Cell removal method, cell removal system, and white blood cell removal method
10117987 ยท 2018-11-06
Assignee
Inventors
Cpc classification
A61M1/3693
HUMAN NECESSITIES
A61M1/0209
HUMAN NECESSITIES
A61M1/3696
HUMAN NECESSITIES
A61M1/34
HUMAN NECESSITIES
International classification
A61M1/36
HUMAN NECESSITIES
B04B5/04
PERFORMING OPERATIONS; TRANSPORTING
A61M1/34
HUMAN NECESSITIES
Abstract
In the removal of white blood cells from blood, the efficiency of white blood cell removal by a filter is improved. Centrifugal force is applied to blood placed in a blood bag by centrifugal separation to form a plurality of separation layers having a concentration gradient of white blood cells. The separation layers are passed through a filter in ascending order of white blood cell concentration to remove the white blood cells from the separation layers. The separation layers from which the white blood cells have been removed are received in a first blood component bag.
Claims
1. A cell removal system that is mountable on a centrifugal separator and removes predetermined cells from a body fluid, comprising: a body fluid bag that receives a body fluid, the body fluid bag having a first end portion and a second end portion, wherein the first end portion and the second end portion are provided at opposing ends of the body fluid bag; a first body fluid component bag that receives a first body fluid component having a relatively high cell concentration in the body fluid; a second body fluid component bag that receives a second body fluid component having a relatively low cell concentration in the body fluid; a first channel that connects the first body fluid component bag and the body fluid bag; a second channel that connects the second body fluid component bag and the body fluid bag; a filter that is provided in the first channel and removes predetermined cells from a body fluid component passing through the channel; a first on-off valve that opens and closes the first channel, and that is connected to the first channel at a position closer to the body fluid bag than the filter in the first channel; a second on-off valve that opens and closes the second channel; a preservation liquid supply circuit that is connected to the first channel at a position closer to the body fluid bag than the filter and the first on-off valve, and that supplies a preservation liquid for preserving the first body fluid component; and a blood collection channel configured to receive blood collected from a human body, the first channel and the second channel being connected to the first end portion of the body fluid bag, the first end portion configured to be mounted on the centrifugal separator on a side of a direction of a centrifugal force generated by the centrifugal separator, and wherein the blood collection channel is connected to the second end portion of the body fluid bag, and the second channel does not have any filter.
2. The cell removal system according to claim 1, wherein the predetermined cells are pathogens.
3. The cell removal system according to claim 1, wherein the body fluid is blood, the first body fluid component is a blood component containing red blood cells as a main component, the second body fluid component is a blood component containing plasma as a main component, and the predetermined cells are white blood cells.
4. A method for removing white blood cells from blood using a cell removal system as recited in claim 1, the method comprising: separating blood in the body fluid bag into a plurality of separation layers; collecting at least one of the plurality of separation layers that contains a large amount of erythrocyte cells in the first body fluid component bag through the first channel by passing the at least one separation layer through the filter, wherein the at least one separation layer includes a layer having the highest white blood cell concentration; and collecting at least one of the plurality of separation layers that contains plasma as a main component in the second body fluid component bag through the second channel, wherein at least one of the (i) separating blood, (ii) the collecting at least one of the plurality of separation layers that contains a large amount of erythrocyte cells and (iii) the collecting at least one of the plurality of separation layers that contains plasma is performed by a centrifugal force from the centrifugal separator.
5. A method for removing white blood cells from blood using a cell removal system as recited in claim 1, the method comprising: separating blood in the body fluid bag into a plurality of separation layers; collecting at least one of the plurality of separation layers that contains a large amount of erythrocyte cells in the first body fluid component bag through the first channel by passing the at least one separation layer through the filter, wherein the at least one separation layer includes a layer having the highest white blood cell concentration; and collecting at least one of the plurality of separation layers that contains plasma as a main component in the second body fluid component bag through the second channel, wherein each of the (i) separating blood, (ii) the collecting at least one of the plurality of separation layers that contains a large amount of erythrocyte cells and (iii) the collecting at least one of the plurality of separation layers that contains plasma is performed by a centrifugal force from the centrifugal separator.
