EP4076543A1 - Container, closure lid, and vessel for transplant objects, and methods and systems for providing three-dimensional structure data and for sterilizing a transplant object - Google Patents
Container, closure lid, and vessel for transplant objects, and methods and systems for providing three-dimensional structure data and for sterilizing a transplant objectInfo
- Publication number
- EP4076543A1 EP4076543A1 EP20841664.4A EP20841664A EP4076543A1 EP 4076543 A1 EP4076543 A1 EP 4076543A1 EP 20841664 A EP20841664 A EP 20841664A EP 4076543 A1 EP4076543 A1 EP 4076543A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- container
- transplant
- transplant object
- vessel
- structural data
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
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- 230000005855 radiation Effects 0.000 claims abstract description 26
- 230000005865 ionizing radiation Effects 0.000 claims abstract description 25
- 238000002054 transplantation Methods 0.000 claims description 31
- 238000011156 evaluation Methods 0.000 claims description 15
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- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
- A61L2/0005—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts
- A61L2/0011—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts using physical methods
- A61L2/0029—Radiation
-
- A—HUMAN NECESSITIES
- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
- A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
- A01N1/00—Preservation of bodies of humans or animals, or parts thereof
- A01N1/02—Preservation of living parts
- A01N1/0236—Mechanical aspects
- A01N1/0263—Non-refrigerated containers specially adapted for transporting or storing living parts whilst preserving, e.g. cool boxes, blood bags or "straws" for cryopreservation
-
- A—HUMAN NECESSITIES
- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
- A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
- A01N1/00—Preservation of bodies of humans or animals, or parts thereof
- A01N1/02—Preservation of living parts
- A01N1/0278—Physical preservation processes
- A01N1/0294—Electromagnetic, i.e. using electromagnetic radiation or electromagnetic fields
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0095—Packages or dispensers for prostheses or other implants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
- A61L2202/10—Apparatus features
- A61L2202/12—Apparatus for isolating biocidal substances from the environment
- A61L2202/122—Chambers for sterilisation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
- A61L2202/10—Apparatus features
- A61L2202/18—Aseptic storing means
- A61L2202/182—Rigid packaging means
Definitions
- the invention relates to a container for receiving a transplant object, as well as a closure lid and a vessel for such a container.
- the invention also relates to a method and a system for providing three-dimensional structural data of a transplant object.
- the invention also relates to a method and a system for sterilizing a transplantation object by means of ionizing radiation.
- transplantation or organ transplantation In medicine, the transplantation of organic body parts or tissues is referred to as transplantation or organ transplantation. This contrasts with implantation, in which artificial implants are placed in a living being instead of organic material.
- the object to be transplanted is thus organic tissue, for example animal or human organs or parts thereof.
- a transplant object can be, for example, a heart valve that can be introduced into a human body as a donor valve, for example.
- the heart valve can in particular have been decellularized and thus be essentially cell-free.
- transplant objects are mainly transported in sealed bags or containers in styrofoam and cool boxes.
- the objects are analyzed by trained personnel and the properties determined, such as shape, size and morphological peculiarities are recorded in written records. Due to the subjective perception of the personnel performing the analysis, this procedure for describing and checking the suitability of the object for the planned transplantation is prone to errors and is prone to risk.
- transplantation object In addition, photographic or radiological recordings of the transplantation object can be made and provided. For these recordings, however, the transplant object must be removed from the transport container and positioned in or in front of the receiving device, as a result of which harmful environmental influences can act on the transplant object.
- the transplant object is placed in a sample container for the recordings.
- sample containers are known in which the object to be received is clamped in order to maintain a defined position, for example when the sample container rotates.
- the object of the present invention to enable an improved and reliable analysis and treatment of transplant objects, with the transplant object being handled in a particularly gentle manner and protected from environmental influences.
- the information obtained with the analysis should be made more usable for medical staff.
- a container for receiving a transplant object which has a vessel and a closure lid for closing the vessel.
- a container for example, a cup-shaped or can-shaped container is standing, which is suitable for the transport, treatment and storage of organic substances or objects rule.
