Blood processing method and apparatus using a centrifugation bowl with filter core

Information

  • Patent Grant
  • 6464624
  • Patent Number
    6,464,624
  • Date Filed
    Tuesday, June 12, 2001
    23 years ago
  • Date Issued
    Tuesday, October 15, 2002
    22 years ago
Abstract
The invention is directed to blood processing method and apparatus utilizing a centrifugation bowl with a filter core disposed within the bowl. The centrifugation bowl includes a rotating bowl body defining an enclosed separation chamber. A generally cylindrical filter core is disposed inside the separation chamber. The filter core includes a filter membrane that is sized to block at least white blood cells, but to allow plasma to pass through. The filter core is generally arranged within the separation chamber such that plasma is forced to pass through the filter core before being removed from the centrifugation bowl. The addition of the filter core provides an efficient, low-cost method for recovering a “purer” plasma fraction from a donor.
Description




FIELD OF THE INVENTION




The invention relates to blood processing apparatus having centrifugation bowls for separating blood and other similar fluids. More specifically, the present invention relates to such apparatus with a centrifugation bowl having a rotating filter core for use in recovering a plasma fraction from whole blood.




BACKGROUND OF THE INVENTION




Human blood predominantly includes three types of specialized cells (i.e., red blood cells, white blood cells, and platelets) that are suspended in a complex aqueous solution of proteins and other chemicals called plasma. Although in the past blood transfusions have used whole blood, the current trend is to collect and transfuse only those blood components of fractions required by a particular patient. This approach preserves the available blood supply and in many cases is better for the patient, since the patient is not exposed to unnecessary blood components, especially white blood cells, which can transmit pathogens. Two of the more common blood fractions used in transfusions are red blood cells and plasma. Plasma transfusions, in particular, are often used to replenish depleted coagulation factors. Indeed, in the United States alone, approximately 2 million plasma units are transfused each year. Collected plasma is also pooled for fractionation into its constituent components, including proteins, such as Factor VIII, albumin, immune serum globulin, etc.




Individual blood components, including plasma, can be obtained from units of previously collected whole blood through “bag” centrifugation. With this method, a unit of anti-coagulated whole blood contained in a plastic bag is placed into a lab centrifuge and spun at very high speed, subjecting the blood to many times the force of gravity. This causes the various blood components to separate into layers according to their densities. In particular, the more dense components, such as red blood cells, separate from the less dense components, such as white blood cells and plasma. Each of the blood components may then be expressed from the bag and individually collected.




U.S. Pat. No. 4,871,462 discloses another method for separating blood. In particular, a filter includes a stationary cylindrical container that houses a rotatable, cylindrical filter membrane. The container and the membrane are configured so as to define only a narrow gap between the side wall of the container and the filter membrane. Blood is then introduced into this narrow gap. Rotation of the inner filter membrane at sufficient speed generates what are known as Taylor vortices in the fluid. The presence of Taylor vortices basically causes shear forces that drive plasma through the membrane and sweep red blood cells away.




Specific blood components may also be obtained through a process called apheresis in which whole blood is transported directly from the donor to a blood processing machine that includes an enclosed, rotating centrifuge bowl for separation of the blood. With this method, only the desired blood component is collected. The remaining components are returned directly to the donor, often allowing greater volumes of the desired component to be collected. For example, with plasmapheresis, whole blood from the donor is transported to the bowl where it is separated into its constituent components. The plasma is then removed from the bowl and transported to a separate collection bag, while the other components (e.g., red blood cells and white blood cells) are returned directly to the donor.





FIG. 1

is a block diagram of a plasmapheresis system


100


with an added filtration step. The system


100


includes a disposable harness


102


that is loaded onto a blood processing machine


104


. The harness


102


includes a phlebotomy needle


106


for withdrawing blood from a donor's arm


108


, a container of anti-coagulant solution


110


, a temporary red blood cell (RBC) storage bag


112


, a centrifugation bowl


114


, a primary plasma collection bag


116


and a final plasma collection bag


118


. An inlet line


120


couples the phlebotomy needle


106


to an inlet port


122


of the bowl


114


, and an outlet line


124


couples an outlet port


126


of the bowl


114


to the primary plasma collection bag


116


. The blood processing machine


104


includes a controller


130


, a motor


132


, a centrifuge chuck


134


, and two peristaltic pumps


136


and


138


. The controller


130


is operably coupled to the two pumps


136


and


138


, and to the motor


132


, which, in turn, drives the chuck


134


.




In operation, the inlet line


120


is fed through the first peristaltic pump


136


and a feed line


140


from the anti-coagulant


110


, which is coupled to the inlet line


120


, is fed through the second peristaltic pump


138


. The centrifugation bowl


114


is also inserted into the chuck


134


. The phlebotomy needle


106


is then inserted into the donor's arm


108


and the controller


130


activates the peristaltic pumps


136


,


138


, thereby mixing anti-coagulant with whole blood from the donor, and transporting anti-coagulated whole blood through inlet line


120


and into the centrifugation bowl


114


. Controller


130


also activates the motor


132


to rotates the bowl


114


via the chuck


134


at high speed. Rotation of the bowl


114


causes the whole blood to separate into discrete layers by density. In particular, the denser red blood cells accumulate at the periphery of the bowl


114


while the less dense plasma forms an annular ring-shaped layer inside of the red blood cells. The plasma is then forced through an effluent port (not shown) of the bowl


114


and is discharged from the bowl's outlet port


126


. From here, the plasma is transported by the outlet line


124


to the primary plasma collection bag


116


.




