1. Field of the Invention
The present invention relates to a method and apparatus for processing fluids. More particularly, the present invention relates to a method and apparatus for processing biological fluids, such as donated blood, into therapeutically valuable components. Most particularly, the present invention relates to an improved method and apparatus for processing donated blood into its therapeutically valuable components which uses an improved ventless system to substantially increase the recovery of all the blood products from the donated blood or prepared blood component.
2. Discussion of the Related Art
Methods and apparatus for processing blood are well known in the prior art. U.S. Pat. No. 3,892,236 to Djerassi shows an apparatus for the continuous withdrawal of blood from a human donor, forced extracorporeal circulation of blood of the donor with separation of granulocytes, and return by gravity of the leukocyte-poor whole blood to the donor.
U.S. Pat. No. 5,126,054 to Matkovich shows a venting means for venting gas from the transfer line of a liquid delivery system comprising a housing, a first, liquid-wettable, microporous membrane carried in said housing so as to be in communication with the transfer line, and a second, non-liquid-wettable, gas permeable microporous membrane superimposed on said microporous membrane to the outward side of the housing. Gas in the delivery system is vented from the system so long as the first microporous membrane remains unwetted by the delivery liquid.
U.S. Pat. No. 5,451,321 to Matkovich shows a blood processing system for the processing of blood or a blood component into valuable blood products having a first container, a second container downstream of the first container, a transfer line communicating between the first container and the second container, a leukocyte depletion filter carried in the transfer line between the first container and the second container, and having a gas outlet carried in the transfer line downstream of the leukocyte depletion filter and upstream of the second container.
U.S. Pat. No. 5,472,621 to Matkovich shows a method and apparatus for treating transition zone material having a first container, a second container downstream of the first container, and a red cell barrier medium, which may be interposed between the first container and the second container. The red cell barrier medium may also be interposed between the second container and a third container. A gas collection and displacement loop is connected between the upstream side and the downstream side of the red cell barrier medium.
U.S. Pat. No. 5,527,472 to Bellotti, et al. shows systems and methods for processing blood which direct blood through the inlet of a separation device for removing undesired matter while directing the blood substantially free of undesired matter from the outlet of the separation device and into a collection container through the first port.
U.S. Pat. No. 5,863,436 to Matkovich shows a sterile blood processing system for the post donation processing of donated blood into valuable blood products having a first container, a second container downstream of the first container, and a leukocyte depletion filter in fluid communication with, and interposed between, the first container and the second container and having a gas inlet for allowing gas to reach the leukocyte depletion filter and displace the blood from the leukocyte depletion device, wherein the inlet is disposed between the leukocyte depletion device and the first container.
U.S. Pat. No. 6,802,425 B2 to Zia, et al. shows open and closed loop biological fluid processing systems which all share the concept that the gases transferred into, or out of, or within the biological fluid processing system have the transfer lines arranged or configured in a manner which precludes the biological fluid from ever contacting the upstream and/or downstream gas inlet or outlet housings or vents, or bypassing the fluid filtration device.
While these devices are generally satisfactory, some of the methods and apparatus of the prior art leave a large amount of biological fluid trapped in various elements of the fluid processing apparatus, and they all requires gas venting devices or bypass lines of one sort or another, which makes them more complicated, and thus more expensive.
Therefore, those skilled in the art continue to search for a method and apparatus to provide for optimal recovery of the biological fluid from biological fluid processing systems, cost reduction and ease of use.
The problems of the prior art are solved by the present invention by utilizing a novel ventless and prechargable fluid processing system. The prior art systems are vented systems because it is known for a fluid to drain out of non-collapsible components in a biological fluid processing system such as a blood bag, gas must be transferred behind a column of fluid to allow it to drain from the system. Therefore, various venting arrangements have been devised in the prior art to address this issue. However, some of the prior art devices leave a large amount of biological fluid trapped in the various elements of the fluid processing system, and they are relatively complicated and expensive to manufacture. The present invention has solved the problem in the prior art by providing a ventless system which provides for increased recovery of biological fluid by providing drainage of substantially all collapsible and non-collapsible components. By utilizing the novel idea of precharging the system with a quantity of gas, predetermined components of the system may be drained.