Description
DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
(10) Hereinafter, a preferred embodiment of the present invention will be described with reference to the drawings.
(11) The cell removal system 1 can be mounted on a centrifugal separator 2 described below and includes, for example, a blood bag 10 as a first bag, a first blood component bag 11 as a second bag, a second blood component bag 12 as a third bag, a first channel 13, a second channel 14, a filter 15, etc.
(12) The blood bag 10 is made of soft resin, etc., for example, and is deformable. The blood bag 10 has connected thereto a channel 20 for blood collection, and can receive blood collected from the human body. The channel 20 for blood collection has provided therein an on-off valve 21 that opens and closes the channel 20.
(13) The first blood component bag 11 and the second blood component bag 12 are made of soft resin, etc., for example, and are deformable.
(14) As the first channel 13 and the second channel 14, soft tubes are used, for example. The first channel 13 connects the blood bag 10 and the first blood component bag 11. The first channel 13 is connected to, for example, a first end portion 10a of the blood bag 10. The end portion 10a is on the side of the direction of centrifugal force F by the centrifugal separator 2 when the blood bag 10 is mounted on the centrifugal separator 2. The first channel 13 has provided therein a first on-off valve 30 that opens and closes the channel 13.
(15) The second channel 14 connects the blood bag 10 and the second blood component bag 12. The second channel 14 is connected to, for example, a second end portion 10b of the blood bag 10. The end portion 10b is on the opposite side from the direction of centrifugal force F by the centrifugal separator 2 when the blood bag 10 is mounted on the centrifugal separator 2. The second channel 14 has provided in a second on-off valve 31 that opens and closes the channel 14. Incidentally, the channel 20 for blood collection mentioned above is also connected to the second end portion 10b of the blood bag 10.
(16) The filter 15 is provided in the first channel 13. The filter 15 is formed of a porous body, for example, which can filter out white blood cells as predetermined cells, pathogens. The filter 15 is provided between the first on-off valve 30 and the first blood component bag 11.
(17) The centrifugal separator 2 includes, for example, as shown in
(18) The rotary container 52 is provided with, for example, a pressing mechanism 53 for pressing the blood bag 10 from sides. The pressing mechanism 53 has, for example, as shown in
(19) Next, a blood cell removal method using the cell removal system 1 thus configured will be described.
(20) First, blood collected from the human body is introduced through the channel 20 for blood collection and received in the blood bag 10. At this time, the first on-off valve 30 and the second on-off valve 31 are closed. Next, the cell removal system 1 is mounted on the rotary container 52 of the centrifugal separator 2. At this time, the blood bag 10 is, for example, as shown in
(21) Next, the centrifugal separator 2 operates such that the rotary container 52 is rotated by the rotary actuator 51, whereby the blood in the blood bag 10 is separated by centrifugal force, along the direction of centrifugal force F, into separation layers A, B, and C having a concentration gradient of leukocyte cells, for example, and a separation layer D as an additional separation layer as shown in
(22) Next, the second on-off valve 31 is opened, and the pressing mechanism 53 operates such that the blood bag 10 is pressed by the pressing plates 54 and 55. Accordingly, the separation layer D that is close to the second end portion 10b on the opposite side from the direction of centrifugal force F is pressed out from the blood bag 10, and sent to the second blood component bag 12 through the second channel 14 shown in
(23) After the entire separation layer D is pressed out from the blood bag 10, next, the second on-off valve 31 is closed, and the first on-off valve 30 is opened. Subsequently, the blood bag 10 is further pressed by the pressing plates 54 and 55, and the separation layers A, B, and C are pressed out into the first channel 13 in order of closeness to the first end portion 10a. Accordingly, they are pressed out into the first channel 13 in ascending order of leukocyte cell concentration, that is, in the following order: separation layers A, B, and C. First, the separation layer A having the lowest leukocyte cell concentration is passed through the filter 15 for the removal of white blood cells, and received in the first blood component bag 11. Next, the separation layer B having the second lowest leukocyte cell concentration is passed through the filter 15 for the removal of white blood cells, and received in the first blood component bag 11. Finally, the separation layer C having the highest leukocyte cell concentration is passed through the filter 15 for the removal of white blood cells, and received in the first blood component bag 11. In this manner, a packed red blood cell component containing red blood cells as a main component is received as a first body fluid component in the first blood component bag 11. This serves as a red blood cell product. Subsequently, the first on-off valve 30 is closed. The process of cell removal from blood is thus completed.
