Core for blood processing apparatus

Information

  • Patent Grant
  • 6629919
  • Patent Number
    6,629,919
  • Date Filed
    Thursday, January 18, 2001
    24 years ago
  • Date Issued
    Tuesday, October 7, 2003
    21 years ago
Abstract
The invention is directed to a centrifugation bowl with a rotating core. The centrifugation bowl includes a rotating bowl body which defines a primary separation chamber. The core, which is generally cylindrically shaped and is disposed within the bowl body, defines a secondary separation chamber. A stationary header assembly may be mounted on top of the bowl body through a rotating seal. The stationary header assembly includes an inlet port for receiving whole blood and an outlet port from which one or more blood components are withdrawn. The inlet port is in fluid communication with a feed tube that extends into the primary separation chamber. The outlet port is in fluid communication with an effluent tube that extends into the bowl body. The effluent tube includes an entryway at a first radial position relative to a central, rotating axis of the bowl. The core is arranged at a second radial position that is outboard from the entryway to the effluent tube and includes one or more core passageways for providing fluid communication between the primary and secondary separation chambers. A sealed region is formed at the upper edge of the core relative to its attachment point to the bowl body. Also provided is a method for recovering a whole blood fraction from a donor using the core of the present invention.
Description




BACKGROUND OF THE INVENTION




1. Field of the Invention




The invention relates to centrifugation bowls for separating blood and other biological fluids. More specifically, the present invention relates to a centrifugation bowl having an improved core that aids in separating and harvesting individual blood components from whole blood.




2. Background Information




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




One method of separating whole blood into its various constituent fractions, including plasma, is “bag” centrifugation. According to this process, one or more units of anti-coagulated whole blood are pooled into a bag. The bag is then inserted into a lab centrifuge and spun at very high speed, subjecting the blood to many times the force of gravity. This causes the various blood components to separate into layers according to their densities. In particular, the more dense components, such as red blood cells, separate from the less dense components, such as white blood cells and plasma. Each of the blood components may then be expressed from the bag and individually collected.




Another separation method is known as bowl centrifugation. U.S. Pat. No. 4,983,158 issued Jan. 8, 1991 to Headley (“the '158 patent”) discloses a centrifuge bowl having a seamless bowl body and an inner core including four peripheral slots located at the top of the core. The centrifuge bowl is inserted in a chuck which rotates the bowl at high speed. Centrifugation utilizing this device is accomplish by withdrawing whole blood from a donor, mixing it with anticoagulant and pumping it into the rotating centrifuge bowl. The more dense red blood cells are forced radially outward from the bowl's central axis and collected along the inner wall of the bowl. The less dense plasma is displaced inwardly toward the core and allowed to escape through the slots. The plasma is forced through an outlet of the bowl and is separately collected.




The centrifugation bowl of the '158 patent can also be used to perform apheresis. Apheresis is a process in which whole blood is withdrawn from a donor and separated and the blood components of interest are collected while the other blood components are retransfused into the donor. By returning some blood components to the donor (e.g., red blood cells), greater quantities of other components (e.g., plasma) can generally be collected.




Despite the centrifugation system's generally high separation efficiency, the collected plasma can nonetheless contain some residual blood cells. For example, in a disposable harness utilizing a blow-molded centrifuge bowl, the collected plasma typically contains from 0.1 to 30 white blood cells and from 5,000 to 50,000 platelets per need to keep the bowl's filling rate in excess of 60 milliliters per minute (ml/min.) to minimize the collection time, thereby causing slight re-mixing of blood components within the bowl.




Another method of separating whole blood into its individual components is membrane filtration. Membrane filtration processes typically incorporate either internal or external filter media. U.S. Pat. No. 4,871,462 issued to Baxter (“the '462 patent”) provides one example of a membrane filtration system using an internal filter. The device of the '462 patent includes a filter having a stationary cylindrical container that houses a rotatable, cylindrical filter membrane. The container and the membrane cooperate to define a narrow gap between the side wall of the container and the filter membrane. Whole blood is introduced into this narrow gap during apheresis. Rotation of the inner filter membrane at sufficient speed generates so-called Taylor vortices in the fluid. The presence of Taylor vortices basically causes shear forces that drive plasma through the membrane, while sweeping red blood cells away.




The prior art membrane filtration devices can often produce a purer blood product, i.e., a blood fraction (e.g., plasma) having fewer residual cells (e.g., white blood cells). However, they typically comprise many intricate components some of which can be relatively costly, making them complicated to manufacture and expensive to produce. Prior art centrifugation devices, conversely, are typically less expensive to produce because they are often simpler in design and require fewer parts and/or materials. Such devices, however, may not produce blood components having the same purity characteristics as membrane filtration devices.




Centrifugation and membrane filtration can also be combined into a single blood processing system.