When all the plasma has been removed and the bowl


114


is full of RBCs, it is typically stopped and first pump


136


is reversed to transport the RBCs from the bowl


114


to the temporary RBC collection bag


112


. Once the bowl


114


is emptied, the collection and separation of whole blood from the donor is resumed. At the end of the process, the RBCs in the bowl


114


and in the temporary RBC collection bag


112


are returned to the donor through the phlebotomy needle


106


. The primary plasma collection bag


116


, which is now full of plasma, may be removed from the harness


102


and shipped to a blood bank or hospital for subsequent transfusion.




Despite the system's generally high separation efficiency, the collected plasma can nonetheless contain some residual blood cells. For example, in a disposable harness utilizing a blow-molded centrifuge bowl from Haemonetics Corporation, the collected plasma typically contains from 0.1 to 30 white blood cells and from 5,000 to 50,000 platelets per micro-liter. This is due, at least in part, to the 8000 rpm rotational limit of the bowl


114


and the need to keep the bowl's filling rate in excess of 60 milliliters per minute (ml/min.) to minimize the collection time, causing slight re-mixing of blood components within the bowl. Furthermore, many countries continue to reduce the permissible level of white blood cells and other residual cells that may be present in their supply of blood components.




Discussion of System Not Found in the Prior Art




It has been suggested to install one or more filters, such as filter


142


, to remove residual cells from the collected plasma in a manner similar to the filtration of collected platelets. Filter


142


may be disposed in a secondary outlet line


144


that couples the primary and final plasma collection bags


116


,


118


together. After plasma has been collected in the primary plasma bag


116


, a check valve (not shown) may be opened allowing plasma to flow through the secondary outlet line


144


, the filter


142


, and into the final plasma collection bag


118


.




Although it may produce a “purer” plasma product, the disposable plasmapheresis harness including a separate filter element is disadvantageous for several reasons. In particular, the addition of a filter and another plasma collection bag increase the cost and complexity of the harness. Accordingly, an alternative system that can efficiently produce a “purer” plasma fraction at relatively low cost is desired.




SUMMARY OF THE INVENTION




Briefly, the present invention is directed to a centrifugation bowl with a rotating filter core disposed within the bowl. In particular, the centrifugation bowl includes a rotating bowl body defining an enclosed separation chamber. A stationary header assembly that includes an inlet port for receiving whole blood and an outlet port from which a blood component may be withdrawn is mounted on top of the bowl body through a rotating seal. The inlet port is in fluid communication with a feed tube that extends into the separation chamber. The outlet port is in fluid communication with an effluent tube disposed within the separation chamber of the bowl body. The effluent tube includes an entryway at a first radial position relative to a central, rotating axis of the bowl. A generally cylindrical filter core is disposed inside the separation chamber and mounted for rotation with the bowl body. The filter core is sized to block one or more residual cells, but to allow plasma to pass through. The filter core is generally arranged at a second radial position that is slightly outboard of the first radial position that defines the entryway to the effluent tube.




In operation, the bowl is rotated at high speed by a centrifuge chuck. Anti-coagulated whole blood is delivered to the inlet port, flows through the feed tube and is delivered to the separation chamber of the bowl body. Due to the centrifugal forces generated within the separation chamber, the whole blood is separated into its discrete components. In particular, the denser red blood cells form a first layer against the periphery of the bowl body. Plasma, which is less dense than red blood cells, forms an annular-shaped second layer inside of the first layer of red blood cells. As additional whole blood is delivered to the separation chamber, the annular-shaped plasma layer closes in on and eventually contacts the rotating filter core. Plasma passes through the filtering core, enters the entryway of the effluent tube and is withdrawn from the bowl through the outlet port. Any residual cells contained in the plasma layer are trapped on the outer surface of the filter core and thus cannot reach the entryway of the effluent tube, which is inside of the filter core relative to the axis of rotation. Accordingly, the plasma extracted from the centrifugation bowl of the present invention is generally free of residual cells, eliminating the need for any downstream filter elements.




When all of the plasma has been extracted from the bowl, leaving primarily a volume of red blood cells in the separation chamber, the bowl is stopped. In the absence of the centrifugal forces, the red blood cells simply collect in the bottom of the bowl. To prevent the red blood cells from contacting the inner surface of the filter core, a solid skirt extends upwardly from the bottom of the filter core. The red blood cells may be withdrawn from the stopped bowl through the feed tube and the “inlet” port. With the red blood cells evacuated from the bowl, the bowl may be rotated again. Subsequent rotation of the bowl causes any residual cells that might have adhered to the outer surface of the filter core during the filter process to be flung off of the core, essentially “cleaning” the filter core. Thus, the centrifugation bowl is ready for any subsequent blood separation cycles.











