Tissue processing apparatus and method for processing adipose tissue
11649427 · 2023-05-16
Assignee
Inventors
- William W. Cimino (Louisville, CO, US)
- Ramon Llull (Palma de Mallorca, ES)
- Adam J. Katz (Winston-Salem, NC, US)
Cpc classification
A61K35/32
HUMAN NECESSITIES
C12M45/02
CHEMISTRY; METALLURGY
A61L27/00
HUMAN NECESSITIES
A61M1/88
HUMAN NECESSITIES
International classification
A61K35/32
HUMAN NECESSITIES
A61L27/00
HUMAN NECESSITIES
Abstract
A portable apparatus useful for collection and processing of human biological material, such as adipose or cancellous bone material, to prepare a concentrated product (e.g., stromal vascular fraction). The apparatus has a container with a containment volume with a tissue retention volume and a filtrate volume separated by a filter and with a pellet well for collecting concentrate product in the form of a pellet phase from centrifuge processing. The pellet well is accessible only from above when the apparatus is in an access orientation. Collected pellet phase material may be removed from the pellet well by direct aspiration, without suspending the material in a suspension liquid within the container. Access ports may be configured for access only from above the container. The apparatus may include a tissue collector disposed in the disuse retention volume to engage and collect collagen or other stringy tissue. A method of processing adipose tissue to concentrate leuko stromal vascular cells includes multi-step processing using a portable container.
Claims
1. A method for removing pellet phase material from a portable apparatus for processing of human biological material; wherein the apparatus comprises: an access orientation; a container having an internal containment volume, the internal containment volume including a tissue retention volume and a filtrate volume; a filter disposed within the internal containment volume with the tissue retention volume on one side of the filter and the filtrate volume on another side of the filter with the tissue retention volume and the filtrate volume being in fluid communication through the filter; an inlet port in fluid communication with the tissue retention volume and configured to access the tissue retention volume for introducing human biological material into the tissue retention volume; a suction port in fluid communication with the filtrate volume and configured to access the filtrate volume for suctioning material from the filtrate volume; the internal containment volume including a pellet well disposed in a bottom portion of the filtrate volume below a bottom elevation of the filter and accessible only from above when the apparatus is in the access orientation; and when the apparatus is in the access orientation, the pellet well having at least one vertical portion with a vertical length of at least 0.5 centimeter, a maximum horizontal cross-dimension of no larger than 10 millimeters and a minimum horizontal cross-dimension of no smaller than 1.5 millimeters; wherein the container of the apparatus contains density-separated phases from centrifuging following enzymatic digestion of human biological material, the density-separated phases comprise lower-density material phases and a higher-density pellet phase, with at least a portion of the pellet phase contained within the vertical portion of the pellet well; the method comprising selectively removing material of the pellet phase from the container of the apparatus while the apparatus is in the access orientation, wherein the selectively removing comprises: inserting an aspiration tube from outside of and above the container to inside of the container to and advancing a tip of the aspiration tube downward through the internal containment volume to an aspiration position with the aspiration tube extending through the vertical portion and with the tip disposed in contact with the pellet phase in the pellet well; and after the inserting, aspirating at least a majority of material of the pellet phase through the aspiration tube to outside of the container without first suspending the material of the pellet phase in a suspension liquid in the container.
2. A method according to claim 1, wherein: the lower-density material phases include an aqueous phase above the pellet phase; and the aqueous phase is not removed from the container prior to the aspirating.
3. A method according to claim 1, wherein after the aspirating, the lower-density material phases remain in the container.
4. A method according to claim 1, wherein the inserting comprises inserting the aspiration tube downward into the container from above.
5. A method according to claim 1, wherein: the aspirating comprises aspirating the at least a majority of the material of the pellet phase into a receptacle located outside of the container that is in fluid communication with the aspiration tube; and prior to commencement of the aspirating, the receptacle contains a volume of dispersion medium and during the aspirating the dispersion medium mixes with the at least a majority of the material of the pellet phase in the receptacle.
6. A method according to claim 5, wherein the volume of the dispersion medium is in a range of from 2 times to 10 times a volume of the at least a majority of the material of the pellet phase that is aspirated into the receptacle during the aspirating.
7. A method according to claim 1, wherein during the aspirating the aspiration tube is in fluid communication with a syringe and the aspirating comprises collecting the at least a majority of the material of the pellet phase into the syringe.
8. A method according to claim 1, wherein the pellet well has a volume in a range of from 0.5 cubic centimeter to 2 cubic centimeters.
9. A method according to claim 1, wherein the internal containment volume comprises an available processing volume in a range of from 5 cubic centimeters to 1300 cubic centimeters, with a portion of the available processing volume being in the tissue retention volume.
10. A method according to claim 9, wherein the available processing volume is in a range of from 5 cubic centimeters to 400 cubic centimeters.
11. A method according to claim 9, wherein the portion of the available processing volume in the tissue retention volume is in a range of from 40 percent to 60 percent of the available processing volume.
12. A method according to claim 9, wherein the pellet well has a volume in a range of from 0.2 percent to 2 percent of the portion of the available processing volume in the tissue retention volume.
13. A method according to claim 9, wherein the pellet well has a volume in a range of from 0.3 percent to 1.5 percent of the portion of the available processing volume in the tissue retention volume.
14. A method according to claim 1, wherein the pellet well includes a frustoconical portion with an angle of taper relative to horizontal of at least 70° when the container is in the access orientation.
