BTX AgilePulse ID User manual

AgilePulse™ID
In Vivo
Gene Delivery System
USER’S MANUAL
Publicaon 015-101444 Rev 2.0

Thank you for invesng in an AgilePulse system.
Since its founding in 1983, the main focus of BTX has been in the area of applying
controlled electric elds for genec engineering applicaons. Because of this,
we quickly established a reputaon as the technological leader in the elds of
electroporaon and electrofusion. Our systems have been installed in many
presgious instutes around the globe where they are used successfully for high
eciency transfecon, transformaon and cell fusion applicaons. We oer a
variety of waveforms, electrodes and chamber opons to provide you with the
best tools to achieve your goals.
We are vested in your success. To that end, the BTX technical support team
constantly tracks published literature for any reference to electroporaon and
electrofusion. We extract the pernent experimental condions and yields
from these papers to help us in our eorts to help you. In addion to tracking
publicaons, we are available to you for support at any me for advice in
experimental design, product recommendaons, troubleshoong, and any other
relevant technical advice.
We thank you again for your investment and we look forward to assisng you in
any way we can.
Finally, please read this manual carefully before aempng to operate the
electroporaon system. If you have any quesons about the unit or about
parcular applicaons, please contact us:
BTX
84 October Hill Road
Holliston, MA 01746 USA
Toll Free: 1-800-272-2775
Internaonal Callers: 508-893-8999
Fax: 508-429-5732
Web: www.btxonline.com
Email: [email protected]
For any customers outside the US or Canada, please call your local BTX dealer or
call us directly.
A Message from BTX
AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Table of Contents
SUBJECT PAGE #
Warranty Informaon 3
Safety Informaon 4
AgilePulse™ ID System Components and Set-Up 5–7
Introducon 5
The AgilePulse Waveform Generator 5
Front Panel 6
Back Panel 6
Intradermal Electrode Array (ID) 6
Seng up the System 7
Inial System Test 7
System Operaon 8–16
Experiment Delivery 8
USB Key/Memory Sck 8
Intradermal Array (IDA) Electrode 8
Handle 8
Electrode Tip 8
Waveform Generator 9
Login Screen — User Idencaon Input 9
Welcome Screen — Idencaon Input 9
Experiment Delivery Screen Funcons and Operaon 10
Experiment Delivery Logs 11
Text Log 12
CSV Data 13
Delivery Compleon Return Codes 14
Soware Maintenance Mode 15
User Account Maintenance 15
Log Retrieval 16
Pulse Protocol 16
AgilePulse™ ID Tutorial 17–26
Applicaon 17
Experimental Delivery Methods 17
Delivery into Cells Using Electroporaon 18
General Electroporaon Discussion 18
AgilePulse™ Electroporaon 20–22
AgilePulse In Vivo/Ex Plant Electroporaon Protocol
(Animal Skin/Tibialis Muscle)
23–24
Specicaons 25
Maintenance 26
Fuse Replacement 26
Electrode Care and Cleaning 26
Ordering Informaon 27
References 28–29

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Table of Contents
LIST OF FIGURES PAGE #
Figure 1: AgilePulse Waveform Generator 5
Figure 2: AgilePulse Waveform Generator Selecon Guide 5
Figure 3: AgilePulse Front Panel 6
Figure 4: Login Screen 7
Figure 5: System OK Screen 7
Figure 6: Self Check Not Successful Screen 7
Figure 7: IDA Electrode Handle 8
Figure 8: IDA Tip 8
Figure 9: Aaching IDA Tip to Handle 8
Figure 10: User Login Screen 9
Figure 11: Opening Screen 9
Figure 12: Delivery Screen — Inializaon 10
Figure 13: Delivery Screen — Load Esmaon 10
Figure 14: Delivery Screen — High Voltage Power Supply Charge 10
Figure 15: Delivery Screen — Pulse Waveform Acve 10
Figure 16: Delivery Screen — Shutdown 11
Figure 17: Text Log Screen 12
Figure 18: Sample Amplitude Analysis 13
Figure 19: User Account Screen 15
Figure 20: Log Retrieval Screen 16
Figure 21: Pulse Protocol Modicaon 16
Figure 22: Electroporaon 18
Figure 23: Transmembrane Voltage 19
Figure 24: Two Needles per Row Field 22
Figure 25: Electrical Field Coverage 23
Figure 26: Bleb Formaon 23
Figure 27: Fuse Replacement 26

