Blood processing systems and methods employing fluid pressure actuated pumps and valves

Information

  • Patent Grant
  • 6759007
  • Patent Number
    6,759,007
  • Date Filed
    Friday, September 3, 1999
    25 years ago
  • Date Issued
    Tuesday, July 6, 2004
    20 years ago
Abstract
Systems and methods for processing blood use at least one fluid activated pump and at least one fluid activated valve. The systems and methods apply positive and negative fluid pressures to operate the pump and valve. Different pressure conditions are applied to the pump and the valve, to insure that a valve used in conjunction with a pump is not overcome by the pressure applied to operate the pump, and that both the valve and pump are not overcome by normal system processing pressures.
Description




FIELD OF THE INVENTION




This invention relates to systems and methods for processing and collecting blood, blood constituents, or other suspensions of cellular material.




BACKGROUND OF THE INVENTION




Today people routinely separate whole blood, usually by centrifugation, into its various therapeutic components, such as red blood cells, platelets, and plasma.




Conventional blood processing methods use durable centrifuge equipment in association with single use, sterile processing systems, typically made of plastic. The operator loads the disposable systems upon the centrifuge before processing and removes them afterwards.




Conventional blood centrifuges are of a size that does not permit easy transport between collection sites. Furthermore, loading and unloading operations can sometimes be time consuming and tedious.




In addition, a need exists for further improved systems and methods for collecting blood components in a way that lends itself to use in high volume, on line blood collection environments, where higher yields of critically needed cellular blood components, like plasma, red blood cells, and platelets, can be realized in reasonable short processing times.




The operational and performance demands upon such fluid processing systems become more complex and sophisticated, even as the demand for smaller and more portable systems intensifies. The need therefore exists for automated blood processing controllers that can gather and generate more detailed information and control signals to aid the operator in maximizing processing and separation efficiencies.




SUMMARY OF THE INVENTION




The invention provides systems and methods for processing blood and blood constituents that lend themselves to portable, flexible processing platforms equipped with straightforward and accurate control functions.




More particularly, the invention provides systems and methods for processing blood using at least one fluid pressure activated pump and at least one fluid pressure activated valve. The systems and methods apply positive and negative fluid pressures to operate the pump and valve. Different pressure conditions are applied to the pump and the valve, to insure that a valve used in conjunction with a pump is not overcome by the pressure applied to operate the pump, and that both the valve and pump are not overcome by normal system processing pressures.




According to one aspect of the invention, the blood processing systems and methods make use of a cassette, which contains preformed, fluid pressure actuated pump stations, preformed fluid flow paths, and preformed, fluid pressure actuated valves in the fluid flow paths. The systems and methods also make use of a fluid pressure actuator to hold the cassette and selectively apply fluid pressure force conditions to the valves and pump stations in response to a control program. The systems and methods simultaneously place a first pump station in flow communication a blood separation device while simultaneously placing a second pump station in flow communication with a venipuncture. The fluid pressure actuator includes a manifold to apply a first fluid pressure force condition to the first pump station while applying a second fluid pressure force condition, different than the first fluid pressure force condition, to the second pump station. The differential pressures are applied because the first pump station is subject to and must overcome processing pressure conditions present in the blood separation device, whereas the second pump station is isolated from such processing pressures.




In one embodiment, the fluid pressure comprises positive and negative pneumatic pressure.




According to another aspect of the invention, the actuator holds the cassette and selectively applies fluid pressure force to the valves and pump stations to simultaneously place two pump stations in flow communication with the blood separation device, to supply and withdraw blood to and from the blood separation device, while simultaneously placing a third pump station in flow communication with a venipuncture, to supply and withdraw blood through the venipuncture. According to this aspect of the invention, the manifold applies a first fluid pressure force condition to the two pump stations while applying a second fluid pressure force condition, different than the first fluid pressure force condition, to the third pump station. Again, the differential pressures are applied because the first and second pump stations are subject to and must overcome processing pressure conditions present in the blood separation device, whereas the third pump station is isolated from such processing pressures.




In one embodiment, the fluid pressure comprises positive and negative pneumatic pressure.




According to another aspect of the invention, systems and methods process blood using a blood separation device that separates blood subject to a positive processing pressure. The systems and methods couple a fluid pressure actuated blood pump to the blood separation device and to a source of blood. The blood pump operates in response to an applied positive pump pressure to draw blood into the pump chamber and an applied negative pump pressure to expel blood from the pump chamber. The systems and methods govern communication between the source and the blood pump by a fluid pressure actuated inlet valve. The inlet valve operates in response to an applied positive valve pressure to close the inlet valve and an applied negative valve pressure to open the inlet valve. The systems and methods govern communication between the blood pump and the blood separation device by a fluid pressure actuated outlet valve. The outlet valve operates in response to an applied positive valve pressure to close the outlet valve and an applied negative valve pressure to open the outlet valve.




In one embodiment, the systems and methods operate the blood pump in a draw mode by applying a first negative valve pressure to the inlet valve while applying a second negative pump pressure to the blood pump and while applying first positive valve pressure to the outlet valve. The systems and methods control the absolute magnitudes of the pressures during the draw mode such that (i) the absolute magnitude of the first negative valve pressure is greater than the absolute magnitude of the second negative pump pressure and (ii) the absolute magnitude of the first positive valve pressure is greater than the absolute magnitude of the positive processing pressure. In this way, the magnitude of the positive valve pressure overcomes the positive processing pressure present in the blood separation device, to keep the outlet valve closed during the draw cycle. Furthermore, the magnitude of the negative valve pressure overcomes the magnitude of the negative pump pressure to keep the inlet valve open during the draw cycle.




In one embodiment, the systems and methods operate the blood pump in an expel mode by applying a first positive valve pressure to the inlet valve while applying a second positive pump pressure to the blood pump and while applying first negative valve pressure to the outlet valve. The systems and methods control absolute magnitudes of the pressures during the expel mode such that (i) the absolute magnitude of the second positive pump pressure is not greater than the absolute magnitude of the first positive valve pressure and (ii) the absolute magnitude of the first negative valve pressure is greater than the absolute magnitude of the positive processing pressure. In this way, the magnitude of the positive valve pressure overcomes the positive processing pressure present in the blood separation device, to keep the outlet valve open during the expel cycle. Furthermore, the magnitude of the positive valve pressure overcomes the magnitude of the positive pump pressure to keep the inlet valve closed during the expel cycle.




In one embodiment, the fluid pressure comprises positive and negative pneumatic pressure.











Other features and advantages of the inventions are set forth in the following specification and attached drawings.




BRIEF DESCRIPTION OF THE DRAWINGS





FIG. 1

is a perspective view of a system that embodies features of the invention, with the disposable processing set shown out of association with the processing device prior to use;





FIG. 2

is a perspective view of the system shown in

FIG. 1

, with the doors to the centrifuge station and pump and valve station being shown open to accommodate mounting of the processing set;





FIG. 3

is a perspective view of the system shown in

FIG. 1

with the processing set fully mounted on the processing device and ready for use;





FIG. 4

is a right perspective front view of the case that houses the processing device shown in

FIG. 1

, with the lid closed for transporting the device;





FIG. 5

is a schematic view of a blood processing circuit, which can be programmed to perform a variety of different blood processing procedures in association with the device shown in

FIG. 1

;





FIG. 6

is an exploded perspective view of a cassette, which contains the programmable blood processing circuit shown in

FIG. 5

, and the pump and valve station on the processing device shown in

FIG. 1

, which receives the cassette for use;





FIG. 7

is a plane view of the front side of the cassette shown in

FIG. 6

;





FIG. 8

is an enlarged perspective view of a valve station on the cassette shown in

FIG. 6

;





FIG. 9

is a plane view of the back side of the cassette shown in

FIG. 6

;





FIG. 10

is a plane view of a universal processing set, which incorporates the cassette shown in

FIG. 6

, and which can be mounted on the device shown in

FIG. 1

, as shown in

FIGS. 2 and 3

;





FIG. 11

is a top section view of the pump and valve station in which the cassette as shown in

FIG. 6

is carried for use;





FIG. 12

is a schematic view of a pneumatic manifold assembly, which is part of the pump and valve station shown in

FIG. 6

, and which supplies positive and negative pneumatic pressures to convey fluid through the cassette shown in

FIGS. 7 and 9

;





FIG. 13

is a perspective front view of the case that houses the processing device, with the lid open for use of the device, and showing the location of various processing elements housed within the case;





FIG. 14

is a schematic view of the controller that carries out the process control and monitoring functions of the device shown in

FIG. 1

;





FIGS. 15A

,


15


B, and


15


C are schematic side view of the blood separation chamber that the device shown in

FIG. 1

incorporates, showing the plasma and red blood cell collection tubes and the associated two in-line sensors, which detect a normal operating condition (FIG.


15


A), an over spill condition (FIG.


15


B), and an under spill condition (FIG.


15


C);





FIG. 16

is a perspective view of a fixture that, when coupled to the plasma and red blood cell collection tubes hold the tubes in a desired viewing alignment with the in-line sensors, as shown in

FIGS. 15A

,


15


B, and


15


C;





FIG. 17

is a perspective view of the fixture shown in

FIG. 16

, with a plasma cell collection tube, a red blood cell collection tube, and a whole blood inlet tube attached, gathering the tubes in an organized, side-by-side array;





FIG. 18

is a perspective view of the fixture and tubes shown in

FIG. 17

, as being placed into viewing alignment with the two sensors shown in

FIGS. 15A

,


15


B, and


15


C;





FIG. 19

is a schematic view of the sensing station, of which the first and second sensors shown in FIGS.


15


A,


15


B, and


15


C form a part;





FIG. 20

is a graph of optical densities as sensed by the first and second sensors plotted over time, showing an under spill condition;





FIG. 21

is an exploded top perspective view of the of a molded centrifugal blood processing container, which can be used in association with the device shown in

FIG. 1

;





FIG. 22

is a bottom perspective view of the molded processing container shown in

FIG. 21

;





FIG. 23

is a top view of the molded processing container shown in

FIG. 21

;





FIG. 24

is a side section view of the molded processing container shown in

FIG. 21

, showing an umbilicus to be connected the container;





FIG. 24A

is a top view of the connector that connects the umbilicus to the molded processing container in the manner shown in

FIG. 24

, taken generally along line


24


A—


24


A in

FIG. 24

;





FIG. 25

is a side section view of the molded processing container shown in

FIG. 24

, after connection of the umbilicus to container;





FIG. 26

is an exploded, perspective view of the centrifuge station of the processing device shown in

FIG. 1

, with the processing container mounted for use;





FIG. 27

is a further exploded, perspective view of the centrifuge station and processing container shown in

FIG. 26

;





FIG. 28

is a side section view of the centrifuge station of the processing device shown in

FIG. 26

, with the processing container mounted for use;





FIG. 29

is a top view of a molded centrifugal blood processing container as shown in

FIGS. 21

to


23


, showing a flow path arrangement for separating whole blood into plasma and red blood cells;





FIGS. 30

to


33


are top views of molded centrifugal blood processing containers as shown in

FIGS. 21

to


23


, showing other flow path arrangements for separating whole blood into plasma and red blood cells;





FIG. 34

is a schematic view of another blood processing circuit, which can be programmed to perform a variety of different blood processing procedures in association with the device shown in

FIG. 1

;





FIG. 35

is plane view of the front side of a cassette, which contains the programmable blood processing circuit shown in

FIG. 34

;





FIG. 36

is a plane view of the back side of the cassette shown in

FIG. 35

;





FIGS. 37A

to


37


E are schematic views of the blood processing circuit shown in

FIG. 34

, showing the programming of the cassette to carry out different fluid flow tasks in connection with processing whole blood into plasma and red blood cells;





FIGS. 38A and 38B

are schematic views of the blood processing circuit shown in

FIG. 34

, showing the programming of the cassette to carry out fluid flow tasks in connection with on-line transfer of an additive solution into red blood cells separated from whole blood;





FIGS. 39A and 39B

are schematic views of the blood processing circuit shown in

FIG. 34

, showing the programming of the cassette to carry out fluid flow tasks in connection with on-line transfer of red blood cells separated from whole blood through a filter to remove leukocytes;





FIG. 40

is a representative embodiment of a weigh scale suited for use in association with the device shown in

FIG. 1

;





FIG. 41

is a representative embodiment of another weigh suited for use in association with the device shown in

FIG. 1

;





FIG. 42

is a schematic view of flow rate sensing and control system for a pneumatic pump chamber employing an electrode to create an electrical field inside the pump chamber; and





FIG. 43

is a schematic view of a pneumatic manifold assembly, which is part of the pump and valve station shown in

FIG. 6

, and which supplies positive and negative pneumatic pressures to convey fluid through the cassette shown in FIGS.


35


and


36


.











The invention may be embodied in several forms without departing from its spirit or essential characteristics. The scope of the invention is defined in the appended claims, rather than in the specific description preceding them. All embodiments that fall within the meaning and range of equivalency of the claims are therefore intended to be embraced by the claims.




DESCRIPTION OF THE PREFERRED EMBODIMENTS





FIG. 1

shows a fluid processing system


10


that embodies the features of the invention. The system


10


can be used for processing various fluids. The system


10


is particularly well suited for processing whole blood and other suspensions of biological cellular materials. Accordingly, the illustrated embodiment shows the system


10


used for this purpose.




I. System Overview




The system


10


includes three principal components. These are (i) a liquid and blood flow set


12


; (ii) a blood processing device


14


that interacts with the flow set


12


to cause separation and collection of one or more blood components; and (iii) a controller


16


that governs the interaction to perform a blood processing and collection procedure selected by the operator.




The blood processing device


14


and controller


16


are intended to be durable items capable of long term use. In the illustrated and preferred embodiment, the blood processing device


14


and controller


16


are mounted inside a portable housing or case


36


. The case


36


presents a compact footprint, suited for set up and operation upon a table top or other relatively small surface. The case


36


is also intended to be transported easily to a collection site.




The case


36


includes a base


38


and a hinged lid


40


, which opens (as

FIG. 1

shows) and closes (as

FIG. 4

shows) The lid


40


includes a latch


42


, for releasably locking the lid


40


closed. The lid


40


also includes a handle


44


, which the operator can grasp for transporting the case


36


when the lid


40


is closed. In use, the base


38


is intended to rest in a generally horizontal support surface.




The case


36


can be formed into a desired configuration, e.g., by molding. The case


36


is preferably made from a lightweight, yet durable, plastic material.




The flow set


12


is intended to be a sterile, single use, disposable item. As

FIG. 2

shows, before beginning a given blood processing and collection procedure, the operator loads various components of the flow set


12


in the case


36


in association with the device


14


. The controller


16


implements the procedure based upon preset protocols, taking into account other input from the operator. Upon completing the procedure, the operator removes the flow set


12


from association with the device


14


. The portion of the set


12


holding the collected blood component or components are removed from the case


36


and retained for storage, transfusion, or further processing. The remainder of the set


12


is removed from the case


36


and discarded.




The flow set


12


shown in

FIG. 1

includes a blood processing chamber


18


designed for use in association with a centrifuge. Accordingly, as

FIG. 2

shows, the processing device


14


includes a centrifuge station


20


, which receives the processing chamber


18


for use. As

FIGS. 2 and 3

show, the centrifuge station


20


comprises a compartment formed in the base


38


. The centrifuge station


20


includes a door


22


, which opens and closes the compartment. The door


22


opens to allow loading of the processing chamber


18


. The door


22


closes to enclose the processing chamber


18


during operation.




The centrifuge station


20


rotates the processing chamber


18


. When rotated, the processing chamber


18


centrifugally separates whole blood received from a donor into component parts, e.g., red blood cells, plasma, and buffy coat comprising platelets and leukocytes.




It should also be appreciated that the system


10


need not separate blood centrifugally. The system


10


can accommodate other types of blood separation devices, e.g., a membrane blood separation device.




II. The Programmable Blood Processing Circuit




The set


12


defines a programmable blood processing circuit


46


. Various configurations are possible.

FIG. 5

schematically shows one representative configuration.

FIG. 34

schematically shows another representative configuration, which will be described later.




Referring to

FIG. 5

, the circuit


46


can be programmed to perform a variety of different blood processing procedures in which, e.g., red blood cells are collected, or plasma is collected, or both plasma and red blood cells are collected, or the buffy coat is collected.




The circuit


46


includes several pump stations PP(N), which are interconnected by a pattern of fluid flow paths F(N) through an array of in line valves V(N). The circuit is coupled to the remainder of the blood processing set by ports P(N).




The circuit


46


includes a programmable network of flow paths, comprising eleven universal ports P


1


to P


8


and P


11


to P


13


and three universal pump stations PP


1


, PP


2


, and PP


3


. By selective operation of the in line valves V


1


to V


14


, V


16


to V


18


, and V


21


to


23


, any universal port P


1


to P


8


and P


11


to P


13


can be placed in flow communication with any universal pump station PP


1


, PP


2


, and PP


3


. By selective operation of the universal valves, fluid flow can be directed through any universal pump station in a forward direction or reverse direction between two valves, or an in-out direction through a single valve.




In the illustrated embodiment, the circuit also includes an isolated flow path comprising two ports P


9


and P


10


and one pump station PP


4


. The flow path is termed “isolated,” because it cannot be placed into direct flow communication with any other flow path in the circuit


46


without exterior tubing. By selective operation of the in line valves V


15


, V


19


, and V


20


, fluid flow can be directed through the pump station in a forward direction or reverse direction between two valves, or an in-out direction through a single valve.




The circuit


46


can be programmed to assigned dedicated pumping functions to the various pump stations. For example, in a preferred embodiment, the universal pump station PP


3


can serve as a general purpose, donor interface pump, regardless of the particular blood procedure performed, to either draw blood from the donor or return blood to the donor through the port P


8


. In this arrangement, the pump station PP


4


can serve as a dedicated anticoagulant pump, to draw anticoagulant from a source through the port P


10


and to meter anticoagulant into the blood through port P


9


.




In this arrangement, the universal pump station PP


1


can serve, regardless of the particular blood processing procedure performed, as a dedicated in-process whole blood pump, to convey whole blood into the blood separator. This dedicated function frees the donor interface pump PP


3


from the added function of supplying whole blood to the blood separator. Thus, the in-process whole blood pump PP


1


can maintain a continuous supply of blood to the blood separator, while the donor interface pump PP


3


is simultaneously used to draw and return blood to the donor through the single phlebotomy needle. Processing time is thereby minimized.




In this arrangement, the universal pump station PP


2


can serve, regardless of the particular blood processing procedure performed, as a plasma pump, to convey plasma from the blood separator. The ability to dedicate separate pumping functions provides a continuous flow of blood into and out of the separator, as well as to and from the donor.




The circuit


46


can be programmed, depending upon the objectives of the particular blood processing procedure, to retain all or some of the plasma for storage or fractionation purposes, or to return all or some of the plasma to the donor. The circuit


46


can be further programmed, depending upon the objectives of the particular blood processing procedure, to retain all or some of the red blood cells for storage, or to return all or some of the red blood cells to the donor. The circuit


46


can also be programmed, depending upon the objectives of the particular blood processing procedure, to retain all or some of the buffy coat for storage, or to return all or some of the buffy coat to the donor.




In a preferred embodiment, the programmable fluid circuit


46


is implemented by use of a fluid pressure actuated cassette


28


(see FIG.


6


). The cassette


28


provides a centralized, programmable, integrated platform for all the pumping and valving functions required for a given blood processing procedure. In the illustrated embodiment, the fluid pressure comprising positive and negative pneumatic pressure. Other types of fluid pressure can be used.




As

FIG. 6

shows, the cassette


28


interacts with a pneumatic actuated pump and valve station


30


, which is mounted in the lid of the


40


of the case


36


(see FIG.


1


). The cassette


28


is, in use, mounted in the pump and valve station


30


. The pump and valve station


30


apply positive and negative pneumatic pressure upon the cassette


28


to direct liquid flow through the circuit. Further details will be provided later.




The cassette


28


can take various forms. As illustrated (see FIG.


6


), the cassette


28


comprises an injection molded body


188


having a front side


190


and a back side


192


. For the purposes of description, the front side


190


is the side of the cassette


28


that, when the cassette


28


is mounted in the pump and valve station


30


, faces away from the operator. Flexible diaphragms


194


and


196


overlay both the front side


190


and back sides


192


of the cassette


28


, respectively.




The cassette body


188


is preferably made of a rigid medical grade plastic material. The diaphragms


194


and


196


are preferably made of flexible sheets of medical grade plastic. The diaphragms


194


and


196


are sealed about their peripheries to the peripheral edges of the front and back sides of the cassette body


188


. Interior regions of the diaphragms


194


and


196


can also be sealed to interior regions of the cassette body


188


.




The cassette body


188


has an array of interior cavities formed on both the front and back sides


190


and


192


(see FIGS.


7


and


9


). The interior cavities define the valve stations and flow paths shown schematically in FIG.


5


. An additional interior cavity is provided in the back side of the cassette


28


to form a station that holds a filter material


200


. In the illustrated embodiment, the filter material


200


comprises an overmolded mesh filter construction. The filter material


200


is intended, during use, to remove clots and cellular aggregations that can form during blood processing.




The pump stations PP


1


to PP


4


are formed as wells that are open on the front side


190


of the cassette body


188


. Upstanding edges peripherally surround the open wells of the pump stations. The pump wells are closed on the back side


192


of the cassette body


188


, except for a spaced pair of through holes or ports


202


and


204


for each pump station. The ports


202


and


204


extend through to the back side


192


of the cassette body


188


. As will become apparent, either port


202


or


204


can serve its associated pump station as an inlet or an outlet, or both inlet and outlet.




The in line valves V


1


to V


23


are likewise formed as wells that are open on the front side


190


of the cassette.

FIG. 8

shows a typical valve V(N). Upstanding edges peripherally surround the open wells of the valves on the front side


190


of the cassette body


188


. The valves are closed on the back side


192


of the cassette


28


, except that each valve includes a pair of through holes or ports


206


and


208


. One port


206


communicates with a selected liquid path on the back side


192


of the cassette body


188


. The other port


208


communicates with another selected liquid path on the back side


192


of the cassette body


188


.




In each valve, a valve seat


210


extends about one of the ports


208


. The valve seat


210


is recessed below the surface of the recessed valve well, such that the port


208


is essentially flush with the surrounding surface of recessed valve well, and the valve seat


210


extends below than the surface of the valve well.




The flexible diaphragm


194


overlying the front side


190


of the cassette


28


rests against the upstanding peripheral edges surrounding the pump stations and valves. With the application of positive force uniformly against this side of the cassette body


188


, the flexible diaphragm


194


seats against the upstanding edges. The positive force forms peripheral seals about the pump stations and valves. This, in turn, isolates the pumps and valves from each other and the rest of the system. The pump and valve station


30


applies positive force to the front side


190


of the cassette body


188


for this purpose.




Further localized application of positive and negative fluid pressures upon the regions of the diaphragm


194


overlying these peripherally sealed areas serve to flex the diaphragm regions in these peripherally sealed areas. These localized applications of positive and negative fluid pressures on these diaphragm regions overlying the pump stations serve to expel liquid out of the pump stations (with application of positive pressure) and draw liquid into the pump stations (with application of negative pressure).




In the illustrated embodiment, the bottom of each pump station PP


1


to PP


4


includes a recessed race


316


(see FIG.


7


). The race


316


extends between the ports


202


and


204


, and also includes a dogleg extending at an angle from the top port


202


. The race


316


provides better liquid flow continuity between the ports


202


and


204


, particularly when the diaphragm region is forced by positive pressure against the bottom of the pump station. The race


316


also prevents the diaphragm region from trapping air within the pump station. Air within the pump station is forced into the race


316


, where it can be readily venting through the top port


202


out of the pump station, even if the diaphragm region is bottomed out in the station.




Likewise, localized applications of positive and negative fluid pressure on the diaphragm regions overlying the valves will serve to seat (with application of positive pressure) and unseat (with application of negative pressure) these diaphragm regions against the valve seats, thereby closing and opening the associated valve port. The flexible diaphragm is responsive to an applied negative pressure for flexure out of the valve seat


210


to open the respective port. The flexible diaphragm is responsive to an applied positive pressure for flexure into the valve seat


210


to close the respective port. Sealing is accomplished by forcing the flexible diaphragm to flex into the recessed valve seat


210


, to seal about the port


208


, which is flush with wall of the valve well. The flexible diaphragm forms within the recessed valve seat


210


a peripheral seal about the valve port


208


.




