System for Liquid Component Fractionation and Application Method Thereof
20220001091 · 2022-01-06
Inventors
- Arthur Y. Yu (Beverly Hills, CA, US)
- Jim J. Ye (Beverly Hills, CA, US)
- David E. Yu (Beverly Hills, CA, US)
Cpc classification
A61M1/3693
HUMAN NECESSITIES
B04B11/04
PERFORMING OPERATIONS; TRANSPORTING
A61M1/029
HUMAN NECESSITIES
International classification
A61M1/36
HUMAN NECESSITIES
B04B11/04
PERFORMING OPERATIONS; TRANSPORTING
Abstract
A system for liquid component fractionation includes a first container, a second container, a tunnel connecting member and a stopcock valve. The stopcock valve is a three-way valve disposed at the tunnel connecting member and is rotatable to align one of three ports of the stopcock valve to a collection outlet member of the tunnel connecting member, so as to facilitate collection of a fractionated layer from a liquid after the system is centrifuged.
Claims
1. A system for liquid component fractionation, comprising: a first container having a first containing cavity; a second container having a second containing cavity; a tunnel connecting member, provided between said first container and said second container, comprising at least one tunnel body having one or more connecting tunnels communicating said first containing cavity with said second containing cavity, and a collection outlet member having a collection port coupled to said at least one tunnel body; and a stopcock valve, provided at said tunnel connecting member, having three ports configured to selectively align with said one or more connecting tunnels and said collection port.
2. The system, as recited in claim 1, wherein said connecting tunnel has a first passage communicated to said first containing cavity and a second passage communicated to said second containing cavity, wherein said stopcock valve is rotatably disposed at said tunnel connecting member to allow only two of said first passage, said second passage and said collection port to align with two of said three ports respectively.
3. The system, as recited in claim 1, wherein said connecting tunnel has a first passage communicating with said first containing cavity and a second passage communicating with said second containing cavity, wherein said stopcock valve is rotatably disposed at said tunnel connecting member to move between a position selected from the group consisting of a first position allowing said first passage and said second passage to communicated with two of said three ports, a second position allowing said first passage and said collection port to communicate with two of said three ports, and a third position allowing said second passage and said collection port to communicate with two of said three ports.
4. The system, as recited in claim 1, wherein said stopcock valve is rotatably disposed at said tunnel connecting member to move between a first position allowing one of said three ports to align with said collection port and a second position blocking said three ports from aligning with said collecting port.
5. The system, as recited in claim 4, wherein said second container comprises a second container body defining said second containing cavity, a movable member disposed in said second container body, and a plug member that is operable to engage with said movable member to push said movable member.
6. The system, as recited in claim 5, wherein said a movable member comprises a movable plunger tip and an engaging member supporting said movable plunger tip, wherein said plug member is operable to engage with engaging member to push said movable member.
7. The system, as recited in claim 2, wherein said second container is a conical tube.
8. The system, as recited in claim 2, wherein said first container, said second container, said tunnel connecting member, and said stopcock valve are formed as an integral one-piece structure.
9. The system, as recited in claim 3, wherein at least one of the said first container and said second container is detachably mounted with said tunnel connecting member.
10. The system, as recited in claim 3, wherein said stopcock valve has a diameter ranged 3 mm to 15 mm.
11. The system, as recited in claim 4, wherein said stopcock valve comprises a valve plug defining said three ports, and a valve lever that is operated for rotating said stopcock valve, three valve port identifiers for identifying said three ports, and an “off” position identifier for identifying said valve lever.
12. The system, as recited in claim 3, wherein said stopcock valve comprises a valve plug having said three ports, wherein said valve plug could be modified to comprise a scoop portion defined as a round-out space inside said valve plug that is capable of being moved to a position aligned with said second passage to communicate said round-out space with said second container.
13. The system, as recited in claim 2, wherein each of said first and second container is a tube having a slope surface transitioning from each of said first and second containers to said tunnel connecting member, requires a transition angle ranging from 100 to 170 degrees.
14. The system, as recited in claim 13, wherein said transition angle ranges from 120 to 150 degrees.
15. The system, as recited in claim 4, wherein said stopcock valve comprises a valve plug defining said three ports, a valve lever that is operated for rotating said stopcock valve, and a blocking member which comprises a static blocking element located on said tunnel connecting member, and a mobile blocking element that is located behind said valve lever on said valve plug for moving along with said valve plug, wherein said static blocking element and said mobile blocking element working to block each other to allow said valve lever to only move 180 degrees, in order to prevent a communication of said collection port with both said first container and said second container at the same time.