15. A method according to claim 1, wherein when the portable container apparatus is in the access orientation the internal containment volume comprises: a first portion that is cylindrical or is frustoconical tapering toward the bottom of the internal containment volume with an angle of taper relative to horizontal of at least 70°; a second portion disposed below the first portion, the second portion being frustoconical tapering toward the bottom of the internal containment volume with an angle of taper relative to horizontal in a range of from 30° to 60°; a third portion disposed below the second portion in the pellet well, the third portion being cylindrical or frustoconical tapering toward the bottom of the internal containment volume at an angle of taper relative to horizontal of at least 70°.
16. A method according to claim 1, wherein the pellet phase comprises a stromal vascular fraction concentrate.
17. A method according to claim 1, wherein the pellet phase comprises a stromal vascular fraction concentrate derived from adipose tissue.
18. A method according to claim 1, wherein the pellet phase comprises a stromal vascular fraction concentrate derived from cancellous bone material.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
(18) The following description of embodiments may be exemplified by reference to collecting and processing tissue comprising adipose, but the principles described generally apply also to collection and processing of other tissue, for example cancellous bone material.
(19) References herein to the orientation of an apparatus, such as top, bottom, lower and upper, will refer to the apparatus in an access orientation.
(20) Referring now to
(21) The first suction port 458 is connected with a suction conduit 466 extending from the first suction port 458 to within a tapered portion of an internal containment volume of the apparatus 450. The second suction port 460 may be adapted to receive a translatable suction conduit for removal of material from a filtration volume, or downstream side, of a filter 468 to different elevations. The second suction port 460 may also provide an opening through which air may be drawn into the internal containment volume of the apparatus when material is being suctioned from the internal containment volume through the first suction port 458 and/or to permit expulsion of an when feed tissue is introduced into the inlet port 462. The filter 468 suspended from the lid 454 and the filter 468 divides the internal containment volume in the apparatus between a tissue retention volume disposed inside the filter 468 and a filtrate volume disposed on the other side of the filter 468. The apparatus 450 includes a rotatable mixer disposed within the filtrate volume that includes propellers 470 connected to a rotatable shaft 472, which may be rotated to operate the rotatable mixer and cause the impellers 470 to mix and circulate fluid within the internal containment volume of the apparatus 450. The rotatable shaft 472 includes an internal lumen that extends from a proximal end outside of the container of the apparatus to a distal end in the tissue retention volume, to permit access into the internal containment volume. A removable plug 474 may be disposed in a proximal end of the lumen for sealing the lumen when the lumen is not in use. The rotatable shaft includes a handle interface which may be interfaced with a hand-manipulable handle 476 (
(22) Reference is now made to
(23) As shown in
(24) The tissue collector 482 includes four tissue collection members 486, which may also be referred to as tissue collection blades. The tissue collection members 486 each includes a plurality of teeth 490 and open spaces 492, configured with an open space 492 located between each pair of adjacent teeth 490. The tissue collection members 486 thus have a toothed configuration that facilitates engagement and collection of stringy tissue, such as collagen, when the tissue collector 482 is rotated in the rotation direction 488, such as may be affected by rotating the rotatable shaft 472 using the handle 476. The open spaces 492 may alternatively be referred to as slots or recesses, and the open spaces 492 provide locations for stringy tissue engaging with the tissue collector 482 to be collected and retained, when material being processed includes stringy tissue. As stringy tissue collects in the open spaces 492, the stringy tissue may also tend to wrap around the rotatable shaft 472 to assist retention of the stringy tissue. By collecting and retaining the stringy tissue using the tissue collector 482, plugging of the filter 468 may be significantly reduced because less of the stringy tissue is available to collect on and plug the filter 468. The teeth 490 each have a top (maximum protrusion of a tooth 490 relative to the bottom of an adjacent open space 492) that is thus disposed toward a leading edge of the corresponding member 486 when the tissue collector 482 is rotated in the rotational direction 488. The bottom of an open space 492 may be the most recessed portion of the open space relative to the top of an adjacent tooth 490 as defined by the surface geometry of the member 486. In the configuration shown in
(25) With continued reference to
(26) In one enhancement, one or more of the blades 494 may be configured to scrape at least a portion of the filter 468 when the rotatable shaft 472, and thus also the bottom propeller 470a, is rotated in the rotational direction 488. In the configuration shown in
(27) As shown in
(28) A rotatable tissue collector, for example as shown in
(29) The teeth and adjacent open spaces on tissue collection members of a rotatable tissue collector may have a variety of configurations. It is not necessary that the teeth be of the same height or configuration or that the open spaces be of the same size or configuration, either on the same tissue collection member or on different tissue collection members.
