The disclosure relates to an automated blood separation or processing device and more particularly, to a method for determining a platelet collection yield using optical-based measurements in a platelet collection procedure.
Various blood processing systems now make it possible to collect particular blood constituents, instead of whole blood, from a blood source. Typically, in such systems, whole blood is drawn from a blood source, the particular blood component or constituent is separated, removed, and collected, and the remaining blood constituents are returned to the blood source.
According to one approach, whole blood may be separated into cellular constituents (e.g., red blood cells) and non-cellular constituents (e.g., platelet-rich plasma) through centrifugation. The separated blood constituents may then be collected, directed back to the blood source (e.g., a donor) or further processed by the processing system. For example, the platelet-rich plasma may be further processed to separate platelets from the platelet-rich plasma, which produces platelet-poor plasma separated from a platelet concentrate. In such an example, the platelet concentrate may be collected as a platelet product and the platelet-poor plasma may be collected in another container as a plasma product or may be returned to the blood source.
According to a known platelet collection procedure, a platelet yield is calculated, and the procedure either proceeds or ends based on the calculated platelet yield. The platelet yield is calculated using complex mathematical modeling and depends on user input donor platelet pre-count measurement and precise volume tracking to enable the algorithm to estimate the concentration of platelets entering the system for collection. Although such calculations are effective, errors may occur that cause the devices to miss target platelet collection yields. Thus, platelet yields may be inconsistent and/or inaccurate.
There are several aspects of the present subject matter which may be embodied separately or together in the devices and systems described and claimed below. These aspects may be employed alone or in combination with other aspects of the subject matter described herein, and the description of these aspects together is not intended to preclude the use of these aspects separately or the claiming of such aspects separately or in different combinations as set forth in the claims appended hereto.
In one aspect, an automated blood processing system includes a blood processing device, a disposable fluid flow circuit arranged on the blood processing device, the disposable fluid flow circuit having one or more fluid paths configured to receive a fluid having a concentration of platelets, at least one optical sensor arranged relative to a fluid path of the one or more fluid paths, the optical sensor configured to provide one or more signals indicative of an intensity of at least a portion of light emitted into the fluid, and a controller configured to receive the signals from the at least one optical sensor, wherein the controller is configured to determine an instantaneous concentration measurement of platelets within the fluid based at least in part on the received signals.
In another aspect, an automated blood processing device includes one or more optical sensors configured to detect intensity of at least a portion of light through a fluid having a concentration of platelets and providing signals indicative of the intensity; and a controller configured to receive the signals from the at least one optical sensor, wherein the controller is configured to determine an instantaneous concentration measurement of platelets within the fluid based at least in part on the received signals.
In another aspect, a method of monitoring platelet yield in a platelet collection procedure using instantaneous concentration measurements, the method including determining an instantaneous platelet concentration based on optical sensor measurements taken at predetermined time intervals, determining a flow rate of the fluid containing the platelet concentration, determining the instantaneous platelet yield based on the instantaneous platelet concentration and the flow rate, and determining the total platelet yield based on a sum of the instantaneous platelet yields. The method may further include comparing the total platelet yield to a target platelet yield, and ending the procedure if the total platelet yield is greater than the target platelet yield.
The embodiments disclosed herein are for the purpose of providing a description of the present subject matter, and it is understood that the subject matter may be embodied in various other forms and combinations not shown in detail. Therefore, specific designs and features disclosed herein are not to be interpreted as limiting the subject matter as defined in the accompanying claims.
In general, the system includes two principal components, a durable and reusable blood processing device 10 (
The disposable fluid flow circuit 12 may be selectively arranged on and removed from the blood processing device 10. The fluid flow circuit 12 may include one or more fluid containers F1-F4 (
According to the present examples, the blood processing system 100 may a perform one or more blood processing procedures, including one or more procedures in which platelets are separated from whole blood and then collected, generally referred to herein as a platelet collection procedure. Thus, the fluid flow circuit 12 may be configured with selected components and/or connections between the components and arranged on the blood separation device 10 in a predetermined manner to accommodate the separation and collection of platelets from whole blood. Various components of the blood separation device 10 may be operated to interact with corresponding components the fluid flow circuit 12 to direct fluid flow through circuit 12 according to parameters of the selected blood processing procedure.