In one embodiment of the present invention, a fluid filtration apparatus is provided which includes a fluid filtration device having and inlet and an outlet, a first biological fluid container upstream from the fluid filtration device and having an outlet, a first conduit in fluid communication with the outlet of the first biological fluid container and the inlet of the fluid filtration device, a biological fluid receiving container downstream of the fluid filtration device and having an inlet, and a second conduit in fluid communication with the inlet of said receiving container and the outlet of said fluid filtration device. To filter a fluid using the apparatus, a precharge or excess of gas is introduced into the first biological fluid, or upstream, fluid container. The fluid in the first biological fluid container is passed through the fluid filtration device into the receiving container (by methods known in the art, such as gravitational draining) to remove undesired impurities or contaminant. Since the first biological fluid container contains a precharge or excess gas, excess gas may enter the upstream tubing and drain the fluid from desired components. It is preferred that the excess or precharge of gas be introduced or injected into the upstream fluid container shortly before the fluid is to be filtered because of the undesirability of having a gas, such as air, in contact with some types of fluid.
In another embodiment of the present invention, a fluid filtration apparatus is provided which includes a fluid filtration device having and inlet and an outlet, a fluid container upstream from the fluid filtration device and having an outlet, a first conduit in fluid communication with the outlet of the fluid container and the inlet of the fluid filtration device, a receiving container downstream of the fluid filtration device and having an inlet, a second conduit in fluid communication with the inlet of said receiving container and the outlet of said fluid filtration device, and a precharge or excess of gas sufficient to drain the system in the receiving container. To filter a fluid using the apparatus, the precharge or excess of gas is passed from the receiving container, through the fluid filtration device, without wetting out the device, and into the fluid container. The fluid in the fluid container is then passed back through the fluid filtration device into the receiving container with any desired impurities removed.
In another embodiment of the present invention, a fluid filtration apparatus is provided which includes a fluid filtration or leukocyte depletion device having an inlet and an outlet, a fluid container upstream from the fluid filtration or leukocyte depletion device and having an outlet, a first conduit in fluid communication with the outlet of said fluid container and the inlet of said fluid filtration or leukocyte depletion device, a receiving container downstream of said fluid filtration or leukocyte depletion device and having an inlet, a second conduit in fluid communication with the inlet of said receiving container and the outlet of said leukocyte depletion device, and a precharge or excess of gas sufficient to drain the system in the receiving container.
In yet another embodiment of the present invention, a biological fluid filtration apparatus is provided which includes a fluid filtration or leukocyte depletion device having an inlet and an outlet, a fluid container upstream from and elevated above said fluid filtration or leukocyte depletion device and having an outlet, a first conduit in fluid communication with the outlet of said fluid container and the inlet of said fluid filtration or leukocyte depletion device, a receiving container downstream of said fluid filtration or leukocyte depletion device and having an inlet, a second conduit in fluid communication with the inlet of said receiving container and the outlet of said leukocyte depletion device, and a precharge or excess of gas sufficient to drain the system in the receiving container. A satellite bag may be provided, which may be connected in fluid communication with the receiving container.
In still another embodiment of the invention, a method for processing a biological fluid is shown using a leukocyte reduction system having a first biological fluid container, a first biological fluid receiving container downstream of said first biological fluid container, and being precharged with a quantity of gas sufficient to drain the system, and a leukocyte reduction device in fluid communication with the first biological fluid container and the first biological fluid receiving container, the method comprising; causing the precharge of gas to be transferred from the first biological fluid receiving container to the first biological fluid container; and passing the biological fluid from the first biological fluid container, through the leukocyte reduction device, and collecting the leukocyte depleted biological fluid in the second container.
In a still further embodiment of the invention, a method for processing a leukocyte containing biological fluid is shown utilizing a leukocyte reduction system having a first biological fluid or blood container, a first biological fluid receiving container downstream of said first biological fluid container and being precharged with a quantity of gas sufficient to drain the system, and a leukocyte reduction device in fluid communication with the first biological fluid container and the first biological fluid receiving container, the method comprising: causing the precharge of gas to be transferred from the first biological fluid receiving container to the first biological fluid container; and passing the biological fluid from the first biological fluid container, through the leukocyte reduction device, and collecting the leukocyte depleted biological fluid in the first biological fluid receiving container by first inverting, and then re-inverting the apparatus.