FIG. 1

, for example, illustrates a bowl centrifugation system


100


that also includes an external filter medium


142


. The system


100


includes a disposable harness


102


that is loaded onto a blood processing machine


104


. The harness


102


includes a phlebotomy needle


106


for withdrawing blood from a donor's arm


108


, a container of anti-coagulant solution


110


, a temporary red blood cell (RBC) storage bag


112


, a centrifugation bowl


114


, a primary plasma collection bag


116


and a final plasma collection bag


118


. An inlet line


120


couples the phlebotomy needle


106


to an inlet port


122


of the bowl


114


, and an outlet line


124


couples an outlet port


126


of the bowl


114


to the primary plasma collection bag


116


. A filter


142


is disposed in a secondary outlet line


144


that couples the primary and final plasma collection bags


116


,


118


together. The blood processing machine


104


includes a controller


130


, a motor


132


, a centrifuge chuck


134


, and two peristaltic pumps


136


and


138


. The controller


130


is operably coupled to the two pumps


136


and


138


and to the motor


132


which, in turn, drives the chuck


134


.




In operation, the inlet line


120


is fed through the first peristaltic pump


136


and a feed line


140


from the anti-coagulant


110


, which is coupled to the inlet line


120


, is fed through the second peristaltic pump


138


. The centrifugation bowl


114


is also inserted into the chuck


134


. The phlebotomy needle


106


is then inserted into the donor's arm


108


and the controller


130


activates the two peristaltic pumps


136


,


138


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


120


and into the centrifugation bowl


114


. Controller


130


also activates the motor


132


to rotate the bowl


114


via the chuck


134


at high speed. Rotation of the bowl


114


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


114


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


114


and is discharged from the bowl's outlet port


126


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


124


to the primary plasma collection bag


116


.




When all the plasma has been removed and the bowl


114


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


136


is reversed to transport the RBCs from the bowl


114


to the temporary RBC collection bag


112


. Once the bowl


114


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


114


and in the temporary RBC collection bag


112


are returned to the donor through the phlebotomy needle


106


. The primary plasma collection bag


116


, which is now full of plasma, is then processed. In particular, a valve (not shown) is opened allowing plasma to flow through the secondary outlet line


144


, the filter


142


, and into the final plasma collection bag


118


.




Although the combined system of

FIG. 1

may produce a purer blood product as compared to conventional centrifugation, it is far more expensive to manufacture.




SUMMARY OF THE INVENTION




Briefly, the present invention is directed to a centrifugation bowl with a rotating core having a novel configuration. The centrifugation bowl includes a rotating bowl body which defines a primary separation chamber. A stationary header assembly is mounted on top of the bowl body through a rotating seal. The stationary header assembly includes an inlet port for receiving whole blood and an outlet port from which one or more blood components are withdrawn. The inlet port is in fluid communication with a feed tube that extends into the primary separation chamber. The outlet port is in fluid communication with an effluent tube that extends into the bowl body. The effluent tube includes an entryway at a first radial position relative to a central, rotating axis of the bowl. The core, which is generally cylindrically shaped, is also disposed within the bowl body and defines a secondary separation chamber therein. The core or at least a portion thereof is arranged at a second radial position that is outboard from the entryway to the effluent tube and includes one or more passageways for providing fluid communication between the primary and secondary separation chambers.




In accordance with the present invention, the core has a sealed region at its upper edge relative to both the header assembly and the core's attachment point to the bowl. The sealed region is free of any perforations, slots or holes and extends a substantial axial length of the core, e.g., one-quarter or more of the core's length. Adjacent to the sealed region is a fluid transfer region, which may extend the remaining length of the core, e.g., three-quarters of the core's length. The one or more passageways, which in the preferred embodiment are circular holes, are located in the fluid transfer region of the core. By incorporating an the upper solid region, which is free of any perforations, slots or holes, the upper most passageway through the core is distally positioned relative to the header assembly and the core's attachment point.




In operation, the bowl is rotated by a centrifuge chuck. Anti-coagulated whole blood is delivered to the inlet port and flows through the feed tube into the bowl body. The centrifugal forces generated within the separation chamber by rotation of the bowl cause the whole blood to separate into its discrete components in the primary separation chamber. In particular, denser red blood cells form a first layer against the periphery of the bowl body and the remaining components, consisting essentially of plasma, which is less dense than red blood cells, form an annular-shaped second layer inside of the red blood cell layer. As more whole blood is delivered to the bowl body, the annular-shaped plasma layer closes in on and eventually contacts the core. The plasma layer, including some non-plasma blood components, passes through the passageways in the transfer region of the core and enters the secondary separation chamber.




Within the secondary separation chamber, the same centrifugal forces generated by rotation of the bowl induce further separation of the plasma component from the non-plasma blood components within the core. The plasma separated within the secondary chamber is driven toward the entryway of the effluent tube where it is withdrawn from the bowl. The combination of the sealed and transfer regions of the core help establish a more uniform flow pattern, thereby facilitating further separation of the plasma within the secondary separation chamber. Non-plasma components that entered the secondary separation chamber are preferably kept away from the effluent tube, and may even be forced back into the primary separation chamber through additional passageways in the transfer region of the core. To collect additional blood components beside plasma, rotation of the bowl is continued, thereby permitting platelets, white blood cells and/or red blood cells to be harvested as well.