16. The system, as recited in claim 1, wherein said tunnel connecting member comprises only one said tunnel body defining said connecting tunnel and a side wing at a side of said tunnel body.
17. A method for liquid component fraction through a system which comprises a first container, a second container, a tunnel connecting member provided between said first container and said second container, and a stopcock valve provided at said tunnel connecting member, wherein the method comprises the steps of: (a) centrifuging said system which is filled with a liquid to separate said liquid into a plurality of fractionation layers; and (b) operating said stopcock valve to allow one of said plurality of fractionation layers to be collected through a collection outlet member of said tunnel connecting member.
18. The method, as recited in claim 17, wherein the method is arranged for isolating plate-rich plasma (PRP) from blood, wherein in step (a), the blood is separated into three fractionation layers comprising a platelet-poor plasma layer, a buffy coat layer in a middle containing the plate-rich plasma, and a layer of red blood cells, wherein in step (b), said stopcock valve is switched to block the said layer of red blood cells in said second container, and said layer of buffy coat is collected through said collection outlet member.
19. The method, as recited in claim 17, wherein the buffy coat layer comprises a leukocyte-rick platelet-rich plasma layer and a leukocyte-poor platelet-rich plasma layer, wherein the method further comprises a step of manipulating positions of the buffy coat layer to separate the leukocyte-poor platelet-rich plasma layer with the leukocyte-rich platelet-rich plasma layer.
20. The method, as recited in claim 19, wherein the step (b) further comprises a step of aligning the scoop portion with a round-out space in said valve plug of said stopcock valve with said second container to communicate said round-out space with said second container for harvesting the leukocyte-poor platelet-rich plasma layer.
21. The method, as recited in claim 17, wherein the method is arranged for fractionate lipoaspirates, wherein in the step (b), said stopcock valve is switched to facilitate collection of fat through said collection outlet member.
22. The method, as recited in claim 21, further comprising a step of mechanically shuffling said liquid before the step (a), wherein in step (b), said stopcock valve is switched to facilitate collection of nano fat through said collection outlet member.
23. The method, as recited in claim 17, wherein the method is arranged for harvesting autologous fat stromal vascular fraction, wherein in the step (a), said liquid is separated into fractionation layers comprising an oil layer, a fat layer, a pale-colored layer, a layer of infranatant, and a fat stromal vascular fraction pallet, wherein the fat stromal vascular fraction pallet is collected at a bottom of said second container.
24. The method, as recited in claim 23, wherein the step (b) further comprises the steps of: (b-1) manipulating down a level of the pale-colored layer until an interface between said fat layer and said pale-colored layer reaches an upper edge of a port positioned at a top of said stopcock valve, (b-2) switching a valve lever of said stopcock valve to block flow from said first container, and (b-3) collecting said pale-colored layer through said collection outlet member.
25. The method, as recited in claim 23, wherein the step (b) further comprises the steps of: (b1) switching a valve lever of said stopcock valve to close off from said second container, and (b2) detaching said second container from said tunnel connecting member to harvest said infranatant layer and said fat stromal vascular fraction layer, when said system has a detachable second container.
26. The method, as recited in claim 23, wherein the step (b) further comprises the steps of: (b.1) manipulating down a level of said pale-colored layer until an interface between said fat layer and said pale-colored layer reaches a lower edge of said port positioned at a bottom of said stopcock valve, (b.2) switching a valve lever of said stopcock valve to block flow from said second container, and (b.3) collecting said pale-colored layer through said collection outlet member.
27. The method, as recited in claim 17, wherein said liquid has difference in relative weights among the plurality of fractionation layers.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0060] The following description is disclosed to enable any person skilled in the art to make and use the present invention. Preferred embodiments are provided in the following description only as examples and modifications will be apparent to those skilled in the art. The general principles defined in the following description would be applied to other embodiments, alternatives, modifications, equivalents, and applications without departing from the spirit and scope of the present invention.
[0061] Referring to
[0062] The first container 10 and the second container 20 can be embodied as two transparent conical tubes coupled to an “extra-large” 3-way stopcock valve 40. Mechanically and methodologically, the system can function as a centrifugation tube that allows liquid state components to be fractionated, with subsequent sequestration of one or more fractions from a collection port, while the various components in a liquid have different relative weights.
[0063] According to this preferred embodiment, the first container 10 comprises a first container body 11 with a first containing cavity 111, and a first cap 12 which can be mounted to the distal end of the first container body 11. The second container 20 comprises a second container body 21 with a second containing cavity 211, a movable member 22 (similar to the plunger tip of a conventional syringe, made of rubber) disposed in the second containing cavity 211, a plug member 23 (similar to the plunger shaft of a conventional syringe) which can be screwed onto the bottom supporting member 222 of the movable member 22 and when operating, can push the movable member 22 in the lower containing body 21, and a cap 24 mountable to the distal end of the second container body 21.