- the container is designed in at least two parts in that it has a vessel and a closure lid which can be detachably connected to one another, for example via a screw cap. In the closed state of the container, the closure lid closes the vessel in particular in a liquid-tight, germ-tight or gas-tight manner.
- a sealing ring can also be provided between the vessel and the closure cover, and the closure cover can also have a sealing bead and / or a sealing flank.
- a germ-tight or gas-tight closure enables increased sterility of the container.
- a corrugation or knurling on the circumference and / or on the end face of the closure lid can be provided so that, for example, it is also possible to grip the container with gloves exposed to moisture.
- a predefined tightening force can also be provided on a screw cap of the vessel with the closure lid, so that, for example, a sensor for a torque wrench can also be arranged on the closure lid.
- the vessel and / or the closure lid are preferably made of plastic in order to ensure low weight, adequate sterility, good radiation penetration and easy handling.
- Suitable plastics are, for example, polyethylene (PE, HDPE) or polyethylene terephthalate (PET).
- PET polyethylene terephthalate
- the container can also be made of biocompatible materials.
- the container is transparent to radiation, which enables radiological images of the transplant object received in the container.
- radiation is understood to mean in particular electromagnetic waves, but in the present case also mechanical waves, for example in the ultrasonic range.
- the frequency range of the electromagnetic waves can be in the range of visible light, but also, for example, in the range of X-rays. Basically, this is radiation with which imaging methods in the medical field using optical examination methods are possible and / or customary, with which image data of biological structures can be obtained.
- the container also enables image recordings of the transplant object received in the container to be made by means of magnetic resonance tomography or micro-computed tomography.
- Microcomputed tomography has shown itself to be particularly suitable in this context, since it enables very high-resolution, distortion-free and superimposition-free image recordings of the transplant object.
- the container is preferably made transparent in order to be permeable to radiation in the range of visible light and thus also to enable light-based image recordings of the transplant object.
- the image recordings are preferably digital image recordings in order to be able to process them better, for example by means of suitable software.
- the container is permeable to radiation which enables the transplantation object accommodated in the container to be sterilized by means of ionizing radiation.
- Sterilization is understood to be a process, also known as sterilization or disinfection, by which the transplant object is freed from viruses and living microorganisms, including their dormant stages (e.g. spores). In the technical differentiation from disinfection, sterilization must be carried out with a higher probability of complete removal of all microorganisms.
- Sterilization with ionizing radiation also called radiation sterilization, can for example be carried out by means of UV, X-ray or gamma radiation. Electron irradiation is also possible.
- the closure lid and / or the vessel of the container have one or more fixing structures for fastening the transplant object in the container.
- the words “a”, unless expressly defined otherwise, are not to be understood as a numerical word, but as an indefinite article with the literal meaning of “at least one”.
- more than one transplant object it is also possible for more than one transplant object to be fixable in the container.
- fixing structure is preferably suitable for form-fitting and / or force-fitting fastening of the transplant object in the container.
- the attachment of the transplant object take place directly or indirectly via fastening means on the fixing structure.
- the fixing structure can be constructed in one piece with the vessel and / or the closure cover.
- the fixing structure can also be present separately and, if necessary, can be mounted on the container, for example it can be attached or glued on. In this way, the container can also be used for other purposes and it is possible to retrofit containers with fixing structures for fastening transplant objects.
- the radiation-permeable container makes it possible to take radiological images of the transplant object or to be able to sterilize it by means of ionizing radiation without having to remove it from the container. In this way, the transplant object is protected from harmful environmental influences.
- the fixing structure ensures a defined position of the transplantation object in the container.
- the transplant object is not only simply placed in the container, so that due to its weight it can be subject to deformations that can not only damage the transplant object, but also falsify the radiological images. This applies in particular to transplant objects that are not dimensionally stable, such as heart valves, which collapse in a lying position.
- the fixation structure reduces the contact of the transplant object with the container to a few defined contact points with the fixation structure, so that the sterility of the object environment is increased.
- the fixing structure also enables the transplant object to be positioned centrally in the container, for example, so that the radiological image recordings are improved since, for example, no bottom or cover section of the container covers parts of the transplant object on the images made.