In operation, the pump and valve station


30


applies localized positive and negative fluid pressures to these regions of front diaphragm


104


for opening and closing the valve ports.




The liquid paths F


1


to F


38


are formed as elongated channels that are open on the back side


192


of the cassette body


188


, except for the liquid paths F


15


, F


23


, and F


24


are formed as elongated channels that are open on the front side


190


of the cassette body


188


. The liquid paths are shaded in

FIG. 9

to facilitate their viewing. Upstanding edges peripherally surround the open channels on the front and back sides


190


and


192


of the cassette body


188


.




The liquid paths F


1


to F


38


are closed on the front side


190


of the cassette body


188


, except where the channels cross over valve station ports or pump station ports. Likewise, the liquid paths F


31


to F


38


are closed on the back side


192


of the cassette body


188


, except where the channels cross over in-line ports communicating with certain channels on the back side


192


of the cassette


28


.




The flexible diaphragms


194


and


196


overlying the front and back sides


190


and


192


of the cassette body


188


rest against the upstanding peripheral edges surrounding the liquid paths F


1


to F


38


. With the application of positive force uniformly against the front and back sides


190


and


192


of the cassette body


188


, the flexible diaphragms


194


and


196


seat against the upstanding edges. This forms peripheral seals along the liquid paths F


1


to F


38


. In operation, the pump and valve station


30


applies positive force to the diaphragms


194


and


196


for this purpose.




The pre-molded ports P


1


to P


13


extend out along two side edges of the cassette body


188


. The cassette


28


is vertically mounted for use in the pump and valve station


30


(see FIG.


2


). In this orientation, the ports P


8


to P


13


face downward, and the ports P


1


to P


7


are vertically stacked one above the other and face inward.




As

FIG. 2

shows, the ports P


8


to P


13


, by facing downward, are oriented with container support trays


212


formed in the base


38


, as will be described later. The ports P


1


to P


7


, facing inward, are oriented with the centrifuge station


20


and a container weigh station


214


, as will also be described in greater detail later. The orientation of the ports P


5


to P


7


(which serve the processing chamber


18


) below the ports P


1


to P


4


keeps air from entering the processing chamber


18


.




This ordered orientation of the ports provides a centralized, compact unit aligned with the operative regions of the case


36


.




B. The Universal Set





FIG. 10

schematically shows a universal set


264


, which, by selective programming of the blood processing circuit


46


implemented by cassette


28


, is capable of performing several different blood processing procedures.




The universal set


264


includes a donor tube


266


, which is attached (through y-connectors


272


and


273


) to tubing


300


having an attached phlebotomy needle


268


. The donor tube


266


is coupled to the port P


8


of the cassette


28


.




A container


275


for collecting an in-line sample of blood drawn through the tube


300


is also attached through the y-connector


273


.




An anticoagulant tube


270


is coupled to the phlebotomy needle


268


via the y-connector


272


. The anticoagulant tube


270


is coupled to cassette port P


9


. A container


276


holding anticoagulant is coupled via a tube


274


to the cassette port P


10


. The anticoagulant tube


270


carries an external, manually operated in line clamp


282


of conventional construction.




A container


280


holding a red blood cell additive solution is coupled via a tube


278


to the cassette port P


3


. The tube


278


also carries an external, manually operated in line clamp


282


.




A container


288


holding saline is coupled via a tube


284


to the cassette port P


12


.





FIG. 10

shows the fluid holding containers


276


,


280


, and


288


as being integrally attached during manufacture of the set


264


. Alternatively, all or some of the containers


276


,


280


, and


288


can be supplied separate from the set


264


. The containers


276


,


280


, and


288


may be coupled by conventional spike connectors, or the set


264


may be configured to accommodate the attachment of the separate container or containers at the time of use through a suitable sterile connection, to thereby maintain a sterile, closed blood processing environment. Alternatively, the tubes


274


,


278


, and


284


can carry an in-line sterilizing filter and a conventional spike connector for insertion into a container port at time of use, to thereby maintain a sterile, closed blood processing environment.




The set


264


further includes tubes


290


,


292


,


294


, which extend to an umbilicus


296


. When installed in the processing station, the umbilicus


296


links the rotating processing chamber


18


with the cassette


28


without need for rotating seals. Further details of this construction will be provided later.




The tubes


290


,


292


, and


294


are coupled, respectively, to the cassette ports P


5


, P


6


, and P


7


. The tube


290


conveys whole blood into the processing chamber


18


. The tube


292


conveys plasma from the processing chamber


18


. The tube


294


conveys red blood cells from processing chamber


18


.




A plasma collection container


304


is coupled by a tube


302


to the cassette port P


3


. The collection container


304


is intended, in use, to serve as a reservoir for plasma during processing.




A red blood cell collection container


308


is coupled by a tube


306


to the cassette port P


2


. The collection container


308


is intended, in use, to receive a first unit of red blood cells for storage.




A whole blood reservoir


312


is coupled by a tube


310


to the cassette port P


1


. The collection container


312


is intended, in use, to serve as a reservoir for whole blood during processing. It can also serve to receive a second unit of red blood cells for storage.




As shown in

FIG. 10

, no tubing is coupled to the utility cassette port P


13


and buffy port P


4


.




C. The Pump and Valve Station




The pump and valve station


30


includes a cassette holder


216


. The door


32


is hinged to move with respect to the cassette holder


216


between the opened position, exposing the cassette holder


216


(shown in

FIG. 6

) and the closed position, covering the cassette holder


216


(shown in FIG.


3


). The door


32


also includes an over center latch


218


with a latch handle


220


. When the door


32


is closed, the latch


218


swings into engagement with the latch pin


222


.




As

FIG. 11

shows, the inside face of the door


32


carries an elastomeric gasket


224


. The gasket


224


contacts the back side


192


of the cassette


28


when the door


32


is closed. An inflatable bladder


314


underlies the gasket


224


.




With the door


32


opened (see FIG.


2


), the operator can place the cassette


28


into the cassette holder


216


. Closing the door


32


and securing the latch


218


brings the gasket


224


into facing contact with the diaphragm


196


on the back side


192


of the cassette


28


. Inflating the bladder


314


presses the gasket


224


into intimate, sealing engagement against the diaphragm


196


. The cassette


28


is thereby secured in a tight, sealing fit within the cassette holder


216


.




The inflation of the bladder


314


also fully loads the over center latch


218


against the latch pin


222


with a force that cannot be overcome by normal manual force against the latch handle


220


. The door


32


is securely locked and cannot be opened when the bladder


314


is inflated. In this construction, there is no need for an auxiliary lock-out device or sensor to assure against opening of the door


32


during blood processing.




The pump and valve station


30


also includes a manifold assembly


226


located in the cassette holder


216


. The manifold assembly


226


comprises a molded or machined plastic or metal body. The front side


194


of the diaphragm is held in intimate engagement against the manifold assembly


226


when the door


32


is closed and bladder


314


inflated.




The manifold assembly


226


is coupled to a pneumatic pressure source


234


, which supplies positive and negative air pressure. The pneumatic pressure source


234


is carried inside the lid


40


behind the manifold assembly


226


.




In the illustrated embodiment, the pressure source


234


comprises two compressors C


1


and C


2


. However, one or several dual-head compressors could be used as well. As

FIG. 12

shows, one compressor C


1


supplies negative pressure through the manifold


226


to the cassette


28


. The other compressor C


2


supplies positive pressure through the manifold


226


to the cassette


28


.




As

FIG. 12

shows, the manifold


226


contains four pump actuators PA


1


to PA


4


and twenty-three valve actuators VA


1


to VA


23


. The pump actuators PA


1


to PA


4


and the valve actuators VA


1


to VA


23


are mutually oriented to form a mirror image of the pump stations PP


1


to PP


4


and valve stations V


1


to V


23


on the front side


190


of the cassette


28


.




As

FIG. 22

also shows, each actuator PA


1


to PA


4


and VA


1


to VA


23


includes a port


228


. The ports


228


convey positive or negative pneumatic pressures from the source in a sequence governed by the controller


16


. These positive and negative pressure pulses flex the front diaphragm


194


to operate the pump chambers PP


1


to PP


4


and valve stations V


11


to V


23


in the cassette


28


. This, in turn, moves blood and processing liquid through the cassette


28


.




The cassette holder


216


preferably includes an integral elastomeric membrane


232


(see

FIG. 6

) stretched across the manifold assembly


226


. The membrane


232


serves as the interface between the piston element


226


and the diaphragm


194


of the cassette


28


, when fitted into the holder


216


. The membrane


232


may include one or more small through holes (not shown) in the regions overlying the pump and valve actuators PA


1


to PA


4


and V


1


to V


23


. The holes are sized to convey pneumatic fluid pressure from the manifold assembly


226


to the cassette diaphragm


194


. Still, the holes are small enough to retard the passage of liquid. The membrane


232


forms a flexible splash guard across the exposed face of the manifold assembly


226


.




The splash guard membrane


232


keeps liquid out of the pump and valve actuators PA


1


to PA


4


and VA


1


to VA


23


, should the cassette diaphragm


194


leak. The splash guard membrane


232


also serves as a filter to keep particulate matter out of the pump and valve actuators of the manifold assembly


226


. The splash guard membrane


232


can be periodically wiped clean when cassettes


28


are exchanged.




The manifold assembly


226


includes an array of solenoid actuated pneumatic valves, which are coupled in-line with the pump and valve actuators PA


1


to PA


4


and VA


1


to VA


23


. The manifold assembly


226


, under the control of the controller


16


, selectively distributes the different pressure and vacuum levels to the pump and valve actuators PA(N) and VA(N). These levels of pressure and vacuum are systematically applied to the cassette


28


, to route blood and processing liquids.




Under the control of a controller


16


, the manifold assembly


226


also distributes pressure levels to the door bladder


314


(already described), as well as to a donor pressure cuff (not shown) and to a donor line occluder


320


.




As

FIG. 1

shows, the donor line occluder


320


is located in the case


36


, immediately below the pump and valve station


30


, in alignment with the ports P


8


and P


9


of the cassette


28


. The donor line


266


, coupled to the port P


8


, passes through the occluder


320


. The anticoagulant line


270


, coupled to the port P


9


, also passes through the occluder


320


. The occluder


320


is a spring loaded, normally closed pinch valve, between which the lines


266


and


270


pass. Pneumatic pressure from the manifold assembly


234


is supplied to a bladder (not shown) through a solenoid valve. The bladder, when expanded with pneumatic pressure, opens the pinch valve, to thereby open the lines


266


and


270


. In the absence of pneumatic pressure, the solenoid valve closes and the bladder vents to atmosphere. The spring loaded pinch valve of the, occluder


320


closes, thereby closing the lines


266


and


270


.




The manifold assembly


226


maintains several different pressure and vacuum conditions, under the control of the controller


16


. In the illustrated embodiment, the following multiple pressure and vacuum conditions are maintained:




(i) Phard, or Hard Pressure, and Pinpr, or In-Process Pressure are the highest pressures maintained in the manifold assembly


226


. Phard is applied for closing cassette valves V


1


to V


23


. Pinpr is applied to drive the expression of liquid from the in-process pump PP


1


and the plasma pump PP


2


. A typical pressure level for Phard and Pinpr in the context of the preferred embodiment is 500 mmHg.




(ii) Pgen, or General Pressure, is applied to drive the expression of liquid from the donor interface pump PP


3


and the anticoagulant pump PP


4


. A typical pressure level for Pgen in the context of the preferred embodiment is 150 mmHg. p


1


(iii) Pcuff, or Cuff Pressure, is supplied to the donor pressure cuff. A typical pressure level for Pcuff in the context of the preferred embodiment is 80 mmHg.




(iv) Vhard, or Hard Vacuum, is the deepest vacuum applied in the manifold assembly


226


. Vhard is applied to open cassette valves V


1


to V


23


. A typical vacuum level for Vhard in the context of the preferred embodiment is −350 mmHg.




(vi) Vgen, or General Vacuum, is applied to drive the draw function of each of the four pumps PP


1


to PP


4


. A typical pressure level for Vgen in the context of the preferred embodiment is −300 mmHg.




(vii) Pdoor, or Door Pressure, is applied to the bladder


314


to seal the cassette


28


into the holder


216


. A typical pressure level for Pdoor in the context of the preferred embodiment is 700 mmHg.




For each pressure and vacuum level, a variation of plus or minus 20 mmHg is tolerated.




Pinpr is used to operate the in process pump PP


1


, to pump blood into the processing chamber


18


. The magnitude of Pinpr must be sufficient to overcome a minimum pressure of approximately 300 mm Hg, which is typically present within the processing chamber


18


.




Similarly, Pinpr is used for the plasma pump PP


2


, since it must have similar pressure capabilities in the event that plasma needs to be pumped backwards into the processing chamber


18


, e.g., during a spill condition, as will be described later.




Pinpr and Phard are operated at the highest pressure to ensure that upstream and downstream valves used in conjunction with pumping are not forced opened by the pressures applied to operate the pumps. The cascaded, interconnectable design of the fluid paths F


1


to F


38


through the cassette


28


requires Pinpr-Phard to be the highest pressure applied. By the same token, Vgen is required to be less extreme than Vhard, to ensure that pumps PP


1


to PP


4


do not overwhelm upstream and downstream cassette valves V


1


to V


23


.




Pgen is used to drive the donor interface pump PP


3


and can be maintained at a lower pressure, as can the AC pump PP


4


.




A main hard pressure line


322


and a main vacuum line


324


distribute Phard and Vhard in the manifold assembly


324


. The pressure and vacuum sources


234


run continuously to supply Phard to the hard pressure line


322


and Vhard to the hard vacuum line


324


.




A pressure sensor S


1


monitors Phard in the hard pressure line


322


. The sensor S


1


controls a solenoid


38


. The solenoid


38


is normally closed. The sensor S


1


opens the solenoid


38


to build Phard up to its maximum set value. Solenoid


38


is closed as long as Phard is within its specified pressure range and is opened when Phard falls below its minimum acceptable value.




Similarly, a pressure sensor S


5


in the hard vacuum line


324


monitors Vhard. The sensor S


5


controls a solenoid


39


. The solenoid


39


is normally closed. The sensor S


5


opens the solenoid


39


to build Vhard up to its maximum value. Solenoid


39


is closed as long as Vhard is within its specified pressure range and is opened when Vhard falls outside its specified range.




A general pressure line


326


branches from the hard pressure line


322


. A sensor S


2


in the general pressure line


326


monitors Pgen. The sensor


32


controls a solenoid


30


. The solenoid


30


is normally closed. The sensor S


2


opens the solenoid


30


to refresh Pgen from the hard pressure line


322


, up to the maximum value of Pgen. Solenoid


30


is closed as long as Pgen is within its specified pressure range and is opened when Pgen falls outside its specified range.




An in process pressure line


328


also branches from the hard pressure line


322


. A sensor S


3


in the in process pressure line


328


monitors Pinpr. The sensor S


3


controls a solenoid


36


. The solenoid


36


is normally closed. The sensor S


3


opens the solenoid


36


to refresh Pinpr from the hard pressure line


322


, up to the maximum value of Pinpr. Solenoid


36


is closed as long as Pinpr is within its specified pressure range and is opened when Pinpr falls outside its specified range.




A general vacuum line


330


branches from the hard vacuum line


324


. A sensor S


6


monitors Vgen in the general vacuum line


330


. The sensor S


6


controls a solenoid


31


. The solenoid


31


is normally closed. The sensor S


6


opens the solenoid


31


to refresh Vgen from the hard vacuum line


324


, up to the maximum value of Vgen. The solenoid


31


is closed as long as Vgen is within its specified range and is opened when Vgen falls outside its specified range.




In-line reservoirs R


1


to R


5


are provided in the hard pressure line


322


, the in process pressure line


328


, the general pressure line


326


, the hard vacuum line


324


, and the general vacuum line


330


. The reservoirs R


1


to R


5


assure that the constant pressure and vacuum adjustments as above described are smooth and predictable.




The solenoids


33


and


34


provide a vent for the pressures and vacuums, respectively, upon procedure completion. Since pumping and valving will continually consume pressure and vacuum, the solenoids


33


and


34


are normally closed. The solenoids


33


and


34


are opened to vent the manifold assembly upon the completion of a blood processing procedure.




The solenoids


28


,


29


,


35


,


37


and


32


provide the capability to isolate the reservoirs R


1


to R


5


from the air lines that supply vacuum and pressure to the manifold assembly


226


. This provides for much quicker pressure/vacuum decay feedback, so that testing of cassette/manifold assembly seal integrity can be accomplished. These solenoids


28


,


29


,


35


,


37


, and


32


are normally opened, so that pressure cannot be built in the assembly


226


without a command to close the solenoids


28


,


29


,


35


,


37


, and


32


, and, further, so that the system pressures and vacuums can vent in an error mode or with loss of power.




The solenoids


1


to


23


provide Phard or Vhard to drive the valve actuators VA


1


to V


23


. In the unpowered state, these solenoids are normally opened to keep all cassette valves V


1


to V


23


closed.




The solenoids


24


and


25


provide Pinpr and Vgen to drive the in-process and plasma pumps PP


1


and PP


2


. In the unpowered state, these solenoids are opened to keep both pumps PP


1


and PP


2


closed.




The solenoids


26


and


27


provide Pgen and Vgen to drive the donor interface and AC pumps PP


3


and PP


4


. In the unpowered state, these solenoids are opened to keep both pumps PP


3


and PP


4


closed.




The solenoid


43


provides isolation of the door bladder


314


from the hard pressure line


322


during the procedure. The solenoid


43


is normally opened and is closed when Pdoor is reached. A sensor S


7


monitors Pdoor and signals when the bladder pressure falls below Pdoor. The solenoid


43


is opened in the unpowered state to ensure bladder


314


venting, as the cassette


28


cannot be removed from the holder while the door bladder


314


is pressurized.




The solenoid


42


provides Phard to open the safety occluder valve


320


. Any error modes that might endanger the donor will relax (vent) the solenoid


42


to close the occluder


320


and isolate the donor. Similarly, any loss of power will relax the solenoid


42


and isolate the donor.




The sensor S


4


monitors Pcuff and communicates with solenoids


41


(for increases in pressure) and solenoid


40


(for venting) to maintain the donor cuff within its specified ranges during the procedure. The solenoid


40


is normally open so that the cuff line will vent in the event of system error or loss of power. The solenoid


41


is normally closed to isolate the donor from any Phard in the event of power loss or system error.





FIG. 12

shows a sensor S


8


in the pneumatic line serving the donor interface pump actuator PA


3


. The sensor S


8


is a bi-directional mass air flow sensor, which can monitor air flow to the donor interface pump actuator PA


3


to detect occlusions in the donor line. Alternatively, as will be described in greater detail later, electrical field variations can be sensed by an electrode carried within the donor interface pump chamber PP


3


, or any or all other pump chambers PP


1


, PP


2


, or PP


4


, to detect occlusions, as well as to permit calculation of flow rates and the detection of air.




Various alternative embodiments are possible. For example, the pressure and vacuum available to the four pumping chambers could be modified to include more or less distinct levels or different groupings of “shared” pressure and vacuum levels. As another example, Vhard could be removed from access to the solenoids


2


,


5


,


8


,


18


,


19


,


21


,


22


since the restoring springs will return the cassette valves to a closed position upon removal of a vacuum. Furthermore, the vents shown as grouped together could be isolated or joined in numerous combinations.




It should also be appreciated that any of the solenoids used in “normally open” mode could be re-routed pneumatically to be realized as “normally closed”. Similarly, any of the “normally closed” solenoids could be realized as “normally open”.




As another example of an alternative embodiment, the hard pressure reservoir R


1


could be removed if Pdoor and Phard were set to identical magnitudes. In this arrangement, the door bladder


314


could serve as the hard pressure reservoir. The pressure sensor S


7


and the solenoid


43


would also be removed in this arrangement.




III. Other Process Control Components of the System




As

FIG. 13

best shows, the case


36


contains other components compactly arranged to aid blood processing. In addition to the centrifuge station


20


and pump and valve station


30


, already described, the case


36


includes a weigh station


238


, an operator interface station


240


, and one or more trays


212


or hangers


248


for containers. The arrangement of these components in the case


36


can vary. In the illustrated embodiment, the weigh station


238


, the controller


16


, and the user interface station


240


, like the pump and valve station


30


, are located in the lid


40


of the case


36


. The holding trays


212


are located in base


38


of the case


36


, adjacent the centrifuge station


20


.




A. Container Support Components




The weigh station


238


comprises a series of container hangers/weigh sensors


246


arranged along the top of the lid


40


. In use (see FIG.


2


), containers


304


,


308


,


312


are suspended on the hangers/weigh sensors


246


.




The containers receive blood components separated during processing, as will be described in greater detail later. The weigh sensors


246


provide output reflecting weight changes over time. This output is conveyed to the controller


16


. The controller


16


processes the incremental weight changes to derive fluid processing volumes and flow rates. The controller generates signals to control processing events based, in part, upon the derived processing volumes. Further details of the operation of the controller to control processing events will be provided later.




The holding trays


212


comprise molded recesses in the base


38


. The trays


212


accommodate the containers


276


and


280


(see FIG.


2


). In the illustrated embodiment, an additional swing-out hanger


248


is also provided on the side of the lid


40


. The hanger


248


(see

FIG. 2

) supports the container


288


during processing. In the illustrated embodiment, the trays


212


and hanger


248


also include weigh sensors


246


.




The weigh sensors


246


can be variously constructed. In the embodiment shown in

FIG. 40

, the scale includes a force sensor


404


incorporated into a housing


400


, to which a hanger


402


is attached. The top surface


420


of hanger


402


engages a spring


406


on the sensor


404


. Another spring


418


is compressed as a load, carried by the hanger


402


, is applied. The spring


418


resists load movement of the hanger


402


, until the load exceeds a predetermined weight (e.g., 2 kg.). At that time, the hanger


402


bottoms out on mechanical stops


408


in the housing


400


, thereby providing over load protection.




In the embodiment shown in

FIG. 41

, a supported beam


410


transfers force applied by a hanger


416


to a force sensor


412


through a spring


414


. This design virtually eliminates friction from the weight sensing system. The magnitude of the load carried by the beam is linear in behavior, and the weight sensing system can be readily calibrated to ascertain an actual load applied to the hanger


416


.




B. The Controller and Operator Interface Station




The controller


16


carries out process control and monitoring functions for the system


10


. As

FIG. 14

shows schematically, the controller


16


comprises a main processing unit (MPU)


250


, which can comprise, e.g., a Pentium™ type microprocessor made by Intel Corporation, although other types of conventional microprocessors can be used. The MPU


250


is mounted inside the lid


40


of the case


36


(as

FIG. 13

shows).




In the preferred embodiment, the MPU


250


employs conventional real time multi-tasking to allocate MPU cycles to processing tasks. A periodic timer interrupt (for example, every 5 milliseconds) preempts the executing task and schedules another that is in a ready state for execution. If a reschedule is requested, the highest priority task in the ready state is scheduled. Otherwise, the next task on the list in the ready state is scheduled.




As

FIG. 14

shows, the MPU


250


includes an application control manager


252


. The application control manager


252


administers the activation of a library of at least one control application


254


. Each control application


254


prescribes procedures for carrying out given functional tasks using the centrifuge station


20


and the pump and valve station


30


in a predetermined way. In the illustrated embodiment, the applications


254


reside as process software in EPROM's in the MPU


250


.




The number of applications


254


can vary. In the illustrated embodiment, the applications


254


includes at least one clinical procedure application. The procedure application contains the steps to carry out one prescribed clinical processing procedure. For the sake of example in the illustrated embodiment, the application


254


includes three procedure applications: (1) a double unit red blood cell collection procedure; (2) a plasma collection procedure; and (3) a plasma/red blood cell collection procedure. The details of these procedures will be described later. Of course, additional procedure applications can be included.