(24) According to above embodiment, by centrifugal force, separation layers A, B, and C having a concentration gradient of white blood cells, which are predetermined cells, are formed, and the separation layers A, B, and C are passed through the filter 15 in ascending order of white blood cell concentration. Thus, the side having the highest white blood cell concentration can be the last to pass through the filter 15. Accordingly, filtration can be continued while suppressing a decrease in the white blood cell removal performance caused by a temporary decrease in the number of adsorption sites accompanying the progress of filtration, which is seen in the case where a body fluid component having a uniform cell concentration is passed through a filter. As a result, the efficiency of white blood cell removal by the filter 15 can be increased.
(25) Incidentally, although the separation layer D is pressed out from the blood bag 10 prior to the separation layers A to C in the above embodiment, it is also possible to press out the separation layer D after the separation layers A to C.
(26) In addition, in the above embodiment, the first channel 13 is connected to the first end portion 10a of the blood bag 10 on the side of the direction of centrifugal force F. Therefore, it is also possible to use the centrifugal force of the centrifugal separator 2 to send the separation layers A to C from the blood bag 10 to the first blood component bag 11. This allows the separation layers A to C to be passed through the filter 15 while reliably maintaining their separation state. In addition, the separation layers A to C can be passed through the filter 15 during or immediately after the centrifugal separation that separates blood into the separation layers A to D, whereby the time of the cell removal process can be shortened.
(27) In addition, in the above embodiment, it is also possible to use the centrifugal force of the centrifugal separator 2 to send the separation layer D to the second blood component bag 12. In such a case, as shown in
(28) In the above embodiment, for example, as shown in
(29) In the above embodiment, a preservation liquid for preserving the eventually produced red blood cell product may be added to the separation layers A to C before being passed through the filter 15. For example, as shown in
(30) According to this example, the preservation liquid can be added to the red blood cell product at the same time as the white blood cell removal process. In addition, the separation layers A to C are diluted with the preservation liquid and thus more easily pass through the filter 15. Therefore, the burden on the filter 15 can be reduced. Accordingly, the life of the filter 15 can be prolonged. Incidentally, this example is also applicable to the case where, as shown in
(31) In the above embodiment, when the separation layers A to C are passed through the filter 15, the passing rate may be changed according to the leukocyte cell concentration. For example, in the case where the separation layers A to C are pressed out toward the filter 15 by the pressing mechanism 53, the rate at which the blood bag 10 is pressed by the pressing plates 54 and 55 of the pressing mechanism 53 may be changed to change the passing rate of each of the separation layers A to C through the filter 15. In the case where the separation layers A to C are pressed out toward the filter 15 using the centrifugal force of the centrifugal separator 2, the centrifugal force may be changed to change the passing rate of each of the separation layers A to C through the filter 15. For example, it is possible that the passing rate is set low when the separation layer C having a high white blood cell concentration passes through the filter 15, the passing rate is set high when the separation layer A having a low white blood cell concentration passes through the filter 15, and the passing rate is set medium when the separation layer B having a medium white blood cell concentration passes through the filter 15. This allows white blood cells to be appropriately removed from each of the separation layers A to C without putting too much burden on the filter 15.
(32) Preferred embodiments of the present invention have been described above with reference to the accompanying drawings, but the invention is not limited to these examples. It is obvious that a person skilled in the art can conceive of various modifications or amendments within the concept defined in the claims, and they are naturally construed as being within the technical scope of the present invention.
