METHOD, DEVICE AND KIT FOR THE PREPARATION OF PRP
20200164121 ยท 2020-05-28
Inventors
Cpc classification
A61J1/1493
HUMAN NECESSITIES
A61M1/0209
HUMAN NECESSITIES
A61M1/0272
HUMAN NECESSITIES
A61M1/029
HUMAN NECESSITIES
International classification
Abstract
This invention discloses a method, device and kit for the preparation of PRP. There is provided a medical device comprising a first blood bag for collection of whole blood from a patient and a second blood bag for separation of a platelet rich plasma (PRP) fraction, wherein; a whole blood inlet is provided at a first end of the first blood bag and a first blood bag outlet is provided at a second end of the first blood bag and a packed cells outlet and a plasma outlet are connected to the first blood bag outlet and a flexible plastic tube connects the plasma outlet to a plasma inlet of the third blood bag.
Claims
1. A medical device, comprising: a first blood bag for collection of whole blood from a patient and a second blood bag for separation of a platelet rich plasma (PRP) fraction, wherein a needle, a Luer lock, a breakable locker, external clips, and a whole blood inlet are provided at a first end of the first blood bag and a first blood bag outlet is provided at a second end of the first blood bag and a breakable locker; a packed cells outlet with a safety port and a plasma outlet connected to the first blood bag outlet with a three-way branching and a breakable locker. a flexible plastic tube connecting the plasma outlet to a plasma inlet provided at first end of the second blood bag; the second blood bag, the second blood bag being provided with two hard cylindrical relative supports on both sides, and a PRP outlet being provided at a second end of the second blood bag; and a flexible tube connecting the second blood bag to a third blood bag, the third blood bag having a second connection that is outlet with a safety port.
2. The medical device of claim 1, wherein the first blood bag is a shuttle form bag.
3. The medical device of claim 1, wherein the shuttle form first blood bag comprises a connection for connecting the flexible tube from an inlet of the first blood bag to the needle by way of the Luer lock.
4. The medical device of claim 1, wherein a shape of first blood bag is shuttle-shaped such that, when the first blood bag is pressed and moved, a separated first phase comprising plasma and platelets does not mix with a second phase to the outlet.
5. The medical device of claim 1, wherein a shape of first blood bag is shuttle-shaped comprising a sharp in-head leading to a narrow outlet for control on pushing a first phase of separated plasma after first centrifuging.
6. The medical device of claim 1, wherein the first blood bag is shuttled-shaped and comprises content comprising an adequate anticoagulant.
7. The medical device of claim 1, wherein the first three-way branching is connected to the first blood bag outlet, wherein the first three-way branching comprises a packed cells outlet and a plasma outlet.
8. The medical device of claim 1, wherein a capacity volume of the first blood bag is higher than a capacity volume of the second blood bag.
9. The medical device of claim 1, wherein the flexible plastic tube between first blood bag and second blood bag comprises the external clips.
10. The medical device of claim 1, wherein the safety port is connected to additional port for packed cell re transfusion to a patient.
11. The medical device of claim 1, further comprising a platelet-rich plasma (RPR) outlet and a platelet-poor plasma (PPP) outlet having a safety port for depletion.
12. The medical device of claim 1, further comprising a third blood bag for collection of platelet-poor plasma (PPP), and wherein a flexible plastic tube connects the PPP outlet from the second blood bag to a PPP inlet of the third blood bag.
13. The medical device of claim 1, wherein a connecting tube between second bag to third bag contains an internal breakable locker and external clips.
14. The medical device of claim 1, wherein remaining blood parts after a separation of PRP can be re-transfused to a patient.
15. The medical device of claim 1, wherein in second blood bag by a second centrifugation has layers and, for critical patinas, the PPP is configured to be moved to the first blood bag, mixed with the packed cells, and re-transfused by the safety port, or is configured to be transferred into the third blood bag.
16. The medical device of claim 1, wherein the two hard cylindrical relatively supports on both sides prevent the second blood bag from falling and bending during centrifugation.
17. A method of preparing a platelet-rich plasma (PRP) fraction, comprising: providing a medical device, comprising: a first blood bag for collection of whole blood from a patient and a second blood bag for separation of a platelet rich plasma (PRP) fraction, wherein a needle, a Luer lock, a breakable locker, external clips, and a whole blood inlet are provided at a first end of the first blood bag and a first blood bag outlet is provided at a second end of the first blood bag and a breakable locker; a packed cells outlet with a safety port and a plasma outlet connected to the first blood bag outlet with a three-way branching and a breakable locker. a flexible plastic tube connecting the plasma outlet to a plasma inlet provided at first end of the second blood bag; the second blood bag, the second blood bag being provided with two hard cylindrical relative supports on both sides, and a PRP outlet being provided at a second end of the second blood bag; and a flexible tube connecting the second blood bag to a third blood bag, the third blood bag having a second connection that is outlet with a safety port; after taking blood without a vacuum presser in the first blood bag, subjecting the first blood bag containing whole blood to a first centrifuging force by, thereby separating packed cells and plasma containing platelets; transferring plasma plus platelets from the first blood bag through the flexible tube to the second blood bag; after subjecting the second blood bag to a second centrifuging force, forming two fraction layers in the second blood bag, a basal layer comprising settled platelets in the PPP; transferring a platelet poor plasma (PPP) fraction from the second blood bag to obtain the PRP fraction in the second blood bag; and before using the PRP fraction, providing a resting period for efficient expanding of settled platelets.