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Warranty Information
RESEARCH ONLY
BTX
84 October Hill Rd
Holliston, MA 01746, USA
Phone: 1-508-893-8999
Fax: 1-800-429-5732
Web: www.btxonline.com
Warranty
BTX warranes AgilePulse systems for a period of two years from
the date of purchase. At its opon, BTX will repair or replace
the product if it is found to be defecve as to workmanship or
materials. This warranty does not extend to any device which
has been (a) subjected to misuse, neglect, accident or abuse, (b)
repaired or altered by anyone other than BTX without BTX express
and prior approval, (c) used in violaon of instrucons furnished
by BTX. This warranty extends only to the original customer
purchaser. IN NO EVENT SHALL BTX BE LIABLE FOR INCIDENTAL OR
CONSEQUENTIAL DAMAGES. Some states do not allow exclusion
or limitaon of incidental or consequenal damages so the above
limitaon or exclusion may not apply to you. THERE ARE NO
IMPLIED WARRANTIES OF MERCHANTABILITY, OR FITNESS FOR
A PARTICULAR USE, OR OF ANY OTHER NATURE. Some states
do not allow this limitaon on an implied warranty, so the above
limitaon may not apply to you. Without liming the generality
of the foregoing, BTX shall not be liable for any claims of any kind
whatsoever, as to the equipment delivered or for non-delivery of
equipment, and whether or not based on negligence. Warranty
is void if the BTX AgilePulse system is changed in any way from
its original factory design or if repairs are aempted without
wrien authorizaon by BTX. Warranty is void if parts, connecons
or electrodes not manufactured by BTX are used with the BTX
AgilePulse instrument. If a defect arises within the warranty period,
promptly contact BTX, 84 October Hill Road, Building 7, Holliston,
Massachuses, USA 01746-1388 using our toll free number
1-800-272-2775 (US Only) or 508-893-8999 (E-mail: support@
hbiosci.com). Goods will not be accepted for return unless an RMA
(Returned Materials Authorizaon) number has been issued by
our customer service department. The customer is responsible
for shipping charges. Please allow a reasonable period of me
for compleon of repairs, replacement and return. If the unit is
replaced, the replacement unit is covered only for the remainder
of the original warranty period dang from the purchase of the
original device. This warranty gives you specic rights, and you may
also have other rights, which vary from state to state.
Out of Warranty Service
Proceed exactly as for Warranty Service above. If our service
department can assist you by phone or other correspondence, we
will be glad to help at no charge.
Repair service will be billed on the basis of labor and materials.
A complete statement of me spent and materials used will be
supplied. Shipment to BTX should be prepaid. Your bill will include
return shipment freight charges.
Disassembly by the user is prohibited. Service should only be
carried out by experienced BTX technicians.
Repair Facilies and Parts
BTX stocks replacement and repair parts. When ordering, please
describe parts as completely as possible, preferably using our part
numbers. If praccal, enclose a sample photo or drawing.
Cauon Noce
The BTX AgilePulse systems are intended for laboratory use only
and can be used in research and development applicaons.
These systems have been designed to meet the standards for
electromagnec compability (EMC) and safety intended for
laboratory equipment applicaons.
This product should not be used in the presence of a ammable
atmosphere such as an anesthec mixture with air, oxygen, or
nitrous oxide.

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Caution Risk
of Electric Shock
Caution Protective
Ground Terminal
High Voltage Risk
These instruments contain a high voltage power supply adjustable
to 1,000 V. High voltage power supplies present a serious risk of
personal injury if not used in accordance with design and/or use
specicaons, if used in applicaons on products for which they
are not intended or designed, or if they are used by untrained or
unqualied personnel.
• The user must read this manual carefully before the
instruments are placed into operaon.
• Removing the cover will void the warranty.
• Do not connect or disconnect the high voltage cable with
the high voltage enabled.
• To connect or disconnect the cable, turn line power o and
unplug line (mains) cord.
• Do not touch the electrode p while the waveforms are
being applied.
• Do not under any circumstances turn the power switch o
while the system is pulsing; if an emergency occurs push
the emergency buon on the front panel
If there are any quesons about the operaon of this instrument,
call BTX Customer service at 1-800-272-2775, or 1-508-893-8999.
Cauon Noce
The BTX AgilePulse Systems are intended for laboratory use
only and can be used in research and development applicaons.
These systems have been designed to meet the standards for
electromagnec compability (EMC) intended for laboratory
equipment applicaons as well as the applicable safety
requirements for electrical equipment for measurement, control,
and laboratory use. The unit itself does not generate waste, but
may be used to treat samples that are hazardous. Please use
appropriate PPE and ensure disposal in accordance with local
regulaons and pracces.
This product should not be used in the presence of a ammable
atmosphere such as an anesthec mixture with air, oxygen, or
nitrous oxide.
Please read the following safety precauons to ensure proper
use of your generator. If the equipment is used in a manner not
specied, the protecon provided by the equipment may be
impaired.
To Prevent Hazard or Injury
Emergency Stop
If a problem occurs during a run, push the STOP/RESET buon on
the front panel.
Use Proper Line Cord
Use only the specied line cord for this product and make sure line
cord is cered for country of use. The operang voltage range for
the AgilePulse Series is 100 to 240 VAC, 50/60 Hz.
Ground the Product
This product is grounded through the grounding conductor of the
power cord. To avoid electric shock, the grounding conductor must
be connected to earth ground. Before making any connecons
to the input or output terminals of the product, ensure that the
product is properly grounded.
Make Proper Connecons
Make sure all connecons are made properly and securely. Any
signal wire connecons to the unit must be no longer than three
meters.
Observe All Terminal Rangs
Review the operang manual to learn the rangs on all
connecons.
Use Proper Fuse
Use only specied fuses with product.
Avoid Exposed Circuitry
Do not touch any electronic circuitry inside of the product.
Do Not Operate with Suspected Failures
If damage is suspected on or to the product do not operate the
product. Contact qualied service personnel to perform inspecon.
Orient the Equipment Properly
Do not orient the equipment so that it is dicult to operate the
disconnecon device.
Place Product in Proper Environment
Review the operang manual for guidelines for proper operang
environments.
Observe All Warning Labels on Product
Read all labels on product to ensure proper usage.
Safety Information

