US20070099258A1 - Device and method of maintaining sperm motility in a capillary-loaded chamber - Google Patents

Device and method of maintaining sperm motility in a capillary-loaded chamber Download PDF

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US20070099258A1
US20070099258A1 US11/525,366 US52536606A US2007099258A1 US 20070099258 A1 US20070099258 A1 US 20070099258A1 US 52536606 A US52536606 A US 52536606A US 2007099258 A1 US2007099258 A1 US 2007099258A1
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coverslip
chamber
slide
sperm
capillary
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US11/525,366
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Diarmaid Douglas-Hamilton
Meg Hamilton
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Hamilton Thorne Biosciences Inc
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Publication of US20070099258A1 publication Critical patent/US20070099258A1/en
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Priority to US12/330,228 priority patent/US7807452B2/en
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/02Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving viable microorganisms
    • C12Q1/025Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving viable microorganisms for testing or evaluating the effect of chemical or biological compounds, e.g. drugs, cosmetics
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B24GRINDING; POLISHING
    • B24BMACHINES, DEVICES, OR PROCESSES FOR GRINDING OR POLISHING; DRESSING OR CONDITIONING OF ABRADING SURFACES; FEEDING OF GRINDING, POLISHING, OR LAPPING AGENTS
    • B24B9/00Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor
    • B24B9/02Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor characterised by a special design with respect to properties of materials specific to articles to be ground
    • B24B9/06Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor characterised by a special design with respect to properties of materials specific to articles to be ground of non-metallic inorganic material, e.g. stone, ceramics, porcelain
    • B24B9/08Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor characterised by a special design with respect to properties of materials specific to articles to be ground of non-metallic inorganic material, e.g. stone, ceramics, porcelain of glass
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B24GRINDING; POLISHING
    • B24BMACHINES, DEVICES, OR PROCESSES FOR GRINDING OR POLISHING; DRESSING OR CONDITIONING OF ABRADING SURFACES; FEEDING OF GRINDING, POLISHING, OR LAPPING AGENTS
    • B24B9/00Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor
    • B24B9/02Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor characterised by a special design with respect to properties of materials specific to articles to be ground
    • B24B9/20Machines or devices designed for grinding edges or bevels on work or for removing burrs; Accessories therefor characterised by a special design with respect to properties of materials specific to articles to be ground of plastics
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B21/00Microscopes
    • G02B21/34Microscope slides, e.g. mounting specimens on microscope slides