- the defined attachment of the transplant object to the fixing structure also prevents undesired displacement of the transplant object, for example due to movements of the container during transport.
- the container an improved and reliable analysis and treatment of transplant objects is made possible, with the transplant object being handled in a particularly gentle manner and protected from environmental influences.
- the closure cover has the intended fixing structure, the transplantation object can be transported comparatively gently and with few germs between different vessels and thus, for example, be moved from a pretreatment vessel to a transport vessel or into a receptacle for radiological images.
- the pretreatment vessel, the transport vessel and the receiving vessel preferably have the same closure structure for connection to the closure cover, for example the same screw thread in the case of a screw closure.
- the vessels can optionally have additional features corresponding to their respective purpose, for example the receiving vessel can be transparent, the transport vessel can have a cooling device or the pretreatment vessel can be liquid, germ or gas tight.
- the pretreatment can be, for example, a decellularization in which, for example, a decellularization solution from an aqueous solution of a strong anionic detergent is filled into the vessel with the transplant object.
- a decellularization solution from an aqueous solution of a strong anionic detergent is filled into the vessel with the transplant object.
- the radiological image recordings are made with a liquid-free container or with a very small amount of liquid in the bottom area of the vessel to keep the transplant object moist so as not to obscure the radiological measurement signals.
- the invention is particularly suitable for particularly sensitive, light, vulnerable and easily deformable transplant objects.
- This can be a pulmonary valve, for example, which, with a small mass (often less than 20 grams) and a small size (20-30 millimeters), is a rather delicate and sensitive transplant object.
- the container is of course also suitable for more stable and larger transplant objects such as aortic valves.
- the container according to the invention which in turn, due to the indirect contact with the bloodstream of the living being, is classified as a class IIa medical product in accordance with RL 93/42 / EEC and VO 2017/745 is to be classified due to the improved inclusion of the transplant object at.
- one or more fixing structures are designed for hanging the transplantation object in the container.
- the fixation structure thus serves to hang up the transplant object, in which the transplant object is either directly or indirectly, for example with threads, attached to one or more suspension points on the fixation structure so that the transplant object, apart from the suspension points, floats freely in the container.
- any local deformation of the transplantation object due to its attachment to the fixing structure is limited to the suspension points, while the remaining part of the transplantation object at least approximately assumes its real physiological shape.
- one or more fixing structures are designed as an eyelet.
- An eyelet is understood to be an, for example, ring-shaped material loop, which, however, can also have a rectangular opening contour, for example.
- the eyelet or eyelets can be made in one piece with the vessel or the closure lid.
- the eyelets are used in particular to indirectly fasten the transplant object to the container.
- the indirect fastening can take place, for example, by means of threads, cords or other preferably flexible fastening means. Eyelets represent a comparatively simple, flexible and intuitive fastening option that is also easy to manufacture.
- the security of the transplant object is increased, since there is only indirect contact between the transplant object via a recognized medical product (the surgical suture material) with the container.
- the threads can, for example, be sewn to the transplant object or hold it with simple thread loops.
- the puncture points of the needle can be used at the same time for biopsy samples, for example for quality control purposes, in order to keep injuries to the transplant object as low as possible.
- sewing is a much less invasive fastening option compared to, for example, clasp solutions.
- fixing structures designed as clamps, clips, hooks or slots or comparable fixing structures suitable for a form-fitting and / or force-fitting connection are also fundamentally conceivable.
- one or more fixing structures extend only in the volume of space spanned by the contours of the closure cover.
- the fixing structure thus does not emerge beyond the plane of the closure lid edge in the direction of the interior of the vessel, but is completely received in the lid structure. This prevents the fixing structure from impairing radiological recordings or sterilization by means of ionizing radiation, for example from restricting the field of vision.
- the volume of space spanned by the lid is limited by the closed upper side of the lid or the end face, the closed side surface of the lid on the circumference of the lid and by the open underside of the lid directed towards the inside of the container.
- the fixing structure therefore does not intersect a plane spanned by the lower edge of the cover.
- the closure cover has a circular base and one or more fixing structures are arranged concentrically around a center point of the circular base.
- the base area is located on the back of the end face of the closure lid, i.e. the area that can be seen when looking from above onto the closure lid placed on the vessel when the container is upright.