As

FIG. 14

shows, several slave processing units communicate with the application control manager


252


. While the number of slave processing units can vary, the illustrated embodiment shows five units


256


(


1


) to


256


(


5


). The slave processing units


256


(


1


) to


256


(


5


), in turn, communicates with low level peripheral controllers


258


for controlling the pneumatic pressures within the manifold assembly


226


, the weigh sensors


246


, the pump and valve actuators PA


1


to PA


4


and VA


1


to VA


23


in the pump and valve station


30


, the motor for the centrifuge station


20


, the interface sensing station


332


, and other functional hardware of the system.




The MPU


250


contains in EPROM's the commands for the peripheral controllers


258


, which are downloaded to the appropriate slave processing unit


256


(


1


) to


256


(


5


) at start-up. The application control manager


252


also downloads to the appropriate slave processing unit


256


(


1


) to


256


(


5


) the operating parameters prescribed by the activated application


254


.




With this downloaded information, the slave processing units


256


(


1


) to


256


(


5


) proceed to generate device commands for the peripheral controllers


258


, causing the hardware to operate in a specified way to carry out the procedure. The peripheral controllers


258


return current hardware status information to the appropriate slave processing unit


256


(


1


) to


256


(


5


), which, in turn, generate the commands necessary to maintain the operating parameters ordered by the application control manager


252


.




In the illustrated embodiment, one slave processing unit


256


(


2


) performs the function of an environmental manager. The unit


256


(


2


) receives redundant current hardware status information and reports to the MPU


250


should a slave unit malfunction and fail to maintain the desired operating conditions.




As

FIG. 14

shows, the MPU


250


also includes an interactive user interface


260


, which allows the operator to view and comprehend information regarding the operation of the system


10


. The interface


260


is coupled to the interface station


240


. The interface


260


allows the operator to use the interface station


240


to select applications


254


residing in the application control manager


252


, as well as to change certain functions and performance criteria of the system


10


.




As

FIG. 13

shows, the interface station


240


includes an interface screen


262


carried in the lid


40


. The interface screen


262


displays information for viewing by the operator in alpha-numeric format and as graphical images. In the illustrated and preferred embodiment, the interface screen


262


also serves as an input device. It receives input from the operator by conventional touch activation.




C. On-line Monitoring of Pump Flows




1. Gravimetric Monitoring




Using the weigh scales


246


, either upstream or downstream of the pumps, the controller


16


can continuously determine the actual volume of fluid that is moved per pump stroke and correct for any deviations from commanded flow. The controller


16


can also diagnose exceptional situations, such as leaks and obstructions in the fluid path. This measure of monitoring and control is desirable in an automated apheresis application, where anticoagulant has to be accurately metered with the whole blood as it is drawn from the donor, and where product quality (e.g., hematocrit, plasma purity) is influenced by the accuracy of the pump flow rates.




The pumps PP


1


to PP


4


in the cassette


28


each provides a relatively-constant nominal stroke volume, or SV. The flow rate for a given pump can therefore be expressed as follows:









Q
=

sv

(


T
Pump

+

T
Fill

+

T
Idle


)






(
1
)













where:




Q is the flow rate of the pump.




SV is the stroke volume, or volume moved per pump cycle.




T


Pump


is the time the fluid is moved out of the pump chamber.




T


Fill


is the time the pump is filled with fluid, and




T


Idle


is the time when the pump is idle, that is, when no fluid movement occurs.




The SV can be affected by the interaction of the pump with attached downstream and upstream fluid circuits. This is analogous, in electrical circuit theory, to the interaction of a non-ideal current source with the input impedance of the load it sees. Because of this, the actual SV can be different than the nominal SV.




The actual fluid flow in volume per unit of time Q


Actual


can therefore be expressed as follows:










Q
Actual

=

k
×


sv
Ideal



T
Pump

+

T
Fill

+

T
Idle








(
2
)













where:




Q


Actual


is the actual fluid flow in volume per unit of time.




SV


Ideal


is the theoretical stroke volume, based upon the geometry of the pump chamber. k is a correction factor that accounts for the interactions between the pump and the upstream and downstream pressures.




The actual flow rate can be ascertained gravimetrically, using the upstream or downstream weigh scales


246


, based upon the following relationship:










Q
Actual

=


Δ





Wt


ρ
×
Δ





T






(
3
)













where:




ΔWt is the change in weight of fluid as detected by the upstream or downstream weigh scale


246


during the time period ΔT,




ρ is the density of fluid.




ΔT is the time period where the change in weight ΔWt is detected in the weigh scale


246


.




The following expression is derived by combining Equations (2) and (3):









k
=


(


T
Pump

+

T
Fill

+

T
Idle


)

×


Δ





Wt


(


SV
Ideal

×
ρ
×
Δ





T

)







(
4
)













The controller


16


computes k according to Equation (4) and then adjusts T


Idle


so that the desired flow rate is achieved, as follows:










T
Idle

=


(

k
×


sv
Ideal


Q
Desired



)

-

T
Pump

-

T
Fill






(
5
)













The controller


16


updates the values for k and T


Idle


frequently to adjust the flow rates.




Alternatively, the controller


16


can change T


Pump


and/or T


Fill


and/or T


Idle


to adjust the flow rates.




In this arrangement, one or more of the time interval components T


Pump


, or T


Fill


, or T


Idle


is adjusted to a new magnitude to achieve Q


Desired


, according to the following relationship:







T

n


(
Adjusted
)



=


k


(


sv
Ideal


Q
Desired


)


-

T

n


(
NotAdjusted
)














where:




T


n(Adjusted)


is the magnitude of the time interval component or components after adjustment to achieve the desired flow rate Q


Desired


.




T


n(NotAdjusted)


is the magnitude of the value of the other time interval component or components of T


Stroke


that are not adjusted. The adjusted stroke interval after adjustment to achieve the desired flow rate Q


Desired


is the sum of T


n(Adjusted)


and T


n(NotAdjusted)


.




The controller


16


also applies the correction factor k as a diagnostics tool to determine abnormal operating conditions. For example, if k differs significantly from its nominal value, the fluid path may have either a leak or an obstruction. Similarly, if computed value of k is of a polarity different from what was expected, then the direction of the pump may be reversed.




With the weigh scales


246


, the controller


16


can perform on-line diagnostics even if the pumps are not moving fluid. For example, if the weigh scales


246


detect changes in weight when no flow is expected, then a leaky valve or a leak in the set


264


may be present.




In computing k and T


Idle


and/or T


Pump


and/or T


Fill


, the controller


16


may rely upon multiple measurements of ΔWt and/or ΔT. A variety of averaging or recursive techniques (e.g., recursive least means squares, Kalman filtering, etc.) may be used to decrease the error associated with the estimation schemes.




The above described monitoring technique is applicable for use for other constant stroke volume pumps, i.e. peristaltic pumps, etc.




2. Electrical Monitoring




In an alternative arrangement (see FIG.


42


), the controller


16


includes a metal electrode


422


located in the chamber of each pump station PP


1


to PP


4


on the cassette


28


. The electrodes


422


are coupled to a current source


424


. The passage of current through each electrode


422


creates an electrical field within the respective pump chamber PP


1


to PP


4


.




Cyclic deflection of the diaphragm


194


to draw fluid into and expel fluid from the pump chamber PP


1


to PP


4


changes the electrical field, resulting in a change in total capacitance of the circuit through the electrode


422


. Capacitance increases as fluid is draw into the pump chamber PP


1


to PP


4


, and capacitance decreases as fluid is expelled from pump chamber PP


1


to PP


4


.




The controller


16


includes a capacitive sensor


426


(e.g., a Qprox E


2


S)coupled to each electrode


422


. The capacitive sensor


426


registers changes in capacitance for the electrode


422


in each pump chamber PP


1


to PP


4


. The capacitance signal for a given electrode


422


has a high signal magnitude when the pump chamber is filled with liquid (diaphragm position


194




a


), has a low signal magnitude signal when the pump chamber is empty of fluid (diaphragm position


194




b


), and has a range of intermediate signal magnitudes when the diaphragm occupies positions between position


194




a


and


194




b.






At the outset of a blood processing procedure, the controller


16


calibrates the difference between the high and low signal magnitudes for each sensor to the maximum stroke volume SV of the respective pump chamber. The controller


16


then relates the difference between sensed maximum and minimum signal values during subsequent draw and expel cycles to fluid volume drawn and expelled through the pump chamber. The controller


16


sums the fluid volumes pumped over a sample time period to yield an actual flow rate.




The controller


16


compares the actual flow rate to a desired flow rate. If a deviance exists, the controller


16


varies pneumatic pressure pulses delivered to the actuator PA


1


to PA


4


, to adjust T


Idle


and/or T


Pump


and/or T


Fill


to minimize the deviance.




The controller


16


also operates to detect abnormal operating conditions based upon the variations in the electric field and to generate an alarm output. In the illustrated embodiment, the controller


16


monitors for an increase in the magnitude of the low signal magnitude over time. The increase in magnitude reflects the presence of air inside a pump chamber.




In the illustrated embodiment, the controller


16


also generates a derivative of the signal output of the sensor


426


. Changes in the derivative, or the absence of a derivative, reflects a partial or complete occlusion of flow through the pump chamber PP


1


to PP


4


. The derivative itself also varies in a distinct fashion depending upon whether the occlusion occurs at the inlet or outlet of the pump chamber PP


1


to PP


4


.




IV. The Blood Processing Procedures




A. Double RBC Collection Procedure (No Plasma Collection)




During this procedure, whole blood from a donor is centrifugally processed to yield up to two units (approximately 500 ml) of red blood cells for collection. All plasma constituent is returned to the donor. This procedure will, in shorthand, be called the double red blood cell collection procedure.




Prior to undertaking the double red blood cell collection procedure, as well as any blood collection procedure, the controller


16


operates the manifold assembly


226


to conduct an appropriate integrity check of the cassette


28


, to determine whether there are any leaks in the cassette


28


. Once the cassette integrity check is complete and no leaks are found, the controller


16


begins the desired blood collection procedure.




The double red blood cell collection procedure includes a pre-collection cycle, a collection cycle, a post-collection cycle, and a storage preparation cycle. During the pre-collection cycle, the set


264


is primed to vent air prior to venipuncture. During the collection cycle, whole blood drawn from the donor is processed to collect two units of red blood cells, while returning plasma to the donor. During the post-collection cycle, excess plasma is returned to the donor, and the set is flushed with saline. During the storage preparation cycle, a red blood cell storage solution is added.




1. The Pre-collection Cycle




a. Anticoagulant Prime




In a first phase of the pre-collection cycle (AC Prime 1), tube


300


leading to the phlebotomy needle


268


is clamped closed (see FIG.


10


). The blood processing circuit


46


is programmed (through the selective application of pressure to the valves and pump stations of the cassette) to operate the donor interface pump PP


3


, drawing anticoagulant through the anticoagulant tube


270


and up the donor tube


266


through the y-connector


272


(i.e., in through valve V


13


and out through valve V


11


). The circuit is further programmed to convey air residing in the anticoagulant tube


270


, the donor tube


266


, and the cassette and into the in-process container


312


. This phase continues until an air detector


298


along the donor tube


266


detects liquid, confirming the pumping function of the donor interface pump PP


3


.




In a second phase of the pre-collection cycle (AC Prime 2), the circuit is programmed to operate the anticoagulant pump PP


4


to convey anticoagulant into the in-process container


312


. Weight changes in the in-process container


312


. AC Prime 2 is terminated when the anticoagulant pump PP


4


conveys a predetermined volume of anticoagulant (e.g., 10 g) into the in-process container


312


, confirming is pumping function.




b. Saline Prime




In a third phase of the pre-collection cycle (Saline Prime 1), the processing chamber


46


remains stationary. The circuit is programmed to operate the in-process pump station PP


1


to draw saline from the saline container


288


through the in-process pump PP


1


. This creates a reverse flow of saline through the stationary processing chamber toward the in-process container


312


. In this sequence saline is drawn through the processing chamber


46


from the saline container


288


into the in-process pump PP


1


through valve V


14


. The saline is expelled from the pump station PP


1


toward the in-process container


312


through valve


9


. Weight changes in the saline container


288


are monitored. This phase is terminated upon registering a predetermined weight change in the saline container


288


, which indicates conveyance of a saline volume sufficient to initially fill about one half of the processing chamber


46


(e.g., about 60 g).




With the processing chamber


46


about half full of priming saline, a fourth phase of the pre-collection cycle (Saline Prime 2). The processing chamber


46


is rotated at a low rate (e.g., about 300 RPM), while the circuit continues to operate in the same fashion as in Saline Prime


3


. Additional saline is drawn into the pump station PP


1


through valve V


14


and expelled out of the pump station PP


1


through valve V


9


and into the in-process container


312


. Weight changes in the in-process container


312


are monitored. This phase is terminated upon registering a predetermined weight change in the in-process container


312


, which indicates the conveyance of an additional volume of saline sufficient to substantially fill the processing chamber


46


(e.g., about 80 g).




In a fifth phase of the pre-collection cycle (Saline Prime 3), the circuit is programmed to first operate the in-process pump station PP


1


to convey saline from the in-process container


312


through all outlet ports of the separation device and back into the saline container


288


through the plasma pump station PP


2


. This completes the priming of the processing chamber


46


and the in-process pump station PP


1


(pumping in through valve V


9


and out through valve V


14


), as well as primes the plasma pump station PP


2


, with the valves V


7


, V


6


, V


10


, and V


12


opened to allow passive flow of saline. During this time, the rate at which the processing chamber


46


is rotated is successively ramped between zero and 300 RPM. Weight changes in the in process container


312


are monitored. When a predetermined initial volume of saline is conveyed in this manner, the circuit is programmed to close valve V


7


, open valves V


9


and V


14


, and to commence pumping saline to the saline container


288


through the plasma pump PP


2


, in through valve V


12


and out through valve V


10


, allowing saline to passively flow through the in-process pump PP


1


. Saline in returned in this manner from the in-process container


312


to the saline container


288


until weight sensing indicated that a preestablished minimum volume of saline occupies the in-process container


312


.




In a sixth phase of the pre-collection cycle (Vent Donor Line), the circuit is programmed to purge air from the venepuncture needle, prior to venipuncture, by operating the donor interface pump PP


3


to pump anticoagulant through anticoagulant pump PP


4


and into the in process container


312


.




In a seventh phase of the pre-collection cycle (Venipuncture), the circuit is programmed to close all valves V


1


to V


23


, so that venipuncture can be accomplished.




The programming of the circuit during the phases of the pre-collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During Pre-






Collection Cycle






(Double Red Blood Cell Collection Procedure)
























Vent




Veni-







AC




AC




Saline




Saline




Saline




Donor




punc-






Phase




Prime 1




Prime 2




Prime 1




Prime 2




Prime 3




Line




ture









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V2




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V3














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V4




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V7




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;









Pump




Pump




Pump









Out




Out




In











(Stage











1)























(Stage











2)






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;











(Stage











1)











∘/&Circlesolid;











Pump











Out











(Stage











2)






V11




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump








Pump







Out








In






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;











(Stage











1)











∘/&Circlesolid;











Pump











In











(Stage











2)






V13




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump








Pump







In








Out






V14




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;









Pump




Pump




Pump









In




In




Out











(Stage











1)























(Stage











2)






V15









∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;








Pump








In








Pump








Out






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V19














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V20









∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;








Pump








Out








Pump








In






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;




&Circlesolid;



















&Circlesolid;




&Circlesolid;






V23




&Circlesolid;




&Circlesolid;



















&Circlesolid;




&Circlesolid;






PP1














































(Stage











1)






PP2














































(Stage











2)






PP3









































PP4














































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













c. The Collection Cycle




i. Blood Prime




With venipuncture, tube


300


leading to the phlebotomy needle


268


is opened. In a first phase of the collection cycle (Blood Prime 1), the blood processing circuit


46


is programmed (through the selective application of pressure to the valves and pump stations of the cassette) to operate, the donor interface pump PP


3


(i.e., in through valve V


13


and out through valve V


11


) and the anticoagulant pump PP


4


(i.e., in through valve V


20


and out through valve V


15


) to draw anticoagulated blood through the donor tube


270


into the in process container


312


. This phase continues until an incremental volume of anticoagulated whole blood enters the in process container


312


, as monitored by the weigh sensor.




In a next phase (Blood Prime 2), the blood processing circuit


46


is programmed to operate the in-process pump station PP


1


to draw anticoagulated blood from the in-process container


312


through the separation device. During this phase, saline displaced by the blood is returned to the donor. This phase primes the separation device with anticoagulated whole blood. This phase continues until an incremental volume of anticoagulated whole blood leaves the in process container


312


, as monitored by the weigh sensor.




B. Blood Separation While Drawing Whole Blood or Without Drawing Whole Blood




In a next phase of the blood collection cycle (Blood Separation While Drawing Whole Blood), the blood processing circuit


46


is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


13


and out through valve V


11


); the anticoagulant pump PP


4


(i.e., in through valve V


20


and out through valve V


15


); the in-process pump PP


1


(i.e., in through valve V


9


and out through valve V


14


); and the plasma pump PP


2


(i.e., in through valve V


12


and out through valve V


10


). This arrangement draws anticoagulated blood into the in-process container


312


, while conveying the blood from the in-process container


312


into the processing chamber for separation. This arrangement also removes plasma from the processing chamber into the plasma container


304


, while removing red blood cells from the processing chamber into the red blood cell container


308


. This phase continues until an incremental volume of plasma is collected in the plasma collection container


304


(as monitored by the weigh sensor) or until a targeted volume of red blood cells is collected in the red blood cell collection container (as monitored by the weigh sensor).




If the volume of whole blood in the in-process container


312


reaches a predetermined maximum threshold before the targeted volume of either plasma or red blood cells is collected, the circuit is programmed for another phase (Blood Separation Without Drawing Whole Blood), to terminate operation of the donor interface pump station PP


3


(while also closing valves V


13


, V


11


, V


18


, and V


13


) to terminate collection of whole blood in the in-process container


312


, while still continuing blood separation. If the volume of whole blood reaches a predetermined minimum threshold in the in-process container


312


during blood separation, but before the targeted volume of either plasma or red blood cells is collected, the circuit is programmed to return to the Blood Separation While Drawing Whole Blood Phase, to thereby allow whole blood to enter the in-process container


312


. The circuit is programmed to toggle between the Blood Separation While Drawing Whole Blood Phase and the Blood Separation Without Drawing Whole Blood Phase according to the high and low volume thresholds for the in-process container


312


, until the requisite volume of plasma has been collected, or until the target volume of red blood cells has been collected, whichever occurs first.




C. Return Plasma and Saline




If the targeted volume of red blood cells has not been collected, the next phase of the blood collection cycle (Return Plasma With Separation) programs the blood processing circuit


46


to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


); the in-process pump PP


1


(i.e., in through valve V


9


and out through valve V


14


); and the plasma pump PP


2


(i.e., in through valve V


12


and out through valve V


10


). This arrangement conveys anticoagulated whole blood from the in-process container


312


into the processing chamber for separation, while removing plasma into the plasma container


304


and red blood cells into the red blood cell container


308


. This arrangement also conveys plasma from the plasma container


304


to the donor, while also mixing saline from the container


288


in line with the returned plasma. The in line mixing of saline with plasma raises the saline temperature and improves donor comfort. This phase continues until the plasma container


304


is empty, as monitored by the weigh sensor.




If the volume of whole blood in the in-process container


312


reaches a specified low threshold before the plasma container


304


empties, the circuit is programmed to enter another phase (Return Plasma Without Separation), to terminate operation of the in-process pump station PP


1


(while also closing valves V


9


, V


10


, V


12


, and V


14


) to terminate blood separation. The phase continues until the plasma container


304


empties.




Upon emptying the plasma container


304


, the circuit is programmed to enter a phase (Fill Donor Line), to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to draw whole blood from the in process container


312


to fill the donor tube


266


, thereby purge plasma (mixed with saline) in preparation for another draw whole blood cycle.




The circuit is then programmed to conduct another Blood Separation While Drawing Whole Blood Phase, to refill the in process container


312


. The circuit is programmed in successive Blood Separation and Return Plasma Phases until the weigh sensor indicates that a desired volume of red blood cells have been collected in the red blood cell collection container


308


. When the targeted volume of red blood cells has not been collected, the post-collection cycle commences.




The programming of the circuit during the phases of the collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The






Collection Cycle






(Double Red Blood Cell Collection Procedure)



















Blood











Separation









While









Drawing









Whole




Return









Blood




Plasma/









(Without




with









Drawing




Separation




Fill







Blood




Blood




Whole




(Without




Donor






Phase




Prime 1




Prime 2




Blood)




Separation)




Line









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;











V2




&Circlesolid;




&Circlesolid;









∘ (&Circlesolid;)




&Circlesolid;






V3









&Circlesolid;









&Circlesolid;




&Circlesolid;









(&Circlesolid;)






V4




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;














&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;










Alternates










with V23






V7




&Circlesolid;









&Circlesolid;




&Circlesolid;











V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump In




Pump In




Pump In










(&Circlesolid;)






V10




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;









Pump Out




Pump Out










(&Circlesolid;)






V11




∘/&Circlesolid;









∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump Out





Pump Out




Pump In




Pump In









(&Circlesolid;)






V12




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;









Pump In




Pump In










(&Circlesolid;)






V13




∘/&Circlesolid;









∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump In





Pump In




Pump Out




Pump Out









(&Circlesolid;)






V14




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump Out




Pump Out




Pump Out










(&Circlesolid;)






V15




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;







Pump Out





Pump Out









(&Circlesolid;)






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18


































(&Circlesolid;)






V19









&Circlesolid;









&Circlesolid;




&Circlesolid;









(&Circlesolid;)






V20




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;







Pump Out





Pump In









(&Circlesolid;)






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V23




&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;










Alternates










with V6






PP1



































(▪)






PP2



































(▪)






PP3


































(▪)






PP4


































(▪)











Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













D. The Post-collection Cycle




Once the targeted volume of red blood cells has been collected (as monitored by the weigh sensor), the circuit is programmed to carry out the phases of the post-collection cycle.




1. Return Excess Plasma




In a first phase of the post-collection cycle (Excess Plasma Return), the circuit is programmed to terminate the supply and removal of blood to and from the processing chamber, while operating the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey plasma remaining in the plasma container


304


to the donor. The circuit is also programmed in this phase to mix saline from the container


288


in line with the returned plasma. This phase continues until the plasma container


304


is empty, as monitored by the weigh sensor.




2. Saline Purge




In the next phase of the post-collection cycle (Saline Purge), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


11


) to convey saline from the container


288


through the separation device, to displace the blood contents of the separation device into the in-process container


312


, in preparation for their return to the donor. This phase reduces the loss of donor blood. This phase continues until a predetermined volume of saline is pumped through the separation device, as monitored by the weigh sensor.




3. Final Return to Donor




In the next phase of the post-collection cycle (Final Return), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey the blood contents of the in-process container


312


to the donor. Saline is intermittently mixed with the blood contents. This phase continues until the in-process container


312


is empty, as monitored by the weigh sensor.




In the next phase (Fluid Replacement), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey the saline to the donor. This phase continues until a prescribed replacement volume amount is infused, as monitored by the weigh sensor.




In the next phase of the post-collection cycle (Empty In Process Container), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey all remaining contents of the in-process container


312


to the donor, in preparation of splitting the contents of the red blood cell container


308


for storage in both containers


308


and


312


. This phase continues until a zero volume reading for the in-process container


312


occurs, as monitored by the weigh sensor, and air is detected at the air detector.




At this phase, the circuit is programmed to close all valves and idle all pump stations, so that the phlebotomy needle


268


can be removed from the donor.