In a further embodiment of the invention, a method for processing a biological fluid is shown including the steps of: passing a predetermined quantity of a fluid (preferably a gas such as air) from a first biological fluid receiving container through a leukocyte reduction device into a first biological fluid container containing a leukocyte rich biological fluid without wetting the device; and passing the leukocyte rich biological fluid from the first biological fluid container, through the leukocyte reduction device, into the first biological fluid receiving container by a pressure differential (e.g. gravity head, pressure cuff, suction and the like).
Thus, it is an object of the present invention to provide an improved method and apparatus for processing fluids.
A further object of the present invention is to provide a simpler and less costly apparatus for processing biological fluids.
Another object of the present invention is to provide an improved method and apparatus for filtering biological fluids.
Another object of the present invention is to provide a ventless leukocyte reduction system.
Another object of the present invention is to provide a ventless leukocyte reduction system provided with a satellite bag.
A further object of the present invention is to provide a ventless leukocyte reduction system provided with a plasma bag.
Another object of the present invention is to provide a ventless leukocyte reduction system provided with a satellite bag and one or more additive bags.
A still further object of the present invention is to provide a ventless whole blood set having a donor bag, a donor line, and a blood sampling system connected to the donor bag.
Further objects and advantages of the present invention will be apparent from the following description and appended claims, reference being had to the accompanying drawings, wherein like reference characters designate corresponding parts in the several views.
In describing the present invention, the following terms are used as described below.
“Fluid” means any liquid or gas.
“Biological Fluid” refers to saline solutions, medicant solutions, nutrient solutions and blood or blood products.
“Porous Medium” refers to any porous structure through which a fluid passes. A porous medium may be formed from any synthetic or natural fiber, particulates, or from a porous or permeable membrane compatible with the fluid being filtered.
“Sterility” or “Sterile” refers to maintaining a system free from viable contaminating microorganisms.
“Connector” refers to penetrating connectors, such as a spike, cannula, or needle and mating connectors, such as Luer-type, screw-type, friction-type, or connectors which are bonded together to any structure used to form a joint or to join itself to another piece.
“Sterile Connection” refers to a joint between two tubings, or between a tubing and a device, container, or bag, which is hermetic in nature and maintains a system free from viable contaminating microorganisms.
“Sterile Disconnect” refers to any means of sealing off a “tubing” while maintaining the sterility of the contents of the tubing, if any. A heat seal is an example of a “sterile disconnect”.
“Liquiphillic” refers to a material having a critical wetting surface tension higher than the surface tension of the applied liquid and is readily or spontaneously wetted by the applied liquid.
“Liquiphobic” refers to a material having a critical wetting surface tension lower than the surface tension of the applied liquid and is not readily or spontaneously wetted by the applied liquid. Liquiphobic materials may be characterized, then, by a high contact angle between a drop of liquid placed on the surface, and the surface.
“Tubing” may be any conduit or means which provides fluid communication between the containers, and is typically made from the same flexible material as is used for the containers, preferably plasticized PVC.
“Precharge” refers to a quantity of a gas introduced into the system or system component(s) prior to its use in the system.
“Ventless” refers to lacking a vent during a filtration process.
“Functional Biomedical Device” may be any number of devices or assemblies in which air or gases are present and/or may collect or form, or should be displaced prior to use of the assembly. Exemplary devices include a filter, such as a leukocyte depletion filter; a separatory device, such as a platelet concentrator, preferably a non-centrifugal platelet concentrator; a debubbler, a pump and a connector. The device may also include a device for destroying biological contaminants, such as a high intensity light wave chamber, or a device for sampling a biological liquid.
Referring now to
Connected to the outlet 24 of the biological fluid filtration device 21 is a second tubing 32. A porous medium 22 is interposed between the inlet 23 and the outlet 24 of the biological fluid filtration device 21.
Connected to the other end of the second tubing 32 is a first biological fluid receiving container 33 which may have a third spike port connector 39 and a fourth spike port connector 40. Provided on the second tubing 32 proximate the outlet 24 of the biological fluid filtration device 21 may be a filter clamp 43. A hemostat may be used in place of the filter clamp 43 if desired. Hemostat or filter clamp 43 may be provided during the manufacturing process, or provided later. Filter clamp 43 is shown in an initially closed position for purposes to be described below.