- the one or more fixing structures are thus arranged on the side of the base surface of the closure lid facing the container interior, that is to say the vessel.
- the fixing structure can be designed, for example, as a material protrusion from the base area.
- the Fi xier poetic can be arranged at a distance of 10 to 20 mm from the center, for example.
- a mandrel can optionally be arranged in the center point, to which further accessories can be attached.
- the concentric arrangement of the fixation structure around the center of the base area promotes central positioning and fastening of the transplant object in the container so that it does not come into undesired contact with the vessel walls, the vessel base or the The edge of the cap is coming.
- the fixing structure is also, in particular, as a material projection, for example as an integral part of the closure cover, easy to manufacture, for example by injection molding or deep drawing.
- the fixing structure can in particular be designed as a collar that is formed in one piece with the closure cover and has through openings designed as eyelets.
- a collar is understood to mean a preferably closed, ring-shaped material projection of the closure lid in the direction of the interior of the vessel when the lid is in place.
- the collar is preferably thinner-walled than, for example, the cover side wall on the circumference of the closure cover, in order to save material and allow sufficient freedom of movement, for example during injection molding.
- the through openings are preferably embedded equidistantly in the collar in order to promote an optimal distribution of the weight of the Transplantationsob project on the closure cover.
- This embodiment of the Benzol age is also easy to manufacture and easy to equip.
- the transplant object can be fixed in the container via the one or more fixing structures with a three-point suspension.
- a three-point suspension for example, there is a three-part fixing structure or there are three fixing structures, for example three eyelets.
- three contact points are also provided on the transplant object, for example three sewing points.
- the contact points are connected to the fixing structure of the container by means of fastening means such as, for example, threads.
- the three contact points are preferably selected in relation to the center of gravity of the transplant object so that it hangs freely in the container without hitting a vessel wall or comparable structure of the container.
- Three contact points represent the ideal compromise between the least possible injury to the transplant object and a stable suspension.
- the three-point suspension has been shown to be equally suitable for stable and heavy transplant objects, for example aortic valves, as well as for sensitive, light objects such as pulmonary valves .
- the vessel can be designed essentially in the shape of a square and / or have an optical scale graduation on or on at least one side edge.
- the rectangular shape simplifies the preparation of images in the visible and short-wave range (X-ray, gamma radiation) due to the flat side walls, without negatively influencing the radiation through curvatures of the vessel wall or possibly generating optical side effects.
- a distortion-free optical inspection is made possible by comparatively large, flat side surfaces.
- a scale or graduation arranged on the side edges can simplify the defined filling of liquids, for example for pretreatment.
- the scale division in the image recordings is not on the optical axis, so that the examined transplant object is not covered by printing or embossing.
- plastic-based containers have sufficient radiation permeability so that the shape or printing or embossing of the container is negligible.
- the object of the invention is also achieved with a closure lid or a vessel with one or more fixing structures according to the features described above.
- the advantages according to the invention are also achieved in this way.
- the invention also relates to a method for providing three-dimensional structural data of a transplant object.
- Such three-dimensional structural data are understood to mean all data forms which are suitable for reproducing the structure of an object. This applies in particular to the three-dimensional shape, texture, surfaces and, in general, the morphological structure of the object.
- the three-dimensional structural data can be designed, for example, as a point cloud or point clusters (English point cloud or dot cloud) and are thus present as spatial coordinates of a vector space.
- the three-dimensional data can also be converted into graphic representations or CAD data, for example.
- the method has the following steps: a) attaching the transplant object to a fixing structure of a container permeable to radiological radiation, in particular a container according to the features described above; b) positioning the container in a device for radiological imaging; c) performing the radiological imaging of the transplant object using the device; d) Conversion of the imaging results into three-dimensional structural data of the transplant object with the aid of an evaluation unit; e) Providing the structural data of the transplant object in a database.
- Image recordings of the transplant object are therefore initially created with the aid of a container that is permeable to radiological radiation and has a fixing structure that is placed in a radiology device such as a microcomputed tomography device or an MRT device.
- radiological imaging is understood to mean optical examination methods based on electromagnetic waves or mechanical waves.