(30) Reference is made to
(31) Reference is made to
(32) In some preferred implementations, the tissue collector 620 may have a design similar to the corresponding tissue collector described with respect to
(33) Various example dimensions are shown for the apparatus 600. A first height dimension D.sub.1 shows the vertical dimension from the bottom of the collection volume at a nadir of the filtrate volume 608 to a top elevation of the collection volume occupied by the pellet well 626. Second height dimension D.sub.2 shows the vertical dimension from the bottom to the top of the collection volume that is below the filter 610. Third height dimension D.sub.3 shows the vertical dimension from the bottom of the filter 610 to the bottom of a skirt 628 from which the filter 610 is suspended. Fourth height dimension D.sub.4 shows the vertical extent of the skirt 628. Angle A.sub.1 is an angle between horizontal and a first tapered interior wall surface 630 of the container that defines at least a portion of the filtrate volume 608, including defining at least a portion of the collection volume. Angle A.sub.2 is an angle from horizontal to a second tapered interior wall surface 632 of the container that defines at least a portion of the pellet well. Angle A.sub.3 is an angle between horizontal and a third tapered interior wall surface of the container that defines at least a bottom portion of the pellet well 626. Example dimensions for one example implementation for the embodiment of the apparatus 600 includes 25.7 millimeters for D.sub.1, 37.1 millimeters for D.sub.2, 55.9 millimeters for D.sub.3, 7.9 millimeters D.sub.4, 45° for A.sub.1, 80° for A.sub.2, and 30° for A.sub.3. Such an example may be designed for example to include an internal containment volume of about 270 cubic centimeters and a volume in the pellet well 626 of about 1.2 cubic centimeters, and with the filtrate volume 606 configured to accommodate processing of about 110 cubic centimeters of adipose tissue in the tissue retention volume 606 for preparation of a pellet phase including leuko stromal vascular fraction concentrate that may fill or nearly fill the pellet well 626.
(34) The location and configuration of the pellet well 626 in the embodiment of the apparatus 600 shown in
(35)
(36) As distinguished from the apparatus embodiments shown in
(37) The shell 706, and the internal containment volume within the shell 706 and the lid 704, includes an first portion 734 and a second portion 736. The first portion 734 is a portion of the internal containment volume that has a substantially circular cross-section that either does not taper (e.g., is cylindrical) or that tapers only minimally. In that regard, the internal wall surface of the first portion 734 may be inclined relative to horizontal at an angle of from 70° to 90°. The second portion 736 includes a portion of the internal containment volume that tapers at a significant rate in a direction toward the bottom of the apparatus 700. The internal wall surface of the second portion 736 may preferably be inclined relative to horizontal at an angle in a range having a lower limit of 30°, 35°, 40°, 42° or 45° and an upper limit of 60°, 55°, 50°, 48 or 45°, with about 450 being preferred for some implementations. The second portion 736 may taper downward toward a pellet well configured to collect pellet phase material including stromal vascular fraction cells. The pellet well may include a third portion of the internal containment volume that does not taper in a downward direction or that tapers in a downward direction with an internal wall surface that may preferably be inclined relative to horizontal at an angle of from in a range being a lower limit of 70°, 75°, 80 or 85° and an upper limit of 90°. The first portion 734 may include a cylindrical shape or a frustoconical shape. The second portion 736 may each include a frustoconical shape. The third portion within the pellet well may include a cylindrical shape or a frustoconical shape.
(38)
(39)
(40) The corresponding tapered features of the second portion 736 of the internal containment volume 736, the filter 708 and the mixing impeller 726 permit effective processing (e.g., washing or digesting) with mixing a very small volume of human biological material, while the volume provided by the first portion 734 of the internal containment volume permits flexibility to use the same apparatus to also effectively process with mixing a much larger volume of human biological material. The relatively deep and narrow profile of the pellet well 742 permits collection of a wide range of volumes of pellet phase material resulting from processing a wide range of human biological material volumes and permits effective removal of such a range of pellet phase material volumes from the pellet well 742, such as by direct aspiration from the pellet 742 well without dilution and without dispersing the pellet phase material in a suspension liquid.
(41)
(42) The apparatus embodiments illustrated in
(43)
(44) The washing 502 may include one or multiple wash cycles during which adipose tissue is washed with wash liquid within the container. The wash liquid, for example, may be a buffer solution, such as Lactated Ringer's solution or Hank's Balanced Solution, and may have additional additives, such as one or more of an anti-clotting agent, an antibiotic and an antifungal. An anti-clotting agent may beneficially prevent coagulation of blood that may be present, and may assist effective washing of blood from the adipose tissue. Antibiotics and antifungals may help protect against problems associated with inadvertent outside contamination of the adipose tissue within the container. Such awash liquid may also include one or more additional buffering agents, such as glycine. One preferred material for use as an anti-clotting agent is heparin.
(45) During a wash cycle, the wash liquid is mixed with the adipose tissue in the container and then preferably substantially all of the wash liquid with washed contaminants from the adipose tissue is removed from the container from a filtrate volume on a first side of a filter within the container while retaining the washed adipose tissue in a tissue retention volume of the container on a second side of the filter.
(46) The washing may include any of the features discussed above.
(47) After the washing 502, the washed adipose tissue in the container is subjected to a digesting step 504. Digestion medium, such as comprising a collagenase enzyme solution, is added to the container to contact the washed adipose tissue. The digestion medium may for example be added in a volume ratio of in a range of from 0.6:1 to 2:1 digestion medium: adipose tissue. The digestion medium may contain collagenase enzyme, for example in an amount to provide from 150 to 300 collagen digestion units (CDU) per milliliter of catalytic volume. Catalytic volume refers to the total volume of the digestion medium and adipose tissue within the container to which the digestion medium is added. After the digestion medium is added to the container, enzymatic digestion within the container is permitted to proceed for a retention time, for example, of from 20 minutes to 50 minutes while the container is disposed in a temperature controlled environment maintained within a temperature range preferably of from 32° C. to 38° C., and with at least occasional, and preferably substantially continuous, agitation of contents to the container. The digesting step 504 may include any or any combination of the feature refinements and additional features discussed above.