Connected in fluid communication with the first biological fluid receiving container 33 by a third tubing 44 is a satellite bag 45. Provided on third tubing 44 in the manner described above may be a satellite bag clamp 46, shown in an initially closed position for purposes to be described. Satellite bag 45 is preferably empty and does not contain excess gas.
Depending on the biological fluid being filtered, the components of the ventless and prechargeable fluid processing apparatus 20 may be made of a wide variety of materials. Any practical material may be used, as long as it is compatible with the biological fluid being filtered. When blood is being filtered, it is preferable that the bag and tubing components be made of plasticized poly (vinyl chloride) (PVC) in accordance with International Standard ISO 3826: 1993 (E).
In the practice of a first method in accordance with the present invention, no further apparatus is needed. Specifically there is no precharge or excess of gas 37 in the first biological fluid receiving container 33. Instead, the excess of gas or precharge 37 is injected directly into the first biological fluid container 29. This is preferably done immediately before filtration is to take place. The excess or precharge of gas is calculated as below.
With Reference to
In the practice of a second method embodying the present invention, a first biological fluid receiving container 33 is supplied with a precharge or excess of gas 37 in excess of the volume of gas contained in the container in its relaxed empty state (collapsed). The excess or precharge of gas 37 may be placed in the first biological fluid receiving container (33, 132) during manufacture, or injected into the first biological fluid receiving container (33, 132) before use. It is preferred that the gas being injected is sterile, and is transferred into the system in a sterile manner, such as, by passing a non-sterile gas, such as air, through a 0.2 micron filter, which is known in the art.
The volume of the precharge has to be greater than, or equal to, the volume of the residual air left during the manufacturing process in the components of the system that are intended to be drained when the first biological fluid container is emptied. The volume of gas sufficient to drain the intended portions and components of the system is hereby referred to as a volume sufficient to drain the system.
For the ventless fluid processing apparatus 20, the volume of the precharge may be obtained from the following formula:
Vp≧Vft+Vuc
Where,
Vp=Volume of precharge,
Vft=Volume of first tubing,
Vuc=Volume of upstream chamber.
Therefore, the volume of the precharge or the volume of the excess gas 37 in the first biological fluid receiving container 33 is greater than or equal to the volume of the gas in the first tubing 27, plus the volume of the gas in the upstream chamber 21A. If gas is present in the first biological fluid container 29, the volume of gas in first biological fluid container 29 may be subtracted from the right hand side of the formula stated above. Therefore,
Vp≧Vft+Vuc−Vfc
Where,
Vfc=Volume of gas in the first biological fluid container.
Per the above explanation and formulation, no precharge 37 would be necessary if the first biological fluid container 29 contained a volume of gas greater than, or equal to the volume of tubing and portions of the functional biomedical device that it is intended to drain once the first biological fluid container 29 is drained.
This is necessary, as will be explained below, so that when the biological fluid is filtered in accordance with the method of the present invention, there will be substantially no biological fluid left in the first biological fluid container 29, the first tubing 27, or the upstream chamber 21A of the biological fluid filtration device 21. This would be the condition in the preferred embodiment of the invention.
If gas may breakthrough the biological fluid filtration device 21, it may be desired to drain additional components of the system. For example, the downstream chamber 21B and the second tubing 32 may be drained if precharge or excess gas 37 breaks through the biological fluid filtration device 21. Typically the precharge or excess gas 37 enters the system after fluid has drained from the first biological fluid container 29, the first tubing 27, and the upstream chamber 21A. The volume of precharge may be calculated from the following formula:
Vp≧Vft+Vuc+Vb+Vdc+Vst
Where,
Vp=Volume of precharge,
Vft=Volume of first tubing,
Vst=Volume of second tubing,
Vuc=Volume of upstream chamber,
Vdc=Volume of downstream chamber, and
Vb=Volume of biological fluid filter−volume of residual biological fluid that would remained trapped in the device.
The volume of precharge in the above example will drain additional portions of the system, such as the filter medium 22, the downstream chamber 21B of the biological fluid filtration device 21 and the second tubing 32. This is well within the scope of the present invention. In this example, after complete drainage of the biological fluid into the first biological fluid receiving container, a substantially gas free first biological fluid receiving container may be obtained by transferring excess gas from the first biological fluid receiving container into either the satellite bag or through the biological fluid filtration device into the first biological fluid container.