BRIEF DESCRIPTION OF THE DRAWINGS




The invention description below refers to the accompanying drawings, of which:





FIG. 1

, previously discussed, is a block diagram of a prior art plasmapheresis system;





FIG. 2

is a block diagram of a plasmapheresis system in accordance with the present invention;





FIG. 3

is a cross-sectional side view of the centrifugation bowl of

FIG. 2

illustrating the rotating filter core;





FIG. 4

is a cross-sectional side view of an alternative embodiment of the centrifugation bowl of the present invention;





FIG. 5

is an isometric view of a preferred support structure for the filter core of the present invention; and





FIG. 6

is a cross-sectional side view of the support structure of FIG.


5


.











DETAILED DESCRIPTION OF AN ILLUSTRATIVE EMBODIMENT





FIG. 2

is a schematic block diagram of a blood processing system


200


in accordance with the invention. System


200


includes a disposable collection set


202


that may be loaded onto a blood processing machine


204


. The collection set


202


includes a phlebotomy needle


206


for withdrawing blood from a donor's arm


208


, a container of anti-coagulant


210


, such as AS-3 from Haemonetics Corp., a temporary red blood cell (RBC) storage bag


212


, a centrifugation bowl


214


and a final plasma collection bag


216


. An inlet line


218


couples the phlebotomy needle


206


to an inlet port


220


of the bowl


214


, and an outlet line


222


couples an outlet port


224


of the bowl


214


to the plasma collection bag


216


. A feed line


225


connects the anti-coagulant


210


to the inlet line


218


. The blood processing machine


204


includes a controller


226


, a motor


228


, a centrifuge chuck


230


, and two peristaltic pumps


232


and


234


. The controller


226


is operably coupled to the two pumps


232


and


234


, and to the motor


228


, which, in turn, drives the chuck


230


.




A suitable blood processing machine for use with the present invention is the PCS®2 System from Haemonetics Corp., which is used to collect plasma.




Configuration of the Centrifuge Bowl of the Present Invention





FIG. 3

is a cross-sectional side view of the centrifugation bowl


214


of the present invention. Bowl


214


includes a generally cylindrical bowl body


302


defining an enclosed separation chamber


304


. The bowl body


302


includes a base


306


, an open top


308


and a side wall


310


. The bowl


214


further includes a header assembly


312


that is mounted to the top


308


of the bowl body


302


by a ring-shaped rotating seal


314


. The inlet port


220


and outlet port


224


are part of the header assembly


312


. Extending from the header assembly


312


into the separation chamber


304


is a feed tube


316


that is in fluid communication with inlet port


220


. The feed tube


316


has an opening


318


that is preferably positioned proximate to the base


306


of the bowl body


302


so that liquid flowing through the feed tube


316


is discharged at the base


306


of the bowl body


302


. The header assembly


312


also includes an outlet, such as an effluent tube


320


, that is disposed within the separation chamber


304


. The effluent tube


320


may be positioned proximate to the top


308


of the bowl body


302


. In the preferred embodiment, the effluent tube


320


is formed from a pair of spaced-apart disks


322




a,




322




b


that define a passageway


324


whose generally circumferential entryway


326


is located at a first radial position, R


1


, relative to a central, rotating axis A—A of the bowl


214


.




A suitable header assembly and bowl body for use with the present invention are described in U.S. Pat. No. 4,983,158, which is hereby incorporated by reference in its entirety. Nonetheless, it should be understood that other bowl configurations may be utilized.




Disposed within the separation chamber


304


of the bowl


302


is a filter core


328


having a generally cylindrical side wall


330


. Side wall


330


is preferably disposed at a second radial position, R


2


, that is slightly outboard of the first radial position, R


1


, which, as described above, defines the location of the entryway


326


to the passageway


324


. At a bottom


330




a


of the side wall


330


there is a first sloped section


332


that extends downward toward base


306


and is inclined toward the axis A—A. Extending upwardly from the first sloped section


332


is a solid skirt


334


that is also inclined toward the axis A—A. The skirt defines an end point


336


opposite the sloped section


332


that, in the preferred embodiment, is spaced a height, H, from the base


306


of the bowl body


302


. The filter core


328


is preferably mounted for rotation with the bowl body


302


. In particular, an upper portion of the filter core


328


opposite the skirt


334


may be attached to the top


308


of the bowl body


302


in a similar manner as the solid core of the '158 patent.




Both the side wall


330


and the first sloped section


332


of the filter core


328


are formed from or include a filter membrane that is sized to block one or more residual cells, such as least white blood cells, but to allow plasma to pass through. In the preferred embodiment, the filter membrane has a pore size of 2 to 0.8 microns. A suitable filter membrane for use with filter core


328


is the BTS-5 membrane from United States Filter Corp. of Palm Desert, Calif. or the Supor membrane from Pall Corp. of East Hills, N.Y. The filter membrane may be additionally or alternatively configured to block red blood cells, platelets, different types of white blood cells and/or non-cellular blood components. The skirt


334


which is solid may be formed from plastic, silicone or other suitable material. Accordingly, none of the blood components, including plasma, pass through the skirt


334


portion of the filter core


328


. The skirt


334


may also be truly cylindrical and extend upwardly inside the side wall


330


.