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AgilePulse ID In Vivo Gene Delivery System
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Introducon
The AgilePulse™ system provides the capability of delivering DNA
vaccines to the dermis. The system is designed for easy set-up and
operaon.
Specicaons are presented on page 27.
The AgilePulse™ ID system is composed of three subsystems:
• Touchscreen controlled AgilePulse Waveform Generator
• Intradermal Array (ID) parallel, needle electrodes
• User Manual
Oponal equipment available includes:
• Foot Pedal (47-0420)
• Adapter box for electrodes with 4mm banana cables
(47-0090 or 47-0091, please see Ordering Informaon
page 27 for details)
• 2-Needle Array, 5 mm gap, pkg. of 6 (45-0121)
• 2-Needle Array Handle, for 5 mm gap (45-0206)
The AgilePulse ID
Waveform Generator
The Waveform Generator (Figure 1) is composed of a computer and
high voltage pulsing circuits. The computer runs mobile Windows®
and is operated by a touch screen. On the front panel there is
a power switch, a touch screen, an emergency stop switch, an
electrode connector and two USB ports. All User inputs are entered
via the touch screen or by connecng a keyboard to one of the USB
ports. The system may be operated by using an oponal foot pedal.
On the back panel there is a line/mains power connector.
The high voltage pulsing circuits are controlled by a microcontroller.
The microcontroller accepts user inputs from the touch screen and
produces the pulse waveforms. A second microcontroller is used
as an independent audit of the waveforms produced. If the audit
funcon detects a deviaon from the desired pulse protocol, the
system immediately terminates pulsing. The system also digizes
the output of the pulse voltage and pulse current monitors and
calculates the skin resistance of the ssue on each pulse. This is
a signicant quality control funcon that indicates the vaccine is
being delivered properly. Aer the vaccine is delivered, a log of all
parameters is saved in Internal Memory and on a USB memory key,
if one is inserted.
Figure 1: AgilePulse Waveform Generator
Figure 2
AgilePulse Waveform Generators come in two variees,
specialized for pulse accuracy in relaon to electrical resistance
of the sample ssue. AgilePulse ID is recommended for
electroporaon of high resistance ssue, such as skin and bialis
muscle. AgilePulse IM is recommended for low resistance ssue
such as quadriceps muscle. Please refer to Figure 2, AgilePulse
Waveform Generator Selecon Guide, for details.
AgilePulse Waveform Generator Selecon Guide
Tissue Type Approximate
Tissue Load Range
Recommended
Waveform
Generator
Skin, intradermal
electroporaon
1100 to 2200 Ohms AgilePulse ID
Tibialis muscle 800 to 1500 Ohms AgilePulse ID
Quadriceps,
small animal
200 to 400 Ohms AgilePulse IM
Quadriceps,
large animal
80 to 250 Ohms AgilePulse IM
AgilePulse™ID System Components & Set-Up