Under the aforementioned International Standard ISO 3826:1993(E), the volume of air contained in the filterless blood collection pathway and the container used for the collection of blood and for each transfer container and its associated tubing shall not exceed 15 ml. The volume of air contained in each additional transfer container and associated tubing shall not exceed 15 ml. Therefore, the amount of the precharge may be calculated for each application depending on the number of containers and associated tubing, and how the system is to be drained. This requirement is intended to prevent storage of blood or blood products including additive solutions and anticoagulants with excess gas. In blood bag sets, with functional biomedical devices such as leukoreduction filters, the hold up volume of such devices is typically greater than 15 ml. Therefore, sets with functional biomedical devices typically have components which hold over 15 ml of gas (typically air) and as fluid enters the devices the air is transported out of the device typically to a container downstream of the functional biomedical device. Therefore, the excess air in the container downstream of the functional medical device must be removed.
For purposes of illustration, since the amount of residual air in the blood collection pathway and the containers is relatively small, and may become mixed with the precharge or excess gas, it is not shown separately in the following illustrations.
Referring to
The next step in the practice of the method, as shown in
With reference to
Referring to
It is preferred that the amount of excess gas or precharge 37 is chosen so that the blood 30 will drain completely from the first biological fluid container 29, first tubing 27 and the upstream chamber 21A of the biological fluid filtration device. Blood 30 will remain in the porous medium 22, the downstream chamber 21B of the biological fluid filtration device 21 and the second tubing 32 if the differential pressure across the porous medium 22 is not sufficient to allow some gas breakthrough the porous medium. As stated previously, by choosing the volume of the precharge or excess gas 37 appropriately, it would be possible to have the blood drain completely from the filter 21 and the second tubing 32 if gas is allowed to breakthrough the porous medium but this is not believed to be the preferred embodiment. Other applications may have different amounts of excess gas 37, with different results.
With reference to
With reference to
Referring now to
With reference to
With reference to
It is desired that the blood 30 be filtered by biological fluid filtration device 21. An amount of excess gas or precharge 37 is provided in the first biological fluid receiving container 33. The amount of excess gas 37 is chosen as sufficient to drain the system 20 as described above. The first biological fluid receiving container 33 is connected in fluid communication with filtration device 21 by second tubing 32. There is provided a satellite bag 45, which is in fluid communication with the first biological fluid receiving container 33 through the third tubing 44. Filter clamp 43 and satellite bag clamp 46 are provided as described above.
With reference to
This empties the first biological receiving fluid container 33 of the excess gas 37 by forcing the excess gas 37 through the second tubing 32, the biological fluid filtration device 21 and first tubing 27, into the first biological fluid container 29, without the need to invert the ventless fluid processing apparatus 20, as in the practice of the first method according to the present invention, described hereinabove.
Immediately after this operation occurs, the filter clamp 43 is closed, leaving the blood 30 and the excess gas 37 in the first biological fluid container 29. The system 20 is now in the condition shown in
The filter clamp 43 is now opened (
With reference to
Referring to
Referring to
With reference to
Now that the present invention and its principle of operation have been explained, the simple fashion and great variety of ways that apparatus for its practice may be supplied to blood banks, hospitals and other organizations concerned with the gathering and/or storage and/or administration of biological fluids may be seen.
Referring first to
Connected in fluid communication with the outlet 24 of the biological fluid filtration device 21 is second tubing 32. Second tubing 32 has a first end 32A, and a second end 32B. First end 32A of tubing 32 is connected to outlet 24 by a sterile connection. The porous medium 22 is interposed between the inlet 23 and the outlet 24 of the biological fluid filtration device 21.
Connected in fluid communication with the second end 32B of the second tubing 32 by a sterile connection is first biological fluid receiving container 33 having an excess of gas 37. First biological fluid receiving container 33 may have a third spike port connector 39 and a fourth spike port connector 40.