BRIEF DESCRIPTION OF THE DRAWINGS




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





FIG. 1

, previously discussed, is a block diagram of a plasmapherisis system;





FIG. 2

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





FIG. 3

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

FIG. 2

, illustrating a preferred embodiment of the core of the present invention;





FIG. 3A

is an expanded, partial view of the bowl of

FIG. 3

;





FIG. 4

is a partial-sectional side view of the centrifugation bowl taken at lines


4





4


of

FIG. 3

;





FIGS. 5-7

are side elevation views, taken in section, of alternative configurations of the core of the present invention;





FIG. 8

is a side elevation view, taken in section, of a second alternative configuration of the core of the present invention; and





FIGS. 9 and 10

are side elevation views, taken in section, of variations of the core shown in FIG.


8


.











DETAILED DESCRIPTION OF AN ILLUSTRATIVE EMBODIMENT





FIG. 2

is a schematic block diagram of a blood processing system


200


in accordance with the present invention. System


200


includes a disposable collection set


202


that may be loaded onto a blood processing machine


204


. The collection set


202


includes a phlebotomy needle


206


for withdrawing blood from a donor's arm


208


, a container of anti-coagulant


210


, such as AS-3, which is made by MedSep, a division of Pall Corporation, a temporary red blood cell (RBC) storage bag


212


(which is optional depending on the blood component being collected and the number of cycles being performed), a centrifugation bowl


214


and a final plasma collection bag


216


. An inlet line


218


couples the phlebotomy needle


206


to an inlet port


220


of the bowl


214


, and an outlet line


222


couples an outlet port


224


of the bowl


214


to the plasma collection bag


216


. A feed line


225


connects the anti-coagulant


210


to the inlet line


218


. The blood processing machine


204


includes a controller


226


, a motor


228


, a centrifuge chuck


230


, and two peristaltic pumps


232


and


234


. The controller


226


is operably coupled to the two pumps


232


and


234


, and to the motor


228


, which, in turn, drives the chuck


230


.




One example of a suitable blood processing machine for use with the present invention is the PCS®2 System which is commercially available from Haemonetics Corporation of Braintree, Mass. This device is used to collect plasma.




Configuration of the Centrifuge Bowl of the Present Invention





FIG. 3

is a cross-sectional side view of the centrifugation bowl


214


of the present invention. Bowl


214


includes a generally cylindrical bowl body


302


which defines an enclosed primary separation chamber


304


. The bowl body


302


includes a base


306


, an open top


308


and a side wall


310


. The bowl


214


further includes a header or cap assembly


312


that is mounted to the top


308


of the bowl body


302


by a ring-shaped rotating seal. The header assembly


312


includes an inlet port


220


and an outlet port


224


. Extending from the header assembly


312


into the separation chamber


304


is a feed tube


316


that is in fluid communication with inlet port


220


. The feed tube


316


has an opening


318


that, when the header is mounted to the bowl body, is preferably positioned proximate to the base


306


of the bowl body


302


so that liquid flowing through the feed tube


316


is discharged at the base


306


of the bowl body


302


. The header assembly


312


also includes an outlet, such as an effluent tube


320


, that is disposed within the bowl


214


. The effluent tube


320


may be positioned proximate to the top


308


of the bowl body


302


. In the preferred embodiment, the effluent tube


320


is formed from a pair of spaced-apart disks


322




a


,


322




b


that define a passageway


324


whose generally circumferential entryway


326


is located at a first radial position, R


1


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


214


.




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




Disposed within the bowl body


302


is a core


328


having a generally cylindrical outer wall


330


having an outer surface


325


and an inner surface


327


relative to axis A—A. Outer wall


330


, or at least a portion thereof is preferably disposed at a second radial position, R


2


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


1


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


326


to the passageway


324


. Core


328


may, but need not, include an inner wall


340


that can be joined to the inner surface


327


of outer wall


330


either directly or via a skirt


342


. Inner wall


340


, which includes first and second ends


343


,


344


that are open to receive feed tube


316


, can be conical in configuration and may be in the form of a truncated cone. As described in more detail below, the core


328


defines a secondary separation chamber


360


located inboard of outer wall


330


relative to axis A—A. Secondary separation chamber


360


may be bounded by the outer wall


330


, skirt


342


and inner wall


340


.





FIG. 3A

is an enlarged, partial view of the bowl and core of FIG.


3


. As shown, the bowl top


308


defines an opening


366


into which the core


328


is received during assembly of the bowl


214


. The bowl top


308


may further define a neck portion


380


that extends at least partially in the axial direction and defines an inner surface


380




a


. An upper portion


382


of the core


328


matingly engages the inner surface


380




a


of the bowl neck


380


so as to provide a fluid seal therebetween. That is, core upper portion


382


may be bonded to the inner surface


380




a


of the neck


380


. Alternatively or additionally, the core upper portion


382


may threadably engage the inner surface


380




a


of the neck


380


. As a result, core


328


has an overall axial length “L” and a useful axial length “U” which is defined as that part of the core


328


that extends into the primary separation chamber


304


. The useful length “U” basically equals the overall length “L” minus the axial length of the bowl neck


380


.