The programming of the circuit during the phases of the post-collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The Post-






Collection Cycle






(Double Red Blood Cell Collection Procedure)

















Excess







Empty In







Plasma




Saline




Final




Fluid




Process






Phase




Return




Purge




Return




Replacement




Container









V1




&Circlesolid;




&Circlesolid;









&Circlesolid;











V2




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V3




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V4




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;






V5









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;







Alternates







with V23






V7




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;














Alternates









with V23






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9














&Circlesolid;




&Circlesolid;




&Circlesolid;






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V11




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump In




Pump In/




Pump In




Pump In




Pump In








Pump Out






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V13




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump Out





Pump Out




Pump Out




Pump Out






V14




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;






V15




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18









&Circlesolid;





















V19




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V20




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22
























&Circlesolid;






V23




∘/&Circlesolid;









∘/&Circlesolid;









&Circlesolid;







Alternates





Alternates







with V6





with V7






PP1































PP2































PP3































PP4




































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













E. The Storage Preparation Cycle




1. Split RBC




In the first phase of the storage preparation cycle (Split RBC), the circuit is programmed to operate the donor interface pump station PP


3


to transfer half of the contents of the red blood cell collection container


308


into the in-process container


312


. The volume pumped is monitored by the weigh sensors for the containers


308


and


312


.




2. Add RBC Preservative




In the next phases of the storage preparation cycle (Add Storage Solution to the In Process Container and Add Storage Solution to the Red Blood Cell Collection Container), the circuit is programmed to operate the donor interface pump station PP


3


to transfer a desired volume of red blood cell storage solution from the container


280


first into the in-process container


312


and then into the red blood cell collection container


308


. The transfer of the desired volume is monitored by the weigh scale.




In the next and final phase (End Procedure), the circuit is programmed to close all valves and idle all pump stations, so that the red blood cell containers


308


and


312


can be separated and removed for storage. The remainder of the disposable set can now be removed and discarded.




The programming of the circuit during the phases of the storage preparation cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The Storage






Preparation Cycle






(Double Red Blood Cell Collection Procedure)
















Split RBC










Between RBC





Add Storage




End







Collection




Add Storage




Solution to




Procedure







and In




Solution to In




RBC




(Remove







Process




Process




Collection




Veni-






Phase




Containers




Container




Container




puncture)









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V2









&Circlesolid;









&Circlesolid;






V3




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;







Alternates







with V11







and V4






V4




∘/&Circlesolid;




&Circlesolid;









&Circlesolid;







Alternates







with V11







and V4






V5




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V7




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V11




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump In/




Pump In/




Pump In/







Pump Out




Pump Out




Pump Out






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V13




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V14




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V15




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V16




&Circlesolid;














&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V19




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V20




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V21




&Circlesolid;














&Circlesolid;






V22




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V23




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






PP1


























PP2


























PP3


























PP4































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













F. Plasma Collection (No Red Blood Cell Collection)




During this procedure, whole blood from a donor is centrifugally processed to yield up to 880 ml of plasma for collection. All red blood cells are returned to the donor. This procedure will, in shorthand, be called the plasma collection procedure.




Programming of the blood processing circuit


46


(through the selective application of pressure to the valves and pump stations of the cassette) makes it possible to use the same universal set


264


as in the double red blood cell collection procedure.




The procedure includes a pre-collection cycle, a collection cycle, and a post-collection cycle.




During the pre-collection cycle, the set


264


is primed to vent air prior to venipuncture. During the collection cycle, whole blood drawn from the donor is processed to collect plasma, while returning red blood cells to the donor. During the post-collection cycle, excess plasma is returned to the donor, and the set is flushed with saline.




1. The Pre-collection Cycle




a. Anticoagulant Prime




In the pre-collection cycle for the plasma collection (no red blood cells) procedure, the cassette is programmed to carry out AC Prime 1 and AC Prime 2 Phases that are identical to the AC Prime 1 and AC Prime 2 Phases of the double red blood cell collection procedure.




b. Saline Prime




In the pre-collection cycle for the plasma collection (no red blood cell) procedure, the cassette is programmed to carry out Saline Prime 1, Saline Prime 2, Saline Prime 3, Vent Donor Line, and Venipuncture Phases that are identical to the Saline Prime 1, Saline Prime 2, Saline Prime 3, Vent Donor Line, and Venipuncture Phases of the double red blood cell collection procedure.




The programming of the circuit during the phases of the pre-collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During Pre-






Collection Phase






(Plasma Collection Procedure)
























Vent




Veni-







AC




AC




Saline




Saline




Saline




Donor




punc-






Phase




Prime 1




Prime 2




Prime 1




Prime 2




Prime 3




Line




ture









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V2




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V3














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V4




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V7




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;









Pump




Pump




Pump









Out




Out




In











(Stage











1)























(Stage











2)






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;











(Stage











1)











∘/&Circlesolid;











Pump











Out











(Stage











2)






V11




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump








Pump







Out








In






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;











(Stage











1)











∘/&Circlesolid;











Pump











In











(Stage











2)






V13




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump








Pump







In








Out






V14




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;









Pump




Pump




Pump









In




In




Out











(Stage











1)























(Stage











2)






V15









∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;








Pump








In








Pump








Out






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V19














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V20









∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;








Pump








Out








Pump








In






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;




&Circlesolid;



















&Circlesolid;




&Circlesolid;






V23




&Circlesolid;




&Circlesolid;



















&Circlesolid;




&Circlesolid;






PP1














































(Stage











1)






PP2














































(Stage











2)






PP3









































PP4














































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













2. The Collection Cycle




a. Blood Prime




With venipuncture, tube


300


leading to the phlebotomy needle


268


is opened. In a first phase of the collection cycle (Blood Prime 1), the blood processing circuit


46


is programmed to operate the donor interface pump PP


3


(i.e., in through valve V


13


and out through valve V


11


) and the anticoagulant pump PP


4


(i.e., in through valve V


20


and out through valve V


15


) to draw anticoagulated blood through the donor tube


270


into the in process container


312


, in the same fashion as the Blood Prime 1 Phase of the double red blood cell collection procedure, as already described.




In a next phase (Blood Prime 2), the blood processing circuit


46


is programmed to operate the in-process pump station PP


1


to draw anticoagulated blood from the in-process container


312


through the separation device, in the same fashion as the Blood Prime 2 Phase for the double red blood cell collection procedure, as already described. During this phase, saline displaced by the blood is returned to the donor.




b. Blood Separation While Drawing Whole Blood or Without Drawing Whole Blood




In a next phase of the blood collection cycle (Blood Separation While Drawing Whole Blood), the blood processing circuit


46


is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


13


and out through valve V


11


); the anticoagulant pump PP


4


(i.e., in through valve V


20


and out through valve V


15


); the in-process pump PP


1


(i.e., in through valve V


9


and out through valve V


14


); and the plasma pump PP


2


(i.e., in through valve V


12


and out through valve V


10


), in the same fashion as the Blood Separation While Drawing Whole Blood Phase for the double red blood cell collection procedure, as already described. This arrangement draws anticoagulated blood into the in-process container


312


, while conveying the blood from the in-process container


312


into the processing chamber for separation. This arrangement also removes plasma from the processing chamber into the plasma container


304


, while removing red blood cells from the processing chamber into the red blood cell container


308


. This phase continues until the targeted volume of plasma is collected in the plasma collection container


304


(as monitored by the weigh sensor) or until a targeted volume of red blood cells is collected in the red blood cell collection container (as monitored by the weigh sensor).




As in the double red blood cell collection procedure, if the volume of whole blood in the in-process container


312


reaches a predetermined maximum threshold before the targeted volume of either plasma or red blood cells is collected, the circuit is programmed to enter another phase (Blood Separation Without Drawing Whole Blood), to terminate operation of the donor interface pump station PP


3


(while also closing valves V


13


, V


11


, V


18


, and V


13


) to terminate collection of whole blood in the in-process container


312


, while still continuing blood separation. If the volume of hole blood reaches a predetermined minimum threshold in the n-process container


312


during blood separation, but before the targeted volume of either plasma or red blood cells is collected, the circuit is programmed to return to the Blood Separation While Drawing Whole Blood Phase, to thereby refill the in-process container


312


. The circuit is programmed to toggle between the Blood Separation Phases while drawing whole blood and without drawing whole blood, according to the high and low volume thresholds for the in-process container


312


, until the requisite volume of plasma has been collected, or until the target volume of red blood cells has been collected, whichever occurs first.




c. Return Red Blood Cells/Saline




If the targeted volume of plasma has not been collected, the next phase of the blood collection cycle (Return Red Blood Cells With Separation) programs the blood processing circuit


46


to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


); the in-process pump PP


1


(i.e., in through valve V


9


and out through valve V


14


); and the plasma pump PP


2


(i.e., in through valve V


12


and out through valve V


10


). This arrangement conveys anticoagulated whole blood from the in-process container


312


into the processing chamber for separation, while removing plasma into the plasma container


304


and red blood cells into the red blood cell container


308


. This arrangement also conveys red blood cells from the red blood cell container


308


to the donor, while also mixing saline from the container


288


in line with the returned red blood cells. The in line mixing of saline with the red blood cells raises the saline temperature and improves donor comfort. The in line mixing of saline with the red blood cells also lowers the hematocrit of the red blood cells being returned to the donor, thereby allowing a larger gauge (i.e., smaller diameter) phlebotomy needle to be used, to further improve donor comfort. This phase continues until the red blood cell container


308


is empty, as monitored by the weigh sensor.




If the volume of whole blood in the in-process container


312


reaches a specified low threshold before the red blood cell container


308


empties, the circuit is programmed to enter another phase (Red Blood Cell Return Without Separation), to terminate operation of the in-process pump station PP


1


(while also closing valves V


9


, V


10


, V


12


, and V


14


) to terminate blood separation. The phase continues until the red blood cell container


308


empties.




Upon emptying the red blood cell container


308


, the circuit is programmed to enter another phase (Fill Donor Line), to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to draw whole blood from the in process container


312


to fill the donor tube


266


, thereby purge red blood cells (mixed with saline) in preparation for another draw whole blood cycle.




The circuit is then programmed to conduct another Blood Separation While Drawing Whole Blood Phase, to refill the in process container


312


. The circuit is programmed to conduct successive draw whole blood and return red blood cells/saline cycles, as described, until the weigh sensor indicates that a desired volume of plasma has been collected in the plasma collection container


304


. When the targeted volume of plasma has been collected, the post-collection cycle commences.




The programming of the circuit during the phases of the collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The






Collection Cycle






(Plasma Collection Procedure)



















Blood











Separation




Return









While




Red









Drawing




Blood









Whole




Cells/









Blood




Saline









(Without




with









Drawing




Separation




Fill







Blood




Blood




Whole




(Without




Donor






Phase




Prime 1




Prime 2




Blood)




Separation)




Line









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;











V2




&Circlesolid;




&Circlesolid;














&Circlesolid;






V3









&Circlesolid;









&Circlesolid;




&Circlesolid;









(&Circlesolid;)






V4




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;









∘ (&Circlesolid;)




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V7




&Circlesolid;









&Circlesolid;




∘/&Circlesolid;















Alternates










with V23






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump In




Pump In




Pump In










(&Circlesolid;)






V10




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;









Pump Out




Pump Out










(&Circlesolid;)






V11




∘/&Circlesolid;









∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump Out





Pump Out




Pump In




Pump In









(&Circlesolid;)






V12




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;









Pump In




Pump In










(&Circlesolid;)






V13




∘/&Circlesolid;









∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump In





Pump In




Pump Out




Pump Out









(&Circlesolid;)






V14




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump Out




Pump Out




Pump Out










(&Circlesolid;)






V15




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;







Pump Out





Pump Out









(&Circlesolid;)






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18


































(&Circlesolid;)






V19









&Circlesolid;









&Circlesolid;




&Circlesolid;









(&Circlesolid;)






V20




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;







Pump Out





Pump In









(&Circlesolid;)






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V23




&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;










Alternates










with V7






PP1



































(▪)






PP2



































(▪)






PP3


































(▪)






PP4


































(▪)











Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













d. The Post-collection Cycle




Once the targeted volume of plasma has been collected (as monitored by the weigh sensor), the circuit is programmed to carry out the phases of the post-collection cycle.




3. Return Excess Red Blood Cells




In a first phase of the post-collection cycle (Remove Plasma Collection Container), the circuit is programmed to close all valves and disable all pump stations to allow separation of the plasma collection container


304


from the set


264


.




In the second phase of the post-collection cycle (Return Red Blood Cells), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey red blood cells remaining in the red blood cell collection container


308


to the donor. The circuit is also programmed in this phase to mix saline from the container


288


in line with the returned red blood cells. This phase continues until the red blood cell container


308


is empty, as monitored by the weigh sensor.




4. Saline Purge




In the next phase of the post-collection cycle (Saline Purge), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


11


) to convey saline from the container


288


through the separation device, to displace the blood contents of the separation device into the in-process container


312


, in preparation for their return to the donor. This phase reduces the loss of donor blood. This phase continues until a predetermined volume of saline in pumped through the separation device, as monitored by the weigh sensor.




5. Final Return to Donor




In the next phase of the post-collection cycle (Final Return), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey the blood contents of the in-process container


312


to the donor. Saline is intermittently mixed with the blood contents. This phase continues until the in-process container


312


is empty, as monitored by the weigh sensor.




In the next phase (Fluid Replacement), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey the saline to the donor. This phase continues until a prescribed replacement volume amount is infused, as monitored by the weigh sensor.




In the final phase (End Procedure), the circuit is programmed to close all valves and idle all pump stations, so that venipuncture can be terminated, and the plasma container can be separated and removed for storage. The remaining parts of the disposable set can be removed and discarded.




The programming of the circuit during the phases of the post-collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The Post-






Collection Cycle






(Plasma Collection Procedure)


















Remove







Fluid








Plasma







Re-




End







Collection




Return




Saline




Final




place-




Pro-






Phase




Container




RBC




Purge




Return




ment




cedure









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V2




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V3




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V4




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V7




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;








Alternates





Alternates








with V23





with V23






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;














&Circlesolid;




&Circlesolid;




&Circlesolid;






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V11




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump




Pump




Pump




Pump








In




In/




In




In









Pump









Out






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V13




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump





Pump




Pump








Out





Out




Out






V14




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;






V15




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18




&Circlesolid;





&Circlesolid;














&Circlesolid;






V19




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V20




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;
























&Circlesolid;






V23




&Circlesolid;




∘/&Circlesolid;









∘/&Circlesolid;









&Circlesolid;








Alternates





Alternates








with V6





with V7






PP1




































PP2




































PP3































PP4




































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













G. Red Blood Cell and Plasma Collection




During this procedure, whole blood from a donor is centrifugally processed to collect up to about 550 ml of plasma and up to about 250 ml of red blood cells. This procedure will, in shorthand, be called the red blood cell/plasma collection procedure.




The portion of the red blood cells not retained for collection are periodically returned to the donor during blood separation. Plasma collected in excess of the 550 ml target and red blood cells collected in excess of the 250 ml target are also returned to the donor at the end of the procedure.




Programming of the blood processing circuit


46


(through the selective application of pressure to the valves and pump stations of the cassette) makes it possible to use the same universal set


264


used to carry out the double red blood cell collection or the plasma collection procedure.




The procedure includes a pre-collection cycle, a collection cycle, and a post-collection cycle, and a storage preparation cycle.




During the pre-collection cycle, the set


264


is primed to vent air prior to venipuncture. During the collection cycle, whole blood drawn from the donor is processed to collect plasma and red blood cells, while returning a portion of the red blood cells to the donor. During the post-collection cycle, excess plasma and red blood cells are returned to the donor, and the set is flushed with saline. During the storage preparation cycle, a red blood cell storage solution added to the collected red blood cells.




(1) The Pre-Collection Cycle




a. Anticoagulant Prime




In the pre-collection cycle for the red blood cell/plasma collection procedure, the cassette is programmed to carry out AC Prime 1 and AC Prime 2 Phases that are identical to the AC Prime 1 and AC Prime 2 Phases of the double red blood cell collection procedure.




b. Saline Prime




In the pre-collection cycle for the red blood cell/plasma collection procedure, the cassette is programmed to carry out Saline Prime 1, Saline Prime 2, Saline Prime 3, Vent Donor Line, and Venipuncture Phases that are identical to the Saline Prime 1, Saline Prime 2, Saline Prime 3, Vent Donor Line, and Venipuncture Phases of the double red blood cell collection procedure.




The programming of the circuit during the phases of the pre-collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During Pre-






Collection Cycle






(Red Blood Cell/Plasma Collection Procedure)
























Vent




Veni-







AC




AC




Saline




Saline




Saline




Donor




punc-






Phase




Prime 1




Prime 2




Prime 1




Prime 2




Prime 3




Line




ture









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V2




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V3














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V4




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V7




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;









Pump




Pump




Pump









Out




Out




In











(Stage











1)























(Stage











2)






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;











(Stage











1)











∘/&Circlesolid;











Pump











Out











(Stage











2)






V11




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump








Pump







Out








In






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;











(Stage











1)











∘/&Circlesolid;











Pump











In











(Stage











2)






V13




∘/&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump








Pump







In








Out






V14




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;









Pump




Pump




Pump









In




In




Out











(Stage











1)























(Stage











2)






V15









∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;








Pump








In








Pump








Out






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V19














&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V20









∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;








Pump








Out








Pump








In






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;




&Circlesolid;



















&Circlesolid;




&Circlesolid;






V23




&Circlesolid;




&Circlesolid;



















&Circlesolid;




&Circlesolid;






PP1














































(Stage











1)






PP2














































(Stage











2)






PP3









































PP4














































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













2. The Collection Cycle




a. Blood Prime




With venipuncture, tube


300


leading to the phlebotomy needle


268


is opened. The collection cycle of the red blood cell/plasma collection procedure programs the circuit to carry out Blood Prime 1 and Blood Prime 2 Phases that are identical to the Blood Prime 1 and Blood Prime 2 Phases of the Double Red Blood Cell Collection Procedure, already described.




b. Blood Separation While Drawing Whole Blood or Without Drawing Whole Blood




In the blood collection cycle for the red blood cell/plasma collection procedure, the circuit is programmed to conduct a Blood Separation While Drawing Whole Blood Phase, in the same fashion that the Blood Separation While Drawing Whole Blood Phase is conducted for the double red blood cell collection procedure. This arrangement draws anticoagulated blood into the in-process container


312


, while conveying the blood from the in-process container


312


into the processing chamber for separation. This arrangement also removes plasma from the processing chamber into the plasma container


304


, while removing red blood cells from the processing chamber into the red blood cell container


308


. This phase continues until the desired maximum volumes of plasma and red blood cells have been collected in the plasma and red blood cell collection containers


304


and


308


(as monitored by the weigh sensor).




As in the double red blood cell collection procedure and the plasma collection procedure, if the volume of whole blood in the in-process container


312


reaches a predetermined maximum threshold before the targeted volume of either plasma or red blood cells is collected, the circuit is programmed to enter a phase (Blood Separation Without Whole Blood Draw) to terminate operation of the donor interface pump station PP


3


(while also closing valves V


13


, V


11


, V


18


, and V


13


) to terminate collection of whole blood in the in-process container


312


, while still continuing blood separation. If the volume of whole blood reaches a predetermined minimum threshold in the in-process container


312


during blood separation, but before the targeted volume of either plasma or red blood cells is collected, the circuit is programmed to return to the Blood Separation With Whole Blood Draw, to thereby refill the in-process container


312


. The circuit is programmed to toggle between the Blood Separation cycle with whole blood draw and without whole blood draw according to the high and low volume thresholds for the in-process container


312


, until the requisite maximum volumes of plasma and red blood cells have been collected.




c. Return Red Blood Cells and Saline




If the targeted volume of plasma has not been collected, and red blood cells collected in the red blood cell container


308


exceed a predetermined maximum threshold, the next phase of the blood collection cycle (Return Red Blood Cells With Separation) programs the blood processing circuit


46


to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


); the in-process pump PP


1


(i.e., in through valve V


9


and out through valve V


14


); and the plasma pump PP


2


(i.e., in through valve V


12


and out through valve V


10


). This arrangement continues to convey anticoagulated whole blood from the in-process container


312


into the processing chamber for separation, while removing plasma into the plasma container


304


and red blood cells into the red blood cell container


308


. This arrangement also conveys all or a portion of the red blood cells collected in the red blood cell container


308


to the donor. This arrangement also mixes saline from the container


288


in line with the returned red blood cells. The in line mixing of saline with the red blood cells raises the saline temperature and improves donor comfort. The in line mixing of saline with the red blood cells also lowers the hematocrit of the red blood cells being returned to the donor, thereby allowing a larger gauge (i.e., smaller diameter) phlebotomy needle to be used, to further improve donor comfort.




This phase can continue until the red blood cell container


308


is empty, as monitored by the weigh sensor, thereby corresponding to the Return Red Blood Cells With Separation Phase of the plasma collection procedure. Preferably, however, the processor determines how much additional plasma needs to be collected to meet the plasma target volume. From this, the processor derives the incremental red blood cell volume associated with the incremental plasma volume. In this arrangement, the processor returns a partial volume of red blood cells to the donor, so that, upon collection of the next incremental red blood cell volume, the total volume of red blood cells in the container


308


will be at or slightly over the targeted red blood cell collection volume.




If the volume of whole blood in the in-process container


312


reaches a specified low threshold before return of the desired volume of red blood cells, the circuit is programmed to enter a phase (Return Red Blood Cells Without Separation), to terminate operation of the in-process pump station PP


1


(while also closing valves V


9


, V


10


, V


12


, and V


14


) to terminate blood separation. This phase corresponds to the Return Red Blood Cells Without Separation Phase of the plasma collection procedure.




Upon returning the desired volume of red blood cells from the container


308


, the circuit is programmed to enter a phase (Fill Donor Line), to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to draw whole blood from the in process container


312


to fill the donor tube


266


, thereby purge red blood cells (mixed with saline) in preparation for another draw whole blood cycle.




The circuit is then programmed to conduct another Blood Separation While Drawing Whole Blood Phase, to refill the in process container


312


. If required, the circuit is capable of performing successive draw whole blood and return red blood cells cycles, until the weigh sensors indicate that volumes of red blood cells and plasma collected in the containers


304


and


308


are at or somewhat greater than the targeted values. The post-collection cycle then commences.




The programming of the circuit during the phases of the collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The






Collection Cycle






(Red Blood Cell/Plasma Collection Procedure)



















Blood











Separation




Return









While




Red









Drawing




Blood









Whole




Cells/









Blood




Saline









(Without




with









Drawing




Separation




Fill







Blood




Blood




Whole




(Without




Donor






Phase




Prime 1




Prime 2




Blood)




Separation)




Line









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;











V2




&Circlesolid;




&Circlesolid;














&Circlesolid;






V3









&Circlesolid;









&Circlesolid;




&Circlesolid;









(&Circlesolid;)






V4




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V5




&Circlesolid;




&Circlesolid;









∘ (&Circlesolid;)




&Circlesolid;






V6




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V7




&Circlesolid;









&Circlesolid;




∘/&Circlesolid;















Alternates










with V23






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump In




Pump In




Pump In










(&Circlesolid;)






V10




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;









Pump Out




Pump Out










(&Circlesolid;)






V11




∘/&Circlesolid;









∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump Out





Pump Out




Pump In




Pump In









(&Circlesolid;)






V12




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;









Pump In




Pump In










(&Circlesolid;)






V13




∘/&Circlesolid;









∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;







Pump In





Pump In




Pump Out




Pump Out









(&Circlesolid;)






V14




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump Out




Pump Out




Pump Out










(&Circlesolid;)






V15




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;







Pump Out





Pump Out









(&Circlesolid;)






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18


































(&Circlesolid;)






V19









&Circlesolid;









&Circlesolid;




&Circlesolid;









(&Circlesolid;)






V20




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;







Pump Out





Pump In









(&Circlesolid;)






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;






V23




&Circlesolid;




&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;










Alternates










with V7






PP1



































(▪)






PP2



































(▪)






PP3


































(▪)






PP4


































(▪)











Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













d. The Post-collection Cycle




Once the targeted maximum volumes of plasma and red blood cells have been collected (as monitored by the weigh sensor), the circuit is programmed to carry out the phases of the post-collection cycle.




i. Return Excess Plasma




If the volume of plasma collected in the plasma collection container


304


is over the targeted volume, a phase of the post-collection cycle (Excess Plasma Return) is entered, during which the circuit is programmed to terminate the supply and removal of blood to and from the processing chamber, while operating the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey plasma in the plasma container


304


to the donor. The circuit is also programmed in this phase to mix saline from the container


288


in line with the returned plasma. This phase continues until the volume of plasma in the plasma collection container


304


is at the targeted value, as monitored by the weigh sensor.




ii. Return Excess Red Blood Cells




If the volume of red blood cells collected in the red blood cell collection container


308


is also over the targeted volume, a phase of the post-collection cycle (Excess RBC Return) is entered, during which the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey red blood cells remaining in the red blood cell collection container


308


to the donor. The circuit is also programmed in this phase to mix saline from the container


288


in line with the returned red blood cells. This phase continues until the volume of red blood cells in the container


308


equals the targeted value, as monitored by the weigh sensor.




iii. Saline Purge




When the volumes of red blood cells and plasma collected in the containers


308


and


304


equal the targeted values, the next phase of the post-collection cycle (Saline Purge) is entered, during which the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


11


) to convey saline from the container


288


through the separation device, to displace the blood contents of the separation device into the in-process container


312


, in preparation for their return to the donor. This phase reduces the loss of donor blood. This phase continues until a predetermined volume of saline in pumped through the separation device, as monitored by the weigh sensor.




iv. Final Return to Donor




In the next phase of the post-collection cycle (Final Return), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey the blood contents of the in-process container


312


to the donor. Saline is intermittently mixed with the blood contents. This phase continues until the in-process container


312


is empty, as monitored by the weigh sensor.