It should be understood that the filter membrane of the present invention may take multiple forms. For example, it may be formed from an affinity media to which one or more residual cells (but not plasma) adheres, thereby removing the residual cells from the plasma passing through the membrane. The filter membrane may also be formed from micro-porous membranes of equal or unequal pore size preferably in the range of 0.5 to 2.0 microns. The filter membrane may also be a combination of affinity media and micro-porous membranes. The filter core


328


may also include two or more membrane layers of varying pore size or affinity that are spaced-apart or stacked together. Preferably, the pore size of such membrane layers successively decreases toward the entryway


326


of the effluent tube


320


. In addition, one or more layers of the filter membrane may be formed from a non-woven media or material.




Operation of the Present Invention




In operation, the disposable collection set


202


(

FIG. 2

) is loaded onto the blood processing machine


204


. In particular, the inlet line


218


is routed through the first pump


232


and the feed line


225


from the anti-coagulant container


210


is routed through the second pump


234


. The centrifugation bowl


214


is securely loaded into the chuck


230


, with the header assembly


312


held stationary. The phlebotomy needle


206


is then inserted into the donor's arm


208


. Next, the controller


226


activates the two pumps


232


,


234


and the motor


228


. Operation of the two pumps


232


,


234


, causes whole blood from the donor to be mixed with anti-coagulant from container


210


and delivered to the inlet port


220


of the bowl


214


. The anti-coagulated whole blood enters the inlet port


220


, as shown by arrow WB (FIG.


3


), flows through the feed tube


316


(FIG.


3


), and enters the separation chamber


304


. Centrifugal forces generated within the separation chamber


304


of the rotating bowl


214


forces the blood against side wall


310


. Continued rotation of the bowl


214


causes the blood to separate into discrete layers b density. In particular, RBCs which are the densest component of whole blood form a first layer


340


against the periphery of side wall


310


. The RBC layer


340


has a surface


342


. Inboard of the RBC layer


340


relative to axis A—A, a layer


344


of plasma forms, since plasma is less dense than red blood cells. The plasma layer


344


also has a surface


346


.




It should be understood that a buffy coat layer (not shown) containing white blood cells and platelets may form between the layers of red blood cells and plasma.




As additional anti-coagulated whole blood is delivered to the separation chamber


304


of the bowl


214


, each layer


340


,


344


“grows” and thus the surface


346


of the plasma layer


344


moves toward the central axis A—A. At some point, the surface


346


will contact the cylindrical side wall


330


of the filter core


328


. Due to the flow resistance of the filter membrane of side wall


330


, the surface


346


of the plasma layer


344


begins to “climb” up the first sloped section


332


of the filter core


328


. Indeed, the plasma will continue to climb up the sloped section


332


until a sufficient pressure head is generated to “pump” plasma through the filter element. That is, the radial “height” of the plasma layer surface


346


relative to the fixed radial position of the cylindrical side wall


330


of the filter core


328


establishes a significant pressure head due to the large centrifugal forces generated within the separation chamber


304


. For example, with an outer core radius, R


2


, of 20 mm and plasma at a radial “height” of 4 mm “above” the outer core radius, a trans-membrane pressure of approximately 300 mm of mercury (Hg) will be generated across the filter core


328


, which should be more than sufficient to pump plasma through the filter membrane. The height differences shown in the figures have been exaggerated for illustrative purposes. In addition, the radial “depth” of the filter core


328


is preferably sized to prevent unfiltered plasma from spilling over the endpoint


336


of the skirt


334


and being extracted from the bowl


214


. That is, endpoint


336


, as defined by the radial extent of first sloped section


332


and skirt


334


, is positioned closer to axis A—A than the plasma surface


346


during anticipated operating conditions of the bowl


214


.




Due to the configuration of the filter membrane (e.g., pore size) at side wall


330


and sloped section


332


, only plasma is allowed to pass through filter core


328


. Any residual blood components, such as white blood cells, still within the plasma layer


344


are trapped on the outer surface of the filter


328


core relative to axis A—A. After passing through the filter core


328


, filtered plasma


348


enters the entryway


326


of the effluent tube


320


as shown by arrow P (

FIG. 3

) and flows along the passageway


326


. From here, the filtered plasma is removed from the bowl


214


through the outlet port which is in fluid communication with the effluent tube


320


, as shown by arrow FP (FIG.


3


). The filtered plasma is then transported through the outlet line


222


(

FIG. 2

) and into the plasma collection bag


216


.




