U.S. patent number 3,586,097 [Application Number 04/831,045] was granted by the patent office on 1971-06-22 for plasma freezer.
This patent grant is currently assigned to Cenco Medical Health Supply Corporation. Invention is credited to Charles E. Bender, Douglas S. Fraser, Taylor N. Thompson.
United States Patent |
3,586,097 |
Bender , et al. |
June 22, 1971 |
PLASMA FREEZER
Abstract
A plasma freezer for use in cryoprecipitation of antihemophilic
factor from whole blood. Freezing and thawing tanks may be filled
with novel cassettes containing plasma filled bags, while the
associated red blood cells which have been separated by
centrifuging are held at a uniform temperature to prevent
deterioration.
Inventors: |
Bender; Charles E. (New Paltz,
NY), Thompson; Taylor N. (New Paltz, NY), Fraser; Douglas
S. (New Paltz, NY) |
Assignee: |
Cenco Medical Health Supply
Corporation (Chicago, IL)
|
Family
ID: |
25258184 |
Appl.
No.: |
04/831,045 |
Filed: |
June 6, 1969 |
Current U.S.
Class: |
392/444; 165/65;
392/446; 165/133; 392/470 |
Current CPC
Class: |
A61J
1/165 (20130101); F25D 31/006 (20130101); A61B
18/02 (20130101); A61M 1/369 (20130101); A61M
2205/3606 (20130101) |
Current International
Class: |
A61B
18/00 (20060101); A61B 18/02 (20060101); A61J
1/14 (20060101); A61J 1/16 (20060101); A61M
1/36 (20060101); F25D 31/00 (20060101); F25b
029/00 () |
Field of
Search: |
;165/30,61,64,65,48,12,104,133,17 ;128/424 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Sukalo; Charles
Claims
We claim:
1. A plasma freezer for use in maintaining interconnected
containers of plasma and red blood cells at desired temperatures
for freezing, storage and thawing, respectively, said plasma
freezer including a receptacle for reception of said containers
carrying plasma, means to maintain said receptacle at a temperature
below freezing and thereby freeze said plasma, a second receptacle
located adjacent the first receptacle and adapted to receive
containers of red blood cells, means to maintain said second
receptacle at a selected temperature slightly above freezing, a
third receptacle adjacent said second receptacle, and means to
maintain said third receptacle at a temperature slightly above
freezing to cryoprecipitate antihemophilic factor from said
plasma.
2. The plasma freezer of claim 1 including means to continuously
circulate diverse liquid baths in said first and third receptacles
to provide for uniform freezing and thawing.
3. A plasma freezer for use in cryoprecipitating antihemophilic
factor from whole blood while maintaining other factors of said
whole blood in a condition suitable for recombination and use as
whole blood, said plasma freezer comprising a cabinet housing
first, second and third tanks, each of said tanks being isolated
from the others, means to maintain one of said tanks at a
temperature well below freezing, heater means in a second of said
tanks to maintain said tank at a selected temperature slightly
above freezing and a third tank having means to maintain said tank
at a temperature of about 4.degree. C. to prevent deterioration of
red blood cells during the cryoprecipitation process.
4. The plasma freezer as defined in claim 3 wherein said first tank
contains a liquid bath of ethanol.
5. The plasma freezer as defined in claim 3 wherein each of said
freezing and thawing tanks is filled with liquid and includes means
to continuously circulate said liquid.
6. The plasma freezer of claim 3 wherein a plurality of cassettes
are positioned in each of said tanks, said cassettes containing
plastic bags substantially filling said cassette to provide for
uniformity in heating and cooling.
7. The plasma freezer of claim 3 wherein said second well is
partially filled with a liquid and includes means to maintain said
second tank at a temperature slightly above thawing.
8. A plasma freezer particularly adapted for cryoprecipitation of
antihemophilic factor from plasma while maintaining the red blood
cells separated from said plasma and in a condition where
recombination can take place without exposing said red blood cells
and said plasma to atmosphere and while storing said red blood
cells at a temperature to preserve the same, said plasma freezer
including a cassette adapted to contain a plastic bag having plasma
therein, a second bag containing said red blood cells and being
joined through a tube to said bag containing said plasma, a
freezing tank having means associated therewith to maintain said
tank at a temperature below freezing, said freezing tank being
adapted to receive said cassette with a cassette containing said
plasma bag for freezing thereof, a thawing tank located adjacent
said freezing tank and having means associated therewith to
maintain said thawing tank at a selected temperature above
freezing, said thawing tank being adapted to receive said cassette
in uniformly spaced relation relative thereto, and a holding tank
for receiving said bag containing said red blood cells, said
holding tank having means associated therewith to maintain said red
blood cells at a uniform temperature to prevent deterioration
thereof.
