which may be incorporated into each apparatus 10. As shown in the detail of figure 3 each module includes an individual culturing chambe 36 for accommodating time lapse culture dish(es) 39 and an equilibration dish 31 , heated PC 8s 37 and 48 for controlling environment. In operative association with the module 20 is an optical inspection means comprising, for example as shown in figure 3, camer 43, movement mechanism 42 (being preferably Z stacks and focus Y axis movement control), a lens positioning motor 44, rotating lens 41 working in combination with a light source 34

[0064] With reference to figure 2 each individual incubator module 20 may be removed from the apparatus 10 independently of other module 20, for example for repair or service. Removal of a module 20 does not affect the function of other modules 20 in the apparatus 10, Figure 3 shows an embodiment of the incubator module 20 intended fo use within the apparatus 10, which is capable of being securely positioned in said apparatus 10. The internal environmental temperature of each incubation chamber 36 is controlled to a predetermined value using heaters 37, 46 and temperature sensors. In a preferred embodiment, tvvo heaters are used to heat said chamber, one located on the lid 37 and the other on the stage 46. I a preferred embodiment, the temperature Is set to 3 * G. Each module 20 is provided with inlets for gas supply 38 and valves for maintaining predetermined gas flow rates. In a preferred embodiment, a pre-mixed gas, usually consisting of one or a combination of oxygen, carbon dioxide and nitrogen, is supplied into the incubatio chamber 38 via said inlets and valves.

[0085] In another embodiment, the gases, usually oxygen, carbon dioxide and nitrogen, are supplied to the apparatus via separate inlets and are mixed on board, prio to supply into the incubation chamber 36. In this embodiment, said mixing may provide an atmosphere consisting of about 5% oxygen, about 6% carbon dioxide and about 89% nitrogen. In a further embodiment, the gases are mixed to provide an atmosphere consisting of about 20% oxygen, about 5% carbon dioxide and about 75% nitrogen.

[0066] The aforementioned gas may be humidified prior to supply into the incubation chamber 36, the purpose of which is to maintain a humid atmosphere within said chamber. In figure 4a gas flow through a tube into a water based solution in a vial. Humidity gas then flows up the vial into the controlled environment culturing chamber. As shown in figure 4a, humiciification of gas is achieved by supplying the gas directly through a tube into a vial containing a water-based solution. Figure 4a shows that pari of a module 20 containing a vial 53 with water-based solution. Humid gas rises through the water-based solution in the vial 53 into the incubation chamber or individual culturing chamber 52. In one embodiment, the water-based solution consists only of water. In alternative embodiments, the water-based solution may comprise water with additives such a glycerol. An optical sensor 54 is attached to either the end of the tube or in the via! 53 to detect the presence of air bubbles to ensure no gas blockages. An optical sensor 54 is attached to either the end of the tube or in the via! 53 to detect the presence of air bubbles.

[0087] Each module 20 is provided with an object holder in which the cell culture dish can be held substantially immobile during the culture period in order that the cells or tissues can be consistently observed and imaged. With reference to figur 11, in a preferred embodiment, precise locaiion of the culture dish is achieved using alignment means or abutments 1 1 1 , for example, in the form of three locating pins and a moveable iatch. In other embodiments, the object holder can include any number of locating pins and/or latches 1 1. The object holder has an opening or window through which light can pass to the objective of the microscope.

[0088] Each module 20 contains an area in the incubation chamber for an additional culture dish. Said culture dish area doe not permit microscopic observation of cell cultures that ma be contained in the culture dish, but allows the user to culture non- monitored culture samples or equilibrate culture media prior to use with cell cultures.

[00893 Each module is provided with an optical inspection means, which may comprise one or a combination of a camera system or a microscope, for monitoring the culture samples, cells or tissues. The microscope or camera system may be of any suitable design as known in the art. In a preferred embodiment the microscope is a simple tube microscope. In alternative embodiments the microscope design may be selected from any of: simple tube microscope, Hoffman modulation contrast microscope, differential interference contrast microscope, dark field microscope, phase contrast microscope.

[0070] in the example of use of a microscope, the simple tube microscope comprises a 10x objective iens, spacer tube with light permitting openings or apertures, and a CMOS sensor for image capture. In one embodiment, a d iff user and circular aperture are positioned between the light source and the sample to illuminate the sample with oblique light, and provide increased contrast in the captured images. Moreover, additional filters or diffusing masks can also be introduced into the path of the light if required. In preferred embodiments, a condenser lens system may be employed to enhance uniformity of the light illuminating the sample. The optical design within preferred embodiments provides sufficient, contrast in collecte images to enable identification of culture sample features such as polar bodies, pro-nuclei, nucleoli, and inner cell mass (IC ), in addition to events such as cleavage, blastocyst expansion and hatching. In an alternative embodiment, the optical inspection means comprises an image sensor such as a CCD camera.

[0071 ] Preferably, each microscope is provided with an objective lens positioning motor for automated and/or manual focusing,

[0072] In the present embodiment the illumination source for the microscope is provided by a Light Emitting Diode (LED) of 550 nm wavelength and variabl intensity. In oilier embodiments the light source may be of a different wavelength. As would be understood by those skilled in the art, the wavelength and power output of the illumination source may be selected in orde to minimize phoiotoxic damage or stress to the culture samples, cells or tissues of interest. I n order to further minimize illumination-related stress, the illumination source is preferably only switched on for th period of observation or imaging during the culturing process. Images captured by a sensor of the optical inspection means may be processed and analysed by a external data processing or computer system or by an image processing means operafive! associated with the apparatus and, in certain embodiments, within the apparatus.

[0073] One particular advantageous feature of embodiments of the present invention is the provision of an elliptical-rotating objective lens system as part of the microscope and or camera optical inspection means to provide an eccentric motion of the optical inspection means enabling a sweeping of viewing area. Figure 4 illustrates an exemplary drive mechanism for the elliptical rotation. The advantage conferred by this innovation is that multiple embryos or biological samples can be imaged without moving the culture vessel. As shown in figure 4, there is provided a camera 43 within camera support 51 with spacer tube 49 leading to a motor belt assembly including motor belt 8 driven by lens positioning motor 44, which provides for motion of objective 47. The rotating lens assembly of figure 4 provides the eccentric motion that gives a sweep of imaging area. The ability to move an objective lens in this way whilst maintaining good image qualit is dependent upon use of a low-power objective and is aided by the oblique illumination path. In a preferred embodiment, lens movement may be facilitated by a simple stepper motor.

