Methods of and apparatus for preparing tissue specimens.

Field of the Invention

0001This invention relates to methods of and apparatus for preparing tissue specimens for microtome sectioning.

Background to the invention

0002Conventionally, tissue specimens are prepared for microtome sectioning in two sequential stages. In the first stage, the tissue specimen is placed in a cassette and processed by solvents which remove the water content of the specimen. The specimen is removed from the cassette and subjected to the second stage, called embedding, which involves placing the specimen in a small dish which is then filled with molten wax. This was impregnates and surrounds the specimen which is thus embedded in wax. The embedded specimen is then removed from the dish and the wax block is mounted in the clamp of a microtome for sectioning of the specimen. It is important that the specimen is accurately positioned in the dish prior to the wax setting around the specimen, so that sectioning of the specimen occurs along the appropriate planes to reveal the desired cell structure. In the past, this positioning has been achieved by allowing a few drops of molten wax to fall into the base of the otherwise empty dish, allowing the resulting small quantity of wax partially to set and to position the specimen in the plastic wax in the desired orientation using tweezers. This holds the specimen in the required position, after which more molten wax is added to the container, fully to embed the specimen.

0003In one aspect the invention aims to provide a cassette, and a method of using a cassette, wherein a tissue specimen can be accurately and precisely located and oriented in the cassette prior to embedding of the cassette in the embedding medium.

0004In another aspect the invention is concerned with embedding a plurality of specimens simultaneously in a container. Hitherto this has been done by placing the cassettes in a container into which molten wax is introduced to a depth sufficient to cover the cassettes. The wax is then caused or allowed to cool, but the problem of removal of the cassettes from the solidified block of wax then presents itself.

Summary of the invention

0005According to one aspect of the invention there is provided a method of preparing a tissue specimen for microtome sectioning, comprising locating the specimen between a base portion and a separable portion of a cassette so that the specimen is held in a desired orientation in the cassette, embedding the located specimen in an embedding medium and removing the separable portion of the cassette to leave the located and embedded specimen supported on the base portion of the cassette for subsequent microtome sectioning of the specimen. Hence, in this aspect of the invention the specimen is held in a desired orientation in the cassette prior to embedding. This can conveniently be achieved by orienting the specimen in the cassette by the use of tweezers prior to the specimen being held and positively located in the desired orientation in the cassette. Preferably, the base portion and separable portion are brought together and interengaged, with the tissue specimen held and located between them. To aid this retention and location, the specimen is preferably resiliently held between the base portion and the separable portion as a result of the base portion being compliant. This compliance has the advantage that any shrinkage of the specimen is then compensated for automatically.

0006As a further aid to location and retention of the tissue specimen, the base portion may be recessed or dished in order to receive and locate the tissue specimen with a cradling action.

0007According to another aspect of the invention there is provided a cassette for holding a tissue specimen, comprising a body portion and a separable portion which interengage to define between them a space for accommodating the located tissue specimen so that the latter is held in a desired orientation in the cassette, the cassette having apertures which render the space fluid permeable, the cassette also serving as a mould for an embedding medium which fills the space and embeds the located tissue specimen, the separable portion of the cassette being removable to leave the located and embedded specimen supported on a base portion of the body portion of the cassette for subsequent microtome sectioning of the specimen.

0008The base portion is preferably rectangular and may, as previously mentioned, be compliant. This is preferably achieved by resilient linkage means which may include four parts, each part interconnecting a corresponding one of four sides of the base portion with an adjacent side of the remainder of the body portion, each part of the resilient linkage means having three sets of hinges and two plates, one set of hinges interconnecting the base portion and a first plate, a second set of hinges interconnecting the first plate and a second plate and a third set of hinges interconnecting the second plate and the adjacent side of the remainder of the body portion, the linkage means constraining the base portion to remain substantially parallel with the separable portion. This parallelism of the base portion and the separable portion avoids any tendency for the tissue specimen to be squeezed asymmetrically or moved towards one side of the cassette.

0009According to a further aspect of the invention there is provided apparatus for simultaneously embedding a plurality of specimens, which comprises a container, a heat-conducting bottom in said container, supply means for delivering a quantity of a melted embedding medium into said container, chilling means for cooling said bottom below the medium melting point, and outlet means for draining surplus medium, in combination with a plurality of one-time moulds temporarily positioned on said bottom.

