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在生殖实验室环境中使用Q300™设备的临床结果:一项开放标签、非对照和非随机研究。

Clinical outcome using the Q300™ device in a reproductive laboratory environment: an open-label, non-controlled and non-randomized study.

作者信息

Michailov Yulia, Amsalem Eden, Umanski Natalia, Tamadaev Valeria, Friedler Shevach, Saar-Ryss Bozhena

机构信息

Ben Gurion University of the Negev, Faculty of Health Sciences, Beer Sheva, Israel.

IVF Unit-Obstetrics and Gynecology Department, Barzilai Medical Center, Ashkelon, Israel.

出版信息

Reprod Biol Endocrinol. 2025 Jun 10;23(1):90. doi: 10.1186/s12958-025-01424-w.

DOI:10.1186/s12958-025-01424-w
PMID:40495170
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12150528/
Abstract

BACKGROUND

Infertility affects a significant portion of the global population, with male factor infertility contributing to nearly half of all cases. The success of assisted reproductive technologies (ART), such as in vitro fertilization (IVF), depends on selecting high-quality sperm with optimal motility, morphology, and DNA integrity. The Q300™ device offers a novel approach for improving sperm selection. Utilizing an advanced optical imaging system, the Q300™ isolates the morphologically compliant sperm cells sperm for injection into the oocytes. This study aims to assess the usability and preliminary clinical outcome of the Q300™ device under "real-life conditions" in a fertility laboratory setting.

METHODS

Preliminary clinical data collected from Barzilai Medical Center with or without using the technology were compared to the Key Performance Indicators (KPI) for ART laboratories according to the Vienna Consensus.

RESULTS

The data suggest that the Q300™ significantly improved day-3 embryo development, blastulation, and cumulative pregnancy rates.

CONCLUSIONS

By offering a more refined and efficient selection process, the Q300™ has the potential to redefine clinical practice in infertility treatment, providing patients with a higher likelihood of achieving successful outcomes.

TRIAL REGISTRATION

NCT06232720. Date of registration: 15 February 2023. Enrollment of first subject: 20 August 2023. For more information, visit: https://clinicaltrials.gov/study/NCT06232720 .

摘要

背景

不孕症影响着全球相当一部分人口,男性因素导致的不孕症几乎占所有病例的一半。体外受精(IVF)等辅助生殖技术(ART)的成功取决于选择具有最佳活力、形态和DNA完整性的高质量精子。Q300™ 设备提供了一种改进精子选择的新方法。利用先进的光学成像系统,Q300™ 分离出形态符合要求的精子细胞用于注射到卵母细胞中。本研究旨在评估Q300™ 设备在生育实验室环境中 “实际条件” 下的可用性和初步临床结果。

方法

将从巴兹莱医疗中心收集的使用或未使用该技术的初步临床数据与根据维也纳共识制定的ART实验室关键绩效指标(KPI)进行比较。

结果

数据表明,Q300™ 显著提高了第3天胚胎发育、囊胚形成率和累积妊娠率。

结论

通过提供更精细、高效的选择过程,Q300™ 有可能重新定义不孕症治疗的临床实践,为患者提供更高的成功几率。

试验注册

NCT06232720。注册日期:2023年2月15日。首例受试者入组日期:2023年8月20日。详情请访问:https://clinicaltrials.gov/study/NCT06232720 。

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本文引用的文献

1
Advanced Sperm Selection Techniques for Assisted Reproduction.辅助生殖的先进精子筛选技术
J Pers Med. 2024 Jul 4;14(7):726. doi: 10.3390/jpm14070726.
2
Depression, anxiety, quality of life, and infertility: a global lens on the last decade of research.抑郁、焦虑、生活质量和不孕不育:过去十年研究的全球视角。
Fertil Steril. 2024 Mar;121(3):379-383. doi: 10.1016/j.fertnstert.2024.01.013. Epub 2024 Jan 13.
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Stain-Free Sperm Analysis and Selection for Intracytoplasmic Sperm Injection Complying with WHO Strict Normal Criteria.符合世界卫生组织严格正常标准的用于卵胞浆内单精子注射的无染色精子分析与筛选
Biomedicines. 2023 Sep 23;11(10):2614. doi: 10.3390/biomedicines11102614.
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Male infertility.男性不育症。
Nat Rev Dis Primers. 2023 Sep 14;9(1):49. doi: 10.1038/s41572-023-00459-w.
5
Computer software (SiD) assisted real-time single sperm selection associated with fertilization and blastocyst formation.计算机软件(SiD)辅助实时单精子选择与受精和囊胚形成相关联。
Reprod Biomed Online. 2022 Oct;45(4):703-711. doi: 10.1016/j.rbmo.2022.03.036. Epub 2022 Apr 10.
6
Does Choosing Microfluidics for Sperm Sorting Offer an Advantage to Improve Clinical Pregnancies in Donor Egg Recipients?选择微流控技术进行精子分选是否有助于提高供卵受者的临床妊娠率?
J Hum Reprod Sci. 2022 Apr-Jun;15(2):143-149. doi: 10.4103/jhrs.jhrs_15_22. Epub 2022 Jun 30.
7
Prospective randomized controlled study of a microfluidic chip technology for sperm selection in male infertility patients.一项关于微流控芯片技术用于男性不育患者精子筛选的前瞻性随机对照研究。
Andrologia. 2022 Jul;54(6):e14415. doi: 10.1111/and.14415. Epub 2022 Mar 8.
8
Correlations between abnormalities of morphological details and DNA fragmentation in human sperm.人类精子形态细节异常与DNA片段化之间的相关性。
Clin Exp Reprod Med. 2022 Mar;49(1):40-48. doi: 10.5653/cerm.2021.04777. Epub 2022 Feb 24.
9
The association of impaired semen quality and pregnancy rates in assisted reproduction technology cycles: Systematic review and meta-analysis.精液质量受损与辅助生殖技术周期妊娠率的关联:系统评价和荟萃分析。
Andrologia. 2022 Jul;54(6):e14409. doi: 10.1111/and.14409. Epub 2022 Mar 3.
10
Cumulative live birth rates in donor oocyte ICSI cycles are not improved by magnetic-activated cell sorting sperm selection.在供体卵母细胞胞浆内单精子注射周期中,磁激活细胞分选精子选择法并不能提高累积活产率。
Reprod Biomed Online. 2022 Apr;44(4):677-684. doi: 10.1016/j.rbmo.2021.09.024. Epub 2021 Oct 8.