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Front Panel
The following can be found on the front panel: the Mains/Line
power switch (illuminated when on), the Emergency Stop buon
switch, two USB ports, the ID Electrode Connector, and the User
Touch Screen (Figure 3).
One USB port can be used for a Memory Key. The data logs that
result from a vaccinaon are automacally stored on the Key if one
is inserted. The other USB port may be used for the oponal Foot
Pedal.
The Emergency Stop buon switch is used to stop system
operaon. This switch immediately stops all pulsing and turns o
the high voltage power supply. The Line/Mains power switch should
never be used to turn o the system in an emergency situaon if
pulsing is in progress.
Back Panel
On the back panel there is an IEC Power Entry module and
provisions for an Ethernet port.
Ethernet connecvity is not currently available.
Intradermal Array Electrode (IDA)
The IDA consists of two parts: the handle and the p. The handle
is connected to the waveform generator. The p contains needle
electrodes used to deliver the transfectant (DNA/vaccine/drugs
etc.) into the target cells. The needle arrays are disposable, but can
be used for mulple experiments provided proper cleaning, and
care of electrodes, are followed, and sterilized.
The IDA electrode is described in more detail on page 8.
Figure 3: AgilePulse Front Panel
AgilePulse™ID System Components & Set-Up

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Seng Up the System
The system will be set up in the following sequence:
1. Unpack the contents of the shipping box.
2. Check for obvious signs of exterior damage. If damage is
noted, contact BTX Customer Service before proceeding.
3. Place the Waveform Generator on the top of a sturdy table.
4. Connect the electrode cable into the connector at the
boom right of the front panel.
5. Connect the mains/power cord into the back panel at the
boom right.
6. Connect the foot switch (if applicable) into one of the USB
ports at the boom le corner of the Waveform Generator
(front panel).
PLEASE CONTACT BTX IF YOU ARE INTERESTED IN AN
ON SITE TRAINING.
Inial System Test
This secon will describe the process to verify mains/line cable has
been installed properly and the computer boots up.
1. Connect the system power cord to the mains.
(Plug in the device.)
2. Turn the rocker switch (Line/Main Power) on the front
panel to the “on” posion (I).
The rocker switch labeled “Power” should illuminate, and the Login
Screen should appear within 10 seconds. If the Waveform Generator
power switch fails to illuminate, then return it to the OFF posion
(O). Verify the power cord is properly plugged into the wall. Verify the
wall socket is funconal. It may be necessary to check the fuse. See
Maintenance secon (page 28) for instrucons, proper replacement
of the fuse and the correct fuse type.
If the power is properly applied, the screen should appear as that
shown in Figure 4. Aer entering the user login informaon and
tapping “OK”, the soware connues its inializaon procedure and
the NEXT buon will have a white ll.
If the internal system checks are successfully completed, the NEXT
buon will turn GREEN indicang the system is ready for use (Figure
5). If the NEXT buon turns RED, then the internal checks failed
(Figure 6). The system cannot be used if the buon is red. Contact BTX
Customer Service for assistance.
This completes the set-up and tesng of the AgilePulse™ System.
If there is a problem, contact Technical Support for assistance.
Phone 508-893-8999, or toll free 800-272-2775
Website www.btxonline.com
Figure 4: Login Screen
(visible about 10 seconds after power on)
Figure 5: System OK Screen (Operating Correctly)
Figure 6: Self Check Was Not Successful Screen
AgilePulse™ID System Components & Set-Up

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AgilePulse ID In Vivo Gene Delivery System
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This chapter describes the procedure to operate the Waveform
Generator and to use the Intradermal Electrode.
Experiment Delivery
The user operates the system via the front panel touch screen.
When the power is turned on, the system boots up, and displays
the opening screen. The system is immediately ready for use.
All data logs produced for a transfectant delivery will be
automacally placed on a USB Key if one is inserted into an open
slot on the front panel. The user must ensure the USB Key is
inserted before the Protocol Delivery Screen is displayed, as the
protocol pulsing is started.
If the user does not have a USB Key inserted at run me, all run
history log les can be retrieved at a later me from the log les.
USB Key/Memory Sck
The USB key can be inserted into either of the two USB ports that
are located on the front panel of the waveform generator. It should
be inserted before delivering pulses and can be removed at any
me aer the “saving data” message disappears. The USB key may
be removed without performing any addional procedures. The
data logs that result from a experiment are automacally stored on
the Key.
Intradermal Array (IDA) Electrode
The IDA Electrode consists of two parts: The handle and the p.
IDA Electrode Handle
The handle consists of an assembly into which the p is placed
and a permanently aached cable. The cable is connected to the
Waveform Generator. The handle is made of a durable plasc. It is
not sterile and may be cleaned with alcohol. The handle is reusable.
IDA Electrode Tip
The IDA p is recommended for single use and is disposable.
The p is made of medical grade plasc with surgical steel needles.
There are three ps that may be used with the handle.
The ps are shipped in individual pouches. A cover is included to
protect the needles during shipping and handling.
When ready to use the electrodes, open the pouch and remove
the p.
Insert the p into the handle by aligning the arrow on the p with
the arrow on the handle. Side grips have been added to the p for
easier applicaon.
Once the transfectant is ready for administraon, remove the
protecve cover from the IDA Tip taking care not to disconnect the
p from the handle.
System Operation
Figure 8: IDA Tip
Figure 9: Attaching IDA Tip to Handle
Figure 7: IDA Electrode Handle