- the image data obtained are converted into three-dimensional structural data, specifically by means of an evaluation unit designed as a computer, for example.
- the evaluation unit has suitable hardware and / or software to transfer the measured reflection radiation, nuclear magnetic resonance or similar analysis criteria in image data and three-dimensional data such as coordinates of a vector space.
- the data are then stored in a database in such a way that they are uniquely assigned to the analyzed transplant object, which can be identified in the database, for example via an ID.
- the database can be a database system made up of the actual database and a database management system.
- the database can be, for example, a relational database with a tabular structure.
- the database can contain at least one ID and the structural data of the transplant object linked to it.
- the database can have further data linked to the transplant object, for example origin data, age and various categorizations.
- the structural data can be made available, for example, via a download option via internal or external, in particular authorized, access to the database, for example via an internal or a public network.
- the three-dimensional structural data provided can be used in a variety of ways and can be conveniently used by medical personnel, in particular using supplementary analysis software, for example for quality control or to check for which transplant recipients the present transplant object is suitable due to its determined properties. In this way, the information obtained with the analysis can be better used by medical staff.
- the three-dimensional structural data are much more accurate than the textual descriptions and photographs of the transplantation object that have been customary up to now.
- small individualities and peculiarities, such as calcifications and fenestrations which can be of high relevance for the success of the transplant, are recorded more precisely.
- An exact measurement of the transplant object is also made possible, so that the data provided is available as biometric information.
- the data accuracy can be increased in particular with high-resolution radiological methods such as micro-computed tomography and the analysis result can thus be refined.
- a pretreatment of the transplant object in a separate pretreatment container or in the container from step a) can take place in a step z) of the method preceding step a).
- the pretreatment container can have a fixing structure, in particular a fixing structure according to the features described above, or be designed in a comparable manner to the container according to the features described above.
- the pretreatment can, for example, be a decellularization in which, for example, a decellularization solution from an aqueous solution of a strong anionic detergent is filled into the vessel with the transplant object.
- the conversion of the imaging results into three-dimensional structural data of the transplantation object can contain a computational correction of any deformations of the transplantation object that may occur due to its attachment in the container.
- a computational correction of any deformations of the transplantation object that may occur due to its attachment in the container.
- deformations in the area of attachment are calculated and correction values are applied to the three-dimensional structural data obtained, for example by subtraction.
- the calculation can also take place on the basis of simulation models and, in particular, be supported by suitable simulation software.
- the computational correction enables a model refinement of the three-dimensional model of the transplant object so that realistic structural data can be generated that closely approximate the actual physiological shape of the transplant object.
- the conversion of the imaging results into three-dimensional structural data of the transplant object can contain a background subtraction, a frame-edge extraction, a 360 ° frame combination, a manual contour post-processing and / or a point cloud conversion.
- image processing the image information from individual recordings ("scans") is merged and reconstructed together to form a three-dimensional image.
- heart valves as transplantation objects are not very rich in contrast in radiological images, so that subsequent automatic or manual image processing is advantageous.
- AI-based image processing software with machine learning capabilities can also be used in order to increasingly automate image processing through training data sets or recurring patterns.
- the conversion of the imaging results into three-dimensional structural data of the transplant object can include the generation of virtual sectional images.
- Virtual sectional images are particularly useful for further quality control and suitability testing of the transplant object very helpful and of great benefit to the medical staff, since, for example, the diameter and wall thickness of the transplant object or individual parts thereof can be determined much more easily and more precisely.
- Radiological imaging by means of micro-computer tomography is particularly suitable for generating virtual cross-sectional images, since it can be used to create distortion-free, superimposed cross-sectional images with a very high level of detail.
- the structural data can be provided in step e) in a format suitable for importing into operation planning programs.
- U3D Universal 3D
- U3D Universal 3D
- the three-dimensional structural data of the transplant object is transferred into such a format, the compatibility of the data with programs for further processing in the area of surgical planning is increased. In this way, the data can be used directly by medical staff without additional conversion work or data loss and can be incorporated directly into the transplant preparation.