As additional anti-coagulated whole blood is delivered to the bowl


214


and filtered plasma removed, the depth of the RBC layer


340


will grow. When the surface


342


of the RBC layer


340


reaches the filter core


328


, indicating that all of the plasma in the separation chamber


304


has been removed, the process is preferably suspended. The fact that the surface


342


of the RBC layer


340


has reached the filter core


328


may be optically detected. In particular, the bowl


214


may further include a conventional optical reflector


350


that is spaced approximately the same distance (e.g., R


2


) from the central axis A—A as the side wall


330


of the filter core


328


. The reflector


350


cooperates with an optical emitter and detector (not shown) located in the blood processing machine


204


to sense the presence of RBCs at a preselected point relative to the filter core


328


causing a corresponding signal to be sent to the controller


226


. In response, the controller


226


suspends the process.




It should be understood that the optical components and the controller


226


may be configured to suspend bowl filling at alternative conditions and/or upon detection of other fractions.




Specifically, the controller


226


de-activates the pumps


232


,


234


and the motor


228


, thereby stopping the bowl


214


. Without the centrifugal forces, the RBCs in layer


340


drop to the bottom of the bowl


214


. That is, the RBCs settle to the bottom of the separation chamber


304


opposite the header assembly


312


. As mentioned above, the end point


336


of the skirt


334


is preferably positioned so that the RBCs contained within the now stopped bowl


214


do not spill over and contact the inside surface of the filter membrane relative to axis A—A. For example, the height, H, of the end point


336


relative to the base


306


of the bowl body


302


is greater than the height of the RBCs when the bowl


214


is stopped. Thus, the RBCs do not contact any inner surface portion of the filter core


328


. The significance of this feature is described in greater detail below.




After waiting a sufficient time for the RBCs to settle in the stopped bowl


214


, the controller


226


activates pump


232


in the reverse direction. This causes the RBCs in the lower portion of the bowl


214


to be drawn up the feed tube


316


and out of the bowl


214


through the inlet port


220


, as shown by arrow RB (FIG.


3


). The RBCs are then transported through the inlet line


218


and into the temporary RBC storage bag


212


. It should be understood that one or more valves (not shown) may be operated to ensure that the RBCs are transported to bag


212


. To facilitate the evacuation of RBCs from the bowl


214


, the configuration of skirt


334


preferably allows air from plasma collection bag


216


to easily enter the separation chamber


304


. That is, the end point


336


of the skirt


334


is spaced from the feed tube


316


and the skirt


334


does not otherwise block the flow of air from the effluent tube


320


to the separation chamber


304


. Accordingly, air need not cross the wet filer core


328


in order to allow RBCs to be evacuated. It should be understood that this configuration and arrangement also facilitates air removal from the separation chamber


304


during bowl filling.




When all of the RBCs from bowl


214


have been moved to the temporary storage bag


212


, the system


200


is ready to begin the next plasma collection cycle. In particular, controller


226


again activates the two pumps


232


,


234


and the motor


228


. In order to “clean” the filter core


228


prior to the next collection cycle, the controller


226


preferably activates the motor


228


and the pumps


232


,


234


in such a manner (or in such a sequence) as to rotate the bowl


214


, at its operating speed, for some period of time before anti-coagulated whole blood is allowed to reach the separation chamber


304


. By rotating the filter core


228


in the empty bowl


214


, residual blood cells that were “trapped” on its outer surface during the plasma collection process are flung off. Thus, the filter core


228


is effectively “cleaned” of residual blood cells that might be adhered to its surface. This intermediary “cleaning” step ensures that the entire surface area of the filter membrane is available for filtering during each plasma collection cycle and not just the first collection cycle.




With the filter cleaned of trapped cells, the plasma collection process proceeds as described above. In particular, anti-coagulated whole blood separates into its constituent components within the separation chamber


304


of the bowl


214


and plasma is pumped through the filter core


328


. Filtered plasma is removed from the bowl


214


and transported along the outlet line


222


to the plasma collection bag


216


adding to the plasma collected during the first cycle. When the separation chamber


304


of the bowl


214


is again full of RBCs (as sensed by the optical detector), the controller


226


stops the collection process. Specifically, the controller deactivates the two pumps


232


,


234


and the motor


228


. If the process is complete (i.e., the desired amount of plasma has been donated), then the system returns the RBCs to the donor. In particular, controller


226


activates pump


232


in the reverse direction to pump RBCs from the bowl


214


and from the temporary storage bag


212


through the inlet line


218


. The RBCs flow through the phlebotomy needle


206


and are thus returned to the donor.




After the RBCs have been returned to the donor, the phlebotomy needle


206


may be removed and the donor released. The plasma collection bag


216


, which is now full of filtered plasma, may be severed from the disposable collection set


202


and sealed. The remaining portions of the disposable set


202


, including the needle, bags


210


,


212


and bowl


214


may be discarded. The filtered plasma may be shipped to a blood bank or hospital.




The significance of preventing any residual cells or non-plasma blood components from contacting the inside surface of the filter core


328


relative to axis A—A should now be appreciated. In particular, residual cells allowed to contact the inside surface of the filter core


328


would not be removed by rotating the bowl


214


while it is empty. Instead, these residual cells would simply remain stuck on the inside surface of the filter core


328


. When the collection process is resumed, moreover, these residual cells would be pulled through the effluent tube


320


along with the plasma, thereby “contaminating” the filtered plasma in the collection bag


216


. Accordingly, in the preferred embodiment, the filter core is configured so that non-plasma blood components are precluded from contacting the filter core's inner surface.




