They're not extremely difficult to isolate [EVs]. Note that there's no need to have a pure exosome isolate initially. A crude isolate (e.g., from ultracentrifugation) is good enough for the initial purposes of (1) simply seeing if a generic isolation procedure for exosomes yields a positive result for the "something in the blood" in the nanoneedle - they should have this information already(!), and (2) fractionating the crude exosome contents using liquid chromatography methods to see if the "something in the blood" happens to be in the cargo of the exosome.
. . . I think I understand the challenge pretty well. I probably spent at least 20% of my time as a research medicinal chemist using very similar or identical chromatographic techniques to what they'll need to use.
It may be best just to farm the isolation out to some other group that has experience doing that. (The pdf file that I attached earlier for the especially fast and simple exosome isolation procedure was from a group who was doing the same thing for sarcoidosis.)