9. The plasma freezer of claim 8 wherein each of said cassettes is
coated with a low-friction coating to prevent adherence of the bags
thereto.
10. The plasma freezer of claim 8 wherein each of said freezing and
thawing tanks is filled with a liquid bath and includes means to
continuously circulate said liquid bath for uniformity in
temperature. 11In a blood freezing arrangement wherein blood is
stored in plastic bags for freezing and thawing to cryoprecipitate
antihemophilic factor, the improvement comprising a cassette for
use in handling said bags containing plasma, said cassette being
formed of a material having good heat transfer characteristics to
minimize freezing and thawing time, and further being coated along
the interior walls with a plastic coating to eliminate
adhesion of said plastic bag to said cassette. 12. The improvement
of claim 11 wherein the exterior of said cassette is coated with a
black substance for greater heat absorption and uniform
distribution.
Description
This invention relates to a novel plasma freezer and, more
specifically, is directed to a plasma freezer particularly adapted
for the use in the production of antihemophilic factor.
In recent years, it has been discovered that the antihemophilic
factor separates from blood plasma through cryoprecipitation. The
antihemophilic factor is important to control hemophilia, which is
commonly known as the "bleeder's disease." Before the recent
discovery, persons afflicted with this disease were given liberal
transfusions of plasma, which is the clear liquid portion of the
blood which contains the clotting or antihemophilic factor. Besides
being expensive, the patient received other factors in the plasma
when they were not needed. In actual practice, the antihemophilic
factor (AHF) is all that is required for arresting or controlling
bleeding in hemophiliacs. Accordingly, it is desirable to retain
the plasma and red cells in a usable condition while separating the
AHF from the whole blood, thereby permitting the remaining whole
blood to be used for other purposes.
It has been found that AHF can be isolated by first centrifuging
the whole blood to pack the red cells in the lower portion of the
container. Then, the clear plasma above the red cells is then
expressed into a satellite bag through a connecting tube which is
isolated from the atmosphere. By a freezing and thawing process,
the AHF is precipitated out of the plasma. The plasma may then be
recombined with the red cells to form whole blood which has had the
antihemophilic factor removed. It is essential that the freezing
and thawing be accomplished under carefully controlled
circumstances in order to assure that the quality of the remaining
whole blood will not be affected. It is also important to maintain
the freezing and thawing conditions uniform to assure the maximum
concentration of AHF by the process without permitting
deterioration of the plasma. In the prior art, this was attempted
to be accomplished through a rather crude technique using a freezer
section of a conventional refrigerator, and the results left
something to be desired because of the lack of control over the
process.
The present invention relates to a novel plasma freezer having a
unique arrangement of freezing, thawing and holding tanks. Into
these tanks are placed cassettes which act as carriers to protect
plastic bags in which the red blood cells and plasma are stored.
Through the novel arrangement, the plasma, even though separated
from the red blood cells, is maintained sterilely connected to the
container or bag containing the red blood cells. This bag may be
carried in a cassette or may be stored in a holding tank which
assures that the cells will be maintained at a uniform temperature
to retain their quality throughout the freezing and thawing of the
plasma. The novel design permits technicians and persons of a
similar level of skill to cryoprecipitate out the AHF under
controlled circumstances.
The novel freezer assures that uniformity in temperatures during
the entire process will be maintained. Moreover, the use of the
cassettes assures good thermal conductivity for expedient freezing
and thawing while precluding contact between the plasma and red
blood cell containers with the freezing and thawing baths. This
assures maximum sterility and reduces the chance of damage to the
bags. The production of AHF is maximized in a minimum amount of
time. Other advantages will become apparent upon reference to the
objects achieved.
It is an object of this invention to provide a novel plasma freezer
particularly adapted for use in the production of antihemophilic
factor.
It is a further object of this invention to provide a novel plasma
freezer having three separate tanks for freezing, thawing and
holding during the production of antihemophilic factor from blood
plasma.
It is a further object of this invention to provide a plasma
freezer which permits the extraction of antihemophilic factor from
blood plasma by cryoprecipitation and permits recombination of the
plasma and red blood cells while assuring retention of the quality
of the plasma and red blood cells, making them suitable for further
use as whole blood.