In a preferred embodiment, the core's useful length “U” extends along a substantial axial length (e.g., 50% or more) of the bowl body


302


. The core


328


is preferably symmetrical about the axis of rotation. In other words, the axis of the generally cylindrical core


328


is aligned with the axis of rotation A—A, when the core


328


is inserted into the bowl body


302


. The core


328


has a top portion


364


, which, when inserted in the bowl body


302


, may be proximate to the open top


308


of the bowl body


302


. In accordance with the present invention, outer wall


330


includes a sealed region


370


and a fluid transfer region


372


. The sealed region


370


is located at an upper portion of the core


328


relative to the core top


364


. The sealed region


370


is free of any perforations, passageways or holes. Disposed within the fluid transfer region


372


of the core


328


is at least one core passageway generally designated


332


which extends through the outer wall


330


. Passageway


332


permits fluid communication between the primary separation chamber


304


and the secondary chamber


360


. From the secondary chamber


360


, moreover, fluid can flow to the effluent tube


320


(FIG.


3


), and thus be removed from the bowl


214


via the outlet


224


of header assembly


312


.




The sealed region


370


of the core


328


preferably extends a significant axial length “H” of the core


328


. More specifically, the axial length “H” of the sealed region


370


is greater than approximately 15% of the core's useful length “U”. Preferably, “H” is approximately 15-60% of the core's useful length “U”, and more preferably, is approximately 25-33%. The fluid transfer region


372


makes up the remaining length “U” of the core


328


. In other words, the length of fluid transfer region


372


is U-H. For a core


328


having a useful axial length “U” of approximately 75 millimeters (mm), the length “H” of the sealed region


370


is preferably in the range of approximately 1145 mm. In the preferred embodiment, the length “H” is approximately 20 mm.




In the preferred embodiment, there are multiple passageways formed along the transfer region


372


of the outer wall


330


of core


328


, including at least one (and preferably two) lower core hole(s)


334




a


,


334




b


(

FIG. 3

) relative to the bowl base


306


on opposing sides of the outer wall


330


, and at least one (and preferably six) upper core hole(s)


335




a-b


,


336




a-b


,


337




a-b


relative to the bowl top


308


which are also generally formed on opposing sides of the outer wall


330


. While

FIG. 3

illustrates upper core holes


335


,


336


and


337


that are equally spaced apart axially along outer wall


330


, it will be recognized that the axial and circumferential spacing of the upper core holes


335


,


336


and


337


relative to each other is not critical. Since the sealed region


370


is free of any perforations, passageways or holes, the uppermost passageway(s)


325




a-b


in the core


328


relative to the bowl top


308


is distally spaced-from the bowl top


308


and/or the header assembly


312


.




In addition, at least some of the core's passageways, e.g., uppermost passageways


325




a-b


are also preferably spaced inwardly a radial distance “D” relative to the opening


366


in the bowl top


308


. For an opening


366


of 49 mm in diameter, the distance “D” is preferably in the range of approximately of 0-25 mm or is 0-63% of the opening


366


in the bowl body


302


. In the preferred embodiment, the distance “D” is approximately 0.5-15 mm or 1.3-31%, and more preferably is approximately 3.3 mm or 8% of the core's diameter.




Core passageway configurations adaptable within the scope of the present invention include slots and/or circular holes. Where the core passageway


332


is a slot, the size of the slot may be varied. A slot, for example, may measure axially between 1-64 mm in length. Where the core passageway


332


is a circular hole, its diameter may measure between 0.25-10 mm. In the preferred embodiment, core passageway


332


is a hole which measures approximately between 0.5-4 mm in diameter, and more preferably, is 1.0 mm in diameter.




In addition to the incorporation of a sealed region


370


, the inner surface


327


of the outer wall


330


is preferably sloped along the axial direction, rather than being parallel to the axis of rotation. More specifically, the slope of inner surface


327


can be defined by an angle α which extends from a line


366


, that is parallel to the axis of rotation A—A, to the inner surface


327


of the outer wall


330


. The slope angle α of inner surface


327


may range between approximately +10 and −10 degrees, i.e., surface may have a reverse slope. In the preferred embodiment, a is between +2 and −2 degrees, and more preferably is approximately 1.0 degrees. The outer surface


325


of the outer wall


330


may also be sloped relative to the axis of rotation. The slope of outer surface


325


can be defined by an angle β which extends from a line


374


, that is parallel to the axis of rotation A—A, to the outer surface


325


of the outer wall


330


. The slope angle β of outer surface


325


may range between approximately 0-15 degrees. In the preferred embodiment, there is no slope on outer surface


325


.




For an outer wall


330


having a uniform thickness, sloping the inner surface


327


also results in the same slope being imposed on the outer surface


325


. Alternatively, the outer wall


330


may taper in thickness such that outer surface


325


remains parallel to the axis or rotation, while the inner surface


327


is sloped. The outer wall


330


may also taper in thickness in such a way that both the inner surface


327


and the outer surface


325


are sloped relative to the axis of rotation A—A.




