Method and apparatus for separating blood components including re-processing a low-concentration blood component
09669152 ยท 2017-06-06
Assignee
Inventors
Cpc classification
A61M1/0231
HUMAN NECESSITIES
A61M1/3693
HUMAN NECESSITIES
A61M2205/331
HUMAN NECESSITIES
A61M1/3696
HUMAN NECESSITIES
B04B11/04
PERFORMING OPERATIONS; TRANSPORTING
International classification
A61M1/36
HUMAN NECESSITIES
A61M1/38
HUMAN NECESSITIES
B04B11/04
PERFORMING OPERATIONS; TRANSPORTING
Abstract
Provided is a blood component separation device that can shorten the overall time to collect high-concentration platelet liquid for blood component donation, thereby reducing time to keep a donor for blood drawing. The blood component separation device includes a temporary storage bag (also used as a buffy coat bag) which is also used as a whole blood bag for storing whole blood drawn from the donor. A control means performs whole blood drawing from the donor in parallel with performing at least either of a circulation flow step and an acceleration step, thereby storing the collected whole blood in the temporary storage bag.
Claims
1. A method for controlling a blood component separation device comprising a centrifugal separator and configured to separate a predetermined blood component from blood, said method comprising cycles of steps (a) through (d) (a) a centrifugal separation step introducing whole blood drawn from a donor into the centrifugal separator to separate the whole blood into a plurality of blood components and temporarily storing at least part of a first separated blood component in a temporary storage container, (b) a critical flow step introducing said first separated blood component into the centrifugal separator together with whole blood, and (c) a circulation/acceleration step, preformed after a predetermined amount of the first separated blood component is separated in the critical flow step, in which (1) supply of whole blood to the centrifugal separator is stopped; (2) the first separated blood component is introduced into the centrifugal separator to further circulate the first separated blood component for a predetermined period of time, and a second blood component to be collected is separated by the centrifugal separator by increasing a circulation speed, (3) whole blood being collected from the donor during the circulation/acceleration step is temporarily stored in said temporary storage container during at least a time period in the circulation/acceleration step, and (4) collecting at least some of the second blood component, and (d) a blood returning step for returning to the donor blood components remaining after collecting at least some of the second component, wherein in at least some cycles the whole blood drawn from the donor in step (a) comprises the whole blood transferred to the temporary storage in a previous cycle and whole blood drawn from the donor in the current cycle.
2. The method according to claim 1 wherein said part of the first separated blood component is plasma and said plasma and whole blood are simultaneously flowed into said temporary storage container during said circulation-acceleration step.
3. The method according to claim 2 wherein said plasma is transferred through a plasma bag from an outlet of said centrifugal separator to an inlet of said centrifugal separator.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
(20) A system configuration of a blood component separation device according to a first embodiment of the present invention will be illustrated in
(21) A blood component separation device according to the embodiment includes a blood component separation circuit 1. The blood component separation circuit 1 includes a blood drawing needle 11, an initial blood flow collecting circuit 80 configured with an initial blood flow collecting bag 82 for collecting initial blood flow, a sampling port 85, and an initial blood flow collecting line 88. The blood component separation circuit 1 further includes a centrifuge bowl 19 having therein a space for storing blood. The centrifuge bowl 19 includes a rotor (not shown in the drawing) gripping the centrifuge bowl 19 to rotate, a centrifuge bowl drive unit 15 for rotatably driving the rotor (see
(22) The blood drawing needle 11, which is a collecting unit to collect whole blood (blood) from a donor, is coupled to a first port 13a of the first blood pump 13 via the donor tube 12. The initial blood flow collecting bag 82 is coupled to the blood drawing needle 11 via a branch 87 provided on the donor tube 12 and the initial blood flow collecting line 88. Further, the initial blood flow collecting bag 82 includes a sampling port 85 for transferring collected initial blood flow to a test container (not shown). The sampling port 85 is constituted with a needle 83, a main body 86, and a cover 84 for covering the needle 83. Further, a klemme 90 is provided on the initial blood flow collecting line 88 to open/close the line. The tube 42 coupled to a second port 13b of the first blood pump 13 is branched into two tubes 43 and 44. The tube 44 is coupled to a first port 16a of the first open/close valve 16. The tube 60 coupled to a second port 16b of the first open/close valve 16 is branched into two tubes 45 and 46. The tube 46 is coupled to the first inflow port 19a of the centrifuge bowl 19 which is a centrifugal separator for separating the drawn blood into a plurality of blood components. The centrifuge bowl 19 is arranged on the centrifuge bowl drive unit 15 (see
(23) A pressure sensor 14 is coupled to the donor tube 12.