- the object of the invention is also achieved with a system for providing three-dimensional structural data of a transplant object, the system painting a container with one or more fixing structures for fastening the transplantation object, in particular a container according to the above-described features, a device for radiological imaging of the transplantation object fastened in the container, an evaluation unit for converting the imaging results into three-dimensional structural data of the transplantation object and a database for providing the three-dimensional structural data.
- the advantages according to the invention are also achieved in this way.
- the object of the invention is also achieved with a method for sterilizing a transplant object by means of ionizing radiation.
- the procedure consists of the following steps: a) attaching the transplant object to a fixing structure of a container, in particular a container according to the features described above; b) positioning the container in a sterilization device; c) Carrying out the sterilization of the transplant object by means of ionizing radiation with the aid of the sterilization device.
- the sterilization device can be designed to hold a container with a transplant object, for example in a sterilization chamber, and generate ionizing radiation, for example as UV, X-ray, gamma and / or electron radiation, and direct it onto the container with the transplant object.
- ionizing radiation for example as UV, X-ray, gamma and / or electron radiation
- the object of the invention is also achieved with a system for sterilizing a transplantation object by means of ionizing radiation, the system painting a container with one or more fixing structures for securing the transplantation object, in particular a container according to the features described above, and a device for sterilization having by means of ionizing radiation.
- the advantages according to the invention are also achieved in this way.
- the sterilization device can be designed to hold a container with a transplant object in, for example, a sterilization chamber and generate ionizing radiation, for example as UV, X-ray, gamma and / or electron radiation, and direct it onto the container with the transplant object.
- 1 shows a vessel of a container for receiving an object to be transplanted
- 2 shows a closure lid of the container for closing the vessel
- 3 shows the closure cover with a Transplantationsob attached thereto;
- 4 shows the container with the vessel, closure lid and transplant object; 5 shows a method for providing three-dimensional structural data of a transplant object; 6 shows virtual representations of a transplant object;
- FIG. 7 shows a system for providing three-dimensional structural data of a transplant object
- FIG. 8 shows a method for sterilizing a transplant object by means of ionizing radiation
- FIG. 9 shows a system for sterilizing a transplant object by means of ionizing radiation.
- FIG. 1 shows a side view of a vessel 3 of a container 1 shown in FIG. 4, among other things, for receiving a transplantation object 2 shown in FIG. 3, among other things.
- the vessel 3 is permeable to radiation, radiological images and / or sterilization by means of ionizing radiation of the transplant object 2 received in the container 1.
- the vessel 3 is preferably made transparent in order to be additionally transparent to radiation in the range of visible light.
- the vessel 3 has, for example, a cuboid basic shape with side edges 11 on which an optical scale graduation 12 is located.
- the scale graduation 12 can simplify the defined filling of liquids, for example for pretreatment, or support an object measurement on image recordings of the container 1 with the transplant object 2.
- the vessel 3 has a rectangular vessel bottom 21 and a vessel neck 22 opposite the vessel bottom 21, which, in contrast to the basic shape of the vessel 3, has a round, in particular circular, cross-section.
- the vessel neck 22 has a screw thread 23 which can be brought into engagement with a corresponding screw thread 24 of a closure cap 4 shown in FIG. 2 in order to establish a detachable connection between the vessel 3 and the closure cap 4 and thus the vessel 3 with it to close the cap 4 as required.
- the vessel 3 and the closure lid 4 together form the container 1 for receiving a transplant object 2.
- the closure lid 4 closes the vessel 3 in particular in a liquid-tight, germ-tight or gas-tight manner.
- a sealing ring (not shown), a sealing bead or a sealing flank can optionally also be provided on the closure lid 4 or the vessel 3.
- the vessel 3 can be a pretreatment vessel, a transport vessel and / or a receiving vessel for the transplant object 2.
- the vessel 3 can be produced, for example, by means of “injection stretch blow molding”.
- FIG. 2 shows a perspective view of a closure lid 4 of the container 1, which can be screwed onto the vessel 3 shown in FIG. 1 with the aid of a screw thread 24.
- the closure cover 4 can, for example, be an injection molded part.
- the closure cover 4 has on the circumference a corrugation 10 formed by external ribs in order to facilitate the handling of the closure cover 4, in particular with flange shoes.
