Cryopreserved patients are stored in what are known as “cryogenic storage dewars” - which, if we wanted to make it very, very simple, could be better compared to a thermos than a freezer.
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Cryogenic storage dewars are vacuum containers used for the transportation and storage of cryogens, which in our specific case is liquid nitrogen. The containers are named after Sir James Dewar, a British chemist and physicist, who back in 1892 invented the “vacuum flask”, also known as a “Dewar flask” or “thermos”.
If you think about it, it’s rather impressive what a thermos can do. You could spend hours laying in the sun and your beverage would remain nicely chilled. You could also be outside on a very cold day, wearing a warm jacket and gloves, and still enjoy a sip of warm and delicious tea from your thermos. How is this even possible?
 Both a thermos and a cryogenic storage dewar are designed in a way that minimizes heat transfer. This allows them to maintain the temperature of the liquid and biological material they’re storing without the use of any electricity.
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The design of a thermos is actually not very complicated. It’s a container with two or more outside layers of evacuated air in between the layers, creating a vacuum gap. There is usually also a very tight stopper cap on the top and a reflective metal layer around the outside layer.
These three elements, a vacuum gap, a tight cap, and a reflective layer, altogether prevent heat transfer. The vacuum space prevents conduction since it’s emptied of any molecules that could move heat from the outside to the inside. Because of the cap, air can’t freely enter or leave the container, so convection doesn’t happen. The reflective layer works against radiation.
Technically, a thermos and a cryogenic storage dewar are quite similar. The difference is that the latter is specialized for liquids at very low temperatures. A dewar is also typically much bigger than a thermos, especially when it’s used to store cryopreserved people.
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Cryogenics storage dewars come in a variety of shapes and sizes. Their dimensions depend on what they’re needed for, namely for transporting and storing cryogenics. Suitable ones can be also used for cryopreservation.
Dewars can contain cryopreserved cell cultures and tissues, semen, and embryos that can all be successfully used once warmed up. Finally, cryogenic storage dewars can contain cryopreserved patients. In this case, it’s either the whole body or just the brain.
Cryonics providers, such as Tomorrow.bio, typically use a dewar made out of stainless steel that can withstand a significant amount of time without deterioration. These are stored and monitored in the long-term storage facility. The most common whole-body dewars measure about 3 meters in height and 1 meter in width. They can contain up to 4 full-body people. Usually, neuro patients are kept in specific units in a column in the center of the dewar.
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As you may have noticed with your thermos, eventually, your water gets warm. If it’s a high-quality thermos, it may take a while longer, but in the end, it will inevitably happen.
A cryogenic storage dewar is not much different, even if the technology is highly advanced and the heat transfer is minimal. The main reason for this is that the dewar has a lid. Without a lid, it would be easier to create a perfect thermal insulation. However, this would make it very difficult to move cryopreserved patients in and out.
Liquid nitrogen, the fluid used in cryonics, has a boiling point that is much lower than room temperature. It can be found in liquid form and only at a temperature of -196 degrees Celsius. This means that, without specific expedients, this substance would normally turn into gas and disperse in the air. With this being said, a small part of the liquid nitrogen contained in a cryogenics storage dewar will eventually warm up, boil and turn into gas. It’s important that the dewar has some system that allows the gas to “escape”. If this didn’t happen, the pressure would make it explode - and we definitely don’t want that!
Any cryogenic storage dewar that is preserving biological samples for a certain amount of time will need to eventually be refilled. This refilling doesn’t need to be done often but it impacts the costs of any cryopreservation, which is supposed to last for a long period of time. In the case of cryonics, the operators of a storage facility usually refill the cryogenic storage dewars weekly. However, this is more so done for safety reasons. Nevertheless, using liquid nitrogen is, for now, the most practical, environmentally-friendly, and cheap way to store cryopreserved patients.
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Patients inside a cryogenic storage dewar are stored upside down for safety purposes. As explained above, it’s likely that some liquid nitrogen will boil out of the dewar over time. Since research states today that all of the information that makes a person who they are is stored in the brain, then it must be protected at all costs. As the brain is stored at the bottom of the dewar, it’s highly unlikel, even in the most extreme and unforeseeable of circumstances, that it will be affected by a loss of liquid nitrogen.Â