Furthermore, depending on the desired surface area of the filter membrane and the anticipated height of red blood cells in the stopped bowl, it may be possible to omit the skirt


332


. That is, if sufficient filtration area can be achieved with the lowest extremity of the filter core still above the RBCs occupying the stopped bowl


214


, then skirt


332


may be omitted. In the preferred embodiment, filter core


328


has a filtration area of approximately 50 cm


2


. Additionally, those skilled in the art will recognize that, if only a single collection cycle is performed, residual cells could be permitted to contact the filter core's inner surface. More specifically, residual cells (such as the contents of the stopped bowl) could be allowed to contact the filter core's inner surface during evacuation of red blood cells.




As shown, the present invention provides an efficient, low-cost system for collecting a filtered or “purer” plasma product than currently possible with conventional centrifugation bowls. In the preferred embodiment, the system


200


further includes one or more means for detecting whether the filter core


328


has become clogged. In particular, the blood processing machine


204


may include one or more conventional fluid flow sensors (not shown) coupled to the controller


226


to measure flow of anti-coagulated whole blood into the bowl


214


and the flow of filtered plasma out of the bowl


214


. Controller


226


preferable monitors the outputs of the flow sensors and if the flow of whole blood exceeds the flow of plasma for an extended period of time, the controller


226


preferably suspends the collection process. The system


200


may further include one or more conventional line sensors (not shown) that detect the presence of red blood cells in the outlet line


222


. The presence of red blood cells in the outlet line


222


may indicate that the blood components in the separation chamber


304


have spilled over the skirt


334


.




It should be understood that the filter core may have alternative configurations.

FIG. 4

, for example, is a cross-sectional side view a centrifugation bowl


400


having a generally truncated-cone shaped filter core


402


. Bowl


400


includes many similar elements to bowl


214


. For example, bowl


400


has a generally cylindrical bowl body


404


having a base


406


, an open top


408


and a side wall


410


, for defining an enclosed separation chamber


412


. A header assembly


414


is mounted to the bowl body


402


via a rotating seal


416


. A feed tube


418


extends into the separation chamber


412


of the bowl


400


, and the header assembly


414


includes an effluent tube


420


defining an entryway


422


. The truncated-cone shaped filter core


402


, which includes a large diameter section


424


and a small diameter section


426


, also extends into the separation chamber


412


. In particular, the large diameter section


424


of the filter core


402


is preferably disposed at a radial position, R


3


, that is slightly outboard of a radial position, R


4


, of the entryway


422


of the effluent tube


420


. A solid skirt


428


is preferably formed at the small diameter section


424


of the filer core


402


. Skirt


428


preferably extends upwardly relative to the header assembly


414


and may be sloped toward the central axis of rotation A—A. Skirt


428


similarly defines an end point


430


that, in the preferred embodiment, is spaced a height, H, from the base


406


of the bowl body


404


, for the reasons described above. The filter core


402


, not including the skirt


428


, is preferably formed from a filter membrane that is sized to block at least white blood cells, but to allow plasma to pass through.




In operation, anti-coagulated whole blood is similarly delivered to the separation chamber


412


of the rotating bowl


400


. The whole blood separates into an RBC layer


432


and a plasma layer


434


having a surface


436


. Due to the flow resistance presented by the filter membrane of filter core


402


, the surface


436


of the plasma layer


434


“climbs” up a portion of the truncated cone-shaped filter core


402


until a sufficient pressure head is generated to “pump” plasma through the membrane, creating a filtered plasma


438


. Furthermore, by spacing the end point


430


of the skirt


428


a height H from the base


406


of the bowl body


404


, residual cells including RBCs are prevented from contacting the inner surface of the filter core


402


while the bowl


400


is stopped.





FIGS. 5 and 6

are an isometric and a cross-sectional side view, respectively, of a preferred filter core support structure


500


. The support structure


500


has a generally cylindrical shape defining an outer cylindrical surface


502


, a first open end


504


and a second open end


506


. Formed in the outer surface


502


of the support structure


500


are one or more underdrain regions, such as underdrain region


508


, which preferably encompass a substantial portion of the surface area of the support structure


500


. In the preferred embodiment, each underdrain region


508


is recessed relative to outer surface


502


. Disposed within each underdrain region


508


are a plurality of spaced-apart ribs


510


, each including a top surface


510




a


that is flush with the outer surface


502


of the support structure


500


. Each underdrain region


508


also includes a plurality of drain holes


512


(

FIG. 5

) that provide fluid communication to the interior


514


(

FIG. 6

) of the support structure


500


. More specifically, the spaces between adjacent ribs


510


define corresponding channels


516


that lead to the drain holes


512


.




In place of sloped section


332


(

FIG. 3

) of filter core


328


, support structure


500


includes an inwardly extending shelf


518


(

FIG. 6

) that is disposed at second open end


506


. Support structure


500


also includes a skirt


520


that is similar to skirt


334


(FIG.