It is a still further object of this invention to provide a new and
improved cassette particularly adapted for freezing, thawing and
holding bags containing red blood cells and plasma.
Objects other than those specifically set forth will become
apparent to those skilled in the art upon consideration of the
accompanying drawings and following description.
In the drawings:
FIG. 1 is a perspective view of the plasma freezer of the present
invention;
FIG. 2 is a longitudinal cross section taken generally along the
line 2-2 of FIG. 1 and illustrating the thawing bath with cassettes
positioned therein being shown in full elevation;
FIG. 3 is a transverse fragmentary cross section taken generally
along the line 3-3 of FIG. 1 and illustrating the thawing, freezing
and holding tanks in cross section;
FIG. 4 is a perspective view of a cassette with a blood container
disposed therein;
FIG. 5 is an enlarged cross-sectional view taken generally along
the line 5-5 of FIG. 4 and illustrating the bag and cassette in
cross section;
FIG. 6 is a top plan view of the plasma freezer shown in FIG.
1;
FIG. 7 is a fragmentary free body view of the thawing tank;
FIG. 8 is a top plan view of the thawing tank shown in FIG. 7;
FIG. 9 is a side elevational view of the freezing tank with
portions broken away to show the cooling coils;
FIG. 10 is a free body side elevational view of the holding
tank;
FIG. 11 is a top plan view of the holding tank shown in FIG.
10;
FIG. 12 is a fragmentary perspective view of a typical thawing or
freezing tank assembly;
FIG. 13 is a cross-sectional view taken along the line 13-13 of
FIG. 12; and
FIG. 14 is an enlarged elevational view of the pump housing with
the top of the tube broken away.
Referring now to FIG. 1, the plasma freezer of the present
invention is indicated generally be reference numeral 10 and
includes a cabinet 11 which may be mounted on casters 12 for ease
of mobility, having a front face 14 which contains a control panel
15. The top of the plasma freezer 16 is provided with a motor
housing 13 and three tanks or wells indicated generally at 17, 18
and 19, respectively. The tank 17 is a holding tank, while the tank
18 is a freezing tank, with the tank 19 serving as a thawing bath.
Each of the latter tanks utilizes a liquid bath to effect good heat
transfer. The circulating systems of these are the same and will be
described in detail with reference to FIGS. 12--14. The plasma
freezer unit shown is provided with transfer packs of whole blood
indicated generally at 20 with the bags in the thawing tank being
stored in cassettes 21 which will be described in greater detail
with reference to FIGS. 4 and 5.
A brief summary of the method of cryoprecipitation may be
beneficial to a more complete understanding of the present
invention. The transfer packs 20 are of conventional design and may
be purchased on the open market, and include a whole blood bag 22
and plasma bag 24 joined by a connecting tube 23.
Whole blood is taken directly from a blood donor through a tube
(not shown) into the blood bag 22, having an anticoagulant of known
type. The bag 22 is then centrifuged to collect the red blood cells
at the bottom, leaving the clear plasma at the top. The clear
liquid or plasma containing the antihemophilic factor is expressed
through the connecting tube 23 into the satellite bag 24. The two
bags 22 and 24 are maintained as a unit in airtight interconnected
relation as shown in FIG. 1. The plasma bag 24 is taken through the
freeze and thaw cycles to cryoprecipitate out the antihemophilic
factor, while the red blood cells are stored in the bag 22 in the
holding tank 17 at a uniform temperature to protect against
deterioration. This process will be described in greater detail
hereinafter.
In order to protect the plasma bags 22 against deterioration from
immersion in the tank, they may be housed in the cassette 21. As
seen in FIGS. 3--5, the cassette consists of a generally
rectangular elongated container having a pair of laterally
projecting flanges 25 and 26 at the upper extremity and side
margins of the cassette 21. The interior of the cassette is coated
with a suitable plastic coating 27 to prevent adherence of the
transfer packs or blood bags 24 to the walls. The flange 26 may be
provided with a handle 28 to facilitate handling of the cassette
and bag 24 as a unit when switching it from the freezing bath to
the thawing bath. The cassette provides an additional advantage in
that it assures fairly uniform heat transfer from the liquid bath
to the bag contents, thereby preventing any deterioration of the
plasma and expediting the freeze and thaw cycles.