(33) For example, the above embodiment has shown an example where the blood bag 10 is installed in such a manner that the length direction of the bag (vertical direction in
(34) In the above embodiment, the blood component that undergoes white blood cell removal and is received in the first blood component bag 11 is a red blood cell product. However, it may also be a whole blood product, a platelet product, an intermediate product thereof, etc. For example, in the case of a platelet product, for example, separation layers C and D containing platelets pass through the filter 15 via the first channel 13 in order of separation layers D and C, and a platelet product is received in the first blood component bag 11.
(35) In addition, in the case of a whole blood product, although the cell removal system 1 or the like mentioned above may be used, it is also possible to use a cell removal system 110 that has no second channel 14 or second blood component bag 12 but has only the first channel 13 and the first blood component bag 11 as shown in
(36) In the above embodiment, four separation layers are mainly present, and three of the separation layers mainly pass through the filter 15 and have a concentration gradient of white blood cells. However, the number of layers is not limited thereto. In addition, cells to be removed are not limited to white blood cells either, and may also be other cells such as platelets and red blood cells. Further, the filter 15 may also be capable of removing other disease-causing substances such parasites in addition to pathogenic substances such as white blood cells. In addition, the body fluid from which cells are removed is blood in the above embodiment, but the present invention is also applicable to the cases of other body fluids such as bone marrow and umbilical cord blood.
EXAMPLES
(37) Hereinafter, the results of experiments for the evaluation of the removal performance of a filter will be shown.
(38) The method for preparing a filter used in the experiments is as follows.
(39) (1) Production of Filter Medium:
(40) The following polymer was used as a material for a filter.
(41) Random polymer of 2-hydroxyethyl methacrylate (HEMA) and dimethylaminoethyl methacrylate (DM) (the molar ratio between HEMA and DM=97:3, hereinafter abbreviated as HM-3).
(42) At a monomer concentration in ethanol of 1 mol/L, HM-3 was synthesized by random polymerization at 60 C. for 8 hours in the presence of 0.005 mol/L of 2,2-azobis(2,4-dimethylvaleronitrile) (manufactured by Wako Pure Chemical Industries, Ltd. trade name: V-65) as an initiator.
(43) First, HM-3 was dissolved in a water/ethanol mixed solvent (the weight ratio of water/ethanol=5/95) to prepare a 0.1 wt % solution. The following nonwoven fabrics A and B were impregnated with this solution and, after the removal of excess liquid, vacuum-dried at 40 C. for 16 hours.
(44) A: Polyester nonwoven fabric having an average fiber diameter of 1.8 m produced by melt-blowing
(45) B: Polyester nonwoven fabric having an average fiber diameter of 1.2 m produced by melt-blowing
(46) (2) Production of Filter
(47) In a container having an effective filtration area of 67 mm67 mm, the HM-3-coated polyester nonwoven fabric having an average fiber diameter of 1.8 m produced by melt-blowing was placed so that the pack density was 0.18 g/cm.sup.3 and the thickness was 1.5 mm, and similarly the polyester nonwoven fabric having an average fiber diameter of 1.2 m was placed thereunder so that the pack density was 0.2 g/cm.sup.3 and the thickness was 3 mm.
Example 1
(48) The blood centrifugal filtration method of Example 1 using the above filter is as follows.
(49) (1) From a healthy individual, 250 mL of fresh whole blood having added thereto CPD (Citrate Phosphate Dextrose) was collected in a blood bag (hereinafter referred to as whole blood).
(50) (2) The whole blood was transferred to a 250-mL bottle for centrifugation, placed in a centrifugal cup, and then subjected to centrifugation at 1250 G for 5 minutes. The bottle for centrifugation was then taken out from the centrifugal cup.
(51) (3) In the bottle, about 140 mL of a packed red blood cell layer and about 110 mL of a platelet-rich plasma layer had been formed.
(52) (4) About 110 mL of the platelet-rich plasma layer was sucked and recovered in a bottle. At this time, suction was performed carefully in order not to affect the interface with the packed red blood cell layer.