0010Preferably, each one-time mould is constituted by a cassette according to said another aspect of the invention.

0011According to a yet further aspect of the invention there is provided apparatus for simultaneously emdedding a plurality of tissue specimens individually and in one-time moulds, each of the moulds having a vertical mould wall defining a mould area, an open bottom, and a perforated specimen-orientation means in the mould area, which comprises a container, a heat-conducting bottom in said container, supply means for delivering a quantity of a melted embedding medium into said container, chilling means for cooling said bottom below the medium melting point, and outlet means for draining surplus melted medium from said container, whereby the specimen in each mould can be embedded by placing the plurality of the moulds on the container bottom; introducing the quantity of embedding medium; chilling a bottom layer of the embedding medium; draining the unchilled embedding medium from around the moulds and allowing the embedding medium in the moulds to solidify before removal of the moulds from the container.

0012According to a yet further aspect of the invention there is provided a method of simultaneously embedding a plurality of specimens, comprising supplying molten embedding medium to a container, allowing the embedding medium to surround specimens located in respective cassettes supported on a base of the container, chilling the base of the container to seal the junction between the base of the container and each cassette against the egress of embedding medium from the cassette, draining the embedding medium from the container to leave the embedding medium within each cassette, and separating each cassette from the base of the container to provide an embedded specimen for subsequent microtome sectioning.

0013The invention will now be further described by way of example with reference to the accompanying drawings in which: <ul id="ul0001" list-style="none"><li>Figure 1 is a perspective view of a cassette according to the invention with parts broken away to show internal detail,</li><li>Figure 2 is a longitudinal sectional view of a body portion of the cassette,</li><li>Figure 3 is a transverse sectional view of the body portion of the cassette,</li><li>Figure 4 is an underside plan view of the body portion of the cassette,</li><li>Figure 5 is a plan view of a separable portion of the cassette,</li><li>Figure 6 is a perspective view of a container used in embedding the cassette,</li><li>Figure 7 is a diagrammatic sectional view through the container of Figure 6,</li><li>Figure 8 is an underside plan view of the container of Figures 6 and 7, and</li><li>Figures 9a to 9l are a series of views showing stages in the use of the cassette.</li></ul>

Detailed description of the drawings

0014The cassette comprises a body portion 10 and a separable portion 12. Figure 1 shows the body portion 10 and the separable portion 12 in operative engagement, Figures 2, 3 and 4 show the body portion 10 alone and Figure 5 shows the separable portion 12 alone.

0015The body portion 10 has a perforated base portion 14 in the form of a rectangular panel surrounded by an upwardly projecting peripheral wall 16 and a downwardly projecting wall 18. At one end of the body portion 10, the upwardly projecting peripheral wall 16 forms an angled face 20 on which identifying matter can be written. The upwardly and downwardly projecting walls 16 and 18 adjoin along a step 22, the line of the step 22 being formed as a line of weakness so that the lower peripheral wall 18 can be separated from the remainder of the body portion by tearing along the line of weakness, as indicated by the arrow 24 in Figure 1. The downwardly projecting peripheral wall 18 has an integrally projecting tag 26 which is gripped and pulled to separate the wall 18 from the remainder of the body portion 10. The lower edge 30 of the wall 18 has rectangular notches 32, three in each side, imparting a castellated appearance to the lower edge 30.

0016The base portion 14 is connected to the remainder of the body portion 10 by linkage means 34, the whole structure of the body portion of Figures 2 to 4 being integrally moulded from a synthetic plastics material. The linkage means 34 are in four parts, respectively connecting the four edges of the rectangular base portion 14 to the adjacent length of the step 22. For example, referring to Figures 2 and 4, one side 14a of the body portion 14 is connected by a first hinge 34a to a first plate 36a which is in turn connected to a second plate 38a by a second hinge 40a. The second plate 38a is connected to the adjacent length of the step 22 by a third hinge 42a. The opposite side 14b of the base portion 14 is connected to the adjacent length of the step 22 by a similar series of three hinges 34b, 40b and 42b and two plates 36b and 38b. Referring to Figures 3 and 4, the two remaining sides 14c and 14d are connected to adjacent lengths of the step 22 by respective hinges and plates, namely three hinges 34c, 40c and 42c and two plates 36c and 38c; and three hinges 34d, 40d and 42d and two plates 36d and 38d.