In the next phase (Fluid Replacement), the circuit is programmed to operate the donor interface pump station PP


3


(i.e., in through valve V


11


and out through valve V


13


) to convey the saline to the donor. This phase continues until a prescribed replacement volume amount is infused, as monitored by the weigh sensor.




In the next phase (End Venipuncture), the circuit is programmed to close all valves and idle all pump stations, so that venipuncture can be terminated.




The programming of the circuit during the phases of the post-collection cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The Post-






Collection Cycle






(Red Blood Cell/Plasma Collection Procedure)























End







Excess




Excess






Fluid




Veni-







Plasma




RBC




Saline




Final




Replace-




punc-






Phase




Return




Return




Purge




Return




ment




ture









V1




&Circlesolid;




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;






V2




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V3




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V4




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;






V5









&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V6




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;







Alternates







with V23






V7




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




&Circlesolid;








Alternates





Alternates








with V23





with V23






V8




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V9



















&Circlesolid;




&Circlesolid;




&Circlesolid;






V10




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V11




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump In




Pump In




Pump




Pump In




Pump In









In/









Pump









Out






V12




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V13




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;







Pump Out




Pump Out





Pump Out




Pump Out






V14




&Circlesolid;




&Circlesolid;









&Circlesolid;




&Circlesolid;




&Circlesolid;






V15




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V16




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V17




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V18










&Circlesolid;














&Circlesolid;






V19




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V20




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V21




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;




&Circlesolid;






V22





























&Circlesolid;






V23




∘/&Circlesolid;




∘/&Circlesolid;









∘/&Circlesolid;









&Circlesolid;







Alternates




Alternates





Alternates







with V6




with V6





with V7






PP1




































PP2




































PP3




































PP4









































Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













e. The Storage Preparation Cycle




i. RBC Preservative Prime




In the first phase of the storage preparation cycle (Prime Storage Solution), the circuit is programmed to operate the donor interface pump station PP


3


to transfer a desired volume of red blood cell storage solution from the container


280


into the in-process container


312


. The transfer of the desired volume is monitored by the weigh scale.




In the next phase (Transfer Storage Solution), the circuit is programmed to operate the donor interface pump station PP


3


to transfer a desired volume of red blood cell storage solution from the in-process container


312


into the red blood cell collection container


308


. The transfer of the desired volume is monitored by the weigh scale.




In the next and final phase (End Procedure), the circuit is programmed to close all valves and idle all pump stations, so that the plasma and red blood cell storage containers


304


and


308


can be separated and removed for storage. The remainder of the disposable set can now be removed and discarded.




The programming of the circuit during the phases of the storage preparation cycle is summarized in the following table.












TABLE











Programming of Blood Processing Circuit During The Storage






Preparation Cycle






(Red Blood Cell/Plasma Collection Procedure)

















Prime Storage




Transfer Storage








Phase




Solution




Solution




End Procedure











V1




&Circlesolid;




&Circlesolid;




&Circlesolid;







V2




&Circlesolid;









&Circlesolid;







V3









&Circlesolid;




&Circlesolid;







V4




&Circlesolid;









&Circlesolid;







V5




&Circlesolid;




&Circlesolid;




&Circlesolid;







V6




&Circlesolid;




&Circlesolid;




&Circlesolid;







V7




&Circlesolid;




&Circlesolid;




&Circlesolid;







V8




&Circlesolid;




&Circlesolid;




&Circlesolid;







V9




&Circlesolid;




&Circlesolid;




&Circlesolid;







V10




&Circlesolid;




&Circlesolid;




&Circlesolid;







V11




∘/&Circlesolid;




∘/&Circlesolid;




&Circlesolid;








Pump In/




Pump In/








Pump Out




Pump Out







V12




&Circlesolid;




&Circlesolid;




&Circlesolid;







V13




&Circlesolid;




&Circlesolid;




&Circlesolid;







V14




&Circlesolid;




&Circlesolid;




&Circlesolid;







V15




&Circlesolid;




&Circlesolid;




&Circlesolid;







V16














&Circlesolid;







V17




&Circlesolid;




&Circlesolid;




&Circlesolid;







V18




&Circlesolid;




&Circlesolid;




&Circlesolid;







V19




&Circlesolid;




&Circlesolid;




&Circlesolid;







V20




&Circlesolid;




&Circlesolid;




&Circlesolid;







V21














&Circlesolid;







V22




&Circlesolid;




&Circlesolid;




&Circlesolid;







V23




&Circlesolid;




&Circlesolid;




&Circlesolid;







PP1






















PP2






















PP3






















PP4




























Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













V. Interface Control




A. Underspill and Overspill Detection




In any of the above-described procedures, the


30


centrifugal forces present within the processing chamber


18


separate whole blood into a region of packed red blood cells and a region of plasma (see FIG.


15


A). The centrifugal forces cause the region of packed red blood cells to congregate along the outside or high-G wall of the chamber, while the region of plasma is transported to the inside or low-G wall of the chamber.




An intermediate region forms an interface between the red blood cell region and the plasma region. Intermediate density cellular blood species like platelets and leukocytes populate the interface, arranged according to density, with the platelets closer to the plasma layer than the leukocytes. The interface is also called the “buffy coat,” because of its cloudy color, compared to the straw color of the plasma region and the red color of the red blood cell region.




It is desirable to monitor the location of the buffy coat, either to keep the buffy coat materials out of the plasma or out of the red blood cells, depending on the procedure, or to collect the cellular contents of the buffy coat. The system includes a sensing station


332


comprising two optical sensors


334


and


336


for this purpose.




In the illustrated and preferred embodiment (see FIG.


13


), the sensing station


332


is located a short distance outside the centrifuge station


20


. This arrangement minimizes the fluid volume of components leaving the chamber before monitoring by the sensing station


332


.




The first sensor


334


in the station


332


optically monitors the passage of blood components through the plasma collection tube


292


. The second sensor


336


in the station


332


optically monitors the passage of blood components through the red blood cell collection tube


294


.




The tubes


292


and


294


are made from plastic (e.g. polyvinylchloride) material that is transparent to the optical energy used for sensing, at least in the region where the tubes


292


and


294


are to be placed into association with the sensing station


332


.




In the illustrated embodiment, the set


264


includes a fixture


338


(see

FIGS. 16

to


18


) to hold the tubes


292


and


294


in viewing alignment with its respective sensor


334


and


336


. The fixture


338


gathers the tubes


292


and


294


in a compact, organized, side-by-side array, to be placed and removed as a group in association with the sensors


334


and


336


, which are also arranged in a compact, side-by-side relationship within the station


332


.




In the illustrated embodiment, the fixture


338


also holds the tube


290


, which conveys whole blood into the centrifuge station


20


, even though no associated sensor is provided. The fixture


338


serves to gather and hold all tubes


290


,


292


, and


294


that are coupled to the umbilicus


296


in a compact and easily handled bundle.




The fixture


338


can be an integral part of the umbilicus


296


, formed, e.g., by over molding. Alternatively, the fixture


338


can be a separately fabricated part, which snap fits about the tubes


290


,


292


, and


294


for use.




In the illustrated embodiment (as

FIG. 2

shows), the containers


304


,


308


, and


312


coupled to the cassette


28


are suspended during use above the centrifugation station


20


. In this arrangement, the fixture


338


directs the tubes


290


,


292


, and


294


through an abrupt, ninety degree bend immediately beyond the end of the umbilicus


296


to the cassette


28


. The bend imposed by the fixture


338


directs the tubes


290


,


292


, and


294


in tandem away from the area immediately beneath the containers


304


,


308


, and


312


, thereby preventing clutter in this area. The presence of the fixture


338


to support and guide the tubes


290


,


292


, and


294


through the bend also reduces the risk of kinking or entanglement.




The first sensor


334


is capable of detecting the presence of optically targeted cellular species or components in the plasma collection tube


292


. The components that are optically targeted for detection vary depending upon the procedure.




For a plasma collection procedure, the first sensor


334


detects the presence of platelets in the plasma collection tube


292


, so that control measures can be initiated to move the interface between the plasma and platelet cell layer back into the processing chamber. This provides a plasma product that can be essentially platelet-free or at least in which the number of platelets is minimized.




For a red blood cell-only collection procedure, the first sensor


334


detects the interface between the buffy coat and the red blood cell layer, so that control measures can be initiated to move this interface back into the processing chamber. This maximizes the red blood cell yield.




For a buffy coat collection procedure (which will be described later), the first sensor


334


detects when the leading edge of the buffy coat (i.e., the plasma/platelet interface) begins to exit the processing chamber, as well as detects when the trailing edge of the buffy coat (i.e., the buffy coat/red blood cell interface) has completely exited the processing chamber.




The presence of these cellular components in the plasma, as detected by the first sensor


334


, indicates that the interface is close enough to the low-G wall of the processing chamber to allow all or some of these components to be swept into the plasma collection line (see FIG.


15


B). This condition will also be called an “over spill.”




The second sensor


336


is capable of detecting the hematocrit of the red blood cells in the red blood cell collection tube


294


. The decrease of red blood hematocrit below a set minimum level during processing that the interface is close enough to the high-G wall of the processing chamber to allow plasma to enter the red blood cell collection tube


294


(see FIG.


15


C). This condition will also be called an “under spill.”




B. The Sensing Circuit




The sensing station


332


includes a sensing circuit


340


(see FIG.


19


), of which the first sensor


334


and second sensor


336


form a part.




The first sensor


334


includes one green light emitting diode (LED)


350


, one red LED


352


, and two photodiodes


354


and


355


. The photodiode


354


measures transmitted light, and the photodiode


355


measures reflected light.




The second sensor


336


includes one red LED


356


and two photodiodes


358


and


360


. The photodiode


358


measures transmitted light, and the photodiode


360


measures reflected light.




The sensing circuit


340


further includes an LED driver component


342


. The driver component


342


includes a constant current source


344


, coupled to the LED's


350


,


352


, and


356


of the sensors


334


and


336


. The constant current source


344


supplies a constant current to each LED


350


,


352


, and


356


, independent of temperature and the power supply voltage levels. The constant current source


344


thereby provides a constant output intensity for each LED


350


,


352


, and


356


.




The LED drive component


342


includes a modulator


346


. The modulator


346


modulates the constant current at a prescribed frequency. The modulation


346


removes the effects of ambient light and electromagnetic interference (EMI) from the optically sensed reading, as will be described in greater detail later.




The sensing circuit


340


also includes a receiver circuit


348


coupled to the photodiodes


354


,


355


,


358


, and


360


. The receiver circuit


348


includes, for each photodiode


354


,


355


,


358


, and


360


, a dedicated current-to-voltage (I-V) converter


362


. The remainder of the receiver circuit


348


includes a bandpass filter


364


, a programmable amplifier


366


, and a full wave rectifier


368


. These components


364


,


366


, and


368


are shared, e.g., using a multiplexer.




Ambient light typically contains frequency components less than 1000 Hz, and EMI typically contains frequency components above 2 Khz. With this in mind, the modulator


346


modulates the current at a frequency below the EMI frequency components, e.g., at about 2 Khz. The bandpass filter


364


has a center frequency of about the same value, i.e., about 2 Khz. The sensor circuit


340


eliminates frequency components above and below the ambient light source and EMI components from the sensed measurement. In this way, the sensing circuit


340


is not sensitive to ambient lighting conditions and EMI.




More particularly, transmitted or reflected light from the tube


292


or


294


containing the fluid to be measured is incident on photodiodes


354


and


355


(for the tube


292


) or photodiodes


358


and


360


(for tube


294


). Each photodiode produces a photocurrent proportional to the received light intensity. This current is converted to a voltage. The voltage is fed, via the multiplexer


370


, to the bandpass filter


364


. The bandpass filter


364


has a center frequency at the carrier frequency of the modulated source light (i.e., 2 Khz in the illustrated embodiment).




The sinusoidal output of the bandpass filter


364


is sent to the variable gain amplifier


366


. The gain of the amplifier is preprogrammed in preestablished steps, e.g., X


1


, X


10


, X


100


, and X


1000


. This provides the amplifier with the capability to respond to a large dynamic range.




The sinusoidal output of the amplifier


366


is sent to the full wave rectifier


368


, which transforms the sinusoidal output to a DC output voltage proportional to the transmitted light energy.




The controller


16


generates timing pulses for the sensor circuit


340


. The timing pulses comprise, for each LED, (i) a modulation square wave at the desired modulation frequency (i.e., 2 Khz in the illustrated embodiment), (ii) an enable signal, (iii) two sensor select bits (which select the sensor output to feed to the bandpass filter


364


), and (iv) two bits for the receiver circuit gain selection (for the amplifier


366


).




The controller


16


conditions the driver circuit


342


to operate each LED in an ON state and an OFF state.




In the ON state, the LED enable is set HIGH, and the LED is illuminated for a set time interval, e.g., 100 ms. During the first 83.3 ms of the ON state, the finite rise time for the incident photodiode and receiver circuit


348


are allowed to stabilize. During the final 16.7 ms of the ON state, the output of the circuit


340


is sampled at twice the modulation rate (i.e., 4 Khz in the illustrated embodiment). The sampling interval is selected to comprises one complete cycle of 60 Hz, allowing the main frequency to be filtered from the measurement. The 4 Khz sampling frequency allows the 2 Khz ripple to be captured for later removal from the measurement.




During the OFF state, the LED is left dark for 100 ms. The LED baseline due to ambient light and electromagnetic interference is recorded during the final 16.7 ms.




1. The First Sensor: Platelet/RBC Differentiation




In general, cell free (“free”) plasma has a straw color. As the concentration of platelets in the plasma increases, the clarity of the plasma decreases. The plasma looks “cloudy.” As the concentration of red blood cells in the plasma increases, the plasma color turns from straw to red.




The sensor circuit


340


includes a detection/differentiation module


372


, which analyses sensed attenuations of light at two different wavelengths from the first sensor


334


(using the transmitted light sensing photodiode


354


). The different wavelengths are selected to possess generally the same optical attenuation for platelets, but significantly different optical attentuations for red blood cells.




In the illustrated embodiment, the first sensor


334


includes an emitter


350


of light at a first wavelength (λ


1


), which, in the illustrated embodiment, is green light (570 nm and 571 nm). The first sensor


334


also includes an emitter


352


of light at a second wavelength (λ


2


), which, in the illustrated embodiment, is red light (645 nm to 660 nm).




The optical attenuation for platelets at the first wavelength (ε


platelets




λ




1


) and the optical attenuation for platelets at the second wavelength (ε


platelets




λ




2


) are generally the same. Thus, changes in attenuation over time, as affected by increases or decreases in platelet concentration, will be similar.




However, the optical attenuation for hemoglobin at the first wavelength (ε


Hb




λ




1


) is about ten times greater than the optical attenuation for hemoglobin at the second wavelength (ε


Hb




λ




2


). Thus, changes in attenuation over time, as affected by the presence of red blood cells, will not be similar.




The tube


294


, through which plasma to be sensed, is transparent to light at the first and second wavelengths. The tube


294


conveys the plasma flow past the first and second emitters


350


and


352


.




The light detector


354


receives light emitted by the first and second emitters


350


and


352


through the tube


294


. The detector


354


generates signals proportional to intensities of received light. The intensities vary with optical attenuation caused by the presence of platelets and/or red blood cells.




The module


372


is coupled to the light detector


354


to analyze the signals to derive intensities of the received light at the first and second wavelengths. The module


372


compares changes of the intensities of the first and second wavelengths over time. When the intensities of the first and second wavelengths change over time in substantially the same manner, the module


372


generates an output representing presence of platelets in the plasma flow. When the intensities of the first and second wavelengths change over time in a substantially different manner, the module


372


generates an output representing presence of red blood cells in the plasma flow. The outputs therefore differentiate between changes in intensity attributable to changes in platelet concentration in the plasma flow and changes in intensity attributable to changes in red blood cell concentration in the plasma flow.




There are various ways to implement the module


372


. In a preferred embodiment, the detection/differentiation module


372


considers that the attenuation of a beam of monochromatic light of wavelength λ by a plasma solution can be described by the modified Lambert-Beer law, as follows:








I=I




o




e


−[(ε


Hb




λ




C




Hb




H+ε




platelets




λ




C




platelets


)


d+D




platelets




λ




+G




RBC




λ


]  (1)






where:




I is transmitted light intensity.




I


o


is incident light intensity.




ε


Hb




λ


is the optical attenuation of hemoglobin (Hb) (gm/dl) at the applied wavelength.




ε


platelets




λ


is the optical attenuation of platelets at the applied wavelength.




C


Hb


is the concentration of hemoglobin in a red blood cell, taken to be 34 gm/dl.




C


platelets


is the concentration of platelets in the sample.




d is thickness of the plasma stream through the tube


294


.




G


λ


is the path length factor at the applied wavelength, which accounts for additional photon path length in the plasma sample due to light scattering.




H is whole blood hematocrit, which is percentage of red blood cells in the sample.




G


RBC




λ


and G


platelets




λ


are a function of the concentration and scattering coefficients of, respectively, red blood cells and platelets at the applied wavelengths, as well as the measurement geometry.




For wavelengths in the visible and near infrared spectrum, ε


platelets




λ


≈0, therefore:










Ln


(


I
λ


I
O
λ


)


=


Ln


(

T
λ

)




-

[



(


ε
Hb
λ



C
Hb


H

)


d

+

G
platelets
λ

+

G
RBC
λ


]







(
2
)













In an over spill condition (shown in FIG.


15


B), the first cellular component to be detected by the first sensor


334


in the plasma collection line


294


will be platelets. Therefore, for the detection of platelets, Ln(T


λ


) G


platelets




λ


.




To detect the buffy coat interface between the platelet layer and the red blood cell layer, the two wavelengths (λ


1


and λ


2


) are chosen based upon the criteria that (i) λ


1


and λ


2


have approximately the same path length factor (G


λ


), and (ii) one wavelength λ


1


or λ


2


has a much greater optical attenuation for hemoglobin than the other wavelength.




Assuming the wavelengths λ


1


and λ


2


have the same G


λ


, Equation (2) reduces to:








Ln


(


T




λ






1




)−


Ln


(


T




λ






2




)≈


Hdc




Hb





Hb




λ






2




−ε


Hb




λ






1




)  (3)






In the preferred embodiment, λ


1


=660 nm (green) and λ


2


=571 nm (red). The path length factor (G


λ


) for 571 nm light is greater than for 660 nm light. Therefore the path length factors have to be modified by coefficients α and β, as follows:








G




RBC




λ






1






=αG




RBC




λ






2














G




platelets




λ






1






=βG




platelets




λ






2










Therefore, Equation (3) can be reexpressed as follows:








Ln


(


T




λ






1




)−


Ln


(


T




λ






2




)≈


Hdc




Hb





Hb




λ






2




)−ε


Hb




λ






1




)+(α−1)


G




RBC




λ






1




+(β−1)


G




platelets




λ






2




  (4)






In the absence of red blood cells, Equation (3) causes a false red blood cell detect with increasing platelet concentrations, as Equation (5) demonstrates:







Ln


(


T




λ






1




)−


Ln


(


T




λ






2




)=(β−1)


G




platelets




λ






1




  (5)




For the detection of platelets and the interface between the platelet/red blood cell layer, Equation (4) provides a better resolution. The module


372


therefore applies Equation (4). The coefficient (β−1) can be determined by empirically measuring G


platelets




λ






1




and G


platelets




λ






2




in the desired measurement geometry for different known concentrations of platelets in prepared platelet-spiked plasma.




The detection/differentiation module


372


also differentiates between intensity changes due to the presence of red blood cells in the plasma or the presence of free hemoglobin in the plasma due to hemolysis. Both circumstances will cause a decrease in the output of the transmitted light sensing photodiode


354


. However, the output of the reflected light sensing photodiode


355


increases in the presence of red blood cells and decreases in the presence of free hemoglobin. The detection/differentiation module


372


thus senses the undesired occurrence of hemolysis during blood processing, so that the operator can be alerted and corrective action can be taken.




2. The Second Sensor: Packed Red Blood Cell Measurement




In an under spill condition (shown in FIG.


15


C), the hematocrit of red blood cells exiting the processing chamber


18


will dramatically decrease, e.g., from a targeted hematocrit of about 80 to a hematocrit of about 50, as plasma (and the buffy coat) mixes with the red blood cells. An under spill condition is desirable during a plasma collection procedure, as it allows the return of the buffy coat to the donor with the red blood cells. An under spill condition is not desired during a red blood cell-only collection procedure, as it jeopardizes the yield and quality of red blood cells that are collected for storage.




In either situation, the ability to sense when an under spill condition exists is desireable.




Photon wavelengths in the near infrared spectrum (NIR) (approximately 540 nm to 1000 nm) are suitable for sensing red blood cells, as their intensity can be measured after transmission through many millimeters of blood.




The sensor circuit


340


includes a red blood cell detection module


374


. The detection module


374


analyses sensed optical transmissions of the second sensor


336


to discern the hematocrit and changes in the hematocrit of red blood cells exiting the processing chamber


18


.




The detection module


374


considers that the attenuation of a beam of monochromatic light of wavelength λ by blood may be described by the modified Lambert-Beer law, as follows:








I=I




o




e


−[(ε


Hb




λ




C




Hb




H


)


d+G




RBC




λ


]  (6)






where:




I is transmitted light intensity.




I


o


is incident light intensity.




ε


Hb




λ


is the extinction coefficient of hemoglobin (Hb) (gm/dl) at the applied wavelength.




C


Hb


is the concentration of hemoglobin in a red blood cell, taken to be 34 gm/dl.




d is the distance between the light source and light detector.




G


λ


is the path length factor at the applied wavelength, which accounts for additional photon path length in the media due to light scattering.




H is whole blood hematocrit, which is percentage of red blood cells in the sample.




G


RBC




λ


is a function of the hematocrit and scattering coefficients of red blood cells at the applied wavelengths, as well as the measurement geometry.




Given Equation (6), the optical density O.D. of the sample can be expressed as follows:










Ln


(


I
λ


I
O
λ


)


=


O
.
D
.



[



(


ε
Hb
λ



C
Hb


H

)


d

+

G
RBC
λ


]






(
7
)













The optical density of the sample can further be expressed as follows:








O.D.=O.D.




Absorption




+O.D.




Scattering


  (8)






where:




O.D.


Absorption


is the optical density due to absorption by red blood cells, expressed as follows:








O.D.




Absorption


=−(ε


Hb




λ




C




Hb




H


)


d


  (9)






O.D.


Scattering


is the optical density due to scattering of red blood cells, expressed as follows:








O.D.




Scattering




=G




RBC




λ


  (10)






From Equation (9), O.D.