[0074] Figure 5 illustrates a further embodiment of the present invention, in which multiple culture vessels or time lapse culture dishes 57 are contained within the modular apparatus. In this embodiment, the microscope/elliptical drive mechanism unit with rotating lens assembl 56 is moved along a guide mechanism to enable image collection from multiple culture vessels, without disturbance of the said vessels. Typically, such drive mechanisms enable movement in two directions (X & Y), thus enabling fine scale control over image positioning and quality, as illustrated in Figure 6.

[0075] Figure 7 shows an exemplary movement of the rotating lens that enables positioning of the optical inspection means to each of a plurality of culture sample positions on a time lapse dish. By way of example, a number of embryos may be inspected in a conditioned environment by this means. Figure 8 shows an exemplar culturing dish 90 that houses a plurality of eulture samples well 103 for time lapse inspection culture sample dish, the preparation wells 94 gives flexibility to the user to prepare media or embryos. Furthermore Figure 9 gives an exploded close up of the d ish of figure 8 showing the culture sample welt 103, with the fluid control wail 91 , divot 92 for locating the cultured samples, eg embryos and indicia 90 to identify individual samples.

[0076] Figure 9A gives an exploded close up of improved culture sample we!! showing the fluid control wall 91 , channel 93 and divot 92 for locating the cultured samples, eg embryos.

[0077] Figure 10 and 11 show an improved culture dish design where user gripping areas 101 are provided along with a labelling area 102. Further, figure illustrates a preferred means by which an embodiment of the present invention ma provide for accurate positioning and relocation of the culture dish within the apparatus 10 for reliable optica! inspection. Alignment means 11 1 or abutments are provided by way of orientation pins as shown in figure 11 to ensure the dish may be relocated in a correct position repeatedly. Alternate alignment means such as detents, indentations or other equivalent means within or operative!y associated with the supporting floor or walls of the chamber may be used to provide accurate relocation. [0078] Examples of the optical inspections that may be achieved by embodiments of the present invention are shown in figures 12 and13. For example, figure 13 shows the difference between images captured without using a masking system and using a circular dark-field-styfe stop,

[0079] As indicated particularly n figures 7 to 11 f preferred embodiments of the present invention also provide a culture dish that comprises a basic structure within which there is a plurality of micro-wells for cufturing samples such as for example zygotes, embryos, oocytes, and pluripotent cells. The culture dish further comprises a number of features that enhance useabiilty. as noted above for allowing the dish to be precisely located in the modular apparatus and improve patient safety.

[0080] The culture dish is designed to work, for example, with the modular instrument described in Applicant's co -pending International (PCT) Patent Application published as VVIPO number WO 2014/108286 for the maintenance and imaging of zygotes, embryos, oocytes, and pluripotent cells, enabling high-throughput cultivation of those cells in a highly controlled optimal environment, which incorporates an inbuilt microscope system with image capture and: remote processing. The microscope system incorporates a unique eHipncal rotating objective which enables rnult -well scanning without disturbing developing embryos.

[0081] In figure 8 an embodiment of the simplest form of the culture dish is illustrated. The simplest form of the culture dish comprises a basic structure of a plurality of micro- wells for ou!turing samples such as zygotes, embryos, oocytes, and pluripotent cells. With reference to figures 8, 9 and 9A, in preferred embodiment, the micro-wells of this basic structure are arranged in a circular pattern, with each micro-well being positioned at the base of a channel 93 into which culture media can wiek. These structures are surrounded by a fluid control wall 91 , provided to retain the culture media in the desired region of the culture dish. The base of the channel 93 may be inclined from the micro-wells u to the fluid control wall 91 such that gravity may assist the embryo to move towards the micro- well if placed upon this surface. The micro-wells are of sufficient depth and geometry to ensure that embryos do not migrate out of the wells during transport of the dish, whilst other embryos are being placed or moved, and during aspiratio or dispensing of culture media. These features are shown in more detail In figure 9A. The culture media may then be covered with appropriate oil which will be retained by the wall of the culture dish to limit evaporation of culture media during incubation.

[0082] The features of the simplest form of the invention enable the culture dish to be filled easily with culture media, and retain the media in th desired region. Culture medi can be removed from the dish from underneath an oil layer and replaced as desired during the culture process, avoiding the need to equilibrate fresh dishes of media and transfer the embryos to the new dishes. The micro-wells ensure that embryos are maintained in a location where they can be observed using the modular instrument in preferred forms of the present invention and in which they can be identified individually. The design of the culture dish ensures that it is possible to observe the embryos with stereo icroscopes, inverted microscopes with use of preferred embodiments of the modular instrument of the present invention. The embryos can be monitored without removing the fid as the material of the dish is transparent.

[00833 n a preferred embodiment, the simplest form of the culture dish is incorporated into an improved design as illustrated i figures 10 and 11. This embodiment has a number of features that enhance useability, allow the dish to be precisely located in the modula apparatus and improve patient safety. The culture dish is provided with several grip areas

101 that allow the dish to be handled safely in a number of configurations. A large area

102 is provided for placement of a label to ensure clear patient identification and traceabifity. Preferably, the dish is designed in such a way that it can only be placed in the modular instrument in one orientation, ensuring that the cultured samples (egembryos) are correctly Identified and visualised using the modular instrument. This is achieved using features 111 on the dish that align with locating pins and latches on the modular instrument. This system also ensures the dish is precisely located in the instrument. As noted, these features are shown in figures 10 and 11 but it will be apparent to anyone skilled in the art that they may differ from these depictions.

[0084] In a preferred embodiment, the culture dssh is constructed from a single type of plastic, preferabl polystyrene. In alternative embodiments the dish may be constructed using any plastic that anyone skilled in the art will recognise as being appropriate for use with zygotes, embryos, oocytes, and pluripotent cells. In a further embodiment, all or some of the surface of the plastic culture dish may be treated using processes, such as plasma treatment, that are appropriate for cell culture vessels. The purpose of this surface treatment, amongst other things, may be to improve wettability of the surfac to enhance filling of the dish with culture media. In alternative embodiments, the aforementioned improved design of the culture dssh may be constructed from multiple different types of plastic with the section depicted in figure 8, being constructed of one type of plastic and the remainder formed from another type.

