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 bioartificial liver.Normal practice is that patient receives single bioartificial liver's treatment,
Extracorporal circulatory system path is first set up, patient is connected into bioartificial liver's treatment machine, bioartificial liver's treatment, time about 2-4 is carried out
Hour;Autologous peripheral blood stem cells collection is then acquired using single blood cell separator, need to re-establish extracorporal circulatory system
Path, it is time-consuming about to need 2-3 hours.
Bioartificial liver, which is mainly, is implanted into the liver cell of in vitro culture in bioreactor, will using In vitro perfusion system
Blood is introduced into reactor, and biological agent is carried out with the liver cell in reactor, to complete to synthesize, the function such as is metabolized.With group
Knit culture technique, Protocols in Molecular Biology constantly to make a breakthrough, especially stem cell is separately cultured and Techniques of preserving, and stem cell is big
Scale evaluation technology and bioreactor are increasingly ripe and successfully develop, and also have developed using liver cell as bioactive ingredients
Biotype artificial liver (also referred to as bioartificial liver).There is provided liver by the stem cell in bioreactor by bioartificial liver
The function such as secretion, metabolism, bioconversion and removing toxic substances, theoretically, can almost replace the repertoire of liver.It is general and
Speech, bioartificial liver includes liver cell source and bioreactor.
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.
Traditional bioartificial liver, stem cell collection individually carry out being respectively provided with preferable security and effect.Bio-artificial
There is provided the functions such as the secretion of liver, metabolism, bioconversion and removing toxic substances by the liver cell in bioreactor for liver.Theoretically
Say, bioartificial liver can almost substitute the repertoire of liver.The acquisition method of peripheral hematopoietic stem cells (PBSC) belongs at present
Ripe clinical application technique, can preferably collect the cell quantity of target requirement amount according to demand.
Bioartificial liver, stem cell collection are originally the clinical technologies being used alone, and need to be done 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 repeatedly during cell transplantation,
External 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 the hepatic failure patients for needing progress stem cell transplantation and bioartificial liver
Treatment operates the method and treatment method of the device, by biological people there is provided a kind of blood processor with series parallel structure
Work liver device and cyto-centrifuge connection, while bioartificial liver, two treatments of stem cell collection are carried out, so as to improve treatment
Efficiency, reduces patient's Operative risk.
Fig. 1 shows a kind of blood processor, and it includes:
Cyto-centrifuge D;
Bioartificial liver devices F;
The the first upstream blood catheter (ABEF) and the first downstream blood catheter (FGH) being connected with bioartificial liver devices;
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 second downstream blood catheter and first upstream blood catheter are respectively the
Two entrances (B) and second outlet point (E) connection, and second outlet point (E) than second entrance point (B) closer to institute
State bioartificial liver devices.
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 connected to for the second blood circulation that haemocyte is separated with parallel way
First sanguimotor upstream of bioartificial liver's treatment, so that, it is only necessary to setting up an extracorporeal circulation of blood can make
Obtain and carry out haemocyte separation and bioartificial liver's treatment simultaneously, and because the time of haemocyte separation circulation is shorter, by means of
This device, haemocyte separation circulation can be opened and closed at any time, and without influenceing bioartificial liver's circulation, result is without individually setting up
Haemocyte separation circulation, and saved the time of haemocyte separation circulation, therapeutic efficiency is improved, patient's treatment wind is reduced
Danger.
In this application, the circulation being connected with bioartificial liver devices is referred to as first circulation or the first blood circulation.
In the application, the circulation being connected with cyto-centrifuge is referred to as second circulation or the second blood circulation.
In some instances, the blood processor, in addition to:The anti-freezing being connected with first upstream blood catheter
Conduit is injected in agent.In embodiments herein, it is only necessary to set anti-coagulants to inject conduit at the first upstream blood catheter, from this
Conduit adds anti-coagulants, it is possible to so that the blood of whole human body is by test tube of hepari (anti-coagulated processing), so that whole blood circulation
Pipeline disclosure satisfy that the requirement of anti-freezing.