(24) The tube 47 coupled to the second port 19b of the centrifuge bowl 19 is branched into three tubes 48, 49 and 50. The tube 48 is coupled to an input port 24a of the fourth open/close valve 24. An output port 24b of the fourth open/close valve 24 is coupled to an input port 25b of the plasma bag (first container) 25 via the tube 58.
(25) The second port 19b, which is an outlet from the centrifuge bowl 19, and the plasma bag 25 are coupled via the second line (the tube 47, the tube 48, the fourth open/close valve 24, and the tube 58). An output port 25a of the plasma bag 25 is coupled to an input port 18b of the second blood pump 18 via the tube 59. The plasma bag 25 is coupled to the tube 60, constituting the first line, via the tube 45. That is, the plasma bag 25 and the first line are coupled via the third line (the tube 59, the second blood pump 18, and the tube 45). In this manner, the plasma bag 25 is coupled so as to selectively communicate with the inlet to or the outlet from the centrifuge bowl 19.
(26) The tube 50 branched from the tube 47 is coupled to a second port 23b of the third open/close valve 23. A first port 23a of the third open/close valve 23 is coupled to a second port 20b of the temporary storage bag 20 via the tube 53.
(27) That is, the second port 19b of the centrifuge bowl 19 and the temporary storage bag 20 are coupled via the fourth line (the tube 47, the tube 50, the third open/close valve 23, and the tube 53).
(28) A first port 20a of the temporary storage bag 20 is coupled to a second port 17b of the second open/close valve 17 via the tube 54. A first port 17a of the second open/close valve 17 is coupled to the tube 42 via the tube 43.
(29) That is, the temporary storage bag 20 and the tube 42 are coupled via the fifth line (the tube 43, the second open/close valve 17, and the tube 54). In this manner, the temporary storage bag 20 is coupled so as to selectively communicate with the inlet to or the outlet from the centrifuge bowl 19.
(30) The tube 49 is further branched into tubes 51 and 52. The tube 51 is coupled to the air bag 28 via the fifth open/close valve 26, and the tube 52 is coupled to the platelet intermediate bag (third container) 29 via the sixth open/close valve 27.
(31) That is, the second port 19b of the centrifuge bowl 19 and the platelet intermediate bag 29 are coupled via the sixth line (the tube 47, the tube 49, the tube 52, and the sixth open/close valve 27). In this manner, the platelet intermediate bag 29 is coupled to the outlet from the centrifuge bowl 19.
(32) A turbidity sensor 21 for detecting concentration of platelets PLT and a pressure sensor 22 are attached to the tube 47 coupled to the second port 19b of the centrifuge bowl 19. The turbidity sensor 21 detects the turbidity, made by platelets PLT, of plasma PPP flowing in the tube 47.
(33) In the peripheral region of where the centrifuge bowl 19 is attached, an interface sensor 38 for detecting the location of the interface of buffy coat layer BC (see
(34) The tube 55 coupled to the platelet intermediate bag 29 is branched into two tubes 56 and 57. The tube 56 is coupled to an inlet port 30a of the seventh open/close valve 30, and the tube 57 is coupled to an outlet port 34a of the third blood pump 34.