- the closure cover 4 has a plurality of fixing structures 5, which are integrally formed with the closure cover 4, for fastening the transplant object 2 in the container 1.
- the fixing structures 5 are designed as eyelets in order to enable the transplant object 2 to be fastened in a hanging manner, for example by means of threads 13 shown in FIG.
- the threads 13 can here on the one hand be sewn to the transplant object 2 or loosely encompass this ses and on the other hand ge through the eyelets of the closure cover 4 or be knotted to this in order to attach the transplant object 2 to the closure cover 4 hanging.
- other fixing structures are also conceivable, such as clips or flake structures formed on the closure cover 4, in order to be able to dispense with additional connecting means such as threads 13. Additional connecting means, such as the threads 13 shown, however, allow an individual and flexible spacing of the transplant object 2 from the closure cover 4.
- the threads 13 also cause the transplantation object 2 to be fastened to the closure cover 4 in a manner that is gentle on the tissue.
- the closure cover 4 has a circular base 6 and three fixing structures 5 are arranged concentrically around a center point 7 of the circular base 6.
- the fixing structures 5 are designed as collars 8 which are formed in one piece with the closure cover and have through openings 9 which are designed as eyelets.
- the passage openings 9 are embedded equidistantly in the collar 8 in order to favor an optimal distribution of the weight of the transplant object 2 on the closure cover 4.
- a mandrel can also be arranged, to which further accessories can be attached.
- closure cover 4 shown in FIG. 2 All components of the closure cover 4 shown in FIG. 2 are molded in one piece with the closure cover 4. However, it is also conceivable to produce components such as the fixing structures 5 separately and then to connect them to the closure cover 4 in a detachable or non-detachable manner, for example in a form-fitting or material-locking manner. As a result, existing closure lids can be retrofitted or a container 1 can be retrofitted if necessary.
- FIG. 3 shows a perspective view of a closure cover 4 with a transplantation object 2 fastened to the fixing structures 5 of the closure cover 4 via threads 13.
- the transplantation object 2 can be transferred into the vessel 3 comparatively easily and with little contamination by being fastened to the closure cover 4 become.
- FIG. 4 shows a perspective view of the container 1, composed of the vessel 3 and the closure lid 4, with a transplant object 2 fastened to the container 1.
- the closure lid 4 is screwed onto the vessel 3 and closes it preferably in a sealing manner.
- the transplant object 2 is fastened to the closure cover 4 by means of threads 13 and hangs freely, i.e. without direct contact with the vessel wall or the closure cover 4, in the container 1. Due to the limited fastening of the transplant object 2 in the container to a few contact points 1 not only reduces the risk of contamination of the transplant object 2, but also assumes a largely natural, approximately deformation-free state, so that images of the transplant object 2 carried out in this state can reproduce the actual structure of the transplant object 2 almost without distortion.
- FIG. 5 shows a method for providing three-dimensional structural data of a transplant object 2.
- the transplant object 2 is fastened to a fixing structure 5 of a container 1, in particular a container 1, according to the features described above.
- Fastening can be, for example, hanging, clamping or hooking the transplant object 2 onto the closure cover 4 or the vessel 3.
- the container 1 is positioned in a device 15 for radiological imaging shown in FIG. 7, for example.
- the device 15 can be, for example, a micro-computer tomography device. It may be necessary to transport the transplant object 2 to the device 15 between the fastening and the positioning.
- the positioning can be, for example, placing and / or fixing the container 1 in a receiving chamber of the device 15, wherein the receiving chamber can for example have a folded structure in which the container 1 can be positioned and fixed.
- the radiological imaging of the transplant object 2 is carried out with the aid of the device 15.
- the transplant object 2 is exposed to a predetermined radiation through the radiation-permeable container 1, its reflections, resonances or other interaction effects of the transplant object 2 with the radiation can be detected by the device 15 and recorded as imaging results.
- the imaging results are converted into three-dimensional structural data of the transplant object 2 with the aid of an evaluation unit 16, for example shown in FIG. 7.
- the evaluation unit 16 can, for example, be a PC , a workstation, a laptop or an external server that can be reached via a specified network.