Anti-coagulants injection conduit can certainly be connected on the blood catheter of second upstream.In some instances, institute
State and anti-coagulants injection conduit is not connected on the second upstream blood catheter.
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
Conduit.
In some instances, in the blood processor, the bioartificial liver devices be configured to from
The blood of first upstream blood catheter carries out bioartificial liver's processing, and the blood through processing is led into the first downstream blood
Pipe.
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, the first flow regulation meter P1 are located at the downstream of the second outlet point (E).
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:
The Part I of pending blood is set to flow through the first upstream blood catheter into bioartificial liver devices F, and
The Part II of pending blood enters the second upstream blood catheter simultaneously from the first upstream blood catheter in second entrance point (B)
Into cyto-centrifuge D;
The Part II of pending blood is carried out separating treatment and obtains separated second separation by cyto-centrifuge D
Blood, the second separation blood is merged through the second downstream blood catheter in second outlet point with the Part I of pending blood
The blood merged, the blood of merging enters bioartificial liver devices F,
The blood of merging is carried out bioartificial liver's processing by bioartificial liver devices F.
In some instances, methods described also includes:Conduit is injected to the second upstream blood catheter by the anti-coagulants
In pending blood Part II in add anti-coagulants.
In some instances, methods described also includes:Conduit is injected to the first downstream blood catheter by the displacement liquid
In blood in add displacement liquid.Described displacement liquid can include human serum albumin.
In some instances, in the process, the cyto-centrifuge is configured to separation and comes from the second upstream
Stem cell in the blood (Part II of pending blood) of blood catheter obtains the second separation blood, and makes the second separation
Blood enters the second downstream blood catheter.
In some instances, the bioartificial liver devices are configured to the blood from the first upstream blood catheter
Bioartificial liver's processing is carried out, and the blood through processing 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 circulation in the second blood circulation 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, only it can just be realized in the first upstream blood catheter addition anti-coagulants
The test tube of hepari of overall circulation, the process of overall test tube of hepari is reached by human circulation, without anti-freezing in second circulation
Agent, so as to reduce the consumption of anti-coagulants (heparin).In this application, test tube of hepari and it is anti-coagulated have identical implication, all
Being directed to add anti-coagulants such as heparin so as to reach in blood makes blood noncondensing effect during handling in vitro.
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 (Part II of pending blood) of conduit obtains the second separation blood, and makes the second separation blood
Into the second downstream blood catheter.
In some examples of methods described, the bioartificial liver devices are configured to from the first upstream blood
The blood of conduit carries out bioartificial liver's processing, and the blood through processing 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.
In some instances, methods described also includes:The step of starting described device:Second circulation is set to be in closing first
(it can count P2 to state for example, by closing the second flow regulation, or folder closes the pipeline and first of the second circulation
The gateway of the line connection of circulation is completed), then start first circulation, proceed by bioartificial liver's processing, treat blood flow
After dynamic stabilization (such as when P1 is maintained at more than 80ml/min), starting second circulation, (it can be described for example, by opening
Second flow regulation meter P2, or remove at the gateway of the pipeline of the second circulation and the line connection of first circulation
Clip is completed), realize stem cell collection.
In some instances, methods described also includes:The step of stopping described device:Terminate second circulation first, folder is closed
Second circulation entrance, into red blood cell program is returned, after red blood cell in second circulation pipeline is returned, folder closes second circulation and gone out
Mouthful, cyto-centrifuge shutdown, first circulation proceeds in the process;Then first circulation is terminated.
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:Make pending
The Part I of blood flow through the first upstream blood catheter and enter bioartificial liver devices, and the second of pending blood
Part enters the second upstream blood catheter in second entrance point from the first upstream blood catheter and enters cyto-centrifuge;
The Part II of pending blood is carried out separating treatment and obtains separated second separation by cyto-centrifuge
Blood, the second separation blood is merged through the second downstream blood catheter in second outlet point with the Part I of pending blood
The blood merged, the blood of merging enters bioartificial liver devices,
The blood of merging is carried out bioartificial liver's processing by bioartificial liver devices.