Definitions

  • the invention relates, generally, to a method of removing sharp edges from a microscope coverslip comprising grinding down the edges and polishing the edges.
  • the invention also relates to a device for determining cell motility comprising a slide, a coverslip, comprising at least one edge that has been smoothed and a chamber, created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged.
  • the invention also relates to a method for using the device to determine cell motility.
  • motility is a measure of the animals breeding effectiveness, since only motile sperm can fertilize the ovum.
  • a higher motility means that the sample can be diluted more and therefore spread around to more females for breeding. This reduces the breeding cost and increases breeding efficiency. Therefore accurate determination of sperm motility is economically important.
  • Capillary-loaded chambers are frequently used for sperm sample examination.
  • a chamber is created by placing a coverslip onto a microscope slide. The area between the slide and the coverslip is the chamber.
  • a glass coverslip is fixed in position by ink strips, at a separation of 20 ⁇ m above a glass microscope slide.
  • the 20- ⁇ m space thus formed between the two sheets of glass is divided into chambers (usually 2 or 4), each of which may be independently used for sperm sample analysis.
  • the sperm sample is introduced at the entrance, and capillary action in the 20 ⁇ m gap sucks the sample into the chamber.
  • the IVOS measures the position of each sperm in a field of view. It then repeats the measurement at intervals of 1/60 seconds, thus determining static and motile sperm count and velocity.
  • the advantage of the capillary-load chamber is that it measures concentration of motile sperm cells accurately, allows rapid loading and analysis and is disposable.
  • a radially-loaded chamber (e.g., the Makler chamber) uses four posts to maintain a coverslip 10 ⁇ m above the slide surface, and is loaded by placing a drop on the sample platform. The cover is then placed on top of the platform. In contrast to eh capillary-loaded chamber, the sample then spreads radially and is not loaded by capillary action. The sample is then examined visually or by CASA.
  • a defect of the radially-loaded chamber is that the coverslip is not constrained and can therefore rise up, increasing the chamber depth. A particle only one micron in diameter on the posts will cause an error of 10% in the concentration calculation from the radially-loaded chamber.
  • the chamber has to be cleaned, and its operation is consequently slower and the resulting concentration calculation is less accurate than the disposable capillary-loaded chambers.
  • sperm samples loaded into a radially-loaded chamber show higher motility than in the capillary-loaded chamber.
  • the sperm sample consistently shows approximately 15% higher initial motile fraction in the radially-loaded than in the capillary-loaded chamber.
  • Sperm velocity and other sperm motion parameters are not significantly altered. Since successful animal breeding depends on accurate motility measurement, it is important to determine if the decrease in motility in the capillary-loaded chamber is an artifact, and, if so, whether it can be eliminated. Possible causes include the greater chamber depth, potential toxic effects in the fixed-coverslip chambers, and possible damage to sperm during the capillary inflow loading phase.
  • the embodiments of the present invention represent an improvement to the capillary-loaded chamber design which prevents the reduction in motility observed in comparison to the radially-loaded chamber. It therefore increases the accuracy of sperm analysis using capillary-loaded chambers and allows more accurate and efficient animal breeding to be practiced.
  • Embodiments of the present invention satisfy the foregoing, as well as other, needs.
  • a method of removing sharp edges from a microscope coverslip comprising grinding down the edges and polishing the edges.
  • a device for determining cell motility comprising a slide, a coverslip, comprising at least one edge that has been smoothed and a chamber, created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged.
  • a method for using the device to determine cell motility there is provided.