Absorption


increases linearly with hematocrit (H). For transmittance measurements in the red and NIR spectrum, G


RBC




λ


is generally parabolic, reaching a maximum at a hematocrit of between 50 and 75 (depending on illumination wavelength and measurement geometry) and is zero at hematocrits of 0 and 100 (see, e.g., Steinke et al., “Diffusion Model of the Optical Absorbance of Whole Blood,”


J. Opt. Soc. Am


., Vol 5, No. 6, June 1988). Therefore, for light transmission measurements, the measured optical density is a nonlinear function of hematocrit.




Nevertheless, it has been discovered that G


RBC




λ


for reflected light measured at a predetermined radial distance from the incident light source is observed to remain linear for the hematocrit range of at least 10 to 90. Thus, with the second sensor


336


so configured, the detection module can treat the optical density of the sample for the reflected light to be a linear function of hematocrit. The same relationship exists for the first sensor


334


with respect to the detection of red blood cells in plasma.




This arrangement relies upon maintaining straightforward measurement geometries. No mirrors or focusing lenses are required. The LED or photodiode need not be positioned at an exact angle with respect to the blood flow tube. No special optical cuvettes are required. The second sensor


336


can interface directly with the transparent plastic tubing


294


. Similarly, the first sensor


334


can interface directly with the transparent tubing


292


.




In the illustrated embodiment, the wavelength 805 nm is selected, as it is an isobestic wavelength for red blood cells, meaning that light absorption by the red blood cells at this wavelength is independent of oxygen saturation. Still, other wavelengths can be selected within the NIR spectrum.




In the illustrated embodiment, for a wavelength of 805 nm, the preferred set distance is 7.5 mm from the light source. The fixture


338


, above described (see FIG.


18


), facilitates the placement of the tube


294


in the desired relation to the light source and the reflected light detector of the second sensor


336


. The fixture


338


also facilitates the placement of the tube


292


in the desired relation to the light source and the reflected light detector of the first sensor


334


.




Measurements at a distance greater than 7.5 mm can be made and will show a greater sensitivity to changes in the red blood cell hematocrit. However a lower signal to noise ratio will be encountered at these greater distances. Likewise, measurements at a distance closer to the light source will show a greater signal to noise ratio, but will be less sensitive to changes in the red blood cell hematocrit. The optimal distance for a given wavelength in which a linear relationship between hematocrit and sensed intensity exists for a given hematocrit range can be empirically determined.




The second sensor


336


detects absolute differences in the mean transmitted light intensity of the signal transmitted through the red blood cells in the red blood cell collection line. The detection module analyzes these measured absolute differences in intensities, along with increases in the standard deviation of the measured intensities, to reliably signal an under spill condition, as

FIG. 20

shows.




At a given absolute hematocrit, G


RBC




λ


varies slightly from donor to donor, due to variations in the mean red blood cell volume and/or the refractive index difference between the plasma and red blood cells. Still, by measuring the reflected light from a sample of a given donor's blood having a known hematocrit, G


RBC




λ


may be calibrated to yield, for that donor, an absolute measurement of the hematocrit of red blood cells exiting the processing chamber.




C. Pre-processing Calibration of the Sensors




The first and second sensors


334


and


336


are calibrated during the saline and blood prime phases of a given blood collection procedure, the details of which have already described.




During the saline prime stage, saline is conveyed into the blood processing chamber


18


and out through the plasma collection line


292


. During this time, the blood processing chamber


18


is rotated in cycles between 0 RPM and 200 RPM, until air is purged from the chamber


18


. The speed of rotation of the processing chamber


18


is then increased to full operational speed.




The blood prime stage follows, during which whole blood is introduced into the processing chamber


18


at the desired whole blood flow rate (Q


WB


). The flow rate of plasma from the processing chamber through the plasma collection line


292


is set at a fraction (e.g., 80%) of the desired plasma flow rate (Q


P


) from the processing chamber


18


, to purge saline from the chamber


18


. The purge of saline continues under these conditions until the first sensor


334


optically senses the presence of saline in the plasma collection line


292


.




1. For Plasma Collection Procedures (Induced Under Spill)




If the procedure to be performed collects plasma for storage (e.g., the Plasma Collection Procedure or the Red Blood Cell/Plasma Collection Procedure), an under spill condition is induced during calibration. The under spill condition is created by decreasing or stopping the flow of plasma through the plasma collection line


292


. This forces the buffy coat away from the low-G side of the chamber


18


(as

FIG. 15C

) to assure that a flow of “clean” plasma exists in the plasma collection line


292


, free or essentially free of platelets and leukocytes. The induced under spill allows the first sensor


334


to be calibrated and normalized with respect to the physiologic color of the donor's plasma, taking into account the donor's background lipid level, but without the presence of platelets or leukocytes. The first sensor


334


thereby possesses maximum sensitivity to changes brought about by the presence of platelets or leukocytes in the buffy coat, should an over spill subsequently occur during processing.




Forcing an under spill condition also positions the interface close to the high-G wall at the outset of blood processing. This creates an initial offset condition on the high-G side of the chamber, to prolong the ultimate development of an over spill condition as blood processing proceeds.




2. Red Blood Cell Collection Procedures




If a procedure is to be performed in which no plasma is to be collected (e.g., the Double Unit Red Blood Cell Collection Procedure), an under spill condition is not induced during the blood purge phase. This is because, in a red blood cell only collection procedure, the first sensor


334


need only detect, during an over spill, the presence of red blood cells in the plasma. The first sensor


334


does not need to be further sensitized to detect platelets. Furthermore, in a red blood cell only collection procedure, it may be desirable to keep the interface as near the low-G wall as possible. The desired condition allows the buffy coat to be returned to the donor with the plasma and maximizes the hematocrit of the red blood cells collected.




D. Blood Cell Collection




1. Plasma Collection Procedures




In procedures where plasma is collected (e.g., the Plasma Collection Procedure or the Red Blood Cell/Plasma Collection Procedure), Q


P


is set at Q


P(Ideal)


, which is an empirically determined plasma flow rate that allows the system to maintain a steady state collection condition, with no underspills and no overspills.




Q


P(Ideal)


(in grams/ml) is a function of the anticogulated whole blood inlet flow rate Q


WB


, the anticoagulant whole blood inlet hematocrit HCT


WB


, and the red blood cell exit hematocrit HCT


RBC


(as estimated or measured), expressed as follows:







Q

P


(
Ideal
)



=

(


ρ
Plasma



Q
WB

*



(

1
-

HCT
WB


)

-

[




ρ





WB


ρ
RBC




(

1
-

HCT
RBC


)


]




(

1
-


ρ
Plasma


ρ
RBC



)



(

1
-

HCT
RBC


)















where:




ρ


Plasma


is the density of plasma (in g/ml)=1.03




ρ


WB


is the density of whole blood (in g/ml)=1.05




ρ


RBC


is the density of red blood cells=1.08




Q


WB


is set to the desired whole blood inlet flow rate for plasma collection, which, for a plasma only collection procedure, is generally about 70 ml/min. For a red blood cell/plasma collection procedure, Q


WB


is set at about 50 ml/min, thereby providing packed red blood cells with a higher hematocrit than in a traditional plasma collection procedure.




The system controller


16


maintains the pump settings until the desired plasma collection volume is achieved, unless an under spill condition or an over spill condition is detected.




If set Q


P


is too high for the actual blood separation conditions, or, if due to the physiology of the donor, the buffy coat volume is larger (i.e., “thicker”) than expected, the first sensor


334


will detect the presence of platelets or leukocytes, or both in the plasma, indicating an over spill condition.




In response to an over spill condition caused by a high Q


P


, the system controller


16


terminates operation of the plasma collection pump PP


2


, while keeping set Q


WB


unchanged. In response to an over spill condition caused by a high volume buffy coat, the system controller


16


terminates operation of the plasma collection pump PP


2


, until an under spill condition is detected by the red blood cell sensor


336


. This serves to expel the buffy coat layer from the separation chamber through the red blood cell tube


294


.




To carry out the over spill response, the blood processing circuit


46


is programmed to operate the in-process pump PP


1


(i.e., drawing in through the valve V


9


and expelling out of the valve V


14


), to draw whole blood from the in-process container


312


into the processing chamber


18


at the set Q


WB


. Red blood cells exit the chamber


18


through the tube


294


for collection in the collection container


308


. The flow rate of red blood cells directly depends upon the magnitude of Q


WB


.




During this time, the blood processing circuit


46


is also programmed to cease operation of the plasma pump PP


2


for a preestablished time period (e.g., 20 seconds). This forces the interface back toward the middle of the separation chamber. After the preestablished time period, the operation of the plasma pump PP


2


is resumed, but at a low flow rate (e.g., 10 ml/min) for a short time period (e.g., 10 seconds) If the spill has been corrected, clean plasma will be detected by the first sensor


334


, and normal operation of the blood processing circuit


46


is resumed. If clean plasma is not sensed, indicating that the over spill has not been corrected, the blood processing circuit


46


repeats the above-described sequence.




The programming of the circuit to relieve an over spill condition is summarized in the following table.












TABLE









Programming of Blood Processing Circuit To Relive an Over






Spill Condition






(Plasma Collection Procedures)


























V1




&Circlesolid;







V2












V3




&Circlesolid;







V4




&Circlesolid;







V5












V6




&Circlesolid;







V7




&Circlesolid;







V8




&Circlesolid;







V9




&Circlesolid;/∘ Pump In







V10




&Circlesolid;







V11




&Circlesolid;







V12




&Circlesolid;







V13




&Circlesolid;







V14




&Circlesolid;/∘ Pump Out







V15




&Circlesolid;







V16




&Circlesolid;







V17




&Circlesolid;







V18




&Circlesolid;







V19




&Circlesolid;







V20




&Circlesolid;







V21




&Circlesolid;







V22




&Circlesolid;







V23




&Circlesolid;







PP1












PP2












PP3












PP4


















Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













Upon correction of an over spill condition, the controller


16


returns the blood processing circuit


46


to resume normal blood processing, but applies a percent reduction factor (%RF) to the Q


P


set at the time the over spill condition was initially sensed. The reduction factor (%RF) is a function of the time between over spills, i.e., %RF increases as the frequency of over spills increases, and vice versa.




If set Q


P


is too low, the second sensor


336


will detect a decrease in the red blood cell hematocrit below a set level, which indicates an under spill condition.




In response to an under spill condition, the system controller


16


resets Q


P


close to the set Q


WB


. As processing continues, the interface will, in time, move back toward the low-G wall. The controller


16


maintains these settings until the second sensor


336


detects a red blood cell hematocrit above the desired set level. At this time, the controller


16


applies a percent enlargement factor (%EF) to the Q


P


set at the time the under spill condition was initially sensed. The enlargement factor (%EF) is a function of the time between under spills, i.e., %EF increases as the frequency of under spills increases.




Should the controller


16


be unable to correct a given under or over spill condition after multiple attempts (e.g., three attempts), an alarm is commanded.




2. Red Blood Cell Only Collection Procedures




In procedures where only red blood cells and no plasma is collected (e.g., the Double Unit Red Blood Cell Collection Procedure), Q


P


is set to no greater than Q


P(Ideal)


, and Q


WB


is set to the desired whole blood inlet flow rate into the processing chamber


18


for the procedure, which is generally about 50 ml/min for a double unit red blood cell collection procedure.




It may be desired during a double unit red blood cell collection procedure that over spills occur frequently. This maximizes the hematocrit of the red blood cells for collection and returns the buffy coat to the donor with the plasma. Q


P


is increased over time if over spills occur at less than a set frequency. Likewise, Q


P


is decreased over time if over spills occur above the set frequency. However, to avoid an undesirably high hematocrit, it may be just as desirable to operate at Q


P(Ideal)


.




The system controller


16


controls the pump settings in this way until the desired red blood cell collection volume is achieved, taking care of under spills or over spills as they occur.




The first sensor


334


detects an over spill by the presence of red blood cells in the plasma. In response to an over spill condition, the system controller


16


terminates operation of the plasma collection pump to draw plasma from the processing chamber, while keeping the set Q


WB


unchanged.




To implement the over spill response, the blood processing circuit


46


is programmed (through the selective application of pressure to the valves and pump stations) to operate the plasma pump PP


2


and in-process pump PP


1


in the manner set forth in the immediately preceding Table. The red blood cells detected in the tube


292


are thereby returned to the processing chamber


18


, and are thereby prevented from entering the plasma collection container


304


.




The interface will, in time, move back toward the high-G wall. The controller


16


maintains these settings until the second sensor


336


detects a decrease in the red blood cell hematocrit below a set level, which indicates an under spill condition.




In response to an under spill condition, the system controller


16


increases Q


P


until the second sensor


336


detects a red blood cell hematocrit above the desired set level. At this time, the controller


16


resets Q


P


to the value at the time the most recent overspill condition was sensed.




3. Buffy Coat Collection




If desired, an over spill condition can be periodically induced during a given plasma collection procedure to collect the buffy coat in a buffy coat collection container


376


(see FIG.


10


). As

FIG. 10

shows, in the illustrated embodiment, the buffy coat collection container


376


is coupled by tubing


378


to the buffy port P


4


of the cassette


28


. The buffy coat collection container


376


is suspended on a weigh scale


246


, which provides output reflecting weight changes over time, from which the controller


16


derives the volume of buffy coat collected.




In this arrangement, when the induced over spill condition is detected, the blood processing circuit


46


is programmed (through the selective application of pressure to the valves and pump stations) to operate the plasma pump PP


2


(i.e., drawing in through valve V


12


and expelling out through valve V


10


), to draw plasma from the processing chamber


18


through the tube


378


, while valves V


4


and V


6


are closed and valve V


8


is opened. The buffy coat in the tube


378


is conveyed into the buffy coat collection container


376


. The blood processing circuit


46


is also programmed during this time to operate the in-process pump PP


1


(i.e., drawing in through the valve V


9


and expelling out of the valve V


14


), to draw whole blood from the in-process container


312


into the processing chamber


18


at the set Q


WB


. Red blood cells exit the chamber


18


through the tube


294


for collection in the collection container


308


.




The programming of the circuit to relieve an over spill condition by collecting the buffy coat in the buffy coat collection container


376


is summarized in the following table.












TABLE









Programming of Blood Processing Circuit To Relive an Over






Spill Condition by Collecting the Buffy Coat






(Plasma Collection Procedures)


























V1




&Circlesolid;







V2




&Circlesolid;







V3




&Circlesolid;







V4












V5




&Circlesolid;







V6




&Circlesolid;







V7




&Circlesolid;







V8




&Circlesolid;







V9




&Circlesolid;/∘ Pump In







V10




&Circlesolid;/∘ Pump Out







V11




&Circlesolid;







V12




&Circlesolid;/∘ Pump In







V13




&Circlesolid;







V14




&Circlesolid;/∘ Pump Out







V15




&Circlesolid;







V16




&Circlesolid;







V17




&Circlesolid;







V18




&Circlesolid;







V19




&Circlesolid;







V20




&Circlesolid;







V21




&Circlesolid;







V22




&Circlesolid;







V23




&Circlesolid;







PP1












PP2












PP3












PP4


















Caption: ∘ denotes an open valve; &Circlesolid; denotes a closed valve; ∘/&Circlesolid; denotes a valve opening and closing during a pumping sequence; ▪ denotes an idle pump station (not in use); and □ denotes a pump station in use.













After a prescribed volume of buffy coat is conveyed into the buffy coat collection container


376


(as monitored by the weigh scale


246


), normal blood processing conditions are resumed. Over spill conditions causing the movement of the buffy coat into the tube


378


can be induced at prescribed intervals during the process period, until a desired buffy coat volume is collected in the buffy coat collection container.




VI. Another Programmable Blood Processing Circuit




A. Circuit Schematic




As previously mentioned, various configurations for the programmable blood processing circuit


46


are possible.

FIG. 5

schematically shows one representative configuration


46


, the programmable features of which have been described.

FIG. 34

shows another representative configuration of a blood processing circuit


46


′ having comparable programmable features.




Like the circuit


46


, the circuit


46


′ includes several pump stations PP(N), which are interconnected by a pattern of fluid flow paths F(N) through an array of in line valves V(N). The circuit is coupled to the remainder of the blood processing set by ports P(N).




The circuit


46


′ includes a programmable network of flow paths F


1


to F


33


. The circuit


46


′ includes eleven universal ports P


1


to P


8


and P


11


to P


13


and four universal pump stations PP


1


, PP


2


, PP


3


, and PP


4


. By selective operation of the in line valves V


1


to V


21


and V


23


to V


25


, any universal port P


1


to P


8


and P


11


to P


13


can be placed in flow communication with any universal pump station PP


1


, PP


2


, PP


3


, and PP


4


. By selective operation of the universal valves, fluid flow can be directed through any universal pump station in a forward direction or reverse direction between two valves, or an in-out direction through a single valve.




In the illustrated embodiment, the circuit


46


′ also includes an isolated flow path (comprising flow paths F


9


, F


23


, F


24


, and F


10


) with two ports P


9


and P


10


and one in line pump station PP


5


. The flow path is termed “isolated,” because it cannot be placed into direct flow communication with any other flow path in the circuit


46


′ without exterior tubing. By selective operation of the in line valves V


21


and V


22


, fluid flow can be directed through the pump station PP


5


in a forward direction or reverse direction between two valves, or an in-out direction through a single valve.




Like circuit


46


, the circuit


46


′ can be programmed to assigned dedicated pumping functions to the various pump stations. In a preferred embodiment, the universal pump stations PP


3


and PP


4


in tandem serve as a general purpose, donor interface pump, regardless of the particular blood procedure performed. The dual donor interface pump stations PP


3


and PP


4


in the circuit


46


′ work in parallel. One pump station draws fluid into its pump chamber, while the other pump station is expels fluid from its pump chamber. The pump station PP


3


and PP


4


alternate draw and expel functions.




In a preferred arrangement, the draw cycle for the drawing pump station is timed to be longer than the expel cycle for the expelling pump station. This provides a continuous flow of fluid on the inlet side of the pump stations and a pulsatile flow in the outlet side of the pump stations. In one representative embodiment, the draw cycle is ten seconds, and the expel cycle is one second. The expelling pump station performs its one second cycle at the beginning of the draw cycle of the drawing pump, and then rests for the remaining nine seconds of the draw cycle. The pump stations then switch draw and expel functions. This creates a continuous inlet flow and a pulsatile outlet flow. The provision of two alternating pump stations PP


3


and PP


4


serves to reduce overall processing time, as fluid is continuously conducted into a drawing pump station through out the procedure.




In this arrangement, the isolated pump station PP


5


of the circuit


46


′ serves as a dedicated anticoagulant pump, like pump station PP


4


in the circuit


46


, to draw anticoagulant from a source through the port P


10


and to meter anticoagulant into the blood through port P


9


.




In this arrangement, as in the circuit


46


, the universal pump station PP


1


serves, regardless of the particular blood processing procedure performed, as a dedicated in-process whole blood pump, to convey whole blood into the blood separator. As in the circuit


46


, the dedicated function of the pump station PP


1


frees the donor interface pumps PP


3


and PP


4


from the added function of supplying whole blood to the blood separator. Thus, the in-process whole blood pump PP


1


can maintain a continuous supply of blood to the blood separator, while the donor interface pumps PP


3


and PP


4


operate in tandem to simultaneously draw and return blood to the donor through the single phlebotomy needle. The circuit


46


′ thus minimizes processing time.




In this arrangement, as in circuit


46


, the universal pump station PP


2


of the circuit


46


′ serves, regardless of the particular blood processing procedure performed, as a plasma pump, to convey plasma from the blood separator. As in the circuit


46


, the ability to dedicate separate pumping functions in the circuit


46


′ provides a continuous flow of blood into and out of the separator, as well as to and from the donor.




The circuit


46


′ can be programmed to perform all the different procedures described above for the circuit


46


. Depending upon the objectives of the particular blood processing procedure, the circuit


46


′ can be programmed to retain all or some of the plasma for storage or fractionation purposes, or to return all or some of the plasma to the donor. The circuit


46


′ can be further programmed, depending upon the objectives of the particular blood processing procedure, to retain all or some of the red blood cells for storage, or to return all or some of the red blood cells to the donor. The circuit


46


′ can also be programmed, depending upon the objectives of the particular blood processing procedure, to retain all or some of the buffy coat for storage, or to return all or some of the buffy coat to the donor.




In a preferred embodiment (see FIG.


34


), the circuit


46


′ forms a part of a universal set


264


′, which is coupled to the ports P


1


to P


13


.




More particularly, a donor tube


266


′, with attached phlebotomy needle


268


′ is coupled to the port P


8


of the circuit


46


′. An anticoagulant tube


270


′, coupled to the phlebotomy needle


268


′ is coupled to port P


9


. A container


276


′ holding anticoagulant is coupled via a tube


274


′ to the port P


10


.




A container


280


′ holding a red blood cell additive solution is coupled via a tube


278


′ to the port P


3


. A container


288


′ holding saline is coupled via a tube


284


′ to the port P


12


. A storage container


289


′ is coupled via a tube


291


′ to the port P


13


. An in-line leukocyte depletion filter


293


′ is carried by the tube


291


′ between the port P


13


and the storage container


289


′. The containers


276


′,


280


′,


288


′, and


289


′ can be integrally attached to the ports or can be attached at the time of use through a suitable sterile connection, to thereby maintain a sterile, closed blood processing environment.




Tubes


290


′,


292


′, and


294


′, extend to an umbilicus


296


′ which is coupled to the processing chamber


18


′. The tubes


290


′,


292


′, and


294


are coupled, respectively, to the ports PS, P


6


, and P


7


. The tube


290


′ conveys whole blood into the processing chamber


18


under the operation of the in-process pump station PP


1


. The tube


292


′ conveys plasma from the processing chamber


18


′ under the operation of the plasma pump chamber PP


2


. The tube


294


′ conveys red blood cells from processing chamber


18


′.




A plasma collection container


304


′ is coupled by a tube


302


′ to the port P


3


. The collection container


304


′ is intended, in use, to serve as a reservoir for plasma during processing.




A red blood cell collection container


308


′ is coupled by a tube


306


′ to the port P


2


. The collection container


308


′ is intended, in use, to receive a unit of red blood cells for storage.




A buffy coat collection container


376


′ is coupled by a tube


377


′ to the port P


4


. The container


376


′ is intended, in use, to receive a volume of buffy coat for storage.




A whole blood reservoir


312


′ is coupled by a tube


310


′ to the port P


1


. The collection container


312


′ is intended, in use, to receive whole blood during operation of the donor interface pumps PP


3


and PP


4


, to serve as a reservoir for whole blood during processing. It can also serve to receive a second unit of red blood cells for storage.




B. The Cassette




As

FIGS. 35 and 36

show, the programmable fluid circuit


46


′ can be implemented as an injection molded, pneumatically controlled cassette


28


′. The cassette


28


′ interacts with the pneumatic pump and valve station


30


, as previously described, to provide the same centralized, programmable, integrated platform as the cassette


28


.





FIG. 35 and 36

show the cassette


28


′ in which the fluid circuit


46


′ (schematically shown in

FIG. 34

) is implemented. As previously described for the cassette


28


, an array of interior wells, cavities, and channels are formed on both the front and back sides


190


′ and


192


′ of the cassette body


188


′, to define the pump stations PP


1


to PP


5


, valve stations V


1


to V


25


, and flow paths F


1


to F


33


shown schematically in FIG.


34


. In

FIG. 36

, the flow paths F


1


to F


33


, are shaded to facilitate their viewing. Flexible diaphragms


194


′ and


196


′ overlay the front and back sides


190


′ and


192


′ of the cassette body


188


′, resting against the upstanding peripheral edges surrounding the pump stations PP


1


to PP


5


, valves V


1


to V


25


, and flow paths F


1


to F


33


. The pre-molded ports P


1


to P


13


extend out along two side edges of the cassette body


188


′.




The cassette


28


′ is vertically mounted for use in the pump and valve station


30


in the same fashion shown in FIG.


2


. In this orientation (which

FIG. 36

shows), the side


192


′ faces outward, ports P


8


to P


13


face downward, and the ports P


1


to P


7


are vertically stacked one above the other and face inward.