(53) (5) Then, 35 mL of the packed red blood cell layer remaining in the bottle was carefully collected by suction from the upper part to give a first layer of the packed red blood cell fluid. The concentration of white blood cells (measured using a microcell counter) was 46910 e.sup.2/L, the hematocrit was 30.5%, and the concentration of platelets was 29.110 e.sup.4/L.
(54) (6) Further, 35 mL of the packed red blood cell layer remaining in the bottle was carefully collected by suction from the upper part to give a second layer of the packed red blood cell fluid. The concentration of white blood cells was 14110 e.sup.2/L, the hematocrit was 53.5%, and the concentration of platelets was 9.110 e.sup.4/L.
(55) (7) Next, 30 mL of the packed red blood cell layer remaining in the bottle was collected from the upper part and mixed with 5 mL of a SAGM liquid (red blood cell preservation liquid) to give 35 mL of a third layer of the packed red blood cell fluid. The concentration of white blood cells was 2210 e.sup.2/L, the hematocrit was 60.2%, and the concentration of platelets was 410 e.sup.4/L. Incidentally, from the dilution ratio, before the addition of the SAGM liquid, the white blood cell concentration was 2610 e.sup.2/L, the hematocrit was 70.2%, and the platelet concentration was 510e.sup.4/L.
(56) (8) Next, 26 mL of the packed red blood cell layer remaining in the bottle was collected from the upper part and mixed with 9 mL of a SAGM liquid to give 35 mL of a fourth layer of the packed red blood cell fluid. The concentration of white blood cells was 9.310 e.sup.2/L, the hematocrit was 61.3%, and the concentration of platelets was 210 e.sup.4/L. Incidentally, from the dilution ratio, before the addition of the SAGM liquid, the white blood cell concentration was 12.510 e.sup.2/L, the hematocrit was 82.5%, and the platelet concentration was 310 e.sup.4/L.
(57) (9) Next, 18 mL of the packed red blood cell layer remaining in the bottle was collected from the upper part and mixed with 8 mL of a SAGM liquid to give 26 mL of a fifth layer of the packed red blood cell fluid. The concentration of white blood cells was 7.610 e.sup.2/L, the hematocrit was 60.5%, and the concentration of platelets was 110 e.sup.4/L. Incidentally, from the dilution ratio, before the addition of the SAGM liquid, the white blood cell concentration was 11.010 e.sup.2/L, the hematocrit was 87.4%, and the platelet concentration was 110 e.sup.4/L.
(58) (10) A five-port flexible pipe made of polyvinyl chloride was connected to the inlet side of the white blood cell removal filter. A similar pipe having a blood bag for recovery connected to its end was connected to the outlet side of the filter. The first to fifth layers of the packed red blood cell fluid were transferred to five 50-mL-volume syringes, respectively, and the syringes were connected to five connecting ports of the pipe, respectively. The syringes were subjected to thorough mixing by inversion so that the packed red blood cell fluid in each syringe was made uniform, and then installed in a syringe pump set at a flow rate of 20 mL/min.
(59) (11) The syringe pump was switched on for the syringe containing the fifth layer of the packed red blood cell fluid, whereby the fifth layer was sent to start filtration through the filter. When the fifth layer of the packed red blood cell fluid disappeared from the syringe, then the fourth layer of the packed red blood cell fluid was sent. Subsequently, the third layer, the second layer, and the first layer of the packed red blood cell fluid were sequentially sent. In this manner, in order from the fifth layer having a low white blood cell concentration to the first layer having a high white blood cell concentration, the layers were sent, passed through the filter, and recovered in the blood bag for recovery.
(60) (12) The amount of the packed red blood cell fluid eventually recovered in the blood bag for recovery was 145 mL. Sampling after mixing showed that the concentration of white blood cells (counted using a flow cytometer) was 3.01 cells/L and the hematocrit was 57.6%, while no platelets were detected. The total number of white blood cells in the eventually recovered 145 mL of the packed red blood cell fluid that had undergone white blood cell removal was 0.4410 e.sup.6.