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Figure 10: User Login Screen
System Operation
Waveform Generator
Login Screen — User Idencaon Input
Aer power is turned on, a Login Screen is presented that requires
the user to enter a user name and password combinaon. The
Login system is designed to prevent unauthorized users from
accessing the system and conne authorized users to permissible
acvies.
Two types of users are dened: system administrator and standard
user. There is only one system administrator of the system who has
the ability to add/remove pulse waveform protocols, add/remove
standard user accounts, and assign pulse waveform protocol access
privileges to standard users. The administrator always operates
under the “admin” account.
Standard users are intended to be everyday users of the system,
who only have the ability to run pre-dened pulse waveform
protocols from an access list as determined by the administrator.
The administrator may grant a standard user the ability to modify
an already dened protocol, but not to add/remove protocols.
AgilePulse is factory congured with only the “admin” account
available. By default no password is dened so the user can enter
the system with parameters matching that of Figure 10 on rst
log in. The password may then be changed from the User account
screen in Setup secon. The most recently logged in user will be
displayed in the User Name eld on startup.
To enter User names and Passwords, touch the Change buons to
acvate a virtual keyboard.
User name: Enter the user’s name to login
Password: Enter the password associated with the user
account. Password entry is masked with “*”
characters in order to provide increased
security.
When the User name and Password have been entered, touch OK
to log in.
Welcome Screen — Idencaon Input
An opening screen (Figure 11) allows input of key experimental
informaon aer the inial system log in. Informaon is entered
by a virtual keypad. The purpose of this screen is for the USER
(Researcher) to enter the Experiment ID, Transfectant and
Electrode ID.
All three parameters are set by user selected input. Touching a
text eld box highlights it blue and allows modicaon. Use the
available touch screen keypad to enter up to 15 characters for
each. Alternavely, a USB keyboard may be plugged into one of
the front panel USB connectors and used to edit the ID elds
manually. This screen cannot be operated from the foot pedal
(ID elds cannot be selected or edited). The following pulse
delivery screen may be operated by either the touch screen or
by the oponal foot pedal depending on the specicaon.
Aer verifying the idencaons are correct go to the delivery
screen by touching NEXT.
Figure 11: Opening Screen

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Experiment Delivery Screen Funcons
and Operaon
The purpose of the delivery screen is to iniate pulses to deliver
transfectant to ssue. The procedure is as follows.
1. The researcher injects the transfectant forming a bleb under
the skin of the animal, and inserts the electrode
according to the approved protocol.
2. The researcher determines if the electrode is inserted
properly by touching the LOAD buon or by depressing
the foot pedal. A number will appear in the Est. Load
box. LOAD buon will change to a green color. Esmated
load in ohms is displayed. This number is the eecve
resistance of the animal’s skin and will connue to be
updated every second.
Figure 12: Delivery Screen — Initialization
Figure 13: Delivery Screen — Load Estimation
3. If the LOAD Reading is within range (Less than 3500
ohms for skin) then the next step is to turn on the high
voltage power supply by touching the READY buon or
depressing the foot pedal. The READY buon will ash
green unl fully charged and then will stay solid green.
The high voltage reading will appear in the System
message box. If the researcher wants to abort the process,
the electrode should be removed and the DONE buon
pressed. In this case, an early terminaon message will
appear in the data log and the system reset.
System Operation
4. If the researcher determines that the system voltage is
correct, pulsing is inialized by touching START or
depressing the foot pedal. The START buon turns a
solid blue while pulsing is acve and solid green when
pulsing is completed.
5. When the system reaches a shutdown state either by
successful waveform delivery or by error, all buons will
turn solid green and pulse delivery data will be
displayed in the System message text box. The load
message box will change from the esmated load value
to the actual high voltage pulse monitored value.
Figure 14: Delivery Screen — High Voltage Power Supply Charge
Figure 15: Delivery Screen — Pulse Waveform Active