As seen FIG. 2, the thawing tank 19 is formed in a rectangular well
of a depth sufficient to receive the cassettes 21 with a uniform
clearance at their bottom wall as indicated at 30. The tank is
filled between one-third and one-half with ordinary water.
Depending upon the number of cassettes in the tank, the level will
need adjustment. At the left-hand end of the thawing tank is
provided a circulation system including a conduit 31 having flange
portions 32 and 33 for attachment to the sidewall of the tank. The
pump and circulating system, which will be described in detail with
reference to FIGS. 12--14, recirculates the fluid continuously to
maintain uniformity in temperature. As seen in FIG. 8, a third
conduit 34 is joined to the tank at the same elevation as the
conduit 33. A pair of coils 35 and 36 are wound in a race track
pattern and joined to the bottom wall 37 of the tank by plates 39
through the action of nuts 49 which press the coils into intimate
contact with the bottom wall of the tank 18. The coils are
connected into the refrigeration system to permit refrigerant to be
circulated therethrough. A strip-type heater 38 is fastened to the
bottom of the tank 18 within the area bounded by the coils 35 and
36. Suitable sensing means of known type is provided to permit
control of the heating or cooling of the thaw bath and thus
maintain the temperature uniform. The desired temperature can be
selected by adjustment of knobs on the control panel. Referring now
to FIGS. 3 and 9, the freezing tank 18 is illustrated as being
formed of a metal shell 40 into a boxlike configuration. A
refrigeration coil is indicated generally at 41 and if formed by
stamping recesses into a second sheet of metal which is
subsequently welded or otherwise suitably attached fluidtightly to
the outer wall 40. As seen in the lower right-hand corner of FIG.
9, the passages for the refrigerant are formed in a fashion to
permit the coolant to directly contact the wall of the shell 40 to
provide good heat transfer directly to the fluid contained in the
tank. In this manner, the desired temperature of the tank may be
maintained at the level selected even though cassettes at a
different temperature are inserted.
In the preferred form of the invention, the freezing tank is filled
between one-third and one-half full with either methanol, ethanol
or an equivalent type of bath. A hose attachment 42 is provided to
permit the level to be adjusted to compensate for changes in the
number of cassettes contained in the freezing tank. The circulating
system is similar to the thawing tank and will be described below
with reference to FIGS. 12--14. The refrigeration coils are
connected through suitable conduits 43 to a refrigeration system of
known type (not shown) which is mounted in the base of the cabinet
11.
The circulation system for each of the freezing and thawing tanks
is virtually identical and, therefore, in the interest of brevity,
will be described with reference to the tank 80 in FIG. 12 which
may be a freezing, thawing or similar type of tank. The tank 80 has
a circulation assembly indicated generally at 81 and is adapted for
fluidtight attachment to the end wall of the tank through the use
of mounting flanges 83, 84 and 85. Obviously, any equivalent
mounting arrangement may be used. The cycle of circulation is
generally shown by the arrows wherein the liquid enters the system
at the flange 83 and exits through the flanges 84 and 85 on
opposite sides of the cassette for greater uniformity. The
circulating system includes a pump housing 86 which is in the form
of a T-fitting which is attached to a second T-fitting 87 forming
the inlet to the pump housing. A stack 88 joins the upper end of
the T-fitting 87 and forms a mounting for a motor indicated
generally at 90. The motor 90 is located in the motor housing 13
well above the maximum level of liquid in the tank for safety. The
pump housing 86 has opposite ends connected to elbows 91 and 92
which, in turn, are connected through the flanges 84 and 85,
respectively, to elongated tubes 93 and 94 which are perforated
along the sidewalls as at 97 and 98 are closed off at the ends. If
desired, a spaces 95 may be used to maintain the tubes transversely
spaced.
Referring now to FIGS. 13 and 14, the pumping arrangement will be
described. The tube 88 has the motor 90 mounted at its upper end
through a collar 100. A pump drive shaft 101 is coupled through a
coupling 102 to the motor and extends through a guide bracket 103
into a plastic bearing 104 mounted in a housing 105 formed on the
T-fitting forming the impeller chamber 86. A pair of collars 106
and 107 serve to prevent axial movement of the shaft relative to
the guide 103.