There is shown in
A first biological fluid container 29 is attached to the first tubing 27, preferably by a sterile connection. Precharge or excess gas 37 is transferred from the first biological fluid receiving container 33 into the first biological fluid container 29. Subsequently, fluid is transferred from the first biological fluid container 29 through the filter 21 into the first biological fluid receiving container 33. Following the liquid transfer, precharge or excess gas 37 enters through the first tubing 27 and substantially drains the system. The initial gas volume (excess gas) transferred by the displacement of liquid from the first biological fluid container 29 into the first biological fluid receiving container 33 may be expelled from the container 33 through closeable vent 54. It is well within the skill of those in the art to determine exactly when the precharge of gas 37 should be added when using the closable vent 54.
With reference to
With reference to
With reference to
Referring to
The whole blood set (WBS) 120 comprises a first biological fluid container 29, which may be used to collect blood or blood product, provided upstream from biological fluid filtration device 21, which may be such as the LeukoSep™ Model No. HWB-600-W, manufactured by Hemerus Medical, LLC of St Paul, Minn. A quantity of anticoagulant 126 is usually provided in first biological fluid container 29.
The biological fluid filtration device 21 has an inlet 23 and an outlet 24, separated by porous medium 22. First biological fluid container is connected in fluid communication with the biological fluid filtration device 21 through first cannula or connector 28 and first tubing 27 having a first end 27A and a second end 27B.
There is also provided a first biological fluid receiving container 33 downstream of the biological fluid filtration device 21, which may be used to receive blood or blood products after they have been filtered or leukocyte reduced by the biological fluid filtration device 21. Biological fluid filtration device 21 is connected in fluid communication with first biological fluid receiving container 33 through second tubing 32, having a first end 32A and a second end 32B.
If the fluid or fluids, such as blood or blood products, in the first biological fluid receiving container 33 are to be separated into component parts, a plasma bag 135 may be provided in fluid communication with first biological fluid receiving container 33 through red blood cell (RBC) cannula 141 (when opened). Plasma bag 135 is connected to the first biological fluid receiving container 33 by red blood cell (RBC) tubing 136 (and Y-connector 138 and plasma line 136B, if needed).
In some applications, one or more additives may be added to the fluid in the first biological fluid receiving container 33 during processing. This may be accomplished by providing a first additive bag 137. First additive bag 137 is connected in fluid communication with RBC tubing 136 by primary additive tubing 139 and Y-connector 138 (when first additive bag cannula 142 is opened).
It may be desirable for one or more of the containers described above (29, 33, 135, 137) to have a cannula provided between the bag or container and its' associated conduit or tubing. For example, first biological fluid container 29 may have a first cannula or connector 28 interposed between first biological fluid container 29 and the first end 27A of first tubing 27. Blood could not pass from first biological fluid container 29 to first tubing 27 (or vice versa) until first cannula 28 was broken or otherwise compromised. It is well within the scope of the present invention to have first cannula 28 replaced by any other practical device for controlling blood flow.
Likewise, an RBC cannula 141 may be interposed between first biological fluid receiving container 33 and first end 136A of RBC tubing 136. A first additive bag cannula 142 may be interposed between first additive bag 137 and second end 139B of primary additive tubing 139. Additional cannulas or connectors may be added, depending on the particular application, and this is within the scope of the present invention. In all cases, the system may be assembled by connecting (with sterile connections, if desired) various containers and sets together.
It may be desirable to have one or more whole blood set spike ports or connectors provided on the containers (135 and/or 137) described above.
The biological fluid processing system or whole blood set 120 described above preferably includes donor apparatus 146 in connection therewith. Such an apparatus would include a donor line 147 in fluid communication with the first biological fluid container 29 at its first end 147A, and with a needle set 148 at its second end 147B. Needle set 148 includes a needle 149 in fluid communication with the donor line 147, and a needle protector 150. Donor apparatus 146 is illustrated by way of example only. It is well within the scope of the present invention to use other donor apparatus or sets known in the art.
A blood sampling system 152 may also be provided to, for example, provide a donor blood sample for testing, or to divert an initial blood sample before it is allowed to pass into first biological fluid container 29. Sampling system 152 may include such as a sampling Y-connector 154 interposed in donor line 147. Sampling tubing 155 would be connected at a first end 155A to Y-connector 154, and at its second end 155B to a vacuum tube holder 156 or other desired way to collect blood for testing, such as a pouch, or combinations of the two. Other sampling systems known in the art may also be used.
Referring now to
Second additive bag 158 is provided, and is in fluid communication with first additive bag 137 through second additive bag cannula or connector 159 (when open) and secondary additive tubing 160.