The inner wall


340


maybe slightly shorter in length relative to the outer wall


330


, and may be of a uniform thickness. Where an inner wall


340


is provided, the lower core holes


334




a-b


are formed on the outer wall


330


such that they provide fluid communication from the primary separation chamber


304


into the secondary separation chamber


360


proximate to the skirt


342


. Core


328


is preferably formed from a biocompatible material, such as high-impact polystyrene or polyvinyl chloride (PVC), and has a generally smooth surface.




Operation of the Present Invention




The following discussion describes the operation of the present invention to harvest plasma from a whole blood sample. It will be recognized, however, that plasma is but one blood fraction that may be separated from whole blood using the centrifugal bowl and core of the present invention. Platelets and white blood cells may also be harvested in the manner described simply by continuing operation of the centrifuge after the plasma fraction is removed. Given the relative densities of these blood fractions, it will also be recognized that platelets will first be removed by continued operation of the present invention, followed thereafter by white blood cells. It will also be recognized that the present invention provides a purer red blood cell fraction than other centrifugation devices heretofore known in the art as the red blood cells remaining in the primary separation chamber following removal of the other whole blood components will contain fewer residual whole blood elements. Accordingly, while the following discussion elaborates on the operation of the present invention, it in no way delimits the utility of the present invention to collecting only plasma from whole blood.




In operation, the disposable collection set


202


(

FIG. 2

) is loaded onto the blood processing machine


204


. In particular, the inlet line


218


is routed through the first pump


232


and the feed line


225


from the anti-coagulant container


210


is routed through the second pump


234


. The centrifugation bowl


214


is securely loaded into the chuck


230


, with the header assembly


312


held stationary. The phlebotomy needle


206


is then inserted into the donor's arm


208


. Next, the controller


226


activates the two pumps


232


,


234


and the motor


228


. Operation of the two pumps


232


,


234


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


210


and delivered to the inlet port


220


of the bowl


214


. Operation of the motor


228


drives the chuck


230


, which, in turn, rotates the bowl


214


. The anti-coagulated whole blood flows through the feed tube


316


(

FIG. 3

) and enters the primary separation chamber


304


.




Centrifugal forces generated within the rotating bowl


214


push the blood against side wall


310


of the primary separation chamber


304


. Continued rotation of the bowl


214


causes the blood in the primary separation chamber


304


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


346


against the periphery of side wall


310


. The RBC layer


346


has a surface


348


. Inboard of the RBC layer


346


relative to axis A—A, a layer


350


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


350


also has a surface


352


. A buffy coat layer


354


containing white blood cells and platelets may also form between the layers of red blood cells and plasma


346


,


350


.




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


304


of the bowl


214


, each layer


346


,


350


and


354


“grows” and the surface


352


of the plasma layer


350


moves toward the central axis A—A. When sufficient whole blood has been introduced into the primary separation chamber


304


, the surface


352


of the plasma layer


350


contacts the cylindrical outer wall


330


of the core


328


and enters the secondary separation chamber


360


by passing through core passageway


332


(i.e., core holes


334


-


337


).




The plasma which enters the secondary separation chamber


360


may include residual blood components, such as white blood cells and platelets, notwithstanding the configuration of the passageways


332


. Once inside the secondary separation chamber


360


, however, the plasma


354


undergoes a secondary separation process due to continued rotation of the bowl


214


and core


328


, and forms a second plasma layer


356


(FIG.


4


). This second plasma layer


354


is further purified of the non-plasma components that may have entered the secondary separation chamber


360


via passageways


332


in the same manner as the separation process that occurs in the primary separation chamber


304


. That is, the same centrifugal forces generated by rotation of the bowl


214


and core


328


which push the denser blood components away from the axis of rotation A—A and toward bowl wall


310


force the non-plasma components in the second plasma layer


356


away from the axis of rotation A—A and against the sloped inner surface


327


of outer wall


330


.




As illustrated in

FIG. 4

, the combined influence of the forces generated by rotation of the bowl


214


and core


328


, and the downward slope of the inner surface


327


of the outer wall


330


cause residual non-plasma components


354


to move toward the skirt


342


and away from effluent tube


320


, and permit the purer second plasma layer


356


to be formed within the secondary separation chamber


360


. The non-plasma components may even exit the secondary separation chamber


360


via lower core holes


334




a-b


and return to the primary separation chamber


304


. At the same time that non-plasma components


354


are forced out of the secondary separation chamber


360


, the purer plasma of layer


356


“climbs” up the sloped inner surface


327


of the outer wall


330


until a sufficient pressure head is generated to “push” the plasma into entryway


326


of the effluent tube


320


as shown by arrow P (FIG.


4


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


214


through the outlet port


224


and is carried through the outlet line


222


(

FIG. 2

) and into the plasma collection bag


216


.




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


214


and separated plasma removed, the depth of the RBC layer


346


will grow. When the surface


348


of the RBC layer


346


reaches the core


328


, indicating that all of the plasma in the primary separation chamber


304


has been removed, the process is preferably suspended.




The fact that the surface


348


of the RBC layer


346


has reached the core


328


may be optically detected. In particular, the outer wall


330


of core


328


may include one or more optical reflectors


358


(FIG.