The blood processing device 10 (
The spinning membrane separator drive unit 14 is configured for accommodating a generally cylindrical membrane separator 26 which may be provided as part of the fluid flow circuit 12. Different membrane separators 26 may be selected depending on the selected blood processing procedure. The spinning membrane drive unit 14 is operable to spin one or more components of the spinning membrane separator 26 at a predetermined or selected speed and direction, depending on the selected blood processing procedure. In this manner, a fluid may be separated from the blood or blood component within the spinning membrane separator 26.
The centrifugal separator 16 may be provided in a compartment configured to receive, for example, the separation chamber 36 of the fluid flow circuit 12. Blood may be introduced into the separation chamber 36 and the centrifugal separator 16 may be operated to separate the blood into a layer of less dense components, such as platelet-rich plasma, and a layer of more dense components, such as pack red blood cells as a result of centrifugal forces as it rotates. The centrifugal separator 16 may be operated at different speeds for performing different blood processing procedures.
The blood processing device 10 includes various other components which may be selectively operated in conjunction with one or more of the spinning membrane separator drive unit 14, centrifugal separator 16 and the controller 18 in accordance with a selected or programmed blood processing procedure. For example, the blood processing device 10 may include one or more cassette stations 54 configured to accommodate a corresponding cassette 48 of the fluid flow circuit 12, a plurality of clamps or valves V1-V11, one or more pressure sensors A1-A4, a plurality of pumps P1-P6 and/or various other sensors M1-M3 for determining one or more properties of a fluid in fluid flow circuit 12.
The plurality of clamps or valves V1-V11 may be provided at the cassette stations 54 and are operable to selectively open and close the various flow paths formed on the cassettes 48. The pressure sensors A1-A4 may be positioned and configured to monitor pressure at selected locations in the system 100. The pressures sensors A1-A4 may transmit signals indicative of detected pressures to the controller 18.
The plurality of pumps P1-P6 are operable to cause fluid to flow through the fluid flow circuit 12. In the illustrated examples, the pumps P1-P6 are configured as peristaltic pumps, and each pump may be configured to engage a different tubing loop T1-T6 (
Referring to
The blood processing device 10 may further include a plurality of weight scales W1-W6 (
Prior to performing a selected blood processing operation, the disposable flow circuit 12 may be arranged on the blood processing device 10 by positioning the cassette(s) 48 to interact with corresponding cassette stations 54, and the spinning membrane separator 26 to interact with the spinning membrane separator drive unit 14 and/or the centrifugal separation chamber 36 to interact with the centrifugal separator 16.
Referring to
With further reference to
According to one aspect of the present disclosure, the blood separation device 10 may be used to separate and collect platelets from whole blood. Referring to
In the illustrated draw phase (
At the junction of lines L114, L116 and L118, a portion of the fluid from line L114 is directed through line L116 to the in-process container F2 via pressure sensor A3 and associated sensing station S3. Another portion of the fluid from line L114 is directed through line L118 to the centrifugal separation chamber 36. The fluid in line L118 is directed through the centrifugal pump P3, air trap 60, pressure sensor A2 associated with sensing station S2, and optical sensor M1 before being received by the separation chamber 36.
The centrifugal separator 16 of the blood processing device 10 manipulates the centrifugal separation chamber 36 to separate the blood in the centrifugal separation chamber 36 into platelet-rich plasma (“PRP”) and packed red blood cells. The packed red blood cells exit the centrifugal separation chamber 36 and are directed to the return container F3 vial line L120. The PRP is drawn out of the centrifugal separation chamber 36 into line L 122 by the combined operation of the PRP and recirculation pumps P4 and P5. The optical sensor M1 is arranged relative to line L122 and is configured to measure the concentration of platelets in the PRP as described further below.