[0085] in preferred embodiments, microwells as utilised in the present invention should conform to the following specifications with the advantages as listed below:

» Separate Identification and group culture should be allowed for.

* Microwells should be arranged in a circle o group around a circle for ease of observation with the rotating lens.

» Sufficient depth geometry to maintain embryo in well during disturbance.

« Features for locating dish in instrument.

* Unique orientation to be allowed for.

* Accurate and precise location.

» Features for eas and safe handling - reduce chance of spill.

* Fluid control wall for retaining media.

* Oil control wall

« Preferably, an inclined wall is provided to assist cultured samples to fall into welt

* Markings/steps on the wail of the well to assist with auto-focus.

» Media change.

» Features in the dish t minimise carry-over.

» Features to enhance flow of media through "channel".

[0086] In a particularly preferred embodiment the present invention is utilised as a modular system for the maintenance and imaging of zygotes, embryos, oocytes, and pluripotent cells. Accordingly, apparatus is provided that comprises modules, which each contain the means to maintain the appropriate gaseous and temperature conditions suitable for cell viability, a means to equilibrate the chamber humidity, a microscope unit intended to be used in the cuituring space, an elliptical drive mechanism enabling multiple fields of view to be imaged, an image capture unit and the means to transfer images for further processing. [0087] The system includes means for image processing provided integrally within the apparatus,

[0088] Furthermore, a preferred embodiment provides a method for transmitting an image of cells or tissues located in a cultu ing space to a data processing means, comprising the steps of:

placing the cells or tissues within a culture vessel on an object holder of a microscope/incubator module

arranging the microscope/Incubator module within the module housing

holding the cells or tissues essentiall immobile during the incubation period imaging individual ceils or tissues within a culture vessel by means of an elliptical drive path lens system,

[0089] In additional aspects preferred embodiments use syngamy as a reference point for time assessment of subsequent embryo development events. In this respect, an estimate of viability may be provided with a review of embryo in culture using syngamy as a reference point for time assessment of subsequent embryo development events and it is considered that this may allow more precise timing of events when compared to currently known 1VF techniques,. Accordingly, timing of events from syngamy may enable improved analysis of embryo development.

[0090] In additional aspects preferred embodiments use time-lapse as a measurement to evaluate embryo expansion and therefore viability during thawing prior to implantation back into the patient The time-lapse imaging is used to evaluate viability of thawing embryos based on properties such as expansion, amongst others. Such a new method of assessment for thawing embryos may lead to improved selection of best embryos .

[0091] Embryo review capabilities are provided that are easy-to-use and reduce the time that ernbryologists spend reviewing embryos. In this respect, prior art system utilise complex review methods that require significant investment of time from an embryologist. The preferred system according to the invention may utilise one or a combination of the following. [0092] Creation or generation of a highlights package of time-lapse images showing embryo development. This package may be defined by the user, generated automatically based on recognised events, generated automatically based on measurements of embryo structures/components. It may use an image from the start and end of a pre-defined time- period of window to "bookend" the period in order to identify whether an event occurred In that period or a combination.

[0093] Short video clips ma be generated of the important stages of embryo development e.g. syngamy, cleavage, blastuiaiion. Clips are based on either default values and / or user defined "time-windows". These clips may then be reviewed separately or together at the user's discretion.

[0094] Red, Amber and Green colours may be used to determine fate, and note important events e.g. red selected to show embryo is not viable, amber selected when adverse events observed, and green to denote good development.

[0095] Review may be carried out during culture (review as you go) e.g. each day or at times when important events are expected to have occurred, A summary of all events ma then be provided at the final point for fate selection.

[0098] The user interface is arranged to match the physical arrangement of the dish in order to minimise error and reduce the chance of selecting incorrect items. The physical layout of the chambers is mirrored on the large display screen. The Circular Embryo layout of the dish is represented in a circular arrangement on the large display.

[0097] RFiD, barcoding, OCR or other identifier on or in a culture dish which can be read electronically (or optically and converted) may be utilised. This system enables all data associated with the dish (and therefore embryos) to be accessed, thus minimising mistakes in labelling and potential mix-ups where incorrect embryos may be transferred to a patient. The system can be used to associate ail time-lapse images with the correct patient ID.

[0088] Each chamber has an independent display which can present information such as, but not limited to, patient ID, environmental conditions, alarm states, warnings or combinations thereof. Presentation of patient ID on the chamber minimises the risk of potential mix-ups where incorrect embryos may be transferred to a patient. The display may be an LCD screen, e-paper or other eiectronic display device. Preferably it is an LCD screen.

[009S] The environment in each chamber including temperature, gas, humidity, movement, sound or a combination thereof, may be controlled automatically, and altered according to a profile during culture. This automatic process provides the opportunity to optimise condition for embryos throughout the culture period. The system may be implemented in the following ways.

[00100] A universal environmental profile pre-defined by the user for a given set of instruments, which is then applied to all embryos cultured in this set of instruments. This profile may be based on Orcadian rhythm cycling.

[00101 ] Environmental profile is set by the user but customised for the individual patient. This customisation may be based on measurements and/or observations of the patient, suc as body temperature.

[00102] Further, this customised profile may be automatically generated by the system using data provided by th patient, possibly collected using an app or logger of some sort.

[00103} Environmental profile is generated and/or modified "on-the-fly" during the culture period based on automated analysis of time-lapse images of a patients embryos.

[00104] Time-lapse images ma be captured across all chambers in parallel reducing time difference between images within a z-stack. This is important when traversing the z- stack to look for syngamy for example. This is also enabled by the use of a USB hub inside the instrument allowing multiple cameras to be connected via a single connection to a PC. The preferred number of cameras and chambers for parallel capture is 8. In a preferred embodiment the PC is contained within the system.

[00105] A number of other functions may be provided including:

* independent humidity control per chamber independent gas supply par chamber

Bubble detection to determine gas is flowing thus no blockage

Controlled dish positioning

Door latch locking

CO2 Sensing. Preferably, each chamber has at least one dedicated CO?, sensor. Condenser lens system for enhanced contrast and even illumination across ail microwel!s

A Lid locating pin to ensure correct position of illumination source is provided where a lid locating pin in stage of the chamber is used to ensure correct position of lid and illumination source.