[0064] Referring to
[0065] The stopcock valve 40 is provided at the tunnel connecting member 30 and comprises a valve plug 41, with preferably a first interconnecting port 401, a second interconnecting port 402 and a third interconnecting port 403 which are selectively aligned with the first containing cavity 111, the second containing cavity 211, and the collecting outlet member 34 respectively, when used for platelet purification. The stopcock valve 40, according to this preferred embodiment, is a valve system that comprises three valve port identifiers 42, a valve lever 43, and an “off” position identifier 44. Where the “off” position identifier 44 points that particular corresponding port will be blocked off for any flow. The three valve port identifiers 42 indicates the respective positions of the three inter-connecting ports 401, 402 and 403 of the valve plug 41.
[0066] According to an application of this preferred embodiment of the present invention, the system can be employed for liquid component fractionation, such as PRP isolation from the blood. The system is easy to use, saves time, delivers better yields, provides the capability of concentrating PRP up to 15 to 20 folds or even more, facilitates the differential isolation of LR-PRP and LP-PRP, improves the consistency of the PRP production, and avoids the need for additional special equipment purchase because the system of the present invention could easily fit in most standard tabletop centrifuges.
[0067] For PRP extraction, freshly drawn blood is mixed with an anticoagulant, for example ACD (acid-citrate-dextrose) buffer at room temperature. After the first cap 12, which is secured on the first container body 11 (screwed on to the distal end portion of the first container body 11), is unsecured and removed from the first container body 11, the blood is instilled into the system, passing the first container cavity 111, through the connecting tunnel 32 in the middle of the system, reaching the second container cavity 211. The connecting tunnel 32 has an inner diameter, preferably around 6 to 7 mm, smaller than the diameter of the first container cavity 111 and the diameter of the second container cavity 211. Practically, the inner diameter could vary from 3 to 15 mm, depending on the sizes of the first and second containers 10 and 20. In application, the first container 10 can be embodied as the upper container while the second container 20 can be embodied as the lower container, and the blood is filled into the system through the upper container.
[0068] The tunnel connecting member 30 can be fortified with a thicker plastic wall (actual thickness depends on the material), for better strength. The thickened wall is provided with a side wing 33 extended from one side of the tunnel connecting member 30 and configured for the purpose of abutting the wall of the centrifugation container for better stability of the system while being centrifuged, as shown in
[0069] The connecting tunnel 32 of the tunnel body 31, having a straight elongated configuration, allows the blood to flow downward from the upper first container 10 to the lower second container 20, while the valve lever 43 of the stopcock valve 40 is switched horizontally to block the collection outlet member 34. This collection outlet member 34 of the stopcock valve 40 is provided at the opposite side of connecting tunnel 31 with respect to the side wing 33. The blood then enters the second container 20 through the connecting tunnel 32 and reaching the bottom of the second container 20, which comprises the movable member 22. The movable member 22 comprises a movable member 221 similar to a regular syringe plunger rubber tip top and an engaging member 222 provided at the free end portion thereof for supporting the movable plunger tip 221. Throughout the centrifugation process, the second cap 24 is kept on to securely cover the free end portion of the second container 20, holding the engaging member 222 and providing a definitive mechanism to contain the blood content.
[0070] The cap 24 is removed after centrifugation, revealing the engaging member 222 which has inner threads, allowing a separate, detachable plug member 23 to be engaged thereto by the action of twisting-on using its outer threads at the free end portion. Once the plug member 23 is twisted on to the bottom of the member 222, they form the whole plunger complex and could now function fully, allowing precise gliding of the movable member 22 up or down the second container 20 smoothly.
[0071] The tunnel connecting member 30 further comprises a sealing cap 35 comprising a central plug 351 which fits into and provides sterility protection to the collection outlet member 34, wherein this connection can be accomplished by the Luer-lock mechanism. The position and the height of this sealing cap 35 are in such a manner that the system abuts the centrifugation container on the opposite side from the side wing 33, for a sturdy and undisturbed centrifugation. As a result, this system is very stable throughout the centrifugation process. Neither the first or the second cap 12 and 24 are air-tight, to enable the movement of liquid contents in either directions by manipulating the stopcock valve 40 only, without the need to uncap the tubes. Additionally, first and second conical slope surfaces 13 and 25 are at the proximal end portions of the first and second container 10, 20 respectively, transitioning from the first container 10 and the second container 20 to the tunnel connecting member 30 respectively, each forming a wide angle with the straight container walls at preferably 120 to 150 degrees (the workable range could be from 100 to 170 degrees), in order to facilitate the movement of the blood components in either upward or downward direction. Accordingly, no unwanted retention of the blood components will take place in the transition sections, minimizing RBC contamination at the end.