3


). In particular, skirt


520


, which has a truncated cone shape, is attached to shelf


518


and extends from second open end


506


toward first open end


504


within the interior


514


of support structure


500


. Skirt


520


also defines an opening


522


opposite second open end


506


that provides fluid communication between first and second ends


504


,


506


.




Wrapped around the support structure


500


is a filter medium (not shown) configured to block one or more residual cells but to allow plasma to pass through. The filter medium may be attached to the support structure


500


by any suitable means, such as tape, ultrasonic welding, heat seal, etc. Due to the configuration of ribs


510


, the filter medium is spaced from the respective underdrain region


508


. That is, in the area of the underdrain region


508


, the filter medium is supported by the top surfaces


510




a


or ribs


510


. As plasma passes through the filter medium it enters the corresponding underdrain region


508


. From here, the filtered plasma flows along the channels


516


, through drain holes


512


and into the interior


514


of the support structure. Support structure


500


is preferably mounted to the bowl body


302


(

FIG. 3

) such that first open end


504


is proximate to header assembly


312


. As described above, filtered plasma is extracted from the bowl


214


(

FIG. 3

) by the outlet


520


(FIG.


3


). Furthermore, the configuration of skirt


520


prevents unfiltered plasma either from being extracted from the bowl


214


or from contacting the inner surface of the filter medium. Additionally, the opening


522


is the skirt


520


allows the feed tube


316


(

FIG. 3

) to extend through the support structure


500


and allows air to enter the separation chamber


304


of the bowl


214


during removing of red blood cells or other components.




Those skilled in the art will understand that other configurations of the filter core, including the support structure, are possible provided that the plasma is forced to pass through the filter core before reaching the outlet.




It should be further understood that the filter core of the present invention may be stationary relative to the rotatable bowl body. That is, the filter core may alternatively be affixed to the header assembly rather than to the bowl body. It should also be understood that the filter core of the present invention may be incorporated into centrifugation bowls having different geometries, including the bell-shaped Latham series of centrifugation bowls from Haemonetics Corp.




The foregoing description has been directed to specific embodiments of this invention. It will be apparent, however, that other variations and modifications may be made to the described embodiments with the attainment of some or all of their advantages. Accordingly, this description should be taken only by way of example and not by way of limitation. For example, the filter membrane may actually be inboard of the entryway of the effluent tube provided that some structure conveys the filtered plasma back out to the entryway. It is the object of the appended claims to cover all such variations and modifications as come within the true spirit and scope of the invention.