Heating using PCS in embryo incubator

As a mechanism for integrating up to 8 chambers into a single system, it is envisaged that a USB hub may be provided inside the instrument to allow 6 cameras to be connected via a single connection to a PC. Simultaneous management of camer into a single system may result,

To enable minimum time between z-stacks and image capture, parallel capture of images across 8 modules is provided to enable minimum time between z-stacks and image capture. Accordingly this reduces the time difference between images within a z-stack. This is important when traversing the z-stack to look for syngarny, for example.

In prior art, embryos are illuminated for much longer time than required for image capture. To address this, scheduling software can minimise LED on-time and minimise bandwidth usage. One way this is achieved is by fuming off illumination whilst adjusting view.

Generating highlights package based o user defined events and/or automatically recognized events

User-definable focal plane during playback, ie where a focal plane may be at a single position for entire playback. In current systems it may be the case that a Z~ stack is only available intermittently e.g. z-stack only collected ever 4th image. As a solution, it is preferred that images from previously captured z-stacks are used to enable viewing of multiple focal planes during time-lapse playback. Advantageously, this may ensure that an embryo is always in focus during playback, even if the embryo moves or as it grows large, it also allows a user to analyse different parts of the embryo throughout th whole of its development. As a means to focus 'on the fly', the user can manually adjust focal play during playback.

* Automatic focal plane selection during playback - Automatic focal plane selection during playback may be achieved based on lime-lapse analysis, in this sense, the system selects a focal plane automatically to ensure embryo remains in focus.

* Method of determining cleavage ma be an a d in determining event or; absolut detection

* Providing 3D imaging by merging the z-stack image captures. Accordingly, Z-stack images are collated and converted to provide 3D image of embryo.

[00106] Independent control of environmental conditions for each chamber, for example independently controlling one or a combination of temperature, humidity and/or gas supply in each chamber enables the possibility to customise conditions for each patient. Also, if one chamber were to fall for some reason, all other patients' embryos would not be affected.

[00107] Providing a mechanism by which the embryos may be gently moved, such as but not limited to moving/tilting the stage, or part thereof, of the incubator chamber allows for micro movements or tilting of the stage/media to simulate the in vivo o icroenvironment of the oocyie/embryo. It may therefore be possible to enhance embryo culture performance by mimicking the in vivo microenvironment.

[00108] A mechanism may also be provided for rolling the embryo in well to allow for better assessment. This enables a user to interact with embryos in order to observe features that cannot be seen in images prior to this manipulation.

[00109] Similarly, a mechanism may be provided by which the embryos are exposed to sound and/or music in the incubator chamber. Enhancing embryo culture performance may thereby be possible by exposing embryos to sound / music.

[001 10] In order to avoid errors or mistakes that may be introduced by human processes, if is possible to embed an RF!D, barcode, or other identifier which can be read electronically (or opticall and converted) in a dish. Using such an identifier, when a dish is placed in the instrument ail data associated with the dish cars be accessed from a database.

[001 1 1] Similarly, the instrument may associate all images (and other logged data) with the corresponding Patient ID, avoiding human error on entry of patient details which are associated with images.

[00112] The instrument may also be provided with a small display screen coupled to display information about the dish under evaluation, such as the patient name, individual environmental conditions and/or othe parameters relating to monitoring of the chambers or alarm conditions. The provision of such a feature means that no interaction with the instrumen is required of the user to understand its current status, and the information does not have to be noted externally on a whiteboard or the like.

[001 1.3] The inventor has noted that time lapse and other logged data is normally stored outside lab's database. Preferably, direct export of grading into lab database will enable more uses for data, simplifies access to data, and, ensures a consistent access method to data.

[00114] it is also possible to automatically control the environmental profile during culture, wherein the environment, including temperature, gas, humidity, movement, sound or a combination thereof, of individual chambers is altered throughout the culture period . For example the following profiles may be utilised:

[00115] A profile may foe pre-defined by the user for all patients at a give site / clinic, wherein a universal environmental profile Is set by the user for a given set of instruments, which is then applied to all embryos cultured in this set of instruments.

[00118] A profile may be based on Orcadian rhythm temperature cycling by accurate control of temperature to simulate the in vivo microenvironment of the oocytes and embryos.

[00117] A profile may be customised for individual patients, wherein an environmental profile is set by the user and customised for the individual patient. [00118] A profile may be based on measurement and/or observation of the patient such as body temperature.

[001 19] A profile may be based on the donor with the assistance of data obtained from the donor (app, logger, etc .). wherein the customised profile is based on measurements and/or observations of the patient and the profile is automatically generated by the system.

[00120] A profile may be based on automated analysis, measurement, and/or observation of the time-lapse images of embryos recorded during the culture process, wherein the environmental profile is generated and/or modified "on-the-fl " during the culture period based on automated analysis of time-lapse images of a patients embryos.

[00121] ft is recognised by the inventor thai audit trails for embryo interactions are sparse and paper based. Security of samples is also of concern. In this respect, identification of embryofogists can be recorded at each interaction with the system for the purpose of e.g. QC, electronic signature, witnessing etc. Preferably, each embryoiogist uses one or a combination of: RF!D. Barcode (or other optically recognisable ID), fingerprint on scanner, retina scanned or entered PIN, to identify th embryoiogist, recording ail interactions with the instrument against them. Advantageously, auditing who, what and when interactions were performed on each dish is provided. Beneficially, only appropriate interactions are allowed for each user of the instrument.

[00122] To expand on the above concept, scanning fingerprint of embryology as they access the incubator can occur in preferred embodiments. Again, each embryoiogist uses one or a combination of: RFID Barcode (or other optically recognisable ID), fingerprint on scanner, retina scanned or entered PIN, to enable interactions with the instrument which are approved for thei use.

[00123] in prior art complex optics may be required to obtain good quality images. So in preferred embodiments the inventor has provided a condenser lens system for enhanced contrast and even illumination across all m ' icroweiis may be provided by simple condenser lens system used to provide enhanced contrast and even illumination across all microwells. [001 4] Up to now, training material is assembled manually. However, using recorded review/grading outcomes, QC training packages are produced automatically and so, training requires less effort to produce. Moreover; there i not often enough QC training. Automatic generation of a QC image library that could be defined by the user in regards to events/type of embryos could auto generate an email/Internal sit that all embryoiogists in the clinic could be alerted to and complete for regular QC and training purposes.