As previously described, localized application by the pump and valve station


30


of positive and negative fluid pressures upon the diaphragm


194


′ serves to flex the diaphragm to close and open the valve stations V


1


to V


25


or to expel and draw liquid out of the pump stations PP


1


to PP


5


.




An additional interior cavity


200


′ is provided in the back side


192


′ of the cassette body


188


′. The cavity


200


′ forms a station that holds a blood filter material to remove clots and cellular aggregations that can form during blood processing. As shown schematically in

FIG. 34

, the cavity


200


′ is placed in the circuit


46


′ between the port P


8


and the donor interface pump stations PP


3


and PP


4


, so that blood returned to the donor passes through the filter. Return blood flow enters the cavity


200


′ through flow path F


27


and exits the cavity


200


′ through flow path F


8


. The cavity


200


′ also serves to trap air in the flow path to and from the donor.




Another interior cavity


201


′ (see

FIG. 35

) is also provided in the back side


192


′ of the cassette body


188


′. The cavity


201


′ is placed in the circuit


46


′ between the port P


5


and the valve V


16


of the in-process pumping station PP


1


. Blood enters the cavity


201


′ from flow path F


16


through opening


203


′ and exits the cavity


201


′ into flow path F


5


through opening


205


′ The cavity


201


′ serves as another air trap within the cassette body


188


′ in the flow path serving the separation chamber


26


′. The cavity


201


′ also serves as a capacitor to dampen the pulsatile pump strokes of the in-process pump PP


1


serving the separation chamber.




C. Associated Pneumatic Manifold Assembly





FIG. 43

shows a pneumatic manifold assembly


226


′ that can be used in association with the cassette


28


′, to supply positive and negative pneumatic pressures to convey fluid through the cassette


28


′. The front side


194


′ of the diaphragm is held in intimate engagement against the manifold assembly


226


′ when the door


32


of the pump station


20


is closed and bladder


314


inflated. The manifold assembly


226


′, under the control of the controller


16


, selectively distributes the different pressure and vacuum levels to the pump and valve actuators PA(N) and VA(N) of the cassette


28


′. These levels of pressure and vacuum are systematically applied to the cassette


28


′, to route blood and processing liquids. Under the control of a controller


16


, the manifold assembly


226


also distributes pressure levels to the door bladder


314


(already described), as well as to a donor pressure cuff (also already described) and to a donor line occluder


320


(also already described). The manifold assembly


226


′ for the cassette


28


′ shown in

FIG. 43

shares many attributes with the manifold assembly


226


previously described for the cassette


28


, as shown in FIG.


12


.




Like the manifold assembly


226


, the manifold assembly


226


′ is coupled to a pneumatic pressure source


234


′, which is carried inside the lid


40


behind the manifold assembly


226


′ As in manifold assembly


226


, the pressure source


234


′ for the manifold assembly


226


comprises two compressors C


1


′ and C


2


′, although one or several dual-head compressors could be used as well. Compressor C


1


supplies negative pressure through the manifold


226


′ to the cassette


28


′. The other compressor C


2


′ supplies positive pressure through the manifold


226


′ to the cassette


28


.




As

FIG. 43

shows, the manifold


226


′ contains five pump actuators PA


1


to PA


4


and twenty-five valve actuators VA


1


to VA


25


. The pump actuators PA


1


to PA


5


and the valve actuators VA


1


to VA


25


are mutually oriented to form a mirror image of the pump stations PP


1


to PP


5


and valve stations V


1


to V


25


on the front side


190


′ of the cassette


28


′.




Like the manifold assembly


226


, the manifold assembly


226


′ shown in

FIG. 43

includes an array of solenoid actuated pneumatic valves, which are coupled in-line with the pump and valve actuators PA


1


to PA


5


and VA


1


to VA


25


.




Like the manifold assembly


226


, the manifold assembly


226


′ maintains several different pressure and vacuum conditions, under the control of the controller


16


.




As previously described in connection with the manifold assembly


226


, Phard, or Hard Pressure, and Pinpr, or In-Process Pressure are high positive pressures (e.g., +500 mmHg) maintained by the manifold assembly


226


′ for closing the cassette valves V


1


to V


25


and to drive the expression of liquid from the in-process pump PP


1


and the plasma pump PP


2


. As before explained, the magnitude of Pinpr must be sufficient to overcome a minimum pressure of approximately 300 mm Hg, which is typically present within the processing chamber


18


. Pinpr and Phard are operated at the highest pressure to ensure that upstream and downstream valves used in conjunction with pumping are not forced opened by the pressures applied to operate the pumps.




Pgen, or General Pressure (+300 mmHg), is applied to drive the expression of liquid from the donor interface pumps PP


3


and PP


4


and the anticoagulant pump PP


5


.




Vhard, or Hard Vacuum (−350 mmHg), is the deepest vacuum applied in the manifold assembly


226


′ to open cassette valves V


1


to V


25


. Vgen, or General Vacuum (−300 mmHg), is applied to drive the draw function of each of the pumps PP


1


to PP


5


. Vgen is required to be less extreme than Vhard, to ensure that pumps PP


1


to PP


5


do not overwhelm upstream and downstream cassette valves V


1


to V


25


.




A main hard pressure line


322


′ and a main vacuum line


324


′ distribute Phard and Vhard in the manifold assembly


324


. The pressure and vacuum sources


234


′ run continuously to supply Phard to the hard pressure line


322


′ and Vhard to the hard vacuum line


324


′. A pressure sensor S


2


monitors Phard in the hard pressure line


322


′. The sensor S


2


opens and closes the solenoid


38


to build Phard up to its maximum set value.




Similarly, a pressure sensor S


6


in the hard vacuum line


324


′ monitors Vhard. The sensor S


6


controls a solenoid


43


to maintain Vhard as its maximum value.




A general pressure line


326


′ branches from the hard pressure line


322


′. A sensor S


4


in the general pressure line


326


′ monitors Pgen. The sensor S


2


controls a solenoid


34


to maintain Pgen within its specified pressure range.




A general vacuum line


330


′ branches from the hard vacuum line


324


′. A sensor S


5


monitors Vgen in the general vacuum line


330


′. The sensor S


5


controls a solenoid


45


to keep Vgen within its specified vacuum range.




In-line reservoirs R


1


to R


4


are provided in the hard pressure line


322


, the general pressure line


326


′, the hard vacuum line


324


′, and the general vacuum line


330


′. The reservoirs R


1


to R


4


assure that the constant pressure and vacuum adjustments as above described are smooth and predictable.




The solenoids


32


and


43


provide a vent for the pressures and vacuums, respectively, upon procedure completion.




The solenoids


41


,


2


,


46


, and


47


provide the capability to isolate the reservoirs R


1


to R


4


from the air lines that supply vacuum and pressure to the pump and valve actuators. This provides for much quicker pressure/vacuum decay feedback, so that testing of cassette/manifold assembly seal integrity can be accomplished.




The solenoids


1


to


25


provide Phard or Vhard to drive the valve actuators VA


1


to V


25


. The solenoids


27


and


28


provide Pinpr and Vgen to drive the in-process and plasma pumps PP


1


and PP


2


. The solenoids


30


and


31


provide Pgen and Vgen to drive the donor interface pumps actuators PA


3


and PA


4


. The solenoid


29


provides Pgen and Vgen to drive the AC pump actuator PP


5


.




The solenoid


35


provides isolation of the door bladder


314


from the hard pressure line


322


′ during the procedure. A sensor S


1


monitors Pdoor and control the solenoid


35


to keep the pressure within its specified range.




The solenoid


40


provides Phard to open the safety occluder valve


320


′. Any error modes that might endanger the donor will relax (vent) the solenoid


40


to close the occluder


320


′ and isolate the donor. Similarly, any loss of power will relax the solenoid


40


and isolate the donor.




The sensor S


3


monitors Pcuff and communicates with solenoids


36


(for increases in pressure) and solenoid


37


(for venting) to maintain the donor cuff within its specified ranges during the procedure.




As before explained, any solenoid can be operated in “normally open” mode or can be re-routed pneumatically to be operated in a “normally closed” mode, and vice versa.




D. Exemplary Pumping Functions




Based upon the foregoing description of the programming of the fluid circuit


46


implemented by the cassette


28


, one can likewise program the fluid circuit


46


′ implemented by the cassette


28


′ to perform all the various blood process functions already described. Certain pumping functions for the fluid circuit


46


′, common to various blood processing procedures, will be described by way of example.




1. Whole Blood Flow To the In-process Container




In a first phase of a given blood collection cycle, the blood processing circuit


46


′ is programmed (through the selective application of pressure to the valves and pump stations of the cassette


28


′) to jointly operate the donor interface pumps PP


3


and PP


4


to transfer anticoagulated whole blood into the in-process container


312


′ prior to separation.




In a first phase (see FIG.


37


A), the pump PP


3


is operated in a ten second draw cycle(i.e., in through valves V


12


and V


13


, with valves V


6


, V


14


, V


18


, and V


15


closed) in tandem with the anticoagulant pump PP


5


(i.e., in through valve V


22


and out through valve V


21


) to draw anticoagulated blood through the donor tube


270


into the pump PP


3


. At the same time, the donor interface pump PP


4


is operated in a one second expel cycle to expel (out through valve V


7


) anticoagulant blood from its chamber into the process container


312


′ through flow paths F


20


and F


1


(through opened valve V


4


).




At the end of the draw cycle for pump PP


3


(see FIG.


37


B), the blood processing circuit


46


′ is programmed to operate the donor interface pump PP


4


in a ten second draw cycle(i.e., in through valves V


12


and V


14


, with valves V


13


, V


18


, and V


18


closed) in tandem with the anticoagulant pump PP


5


to draw anticoagulated blood through the donor tube


270


into the pump PP


4


. At the same time, the donor interface pump PP


3


is operated in a one second expel cycle to expel (out through valve V


6


) anticoagulant blood from its chamber into the process container


312


′ through the flow paths F


20


and F


1


(through opened valve V


4


).




These alternating cycles continue until an incremental volume of anticoagulated whole blood enters the in process container


312


′, as monitored by a weigh sensor. As

FIG. 37C

shows, the blood processing circuit


46


′ is programmed to operate the in-process pump station PP


1


(i.e., in through valve V


1


and out through valve V


16


) and the plasma pump PP


2


(i.e., in through valve V


17


and out through valve V


11


, with valve V


9


opened and valve V


10


closed) to convey anticoagulated whole blood from the in-process container


312


into the processing chamber


18


′ for separation, while removing plasma into the plasma container


304


(through opened valve V


9


) and red blood cells into the red blood cell container


308


(through open valve V


2


), in the manner previously described with respect to the circuit


46


. This phase continues until an incremental volume of plasma is collected in the plasma collection container


304


(as monitored by the weigh sensor) or until a targeted volume of red blood cells is collected in the red blood cell collection container (as monitored by the weigh sensor). The donor interface pumps PP


3


and PP


4


toggle to perform alternating draw and expel cycles as necessary to keep the volume of anticoagulated whole blood in the in-process container


312


′ between prescribed minimum and maximum levels, as blood processing proceeds.




2. Red Blood Cell Return with In-line Addition of Saline




When it is desired to return red blood cells to the donor (see FIG.


37


D), the blood processing circuit


46


′ is programmed to operate the donor interface pump station PP


3


in a ten second draw cycle(i.e., in through valve V


6


, with valves V


13


and V


7


closed) to draw red blood cells from the red blood cell container


308


′ into the pump PP


3


(through open valves V


2


, V


3


, and V


5


, valve V


10


being closed). At the same time, the donor interface pump PP


4


is operated in a one second expel cycle to expel (out through valves V


14


and V


18


, with valves V


12


and V


21


closed) red blood cells from its chamber to the donor through the filter cavity


200


′.




At the end of the draw cycle for pump PP


3


(see FIG.


37


E), the blood processing circuit


46


′ is programmed to operate the donor interface pump PP


4


in a ten second draw cycle(i.e., in through valve V


7


, with valves V


6


and V


14


closed) to draw red blood cells from the red blood cell container


308


′ into the pump PP


4


. At the same time, the donor interface pump PP


3


is operated in a one second expel cycle to expel (out through valves V


13


and V


18


, with valve V


12


closed) red blood cells from its chamber to the donor through the filter chamber


200


′. These alternating cycles continue until a desired volume of red blood cells are returned to the donor.




Simultaneously, valves V


24


, V


20


, and V


8


are opened, so that the drawing pump station PP


3


or PP


4


also draws saline from the saline container


288


′ for mixing with red blood cells drawn into the chamber. As before explained, the in line mixing of saline with the red blood cells raises the saline temperature and improves donor comfort, while also lowering the hematocrit of the red blood cells.




Simultaneously, the in-process pump PP


1


is operated (i.e., in through valve V


1


and out through valve V


16


) and the plasma pump PP


2


(i.e., in through valve V


17


and out through valve V


11


, with valve V


9


open) to convey anticoagulated whole blood from the in-process container


312


into the processing chamber for separation, while removing plasma into the plasma container


304


, in the manner previously described with respect to the fluid circuit


46


.




3. In-line Addition of Red Blood Cell Additive Solution




In a blood processing procedure where red blood cells are collected for storage (e.g., the Double Red Blood Cell Collection Procedure or the Red Blood Cell and Plasma Collection Procedure) the circuit


46


′ is programmed to operate the donor interface pump station PP


3


in a ten second draw cycle(in through valves V


15


and V


13


, with valve V


23


opened and valves V


8


, V


12


and V


18


closed) to draw red blood cell storage solution from the container


280


′ into the pump PP


3


(see

FIG. 38A

) Simultaneously, the circuit


46


′ is programmed to operate the donor interface pump station PP


4


in a one second expel cycle(out through valve V


7


, with valves V


14


and V


18


closed) to expel red blood cell storage solution to the container(s) where red blood cells reside (e.g., the in-process container


312


(through open valve V


4


) or the red blood cell collection container


308


′ (through open valves V


5


, V


3


, and V


2


, with valve V


10


closed).




At the end of the draw cycle for pump PP


3


(see FIG.


38


B), the blood processing circuit


46


′ is programmed to operate the donor interface pump PP


4


in a ten second draw cycle(i.e., in through valve V


14


, with valves V


7


, V


18


, V


12


, and V


13


closed) to draw red blood cell storage solution from the container


280


′ into the pump PP


4


. At the same time, the donor interface pump PP


3


is operated in a one second expel cycle to expel (out through valve V


6


, with valves V


13


and V


12


closed) red blood cell storage solution to the container(s) where red blood cells reside. These alternating cycles continue until a desired volume of red blood cell storage solution is added to the red blood cells.




4. In-line Leukocyte Depletion




Circuit


46


′ provides the capability to conduct on-line depletion of leukocytes from collected red blood cells. In this mode (see FIG.


39


A), the circuit


46


′ is programmed to operate the donor interface pump station PP


3


in a ten second draw cycle(in through valve V


6


, with valves V


13


and V


12


closed) to draw red blood cells from the container(s) where red blood cells reside (e.g., the in-process container


312


′ (through open valve V


4


) or the red blood cell collection container


308


(through open valves V


5


, V


3


, and V


2


, with valve V


10


closed) into the pump PP


3


. Simultaneously, the circuit


46


′ is programmed to operate the donor interface pump station PP


4


in a one second expel cycle(out through valve V


14


, with valves V


18


and V


8


closed and valves V


15


and V


25


opened) to expel red blood cells through tube


291


′ through the in-line leukocyte depletion filter


293


′ to the leukocyte-depleted red blood cell storage container


289


′.




At the end of the draw cycle for pump PP


3


(see FIG.


39


B), the blood processing circuit


46


′ is programmed to operate the donor interface pump PP


4


in a ten second draw cycle(i.e., in through valve V


7


, with valves V


14


and V


18


closed) to draw red blood cells from the container


312


′ or


308


′ into the pump PP


4


. At the same time, the donor interface pump PP


3


is operated in a one second expel cycle to expel (out through valve V


13


, with valve V


12


closed and valves V


15


and V


25


opened) red blood cells through tube


291


′ through the in-line leukocyte depletion filter


293


′ to the leukocyte-depleted red blood cell storage container


289


′. These alternating cycles continue until a desired volume of red blood cells are transferred through the filter


293


into the container


289


′.




5. Staged Buffy Coat Harvesting




In circuit


46


(see FIG.


5


), buffy coat is collected through port P


4


, which is served by flow line F


4


, which branches from flow line F


26


, which conveys plasma from the plasma pump station PP


2


to the plasma collection container


304


(also see FIG.


10


). In the circuit


46


′ (see FIG.


34


), the buffy coat is collected through the port P


4


from the flow path F


6


as controlled by valve V


19


. The buffy coat collection path bypasses the plasma pump station PP


2


, keeping the plasma pump station PP


2


free of exposure to the buffy coat, thereby keeping the collected plasma free of contamination by the buffy coat components.




During separation, the system controller (already described) maintains the buffy coat layer within the separation chamber


18


′ at a distance spaced from the low-G wall, away from the plasma collection line


292


(see FIG.


15


A). This allows the buffy coat component to accumulate during processing as plasma is conveyed by operation of the plasma pump PP


2


from the chamber into the plasma collection container


304


′.




To collect the accumulated buffy coat component, the controller opens the buffy coat collection valve V


19


, and closes the inlet valve V


17


of the plasma pump station PP


2


and the red blood cell collection valve V


2


. The in-process pump PP


1


continues to operate, bringing whole blood into the chamber


18


′. The flow of whole blood into the chamber


18


′ moves the buffy coat to the low-G wall, inducing an over spill condition) (see FIG.


15


B). The buffy coat component enters the plasma collection line


292


′ and enters flow path F


6


through the port P


6


. The circuit


46


′ conveys the buffy coat component in F


6


through the opened valve V


19


directly into path F


4


for passage through the port P


4


into the collection container


376


′.




The valve V


19


is closed when the sensing station


332


senses the presence of red blood cells. The plasma pumping station PP


2


can be temporarily operated in a reverse flow direction (in through the valve V


11


and out through the valve V


17


, with valve V


9


opened) to flow plasma from the collection container


302


′ through the tube


292


′ toward the separation chamber, to flush resident red blood from the tube


292


′ back into the separation chamber. The controller can resume normal plasma and red blood cell collection, by opening the red blood cell collection valve V


2


and operating the plasma pumping station PP


2


(in through valve V


17


and out through valve V


11


) to resume the conveyance of plasma from the separation chamber to the collection container


302


′.




Over spill conditions causing the movement of the buffy coat for collection can be induced at prescribed intervals during the process period, until a desired buffy coat volume is collected in the buffy coat collection container.




6. Miscellaneous




As

FIG. 43

shows in phantom lines, the manifold assembly


226


′ can include an auxiliary pneumatic actuator A


AUX


selectively apply P


HARD


to the region of the flexible diaphragm that overlies the interior cavity


201


′ (see FIG.


35


). As previously described, whole blood expelled by the pumping station PP


1


(by application of P


HARD


by actuator PA


2


), enters flow path F


5


through openings


203


′ and


205


′ into the processing chamber


18


′. During the next subsequent stroke of the PP


1


, to draw whole blood into the pumping chamber PP


1


by application of V


GEN


by actuator PA


2


, residual whole blood residing in the cavity


201


′ is expelled into flow path F


5


through opening


205


′, and into the processing chamber


18


′ by application of P


HARD


by A


AUX


. The cavity


201


′ also serves as a capacitor to dampen the pulsatile pump strokes of the in-process pump PP


1


serving the separation chamber


18


′.




It is desirable to conduct seal integrity testing of the cassette


28


′ shown in

FIG. 35 and 36

prior to use. The integrity test determines that the pump and valve stations within the cassette


28


′ function without leaking. In this situation, it is desirable to isolate the cassette


28


′ from the separation chamber


26


′. Valves V


19


and V


16


(see

FIG. 34

) in circuit


264


′ provide isolation for the whole blood inlet and plasma lines


292


′ and


296


′ of the chamber


18


′. To provide the capability of also isolating the red blood cell line


294


′, an extra valve fluid actuated station V


26


can be added in fluid flow path F


7


serving port P


7


. As further shown in phantom lines in

FIG. 43

, an addition valve actuator VA


26


can be added to the manifold assembly


26


′, to apply positive pressure to the valve V


26


, to close the valve V


26


when isolation is required, and to apply negative pressure to the valve V


26


, to open the valve when isolation is not required.




VII. Blood Separation Elements




A. Molded Processing Chamber





FIGS. 21

to


23


show an embodiment of the centrifugal processing chamber


18


, which can be used in association with the system


10


shown in FIG.


1


.




In the illustrated embodiment, the processing chamber


18


is preformed in a desired shape and configuration, e.g., by injection molding, from a rigid, biocompatible plastic material, such as a non-plasticized medical grade acrilonitrile-butadiene-styrene (ABS).




The preformed configuration of the chamber


18


includes a unitary, molded base


388


. The base


388


includes a center hub


120


. The hub


120


is surrounded radially by inside and outside annular walls


122


and


124


(see FIGS.


21


and


23


). Between them, the inside and outside annular walls


122


and


124


define a circumferential blood separation channel


126


. A molded annular wall


148


closes the bottom of the channel


126


(see FIG.


22


).




The top of the channel


126


is closed by a separately molded, flat lid


150


(which is shown separated in

FIG. 21

for the purpose of illustration). During assembly, the lid


150


is secured to the top of the chamber


18


, e.g., by use of a cylindrical sonic welding horn.




All contours, ports, channels, and walls that affect the blood separation process are preformed in the base


388


in a single, injection molded operation. Alternatively, the base


388


can be formed by separate molded parts, either by nesting cup shaped subassemblies or two symmetric halves.




The lid


150


comprises a simple flat part that can be easily welded to the base


388


. Because all features that affect the separation process are incorporated into one injection molded component, any tolerance differences between the base


388


and the lid


150


will not affect the separation efficiencies of the chamber


18


.




The contours, ports, channels, and walls that are preformed in the base


388


can vary. In the embodiment shown in

FIGS. 21

to


23


, circumferentially spaced pairs of stiffening walls


128


,


130


, and


132


emanate from the hub


120


to the inside annular wall


122


. The stiffening walls


128


,


130


,


132


provide rigidity to the chamber


18


.




As seen in

FIG. 23

, the inside annular wall


122


is open between one pair


130


of the stiffening walls. The opposing stiffening walls form an open interior region


134


in the hub


120


, which communicates with the channel


126


. Blood and fluids are introduced from the umbilicus


296


into and out of the separation channel


126


through this region


134


.




In this embodiment (as

FIG. 23

shows), a molded interior wall


136


formed inside the region


134


extends entirely across the channel


126


, joining the outside annular wall


124


. The wall


136


forms a terminus in the separation channel


126


, which interrupts flow circumferentially along the channel


126


during separation.




Additional molded interior walls divide the region


124


into three passages


142


,


144


, and


146


. The passages


142


,


144


, and


146


extend from the hub


120


and communicate with the channel


126


on opposite sides of the terminus wall


136


. Blood and other fluids are directed from the hub


120


into and out of the channel


126


through these passages


142


,


144


, and


146


. As will be explained in greater detail later, the passages


142


,


144


, and


146


can direct blood components into and out of the channel


126


in various flow patterns.




The underside of the base


388


(see

FIG. 22

) includes a shaped receptacle


179


. Three preformed nipples


180


occupy the receptacle


179


. Each nipple


180


leads to one of the passages


142


,


144


,


146


on the opposite side of the base


388


.




The far end of the umbilicus


296


includes a shaped mount


178


(see FIGS.


24


and


24


A). The mount


178


is shaped to correspond to the shape of the receptacle


179


. The mount


178


can thus be plugged into the receptacle


179


(as

FIG. 25

shows). The mount


178


includes interior lumens


398


(see FIG.


24


A), which slide over the nipples


180


in the hub


120


, to couple the umbilicus


296


in fluid communication with the channel


126


.




Ribs


181


within the receptacle


179


(see

FIG. 22

) uniquely fit within a key way


183


formed on the mount


178


(see FIG.


24


A). The unique fit between the ribs


181


and the key way


183


is arranged to require a particular orientation for plugging the shaped mount


178


into the shaped receptacle


179


. In this way, a desired flow orientation among the umbilicus


296


and the passages


142


,


144


, and


146


is assured.