(48) The method as shown in
(49) As shown in
(50) As shown in
(51) After the centrifuging step 508 has been completed, the container may be removed from the centrifuge and subjected to a step 510 of selectively removing pellet phase material. The leuko stromal vascular cells, which include stem cells, contained in the pellet phase represent a valuable product. For effective use of these valuable leuko stromal vascular cells, it is generally necessary to remove the cells from the container. This has been a significant problem in the context of using multi-step portable containers for processing that is addressable with various implementations of the invention. During the step 510, material of the pellet phase is removed from the internal containment volume of the container to outside of the container separate from the less-dense material phases. The step 510 may include any of the features as discussed above. In some processing alternatives, the pellet phase material may be directly aspirated through an aspiration tube (e.g., hypodermic needle) inserted into the pellet phase from above and material of the pellet phase may be directly aspirated from the container through the aspiration tube, for example into a syringe or other fluid receptacle located outside of the container.
(52) Referring now to
(53) As an alternative to the processing for the selectively removing pellet phase material step 510 shown in
(54) Some example implementation combinations, which may be the subject of claims with or without additional features as disclosed above, are as follows:
(55) 1. An apparatus for processing human biological material containing stringy tissue, the apparatus comprising;
(56) a container having an internal containment volume, the internal containment volume including a tissue retention volume and a filtrate volume;
(57) a filter disposed within the internal containment volume with the tissue retention volume on one side of the filter and the filtrate volume on another side of the filter with the tissue retention volume and with the filtrate volume being in fluid communication through the filter;
(58) an inlet port in fluid communication with the tissue retention volume and configured to access the tissue retention volume for introducing human biological material into the tissue retention volume;
(59) a suction port in fluid communication with the filtrate volume and configured to access the filtrate volume for suctioning material from the filtrate volume;
(60) wherein, the internal containment volume includes a pellet well disposed in a bottom portion of the filtrate volume below a bottom elevation of the filter and accessible only from above when the apparatus is in the access orientation.
(61) 2. An apparatus according to example implementation 1, comprising a tissue collector disposed in the tissue retention volume and rotatable relative to the container in at least a first direction of rotation about an axis of rotation, the tissue collector including at least one toothed member that sweeps through a portion of the tissue retention volume when the tissue collector is rotated in the first direction, the toothed member being configured with a plurality of teeth to collect and retain stringy tissue when the tissue collector is rotated in the first direction in contact with human biological material containing stringy tissue disposed in the tissue retention volume.
(62) 3. An apparatus according to example implementation 2, wherein each said toothed member includes at least three teeth and an open space between the teeth of each pair of adjacent said teeth.
(63) 4. An apparatus according to any one of example implementations 2-3, wherein the tissue collector comprises at least two of said toothed member.
(64) 5. An apparatus according to any one of example implementations 2-4, wherein each said toothed member has a first end located radially toward the axis and a second end located radially away from the axis, and wherein the second end is located from one to 10 centimeters from the axis.
(65) 6. An apparatus according to any one of example implementations 2-5, wherein the teeth project toward a leading side of the toothed member when the tissue collector is rotated in the first direction.
(66) 7. An apparatus according to any one of example implementations 2-6, wherein the teeth project in a plane of rotation of the toothed member when the tissue collector is rotated in the first direction.
(67) 8. An apparatus according to any one of example implementations 2-7, wherein each of the teeth has a height of from 1 millimeter to 10 millimeters relative to a bottom of each adjacent said open space.
(68) 9. An apparatus according to any one of example implementations 2-8, comprising a first mixing impeller in the tissue retention volume.
(69) 10. An apparatus according to example implementation 9, wherein the first mixing impeller is configured to direct axial flow from the first mixing impeller in an direction toward the tissue collector.
(70) 11. An apparatus according to either one of example implementation 9 or example implementation 10, wherein the first mixing impeller includes at least one portion configured to scrape a portion of the filter when the first mixing impeller is operated.
(71) 12. An apparatus according to example implementation 11, wherein each said portion of the first mixing impeller configured to scrape a portion of the filter includes a peripheral edge portion of an impeller blade of the first mixing impeller.
(72) 13. An apparatus according to either one of example implementation 11 or example implementation 12, wherein at least a part of each said portion of the filter is in a tapered portion of the filter that is disposed in a tapered portion of the internal containment volume.
(73) 14. An apparatus according to any one of example implementations 9-13, wherein the tissue collector and the first mixing impeller are coaxial and rotatable about the axis in the first direction.
(74) 15. An apparatus according to example implementation 14, wherein a spacing along the axis between the first mixing impeller and the tissue collector is in a range of from 0.5 centimeter to 5 centimeters.
(75) 16. An apparatus according to any one of example implementations 9-14, wherein the first mixing impeller extends to a first radial distance from the axis and the tissue collector extends to a second radial distance from the axis, wherein the second radial distance is larger than the first radial distance by at least 1 millimeter.
(76) 17. An apparatus according to any one of example implementations 9-16, comprising a second mixing impeller in the tissue retention volume.
(77) 18. An apparatus according to example implementation 17, wherein the second mixing impeller is configured to direct axial flow in a direction away from the tissue collector when the rotatable shaft is rotated in the first direction.
(78) 19. An apparatus according to either one of example implementation 17 or example implementation 18, wherein the tissue collector and the second mixing impeller are coaxial and rotatable about the axis in the first direction.
(79) 20. An apparatus according to example implementation 19, wherein a spacing along the axis between the second mixing impeller and the tissue collector is in a range of from 0.5 centimeter to 5 centimeters.
(80) 21. An apparatus according to any one of example implementations 17-20, wherein the second mixing impeller extends to a third radial distance from the axis that is at least 1 millimeter smaller than a radial distance from the axis to which the tissue collector extends.