The PRP travels through line L122 until reaching a junction with lines L124 and L126. The recirculation pump P5 is associated with line L124 and redirects a portion of the PRP through line L124 to a junction with line L118, where the portion of the PRP mixes with the blood in line L118 and is recirculated to the centrifugal separation chamber 36. By such an arrangement, the flow rate of the fluid entering the centrifugal separation chamber 36 is equal to the sum of the flow rates of the centrifuge pump P3 and the recirculation pump P5. As the PRP drawn out of the centrifugal separation chamber 36 into line L124 by the recirculation pump P5 is immediately added back into the centrifugal separation chamber 36, the bulk or net platelet-rich plasma flow rate out of the centrifugal separation chamber 36 is equal to the flow rate of the PRP pump P4.
Valves V6 and V7, associated with valve stations C6 and C7, respectively, are closed such that another portion of the PRP is directed from line L122 into line L126 and flows into the spinning membrane separator 26. As indicated above, the optical sensor M1 may detect the concentration of platelets in the PRP exiting the centrifugal separation chamber 36 prior to entering the spinning membrane separator 26, while the pressure sensor A4 associated with sensing station S4 may monitor the pressure of the spinning membrane separator 26. According to one example, the platelet concentration of the PRP may be measured by optical sensor M1 as described in U.S. patent application Ser. No. 18/101,275, incorporated herein by reference. For example, the optical sensor M1 may include a light source configured and oriented to emit a light into a fluid (i.e., the platelet-rich plasma) in a vessel, for example, the flexible tubing of the fluid flow circuit 12. The optical sensor M1 may also include a light detector array comprising a plurality of light detectors that are configured to receive at least a portion of the light exiting the vessel. The controller 18 may be configured to receive signals from the light detector array (of optical sensor M1) indicative of an intensity of the at least a portion of the light received by each one of the plurality of light detectors in the array, and determine a concentration of the platelets in the platelet-rich plasma based at least in part on the signals.
The spinning membrane separator drive unit 14 of the blood processing device 10 manipulates the spinning membrane separator 26 to separate the PRP into platelet-poor plasma (“PPP”) and platelet concentrate (“PC”). In addition to valves V6 and V7, valves V8 and V9, associated with valve stations C8 and C9, respectively, are closed and valve V10, associated with valve station C10, is open. The PPP pump P6 is operated to draw the PPP out of the spinning membrane separator 26 and into line L128. With valves V6, V7, V8 and V9 closed, and valve V10 open, operation of the PPP pump P6 directs the PPP through line L128, open valve V10, and into line L120 for collection in the return container F3. On the way to the return container F3, the PPP passes through plasma sensor M2, which may cooperate with the controller 18 to determine one or more characteristics of the plasma, such as the amount of cellular blood components in the plasma and/or whether the plasma is hemolytic and/or lipemic.
The PC is conveyed out of the spinning membrane separator 26 into line L130. There is no pump associated with line L130, so instead the flow rate at which the PC exits the spinning membrane separator 26 is equal to the difference between the flow rates of the PRP pump P4 and PPP pump P6. According to one example, another optical sensor, i.e., a second optical sensor M3 may be positioned along line L130 and configured to measure the platelet concentration in the PC. The second optical sensor M3 may measure the platelet concentration in line L130 in the same manner as the optical sensor M1 measures the platelet concentration of PRP in line L122, e.g., by providing signals to the controller 18 indicative of an intensity of at least a portion of the light received by each one of the plurality of the light detectors of the second optical sensor M3.
The valve V11 associated with valve station C11 along line L130 is open. Accordingly, the PC conveyed out of the spinning membrane separator 26 into the line L130 may be collected in the PC container F4. The platelet concentration measurements provided the first and second optical sensors M1, M3 in conjunction with the controller 18 may reflect an instantaneous concentration Cinst measurement of the fluid present adjacent to the corresponding sensor M1, M3 at a single point in time. For example, as shown in the example of
The total quantity (i.e., the yield) of the platelets is further based on the flow rate of the platelet containing fluid QPLTs (i.e., the PRP or the PC) through the corresponding sensor M1, M3. The flow rate QPLTs may be determined by the target pump rate, pump rotation feedback (tachs), weigh scale changes, or a combination of these or any other flow monitoring methods. The flow rates may be measured as instantaneous values at the same time points as the optical sensor measurement. As shown in
Referring now to
where CInst may be replaced by:
Referring to
With reference to
Referring now to
Referring again to
The microprocessor may be operatively coupled to one or more memory devices. The microprocessor may include one or more processors and/or other suitable circuitry configured to execute one or more program instructions, and in response to executing the program instructions, perform one or more functions according to the program instructions. The one or more memory devices may include any suitable data storage mechanism or system, such as a random access memory (RAM), read only memory (ROM), disk drive, solid state memory drive, optical disc drive and the like, including various combinations of such data storage mechanisms or systems. The one or more memory devices may also include, for example, a non-transitory computer-readable storage medium configured to store and allow access to the program instructions, code and/or other data.
