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WA R N I N G : D O N O T U S E O T H E R E M B R Y O CATHETER MODELS WITHOUT CHECKING THAT THEY FIT IN THE DOCKING POSITION APPROPRIATELY AND DO NOT TOUCH THE BOTTOM OF THE MICROCHAMBER] Indicator slots aligned : closed position Note : In the closed position the indicator slot in the lid is aligned with an identical slot located on the rim of the inner chamber (see Figure 3a) Powder-free gloves INVO Bioscience INVO holding block for the inner chamber (sold separately) The specially designed holding block accessory acts as a passive thermal mass while physically stabilizing the inner chamber temperature during various steps of the p r o c e s s i n c l u d i n g microscopic visualization of embryos. This block is provided not sterile and should be cleaned to the standard of the microscope base and microscope per the laboratory procedure . Turn to open Figure 3b : Top view of lid in open position Lid opening WARNING : IN THE INVO PROCEDURE, EMBRYO DEVELOPMENT IS FIRST EVALUATED AT THE END OF THE INCUBATION PERIOD WHICH IS 48-72 HOURS POST FERTILIZATION. THEREFORE ANY ABNORMALITIES THAT WOULD HAVE BEEN DETECTED AT AN EARLIER STAGE (PRO-NUCLEI STAGE) MAY NO LONGER BE APPARENT WHEN THE EMBRYOS ARE EVALUATED FOR TRANSFER. AS A RESULT THERE MAY BE INCREASED RISK THAT AN ABNORMAL ( E.G.TRIPLOID) EMBRYO C O U L D B E TRANSFERRED TO THE UTERUS. WARNING : THE INVOcell IS A SINGLE USE DEVICE. REUSE MAY RESULT IN CONTAMINATION. WA R N I N G : D O N O T R E S T E R I L I Z E . RESTERILIZATION MAY RESULT IN FAILURE OF THE INVOcell . WARNING : UTILIZE A CULTURE MEDIUM THAT WILL SUPPORT CONTINUED E M B R Y O N I C DEVELOPMENT FOR UP TO 3 DAYS. c. Turn the lid counter clock-wise to open (see gure 3). Rinse the inner chamber with pre-warmed culture medium using an adjustable volume pipette to add and remove medium through the circular opening in the lid (see Figure 4) d. the volume of the inner chamber is 1.08 ml. Using a sterile glass pipette or a pipette with a long thin plastic tip , ll the inner chamber with pre-warmed culture medium. FIGURE 4 : FILLING THE INNER CHAMBER WARNING : DO NOT INCUBATE BEYOND 3 DAYS WARNING : DO NOT USE IF PRODUCT OR PACKAGE APPEARS DAMAGED INSTRUCTIONS FOR USE : 1. Pre-warm the following in a 37°C incubator for at least 1 hour prior to use : Unopened package (1 of 2) containing the inner chamber Unopened package (2 of 2) containing outer rigid shell for the inner chamber INVO Bioscience INVO holding block New unopened bottle of cell culture medium 2. Placement of gametes ( sperm and oocyte ) : a. Open the pre-warmed package (1 of 2) containing the inner chamber. b. Place the closed inner chamber in the pre-warmed holding block and keep the outer rigid shell in its package at 37°C. Note : The inner chamber is pouched in the closed condition (see Figure 3a). Figure 3a : Top view of lid in closed position Pipette lled with culture medium Inner chamber in holding block e. Close the inner chamber and aspirate the culture medium in excess in the overow well. Turn the inner chamber upside down to verify the absence of major air bubbles. If necessary eliminate any trapped air bubbles lling the micro-chamber . f. Reopen the chamber g. Using an adjustable volume pipette with a 0-200 ml tip, transfer 30,000 motile sperm into the inner chamber. The added volume is generally under 50 µl. h. Using a glass pipette or an adjustable volume pipette with a 250-1000 µl tip, transfer oocytes into the inner chamber. The added volume should not exceed 50 µl.