Claims
  • 1. A method for collecting a plasma fraction from whole blood, the method comprising the steps ofproviding a rotary centrifugation bowl having a rotary axis and a tubular core with a permeable side wall surrounding said axis, said bowl also having a bottom wall and a side wall spaced radially from the core side wall; delivering whole blood via a conduit into the bowl; rotating the bowl about said axis at a speed such that the plasma fraction of the whole blood becomes separated from other more dense components of the whole blood due to centrifugal force and is forced under pressure from the other blood components through the core side wall into the interior of the core while the other blood components remain outside the core; conducting the plasma fraction from the interior of the core while the bowl is rotating; stopping the delivery of whole blood into the bowl and the rotation of the bowl so that the other blood components settle to the bottom of the bowl, and removing the other blood components from the bottom of the bowl.
  • 2. The method defined in claim 1 wherein the other blood components are removed from the bottom of the bowl via the same conduit that delivered whole blood into the bowl.
  • 3. The method defined in claim 1 including initiating the stopping step when the radial accumulation of the other blood components outside the core approaches the core side wall.
  • 4. The method defined in claim 1 including the step of, after the removing step, rotating the bowl about said axis to fling away any of said other blood components adhering to the core side wall.
  • 5. The method defined in claim 1 wherein said core wall has an interior surface and including the additional step of preventing the other blood components that settle to the bottom of the stopped bowl from contacting the interior surface of the core side wall.
  • 6. The method defined in claim 5 wherein the preventing step is accomplish by dimensioning the bowl and/or the core so that the level of the other blood components that settle to the bottom of the stopped bowl remains below the core side wall.
  • 7. The method defined in claim 5 wherein the preventing step is accomplished by forming the core with a bottom opening and an impermeable re-entrant wall that surrounds said bottom opening and extends within the core.
  • 8. Blood processing apparatus for collecting a plasma fraction from whole blood, said apparatus comprisinga header; a centrifugation bowl rotatable relative to the header about an axis, said bowl having a side wall radially spaced from said axis and a bottom wall; a tubular core within said bowl and fixed to rotate therewith, said core having a permeable side wall spaced opposite the side wall of the bowl and an open bottom spaced from the bottom wall of the bowl; a fluid inlet passing through the header into the interior of said core, said inlet extending beyond the bottom of the core toward the bottom wall of the bowl; a fluid outlet extending from the interior of the core through the header.
  • 9. The apparatus defined in claim 8 wherein the inlet extends along said axis to a location relatively close to the bottom wall of the bowl.
  • 10. The apparatus defined in claim 9 wherein the bowl is deeper at said axis than at the side wall of the bowl.
  • 11. The apparatus defined in claim 8 wherein the core includes an annular impermeable bottom wall having a central opening that receives said inlet.
  • 12. The apparatus defined in claim 11 wherein said bottom wall of the core includes an annular re-entrant portion which surrounds said axis and extends within the core.
  • 13. Apparatus for processing blood to separate and collect a selected lower density component thereof from other higher density components of the blood, said apparatus comprisinga centrifugation bowl configured for engagement by a rotary chuck and adapted for rotation about an axis, said bowl having a side wall spaced radially from the axis and a closed bottom; a tubular core having a permeable side wall surrounding said axis within the bowl and fixed to rotate with the bowl, said core wall being spaced opposite the side wall of the bowl and having an interior surface; a means for delivering blood into the bowl without contacting the interior surface of the core and for removing any of said other blood components that settle to the bottom of the bowl; and a fluid outlet for conducting the selected blood component from the interior of the core out the bowl.
  • 14. The apparatus defined in claim 13 wherein the side wall of the core comprises a filter membrane.
  • 15. The apparatus defined in claim 14 wherein said filter membrane is formed at least in part from a medium having an affinity for one or more types of said other blood components.
  • 16. The apparatus defined in claim 14 wherein the filter membrane contains two or more layers.
  • 17. The apparatus defined in claim 13 wherein the core side wall has pores whose size is in the range of 0.5 to 2.0 microns.
  • 18. Apparatus for processing blood to separate and collect a selected lower density component thereof from other higher density components of the blood, said apparatus comprisinga centrifugation bowl configured for engagement by a rotary chuck and adapted for rotation about an axis, said bowl having a side wall spaced radially from the axis and a closed bottom; a tubular core having a permeable wall surrounding said axis within the bowl and fixed to rotate with the bowl, said core wall being spaced opposite the side wall of the bowl and having an interior surface; a fluid inlet for delivering blood into the bowl without contacting the interior surface of the core, the fluid inlet extending along said axis to the bottom of the core, the fluid inlet including conduit means for removing any of said other blood components that settle to the bottom of the bowl, said conduit means constituting an extension of the fluid inlet, said extension extending to a location relatively close to the bottom of the bowl; and a fluid outlet for conducting the selected blood component from the interior of the core out the bowl.
  • 19. Apparatus for processing blood to separate and collect a selected lower density component thereof from other higher density components of the blood, said apparatus comprisinga centrifugation bowl configured for engagement by a rotary chuck and adapted for rotation about an axis, said bowl having a side wall spaced radially from the axis and a closed bottom; a tubular core having a permeable wall surrounding said axis within the bowl and fixed to rotate with the bowl, said core wall being spaced opposite the side wall of the bowl and having an interior surface, a bottom opening and an impermeable re-entrant wall which surrounds said bottom opening and extends within said core; a means for delivering blood into the bowl without contacting the interior surface of the core and for removing any of said other blood components that settle to the bottom of the bowl; and a fluid outlet for conducting the selected blood component from the interior of the core out the bowl.
  • 20. Apparatus for processing blood to separate and collect a selected lower density component thereof from other higher density components of the blood, said apparatus comprisinga centrifugation bowl configured for engagement by a rotary chuck and adapted for rotation about an axis, said bowl having a side wall spaced radially from the axis and a closed bottom; a tubular core having a permeable side wall surrounding said axis within the bowl and fixed to rotate with the bowl, said core wall being spaced opposite the side wall of the bowl and having an interior surface, the core side wall including a filter membrane containing two or more layers, each membrane layer having a pore size, the pore sizes of the layers progressively decreasing toward said axis; a means for delivering blood into the bowl without contacting the interior surface of the core and for removing any of said other blood components that settle to the bottom of the bowl; and a fluid outlet for conducting the selected blood component from the interior of the core out the bowl.
  • 21. Apparatus for processing blood to separate and collect a selected lower density component thereof from other higher density components of the blood, said apparatus comprisinga centrifugation bowl configured for engagement by a rotary chuck and adapted for rotation about an axis, said bowl having a side wall spaced radially from the axis and a closed bottom; a tubular core having a permeable side wall surrounding said axis within the bowl and fixed to rotate with the bowl, said core wall being spaced opposite the side wall of the bowl and having an interior surface, the core side wall comprising a relatively rigid cylinder having flow channels therethrough and a sleeve-like filter medium encircling the cylinder; a means for delivering blood into the bowl without contacting the interior surface of the core and for removing any of said other blood components that settle to the bottom of the bowl; and a fluid outlet for conducting the selected blood component from the interior of the core out the bowl.
  • 22. The apparatus defined in claim 21 wherein the cylinder has a bottom opening and an impermeable re-entrant wall surrounding said bottom opening and extending within the cylinder.
RELATED APPLICATION

This application is a continuation of application Ser. No. 09/325,253, filed Jun. 3, 1999, now abandoned.

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Continuations (1)
Number Date Country
Parent 09/325253 Jun 1999 US
Child 09/879550 US