  • FIG. 1 shows a capillary load chamber, approximately to scale. The sample is placed at entrance and moves in by capillary action.
  • FIG. 2 shows a capillary load chamber with smoothed entry coverslip.
  • FIG. 3 is a graphic representation of progressive motility averaged over 4, 5, 3 and 2 runs for each type, respectively.
  • FIG. 1 A capillary-loaded chamber such as the Leja-4 20 ⁇ m slide is shown in FIG. 1 .
  • the coverslip is held to the slide with adhesive ink spacers (not shown), which maintain the required 20 ⁇ m chamber depth.
  • the sample is introduced by placing a drop at the edge of the coverslip.
  • the sample is then drawn into the chamber by capillary action, typically filling it in 2-3 seconds.
  • the flow velocity at the entrance constriction is approximately 25 mm/sec, more than 200 times faster than the normal sperm swimming speed. After filling is complete, any excess sample is wiped off to avoid drift.
  • the lower sperm motility observed in the capillary-loaded chamber is also unlikely due to damage caused by sperm tumbling in the high transverse velocity gradient of the Poiseuille inflow stream, since reducing entry velocity (which reduces the velocity gradient) does not increase motility.
  • the decreased motility appears to be due to the large animal sperm being scraped or cut on the sharp edge of the coverslip at the chamber entrance, as they are caught in the streamlines and moved into the chamber.
  • Typical bovine sperm are approximately 100 ⁇ m in length, and sperm swimming freely in the sample have to enter the narrow 20 ⁇ m chamber gap at high velocity. It appears likely that a certain fraction of the sperm may be damaged by the sharp coverslip edge during entry. The damage would probably occur on the tail, and therefore would be likely to affect the motility.
  • coverslips in which the sharp edge was ground down, and used them in a capillary-load geometry, spaced 20 ⁇ m above the slide.
  • the modification is shown in FIG. 2 .
  • the ground glass surface was polished, using techniques known in the art including but not limited to diamond grinding and emery paper filing and/or buffing, until any sharp edges or discontinuities were removed.
  • the surface of the coverslip was further polished using techniques know in the art including but not limited to flaming, rouge buffing or laser polishing.
  • the resulting smooth coverslip edge is tangential to the upper surface of the chamber, parallel to the slide, with a mean angle of about 24° to the sampling plane.
  • the coverslip ground glass surface is a curve asymptoting smoothly toward the lower coverslip surface, and the sample therefore flows in without dragging sperm over sharp edges. Consequently damage to sperm from the sharp edge should be eliminated. Velocity of inflow remains unchanged.
  • the coverslip was ground to 24° angle of entry, positioned with spacers above slide, and 23 ⁇ l sample placed on the edge, then wiped off after capillary load.
  • the coverslip was fired in a butane flame to soften its edges. It was then positioned on the slide with spacers and loaded with 23 ⁇ l by capillary action, then wiped off.
  • Standard Leja slide is loaded with 3 ⁇ l, then wiped off.
  • the sperm velocity is virtually unchanged, implying that the sperm are not crippled or damaged by the loading technique.
  • the Ground method shows progressive motility which is 92% of that seen using the Drop Load method.
  • the Leja values are only 76% of the Drop Load value.
  • the low Leja Method value is probably attributed to the uncorrected sharp coverslip edge which damages sperm entering the chamber.
  • the remaining 8% deficit is likely to be due to the drift delay time of 1-2 minutes before analysis on the ground type cases.
  • the Fired Method showed slight improvement over the Leja Method, but the higher standard deviation is probably due to the difficulty in accurate firing of the coverslip edge.
  • the Ground method showed greater improvement, and the combination of Ground and Fired to produce a truly smooth coverslip will likely result in further improvements.
  • damage to sperm occurs during loading from the sharp coverslip edge, and removal/smoothing of the edge will increase the sperm motility by as much as 20-30%. Damage can be avoided by using a properly ground coverslip edge, preferably also fire-polished.

