cryopreservation of human oocytes and embryos

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    R

    RYOTOP SAFETY KITCCryotop Method

    Protocol

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    Vitrication

    2

    PART

    Cryotop Safety Kit-Vitrication

    No.0 Basic Solution (BS): 1 X 1.5ml vial (Only for Oocyte Vitrication)

    No.1 Equilibration Solution (ES): 1 X 1.5ml vial

    No.2 Vitrication Solution (VS): 2 X 1.5ml vials

    4 Cryotops: 1 Cryotop stores up to 3 Oocytes or 3 Embryos as a recommendation.

    2 Repro Plates: with 6 wells

    Rack Cooling (Box for liquid nitrogen Ref. VT-CLB)

    Pasteur pipette (Ref. MT-150)

    Microscope (Turn o the heating plate.

    Stopwatch or Timer (with count up function)

    Liquid Nitrogen (Filter sterilization is available with Filter Teon Millipore.Tweezers

    2 Micro pipettes: 2~20l

    100~1000l

    Cane

    Storage tank

    Materials Required

    Use pasteur pipette that has a suitable internal diameter for Oocyte

    (External diameter: 140m) or Embryo (External diameter: 140~200m)

    to minimize Vitrication Solution and get a high survival rate after thawing.

    CAUTION

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    3

    PART

    Write necessary information about a patient on the label

    of Cryotop (See Figure 1).

    Fill 90% of a rack cooling with fresh liquid nitrogen.

    Remove the culture dish containing Oocyte or Embryo

    from the incubator. Check the quality of the Oocyte or the

    Embryo well with pasteur pipette under the microscope

    (See Figure 2).

    Note: For Oocyte Vitrication, take the cumulus cells o. Compare the width of perivitelline space with the thicknessof zona pellucida and record it (Ex. 1:1). It makes easy to

    know the completing of the equilibration after immersing

    in ES.

    Figure 1

    Figure 2

    Oocyte

    Preparation for Vitrication

    Perivitelline Space

    Zona Pellucida

    2.

    3.

    4.

    Bring BS, ES and VS to room temperature (25~27 ).1.

    Vitrication Procedure

    Cryotop

    Vitrifcation

    It is different procedures between Oocyte and Embryo for Equilibration.

    Embryo EquilibrationCulture

    OPU Oocyte Equilibration

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    Vitrication

    4

    Oocyte Equilibration 3 For 3 minutes

    Set up the stop watch (with count up function). Check the time with the stop

    watch for the following steps. Add ES 20l gently to the TOP ofBS with the

    Oocyte moving micro pipette along the well and leave it for 3 minutes (See

    Figure 4).

    Oocyte Equilibration 4 For 3 minutes

    Add another ES 20l gently to the TOP ofBS as well and leave it for 3 minutes (See

    Figure 4).

    Oocyte Equilibration 5 For 9 minutes

    Add another ES 240 l gently to the TOP ofBS and leave it for 9 minutes (See Figure 4).

    For Equilibration, the volume of Oocyte is required to be recovered completely.

    Oocyte Equilibration is complete when the width of perivitelline space becomes

    equal to the width before immersing to ES.

    Oocyte Equilibration 1

    Write BS, VS1 and VS2 on the rid of Repro Plate. Drop 20 l for BS and

    300 l each for VS1 and VS2 on the plate with micro pipette (See Figure 3).

    Immediately put the rid on the Repro Plate.

    Oocyte Equilibration 2

    Aspirate the Oocyte at the tip of the pasteur pipette. Transfer the Oocyte withminimal volume of medium from the culture dish to the BOTTOM ofBS

    (20l).

    Oocyte Equilibration

    Figure 4

    Figure 3

    PART Equilibration

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    5

    Embryo Equilibration 3 For 12 or 15 minutes

    Set up the stop watch (with count up function). Check the time with the stop watch for the following steps. The Embryo

    free-falls within 30 seconds. It spontaneously begins to shrink and then gradually returns to its original size with

    inltrating ES, which indicates that the Equilibration is complete.