[00125] in present systems patients cannot see development of their embryos but in preferred embodiments, remote monitoring for patients is provided using secure network interactions, approved embryos can b viewed remotely by patient so that, patients can see development of their embryos. In a preferred embodiment, a backup heater means is provided for each PCS where 2 heater circuits are utilised so that if one fails the other takes over The PCB circuit has built in redundancy capably of continue to control of the environment temperature even on the event that one of the heaters have failed. This is automatically controlled via software to ensure embryo environment is not compromised.

[00126] The dish is designed in a way for easy media preparation and media exchanges. As illustrated in Figur 8, th dish is designed with spare handling wells 94 to allow for media preparation. As illustrated in figure 9A the dish is designed to have fluid controlled barriers 91 , channel 93, next to the divot 9 to facilitate removal and replacement of culture media whils embryos remai in the dish. Embryos therefore do not require moving to a new dish during culture period, thus minimising disruption to their development. Design minimises carryover of media, whilst ensuring the embryos do not "dry out".

[00127] Modular software may be formed to allo upgrade of firmware CF/W) of one module at a time, and scheduled whenever an opportunity arises (i.e. during module downtime).

[00128] Where Z-stack is only available for some time lapse optimising image capture allows ail time lapse to contain a z-stack. Thus, Z-Siack can be viewed for any frame of time lapse, Video playback can be done at an arbitrary z-stack and, Video playback can be done using a z-siack profile. [00129] Further, in current systems, events can only be found by viewing long videos. A signature amount of difference (dlff between consecutive images) is established by graphing differences between, time lapse frames over time. This reduces time for review,

[00130] As recorded images take up a large amount of storage, time lapse images use one or a combination of temporal and spatial (within image and across z-stack) compression in order to reduce storage space required for time lapse images,

[00131] Water level detection in humidification flask may be provided by liquid level sensing method in humidification flask to measure water level. This ensures water does not. run out and lead to low humidity environment.

[00132] Precise locatio of the culture dish is achieved using alignment means or abutments 111 , for example, in the form of three locating pins and a moveable latch.

[00133] Further, as a door latch/lock mechanism, each module has a Sid operated by lid latch that seals the incubation chamber from the external environment and enables independent access to said chamber. In this way, individual chambers are sealed completely from external environment ensuring that external influences ar minimised and gas concentration is maintained at stable level .

[00134] In prior art systems it may be unclear which physical item(s) is represented by which item on the display. A solution in preferred embodiments i a physical arrangement matching the GUI to minimize error. This is achieved b a chamber layout order that is mirrored on the large display. The Circular Embryo layout of the dish is represented in a circular arrangement on the large display and this reduces the chance of selecting an incorrect item.

[00135] An alternate system for biological sample cuitursng including alternate embodiraents of the present invention are shown in figures 14 to 18 with like numerals referencing like features of the embodiments of figures 1 to 11.

[00136] With reference to figure 14, an alternate embodiment of the invention comprises a biological sampling apparatus 10 which, similar to the embodiment of figure 1 , is a modular system for the cultivation and continuous monitoring of biological or cultured samples and is particularly suitable for the cultivation and imaging of zygotes, embryos, oocytes, and pluripotent cells,

[00137] A preferred apparatus comprises multiple incubator modules 20, having a lid 13 and opening latch 12 as shown in figure 14, that can be operated and controlled independently, each being capable of temperature monitoring and control, gaseous monitoring and control, microscopic observation and image capture, time-lapse image processing and connectivity to an external data analysis device,

[00138] In more detail of one preferred form as shown in figur 16. each module 20 has a lid 33 operated by lid latch 32 that seals the incubation chamber 36 as shown, from the external environment and enables independent access to said chamber 36, Movement mechanism 42 {being preferably Z stacks and focus Y axis movement control) of Figure 3 is not shown

[00139] Figure 17 shows a camera assembly of an alternate embodiment to that of Figure 4, The spacer tube is required to ensure the ccd camera js positioned at a correct distance for optimal focus.

[00140] In figure 18 an alternate embodiment to that shown in figure 4a is illustrated and shows that humidifieation of gas is achieved by supplying the gas directly through a tube into a vial containing a water-based solution. Figure 18 like the illustration of Figure 4a shows that part of a module 20 containing a vial 53 with water-based solution. Humid gas rises through the water-based solution in the vial 53 into the incubation chamber or individual culturing chamber 52. In one embodiment, the water-based solution consist only of water. In alternative embodiments, the water-based solution may compris water with additives such as glycerol. An optical sensor 54 is attached to either the end of the tube or in the vial S3 to defect the presence of air bubbles to ensure no gas blockages. An optical sensor 54 is attached to either the end of the tube or in the vial 53 to detect the presence of air bubbles.

[00141] In respect of minimising patient mix: up, embodiments of the present invention may serve to: o Improve embryo and patient security with the culture dish comprising RFID, barcode, or OCR to allow the device to automatically programmatically read patient details to ensure no patient mixes up, no image mix up. This is achieved by this reading method which does not require a user to type in patient details

o The instrument reads and displays the patient information on the independent LCD screen.

[00142] Figure 19 shows exemplary controlled inputs, outputs and controllable system characteristics or variables in accordance with a preferred embodiment of the present invention;

[00143] Figure 20 is a system component diagram of a biological sample cuituring system and indicates the basic med ia manipulation of the media components in a location which are then transferred individually to a staging and mixing area to be combined and then dispensed into the Cultur Dish. Figure 20 also indicates the options of two positions for the NIRS { ie Near Infrared Spectroscopy - Optical Spectroscopy) either in an adjacent well or being able to sense in the same well,

[00144] Figure 21 is again a system level diagram of a biological sample cuituring system, In figure 21 the preferred form of Environment manipulation is illustrated which shows various environmental parameter sensors connected to the chambers and the elements which are used under control with th aid of the various sensors, for example, heater element, wafer chamber, and gas vessels.

[00145] Figure 22 shows the mixing and dispensing of new media components into a culture dish. The liquid components are selected through a rotary valve and then a syringe pump i used to micro dose Into the staging and mixing location. The powder components are selected through a rotating valve shut off which deposits a predetermined quantity of the selected component into the mixing area. The liquid and powder media components are then mixed and then dispensed with a syringe pump into the culture dish in accordance with predetermined control. [00148] Figure 23 is a flowchart which shows the workflow required for an environment correction and change within the chamber.

[00147] Figure 24 is a flowchart which shows the workflow progression of the fluid components and their dispensing into the culture dish.