(35) An inlet port 34b of the third blood pump 34 is coupled to a platelet reserve liquid bottle (not shown) via a sterilizing filter 40 and a bottle needle 35. An outlet port 30b of the seventh open/close valve 30 is coupled to the platelet bag 32 via a white blood cell removal filter 31. Further, an air bag 33 is coupled to the platelet bag 32.
(36) An output port of an ACD pump 36 is coupled to the donor tube 12. An input port of the ACD pump 36 is coupled to an output port of the sterilizing filter 37. An input port of the sterilizing filter 37 is coupled to an ACD storing bottle (not shown) via a bottle needle 39.
(37) As illustrated in
(38) Detection signals from the sensors 14, 21, 22, and 38 are input to the controller 2 as required. Based on these detection signals or the like, the controller 2 operates or stops the pumps 13, 18, 34, and 36 and controls rotational directions (normal rotation/reverse rotation) and rotational speeds of the pumps. The controller 2 also opens or closes the open/close valves 16, 17, 23, 24, 26, 27, and 30 or controls the operation of the centrifuge bowl drive unit 15 as required.
(39) As a material of the tubes, for example, thermoplastic elastomers such as polyvinyl chloride, polyethylene, polypropylene, polyester such as PET and PBT, ethylene-vinyl acetate copolymer (EVA), polyurethane, and polyester elastomer may be used. Among these materials, particularly, polyvinyl chloride is preferably used. Polyvinyl chloride not only has sufficient ductility and flexibility but also is easy to handle and suitable to be choked by a klemme or the like.
(40) As a material of the bags, soft polyvinyl chloride including DEHP as a plasticizer or products of polymerization or copolymerization of such olefins or diolefins as polyolefin, ethylene, propylene, butadiene, and isoprene can be used. Typical examples include ethylene-vinyl acetate copolymer (EVA), polymer blends formed between EVA and various thermoplastic elastomers, and arbitrary combinations thereof. Further, PET, PBT, PCGT, or the like can be used. Among these materials, particularly, polyvinyl chloride is preferably used. Such material having high gas permeability is preferable for a container for storing platelets PLT to improve shelf life of platelets PLT. Therefore, polyolefin or DnDp-plasticized polyvinyl chloride may preferably be used for such material or a material formed in a thin sheet may preferably be used.
(41)
(42) In the centrifuge bowl 19 in the blood component separation device, an inflow port 19a, and an outflow port 19b, are formed on the non-rotatable fixed portion 70. A cover 61 and a downwardly extending inflow tube 62 are coupled to the fixed portion 70. By these fixed portions, a side wall 73, an outer shell 78, an inner shell 79, and a bottom plate 60 are integrally and rotatably supported. The bottom plate 60 is coupled to the centrifuge bowl drive unit 15, for example, by suctioning so that the rotational force from the centrifuge bowl drive unit 15 can be transferred to the bottom plate 60.
(43) The centrifugal force produces layers of blood components in the space between the outer shell 78 and the side wall 73. These layers are, from outer side to inner side, in the descending order of specific gravity, a red blood cell layer RBC, a white blood cell layer WBC, a buffy coat layer BC, a platelet layer PLT, and a plasma layer PPP. It is difficult to separate the white blood cell layer WBC and the platelet layer PLT because values of specific gravity are close. Thus, the buffy coat layer BC including the white blood cell layer WBC and the platelet layer PLT exists. Typically, whole blood includes about 55% of plasma PPP, about 43.2% of red blood cells RBC, about 1.35% of white blood cells WBC, and 0.45% of platelets PLT.
(44) The centrifuge bowl 19 has an outflow passage 63 in the inner periphery formed somewhat above the middle point of the inflow tube 62. So that the plasma layer PPP formed in the inner side of the space formed by the outer shell 78 and the side wall 73 first flows out from the centrifuge bowl 19 by passing through the outflow port 19b.