(81) 22. An apparatus according to any one of example implementations 1-21, wherein the apparatus is orientable in a first orientation in which the inlet port and the outlet port are configured for access therethrough from above the container into the internal containment volume.
(82) 23. An apparatus according to example implementation 22, wherein in the first orientation, all access to the internal containment volume is from above the container.
(83) 24. An apparatus according to example implementation 22 or example implementation 23, comprising an extraction port configured for accessing the internal containment volume to remove processed biological material from the internal containment volume; and
(84) wherein the extraction port is configured for access therethrough from above the container into the internal containment volume when the apparatus is oriented in the first orientation.
(85) 25. An apparatus according to example implementation 24, wherein access through the extraction port is through a lumen extending through the rotatable shaft aligned with the axis.
(86) 26. An apparatus according to example implementation 24, wherein no access is provided into the internal containment volume through a lumen extending through a rotatable shaft.
(87) 27. An apparatus according to any one of example implementations 1-26, wherein the filter has a separation size in a range of from 70 to 400 microns.
(88) 28. An apparatus according to any one of example implementations 1-26, wherein the filter has a separation size that is larger than 400 microns and not larger than 800 microns.
(89) 29. An apparatus according to any one of example implementations 1-28, wherein the container is configured to be received in a centrifuge for centrifuging the container.
(90) 30. An apparatus according any one of example implementations 1-29, wherein the internal containment volume has a volume in a range of from 100 cubic centimeters to 1300 cubic centimeters.
(91) 31. An apparatus according to any one of example implementations 1-30, wherein:
(92) the filtrate volume includes a lower tapered portion below a bottom elevation of the filter and above a top elevation of the pellet well;
(93) the lower tapered portion of the filtrate volume is defined by internal wall surfaces of the container that are each inclined relative to horizontal at a maximum angle of no larger than 600 when the container is in an access orientation;
(94) at least a portion of the pellet well is defined by a wall surface of the container inclined relative to horizontal at an angle that is larger than the maximum angle of the lower tapered portion when the apparatus is in the access orientation.
(95) 32. An apparatus according to example implementation 31, wherein the wall surface of the container defining at least a portion of the pellet well is inclined relative to horizontal at an angle of at least 70° when the apparatus is in the access orientation.
(96) 33. An apparatus according to either one of example implementation 31 or example implementation 32, wherein:
(97) when the apparatus is in the access orientation, the pellet well has at least one portion with a vertical length of 0.5 centimeter, a maximum horizontal cross-dimension of no larger than 10 millimeters and a minimum horizontal cross-dimension of no smaller than 1.5 millimeters.
(98) 34. An apparatus according to any one of example implementations 31-33, wherein the pellet well has a volume in a range of from 0.5 cubic centimeter to 2 cubic centimeters.
(99) 35. An apparatus according to any one of example implementations 31-34, wherein the internal containment volume includes an available processing volume in a range of from 300 cubic centimeters to 400 cubic centimeters.
(100) 36. An apparatus according to any one of example implementations 31-35, wherein the lower tapered portion includes a frustoconical portion with an angle of taper relative to horizontal in a range of from 42° to 48° when the container is in the access orientation.
(101) 37. An apparatus according to any one of example implementations 31-36, wherein the pellet well includes a frustoconical portion with an angle of taper relative to horizontal of at least 70° when the container is in the access orientation.
(102) 38. An Apparatus According to any One of Example Implementations 31-37, Wherein when the Portable Container Apparatus is in the Access Orientation the Internal Containment Volume Comprises:
(103) a first portion that is cylindrical or is frustoconical tapering toward the bottom of the internal containment volume with an angle of taper relative to horizontal of at least 70°;
(104) a second portion disposed below the first portion, the second portion being frustoconical tapering toward the bottom of the internal containment volume with an angle of taper relative to horizontal in a range of from 30° to 60°;
(105) a third portion disposed below the second portion in the pellet well, the third portion being cylindrical or frustoconical tapering toward the bottom of the internal containment volume at an angle of taper relative to horizontal of at least 70°.
(106) 39. A method of processing adipose tissue using an apparatus according to any one of example implementations 1-38, the method comprising processing in the container of the apparatus, the processing comprising:
(107) washing adipose tissue within the container to remove contaminants from the adipose tissue.
(108) 40. A method according to example implementation 39, comprising after the washing, removing washed adipose tissue from the container.
(109) 41. A method according to example implementation 39, comprising;
(110) after the washing, digesting adipose tissue within the container, the digesting adipose tissue comprising adding to the container a volume of enzyme-containing digestion medium to contact washed adipose tissue in the container;
(111) after permitting enzymatic digestion in the container for a retention time following adding the digestion medium, disposing the container in a centrifuge and centrifuging the container in the centrifuge to form density-separated phases within the container, the density-separated phases including lower-density material phases and a higher-density pellet phase comprising leuko stromal vascular cells; and
(112) selectively removing material of the pellet phase from the container.
(113) 42. A method according to example implementation 41, wherein the selectively removing comprises:
(114) inserting an aspiration tube from outside of to inside of the container to contact the pellet phase inside the container; and
(115) aspirating at least a majority of material of the pellet phase through the aspiration tube to outside of the container without suspending material of the pellet phase in a suspension liquid in the container.
(116) 43. A method according to example implementation 42, wherein:
(117) the lower-density material phases include an aqueous phase above the pellet phase; and
(118) the aqueous phase is not removed from the container prior to the aspirating.