[00148] Figure 25 Is a flowchart which shows the workflow progression of the powder components and their dispensing into the culture dish.

[00149] In respect of embryo viability improvement, embodiments of the present invention may serve to:

o Have each patient chamber individually controlled (temperature, humidity, and gas)

Q Feedback from the time-lapse images is directly fed back into the incubator to customise the best environment for development by changing the temperature, humidity and gas concentration levels) o The use of sound, vibration to further improve the embryo development, ie, utilise/stimulate circadian rhythms

o Feedback from the time-lapse imaging to customise the best condition for the embryo, (sound, vibration, temp, humidity and gas)

o The ability to combine both bright field and dark field to improve embryo assessment.

[00150] In respect of minimising disruption to the environment embodiments of the present invention may serve to:

c. Have an individual environment and camera for each patient;

o Have the patient samples static during the incubation;

■a Improve media exchange by way of a technique which facilitates the removal and replacement of culture media whilst in the dish. This in turn allows for automated culture media exchange into the instrument.

By automation media exchange the instrument has the potential of using the feedback from the time-lapse to customise the best media condition for the embryo and may further reduce patient sample disturbances. [00151] It has been noted that a review of the time-lapse imaging of morphology of the embryo allows for assessing predictive viability of pregnancy. During the time-lapse imaging of embryo morphology there is the potential to define a stage, a point at which it Is going wrong, for example, either 8 cell divide of blastu!ation, fragmentation, or cleavage rate stage. The ability to change the conditions of the individual embryo chamber environment, allows potential reanimation and/or enhancement of embryos morphology rate, Reanimation and enhancement are to change the depiction of the embryo from being classified as a bad embryo but a viable embryo for implantation, Reanimation and enhancement are to correct abnormalities of the morpholog process ie, cleaving rates of embryos of which are cleaving too fast, too slow, and abnormalities in cell sizes during blastocysts. Embryos which are monitored through morpholog are able to develop to blastocyst stage with chromosomal disorders, also those classified as chromosornally normal regularly fail to reach the blastocyst stage and implantation. { agli, 2007)

[00152] The conditions identified include but are not limited to the patient's age, ethnicity, phenotype, genetics and blood information, individual environment of the embryo, the media of the embryo, the fluid flow of the media, arcadian rhythm cycling surrounding the embryo.

[00153] Patient details allow enhancement of best conditions to enhance the development of the embryo. Details including the age, ethnicity and phenotype allow the enhancement of the conditions to the environment of the individual embryo, the media of the embryo, the fluid flow of the media, and, but not limited to, the circadian rhythm cycling of the embryo.

[00154] Environmental conditions of the chamber surrounding the embryo include humidity, temperature, pressure, and gaseous solution. An example of use of the environment is upon detection of slow embryo morphology or embryos of which are cleaving too fast through the use of " real-time image assessment and recording there are multiple environmental sensors which allow detection and alteration of the environment to stabilise and enhance morphology and viability of implantation of the embryo.

[00155] Temperature Sensor allows immediate detection and adjustability of the temperature of the chamber through real time image assessment of the morphology. The temperature is controlled via the aforementioned PCB heating element of which maintains t e temperature of the chamber environment. A feed-back system from temperature sensor to the heating element allows accurate adjustability of the temperature of the chamber;

[00156] Humidity Sensor allows feed-back detection and adjustability of the humidity of the individual chamber, allowing for individua manipulation of humidity surrounding the embryo by changing the temperature and the humidity of gases input into the chamber environment

[00157] Individual environmental gas manipulation in the chamber is also available. Dedicated CO2 and O2 sensors in each chamber allow the monitoring and feed-back detection a ong with adjustability of the environment gases. The gases are able to be individually controlled for increased variation of the environment.. Individual gas volumes are available to allow the ability to change between pre-deiermined profiles or user input values. Gases available to the manipulation comprise Oxygen, Carbon Di Oxide, and Nitrogen. Individual vessels of each of these gases may b provided. A dedicated gas delivery system Is available for each gas. The gases are controlled through a valve system, whic monitors the amount of gas released into a mixing chamber and then on to the environment chamber surrounding the culture dish containing the embryo.

[00158] Chamber pressure are also altered with the manipulation of the gases and temperature of the environment to a specific and stable pressure required for the enhancement of embryo growth.

[00159] Environmental profiles comprise a variety of environmental pre-set conditions which consist of variations on the aforementioned changeable environment conditions. The pre-set configuration of gases, temperature, humidity and pressure are able to be selected dependant on the feed-back of the sample morphology. Selection of automated environmental change allows for the quick change of the environment With the capability to change the environment of the chamber without the removal of the embryo allows the reduction of adverse effects of increased light and the exposure of the embryo to a third environment of the iab. [00160] Dynamic embryo media manipulation is the act of altering the media solution of the embryo dish. The term 'Dynamic' is to be taken as reference to the act or acts of change and alteration of the formulae of the composition of the media.

[00161] As it is desirable to have a specially designed culture dish for the embryo to allow for fluid media manipulation that would in turn allow the embryo to be in controlled micro wells and for media to be changed around the embryo without removal or loss of the embryo, it is preferred that the GAVI™ automated vitrification pod sold by the present Applicant is used. The control of media exchange has been accomplished in the GAVI™ product which allows automated medi transfer without the loss of embryos. A required greater compact delivery system of the GAVI™ product would allow the transfer of the media. Due to the isolated systems for each patient's embryos dedicated plumbing is provided to allow a more compact system and this is assisted by way of the Culture Dish design as shown in an one or more of Figures 5 to 1 1. Preferably a main dish with 4 wells within the Culture dish is provided. One of thes wells holds 16 micro wells which contain and locate the embryos. The ability to allow the same media across these embryos allows the transfer of media and sensing of the media components.

[00 62] In preferred embodiments upon insertion of the embryo dish into the culfuring system, the media is identified along with the patient's details. This creates the ability to track the type of media immersing the embryo. The information of the patient may be critical to the requirement of the component within the media. With on-board media components such as; Buffer, Water, Amino Acids, Salts/ions, Sugars (Glucose and lactose), Lipids, Proteins, Steroids and Drugs, Vitamins, Antibiotics, HEPES, and Surfactants can be used to manipulate and supplement the base media currently immersing the embryo. This could be a single component supplementing the base media or a more significant exchange of the base media with multiple component exchanges comprising components from about 20 to about 80 different types.

