Embodiment
To make the purpose, technical scheme and advantage of the embodiment of the present disclosure clearer, below in conjunction with the embodiment of the present disclosure
Accompanying drawing, the technical scheme to the embodiment of the present disclosure is clearly and completely described.Obviously, described embodiment is this public affairs
A part of embodiment opened, rather than whole embodiments.Based on described embodiment of the disclosure, ordinary skill
The every other embodiment that personnel are obtained on the premise of without creative work, belongs to the scope of disclosure protection.
Hepatic failure patients carry out autologous peripheral blood stemcell transplant, need to carry out stem cell collection, however, such conditions of patients weight,
Generally require to be supported treatment by carrying out plasma exchange.Normal practice is that patient receives single replacement therapy of blood plasma,
Extracorporal circulatory system path is first set up, patient is connected into plasma treatment machine, replacement therapy of blood plasma, about 2-4 hours time is carried out;It is autologous
Peripheral blood progenitor collection is then acquired using single blood cell separator, need to re-establish extracorporal circulatory system path, is taken
About need 2-3 hours.
Plasma exchange mainly first isolates blood plasma, the blood of patient is drawn into external, by membrane plasma separation method
The blood plasma of patient is separated from whole blood and discarded, the displacement such as fresh frozen plasma or human serum albumin of equivalent is then supplemented
Liquid.During plasma exchange, separated plasma can use plasma separator.The supplement of frozen plasma is often in the downstream of plasma separator
Complete.
The acquisition method of peripheral hematopoietic stem cells (PBSC) can use the single of cyto-centrifuge separation collection peripheral blood
Nucleus component.Many program separation using separation lymphocyte.The descending big venipuncture of ordinary circumstance, foundation is followed in vitro
Ring is acquired.VPV during collection adult is 50-60ml/min, and 4-6 circulations (about 2-3h), separation are separated every time
The total measurement (volume) 9L of blood, according to situation it is continuous or the next day gather.
Conventional plasma displacement, stem cell collection individually carry out being respectively provided with preferable security and effect.Plasma exchange can be with
The various metabolic toxicities and virulence factor in patient's body are removed, so as to reach therapeutic purposes.Because plasma exchange not only can be with
Remove in vivo in, the metabolic toxicities of small molecule, the macromolecular substances such as albumen, immune complex are also removed, while supplement again
The required materials such as the albumin, the clotting factor that are lacked in vivo, preferably instead of some functions of liver.Peripheral hematopoietic stem cells
(PBSC) acquisition method belongs to ripe clinical application technique at present, and target requirement amount can be preferably collected according to demand
Cell quantity.
Plasma exchange, stem cell collection are originally the clinical technologies being used alone, and need to carry out doing thin for hepatic failure patients
, it is necessary to which using two kinds of therapeutic modalities, the shortcoming carried out respectively is that patient need to set up extracorporal circulatory system path, body repeatedly during born of the same parents' transplanting
Outer anti-freezing increased risk, the time-consuming addition for the treatment of, causes the discomfort and clinical risk of patient.
The purpose of this utility model is for needing controlling for the hepatic failure patients of progress stem cell transplantation and plasma exchange
Treat there is provided a kind of blood processor with cascaded structure, plasma separator and cyto-centrifuge are connected in series, simultaneously
Plasma exchange, two treatments of stem cell collection are carried out, so as to improve therapeutic efficiency, patient's Operative risk are reduced.
Fig. 1 shows a kind of blood processor, and it includes:
Cyto-centrifuge D;
Plasma separator F;
The the first upstream blood catheter (EF) and the first downstream blood catheter (FGH) being connected with plasma separator;With
The the second upstream blood catheter (BD) and the second downstream blood catheter (DE) being connected with cyto-centrifuge;Wherein
Second upstream blood catheter and the connection of the first downstream blood catheter, or first upstream blood catheter and
Second downstream blood catheter connection, so that the cyto-centrifuge and the plasma separator are into series connection.
In Fig. 1, conduit makes indicated by the solid line, and the arrow wherein on solid line represents the flow direction of material in conduit.
The blood processor is used for by will be in a series arrangement connected to for the second blood treatment that haemocyte is separated
The upstream or downstream of first blood treatment of plasma exchange, so that, it is only necessary to setting up an extracorporeal circulation of blood can be same
Shi Jinhang haemocytes are separated and plasma exchange, and result is circulated without individually setting up haemocyte separation, and has saved haemocyte
The time of separating treatment, therapeutic efficiency is improved, reduce patient's Operative risk.
In this application, the processing being connected with plasma separator is referred to as the first processing or the first blood treatment.In this Shen
Please in, the processing being connected with cyto-centrifuge is referred to as second processing or the second blood treatment.
In some instances, the blood processor, in addition to:With first upstream blood catheter or the second upstream
The anti-coagulants injection conduit of blood catheter connection.Anti-coagulants is added from the conduit, it is possible to so that the blood of whole human body is by liver
Elementization (anti-coagulated processing), so that whole blood circulation pipeline disclosure satisfy that the requirement of anti-freezing.
In some instances, the blood processor also includes:The blood plasma being connected with first downstream blood catheter
Inject conduit or displacement liquid injection conduit.In plasma exchange, it is necessary to supplement after original blood plasma in having separated blood
The displacement liquids such as the fresh frozen plasma or human serum albumin of amount, therefore, blood plasma injection conduit are referred to as being displacement liquid note
Enter conduit.