Abstract

The invention relates, generally, to a method of removing sharp edges from a microscope coverslip comprising grinding down the edges and polishing the edges The invention also relates to a device for determining cell motility comprising a slide, a coverslip, comprising at least one edge that has been smoothed and a chamber, created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged. The invention also relates to a method for using the device to determine cell motility.

Description

  • The present application claims priority to Provisional Application Ser. No. 60/719,392 filed on Sep. 22, 2005.
  • INTRODUCTION
  • The invention relates, generally, to a method of removing sharp edges from a microscope coverslip comprising grinding down the edges and polishing the edges. The invention also relates to a device for determining cell motility comprising a slide, a coverslip, comprising at least one edge that has been smoothed and a chamber, created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged. The invention also relates to a method for using the device to determine cell motility.
  • BACKGROUND OF INVENTION
  • Measurement of sperm motility (fraction of motile cells) is of considerable importance in the animal breeding market. The reason is that motility is a measure of the animals breeding effectiveness, since only motile sperm can fertilize the ovum. For a given number of sperm required per insemination dose, a higher motility means that the sample can be diluted more and therefore spread around to more females for breeding. This reduces the breeding cost and increases breeding efficiency. Therefore accurate determination of sperm motility is economically important.
  • Capillary-loaded chambers are frequently used for sperm sample examination. A chamber is created by placing a coverslip onto a microscope slide. The area between the slide and the coverslip is the chamber. Typically (e.g. in the Leja-4 chamber), a glass coverslip is fixed in position by ink strips, at a separation of 20 μm above a glass microscope slide. The 20-μm space thus formed between the two sheets of glass is divided into chambers (usually 2 or 4), each of which may be independently used for sperm sample analysis. The sperm sample is introduced at the entrance, and capillary action in the 20 μm gap sucks the sample into the chamber. It is then examined by microscope, and may be used for computer-assisted sperm analysis (CASA), for example with the IVOS analyzer. The IVOS measures the position of each sperm in a field of view. It then repeats the measurement at intervals of 1/60 seconds, thus determining static and motile sperm count and velocity. The advantage of the capillary-load chamber is that it measures concentration of motile sperm cells accurately, allows rapid loading and analysis and is disposable.
  • A radially-loaded chamber (e.g., the Makler chamber) uses four posts to maintain a coverslip 10 μm above the slide surface, and is loaded by placing a drop on the sample platform. The cover is then placed on top of the platform. In contrast to eh capillary-loaded chamber, the sample then spreads radially and is not loaded by capillary action. The sample is then examined visually or by CASA. A defect of the radially-loaded chamber is that the coverslip is not constrained and can therefore rise up, increasing the chamber depth. A particle only one micron in diameter on the posts will cause an error of 10% in the concentration calculation from the radially-loaded chamber. Moreover, after use, the chamber has to be cleaned, and its operation is consequently slower and the resulting concentration calculation is less accurate than the disposable capillary-loaded chambers.
  • Recently it has been found that sperm samples loaded into a radially-loaded chamber show higher motility than in the capillary-loaded chamber. The sperm sample consistently shows approximately 15% higher initial motile fraction in the radially-loaded than in the capillary-loaded chamber. Sperm velocity and other sperm motion parameters are not significantly altered. Since successful animal breeding depends on accurate motility measurement, it is important to determine if the decrease in motility in the capillary-loaded chamber is an artifact, and, if so, whether it can be eliminated. Possible causes include the greater chamber depth, potential toxic effects in the fixed-coverslip chambers, and possible damage to sperm during the capillary inflow loading phase.
  • Accordingly, it is desirable to provide an improved disposable capillary-loaded chamber design which provides an accurate and reliable sperm motility count and allows for rapid loading and analysis. The embodiments of the present invention represent an improvement to the capillary-loaded chamber design which prevents the reduction in motility observed in comparison to the radially-loaded chamber. It therefore increases the accuracy of sperm analysis using capillary-loaded chambers and allows more accurate and efficient animal breeding to be practiced.
  • SUMMARY OF THE INVENTION
  • Embodiments of the present invention satisfy the foregoing, as well as other, needs. In accordance with one embodiment of the present invention, there is provided a method of removing sharp edges from a microscope coverslip comprising grinding down the edges and polishing the edges.
  • In accordance with another embodiment of the present invention, there is provided a device for determining cell motility comprising a slide, a coverslip, comprising at least one edge that has been smoothed and a chamber, created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged. In yet another embodiment of the present invention there is provide a method for using the device to determine cell motility.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • The invention will now be described with reference to the accompanying drawings, in which:
  • FIG. 1 shows a capillary load chamber, approximately to scale. The sample is placed at entrance and moves in by capillary action.
  • FIG. 2 shows a capillary load chamber with smoothed entry coverslip.