    Embryo Equilibration 2

    Aspirate the Embryo at the tip of the pasteur pipette(See Figure 6).

    Put the Embryo with minimal volume of medium to the TOP center ofES .

    For Blastocyst Equilibration, wait for disappearing of the perivitelline space.

    It is the best time when the diameter of Embryo reaches to 140180m for Blastocyst

    vitrication .

    Time taken for Equilibration depends on the size or the quality of the Embryo. High quality or

    small Embryo doesnt take long time for Equilibration. For example, if a excellent grade Embryo

    recovers completely for 8 minutes, the Equilibration step is nished. Stop Equilibration for 12

    minutes for pronuclear stage and cleavage cell, for 15 minutes for morula stage and blastocyst if

    the recovery of the volume of the Embryo can not be conrmed. It is enough for Equilibration.

    Embryo Equilibration 1

    Write ES,VS1 and VS2 on the rid of Repro Plate. Gently invert each vial ofES andVS twice to mix contents. Drop each solution 300l on the plate using micro

    pipette (See Figure 5). Immediately put the rid on the Repro Plate.

    Figure 5

    Figure 6

    Embryo Equilibration

    CAUTION

    Embryo

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    Vitrication

    6

    PART 4

    It is the same procedure for Oocyte and Embryo. The following steps from 1 to 7 should be completed

    between 60 and 90 seconds.

    Vitrifcation 1

    After the completion of Equilibration, aspirate the Oocyte (Embryo)

    in ES at the tip of pasteur pipette (See Figure 7). Transfer the Oocyte

    (Embryo) to the surface center ofVS1 with minimal volume ofES.

    Blow only the Oocyte (Embryo) out to VS1. To avoid getting the

    remaining ES in the pasteur pipette into the VS1, blow out the ES to

    the outside of the well. Aspirate fresh VS1 and blow it out again to

    the outside of the well. Aspirate fresh VS1 into the pasteur pipette.

    Vitrifcation 2 Within 1 minute

    Aspirate the Oocyte (Embryo) in VS1 with the pasteur pipette and blow it out to VS1. Quickly stir ve times around the

    Oocyte (Embryo). Repeat the aspirating, blowing out and stirring three times changing the positions in VS1 (See Figure

    8). Displace the outer solution of the Oocyte (Embryo) to VS1 completely until the remaining ES visually disappears.

    Vitrifcation 3 For 0.5 minutes

    Blow out the remaining VS1 in the pasteur pipette to the outside of the well. Aspirate fresh VS2 into the pasteur pipete,

    and then aspirate the Oocyte (Embryo) in VS1 at the tip of the pipette. Transfer the Oocyte (Embryo) to VS2 with minimal

    volume ofVS1. Stir around the Oocyte (Embryo) changing positions twice with the pasteur pipette in VS2 (See Figure 8).

    This step is completed when the outer Oocyte (Embryo) is displaced to VS perfectly and the at shrinking in cause ofdehydration is observed.

    Vitrifcation 4

    Place the Cryotop under a microscope (Logo should be up.) and

    adjust the focus on the black mark of the Cryotop sheet (See

    Figure 9).

    Vitrication

    Figure 7

    Figure 8

    Figure 9

    Oocyte/Embryo

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    7

    Vitrifcation 6

    Check if the Oocyte (Embryo) is on the sheet with minimal volume ofVS2 under the microscope.

    Plunge the Cryotop into fresh liquid nitrogen quickly.

    Figure 11a: Good example

    Step 1 Step 2 Step 3

    Figure 11b: Bad example

    Figure 12a: Good example Figure 12b: Bad example

    Figure 10

    Make a planar droplet by the black mark of Cryotopsheet.

    Put the top of the pipette on the bottomend of the big VS drop.

    Slide the pipette horizontally to outside,and make the VS drop lower.

    Aspirate the excess VS, and minimizethe VS drop (not aspirating oocyte).