3


), which can extend around the entire circumference of the core


328


. The reflector


358


may be generally triangular in cross-section and define a reflection surface


358




a


. The reflector


358


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


204


to sense the presence of the RBCs at a pre-selected point relative to the core


328


causing a corresponding signal to be sent to the controller


226


. In response, the controller


226


suspends the process.




It should be understood that the optical components and the controller


226


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




Specifically, the controller


226


de-activates the pumps


232


,


234


and the motor


228


, thereby stopping the bowl


214


. Without the centrifugal forces, the RBCs in layer


346


drop to the bottom of the bowl


214


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


304


opposite the header assembly


312


and any non-plasma components


354


in the secondary separation chamber


360


drain out of the secondary chamber


360


and into the bowl body


304


through lower core holes


334


.




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


214


, the controller


226


activates pump


232


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


214


to be drawn up the feed tube


316


and out of the bowl


214


through the inlet port


220


. The RBCs are then transported through the inlet line


218


and into the temporary RBC storage bag


212


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


212


. To facilitate the evacuation of RBCs from the bowl


214


, the configuration of skirt


342


preferably allows air from plasma collection bag


216


to easily enter the primary separation chamber


304


. That is, the skirt


342


is spaced from the feed tube


316


such that it does not block the flow of air from the effluent tube


320


to the separation chamber


304


. Accordingly, air need not cross the wet core


328


in order to allow RBCs to be evacuated. It should be understood that this configuration and arrangement of skirt


342


also facilitates air removal from the separation chamber


304


during bowl filling.




When all of the RBCs from bowl


214


have been moved to the temporary storage bag


212


, the system


200


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


226


again activates the two pumps


232


,


234


and the motor


228


. In order to “clean” the core


328


prior to the next collection cycle, the controller


226


preferably activates the motor


328


and the pumps


232


,


234


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


214


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


304


. This rotation of the bowl


214


and core


328


forces the residual blood cells that may have adhered to or been “trapped” in the secondary separation chamber


360


down the chamber


360


and out of the core


328


through the lower core holes


334


. Thus, the core


328


is effectively “cleaned” of residual blood cells that might have adhered to its surface during the previous cycle, and the plasma collection process proceeds as described above.




In particular, anti-coagulated whole blood separates into its constituent components within the primary separation chamber


304


of the bowl


214


and plasma is pumped through the core


328


. Separated plasma is removed from the bowl


214


and transported along the outlet line


222


to the plasma collection bag


216


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


304


of the bowl


214


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


226


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


232


,


234


and the motor


228


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


226


activates pump


232


in the reverse direction to pump RBCs from the bowl


214


and from the temporary storage bag


212


through the inlet line


218


. The RBCs flow through the phlebotomy needle


206


and are thus returned to the donor.




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


206


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


216


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


202


and sealed. The remaining portions of the disposable set


202


, including the needle, bags


210


,


212


and bowl


214


may be discarded. The separated plasma may be shipped to a blood bank or hospital or to a fractionation center where the plasma is used to produce various components.




In a preferred embodiment, the system


200


further includes one or more means for detecting whether the core


328


has become clogged. In particular, the blood processing machine


204


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


226


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


214


and the flow of separated plasma out of the bowl


214


. Controller


226


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


226


preferably suspends the collection process. The system


200


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


222


. The presence of red blood cells in the outlet line


222


may indicate that the blood components in the separation chamber


304


have spilled over the skirt


342


.




It should be understood that the core of the present invention may have alternative configurations.

FIGS. 5-7

illustrate various alternative configurations.





FIG. 5

, for example, is a cross-sectional side view of one alternative core


500


configuration. In this embodiment, the core


500


has a generally cylindrical shape defining an outer wall


502


, a first or upper open end


504


and a second or lower open end


506


. The outer wall


502


includes three pairs of opposing upper core holes


512


and a pair of opposing lower core holes


526


that provide fluid communication through the outer wall


502


like the embodiment of FIG.


3


. The core


500


further includes an inner wall


520


and a skirt


518


disposed between the inner wall


520


and an inner surface


524


of the outer wall


502


. In this embodiment, the inner wall


520


, the skirt


518


, and the inner surface


524


of the outer wall


502


cooperate to define a secondary separation chamber


514


.




The outer wall


502


also has an outer surface


508


. Formed on the outer surface


508


are a plurality of spaced-apart ribs


510


. That is, ribs


510


may extend circumferentially around all or a portion of the outer surface


508


of the wall


502


. The spaces between adjacent ribs


510


preferably define corresponding channels


516


that lead to the holes


512


,


526


.





FIG. 6

is a cross-section side view of a variation of the core configuration of FIG.


5


. The core


600


of this embodiment similarly includes an outer wall


602


, an inner wall


620


and a skirt


618


disposed between the inner wall


620


and an inner surface


624


of the outer wall


602


. The inner wall


620


, the skirt


618


, and the inner surface


624


of the outer wall


602


cooperate to define a secondary separation chamber


614


. In this embodiment, the core


600


also includes a plurality of ribs


610


and a plurality of core holes


612


that are disposed along a substantial axial length of the outer wall


602


of the core


600


. That is, rather than providing one or more upper core holes and one or lower core holes, there are a series of core holes


612


relatively evenly distributed along the axial length of the core


600


. Nonetheless, the upper most core hole, e.g., hole


612




a


, is still spaced apart from an upper or first opening


620


of the core


600


in a like manner as described above.