  • FIG. 3 is a graphic representation of progressive motility averaged over 4, 5, 3 and 2 runs for each type, respectively.
  • DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
  • A capillary-loaded chamber such as the Leja-4 20 μm slide is shown in FIG. 1. The coverslip is held to the slide with adhesive ink spacers (not shown), which maintain the required 20 μm chamber depth. The sample is introduced by placing a drop at the edge of the coverslip. The sample is then drawn into the chamber by capillary action, typically filling it in 2-3 seconds. The flow velocity at the entrance constriction is approximately 25 mm/sec, more than 200 times faster than the normal sperm swimming speed. After filling is complete, any excess sample is wiped off to avoid drift.
  • Slides of this type have been used for 20 years for examining human sperm samples and have recently been adapted to animal breeding specimens. Human sperm are less dense and swim more slowly than bovine, porcine and equine sperm, and they are normally in a considerably more viscous medium than that use for examining animal sperm. No differences have been reported between human samples in Makler chambers and capillary slides. It is only with animal samples that the motility difference between Makler chamber and capillary slide has become apparent.
  • Surprisingly, it was determined that the motility difference between capillary-loaded and radially-loaded chambers is not due to toxicity. If sperm toxicity was a factor then sperm velocity and motion would be affected. Experiments showed that velocity and other motion parameters were not changed, indicating that toxicity was not a factor. In addition, the decrease in motility with time is slow following chamber loading indicating that something besides sperm toxicity was involved.
  • The lower sperm motility observed in the capillary-loaded chamber is also unlikely due to damage caused by sperm tumbling in the high transverse velocity gradient of the Poiseuille inflow stream, since reducing entry velocity (which reduces the velocity gradient) does not increase motility. The decreased motility appears to be due to the large animal sperm being scraped or cut on the sharp edge of the coverslip at the chamber entrance, as they are caught in the streamlines and moved into the chamber. Typical bovine sperm are approximately 100 μm in length, and sperm swimming freely in the sample have to enter the narrow 20 μm chamber gap at high velocity. It appears likely that a certain fraction of the sperm may be damaged by the sharp coverslip edge during entry. The damage would probably occur on the tail, and therefore would be likely to affect the motility.
  • To test this possibility, we prepared coverslips in which the sharp edge was ground down, and used them in a capillary-load geometry, spaced 20 μm above the slide. The modification is shown in FIG. 2. The ground glass surface was polished, using techniques known in the art including but not limited to diamond grinding and emery paper filing and/or buffing, until any sharp edges or discontinuities were removed. The surface of the coverslip was further polished using techniques know in the art including but not limited to flaming, rouge buffing or laser polishing. The resulting smooth coverslip edge is tangential to the upper surface of the chamber, parallel to the slide, with a mean angle of about 24° to the sampling plane. The coverslip ground glass surface is a curve asymptoting smoothly toward the lower coverslip surface, and the sample therefore flows in without dragging sperm over sharp edges. Consequently damage to sperm from the sharp edge should be eliminated. Velocity of inflow remains unchanged.
  • The following examples are given for purposes of illustration only and are not intended to be construed in a limiting manner.
  • EXAMPLE 1 Effect of Correction on Motility
  • The motion parameters of a thawed bovine sperm sample were measured in an IVOS analyzer, with 1.75× multiplier, giving a net magnification of 17.5×. All slides had corrected smoothed coverslips and were maintained at 37° C. Fired coverslips, in which the sharp edges were removed by melting in a butane flame instead of by grinding, were also used for drop-loading and for capillary loading, as described below. Progressive motility, which is the fraction of cells with average path velocity (VAP) >75 μm/sec and path straightness (STR) >50%, and the standard deviations are shown in FIG. 3 for four types of loading methods described below.
  • Drop Load Method:
  • 23 μl of sample were dropped on a microscope slide, not loaded by capillary action, and a fired coverslip was placed on it, with 20 μm spacers to maintain 20 μm chamber depth. The fired coverslip had been heated in a flame to melt the glass edge. The slides and coverslips were the same as those used in building Leja chambers.
  • Ground Method:
  • The coverslip was ground to 24° angle of entry, positioned with spacers above slide, and 23 μl sample placed on the edge, then wiped off after capillary load.
  • Fired Method:
  • The coverslip was fired in a butane flame to soften its edges. It was then positioned on the slide with spacers and loaded with 23 μl by capillary action, then wiped off.
  • Leja Method:
  • Standard Leja slide is loaded with 3 μl, then wiped off.
  • All samples are placed in IVOS after 45 sec. However, the Ground and Fired capillary-loaded methods showed considerable drift which lasted for 1-2 min after loading. Initiation of analysis was delayed until sample drift ceased, because this could lead to motility decrease. Samples were rejected if drift lasted 3 minutes.
  • Details of the Drop Load, Fired, Ground and Leja method runs, with means and standard deviations, are shown in Table 1 and Table 2. Mean values averaged over the runs of each type are given.
    TABLE 1
    Mean No. Fill Time Temp Mean # cells CONC
    Type Runs Sec.s ° C. Fields VAP VCL counted (millions/cm3)
    Drop Load 4 5 37.1 10.0 81.7 157.9 494.3 37.0
    Fired 3 3.3 37.3 10.0 78.6 152.9 496.3 37.2
    Ground 5 4.6 37.1 9.8 81.5 155.1 507.2 38.7
    Leja 2 2.5 37.2 10.0 79.0 163.4 438.0 32.8