Comparative Example 1
(61) The blood centrifugal filtration method of Comparative Example 1 using the above filter is as follows.
(62) (1) From a healthy individual, 250 mL of whole blood having added thereto CPD was collected in a blood bag.
(63) (2) The whole blood was transferred to a 250-mL bottle for centrifugation, placed in a centrifugal cup, and then subjected to centrifugation at 1250 G for 5 minutes. The bottle for centrifugation was then taken out from the centrifugal cup.
(64) (3) In the bottle, about 140 mL of a packed red blood cell layer and about 110 mL of a platelet-rich plasma layer had been formed.
(65) (4) About 110 mL of the platelet-rich plasma layer was sucked and recovered in a bottle. At this time, suction was performed carefully in order not to affect the interface with the packed red blood cell layer.
(66) (5) A 22-mL quantity of a SAGM liquid was added to the packed red blood cell layer remaining in the bottle and then uniformly mixed to prepare 162 mL of a packed red blood cell fluid. The concentration of white blood cells was 13210 e.sup.2/L, the hematocrit was 53.7%, and the concentration of platelets was 27.310 e.sup.4/L. As a result of calculation, the total number of white blood cells in 162 mL of the prepared packed red blood cell fluid was 2.110 e.sup.9.
(67) (6) The packed red blood cell fluid was dispensed into four 35-mL syringes and one 22-mL syringe. A five-port flexible pipe made of polyvinyl chloride was connected to the inlet side of a white blood cell removal filter produced in the same manner as in Example 1. A similar pipe having a blood bag for recovery connected to its end was connected to the outlet side. Subsequently, the syringes were connected to five connecting ports of the pipe, respectively. The syringes were subjected to thorough mixing by inversion so that the packed red blood cell fluid in each syringe was made uniform, and then installed in a syringe pump set at a flow rate of 20 mL/min. The white blood cell concentration of the packed red blood cell fluid is the same in all the syringes.
(68) (7) The syringe pump was switched on for the first syringe containing the packed red blood cell fluid, whereby the packed red blood cell fluid was sent to start filtration through the filter. When the packed red blood cell fluid disappeared from the first syringe, then the sending of the fluid in the second syringe was started. In this manner, the packed red blood cell fluid of each of the five syringes was passed through the filter and recovered in the blood bag for recovery.
(69) (8) The amount of the packed red blood cell fluid eventually recovered in the blood bag for recovery was 145 mL. Sampling after mixing showed that the concentration of white blood cells (counted using a flow cytometer) was 7.46 cells/L and the hematocrit was 53.7%, while no platelets were detected. The total number of white blood cells in the eventually recovered 145 mL of the packed red blood cell fluid that had undergone white blood cell removal was 1.0810 e.sup.6.
Comparative Example 2
(70) The blood centrifugal filtration method of Comparative Example 2 using the above filter is as follows.
(71) (1) From a healthy individual, 250 mL of whole blood having added thereto CPD was collected in a blood bag.
(72) (2) The whole blood was transferred to a 250-mL bottle for centrifugation, placed in a centrifugal cup, and then subjected to centrifugation at 1250 G for 5 minutes. The bottle for centrifugation was then taken out from the centrifugal cup.
(73) (3) In the bottle, about 140 mL of a packed red blood cell layer and about 110 mL of a platelet-rich plasma layer had been formed.
(74) (4) About 110 mL of the platelet-rich plasma layer was sucked and recovered in a bottle. At this time, suction was performed carefully in order not to affect the interface with the packed red blood cell layer.
(75) (5) Then, 35 mL of the packed red blood cell layer remaining in the bottle was carefully collected by suction from the upper part to give a first layer of the packed red blood cell fluid. The concentration of white blood cells (measured using a microcell counter) was 46910 e.sup.2/L, the hematocrit was 30.5%, and the concentration of platelets was 29.110 e.sup.4/L.
(76) (6) Further, 35 mL of the packed red blood cell layer remaining in the bottle was carefully collected by suction from the upper part to give a second layer of the packed red blood cell fluid. The concentration of white blood cells was 14110 e.sup.2/L, the hematocrit was 53.5%, and the concentration of platelets was 9.110 e.sup.4/L.