FIG. 7

is a cross-sectional side view of a variation of the core configuration of FIG.


5


. In this embodiment, the core


700


includes an outer wall


702


, an inner wall


706


and a skirt


712


disposed between the inner wall


706


and an inner surface


716


of the outer wall


702


. The inner wall


706


, the skirt


712


, and the inner surface


716


of the outer wall


702


cooperate to define a secondary separation chamber


714


. A pair of lower core holes


710


preferably extend through the outer wall


702


of the core


700


proximate the skirt


712


. A pair of upper core holes


708


preferably extend through the outer wall


702


in spaced-apart relation relative to a first open end


720


. As shown, the skirt


712


is positioned relatively high in the core


700


. The truncated cone formed by inner wall


706


is thus disposed in approximately the upper third or half of the core


700


, as opposed to extending a substantial axial length of the core as in other embodiments.





FIGS. 8-10

illustrate still further core configurations.

FIG. 8

is a cross-sectional side view of a core


800


and bowl


830


. More particularly, the core


800


includes an outer wall


804


defining an inner surface


810


. A pair of upper core holes


806


are disposed on the core


800


adjacent to a sealed region


812


. The inner surface


810


of the outer wall


804


is sloped away from the header assembly


840


. In operation, plasma passes through the second series of openings


806


in the manner described above. Once within the secondary separation chamber


808


, the plasma is further separated to form a “purer” plasma layer by continued rotation of the bowl


830


and core


800


. The slope of inner surface


810


, moreover, causes residual cells to move downwardly along the outer wall


804


and out through the lower core holes


802


, in a manner similar to that described above. As shown, core


800


does not include an inner wall.




It should be understood that only a single passageway


806


may be formed in the core


804


.





FIG. 9

is a cross-sectional side view of a variation of the core configuration of FIG.


8


. In this embodiment, the core


900


includes an outer wall


906


having an inner surface


908


which defines a secondary separation chamber


909


. A plurality of ribs


902


may be disposed around the outer wall


906


of the core


900


. As in the embodiment of

FIG. 6

, there are a series of core holes


904


relatively evenly distributed along the axial length of the core


900


.





FIG. 10

is a cross-sectional side view of yet another variation of the core configuration of

FIG. 9

in which the core


900


includes a skirt


910


which defines a skirt through-opening


912


. In this embodiment, the core


900


does not include an inner wall. The skirt through opening


912


, moreover, is designed, e.g., sized, to receive the feed tube from the header assembly. It is also sized to prevent whole blood from splashing back inside the core.




Those skilled in the art will understand that still other configurations of the core, are possible provided that the plasma is forced to pass through the core before reaching the outlet. For example, they will recognize that a filter medium may be wrapped around or otherwise disposed about the outer wall of the core. They will recognize, alternatively, that the filter medium may be integrated or incorporated into the core structure. Those core embodiments having ribs are especially suited to the addition of a filter medium or membrane. The filter medium could also be disposed within the core to filter the blood component that enters into the secondary separation chamber.




Those skilled in the art will understand that still other configurations of the core, are possible provided that the plasma is forced to pass through the core before reaching the outlet. For example, they will recognize that a filter medium may be wrapped around or otherwise disposed about the outer wall of the core. They will recognize, alternatively, that the filter medium may be integrated or incorporated into the core structure. Those core embodiments having ribs are especially suited to the addition of a filter medium or membrane


905


(FIG.


9


). The filter medium could also be disposed within the core to filter the blood component that enters into the secondary separation chamber.




The foregoing description has been directed to specific embodiments of this invention. It will be apparent, however, that other variations and modifications may be made to the described embodiments with the attainment of some or all of their advantages. Accordingly, this description should be taken only by way of example and not by way of limitation. It is the object of the appended claims to cover all such variations and modifications as come within the true spirit and scope of the invention.