In the illustrated embodiment, the umbilicus


296


and mount


178


are formed from a material or materials that withstand the considerable flexing and twisting forces, to which the umbilicus


296


is subjected during use. For example, a Hytrel® polyester material can be used.




This material, while well suited for the umbilicus


296


, is not compatible with the ABS plastic material of the base


388


, which is selected to provide a rigid, molded blood processing environment. The mount


178


thus cannot be attached by conventional by solvent bonding or ultrasonic welding techniques to the receptacle


179


.




In this arrangement (see FIGS.


24


and


25


), the dimensions of the shaped receptacle


179


and the shaped mount


178


are preferably selected to provide a tight, dry press fit. In addition, a capturing piece


185


, formed of ABS material (or another material compatible with the material of the base


388


), is preferably placed about the umbilicus


296


outside the receptacle in contact with the peripheral edges of the receptacle


179


. The capturing piece


185


is secured to the peripheral edges of the receptacle


179


, e.g., by swaging or ultrasonic welding techniques. The capturing piece


185


prevents inadvertent separation of the mount


178


from the receptacle


181


. In this way, the umbilicus


296


can be integrally connected to the base


388


of the chamber


18


, even though incompatible plastic materials are used.




The centrifuge station


20


(see

FIGS. 26

to


28


) includes a centrifuge assembly


48


. The centrifuge assembly


48


is constructed to receive and support the molded processing chamber


18


for use.




As illustrated, the centrifuge assembly


48


includes a yoke


154


having bottom, top, and side walls


156


,


158


,


160


. The yoke


154


spins on a bearing element


162


attached to the bottom wall


156


. An electric drive motor


164


is coupled via an axle to the bottom wall


156


of the collar


154


, to rotate the yoke


154


about an axis


64


. In the illustrated embodiment, the axis


64


is tilted about fifteen degrees above the horizontal plane of the base


38


, although other angular orientations can be used.




A rotor plate


166


spins within the yoke


154


about its own bearing element


168


, which is attached to the top wall


158


of the yoke


154


. The rotor plate


166


spins about an axis that is generally aligned with the axis of rotation


64


of the yoke


154


.




The top of the processing chamber


18


includes an annular lip


380


, to which the lid


150


is secured. Gripping tabs


382


carried on the periphery of the rotor plate


166


make snap-fit engagement with the lip


380


, to secure the processing chamber


18


on the rotor plate


166


for rotation.




A sheath


182


on the near end of the umbilicus


296


fits into a bracket


184


in the centrifuge station


20


. The bracket


184


holds the near end of the umbilicus


296


in a non-rotating stationary position aligned with the mutually aligned rotational axes


64


of the yoke


154


and rotor plate


166


.




An arm


186


protruding from either or both side walls


160


of the yoke


154


contacts the mid portion of the umbilicus


296


during rotation of the yoke


154


. Constrained by the bracket


184


at its near end and the chamber


16


at its far end (where the mount


178


is secured inside the receptacle


179


), the umbilicus


296


twists about its own axis as it rotates about the yoke axis


64


. The twirling of the umbilicus


296


about its axis as it rotates at one omega with the yoke


154


imparts a two omega rotation to the rotor plate


166


, and thus to the processing chamber


18


itself.




The relative rotation of the yoke


154


at a one omega rotational speed and the rotor plate


166


at a two omega rotational speed, keeps the umbilicus


296


untwisted, avoiding the need for rotating seals. The illustrated arrangement also allows a single drive motor


164


to impart rotation, through the umbilicus


296


, to the mutually rotating yoke


154


and rotor plate


166


. Further details of this arrangement are disclosed in Brown et al U.S. Pat. No. 4,120,449, which is incorporated herein by reference.




Blood is introduced into and separated within the processing chamber


18


as it rotates.




In one flow arrangement (see FIG.


29


), as the processing chamber


18


rotates (arrow R in FIG.


29


), the umbilicus


296


conveys whole blood into the channel


126


through the passage


146


. The whole blood flows in the channel


126


in the same direction as rotation (which is counterclockwise in FIG.


29


). Alternatively, the chamber


18


can be rotated in a direction opposite to the circumferential flow of whole blood, i.e., clockwise. The whole blood separates as a result of centrifugal forces in the manner shown in FIG.


15


A. Red blood cells are driven toward the high-G wall


124


, while lighter plasma constituent is displaced toward the low-G wall


122


.




In this flow pattern, a dam


384


projects into the channel


126


toward the high-G wall


124


. The dam


384


prevents passage of plasma, while allowing passage of red blood cells into a channel


386


recessed in the high-G wall


124


. The channel


386


directs the red blood cells into the umbilicus


296


through the radial passage


144


. The plasma constituent is conveyed from the channel


126


through the radial passage


142


into umbilicus


296


.




Because the red blood cell exit channel


386


extends outside the high-g wall


124


, being spaced further from the rotational axis than the high-g wall, the red blood cell exit channel


386


allows the positioning of the interface between the red blood cells and the buffy coat very close to the high-g wall


124


during blood processing, without spilling the buffy coat into the red blood cell collection passage


144


(creating an over spill condition). The recessed exit channel


386


thereby permits red blood cell yields to be maximized (in a red blood cell collection procedure) or an essentially platelet-free plasma to be collected (in a plasma collection procedure).




In an alternative flow arrangement (see FIG.


30


), the umbilicus


296


conveys whole blood into the channel


126


through the passage


142


. The processing chamber


18


rotates (arrow R in

FIG. 30

) in the same direction as whole blood flow (which is clockwise in FIG.


30


). Alternatively, the chamber


18


can be rotated in a direction opposite to the circumferential flow of whole blood, i.e., clockwise. The whole blood separates as a result of centrifugal forces in the manner shown in FIG.


15


A. Red blood cells are driven toward the high-G wall


124


, while lighter plasma constituent is displaced toward the low-G wall


122


.




In this flow pattern, the dam


384


(previously described) prevents passage of plasma, while allowing passage of red blood cells into the recessed channel


386


. The channel


386


directs the red blood cells into the umbilicus


296


through the radial passage


144


. The plasma constituent is conveyed from the opposite end of the channel


126


through the radial passage


146


into umbilicus


296


.




In another alternative flow arrangement (see FIG.


31


), the umbilicus


296


conveys whole blood into the channel


126


through the passage


144


. The processing chamber


18


is rotated (arrow R in

FIG. 31

) in the same direction as blood flow (which is clockwise in FIG.


31


). Alternatively, the chamber


18


can be rotated in a direction opposite to the circumferential flow of whole blood, i.e., counterclockwise. The whole blood separates as a result of centrifugal forces in the manner shown in FIG.


15


A. Red blood cells are driven toward the high-G wall


124


, while lighter plasma constituent is displaced toward the low-G wall


122


.




In this flow pattern, a dam


385


at the opposite end of the channel


126


prevents passage of plasma, while allowing passage of red blood cells into a recessed channel


387


. The channel


387


directs the red blood cells into the umbilicus


296


through the radial passage


146


. The plasma constituent is conveyed from the other end of the channel


126


through the radial passage


142


into umbilicus


296


. In this arrangement, the presence of the dam


384


and the recessed passage


386


(previously described) separates incoming whole blood flow (in passageway


144


) from outgoing plasma flow (in passageway


142


). This flow arrangement makes possible the collection of platelet-rich plasma, if desired.




In another alternative flow arrangement (see FIG.


32


), the passage


144


extends from the hub


120


into the channel


126


in a direction different than the passages


142


and


146


. In this arrangement, the terminus wall


136


separates the passages


142


and


146


, and the passage


144


communicates with the channel


126


at a location that lays between the passages


142


and


146


. In this arrangement, the umbilicus


296


conveys whole blood into the channel


126


through the passage


146


. The processing chamber


18


is rotated (arrow R in

FIG. 32

) in the same direction as blood flow (which is clockwise in FIG.


32


). Alternatively, the chamber


18


can be rotated in a direction opposite to the circumferential flow of whole blood, i.e., counterclockwise. The whole blood separates as a result of centrifugal forces in the manner shown in FIG.


15


A. Red blood cells are driven toward the high-G wall


124


, while lighter plasma constituent is displaced toward the low-G wall


122


.




In this flow pattern, the passage


144


conveys plasma from the channel


126


, while the passage


142


conveys red blood cells from the channel


126


.




As previously mentioned, in any of the flow patterns shown in

FIGS. 28

to


32


, the chamber


18


can be rotated in the same direction or in an opposite direction to circumferential flow of whole blood in the channel


126


. Blood separation as described will occur in either circumstance. Nevertheless, it has been discovered that, rotating the chamber


18


in the same direction as the flow of whole blood in the channel


126


during separation, appears to minimize disturbances due, e.g., Coriolis effects, resulting in increased separation efficiencies.




EXAMPLE




Whole blood was separated during various experiments into red blood cells and plasma in processing chambers


18


like that shown in FIG.


28


. In one chamber (which will be called Chamber


1


), whole blood circumferentially flowed in the channel


126


in the same direction as the chamber


18


was rotated (i.e., the chamber


18


was rotated in a counterclockwise direction). In the other chamber


18


(which will be called Chamber


2


), whole blood circumferentially flowed in the channel


126


in a direction opposite to chamber rotation (i.e., the chamber


18


was rotated in a clockwise direction). The average hematocrit for red blood cells collected were measured for various blood volume samples, processed at different combinations of whole blood inlet flow rates and plasma outlet flow rates. The following Tables summarize the results for the various experiments.












TABLE 1











(Flow in the Same Direction as Rotation)













Number of Blood





Average Hematocrit of






Samples




Average Whole Blood




Red Blood Cells






Processed




Hematocrit (%)




Collected









7




45.4




74.8






4




40




78.8






















TABLE 2











(Flow in the Opposite Direction as Rotation)













Number of Blood





Average Hematocrit of






Samples




Average Whole Blood




Red Blood Cells






Processed




Hematocrit (%)




Collected









3




43.5




55.5






2




42.25




58.25














Tables 1 and 2 show that, when blood flow in the chamber is in the same direction as rotation, the hematocrit of red blood cells is greater than when blood flow is in the opposite direction. A greater yield of red blood cells also means a greater yield of plasma during the procedure.





FIG. 33

shows a chamber


18


′ having a unitary molded base


388


′ like that shown in

FIGS. 21

to


23


, but in which two flow paths


126


′ and


390


are formed. The flow paths


126


′ and


390


are shown to be concentric, but they need not be. The chamber


18


′ shares many other structural features in common with the chamber


18


shown in FIG.


23


. Common structural features are identified by the same reference number marked with an asterisk.




The base


388


′ includes a center hub


120


′ which is surrounded radially by the inside and outside annular walls


122


′ and


124


′, defining between them the circumferential blood separation channel


126


′. In this embodiment, a second inside annular wall


392


radially surrounds the hub


120


′. The second circumferential blood separation channel


390


is defined between the inside annular walls


122


′ and


392


. This construction forms the concentric outside and inside separation channels


126


′ and


390


.




An interruption


394


in the annular wall


122


′ adjacent to the dam


384


′ establishes flow communication between the outside channel


126


′ and the inside channel


390


. An interior wall


396


blocks flow communication between the channels


126


′ and


390


at their opposite ends.




As the processing chamber


18


′ rotates (arrow R in FIG.


33


), the umbilicus


296


conveys whole blood into the outside channel


126


′ through the passage


144


′. The whole blood flows in the channel


126


′ in the same direction as rotation (which is counterclockwise in FIG.


33


). Alternatively, the chamber


18


′ can be rotated in a direction opposite to the circumferential flow of whole blood, i.e., clockwise. The whole blood separates in the outside channel


126


′ as a result of centrifugal forces in the manner shown in FIG.


15


A. Red blood cells are driven toward the high-G wall


124


′, while lighter plasma constituent is displaced toward the low-G wall


122


′.




As previously described, the dam


384


′ prevents passage of plasma, while allowing passage of red blood cells into a channel


386


′ recessed in the high-G wall


124


′. The channel


386


′ directs the red blood cells into the umbilicus


296


through the radial passage


142


′. The plasma constituent is conveyed from the channel


126


′ through the interruption


394


into the inside separation channel


390


.




The plasma flows circumferentially flow through the inside channel


390


in a direction opposite to the whole blood in the outside channel


126


′. Platelets remaining in the plasma migrate in response to centrifugal forces against the annular wall


124


′. The channel


390


directs the plasma constituent to the same end of the chamber


18


′ where whole blood is initially introduced. The plasma constituent is conveyed from the channel


390


by the passage


146


′.




VIII. Other Blood Processing Functions




The many features of the invention have been demonstrated by describing their use in separating whole blood into component parts for storage and blood component therapy. This is because the invention is well adapted for use in carrying out these blood processing procedures. It should be appreciated, however, that the features of the invention equally lend themselves to use in other blood processing procedures.




For example, the systems and methods described,.which make use of a programmable cassette in association with a blood processing chamber, can be used for the purpose of washing or salvaging blood cells during surgery, or for the purpose of conducting therapeutic plasma exchange, or in any other procedure where blood is circulated in an extracorporeal path for treatment.




Features of the invention are set forth in the following claims.



Claims
  • 1. A blood processing system comprisinga separation device that operates to separate blood subject to a positive processing pressure, a fluid pressure actuated blood pump comprising a pump chamber responsive to an applied negative pump pressure to draw blood into the pump chamber and an applied positive pump pressure to expel blood from the pump chamber, a fluid pressure actuated inlet valve governing communicating between the pump chamber and a source of blood responsive to an applied positive valve pressure to close the inlet valve and an applied negative valve pressure to open the inlet valve, a fluid pressure actuated outlet valve governing communicating between the pump chamber and the separation device comprising a valve chamber responsive to an applied positive valve pressure to close the outlet valve and an applied negative valve pressure to open the outlet valve, and an actuator operating to selectively apply positive and negative fluid pressure conditions to the blood pump, inlet valve, and outlet valve; the actuator applying a first negative valve pressure to the inlet valve at a first absolute magnitude; the actuator applying a second negative pump pressure to the blood pump at a second absolute magnitude; the actuator applying a first positive valve pressure to the outlet valve at a third absolute magnitude; said first absolute magnitude greater than said second absolute magnitude; said third absolute magnitude greater than the absolute magnitude of the positive processing pressure.
  • 2. A system according to claim 1wherein the fluid pressure comprises positive and negative pneumatic pressure.
  • 3. A blood processing system comprisinga separation device that operates to separate blood subject to a positive processing pressure, a fluid pressure actuated blood pump comprising a pump chamber responsive to an applied negative pump pressure to draw blood into the pump chamber and an applied positive pump pressure to expel blood from the pump chamber, a fluid pressure actuated inlet valve governing communicating between the pump chamber and a source of blood and comprising a valve chamber responsive to an applied positive valve pressure to close the inlet valve and an applied negative valve pressure to open the inlet valve, a fluid pressure actuated outlet valve governing communicating between the pump chamber and the separation device comprising a valve chamber responsive to an applied positive valve pressure to close the outlet valve and an applied negative valve pressure to open the outlet valve, and an actuator operating to selectively apply positive and negative fluid pressure conditions to the blood pump, inlet valve, and outlet valve, the actuator applying a first positive valve pressure to the inlet valve while applying a second positive pump pressure to the blood pump and while applying first negative valve pressure to the outlet valve, the actuator controlling absolute magnitudes of the pressures such that (i) the absolute magnitude of the second positive pump pressure is not greater than the absolute magnitude of the first positive valve pressure and (ii) the absolute magnitude of the negative valve pressure is greater than the absolute magnitude of the positive processing pressure.
  • 4. A system according to claim 3wherein the actuator applies a first negative valve pressure to the inlet valve while applying a second negative pump pressure to the blood pump and while applying first positive valve pressure to the outlet valve, the actuator controlling absolute magnitudes of the pressures such that (i) the absolute magnitude of the first negative valve pressure is greater than the absolute magnitude of the second negative pump pressure and (ii) the absolute magnitude of the first positive valve pressure is greater than the absolute magnitude of the positive processing pressure.
  • 5. A system according to claim 3wherein the fluid pressure comprises positive and negative pneumatic pressure.
  • 6. A method of processing blood using a blood separation device that separates blood subject to a positive processing pressure, the method comprising the steps ofcoupling a fluid pressure actuated blood pump to the blood separation device and to a source of blood, the blood pump operating in response to an applied negative pump pressure to draw blood into the pump chamber and an applied positive pump pressure to expel blood from the pump chamber, governing communication between the source and the blood pump by a fluid pressure actuated inlet valve that operates in response to an applied positive valve pressure to close the inlet valve and an applied negative valve pressure to open the inlet valve, governing communication between the blood pump and the blood separation device by a fluid pressure actuated outlet valve that operates in response to an applied positive valve pressure to close the outlet valve and an applied negative valve pressure to open the outlet valve, and applying a first negative valve pressure to the inlet valve while applying a second negative pump pressure to the blood pump and while applying first positive valve pressure to the outlet valve, and controlling absolute magnitudes of the pressures such that (i) the absolute magnitude of the first negative valve pressure is greater than the absolute magnitude of the second negative pump pressure and (ii) the absolute magnitude of the first positive valve pressure is greater than the absolute magnitude of the positive processing pressure.
  • 7. A method according to claim 4wherein the fluid pressure comprises positive and negative pneumatic pressure.
  • 8. A method of processing blood using a blood separation device that separates blood subject to a positive processing pressure, the method comprising the steps ofcoupling a fluid pressure actuated blood pump to the blood separation device and to a source of blood, the blood pump operating in response to an applied negative pump pressure to draw blood into the pump chamber and an applied positive pump pressure to expel blood from the pump chamber, governing communication between the source and the blood pump by a fluid pressure actuated inlet valve that operates in response to an applied positive valve pressure to close the inlet valve and an applied negative valve pressure to open the inlet valve, governing communication between the blood pump and the blood separation device by a fluid pressure actuated outlet valve that operates in response to an applied positive valve pressure to close the outlet valve and an applied negative valve pressure to open the outlet valve, and operating the blood pump by applying a first positive valve pressure to the inlet valve while applying a second positive pump pressure to the blood pump and while applying first negative valve pressure to the outlet valve, controlling absolute magnitudes of the pressures such that (i) the absolute magnitude of the second positive pump pressure is not greater than the absolute magnitude of the first positive valve pressure and (ii) the absolute magnitude of the negative valve pressure is greater than the absolute magnitude of the positive processing pressure.
  • 9. A method according to claim 8 further including the steps ofoperating the blood pump by applying a first negative valve pressure to the inlet valve while applying a second negative pump pressure to the blood pump and while applying first positive valve pressure to the outlet valve, and controlling absolute magnitudes of the pressures such that (i) the absolute magnitude of the first negative valve pressure is greater than the absolute magnitude of the second negative pump pressure and (ii) the absolute magnitude of the first positive valve pressure is greater than the absolute magnitude of the positive processing pressure.
  • 10. A method according to claim 8wherein the fluid pressure comprises positive and negative pneumatic pressure.
  • 11. A blood processing system comprisinga separation device that operates to separate blood subject to a positive processing pressure, a fluid pressure actuated blood pump comprising a pump chamber responsive to an applied negative pump pressure to draw blood into the pump chamber and an applied positive pump pressure to expel blood from the pump chamber, said applied positive and negative pressures to the pump chamber applied through a first air line; a fluid pressure actuated inlet valve governing communicating between the pump chamber and a source of blood responsive to an applied positive valve pressure to close the inlet valve and an applied negative valve pressure to open the inlet valve, said applied positive and negative pressures to the inlet valve applied through a second air line; a fluid pressure actuated outlet valve governing communicating between the pump chamber and the separation device comprising a valve chamber responsive to an applied positive valve pressure to close the outlet valve and an applied negative valve pressure to open the outlet valve, said applied positive and negative pressures to the outlet valve applied through a third air line; said applied positive and negative pressures to the pump chamber applied through the first air line having an absolute magnitude less than an absolute magnitude of said applied positive and negative pressures to the inlet valve applied through said second air line; and said applied positive and negative pressures to the pump chamber applied through the first air line having an absolute magnitude less than an absolute magnitude of said applied positive and negative pressures to the outlet valve applied through said third air line.
  • 12. A blood processing system comprisinga separation device that operates to separate blood subject to a positive processing pressure, a fluid pressure actuated blood pump, said pump responsive to fluid pressure having a first absolute magnitude; a fluid pressure actuated inlet valve governing communicating between the pump chamber and a source of blood, said inlet valve responsive to fluid pressure having a second absolute magnitude; a fluid pressure actuated outlet valve governing communicating between the pump chamber and the separation device, said outlet valve responsive to fluid pressure having a third absolute magnitude; the first absolute magnitude less than the second and third absolute magnitudes, whereby the inlet and outlet valves are not be actuated by fluid pressure applied to the pump.
US Referenced Citations (62)
Number Name Date Kind
3681899 Grote Aug 1972 A
4077882 Gangemi Mar 1978 A
4119120 Mehaffy et al. Oct 1978 A
4285464 Latham, Jr. Aug 1981 A
4410341 Edwards et al. Oct 1983 A
4447191 Bilstad et al. May 1984 A
4479760 Bilstad et al. Oct 1984 A
4479761 Bilstad et al. Oct 1984 A
4479762 Bilstad et al. Oct 1984 A
4481827 Bilstad et al. Nov 1984 A
4486189 Troutner et al. Dec 1984 A
4526515 Devries Jul 1985 A
4776964 Schoendorfer et al. Oct 1988 A
4778451 Kamen Oct 1988 A
4808161 Kamen Feb 1989 A
4816019 Kamen Mar 1989 A
4828543 Weiss et al. May 1989 A
4858883 Webster Aug 1989 A
4865584 Epstein et al. Sep 1989 A
4954128 Ford Sep 1990 A
4965846 Williamson, IV Oct 1990 A
5062774 Kramer et al. Nov 1991 A
5088515 Kamen Feb 1992 A
5108367 Epstein et al. Apr 1992 A
5178182 Kamen Jan 1993 A
5178603 Prince Jan 1993 A
5193990 Kamen et al. Mar 1993 A
5232437 Lysaght et al. Aug 1993 A
5273517 Barone et al. Dec 1993 A
5311908 Barone et al. May 1994 A
5350357 Kamen et al. Sep 1994 A
5421823 Kamen et al. Jun 1995 A
5431626 Bryant et al. Jul 1995 A
5437624 Langley Aug 1995 A
5438510 Bryant et al. Aug 1995 A
5462416 Dennehey et al. Oct 1995 A
5474683 Bryant et al. Dec 1995 A
5482440 Dennehey et al. Jan 1996 A
5588816 Abbott et al. Dec 1996 A
5593290 Greisch et al. Jan 1997 A
5628908 Kamen et al. May 1997 A
5634896 Bryant et al. Jun 1997 A
5651766 Kingsley et al. Jul 1997 A
5676644 Toavs et al. Oct 1997 A
5722947 Jeppsson et al. Mar 1998 A
5738796 Bormann et al. Apr 1998 A
5746708 Giesler et al. May 1998 A
5746719 Farra et al. May 1998 A
5755683 Houle et al. May 1998 A
5762791 Deniega Jun 1998 A
5769811 Stacey et al. Jun 1998 A
5795317 Brierton et al. Aug 1998 A
5871693 Lindsay Feb 1999 A
5921951 Morris Jul 1999 A
5938634 Packard Aug 1999 A
5344568 Kitaevich et al. Sep 1999 A
5951509 Morris Sep 1999 A
5989438 Fumiyama Nov 1999 A
6071423 Brown et al. Jun 2000 A
6106498 Friedli et al. Aug 2000 A
RE36871 Epstein et al. Sep 2000 E
6419822 Muller et al. Jul 2002 B2
Foreign Referenced Citations (8)
Number Date Country
0771569 May 1997 EP
WO 9640319 Dec 1926 WO
WO 9520985 Aug 1995 WO
WO 9640328 Dec 1996 WO
WO 9702059 Jan 1997 WO
WO 9709074 Mar 1997 WO
WO 9822163 May 1998 WO
WO 9822165 May 1998 WO
Non-Patent Literature Citations (1)
Entry
Therakos Brochure Circa 1998.