[00183] A further embodiment provides for mmersing individual embryo/samples in generic base media upon insertion to the system. Once within the system the on-board components will be able to create a unique media specifically tailored for the embryo with the information gained from the patient's details. The insertion of the embryo into the instalment with a generic base media and the detection of potential optimisation with knowledge of the patient's details and medical history, an automated process based on algorithms from data of previous successful and unsuccessful media combinations, allow supplementation ' of the media with dosing from the on-board media components. With particular reference to figure 22, this is possible due to the variety of components in individual vessels allowing on board mixing and staging delivering the unique media to the embryo. This allows the ability to cater to broader patients and the specific needs of their individual medical profiles.

[00164] Furthermore with, the on-board media components in separate vessels the shelf life of the components is able to be dramatically increased due to the individual components being stored in separate individual vessels allowing for optimal storage conditions for each component. I n contrast, components added together are more likely to interact and degrade faster over time. Also similar to the use of powdered components rather than fluid components on-board, there is a significant shelf life advantage of powdered forms which are able to be hydrated on board over liquid forms. Also the powdered form is more stable than the liquid form and less effected by environmental conditions such as light, temperature, and evaporation.

[00165] Morphology tim lapse images are able to provide a real-time feedback loop which gives the ability to alter the media of the embryo if the embryo is not developing as required. The functionality of having all of the components of media in separate vessels allows the potential to alter the concentration and or solution of the media on demand.

[00166] Multiple media bases are able to be created from predetermined profiles based upon the aforementioned patient details and current popular and proven laboratory formulations. This allows the media to be generated and customised full on-board and allow further customisation if necessary,

[00167] Patient details are key in the solution/media profiles in so far as a media profile is able to be tailored to th patient. This allows multiple chambers and multiple media configurations n the instrument due to the individual instrument chambers. This is beneficial, for example, fo a patient with a protein deficiency, the media can be altered to increase the amount of amino acids allowing enhancing the embryo a greater chance to successfully develop even with the patient's deficiency. [00168] Media analysis would allow the determination of the spent media components. This allows comparisons to the initial medi control which indicates what components the embryo requires to continue to develop. The aforementioned embryo seated/dish desig allows the removal of a small amount of media to be sensed or all of the media for replacement to determine what is contained within th media, Fluid aspiration to a local sensing area/adjacent well on the Culture Dish would allow non-invasive sensing of the components in the spent media. Furthermore and beneficially, the remaining media components are sensed in situ allowing limited interruption to the growth and development of the embryo. This allows monitoring of t e embryo both in the real time image time-lapse system in combination with the ability to know the components of the spent media to allow further indication of the environment and embryos growing conditions,

[00169] Detection of embryo development can be determined from the remaining resources, which are present in the media. As the media contains ail the nutrients for the embryo if the embryo is not feeding on the media, it may be possible that the media does not contain the nutrients and a change of media is required. Nutrients are an example onl of several aspects of the components within the media. U on detection of the media components alterations are able to be made to correct the balance or deficiencies in the media through the on-board media component vessels, mixing and delivery system to allow the further development of the embryo.

[00170] The ability to detect metabolomics is made available in preferred embodiments. With the ability of detection of mefabo!omics parallels are able to be made between morphology and the metabolomics of the embryo to create a higher chance of selection and implantation with comparison to a known control of what is expected to be seen in the media with a successful pregnancy, the detection of the metabolomics i the media alteration with th addition of more of a certain component. Metabolomics can be kept onboard the instrument as components which are able to be mixed together in a mixing area and added to the media solution adapted specifically to the patient's requirement.

[00171 ] Optical Spectroscopy allows detection of the media with a non-invasive method of assessment of the metabofomies i the media. The abilit of Optical Spectroscopic instrumentation such as iRS to determine the components will allow the ability to determine the requirement for which metabolomics media components are applicable and available to enhance the embryos development. In comparison to the known media components upon a successful embryo and considered a good implantation and successful pregnancy. Optical Spectroscopy Is able to be utilised alongside the real time feedback of the morphology imaging with metabo!omics profiling. The instrumentation of the spectroscopy is easy to use and is relative inexpensive in comparison to other methods of detecting rnetaboiomics of media. The instrumentation is extremely stable over time, simple to operate and maintainable. Unlike other spectroscopy detection methods detection time for the test period ranges from under a second to within a few minutes. This allows the embryo medi to be sampled to determine the composition, and allow the dispensing of the necessary supplement to enhance the embryo development. The positioning of the sensing source, detector and othe required components can either be in situ with the embryo or on a secondary sensing area of which portion of the media has been removed through aspiration around the embryo. Figure 20 gives a good illustration of this.

[001 2] Predetermined profiles with arrangements of controlled component volumes are able to be selected by the user to be applied to supplement the media composition. With the ability of the appropriate user to individuall manage and control the media composition from the interactive user interface of the instrument/system, the user has the ability to control the selection of the media, volume and the time of delivery of the media components.

[00173} Full manipulation of the media components is available to the user to alter a profile of the patient's embryo. An additional example in this respect is a glucose deficient patient, which would require an alteration to the profile of the patien allowing real time alteration and manipulation of the media to the desired media components and concentration. This allows full flexibility of the user to control the development of the embryo.

[00174] Removal of media allows replenishment and minimal dilution of any new media with the embryo. A culture dish design which allows a controlled ability to remove and replenish media and fluid surrounding the embryo without harming the embryo would be the ideal solution. The dish depicted in any one of Figures 5 to 11 suffices. In preferred embodiments a separate place is provided in the dish/system for the controlled waste to be aspirated from the embryonic seat in the dish. Aspirated media can be replaced with a new dispensed media, which is mixed on board the instrument. Preferably, the culture dish in use has micro wells which create a seated location for the embryos in one well on the dish. Removal of media and supplementation of media is able to occur due to the controlled location of the embryos in the separate micro wells. Aspiration and Dispensing from above a landing area in the well which contains the micro wells allows the exchange of media to occur.

[00175] Media is mixed within the system of individual solutions/components. The control of components separatel provides for greater individual control over them. For example, there may be several components which have a special requirement of refrigeration, shelf life and careful shipping methods, each of which adds cost to the components. Accordingly, provision of individual vessels creates the ability to potentially extend the shelf life of all the components creating lower cost for the overall components.