Claims
  • 1. A blood processing centrifugation bowl for separating whole blood into fractions, the bowl comprising:a bowl body rotatable about an axis, the bowl body having an open end and a base and defining a primary separation chamber; a header assembly received in the open end of the bowl body; an outlet disposed within the bowl body for extracting one or more blood fractions from the bowl; and a core disposed within the bowl body, the core defining a secondary separation chamber therein, the core including an outer wall at least part of which is outboard of the outlet relative to the axis of rotation, the outer wall having a sealed region disposed at an upper portion of the core relative to the header assembly and a fluid transfer region adjacent to the sealed region, and at least one core passageway extends through the outer wall within the fluid transfer region to provide fluid communication between the primary separation chamber and the outlet, the outer wall further including an inner surface adjacent the secondary separation chamber and facing the axis of rotation, the inner surface including a slope that moving away from the outlet moves away from the axis of the rotation so as to cause more dense fractions of whole blood to move away from the outlet when the bowl body is rotating.
  • 2. The blood processing centrifugation bowl of claim 1 wherein the sealed region is free of perforations, passageways and holes.
  • 3. The blood processing centrifugation bowl of claim 2 wherein the core has an useful axial length that extends into the primary separation chamber, the sealed region has an axial length and the length of the sealed region is approximately 15 percent or more of the useful length of the core.
  • 4. The blood processing centrifugation bowl of claim 3 wherein the at least one core passageway is adjacent to the sealed region.
  • 5. The blood processing centrifugation bowl of claim 3 having a plurality of core passageways formed in the fluid transfer region of the core.
  • 6. The blood processing centrifugation bowl of claim 5 wherein at least some of the core passageways are adjacent to the sealed region.
  • 7. The blood processing centrifugation bowl of claim 6 wherein the outer wall includes at least two upper core holes formed on an upper portion of the outer wall.
  • 8. The blood processing centrifugation bowl of claim 5 wherein the core further includes an inner wall relative to the axis of rotation, the inner wall joined to the outer wall, extending axially with the outer wall, and being free from any perforation, holes or passageways.
  • 9. The blood processing centrifugation bowl of claim 8 wherein the inner wall is generally cylindrically shaped having first and second open ends.
  • 10. The blood processing centrifugation bowl of claim 9 wherein the core further includes at least one core passageway disposed adjacent to the point at which the inner wall joins the outer wall.
  • 11. The blood processing centrifugation bowl of claim 2, wherein the core has an useful axial length that extends into the primary separation chamber, the sealed region has an axial length and the length of the sealed region is approximately 15 to 60 percent of the useful length of the core.
  • 12. The blood processing centrifugation bowl of claim 2, wherein the core has an useful axial length that extends into the primary separation chamber, the sealed region has an axial length and the length of the sealed region is approximately 25 to 33 percent of the useful length of the core.
  • 13. The blood processing centrifugation bowl of claim 1, wherein the slope of the inner surface of the outer wall defines an angle a relative to the axis of rotation that is in the range of approximately +10 to −10 degrees.
  • 14. The blood processing centrifugation bowl of claim 13 wherein the slope angle α is approximately 1 degree.
  • 15. The blood processing claim centrifugation bowl of claim 1 wherein the core is mounted to the bowl body for rotation therewith.
  • 16. The blood processing centrifugation bowl of claim 15 wherein the outlet is an effluent tube that includes an entryway, and at least a portion of the core is located outboard of the entryway relative to the axis of rotation.
  • 17. The blood processing centrifugation bowl of claim 16 wherein the outer wall of the core is coaxially aligned about and disposed outboard of the entryway to the effluent tube relative to the axis of rotation.
  • 18. The blood processing centrifugation bowl of claim 1 wherein the core further includes an optical reflector.
  • 19. The blood processing centrifugation bowl of claim 1 wherein the core further comprises at least one rib disposed about the outer wall.
  • 20. The blood processing centrifugation bowl of claim 19 further comprising a filter media wrapped around the outer surface of the outer wall over the at least one rib.
  • 21. A method for extracting one or more blood fractions from whole blood, the method comprising the steps of:providing a blood processing centrifugation bowl having a bowl body rotatable about an axis, the bowl body defining a generally enclosed primary separation chamber having an open end, a header assembly received in the open end of the bowl body, an outlet disposed within the bowl body and a core disposed within the bowl body and defining a secondary separation chamber therein, the core including an outer wall at least part of which is outboard of the outlet relative to the axis of rotation, the outer wall having a sealed region disposed at an upper portion of the core relative to the header assembly, a fluid transfer region adjacent to the sealed region, and at least one core passageway extending through the outer wail within the fluid transfer region rotating the blood processing centrifugation bowl; supplying whole blood to the rotating centrifugation bowl; separating the whole blood into fractions, including a less dense fraction, within the primary separation chamber; forcing the less dense blood fraction through the rotating core and into the secondary separation chamber along with at least some residual cells; further separating the less dense blood fraction from the residual cells within the secondary separation chamber to produce a purer less dense blood fraction; and extracting the purer less dense blood fraction from the blood processing centrifugation bowl.
  • 22. The method of claim 21 wherein the sealed region of the blood processing centrifugation bowl is free of perforations, passageways and holes.
  • 23. The method of claim 22 wherein the core has an overall axial length, the sealed region has an axial length and the length of the sealed region is approximately 25 percent or more of the overall length of the core.
  • 24. The method of claim 23 wherein the core has an overall axial length, the sealed region has an axial length and the length of the sealed region is approximately 25 to 60 percent of the overall length of the core.
  • 25. The method of claim 24 further comprising the step of stopping the extraction of the purer less dense blood fraction from the blood processing centrifugation bowl in response to optically detecting a more dense blood fraction reaching the core.
CROSS-REFERENCE TO RELATED APPLICATION

This application is a continuation-in-part of U.S. patent application Ser. No. 09/325,253, filed on Jun. 3, 1999, and titled CENTRIFUGATION BOWL WITH ROTATING FILTER CORE, abandoned, the entire disclosure of which is incorporated herein by reference.

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Continuation in Parts (1)
Number Date Country
Parent 09/325253 Jun 1999 US
Child 09/764702 US