At the lower end of the pump shaft 101 is provided an impeller 108
which functions to recirculate the fluid through the outlets 111
and 112 which are connected to the distribution tubes 93 and 94,
respectively. In practice, the water or other liquid in the tank 80
enters the inlet 113 formed by the T-fitting 87 and is pumped out
through the openings 111 and 112 for distribution through the
perforations 97 and 98. The simplified form of pumping system
eliminates the need for any special seals. Due to its unique
design, it may be readily fabricated from parts available on the
open market. It is acceptable for use with both the freeze and thaw
baths and keeps the liquid bath continuously circulated for optimum
uniformity in temperature, thereby guarding against cell
deterioration.
Referring now to FIGS. 3, 10 and 11, it can be seen that the
holding tank 17 is of greater depth than either of the freezing or
thawing tanks. As shown in FIG. 3, the plastic bag containing the
red blood cells is stored in the holding tank 17 without a cassette
needed because no liquid medium is used. The holding tank 17
consists of a metal shell 50 formed to a boxlike configuration and
having a series of cooling coils 51 wound adjacent the top.
Suitable means such as the clamps 52 and 53 hold pg,13 the coils in
good heat transferring relation with the wall 50. The coils 51 are
connected to the refrigeration source through a control which is
responsive to changes in temperature. Through adjustment of the
controls on the control panel 15, the holding tank and thawing tank
are normally set to 4.degree. C. (+39.2.degree. F.). The
refrigeration unit which is contained in the cabinet 11 and the
strip heater on the bottom of the thawing tank 19 will energize and
operate in response to sensors of conventional type to maintain the
temperature at the level selected.
In operation, the freezing bath and thawing bath are filled with
methanol and water, respectively. As pointed out above, a drain
hose attachment on each of these tanks permits part of the liquid
to be drained off so that the level may be adjusted to compensate
for insertion and removal of cassettes. The unit is connected to a
source of electrical power and the switches 60 and 61 on the
control panel 15 are energized to turn the unit on and energize the
circuit for the strip heater 38 in the thawing tank. The desired
thawing bath temperature, usually 4.degree. C., may be selected
through adjustment of control knob 62. The temperature level of the
holding tank may be adjusted through the knob 63. Each of these
knobs is provided with an associated indicating means 64 and 65,
respectively, which permits visual reading of the existing
temperature in each of these tanks. The desired temperature of the
freezing bath within the limits of the refrigeration unit may be
selected by means of control knob 66 with indicator 67 set to any
desired temperature. The whole blood in the bag 22 is centrifuged
to pack the red blood cells in the lower part of the bag. The clear
liquid or plasma above the red cells is expressed through the
connecting tube 23 into the satellite bag 24.
The satellite bag 24 containing the plasma is then placed in the
cassette 21 and a sharp rap delivered to the bottom of the
cassette. This serves to shape the bag and contents to conform to
the interior shape of the cassette 21 for uniform and better heat
transfer. The red blood cells remain attached through the tube 23
and are placed in the holding tank 17. The cassette 21 containing
the plasma is placed in the freezing bath in the freezing tank 18
where freezing is completed in approximately 15 to 30 minutes.
The cassette 21 is then transferred into the thawing bath which is
preferably maintained at 4.degree. C. Any drop in temperature of
the thawing bath will be compensated for automatically by the strip
heater becoming energized. Should the bath become too warm,
refrigerant will be circulated through the coils 35 and 36 to bring
the temperature to the level selected. Circulation of the liquid in
the freezing and thawing baths is achieved by the circulation
system 81 to maintain temperature uniformity. The frozen plasma
will then thaw in about 2 hours at 4.degree. C. or less time if the
temperature is raised. The white stringy substance remaining in the
satellite bag after thawing is the antihemophilic factor. The clear
liquid remaining is plasma which may be expressed back through the
tube 23 into the bag 22 containing the red blood cells to form
whole blood which may be used or dried as desired. The
antihemophilic factor remaining in the plasma bag is collected for
use in combating hemophilia.
From the foregoing, it can be seen that a simple plasma freezer
arrangement is presented by the present invention. The use of
cassettes facilitates rapid and easy handling of the bags
containing the plasma. The use of the novel cassettes shields each
of the plasma bags from direct contact with the solution in the
freezing and thawing baths. The cassettes provide maximum
conductivity and enchance the freezing and thawing processes. The
coating in the cassettes facilitates ease in removal of the bag
when the freeze and thaw process has been completed.
Upon a consideration of the foregoing, it will become obvious to
those skilled in the art that various modifications may be made
without departing from the invention embodied herein. Therefore,
only such limitations should be imposed as are indicated by the
spirit and scope of the appended claims.
* * * * *