The controller 18 is configured and/or programmed to execute at least one blood processing application but, more advantageously, is configured and/or programmed to execute a variety of different blood processing applications. For example, the controller 18 may be configured and/or programmed to carry out one or more of the following: a double unit red blood cell collection procedure, a plasma collection procedure, a plasma/red blood cell collection procedure, a red blood cell/platelet/plasma collection procedure, a platelet collection procedure, and a platelet/plasma collection procedure. In the present examples, the controller 18 is configured to execute a platelet collection procedure. Additional or alternative procedure applications can be included without departing from the scope of the present disclosure.
The controller 18 is operably connected to various components of the blood processing device 10 and may be configured to transmit a control signal to one or more of the components to control operations of that component. For example, the control signal provided by the controller 18 to a component to start or stop operations of the component (i.e., to turn the component on or off, or to energize and de-energize the component) and/or operate the component according to parameters associated with a selected blood processing procedure (e.g., speed or rotational speed, movements, movement direction (e.g., rotational direction) and/or duration. In the illustrated examples, the controller 18 may be connected to, and configured to operate one or more of the pumps P1-P6, the centrifugal separator 16, the spinning membrane separator drive unit 14, and/or one or more of the valves V1-V11.
The controller 18 may also be operably connected to one or more of the sensors A1-A4, M1-M3, of the blood processing device 10. In some examples, the controller 18 may be configured to receive signals and/or information from one or more of the sensors, wherein the signals or information may be indicative of a measured or detected parameter. The controller 18 may process the signal and/or information received from the one or more sensors and, in some examples, control operations of one or more components based, in part, on the received signals or information.
In carrying out a blood processing procedure, the controller 18 may be configured and/or programmed to operate component(s) of the blood processing device 10 to control one or more of the following tasks: drawing blood into a fluid flow circuit 12 mounted to the blood separation device 10, conveying blood through the fluid flow circuit 12 to a location for separation (i.e., into a spinning membrane separator 26 or centrifugal separation chamber 36 of the fluid flow circuit 12), separating the blood into two or more components as desired, and conveying the separated components into storage containers, to a second location for further separation (e.g., into whichever of the spinning membrane separator 26 and centrifugal separation chamber 36 that was not used in the initial separation stage), or to a recipient (which may be a donor from which the blood was originally drawn).
If provided, an operator interface station associated with the controller 18 allows the operator to view on a screen or display (in alpha-numeric format and/or as graphical images) information regarding the operation of the system. The operator interface station also allows the operator to select applications to be executed by the controller 18, as well as to change certain functions and performance criteria of the system. If configured as a touchscreen, the screen of the operator interface station can receive input from an operator via touch-activation. Otherwise, if the screen is not a touchscreen, then the operator interface station may receive input from an operator via a separate input device, such as a computer mouse or keyboard. It is also within the scope of the present disclosure for the operator interface station to receive input from both a touchscreen and a separate input device, such as a keypad.
Method steps and various functions described in the examples above may be performed and/or initiated by the controller 18.
Aspect 1. An automated blood processing system includes a blood processing device, a disposable fluid flow circuit arranged on the blood processing device, the disposable fluid flow circuit having one or more fluid paths configured to receive a fluid having a concentration of platelets, and at least one optical sensor arranged relative to a fluid path of the one or more fluid paths, the optical sensor configured to provide one or more signals indicative of an intensity of at least a portion of light emitted into the fluid. The system further includes a controller configured to receive the signals from the at least one optical sensor, wherein the controller is configured to determine an instantaneous concentration measurement of platelets within the fluid based at least in part on the received signals.
Aspect 2. The automated blood processing system according to Aspect 1, wherein the controller is configured to determine the instantaneous concentration at predetermined time intervals.