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
7. Press the color-lled DONE buon to return to the
opening screen.
6. All run history log data are automacally stored in
internal Flash Memory as well as a USB Key, if one is
inserted.
Figure 16: Delivery Screen — Shutdown
System Operation
Experiment Delivery Logs
All collected data from the therapeuc/vaccine delivery are
automacally stored in the internal Flash Memory and an inserted
USB key under a unique chronological directory structure.
Included items are an XML le containing raw detailed system and
runme data, a text log with basic runme data, and a comma-
separated CSV le containing pulse monitor data. The directory
structure is constructed in a “AgilePulse\Log\<Year>\<Month>\<D
ay>\<Time>” hierarchy. A maximum of 20,000 delivery logs can be
stored in the internal system memory.
Raw Data
(CCEP <Date> <Time>.xml)
Text Log
(CCEP <Date> <Time>.log)
CSV Data
(CCEP <Date> <Time>.csv)
Start and Stop Date • •
Start and Stop Time • •
Experiment •••
Transfectent •••
Electrode ID •••
Process Compleon Type • •
Set Pulse Parameters •••
Average monitor pulse voltage •
Average monitor pulse current •
Average monitor pulse resistance •
All monitor pulse voltage samples • •
All monitor pulse current samples • •
Monitor width of each pulse •••
Monitor interval of each pulse •••
Pre-pulse Load Reading • •
System Serial Numbers •
System Soware Versions •

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AgilePulse ID In Vivo Gene Delivery System
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Figure 17: Text Log Screen
Text Log
The text log contains the same informaon that appears on the
transfectant/vaccine delivery process screen aer compleon.
Text log data is summarized in an easy-to-read format and is
designed to provide quick feedback regarding the delivery
compleon. An example Log printout is given below in Figure 17.
Field Descripon
Pulse Pulse number
VSet Voltage programmed to high voltage power supply
VMon Voltage monitored during pulse
IMon Current monitored during pulse
RMon Equivalent load resistance calculated from voltage and
current monitors R = V / I
DurSet Pulse duraon programmed to waveform generator
DurMon Pulse duraon monitored by independent
me-auditor system
IntSet Pulse interval programmed to waveform generator
IntMon Pulse interval monitored by independent
me-auditor system
Date Start: 8/14/2011 6:00:09 AM (8/14/2011 1:00:09 PM GMT)
Experiment: Pl
Transfectant: Plasmid A
Electrode: IDA-2001
Operator: BTX
Final Completion Code Code: 0 (Success)
++++++++++++++++++++++++++
Start: 8/14/2011 6:00:09 AM (8/14/2011 1:00:09 PM GMT)
Process Completion Return Code: 0 (Success)
Pulse VSet PVMon PIMon RMon DurSet DurMon IntSet IntMon
1 450 450 0.351 1282 0.050 0.050 0.200 0.200
2 450 451 0.322 1401 0.050 0.050 50.000 49.856
3 110 110 0.141 783 10.000 9.975 20.000 19.944
4 110 109 0.146 750 10.000 9.975 20.000 19.944
5 110 108 0.147 736 10.000 9.975 20.000 19.944
6 110 108 0.141 767 10.000 9.975 20.000 19.944
7 110 108 0.132 821 10.000 9.975 20.000 19.944
8 110 108 0.131 827 10.000 9.975 20.000 19.944
9 110 108 0.159 681 10.000 9.975 20.000 19.947
10 110 109 0.144 756 10.000 9.975 20.000 0.000
Load Reading: 204
Date Stop: 2/12/2007 2:16:40 PM (2/12/2007 10:16:40 PM GMT)
Time Elapsed: 00:00:18
System Operation

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
CSV Data
Detailed pulse informaon is exported from raw data and formaed to a standard comma separated le, primarily meant to be imported
into Microso Excel® for further user manipulaon. As an example in Figure 18, a user chart was made to display the monitored amplitude
samples of three 100 microsecond pulses run at 5 kHz. In this case, each pulse contains eight amplitude samples.
Figure 18: Sample Amplitude Analysis
System Operation

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Delivery Compleon Return Codes
Return codes are available following system shutdown describing how it took place.
Please contact BTX technical support to resolve the errors.
Return Code Descripon
0 Successful compleon (Normal Operaon)
1 Emergency Flash memory storage failure
2 Waveform protocol data integrity vericaon error
3 Waveform protocol mode not recognized
4Protocol voltage below minimum specicaon
5Protocol voltage above maximum specicaon
6 Protocol pulse width below minimum specicaon
7 Protocol pulse width above maximum specicaon
8 Protocol pulse interval below minimum specicaon
9 Protocol pulse interval above maximum specicaon
10 Protocol pulse number below minimum specicaon
11 Protocol pulse number above maximum specicaon
12 Protocol has a zero pulse group in between two non-zero pulse groups
13 Protocol pulse sengs exceed maximum duty cycle
14 Low voltage power supply failure (Hard system turn-o)
15 High volt power supply voltage above maximum voltage
16 High volt power supply maximum current draw
17 Pulse voltage monitor detected o-zero voltage while no pulse was acve
18 Pulse voltage monitor below maximum droop specicaon
19 Pulse voltage monitor above maximum overshoot specicaon
20 Pulse current monitor below minimum specicaon
21 Pulse current monitor above maximum specicaon
22 Independent me-audit system failed to respond to query
23 Independent me-audit system detected less pulses than expected
24 Independent me-audit system detected more pulses than expected
25 Independent me-audit system exceeded maximum measurable pulse number
26 Independent me-audit system detected excessive pulse duraon variance
27 Independent me-audit system detected excessive pulse interval variance
28 Independent me-audit system data integrity vericaon failure
29 Reset buon on front panel triggered
30 Control system watchdog meout
251 High voltage meout
252 Load esmaon meout
253 Delivery process was terminated prematurely
254 Control system experienced a system reset of unknown source
255 Load esmate outside of allowable range
System Operation