(77) (7) Next, 30 mL of the packed red blood cell layer remaining in the bottle was collected from the upper part and mixed with 5 mL of a SAGM liquid (red blood cell preservation liquid) to give 35 mL of a third layer of the packed red blood cell fluid. The concentration of white blood cells was 2210 e.sup.2/L, the hematocrit was 60.2%, and the concentration of platelets was 410 e.sup.4/L. Incidentally, from the dilution ratio, before the addition of the SAGM liquid, the white blood cell concentration was 2610 e.sup.2/L, the hematocrit was 70.2%, and the platelet concentration was 510 e.sup.4/L.
(78) (8) Next, 26 mL of the packed red blood cell layer remaining in the bottle was collected from the upper part and mixed with 9 mL of a SAGM liquid to give 35 mL of a fourth layer of the packed red blood cell fluid. The concentration of white blood cells was 9.310 e.sup.2/L, the hematocrit was 61.3%, and the concentration of platelets was 210 e.sup.4/L. Incidentally, from the dilution ratio, before the addition of the SAGM liquid, the white blood cell concentration was 12.510 e.sup.2/L, the hematocrit was 82.5%, and the platelet concentration was 310 e.sup.4/L.
(79) (9) Next, 18 mL of the packed red blood cell layer remaining in the bottle was collected from the upper part and mixed with 8 mL of a SAGM liquid to give 26 mL of a fifth layer of the packed red blood cell fluid. The concentration of white blood cells was 7.610 e.sup.2/L, the hematocrit was 60.5%, and the concentration of platelets was 110 e.sup.4/L. Incidentally, from the dilution ratio, before the addition of the SAGM liquid, the white blood cell concentration was 11.010 e.sup.2/L, the hematocrit was 87.4%, and the platelet concentration was 110 e.sup.4/L.
(80) (10) A five-port flexible pipe made of polyvinyl chloride was connected to the inlet side of the white blood cell removal filter. A similar pipe having a blood bag for recovery connected to its end was connected to the outlet side of the filter. The first to fifth layers of the packed red blood cell fluid were transferred to five 50-mL-volume syringes, respectively, and the syringes were connected to five connecting ports of the pipe, respectively. The syringes were subjected to thorough mixing by inversion so that the packed red blood cell fluid in each syringe was made uniform, and then installed in a syringe pump set at a flow rate of 20 mL/min.
(81) (11) The syringe pump was switched on for the syringe containing the first layer of the packed red blood cell fluid, whereby the first layer was sent to start filtration through the filter. When the first layer of the packed red blood cell fluid disappeared from the syringe, then the second layer of the packed red blood cell fluid was sent. Subsequently, the third layer, the fourth layer, and the fifth layer of the packed red blood cell fluid were sequentially sent. In this manner, in order from the first layer having a high white blood cell concentration to the fifth layer having a low white blood cell concentration, the layers were sent, passed through the filter, and recovered in the blood bag for recovery.
(82) (12) The amount of the packed red blood cell fluid eventually recovered in the blood bag for recovery was 145 mL. Sampling after mixing showed that the concentration of white blood cells (counted using a flow cytometer) was 38.2 cells/L and the hematocrit was 58.7%, while no platelets were detected. The total number of white blood cells in the eventually recovered 145 mL of the packed red blood cell fluid that had undergone white blood cell removal was 5.5410 e.sup.6.
(83) The present invention is useful in improving the efficiency of predetermined cell removal by a filter in the separation of a predetermined body fluid component from a body fluid.
(84) 1: Cell removal system
(85) 2: Centrifugal separator
(86) 10: Blood bag
(87) 10a: First end portion
(88) 10b: Second end portion
(89) 11: First blood component bag
(90) 12: Second blood component bag
(91) 13: First channel
(92) 14: Second channel
(93) 15: Filter
(94) 30: First on-off valve
(95) 31: Second on-off valve
(96) A to D: Separation layer
(97) F: Direction of centrifugal force