[0072] Once the blood is filled into the system of the present invention, the system is placed in a standard centrifuge container for centrifugation at 900 g for 8 minutes, at room temperature. And this combination of numbers could vary widely, as have been practiced by many. For example, the g force could be from 300 g to 1500 g, and the time could be 3 to 20 minutes. There should be no braking at the end of the centrifugation, so as not to disturb the “buffy coat”.
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[0074] Thereafter, referring to
[0075] To isolate the platelets, the “buffy coat”, which contains platelets and leukocytes, needs to be physically separated from RBC. This is achieved by slowly pushing the plug member 23 of the plunger complex further up, pushing the “buffy coat” to pass the boarder of the first port 402 which is the bottom port of the stopcock valve 40.
[0076] Next, further referring to
[0077] Since LR-PRP and LP-PRP were found to have distinctively different indications in the treatment of musculoskeletal diseases, one could easily harvest LR-PRP or LP-PRP by manipulating the position of the “buffy coat” at the threshold of the lower valve port of the stopcock valve 40, as shown in
[0078] Both
[0079] To concentrate the platelets in the PRP to a higher level, the PPP could be suctioned out with minimal disturbance from the top of the first container 10 with the top first cap 12 removed. Because the stopcock valve 40 effectively closes the contaminating RBC off at the bottom, as shown in
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[0081] This middle section of the system of the invention comprises the stopcock valve 40 and the tunnel connecting member 30. The rotatable stopcock valve 40 is housed in the tunnel connecting member 30. The stopcock valve 40 has three interconnecting ports 401, 402 and 403. The tunnel connecting member 30 has a first passage 321 and a second passage 322, and a collection port 341. At any point of time, only two of the valve plug ports 401, 402,403 are open to each other. The stopcock valve 40 further comprises a blocking member 45 (
[0082] The valve plug 41 is essentially a cylindrical structure hugged snugly by the outside valve body. Of course, the plug handle is not encased by the tunnel connecting member 30. The tunnel connecting member 30 further comprises an annular rib 36 on the inner surface of the tunnel connecting member 30, which presses against the annular wall structure on the valve plug 41 into a sealing engagement with the wall of the tunnel connecting member 30 forming a watertight seal, as shown in
[0083] On the end portion of the tunnel connecting member 30, opposite to the collection outlet member 34, is a disk shaped and slightly raised round prominence 37 and on the end of the valve plug 41 is a slightly larger and round recession area 411, as shown in
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[0085] Compared to various commercially available kits or methods, this invention is inexpensive, easy to use, smooth in operation, and safe to handle. It does not require a long time to obtain the final product(s), has a high yield with consistent results, and shows minimal disturbance during the harvesting stage. Because the system of the invention fits in most readily available table-top centrifuges, there is no need to buy additional expensive special centrifuge. Additionally, the contamination by RBC is minimal, and the ability to concentrate PRP up to 20 times in one spin is a powerful feature. Last but not the least, it is a significant advantage that the device could be utilized to differentially isolate LR-PRP and LP-PRP.
[0086] Depending on the requirements, the volume handled could be anywhere from 5 ml to 100+ ml. Of course, volumes at the more extreme ends need to be fitted into specially designed tubes.
[0087] The g force required for centrifugation is mostly a personal preference, so long as the numbers are not too much off. Note that one of the more important features to pay attention to is the angle in
[0088] The basic structure, such as the first and second container which are embodied as tubes in this preferred embodiment, could also be further modified. As long as the basic principles are observed, they could be made detachable to further facilitate the separation of samples requiring special treatments.
[0089] In summary, the present invention is simple to use and inexpensive to manufacture. The system of the present invention is adapted to be a disposable device after a single use, to avoid cross contamination. Sterilization post manufacturing is achieved by gamma-radiation or similar measures. Despite the mentioning of only PRP in the above text, it is by no means limited to these uses. In addition to PRP isolation, various fat preparations could be fractionated. In fact, anything that present differential relative weight qualities in a sample material could be separately isolated using this invention.