(119) 44. A method according to either one of example implementation 42 or example implementation 43, wherein after the aspirating, the lower-density material phases remain in the container.
(120) 45. A method according to any one of example implementations 42-44, wherein the inserting comprises inserting the aspiration tube downward into the container from above.
(121) 46. A method according to any one of example implementations 42-45, wherein:
(122) the aspirating comprises aspirating the at least a majority of the material of the pellet phase into a receptacle located outside of the container that is in fluid communication with the aspiration tube; and
(123) prior to commencement of the aspirating, the receptacle contains a volume of dispersion medium and during the aspirating the dispersion medium mixes with the at least a majority of the material of the pellet phase in the receptacle.
(124) 47. A method according to example implementation 46, wherein the volume of the dispersion medium is in a range of from 2 times to 10 times a volume of the at least a majority of the material of the pellet phase that is aspirated into the receptacle during the aspirating.
(125) 48. A method according to any one of example implementations 42-47, wherein during the aspirating the aspiration tube is in fluid communication with a syringe and the aspirating comprises collecting the at least a majority of the material of the pellet phase into the syringe.
(126) 49. A method according to example implementation 39, wherein:
(127) the washing comprises multiple wash cycles with each said wash cycle comprises: adding a volume of aqueous wash liquid to the container to contact the adipose tissue within the container; mixing the wash liquid and the adipose tissue in the container; and removing at least a majority of the wash liquid with contaminants from the filtrate volume of the container on a first side of the filter and retaining at least most of the adipose tissue in the tissue retention volume of the container disposed on a second side of the filter;
and the method further comprises:
(128) after the washing, digesting adipose tissue within the container, the digesting adipose tissue comprising: adding to the container a volume of digestion medium comprising a collagenase enzyme solution to contact washed adipose tissue in the container following the washing, wherein a volume ratio of the volume of digestion medium to volume of adipose tissue within the container is in a range of from 0.6:1 to 2:1 and where the digestion medium provides from 150 to 300 collagen digestion units (CDU) per milliliter of catalytic volume, wherein the catalytic volume is the total of the volume of digestion medium and the volume of adipose tissue within the container; and after the adding of the volume of digestion medium, permitting enzymatic digestion within the container for a retention time in a range of from 20 minutes to 50 minutes while the container is disposed in a temperature controlled environment maintained within a temperature range of from 32° C. to 38° C. and with at least occasional agitation of contents within the container; and
(129) not later than 50 minutes following the adding of the volume of digestion medium, adding a stopping reagent to the container to stop enzymatic activity within the container;
(130) disposing the container in a centrifuge and centrifuging the container in the centrifuge to form density-separated phases within the container, the density-separated phases including lower-density material phases and a higher-density pellet phase comprising leuko stromal vascular cells;
(131) after the centrifuging, removing the container from the centrifuge; and
(132) removing the lower-density material phases from the container while retaining the pellet phase within the container.
(133) 50. An apparatus for processing human biological material, for example which processing may include preparation of a cell concentrate, which human biological material may or may not contain stringy tissue, the apparatus being orientable in an access orientation and the apparatus comprising;
(134) a container having an internal containment volume, the internal containment volume including a tissue retention volume and a filtrate volume;
(135) a filter disposed within the internal containment volume with the tissue retention volume on one side of the filter and the filtrate volume on another side of the filter with the tissue retention volume and with the filtrate volume being in fluid communication through the filter;
(136) an inlet port in fluid communication with the tissue retention volume and configured to access the tissue retention volume for introducing human biological material into the tissue retention volume;
(137) a suction port in fluid communication with the filtrate volume and configured to access the filtrate volume for suctioning material from the filtrate volume;
(138) wherein: the internal containment volume includes a pellet well disposed in a bottom portion of the filtrate volume below a bottom elevation of the filter and accessible only from above when the apparatus is in the access orientation; the filtrate volume includes a lower tapered portion below a bottom elevation of the filter and above a top elevation of the pellet well when the apparatus is in the access orientation; the lower tapered portion of the filtrate volume is defined by internal wall surfaces of the container that are each inclined relative to horizontal at a maximum angle of no larger than 60° when the container is in the access orientation; and at least a portion of the pellet well is defined by a wall surface of the container inclined relative to horizontal at an angle that is larger than the maximum angle of the lower tapered portion when the apparatus is in the access orientation.
(139) 51. An apparatus according to example implementation 50, wherein the wall surface of the container defining at least a portion of the pellet well is inclined relative to horizontal at an angle of at least 70° when the apparatus is in the access orientation.
(140) 52. An apparatus according to either one of example implementation 50 or example implementation 51, wherein:
(141) when the apparatus is in the access orientation, the pellet well has at least one portion with a vertical length of 0.5 centimeter, a maximum horizontal cross-dimension of no larger than 10 millimeters and a minimum horizontal cross-dimension of no smaller than 1.5 millimeters.