[00176] The on board vessels and dispense capabilities of the system are described here. Mixing of components is controlled by a valve, pump and manifold system where a predetermined selection from the user of a profile or individual component will trigger an individual component's valve to open and allow to pump/draw a specific quantity/volume from the Isolated vessel to a mixing station where the components are staged. Othe components are then dispensed if required into the staging/mixing area. Specific volumes and or quantities am controlled by the dispensing mechanisms. The components are then hydrated if required in the mixing area. Mixin with an agitation movement combines the components adequately. The combined mixed components/solution is then dispensed info the chamber and the selected culture dish

[00177] The available mixing components are stored in separate vessels either powder or liquid forms. Liquid form components ar able to be secured and drawn from their vessels using micro dosing pumps. Powder components are required to be hydrated, and variables may comprise: Buffer, water; amino adds, salts, sugars, and proteins.

[00178] Once a dispensing of the media is complete the morphology and the Optical Spectroscopy are used fo re-evaluate to determine if the change of media has taken effect on the embryo. The feedback loop is abl to continue in real time to allow the user to make manipulations through commands of the media mixing area. The main goal Is to improve t e media to allow the embryo to further develop.

[00179] Alternatively or additionally the components for alteration of the media may not he contained in individual vessels. Rather a combination of components could already be placed on the Culture Dish, only requiring hydration which occurs with the deposit of the embryo. This could be the base culture allowing for an Increased shelf life of the base culture as previously described.

[00180] 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.

[00181] 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 u nderstood 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 onl and not restrictive,

[00182] Various modifications and equivalent arrangements are Intended t 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 ma b practiced. In the following claims, means-plus- fu notion 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. [00183] 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. Furthermore, as would be understood by the person skilled in the art, other software packages or apps: may be utilised with possible implementation to include cloud-based systems.

[00184] 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.

[00185] Various embodiments of th invention may be embodied in many different forms, including computer program logic for use with a processor (e.g., a microprocessor,, microcontroller, digital signal processor, or general purpose computer and for that matter, any commercial processor ma be used to implement the embodiments of the invention either as a single processor, serial or parallel set of processors in the system and, as such, examples of commercial processors include, but are not limited to Merced Tfv1 : Pentium™, Pentium II™, Xeon™, Celeron™. Pentium Pro™, Efficeon™, Athlon™, AMD™ and the like), programmable logic for use with a programmable logic device (e.g., a Field Programmable Gate Array (FPGA) or other PLP), discrete components, integrated circuitry (e.g., an Application Specific Integrated Circuit (ASIC)), or any other means including an combination thereof . In an exemplary embodiment of the present invention, predominantly all of the communication between users and the server is implemented as a set of computer program instructions that is converted into a computer executable form, stored as such in a computer readable medium, and executed by a microprocessor under the control of an operating system.

[00188] Computer program logic implementing all or part of the functionality where described herein may be embodied in various forms, including a source code form, a computer executable form, and various intermediate forms (e.g., forms generated by an assembler, compiler, linker, or locator), Source code may include a series of computer program instructions implemented in any of variou programming languages (e.g., an object code, an assembly language, or a high-level language such as Fortran, C, C++, JAVA, o HTIVIL Moreover, there are hundreds of available computer languages that may be used to implement embodiments of the invention, among the more common being Ada; Algol; API; awk; Basic; C; C++; Conol; Delphi; Eiffel; Euphoria; Forth; Fortran; HTML; loon; Java; Javascript; Lisp; Logo; Mathematics; MatLab; iranda; Modula-2; Qberon; Pascal; Peri; PL/I; Prolog; Python; Rexx; SAS; Scheme; sed; Simula; Smalltalk; Snobol; SQL; Visual Basic; Visual C++; Linux and XML, QT, Python.) for use with various operating systems or operating environments. The sourc cod may defin and use various data structures and communication messages. The source code may be in a computer executable form (e.g., via an interpreter), or the source code may be converted (e.g., via a translator, assembler, or compiler) into a computer executable form

[00187] The computer program may be fixed in any form (e.g., source code form, computer executable form, or an intermediate form) either permanentl or transitorily in a tangible storage medium, such as a semiconductor memory device (e.g. a RAM. ROM, PROM, EEPRQM, or Flash-Programmable RAM), a magnetic memory device (e.g., a diskette or fixed disk), an optica! memory device (e.g., a CO-ROM or DVD-ROM), a PC card (e.g., PCMCIA card), or other memory device. The computer program may be fixed in any form In a signal that is transmitfab!e to computer using any of various communication technologies, including, but in no way limited to, analog technologies, digital technologies, optical technologies, wireless technologses (e.g., Bluetooth), networking technologies, and inter-networking technologies. The computer program may be distributed in any form as a removable storage medium with accompanying printed or electronic documentation (e.g., shrink wrapped software), preloaded with a computer system (e.g., on system ROM or fixed disk), or distributed from a server or electronic bulletin board over the communication system (e.g., the Internet or World Wide Web). [00188] Hardware logic (including programmable logic for use with a programmable logic device) implementing all. or part of the functionality where described herein may be designed using traditional manual methods,, or may be designed, captured, simulated, or documented electronically using various tools, such as Computer Aided Design (CAD), a hardware description language (e.g., VHDL or AHDL), or a PLD programming language (e.g., PALASM, ABEL, or CUPL). Hardware logic may also be incorporated into display screens fo implementing embodiments of the invention and which may be segmented display screens, analogue display screens, digital display screens, CRTs, LED screens, Plasma screens, liquid crystal diode screen, and the like,

[00189] Programmable logic may be fixed either permanently or transitorily in a tangible storage medium, such as a semiconductor memory device (e.g., a RAM, ROM, PROM, EEPROM, or Flash Programmable RAM), a magnetic memory device (e.g.. a diskette or fixed disk), an optical memor device (e.g., a CD-ROM or DVD-ROM), or other memory device. The programmable logic may be fixed in a signal that is transmittable to a computer using any of various communication technologies, including, but in no way limited to, analog technologies, digital technologies, optical technologies, wireless technologies (e.g., Bluetooth), networking technologies, and internetworking technologies. The programmable logic may be distributed as a removable storage medium with accompanying printed or electronic documentation (e.g., shrink wrapped software), preloaded with a computer system (e.g., on system ROM or fixed disk), or distributed from a server or electronic bulletin board over the communication system (e.g., the Internet o World Wide Web).

[00190] "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 o 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".