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Soware Maintenance Mode
The authorized system administrator is provided with the means
to set system access privileges, add and delete pulse protocols,
and access delivery log les. Non-administrator standard users can
modify pulse protocols if given access by the administrator and
retrieve previous experimental delivery logs. To enter this mode,
press the Setup buon on the startup screen.
User Account Maintenance
The user account maintenance screen is accessed from the
Welcome screen:
Touch SETUP
Touch USER
User accounts and privileges are managed from this screen. While
standard users will only see the Acve User secon, and thus will
only be able to change their password, the system administrator
has access to account properes for all standard users.
As an administrator, a new user account can be adding by pressing
the “Add New User” buon. Once the account is created the
new user is assigned read-only access to all of the pulse protocol
waveforms on the system. The administrator may then select
individual protocols and provide more access by giving both read
and write privileges, or they may restrict access to a protocol
altogether by giving the user no access at all. When a user is not
given any protocol access they will not be able to see or select it
from the Protocol screen when they log in under their own user
name. When protocols are added through the Protocol screen aer
a standard user account has already been created, all user accounts
in the system will receive read-only access to the new protocol.
The administrator also has the ability to change a user’s password.
This is ideal for situaons in which the user forgets their password
and thus need the password to be reset in order to log in again.
Caution
IMPORTANT! The changes made on this screen
will only be permanently saved when the HOME
button is pressed to go back to the Welcome
Screen. If modications are made and system
power is turned off while still viewing the screen,
all changes will be lost.
Figure 19: User Account Screen
System Operation

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Log Retrieval
All previous experimental delivery logs can be retrieved and saved
onto a USB Key or deleted from internal memory. The interface
consists of a series of chronological sub-folders from which the user
is allowed to double-tap on the touch screen to descend through
the hierarchy. The standard naming sequence is Year, Month, Day,
followed by special folders with the me of day. These me folder
icons show a hand underneath, meaning they contain all les
generated from a single vaccine/transfectante delivery. The “ ”
folders allow the user to return to the previous level of hierarchy.
Special me folders display basic informaon on the right hand
side of the screen when selected. Idencaon numbers, me of
day, and status compleon indicators help the user nd the correct
vaccine/transfectant delivery run to download.
When selected by a single tap on the touch screen icon, any
level of hierarchy can be saved to a USB Key inserted in the front
panel by pressing the SAVE buon. The hierarchy structure will
be maintained and copied to the USB Key. The DELETE buon
is also available to remove the hierarchy from internal memory.
This delete is permanent and the lost les cannot be recovered.
A maximum of 20,000 delivery logs can be stored on the internal
system memory.
DEPENDING ON THE NUMBER OF FILES TO BE DELETED, THIS
PROCESS CAN BE SLOW.
Figure 20: Log Retrieval Screen
System Operation
Pulse Protocol
The pulse protocol to be delivered at run me is set by pressing
the PROTOCOL buon and adjusng parameters via the touch
screen interface. Parameters for three pulse groups are modiable
by selecng a box and scrolling through the available values.
Subsequent groups are acvated by selecng more than one pulse
in the number eld and conversely deacvated by selecng zero
pulses in the number eld.
The adjusted protocol is saved to internal memory when the HOME
buon is pressed. Minimum and maximum parameter values are as
follows:
Protocol Parameter Boundaries
Amplitude (volts) Duraon (ms) Interval (ms) Pulse # Pulse Groups
Minimum 50 0.050 0.200 (5 kHz) 1 1
Maximum 1000 10* 1000 (1 Hz) 10 3
* For Pulse Amplitudes greater than 300 V, the maximum allowable Pulse Width is 1 ms
** Pulse duty cycle is limited to 50%
Caution
IMPORTANT! The changes made on this screen will only be permanently saved when the HOME button is pressed
to go back to the Welcome Screen. If modications are made and system power is turned off while still viewing the
screen, all changes will be lost.
Figure 21: Pulse Protocol Modication