(142) 53. An apparatus for processing human biological material, for example which processing may include preparation of a cell concentrate, which human biological material may or may not contain stringy tissue, the apparatus being orientable in an access orientation and the apparatus comprising;
(143) a container having an internal containment volume, the internal containment volume including a tissue retention volume and a filtrate volume;
(144) a filter disposed within the internal containment volume with the tissue retention volume on one side of the filter and the filtrate volume on another side of the filter with the tissue retention volume and with the filtrate volume being in fluid communication through the filter;
(145) an inlet port in fluid communication with the tissue retention volume and configured to access the tissue retention volume for introducing human biological material into the tissue retention volume;
(146) a suction port in fluid communication with the filtrate volume and configured to access the filtrate volume for suctioning material from the filtrate volume;
(147) wherein:
(148) the internal containment volume includes a pellet well disposed in a bottom portion of the filtrate volume below a bottom elevation of the filter and accessible only from above when the apparatus is in the access orientation; and
(149) when the apparatus is in the access orientation, the pellet well has at least one portion with a vertical length of 0.5 centimeter, a maximum horizontal cross-dimension of no larger than 10 millimeters and a minimum horizontal cross-dimension of no smaller than 1.5 millimeters.
(150) 54. An apparatus according to any one of example implementations 50-53, wherein the pellet well has a volume in a range of from 0.5 cubic centimeter to 2 cubic centimeters.
(151) 55. An apparatus according to any one of example implementations 50-54, wherein the internal containment volume has a maximum cross-section taken horizontally when the apparatus is in the access orientation that fits entirely within a circle having a diameter of not larger than 16 centimeters.
(152) 56. An apparatus according to any one of example implementations 50-55, wherein the internal containment volume is defined at least in part by a shell having a lip and a portion to be disposed in a centrifuge receptacle during centrifuge processing, the portion of the shell to be disposed in a centrifuge being below the lip when the apparatus is in the access orientation; and
(153) when the apparatus is in the access orientation, the portion of the shell below the lip to be disposed in a centrifuge has a maximum cross-section taken horizontally through the shell that fits entirely within a circle having a diameter of not larger than 16 centimeters.
(154) 57. An apparatus according to example implementation 56, wherein the portion of the shell below the lip to be disposed in a centrifuge has a height dimension when the apparatus is in the access orientation in a range of from 2 centimeters to 16 centimeters.
(155) 58. An apparatus according to example implementation 56 or example implementation 57, wherein the maximum cross-section of the portion of the shell below the lip to be disposed in a centrifuge is circular.
(156) 59. An apparatus according to any one of example implementations 50-58, comprising total height when in the access orientation in a range of from 3 to 26 centimeters.
(157) 60. An apparatus according to any one of example implementations 50-59, wherein the internal containment volume comprises an available processing volume in a range of from 5 cubic centimeters to 1300 cubic centimeters, with a portion of the available processing volume being in the tissue retention volume.
(158) 61. An apparatus according to example implementation 60, wherein the available processing volume is in a range of from 5 cubic centimeters to 400 cubic centimeters.
(159) 62. An apparatus according to example implementation 60, wherein the available processing volume is in a range of from 300 cubic centimeters to 400 cubic centimeters.
(160) 63. An apparatus according to any one of example implementations 60-62, wherein the portion of the available processing volume in the tissue retention volume is in a range of from 40 percent to 60 percent of the available processing volume.
(161) 64. An apparatus according to any one of example implementations 60-63, wherein the portion of the available processing volume in the tissue retention volume is in a range of from 45 percent to 55 percent of the available processing volume.
(162) 65. An apparatus according to any one of example implementations 60-64, wherein the pellet well has a volume in a range of from 0.2 percent to 2 percent of the portion of the available processing volume in the tissue retention volume.
(163) 66. An apparatus according to any one of example implementations 60-65, wherein the pellet well has a volume in a range of from 0.3 percent to 1.5 percent of the portion of the available processing volume in the tissue retention volume.
(164) 67. An apparatus according to any one of example implementations 50-66, wherein the lower tapered portion includes a frustoconical portion with an angle of taper relative to horizontal in a range of from 42° to 48° when the container is in the access orientation.
(165) 68. An apparatus according to any one of example implementations 50-67, wherein the pellet well includes a frustoconical portion with an angle of taper relative to horizontal of at least 70° when the container is in the access orientation.
(166) 69. An apparatus according to any one of example implementations 50-68, wherein when the portable container apparatus is in the access orientation the internal containment volume comprises:
(167) a first portion that is cylindrical or is frustoconical tapering toward the bottom of the internal containment volume with an angle of taper relative to horizontal of at least 70°;
(168) a second portion disposed below the first portion, the second portion being frustoconical tapering toward the bottom of the internal containment volume with an angle of taper relative to horizontal in a range of from 30° to 60°;
(169) a third portion disposed in the pellet well and below the second portion, the third portion being cylindrical or frustoconical tapering toward the bottom of the internal containment volume at an angle of taper relative to horizontal of at least 70°.
(170) 70. An apparatus according to any one of example implementations 50-69, comprising a tissue collector disposed in the tissue retention volume and rotatable relative to the container in at least a first direction of rotation about an axis of rotation of a rotatable shaft, the tissue collector including at least one toothed member that sweeps through a portion of the tissue retention volume when the tissue collector is rotated in the first direction, the toothed member being configured with a plurality of teeth to collect and retain stringy tissue when the tissue collector is rotated in the first direction in contact with human biological material containing stringy tissue disposed in the tissue retention volume.
(171) 71. An apparatus according to example implementation 70, wherein each said toothed member has a first end located radially toward the axis and a second end located radially away from the axis, each said toothed member includes between the first end and the second end at least three teeth and an open space between the teeth of each pair of adjacent said teeth and the teeth project toward a leading side of the toothed member when the tissue collector is rotated in the first direction.
(172) 72. An apparatus according to any one of example implementations 50-71, wherein in the access orientation, all access to the internal containment volume is from above the container.