    Make a steric droplet by the black mark of Cryotopsheet. The volume of VS2 is too much.

    Vitrifcation 5

    Aspirate the shrunk Oocyte (Embryo) in VS2 at the tip of the pasteur pipette

    (See Figure 10). Place the Oocyte (Embryo) by the black part of Cryotop sheetwith minimal volume (less than 0.1l) ofVS2 (See Figure 11a and 11b). For

    more than 2 Oocytes (Embryos), make 1 droplet for each (See Figure 12a and

    12b).

    Oocyte/Embryo

    Removal of the excess VS on the sheet

    After putting oocytes on the Cryotop sheet, the excess VS should be removed by aspirating using pipette.

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    Vitrication

    8

    Vitrifcation 7

    Hold the straw cap with tweezers and insert the Cryotop from sheet end in liquid nitrogen. Then t the Cryotop with thecap by hands with screwing tightly in air (See Figure 13).

    Vitrifcation 8

    Check if the cap is xed with the Cryotop tightly. Put the Cryotop in a cane and store it in a storage tank.

    Keep the Cryotop sheet in the liquid nitrogen until transferring to a storage tank.

    In transferring the Cryotop to other storage tank, keep it in liquid nitrogen.

    Do not expose of Cryotop in air until Thawing.

    Figure 13

    Twist it and make sure if the straw cap

    ts tightly to the Cryotop.

    Hold the straw cap with ngers and t it.Hold the straw cap with tweezers and insert

    the Cryotop into it.

    CAUTION

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    9

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    Thawing

    10

    PART

    Cryotop Safety Kit -Thawing

    No.1 Thawing Solution (TS): 1 X 4ml vial

    No.2 Diluent Solution (DS): 1 X 1.5ml vial

    No.3 Washing Solution (WS): 1 X 1.5ml vial

    1 Petri Dish: 35mm for TS (Ref. FALCON 1008)

    1 Repro Plate: with 6 wells

    Rack Cooling (Box for liquid nitrogen Ref. VT-CLB)

    Pasteur pipette (Ref. MT-150)

    Microscope (Turn o the heating plate.)

    Stopwatch or Timer (with count up function)

    Liquid Nitrogen (Filter sterilization is available with Filter Teon Millipore.Tweezers

    1 Micro pipettes: 100~1000 l

    Cane

    Storage tank

    Materials Required

    Use pasteur pipette that has a suitable internal diameter for Oocyte

    (External diameter: 140m) or Embryo (External diameter: 140~200m)

    to optimize the volume of the solutions for the best dilution condition to

    get the highest survival rate.

    CAUTION

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    11

    Write DS,WS1 and WS2 on the rid of a Repro Plate.

    Gently invert each vial of DS and WS twice to mix

    contents. Drop 300l each for DS, WS1 and WS2 on the

    Repro Plate with micro pipette. Place it on the microscope

    stage and lid it.

    Remove TS vial and the Petri Dish from the incubator

    and place the Petri Dish on the microscope stage. Gently

    invert the vial ofTS twice to mix contents and pour the

    full contents into the Petri Dish (See Figure 1).

    Adjust the focus of the microscope to the Petri Dish with TS.

    Use pasteur pipette in order to focus easily on the center of the

    Petri Dish (See Figure 2).

    PART 2

    Place the rack cooling by the stereo microscope.

    Retrieve the cane which has the specic Cryotop, quickly immerse the cane in a rack cooling lled with fresh liquid

    nitrogen. Retrieve the specic Cryotop from the cane in the liquid nitrogen. Check the information about the patient

    on the label of Cryotop.

    Warm TS vial (sealed) with a Petri Dish in an incubator to 37 (>1.5hours).

    Preparation for Thawing

    Figure 1

    Figure 2

    1.

    2.

    3.

    4.

    CAUTION

    Pasteur pipette

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    Thawing

    12

    Oocyte/Embryo

    PART 3 ThawingThawing 1

    Carefully twist and remove the straw cap from

    the Cryotop in liquid nitrogen (See Figure 3a).