All three methods described above may be practiced with the apparatus illustrated in
If first biological fluid receiving container 33 is provided with an excess of gas or precharge 37 as described above, blood has been introduced into first biological fluid container 29, donor cannula 129 is operated as described for cannula 28, filter clamp 43 is operated as previously described, and RBC bag cannula 141 is operated as described for the satellite clamp 46 above, the second method embodying the present invention may be practiced in connection with the apparatus as shown and described in
Referring now to
In this modification of the invention, second donor apparatus 172 is used in connection therewith. Such an apparatus would include, as before, a donor line 147 in fluid communication with the first biological fluid container 29 at its first end 147A, and with a needle set 148 at its second end 147B. Needle set 148 includes a needle 149 in fluid communication with the donor line 147, and a needle protector 150. to cover the needle 150 after use. A donor line clamp 176 is provided on the donor line between the needle 149 and the first biological fluid container 29. Second donor apparatus 172 is illustrated by way of example only. It is well within the scope of the present invention to use other donor apparatus or sets known in the art.
A second blood sampling system 174 is provided. Second sampling system 174 may include such as a sampling Y-connector 154 interposed in donor line 147. However, in this modification of the invention, instead of the sampling tubing 155 being connected at a first end 155A to Y-Connector 154, and at its second end 155B to a vacuum tube holder 156 or other desired way to collect blood for testing, a second sampling tubing 175 is connected at its' first end 175A to sampling cannula 177 which, in turn, is connected to the Y-connector 154. Second sampling tubing 175 is connected at its second end 175B to a second Y-connector 180. Second Y-connector 180 is connected in a manner known in the art to provide fluid communication between diversion bag 182, the second end 175B of second sampling tubing 175, and one end of third sampling tubing 184. Third sampling tubing is connected at its other end to vacuum tube holder 156. A sampling system clamp 178 is provided on the second sampling tubing 175 between the Y-Connector 154 and the second Y-Connector 180.
While anti-coagulant 126 may be contained in first biological fluid container 29, if desired, in this modification of the invention, no precharge 37 is contained in first biological fluid receiving container 33. Instead, the precharge 37, in an amount calculated as set forth above, in other words, in an amount sufficient to drain the system, is contained in diversion bag 182.
With the above description of the fourth whole blood set 170, the fourth method according to the present invention may be understood by those skilled in the art. With donor line clamp 176 and second sampling system clamp 178 initially open, the precharge 37 in the diversion bag 182 is expressed into the first biological fluid container 29, after sampling cannula 177 is compromised. This is preferably done before, but may be done after, blood is collected in first biological fluid container 29. Because of the design of the donor needle 149 and the vacuum tube holder 156, none of the precharge can pass out of these devices until they are prepared for use. Therefore, the precharge travels through the second sampling tubing 175, sampling cannula 177, sampling Y-connector 154, and through the donor line 147, into the first biological fluid container 29. The donor line clamp 176 is then closed.
The donor needle 149 is inserted into the donor and the sampling system clamp 178 is left open. An initial amount of blood is drawn into the diversion bag 182 (and/or into the vacuum tube that may be connected to vacuum tube holder 156 if desired) for purposes known in the art, and the sampling system clamp 178 is closed. In this condition, no more blood is flowing from the donor into the fourth whole blood set 170.
Donation is continued by opening the donor line clamp 176. Blood then resumes flow into the first biological fluid container 29, where it displaces the precharge, and mixes with the anti-coagulant, if any. Once sufficient blood is collected, donor line clamp 176 is closed, and the needle 149 is removed from the donor and pulled into needle protector 150 to prevent accidental needle stick. The donor line 176 may then be sterile disconnected (and sterile segmented, if desired) from first biological fluid container 29.
To process the blood, the filter clamp 43 is then opened, permitting the blood to flow through the biological fluid filtration device 21, with the rest of the processing taking place as described above.
Therefore, by carefully studying the problems present in previous biological fluid filtration systems, I have developed a novel, method and apparatus for processing biological fluid.
In accordance with the provisions of the patent statutes, the present invention has been described in what is considered to be its preferred embodiment. However, it should be noted that the invention can be practiced otherwise than as specifically illustrated and described without departing from its spirit or scope.