(45) The operation of the blood component separation device configured as described above is shown in a flowchart in
(46)
(47) First, a priming step (S1) illustrated in
(48) When the priming step (S1) is finished, the blood drawing needle 11 pierces a donor to start drawing of whole blood (S2). When the blood drawing needle 11 has pierced the donor, first, the initial blood flow is collected in the initial blood flow collecting bag 82 (see
(49) The ACD pump 36 is driven again to supply ACD liquid to the donor tube 12 so as to be mixed with the whole blood which is supplied to the centrifuge bowl 19. When whole blood is supplied to the rotating centrifuge bowl 19, as illustrated in
(50) In the centrifuge bowl 19, as illustrated in
(51) Then when the turbidity sensor 21 detects that the fluid flowing in the tube has changed from air to plasma PPP, the fifth open/close valve 26 is closed and the fourth open/close valve 24 is opened to store plasma PPP spilled out from the centrifuge bowl 19 in the plasma bag 25, as illustrated in
(52) Then when a certain amount of plasma PPP (30 ml for the working example) is stored in the plasma bag 25 (S4: YES), the second blood pump 18 is driven to draw whole blood from the donor, mix the whole blood with the plasma PPP stored in the plasma bag 25, and supply the mixed whole blood and plasma PPP to the centrifuge bowl 19, as illustrated in
(53) Then, when the interface sensor 38 detects that the interface between the buffy coat BC and the red blood cell RBC in
(54) At the same time, whether the present cycle is the last cycle is determined. When the present cycle is not the last cycle (S7: NO), the second open/close valve 17 is opened with the first blood pump 13 kept driving to store the drawn whole blood in the temporary storage bag 20 (S11). In other words, whole blood is kept drawn by storing the drawn whole blood in the temporary storage bag 20. Drawing of whole blood is continued until completion of the circulation/acceleration step or reaching a previously determined time or amount of drawing. In the last cycle (S7: YES), the first blood pump 13 is stopped to stop blood drawing (S8).
(55) In the circulation step in the circulation/acceleration step of the working example, the circulation speed is set faster than the critical flow step so as that the plasma PPP circulates with the speed of 100 ml/min, flowing through the centrifuge bowl 19 within 30 to 40 seconds. In this manner, the concentration of particulates in the buffy coat layer BC in
(56) Then, after the circulation step is performed for a certain time period, an acceleration step (fifth step) in the circulation/acceleration step is performed as illustrated in
(57) In the acceleration step, the platelets PLT receive ascending force and thereby flows out of the centrifuge bowl 19 from the outflow passage 63, as can be understood in
(58)
(59)
(60) In the working example, in the acceleration step as illustrated in
(61) Note that, the temporary storage bag 20 is also used as a buffy coat bag as well as a whole blood bag.
(62) When the turbidity sensor 21 detects that the concentration of platelet liquid is high, it is determined that the present period is the period TC (S23: YES), and the third open/close valve 23 is closed and the sixth open/close valve 27 is opened as illustrated in
(63) If the present cycle is not the last cycle (S7: NO), the first blood pump 13 is kept driving so that the whole blood drawn from the donor is continuously stored in the temporary storage bag 20.
(64) When the turbidity sensor 21 detects that the turbidity of platelets PLT is smaller than a predetermined value, it is determined that the present period is the period TD (S25: YES), and the sixth open/close valve 27 is closed and the third open/close valve 23 is opened as illustrated in
(65) If the present cycle is not the last cycle (S7: NO), the first blood pump 13 is kept driving so that the whole blood drawn from the donor is continuously stored in the temporary storage bag 20.
(66) When the turbidity of platelets PLT detected by the turbidity sensor 21 is smaller than the predetermined value, it is determined that the period TD is ended (S27: YES) and that the outflow of platelets PLT has finished. Then, the step proceeds to a blood returning step illustrated in
(67) That is, as illustrated in
(68) Further, when required, the second blood pump 18 is driven to return the excessive plasma PPP stored in the plasma bag 25.