0017The linkage means 34 provide the base portion 14 with a degree of compliance which enables it to move with a resilient action with respect to the surrounding walls 16 and 18. Figures 2 and 3 show the base portion in its normal undeflected condition, and Figure 1 shows the base portion in a displaced operative condition in which the base portion 14 has moved upwardly with respect to the walls 16 and 18 in order to accommodate a tissue specimen 42 located between the base portion 14 and the separable portion 12. The linkage means 34 has compliance sufficient to prevent distortion of the specimen 42 and stiffness sufficient to hold and retain the specimen 42 in the cassette.

0018As best seen in Figure 4, each hinge 34a, 34b, 34c, 34d, 40a, 40b, 40c, 40d consists of three hinge elements; each hinge 42a, 42b, 42c, 42d consists of five hinge elements.

0019The separable portion 12 of the cassette shown in Figure 5 comprises a generally rectangular panel of plastics material having a rectangular perforated area 44. Each longer edge of the separable portion 12 has three semicircular recesses 46, one shorter edge has five recesses 46 and two projecting lugs 48, and the other shorter edge has five recesses 46, a projecting tag 50 and a single lug 48. The separable portion 12 engages with the body portion 10 with a snap action, this occurring as a result of the separable portion 12 being pressed into the wall 18, as shown in Figure 1. In this condition the three lugs 48 of the separable portion 12 engage in corresponding notches 32, as does the neck 52 of the tag 50. When the body portion 10 and separable portion 12 are interengaged the circular recesses 46 register with corresponding notches 32 so as to define passages extending from outside the cassette into the mould space 54 defined between the base portion 14 and the separable portion 12.

0020As will be subsequently explained in detail, the specimen 42 is located and orientated in a desired position between the resilient base portion 14 and the separable portion 12 which is snapped into position to hold the specimen 42 in its oriented and located position in the cassette. The specimen is then processed in a conventional manner so as to remove water from the specimen, this being done by the successive application of processing fluids. During processing, the specimen may shrink and any such shrinkage is taken up automatically by the compliance of the base portion 14, without altering the retention or orientation of the specimen 42.

0021Having been processed, the specimen is then embedded in paraffin wax by use of the apparatus shown in Figures 6 to 8. The embedding apparatus comprises a container 56 with upstanding walls 58 and a central pipe 60 through which molten wax is supplied to and drained from the container 56. The container 56 has a heat conducting bottom 62 below which is arranged a coiled tube 64 for the passage of heating fluid or cooling fluid, for example hot or cold water respectively. The tube 64 has an inlet 66 with an inlet valve 68, and an outlet 70 with an outlet valve 72.

0022The pipe 60 communicates with a wax control valve 74 which leads to a reservoir of wax indicated diagrammatically at 76. The reservoir 76 is placed under pressure to feed molten wax through the open valve 74, upwardly through the pipe 60 and into the container 56. The source 76 is partially evacuated to drain surplus molten wax from the container 56. The pipe 60 is surrounded by heating tape 78 which is electrically energised to maintain the central area of the base of the container warm even when cooling fluid is passing through the tube 64.

0023A representative sequence of operations will now be described with reference to Figure 9. Figure 9a shows the specimen 42 ready to be loaded in the cassette which at this stage comprises the separate portions 10 and 12. At this stage the specimen 42 is identified by an appropriate marking on the angled face 20. The body portion 10 is then inverted (Figure 9b) ready for loading of the specimen 42 in the cassette. The specimen 42 is loaded into the cassette by locating the specimen 42 between the base portion 14 and the separable portion 12 (Figure 9c). The separable portion 12 is snapped into position on the body portion 10 by interengagement of the lugs 48 and neck 52 in the corresponding notches 32 (Figure 9d), whereby the separable portion 12 is brought into a predetermined position with respect to the wall 18. In this operation, care is taken to ensure that the specimen 42 is in the desired orientation in the cassette.