Aspect 3. The automated blood processing system according to Aspect 1, wherein the controller is configured to determine a flow rate of the fluid containing the platelets through the optical sensor.
Aspect 4. The automated blood processing system according to Aspect 3, wherein the determined flow rate is an instantaneous flow rate measured at the same point in time as the optical sensor measurement.
Aspect 5. The automated blood processing system according to Aspect 3, wherein the determined flow rate is an average flow rate determined as an average flow rate in a time interval between optical sensor measurements.
Aspect 6. The automated blood processing system according to Aspect 3, wherein the controller is configured to determine an instantaneous platelet yield based at least in part on the instantaneous concentration on the determined flow rate of the fluid.
Aspect 7. The automated blood processing system according to Aspect 6, wherein the controller is configured to determine a total platelet yield collected by the blood processing device at any point in time, the total platelet yield based at least in part on a sum of the instantaneous platelet yields with respect to time.
Aspect 8. The automated blood processing system according to Aspect 7, wherein the controller is configured to compare the total platelet yield to a target platelet yield and control operations of the blood processing device depending the comparison.
Aspect 9. The automated blood processing system according to any of Aspects 1-8, wherein the determined platelet concentration is a concentration of platelets in platelet-rich plasma.
Aspect 10. The automated blood processing system according to any of Aspects 1-8, wherein the determined platelet concentrations is a concentration of platelets in platelet concentrate.
Aspect 11. An automated blood processing device comprising: one or more optical sensors configured to detect intensity of at least a portion of light through a fluid having a concentration of platelets and providing signals indicative of the intensity; and a controller configured to receive the signals from the at least one optical sensor, wherein the controller is configured to determine an instantaneous concentration measurement of platelets within the fluid based at least in part on the received signals.
Aspect 12. The automated blood processing device according to Aspect 11, wherein the at least one optical sensor includes a light source configured to emit a light into the fluid in the fluid path and a light detector array comprising a plurality of light detectors configured to receive the at least a portion of the light exiting the vessel, wherein the signals are indicative of the intensity of the at least a portion of the light received by each one of the light detectors in the light detector array.
Aspect 13. The automated blood processing device according to Aspect 11, wherein the controller is configured to determine a instantaneous platelet yield based at least in part on the instantaneous concentration of the platelets and a flow rate of the fluid containing the platelets through the at least one optical sensor.
Aspect 14. The automated blood processing device according to Aspect 13, wherein the controller is configured to determine a total platelet yield based at least in part a sum of the instantaneous platelet yields.
Aspect 15. The automated blood processing device according to Aspect 14, wherein the controller is configured to compare the total platelet yield to a target platelet yield and control operations of one or more blood processing device components depending the comparison.
Aspect 16. A method of monitoring platelet yield in a platelet collection procedure using instantaneous concentration measurements, the method comprising: determining an instantaneous platelet concentration based on optical sensor measurements taken at predetermined time intervals; determining a flow rate of the fluid containing the platelet concentration; determining the instantaneous platelet yield based on the instantaneous platelet concentration and the flow rate; determining the total platelet yield based on a sum of the instantaneous platelet yields; comparing the total platelet yield to a target platelet yield; and ending the procedure if the total platelet yield is greater than the target platelet yield.
Aspect 17. The method according to Aspect 16, wherein the determined flow rate is an average flow rate at the optical sensor during the time interval between measurements.
Aspect 18. The method according to Aspect 16, wherein determining the instantaneous platelet concentration includes determining an average of the past two instantaneous platelet concentrations.
It will be understood that the embodiments described above are illustrative of some of the applications of the principles of the present subject matter. Numerous modifications may be made by those skilled in the art without departing from the spirit and scope of the claimed subject matter, including those combinations of features that are individually disclosed or claimed herein. For these reasons, the scope hereof is not limited to the above description but is as set forth in the following claims, and it is understood that claims may be directed to the features hereof, including as combinations of features that are individually disclosed or claimed herein.
This application claims the benefit of U.S. Provisional Application No. 63/615,000 filed Dec. 27, 2023, the content of which is hereby incorporated herein by reference in its entirety.
Number | Date | Country | |
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63615000 | Dec 2023 | US |