SAMPLE PREPARATION EXAMPLE 1
[0090] As an Example of Blood fractionation for PRP preparation, a phlebotomist may draw blood into a syringe containing 1/10 volume of ACD or CPD buffer. The volume of blood needed depends on the usage. For most treatments, 20 ml of blood is usually sufficient. The blood is gently filled into the system from the top, with the valve lever 43 of the stopcock valve 40 blocking the collection port 341. Once the blood is filled into the tube complex of the system, the system is placed into a standard centrifuge container for centrifugation at 900 g for 8 minutes at room temperature without braking. Then, the system is removed from the centrifuge after it comes to a complete stop.
[0091] Then, at this point, the second cap 24 is removed and the plug member 23, comprising a plunger shaft, is fastened to the engaging member 222 to assemble the complete plunger complex which comprises the movable plunger tip 221, the engaging member 222 and the plug member 23. The plug member 23 is then pushed gently to let the rubber head glide upward smoothly. Consequently, the “buffy coat” migrates toward the tunnel connecting member 30, reaching the stopcock valve 40, as shown in
[0092] To isolate the platelets, the “buffy coat” which contains platelets and leukocytes which need to be physically separated from RBC. This is achieved by slowly pushing the plug member 23 further up, pushing the “buffy coat” to pass the boarder of the lower valve port of the stopcock valve, as shown in
[0093] Next, the collection syringe 50 is connected to the collection outlet member 34. The valve port of the stopcock valve 40 is then turned to block the RBC compartment in the second containing cavity 211. This is a very easy-to-perform motion, and no disturbance to the “buffy coat” should take place. After the valve is shut to the RBC port, the PRP could be easily collected by withdrawing the plunger of the collection syringe 50. Note that no RBC from the lower tube compartment could enter the collection port or the syringe once the three-way stopcock valve 40 locks down the passageway to RBC.
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[0095] Additionally, it is easy to harvest LR-PRP or LP-PRP by manipulating the positions of the “buffy coat” at the threshold of the lower valve port of the three-way stopcock valve 40, as described earlier.
SAMPLE PREPARATION EXAMPLE 2
[0096] As another example of the application of the system of the present invention,
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SAMPLE PREPARATION EXAMPLE 3
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[0099] The fractionation starts with a centrifugation with the same setting as in the above second example and
SAMPLE PREPARATION EXAMPLE 4
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[0101] Traditionally, it has always been a difficult task to harvest SVF in a clean way. While the numbers of SVF cells are in the ranks of 10.sup.5 to 10.sup.6 per ml of fat, the single cell numbers in the pale-colored layer and the fine nano fat layers are in the ranks of 10.sup.9. Even a diminutive, almost ignorable amount of contamination of the SVF by the above-mentioned fractions would drastically undermine the validity of the number of the SVF cells counted at the end, and therefore, the subsequent treatment regimens or related experiments. This kind of contamination takes place very easily and very frequently with most, if not all, of the mechanical systems currently in use, for reasons such as the contaminating fractions sticking to the walls of the tube/bottle, or some almost invisible small pieces breaking away from the main fraction layer during the SVF collection. These are further complicated by the fact that the morphology of pre-adipocytes and small fat cells are not much different from the SVF cells when in suspension. Considering these, it is no wonder that the numbers of harvested “stem cell” from fat vary from 10.sup.4 to 2.24×10.sup.7 among different publications. And this fact significantly hampers the progress in the field of fat stem cell research and clinical application. As far as we know, currently, there is no method or commercially available mechanical system for the purpose of purifying SVF without any risk of cell contamination by the other fractions.
[0102] With the present invention, by manipulating the valve positioning, it is easy to flush out the pelleted SVF. The only requirement is to pre-calculate the amount of water that might exist in the final preparation, so as to let the water occupy the whole second container 20 and some on the lower portion of the first container 10.
[0103] Theoretically, there are much more SVF cells in the fat than the small number of cells existing in the pellet, as shown in
[0104] In any case, since the SVF need to be flushed out and re-pelleted for harvesting, it might be more convenient to use a first alternative mode of the above preferred embodiment, as shown in
[0105] Phase-contrast microscopic photos in
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[0107] More specifically, as shown in
[0108] As shown in
[0109] As shown in
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[0111] Specifically, the port 401E facing the second container 20, when the valve lever 43E is aligned with the collection outlet member 34, could be modified.
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[0113] One skilled in the art will understand that the embodiment of the present invention as shown in the drawings and described above is exemplary only and not intended to be limiting.
[0114] It will thus be seen that the objects of the present invention have been fully and effectively accomplished. The embodiments have been shown and described for the purposes of illustrating the functional and structural principles of the present invention and is subject to change without departure from such principles. Therefore, this invention includes all modifications encompassed within the spirit and scope of the following claims.