In some instances, in the blood processor, the cyto-centrifuge is configured to separation and come from
Stem cell in the blood of second upstream blood catheter obtains the second separation blood, and the second separation blood is entered the second downstream
Blood catheter.
In some instances, in the blood processor, the plasma separator is configured to separation from the
Blood plasma in the blood of one upstream blood catheter, obtains the first separation blood, and the first separation blood is entered the first downstream blood
Fluid catheter.
In some instances, the blood processor also includes:Second be connected with second upstream blood catheter
Flow-controlling meter P2.
In some instances, the blood processor, in addition to:First be connected with first upstream blood catheter
Flow-controlling meter P1.
In some instances, the blood volume in the blood processor is less than 500ml, preferably shorter than 400ml, more excellent
Choosing is less than 300ml.Make the blood volume in whole blood processor it is relatively low be in order to patient can for ability to bear,
For normal people, discomfort occurs when may work as blood missing (extracorporal circulatory system) more than 500ml, however, for hepatopathy
Patient, possible blood is circulated in vitro just occurs malaise symptoms before reaching 500ml, therefore, in the blood processor
Blood volume it is more low better, preferably shorter than 400ml.
Embodiments herein also provides the method for operating above-described blood processor, including:
Pending blood is set to flow through the first upstream blood catheter into plasma separator F, plasma separator will be pending
Blood carry out separating treatment and obtain the first separation blood, and the first separation blood is entered the first downstream blood catheter;
The blood in the first downstream blood catheter is entered the second upstream blood catheter and enter cyto-centrifuge D;
Blood in second upstream blood catheter is carried out separating treatment and obtains the second separation blood by cyto-centrifuge, and
The second separation blood is set to enter the second downstream blood catheter.
Cyto-centrifuge operates the side of above-described blood processor in the case of the downstream of plasma separator
Method can be carried out similarly.
In some instances, methods described also includes:Conduit is injected to the second upstream blood catheter by the anti-coagulants
Or add anti-coagulants in the first pending blood in the blood catheter of upstream.
In some instances, methods described also includes:Conduit is injected into the first downstream blood catheter by the blood plasma
First separation blood in add blood plasma.
In some instances, in the process, the cyto-centrifuge is configured to separation and comes from the second upstream
Stem cell in the blood of blood catheter obtains the second separation blood, and the second separation blood is led into the second downstream blood
Pipe.
In some instances, the plasma separator is configured in blood of the separation from the first upstream blood catheter
Blood plasma, obtain the first separation blood, and the first separation blood is entered the first downstream blood catheter.
In some instances, methods described also includes:Adjust the second flow regulation meter P2 and first flow regulation meter
At least one in P1, so that the flow in flow and the first blood treatment in the second blood treatment meets outer circulation blood
The requirement of flow velocity.
In some instances, methods described also includes in advance entering described device (including whole pipeline) using heparin saline
Row pipeline pre-flush.In the running of described device, in the second upstream blood catheter of whole pipeline most upstream or first
Upstream blood catheter addition anti-coagulants can just realize the test tube of hepari of overall circulation, and the process of overall test tube of hepari is followed by human body
What ring reached, so as to reduce the consumption of anti-coagulants (heparin).In this application, test tube of hepari and anti-coagulated contain with identical
Justice, makes blood noncondensing effect during handling in vitro all referring to anti-coagulants such as heparin so as to reach is added into blood
Really.
In some instances, methods described also includes:Conduit is injected into the first downstream blood catheter by the blood plasma
First separation blood in add at least one of following material:Fresh plasma or displacement liquid.Therefore, the blood plasma injection is led
Pipe can also turn into displacement liquid and inject conduit.Described displacement liquid can include human serum albumin.
In some examples of methods described, the cyto-centrifuge is configured to separation and comes from the second upstream blood
Stem cell in the blood of conduit obtains the second separation blood, and the second separation blood is entered the second downstream blood catheter.
In some examples of methods described, the plasma separator is configured to separation and led from the first upstream blood
Blood plasma in the blood of pipe, obtains the first separation blood, and the first separation blood is entered the first downstream blood catheter.
In some instances, methods described also includes:Adjust the second flow regulation meter P2 and first flow regulation meter
At least one in P1, so that flow and pressure reach balance in whole circulation.
As shown in Fig. 2 the application also provides a kind of control system 11 for being used to operate described blood processor, it is special
Levy and be, the control system includes software and hardware, the control system is configured to realize method as described above.Figure
2 be schematic diagram, and the specific part of control system is not shown.However, it should be appreciated by those skilled in the art that according to the application
The information provided at present, forms the conventional technical means that the control system is those skilled in the art.Therefore, Ren Heneng
Enough realize the control system of methods described all in the protection domain of the application.
The application also provides a kind of control system for being used to operate described blood processor, it is characterised in that described
Control system includes software and hardware, and the control system is configured to operate the blood processor as follows:
Pending blood is flowed through the first upstream blood catheter and enter plasma separator, plasma separator will be pending
Blood carries out separating treatment and obtains the first separation blood, and the first separation blood is entered the first downstream blood catheter;
The blood in the first downstream blood catheter is set to enter the second upstream blood catheter and enter cyto-centrifuge;
Blood in second upstream blood catheter is carried out separating treatment and obtains the second separation blood by cyto-centrifuge, and
The second separation blood is set to enter the second downstream blood catheter.
Cyto-centrifuge is in the case of the downstream of plasma separator, and the control system of the blood processor can be with
Correspondingly configure.