18. The method of claim 17, wherein the medical device is a closed system totally closed through connected bags.
19. The method of claim 17, further comprising applying a sterile spray of PRP for a large damaged area of body.
20. The medical device of claim 1, wherein each of the first blood bag, the second blood bag, and the third blood bag comprises holes in borders of the bags configured to receive hooks.
21-23. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0060] The invention is now described, by way of example, with reference to the accompanying drawings, in which:
[0061]
[0062]
[0063]
DETAILED DESCRIPTION
[0064] Non-limiting examples of embodiments of the system and the method of the present disclosure are described below.
[0065] The system is a three-bag system 100. The three-bag system may also be referred to as a medical device.
[0066] A medical device (100) comprising a first shuttle shape blood bag (101) for collection of whole blood from a patient and a second blood bag (109) for separation of a platelet rich plasma (PRP) fraction, wherein; a needle (123) and a Luer lock (122) and a breakable locker (121) and a external clips (120) and a whole blood inlet (102) is provided at a first end (101a) of the first blood bag (101) and a first blood bag outlet (103) is provided at second end of the first blood bag (101) and a breakable locker (103a) and a packed cells outlet with safety port (105) and a plasma outlet (106) are connected to the first blood bag outlet (103) with a Three way branching (104) and breakable locker (103a) and a flexible plastic tube connects the plasma outlet (106) to a plasma inlet(108a) provided at first end (109d) of the second blood bag (109) and a second blood bag provided two hard cylindrical relatively supports (109b) on both sides that can prevent bag from falling down and bending during centrifugation, and PRP outlet (109a) is provided at second end of the second blood bag (109) and a flexible tube connect second blood bag to third blood bag (110) and third blood bag have a second connection that is outlet with safety port.
[0067] In the medical device of this invention, the first blood bag (101) is a shuttle form bag. The shuttle form first blood bag(101) have a connection for connecting the flexible plastic tube (inlet of first Blood bag) to needle (Luer lock). The shuttle shape of first blood bag (101) let us that, press the bag and move carefully the separated first phase (Plasma with Platelets) completely without mixing second phase to outlet. The shuttle shape of first blood bag (101) is a sharp in head that lead to a narrow outlet for best control on pushing the first phase of the separated plasma after first centrifuging. The shuttle shape first blood bag content adequate anticoagulant. The first three way branching (104) is connected to the first blood bag outlet (103), which first branching (104) comprises the packed cells outlet (105) and the plasma outlet (106). The volume of the first blood bag (101) is higher than the volume of the second blood bag (109). The flexible plastic tube between first blood bag and second blood bag comprises a external clips (107). The safety port (105) connected to additional port for packed cell re transfusion to patient. The platelet-rich plasma (RPR) outlet (109a) and a platelet-poor plasma (PPP) outlet (110e) have a safety port for depletion. The medical device of this invention, further comprising a third blood bag (110) for collection of platelet-poor plasma (PPP) and wherein a flexible plastic tube connects the PPP outlet (108b) from second blood bag to PPP inlet (110a) in third blood bag (110). The connecting tube between second bag to third bag that contain a internal breakable locker (111) and external clips (112). The reminded blood parts after separating of PRP can be re transfusion to critical Patients. In second bag after second centrifugation, we have two layers. For critical patinas the PPP can be move to first bag, mixing with the packed cells and re transfusion by safety port (105) or can be transfer into third bag and use for some other therapeutic purposes. In this invention, provided two hard cylindrical relatively supports (109b) on both sides that can prevent bag from falling down and bending during centrifugation. Method of preparing a platelet-rich plasma (PRP) fraction using the medical device (100) according to claims 1-16, comprising the steps of: [0068] a) After taken blood without vacuum presser in the first blood bag [0069] b) Subjecting the first blood bag (101) containing whole blood, by first centrifuging will be separated to packed cells and plasma that contained platelets; [0070] c) Transferring plasma plus platelets from the first blood bag (101) through the flexible tube to the second blood bag (109). [0071] d) After second centrifuging, there are Two fraction layers in second bag, the basal layer contains settled platelets and in the above PPP; [0072] e) By transferring of platelet poor plasma (PPP) fraction from the second blood bag can be obtain the PRP fraction in the second blood bag (109); and [0073] f) Before using of PRP, we shod be have a resting period for efficient expanding of settled platelets.
[0074] There is no risk of bacterial contamination because this system making totally close by connected bags. We can use a sterile spray of PRP for large damaged aria of body. There is some holes in the borders of the bags and some hooks will be enter to them for more supporting of mentions from bending and falling down due to centrifuging force. The first blood bag for carefully balancing and prevention of disturbance inlet and outlet prepare against each other. The first blood bag for prevention of mixing plasma and platelets with thrombin, inlet and outlet prepare against each other. The first blood bag for prevention of mixing plasma and platelets with RBCs of coagulated blood, inlet and outlet prepare against each other.