    Prop it against the corner of the rack cooling (See

    Figure 3b).

    Thawing 2

    Be ready to use pasteur pipette keeping the Cryotop in liquid nitrogen. Set up the stop watch (with count up function).

    Check the time with the stop watch for the following steps.

    Thawing 3 For 1 minute

    Quickly immerse Cryotop sheet into TS on the microscope stage. It should be within 1 second (See gure 4). Find the

    Oocyte (Embryo) adjusting the focus on the black mark of the Cryotop sheet. 1 minute after immersing into TS, gently

    aspirate the Oocyte (Embryo) with the pasteur pipette after dispensing it from the sheet. Aspirate the Oocyte (Embryo)

    even if it does not dispense from the sheet. Also, aspirate TS until the Oocyte (Embryo) reaches 2mm from the tip of the

    pasteur pipette (See Figure 5).

    Figure 3a Figure 3b

    Figure 4

    Figure 5

    1

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    13

    Oocyte/Embryo

    Washing 1 For 5 minutes

    3 minutes later, after immersing into DS, gently aspirate the

    Oocyte (Embryo) in DS with the pasteur pipette. Also, aspirate

    DS until the Oocyte (Embryo) reaches 2mm from the tip of the

    pasteur pipette (See Figure 7).

    Blow out only DS in the pasteur pipette into the BOTTOM center

    of WS1 slowly (See Figure 8a), then gently place the Oocyte

    (Embryo) on the bottom there (See Figure 8b). Leave it for 5

    minutes. This is also for mostly gradual displacement from DS to

    WS1.

    Washing 2 For 1 minute

    5 minutes later, after immersing into WS1, aspirate the Oocyte (Embryo)

    with minimal volume of WS1 with pasteur pipette (See Figure 9) and

    transfer it to the TOP center ofWS2. After the Oocyte (Embryo) free-falls

    to the bottom ofWS2, do the same work again in WS2 (See Figure 10).

    Washing 3

    Transfer the Oocyte (Embryo) to a culture dish containing the appropriate culture medium. Incubate the Oocyte

    (Embryo) in a 37 incubator to complete recovery.

    For completing recovery : Oocytes for 2 hours and Embryos for 3 hours.

    For your inquiry, email to: [email protected]

    Figure 7

    Figure 9

    Figure 10

    PART 5 Washing

    PART 4 Dilution

    Dilution For 3 minutes

    Blow out only TS in the pasteur pipette into the BOTTOM

    center ofDS slowly (See Figure 6a), then gently place the

    Oocyte (Embryo) on the bottom of the TS layer (See Figure 6b).

    Leave it for 3 minutes. This is for mostly gradual displacement

    from TS to DS.

    Figure 6a

    Figure 8a

    Figure 6b

    Figure 8b

    Oocyte/Embryo

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    BS 20l

    3min

    1

    min,37

    TS

    Before

    After

    LN2

    3min

    9min

    0.5min

    within1min

    Cooling

    (-23000/min)

    Warming

    (+42000/min)

    1

    2

    3

    1

    2

    Step1

    Step2

    Step3

    WS

    1

    DS

    1min

    5min

    3min

    300l

    300l

    300l

    WS2

    1

    2

    20l

    ES

    Oocyt

    e

    20l

    ES

    ES

    240l

    300l

    VS1

    VS

    2

    300l

    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itazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/
  • 8/7/2019 Cryopreservation of human oocytes and embryos

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    ES

    300l

    12or15min

    Blastocyst

    Before

    After

    4Cell

    Embryo

    W S

    1

    DS

    1min

    5min

    3m

    in

    0.5min

    within1min

    1mi

    n,37

    TS

    300l

    300l

    300l

    LN2

    Cooling

    (-23000

    /min)

    Warming

    (+42000/min)

    1

    2

    3

    1

    2

    300l

    VS1

    VS2

    300l

    WS2

    Zygote 1

    2

    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itazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/http://www.kitazatoindia.com/
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