(173) 73. A method of processing adipose tissue using an apparatus according to any one of example implementations 50-72, the method comprising processing in the container of the apparatus, the processing comprising:
(174) washing adipose tissue within the container to remove contaminants from the adipose tissue;
(175) after the washing, digesting adipose tissue within the container, the digesting adipose tissue comprising adding to the container a volume of enzyme-containing digestion medium to contact washed adipose tissue in the container;
(176) after permitting enzymatic digestion in the container for a retention time following adding the digestion medium, disposing the container in a centrifuge and centrifuging the container in the centrifuge to form density-separated phases within the container, the density-separated phases including lower-density material phases and a higher-density pellet phase comprising leuko stromal vascular cells; and
(177) selectively removing material of the pellet phase from the container, the selectively removing comprising:
(178) inserting an aspiration tube from outside of to inside of the container to contact the pellet phase inside the container; and
(179) aspirating at least a majority of material of the pellet phase through the aspiration tube to outside of the container without suspending material of the pellet phase in a suspension liquid in the container.
(180) 74. A method for removing pellet phase material from an apparatus according to any one of example implementations 50-73, wherein the container of the apparatus contains density-separated phases from centrifuging following enzymatic digestion of human biological material, the density-separated phases comprise lower-density material phases and a higher-density pellet phase, the method comprising selectively removing material of the pellet phase from the container of the apparatus, wherein the selectively removing comprises: inserting an aspiration tube from outside of to inside of the container to contact the pellet phase inside the container; and aspirating at least a majority of material of the pellet phase through the aspiration tube to outside of the container without suspending material of the pellet phase in a suspension liquid in the container.
(181) 75. A method according to either one of example implementation 73 or example implementation 74, wherein:
(182) the lower-density material phases include an aqueous phase above the pellet phase; and
(183) the aqueous phase is not removed from the container prior to the aspirating.
(184) 76. A method according to either any one of example implementations 73-75, wherein after the aspirating, the lower-density material phases remain in the container.
(185) 77. A method according to any one of example implementations 73-76, wherein the inserting comprises inserting the aspiration tube downward into the container from above.
(186) 78. A method according to any one of example implementations 73-77, wherein:
(187) the aspirating comprises aspirating the at least a majority of the material of the pellet phase into a receptacle located outside of the container that is in fluid communication with the aspiration tube; and
(188) prior to commencement of the aspirating, the receptacle contains a volume of dispersion medium and during the aspirating the dispersion medium mixes with the at least a majority of the material of the pellet phase in the receptacle.
(189) 79. A method according to example implementation 78, wherein the volume of the dispersion medium is in a range of from 2 times to 10 times a volume of the at least a majority of the material of the pellet phase that is aspirated into the receptacle during the aspirating.
(190) 80. A method according to any one of example implementations 73-79, wherein during the aspirating the aspiration tube is in fluid communication with a syringe and the aspirating comprises collecting the at least a majority of the material of the pellet phase into the syringe.
(191) The foregoing discussion of the invention and different aspects thereof has been presented for purposes of illustration and description. The foregoing is not intended to limit the invention to only the form or forms specifically disclosed herein. Consequently, variations and modifications commensurate with the above teachings, and the skill or knowledge of the relevant art, are within the scope of the present invention. The embodiments described hereinabove are further intended to explain best modes known for practicing the invention and to enable others skilled in the art to utilize the invention in such, or other, embodiments and with various modifications required by the particular applications or uses of the present invention. It is intended that the appended claims be construed to include alternative embodiments to the extent permitted by the prior art. Although the description of the invention has included description of one or more possible implementations and certain variations and modifications, other variations and modifications are within the scope of the invention, e.g., as may be within the skill and knowledge of those in the art after understanding the present disclosure. It is intended to obtain rights which include alternative embodiments to the extent permitted, including alternate, interchangeable and/or equivalent structures, functions, ranges or steps to those claimed, whether or not such alternate, interchangeable and/or equivalent structures, functions, ranges or steps are disclosed herein, and without intending to publicly dedicate any patentable subject matter. Furthermore, any feature described or claimed with respect to any disclosed implementation may be combined in any combination with one or more of any other features of any other implementation or implementations, to the extent that the features are not necessarily technically compatible, and all such combinations are within the scope of the present disclosure.
(192) The terms “comprising”, “containing”, “including” and “having”, and grammatical variations of those terms, are intended to be inclusive and nonlimiting in that the use of such terms indicates the presence of some condition or feature, but not to the exclusion of the presence also of any other condition or feature. The use of the terms “comprising”, “containing”, “including” and “having”, and grammatical variations of those terms in referring to the presence of one or more components, subcomponents or materials, also include and is intended to disclose the more specific embodiments in which the term “comprising”, “containing”, “including” or “having” (or the variation of such term) as the case may be, is replaced by any of the narrower terms “consisting essentially of” or “consisting of” or “consisting of only” (or the appropriate grammatical variation of such narrower terms). For example, a statement that some thing “comprises” a stated element or elements is also intended to include and disclose the more specific narrower embodiments of the thing “consisting essentially of” the stated element or elements, and the thing “consisting of” the stated element or elements. Examples of various features have been provided for purposes of illustration, and the terms “example”, “for example” and the like indicate illustrative examples that are not limiting and are not to be construed or interpreted as limiting a feature or features to any particular example. The term “at least” followed by a number (e.g., “at least one”) means that number or more than that number. The term at “at least a portion” means all or a portion that is less than all. The term “at least a part” means all or a part that is less than all. Operations or steps of any method or process need not be performed in any particular order unless a particular order is required.