0024As the separable portion 12 is pressed into position on the wall 18 of the body portion 10, the compliant base portion 14 moves as a result of flexure of the linkage means 34. The arrangement of the linkage means is such that the base portion 14 remains parallel with the separable portion 12, the degree of compliant movement of the base portion 14 depending on the size of the specimen 42. The loaded cassette is inverted and is now ready for processing (Figure 9e). The linkage means do not project above the upper edge of the wall 16, regardless of the size of the specimen.

0025The specimen 42 may be processed in the same container 56 as is used for embedding, in which case the cassette and sample are placed in the container 56 which would then have a cover to enable processing fluids to be successively delivered to the container in order to process the specimen 42 in a known manner. Having been processed, the specimen 42 is now ready to be embedded. The cassette carrying the located and processed specimen 42 is placed in the container 56 so that the edge 30 of the cassette rests on the bottom 62 of the container 56 (Figure 9f). In practice, a number of such loaded cassettes would be placed in a single layer in the container 56 so that a number of specimens can be emdedded simultaneously. If desired conventional cassettes can be placed on the single layer of inventive cassettes and embedded in the same operation.

0026Molten paraffin wax 79 (Figure 9g) is supplied to the container 56 through the pipe 60. The molten paraffin wax flows upwardly into the mold space 54 through the passages defined by the recesses 46 and the notches 32. The wax is kept molten by hot fluid being passed through the tube 64 below the heat conducting bottom 62 of the container 56. The supply of wax 79 continues until the level 80 of molten wax is above the level of the upper edge of the wall 16 of the body portion 10.

0027By appropriate change-over of the valves 68 and 72, cooling fluid is passed through the tube 64 and this has the effect of solidifying a base layer 82 of the wax as shown in Figure 9i. Cooling of the bottom 62 of the container 56 is continued until the base layer 82 is sufficiently deep to seal the passages formed by the notches 32 and the recesses 46. As a result, the base layer 82 seals the base of the cassette to the container bottom 62.

0028Excess molten wax is now drained from the container 56 by applying suction to the source 76 and opening the valve 74 (Figure 9j). During this stage the heating tape 78 is energised to prevent solidification of wax around the central pipe 60. Because the layer 82 seals the base of the cassette to the bottom 62 of the container 56, the wax is retained in the cassette, the wax then being allowed to cool and solidify, which causes a certain degree of contraction indicated at 84 in Figure 9k. The specimen 42 is now embedded in solidified wax and the complete cassette with the embedded specimen 42 is removed from the container, either by cutting around the wax or by temporarily heating the base 62 in order to cause localised melting of the wax to facilitate release of the cassette from the bottom 62 of the container 56.

0029The separable portion 12 is now removed from the wall 18 by grasping the projecting tag 50 and pulling the portion 12 away from the body portion 10 (Figure 9k). The wall 18 is then removed by grasping the projecting tag 26 and separating the wall 18 by tearing along the line of weakness defined by the step 22. The embedded specimen 42, located in the remaining portion of the cassette, is now ready for microtome sectioning, the base portion 12 and the torn away wall 18 being discarded (Figure 91). It will be appreciated that the wall 16 provides two accurately spaced parallel surfaces for accurate and reliable location of the embedded cassette in the microtome machine. It will also be appreciated that the specimen 42, having been initially located and oriented between the base portion 14 and the separable portion 12 has not been moved, adjusted or directly handled in any way, with the result that the specimen 42 is embedded in its desired location.

0030The cassette may have an opening to allow for the insertion of a pair of tweezers for accurately positioning the specimen during closure of the separable portion 12 and the body portion 10. Also, the base portion 14 may be shaped, eg with a recess, to aid central location of the specimen 42 in the mould space 54. Instead of being paraffin wax, the embedding medium may be a plastics material, eg epoxy.

0031In a modified form of the cassette (not illustrated) the separable portion 12 pushes into the wall 18 to an extent dependent on the size of the specimen. The wall 18 and the separable portion 12 engage with a ratchet-like action as the separable portion is pushed into position with the specimen located between the separable portion 12 and the base portion 14 which in this case is not compliant.

0032After embedding, the wall 18 is removed before the separable portion is stripped away from the solidified wax, leaving the embedded specimen supported on the remainder of the body portion of the cassette, ready for clamping in a microtome for sectioning.