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AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
System Name Company Mechanism Target Factors
(All pain rangs are esmates.)
AgilePulse BTX Inject transfectant in dermis
or muscle with hypodermic
needle, insert needle array,
apply electric eld to deliver
into cells
Dermis/Tibialis muscle • Large dose
• Reduced pain compared to
other electroporaon systems
• Pain 3 out of 10
• High cell transfecon
PMED™PowderMed Microscopic parcles coated
with DNA, delivered into cells
using compressed helium
Epidermis • Small doses
• Possible taooing
• Pain 3 out of 10
• Low/Medium cell transfecon
Biojector® 2000 Bioject Medical
Technologies
Inject using CO2 pressure with
spacer (subcutaneous) or
without spacer (to muscle)
Skin or Muscle • Large doses
• Pain 3 out of 10
• Medium cell transfecon
ECM 830,
Gemini X2,
and others
BTX and others Inject into muscle insert
electrode and apply electric
eld
Muscle • Large dose
• Signicant pain
• Pain 5 to 6 out of 10
• High cell transfecon
Many Many Deliver viral vector with
hypodermic needle into
muscle
Muscle • Immune system reacts to viral
vector, inecient when boosng
• Pain 2 out of 10
Applicaons
The AgilePulse™ system is used to deliver molecules of interest to skin or muscle ssuesn for research purposes only. The AgilePulse system
has been shown to increase DNA delivery to cells resulng in 100 to 1000 mes higher protein expression compared to hypodermic needle
injecon alone (Roos et al., 2006).
The AgilePulse system is typically used to deliver cancer vaccines in doses of 50 µg or more. The AgilePulse system includes a AgilePulse
voltage waveform generator and an Intradermal Array (IDA) electrode used to convert the voltage to electric elds which deliver the
vaccine directly into cells in the skin.
Transfectant Delivery Methods
There are several methods used to deliver transfectants of interest.
AgilePulse™ID Tutorial

18
AgilePulse ID In Vivo Gene Delivery System
Publicaon 015-101444 Rev 2.0 • www.btxonline.com
Ions
Gene
Cell
Membrane
Before Field Applied
Field Applied-Ions Move
Field Applied-Pathways Form
Field Removed-Membrane Seals
Figure 22: Electroporation
Delivery Into Cells Using
Electroporaon
General Electroporaon Discussion
Electroporaon is the use of a transmembrane electric eld pulse
to induce microscopic pathways (pores) in a bio-membrane. Their
presence allows molecules, ions, and water to pass from one
side of the membrane to the other. As the right side bar shows,
when the electric eld is applied, the ions inside and outside the
cell membrane migrate. As the charge builds up on either side of
the membrane, the membrane weakens and the pathways form
perming material outside of the cell to enter. If the electric
eld is promptly removed the pathways close and the membrane
reseals. If the electric eld duraon is too long the pathways
increase and the cell is killed. Ecient electroporaon depends on
proper selecon of electric eld waveforms. The electropores are
located primarily on the membrane areas which are closest to the
electrodes. The pathways form in about a microsecond and seal
in seconds to minutes. The duraon of the electric eld is tens of
microseconds to tens of milliseconds.
The use of electroporaon was described by Neumann in the early
1980s. The roune use of electroporaon became very popular
with researchers through the 1980s because it was found to be a
praccal way to place drugs, or other molecules into cells. In the
late 1980s, sciensts began to use electroporaon for applicaons
in mul-cellular ssue.
In the early 1990s Lluis Mir of the Instute Gustave-Roussy was
the rst to use electroporaon in a human trial to treat external
tumors.
Research has shown that the inducon of pathways is aected by
three major factors. First, cell-to-cell biological variability causes
some cells to be more sensive to electroporaon than other
cells. Second, for pathways to be induced, the product of the
pulse amplitude and the pulse duraon has to be above a lower
limit threshold. Third, the number of pathways and eecve
pathway diameter increases with the product of “amplitude” and
“duraon.” Although other factors are involved, this threshold
is now understood to be largely dependent on a fourth factor,
the reciprocal of cell size. If the upper limit threshold is reached
pore diameter and total pore area are too large for the cell to
repair by any spontaneous or biological process. The result is
irreversible damage to the cell or cell lysis. Because the mechanism
of electroporaon is not well understood, the development of
protocols for a parcular applicaon has usually been achieved
empirically, by adjusng pulse parameters (amplitude, duraon,
number and inter-pulse interval).
AgilePulse™ID Tutorial
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