[0075] The walls of the first bag 101 are composed of a flexible plastic material according to blood bag standards. The first bag 101 further comprises a first bag extension 101a extending from the walls of the first bag 101. In the first bag extension 101a, holes 101b are provided to allow the first bag 101 to be fixed in an extended configuration during centrifugation. A whole blood inlet 102 is arranged a first end 101i of the first bag 101 and a blood bag outlet 103 is arranged at a second end of the first blood bag 101. To reduce the impact on the platelets and to improve the separation of platelets from packed cells, the second end of the first bag 101 is funnel-shaped. The walls of the second bag 109 are composed of a flexible plastic material according to blood bag standards.
[0076] In the method, whole blood is first collected from a patient in the first bag 101 (the blood bag). The collected volume of whole blood may for example be about 100 ml. In the first bag 101, the whole blood is mixed with an anticoagulant, preferably CPDA1. The collection and mixing with the anticoagulant are well known to the skilled person. The first bag 101 containing the whole blood mixed with the anticoagulant is then subjected to a first centrifugation, e.g. for 18 minutes at 1100 rpm, for separation of red blood cells (RBC) from plasma (containing platelets). During centrifugation, pins of the centrifuge penetrate the holes of the first bag extension to fix the first bag in an extended configuration (compaction of the bag is thus avoided). The orientation of the first bag during the first centrifugation is such that a packed cells fraction is formed at the first end of the first bag.
[0077] After the first centrifugation, the breakable locker of the first flexible tube is broke open and the first bag is gently squeezed such that the supernatant, i.e. the platelet-containing plasma, is gently pushed through the plasma outlet and the first flexible tube to the second bag. Then, the flow through the first flexible tube is stopped by the first clamp and the packed cells fraction is discharged through the packed cells outlet after that the breakable locker has been broke open. The packed cells fraction may be recovered and, for example, re injected into the blood stream if the patients is anaemic or has large burn wounds.
[0078] The concentration of platelets in the plasma transferred to the second bag is typically about 1.5 higher than in the whole blood. That means that if the platelet count in the whole blood was 200000 per ml, it is typically 340000 per ml in the plasma. If the original volume of whole blood was 100 ml, the volume of plasma transported to the second bag is typically about 50 ml (which means that about 25% of the platelets could not be separated from the packed cells if the platelet concentration 1.5 times higher in the separated plasma than in the whole blood). To further increase the platelet count, the second bag containing the plasma subjected to a second centrifugation, e.g. for 4 minutes at 2700 rpm. During the second centrifugation, the orientation of the second bag is such that platelets settle at the first end (inlet) of the second bag. During centrifugation, pins of the centrifuge penetrate the holes of the second bag extension to fix the second bag in an extended configuration. After the second centrifugation, the second bag is rested, e.g. for 30-90 minutes to allow expansion of the settled platelets.
[0079] The breakable locker of the second flexible tube is then broke open and the second bag 109 is squeezed such that the supernatant, i.e. the platelet-poor plasma (PPP), is pushed through the PPP outlet and the second flexible tube to the third bag. The PPP collected in the third bag may for example be used as a skin moisturizer.
[0080] Then, the flow through the second flexible tube is stopped by the second clamp and a plasma fraction containing the expanded platelets settled at the first end of the second bag, i.e. the platelet-rich plasma (PRP), is recovered through the PRP outlet by gently squeezing the second bag after the breakable locker of the PRP outlet has been broke open. The platelet count of the PRP fraction is typically 3-8 times higher than that of the whole blood.
[0081] In this invention can be obtained PRP injected into the body by injection system or spray it on the wound by a monitoring system or can be with the help of an activator cause increase the viscosity of PRP and the produce the gel that produced gel can use in Restoration or correction Various body tissues such as bone tissue or other body tissues.
[0082] According to completely closed system and non-use of test pipe that is Conventional to prepare PRP and lack of frequent movement of blood between the syringes to tubes and conversely, it can be concluded that PRP obtained in this way and the tools are totally sterile and there is no pollution in it.
[0083] For discharging both of bags (first and second) can be used an extractor. This device is shaped like a cube that its one side has the ability to move to the other side.
[0084] with regard to this important issue that there is no hard septum surface and there are no positive and negative pressure during Bloodletting and blood injection into the PRP tool in this system and also centrifuge low RPM and with rigid sides of Second bag to Causes to no damage to the Effective platelets septum and the PRP quality will be upgraded substantially.
[0085] Shuttle form of the first bag during separating centrifuged material, Prevent mixing white blood cell phase with plasma phase containing platelets.
[0086] Input and output located both sides of the bag and in front of each other in all bags and this important issue cause's better balance during bag Centrifugation.
[0087] The invention has mainly been described above with reference to a few embodiments. However, as is readily appreciated by a person skilled in the art, other embodiments than the ones disclosed above are equally possible within the scope of the invention, as defined by the appended patent claims.