(69) When the blood returning finishes, and if the present cycle is the last cycle (S7: YES), the entire step is finished. When the present cycle is not the last cycle (S7: NO), the centrifuge bowl 19 starts rotating as illustrated in
(70) Then, when it is confirmed that all the blood in the temporary storage bag 20 has returned to the centrifuge bowl 19 and that a predetermined amount of plasma PPP is stored in the plasma bag 25 (S4: YES), as illustrated in
(71) This cycle is repeated, typically three or four times, until a predetermined amount of platelets PLT is obtained. For example, when the operation finishes with three cycles, blood drawing is performed in parallel in a circulation period TF2 and an acceleration period TG2 in the second cycle to store whole blood in the temporary storage bag 20. Then during blood drawing in the third cycle, the blood in the temporary storage bag 20 is mixed with whole blood and supplied to the centrifuge bowl 19. Further, in a circulation period TF3 and an acceleration period TG3 in the third cycle, blood drawing is not performed. This is because the fourth cycle will not be performed.
(72) When the operation finishes with three cycles, the blood drawing needle 11 is removed from the donor after blood returning in the third cycle finishes, and the blood drawing finishes.
(73) Then, the third blood pump 34 is driven to inject a suitable amount of platelet reserve liquid into the platelet intermediate bag 29 from a bottle needle 35 coupled to the platelet reserve liquid bottle (not shown). Further, as illustrated in
(74) After confirming that the high-concentration platelet liquid stored in the platelet intermediate bag 29 has completely been taken out, the third blood pump 34 is driven to inject the platelet reserve liquid remaining in the platelet reserve liquid bottle into the platelet bag 32, through the sterilizing filter 40 and the white blood cell removal filter 31, from the bottle needle 35 coupled to the platelet reserve liquid bottle, as illustrated in
(75) As described above in detail, the blood component separation device according to the embodiment includes (1) a centrifuge bowl 19 (centrifugal separator) for separating a predetermined blood component from blood and containers (the plasma bag 25 and the platelet intermediate bag 29) for containing the predetermined blood component which is centrifugally separated. The blood component separation device is configured to perform (a) centrifugal separation step for introducing whole blood drawn from a donor into the centrifuge bowl 19 to separate the whole blood into a plurality of blood components, (b) critical flow step (circulation flow step in the present invention) for introducing plasma PPP (first blood component), among centrifugally separated blood components, into the centrifuge bowl 19 together with whole blood, and (c) circulation/acceleration step, performed after separating the plasma PPP in the critical flow step, in which only the plasma PPP is introduced into the centrifuge bowl 19 to further circulate the plasma PPP for a predetermined period of time, and platelets PLT (second blood component) is separated in the centrifuge bowl 19 to be collected by increasing the circulation speed. The blood component separation device is characterized in that the whole blood collected from a donor is temporarily stored in the temporary storage bag 20 (temporary storage container) during at least a time period in the circulation/acceleration step. (2) The blood component separation device described in (1) is preferably configured to perform (d) blood returning step for returning blood components, remaining after collecting platelets PLT in the circulation/acceleration step, to the donor. The blood component separation device is characterized in that the whole blood stored in the temporary storage bag 20 (temporary storage container) is introduced in the centrifuge bowl 19 together with the whole blood collected in the centrifugal separation step in the following cycle, where the steps (a) to (d) constitute one cycle. This allows drawing whole blood from the donor in parallel with performing circulation/acceleration step in a first cycle (present cycle), so that the time required for drawing whole blood in a second cycle (following cycle) can be reduced, thereby reducing the time required for the entire process. This reduces the time to keep the donor for blood drawing.