    Fields = number of regions photographed

    VAP = average path velocity

    VCL = average curvilinear velocity (μm/sec)
  • TABLE 2
    MOT Conc
    MOT (millions/ Mean SD Mean SD
    Type Count cm3) MOT MOT Prog % Prog
    Drop 328.5 24.6 66.3 4.2 28.8 3.9
    Load
    Fired 270.0 20.2 54.0 6.1 23.7 6.0
    Ground 310.6 23.7 61.0 2.5 26.6 3.4
    Leja 248.0 18.6 56.5 2.1 22.0 1.4

    MOT Count = number of motile cells counted

    Mean MOT = mean motile % of total cells counted

    SD MOT = standard deviation of mean MOT

    Mean Prog % = Mean progressive motility %

    SD Prog = standard deviation of progressive motility %
  • As indicated by the VCL, the sperm velocity is virtually unchanged, implying that the sperm are not crippled or damaged by the loading technique. However, the Ground method shows progressive motility which is 92% of that seen using the Drop Load method. The Leja values are only 76% of the Drop Load value. The low Leja Method value is probably attributed to the uncorrected sharp coverslip edge which damages sperm entering the chamber. The remaining 8% deficit is likely to be due to the drift delay time of 1-2 minutes before analysis on the ground type cases.
  • The Fired Method showed slight improvement over the Leja Method, but the higher standard deviation is probably due to the difficulty in accurate firing of the coverslip edge. The Ground method showed greater improvement, and the combination of Ground and Fired to produce a truly smooth coverslip will likely result in further improvements.
  • In conclusion, damage to sperm occurs during loading from the sharp coverslip edge, and removal/smoothing of the edge will increase the sperm motility by as much as 20-30%. Damage can be avoided by using a properly ground coverslip edge, preferably also fire-polished.

Claims (9)

1. A method of removing sharp edges from a microscope coverslip comprising:
(a) grinding down the edges; and
(b) polishing the edges.
2. The method of claim 1, wherein edges are polished by diamond grinding, emery paper filing, emery paper buffing, flaming, laser polishing or rouge buffing.
3. A device for determining cell motility comprising:
a slide;
a coverslip comprising at least one edge that has been smoothed; and
a chamber created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged.
4. The device of claim 3, wherein the motile cell is a sperm cell.
5. The device of claim 3, wherein the coverslip comprises glass or plastic.
6. The device of claim 3, wherein the chamber is capillary-loaded with motile cells.
7. The device of claim 3, wherein the coverslip is planar, intersecting the plane of the slide at an angle conducive to smooth fluid flow.
8. The device of claim 3, wherein the coverslip comprises a curve optimized for optimum laminar fluid flow.
9. A method for using a device for determining cell motility comprising:
a slide;
a coverslip comprising at least one edge that has been smoothed; and
a chamber created by the slide and the coverslip and which is tangential to the coverslip, such that motile cells entering the chamber are substantially undamaged.
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US9663755B2 (en) 2013-11-19 2017-05-30 The Governing Council Of The University Of Toronto Apparatus and methods for sperm separation
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US7807452B2 (en) 2010-10-05
WO2007038232A3 (en) 2007-10-11

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