(76) For example, typical time periods in each cycle are about 12 minutes for blood drawing (centrifugal separation step and critical flow step), about 30 to 40 seconds for the circulation step in the circulation/acceleration step, about 20 to 30 seconds for the acceleration step in the circulation/acceleration step, and about 5 minutes for blood returning. According to the present invention, since blood is previously drawn for about one minute in the first cycle, the time required for drawing blood in the second cycle can be reduced by one minute, that is, to about eleven minutes. Similarly, when total three cycles are performed, the time required for drawing blood in the third cycle can be reduced by one minute, that is, to about eleven minutes.
(77) There is a problem for a donor that the amount of blood circulating outside the body increases, although it may not be a problem for 90% of donors. If the result of previous check shows that there may be a problem in increasing the amount of blood circulating outside the body, a switching unit may be used to avoid drawing whole blood in parallel with the circulation/acceleration step in the first cycle (present cycle), and to draw whole blood in the second cycle (following cycle) after returning blood.
(78) It goes without saying that, in the last cycle, whole blood is not drawn for the following cycle because there is no cycle following the last cycle.
(79) (3) In the blood component separation device according to (1) or (2), the circulation/acceleration step includes a first collecting step for transferring a low-concentration portion of the platelet liquid (low-concentration second blood component) to the temporary storage bag 20 and a second collecting step for collecting a high-concentration portion of the second blood component (high-concentration second blood component). The blood component separation device is characterized in that the low-concentration platelet liquid transferred to the temporary storage bag 20 is introduced into the centrifuge bowl 19 together with the whole blood collected in the temporary storage bag 20 in the following cycle and the whole blood drawn in the following cycle. Thus, the blood component separation device can be applied to the BC cycle for obtaining high-concentration platelets PLT allowing drawing whole blood from a donor in parallel with performing the circulation/acceleration step in the first cycle (present cycle). This reduces the time required for drawing whole blood in the second cycle (following cycle) and the time required for the entire process, thereby reducing the time to keep the donor for blood drawing.
(80) (4) The blood component separation device according to (1) or (2) further includes the blood pump 41 for introducing at least either of the whole blood and the low-concentration platelet liquid stored in the temporary storage bag 20 in the preceding cycle into the centrifuge bowl 19 in the centrifugal separation step in the following cycle. Therefore, at least either of the whole blood and the low-concentration platelet liquid stored in the preceding cycle can quickly and surely be introduced into the centrifuge bowl 19.
(81) (5) The blood component separation device according to (3) includes a second storage container for temporarily storing the low-concentration platelet liquid in the circulation/acceleration step. The blood component separation device is characterized in that the second storage container is also used as the temporary storage bag 20, so that there is no need to additionally provide a second storage container which makes the apparatus large nor to prepare a disposable second storage container, thereby reducing cost.
(82) The specific exemplary embodiment of the present invention is described above in detail. The present invention is not limited to such exemplary embodiment and various applications can be made.
(83) For example, unlike the exemplary embodiment providing the temporary storage bag 20 used as both the buffy coat bag and the whole blood bag, the buffy coat bag and the whole blood bag may separately be provided in parallel.
(84) Unlike the exemplary embodiment drawing whole blood in parallel throughout the entire period of the circulation/acceleration step, whole blood may be drawn in parallel during a portion of the entire period.
(85) In the present embodiment, drawing of whole blood is performed in parallel with the circulation/acceleration step. However, a switching unit may be provided in the blood component separation device to perform drawing of whole blood not in parallel, as is performed in conventional technique.
REFERENCE SIGNS LIST
(86) 15 centrifuge bowl drive unit
(87) 19 centrifuge bowl (centrifugal separator)
(88) 20 temporary storage bag (second container)
(89) 21 turbidity sensor
(90) 25 plasma bag (first container)
(91) 28, 33 air bag
(92) 29 platelet intermediate bag (third container)
(93) 32 platelet bag
(94) 38 interface sensor
(95) PPP plasma (first blood component)
(96) PLT platelet (second blood component)
(97) WBC white blood cell
(98) BC buffy coat
(99) RBC red blood cell