- the evaluation unit 16 has suitable data processing software, in particular image processing and image evaluation programs, which can further process the imaging results of the device 15.
- Three-dimensional structural data is understood to mean all data forms those that are suitable to reproduce the structure of an object. This applies in particular to the three-dimensional shape, texture, surfaces and, in general, the morphological structure of the object.
- the three-dimensional structural data can be designed as a point cloud or point cloud, for example, and thus be present as spatial coordinates of a vector space.
- the three-dimensional data can also be converted, for example, into graphic representations or CAD data.
- a method step e) following or running at the same time as fourth method step d) the structural data of the transplant object 2 is provided in a database 17 shown, for example, in FIG. 8.
- the database 17 can be a database system made up of the actual database and a database management system.
- the database 17 can for example be a relational database with a tabular structure.
- the database 17 can contain at least one ID and the structural data of the transplant object 2 linked to it.
- the database 17 can also have further data linked to the transplant object 2, for example arrival data, age and various categorizations.
- the structural data can be made available, for example, via a download option via internal or external, in particular authorized, access to the database 17, for example via an internal or a public network.
- FIG. 6 shows virtual representations of a transplant object 2, which can be generated from the three-dimensional structural data of the transplant object 2.
- differently colored or differently shaded 3D models of the transplant object 2 can be visualized as virtual representations (image on the left in FIG. 6), whereby the color or shading intensity can differentiate different wall thicknesses.
- a true-to-nature 3D image of the transplant object 2 can also be reproduced as a virtual representation (center image in FIG. 6).
- Virtual sectional images as can be seen, for example, in the image on the right in FIG. 6, are of particular interest for technical and medical analyzes of the transplant object 2. With these cross-sectional images, structural details such as the wall thickness profile in a specific plane can be precisely mapped and assessed.
- FIG. 7 shows a system 14 for providing three-dimensional structural data of a transplant object 2.
- the system 14 has a container 1 with one or more fixing structures for fastening the transplant object 2.
- the system 14 has a device 15 for radiological imaging, for example a microcomputed tomography device.
- the system 14 also has an evaluation unit 16 for converting the imaging results into three-dimensional structural data of the transplant object 2.
- the evaluation unit 16 can be, for example, a PC, a workstation, a laptop or an external server that can be reached via a given network.
- the evaluation unit 16 has suitable data processing software, in particular image processing and image evaluation programs, which can further process the imaging results of the device 15.
- the system 14 also has a database 16 for providing the three-dimensional structural data.
- FIG. 8 shows a method for sterilizing a transplant object 2 by means of ionizing radiation.
- the ionizing radiation can be, for example, UV, X-ray, gamma or electron radiation.
- a first method step A the transplant object 2 is fastened to a fixing structure 5 of a container 1, in particular a container 1, according to the features described above. Fastening can be, for example, hanging, clamping or hooking of the transplant object 2 on the closure cover 4 or the vessel 3.
- a second procedural step B) following the first procedural step A the container 1 is positioned in a sterilization device 19 shown, for example, in FIG. 9.
- the sterilization device 19 is set up to generate ionizing radiation and can for example be an X-ray sterilization device.
- the positioning can be, for example, placing and / or fixing the container 1 in a receiving chamber of the sterilization device 19, wherein the receiving chamber can for example have a holding structure in which the container 1 can be positioned and fixed.
- the sterilization of the transplantation object 2 is carried out by means of ionizing radiation with the aid of the sterilization device.
- the transplant object 2 is exposed through the radiation-permeable container 1 to a predetermined radiation which frees the transplant object 2 and / or the container 1 from undesired microorganisms and thus makes the transplant object 2 and / or the container 1 sterile.
- FIG. 9 shows a system 18 for sterilizing a transplant object 2 by means of ionizing radiation.
- the system 18 has a container 1 with one or more fixing structures 5 for fastening the transplant object 2, in particular a container 1 according to the features described above, and a sterilization device 19 for sterilization by means of ionizing radiation.
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Abstract
Description
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Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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DE102019135506.0A DE102019135506A1 (en) | 2019-12-20 | 2019-12-20 | Containers, sealing lids and vessels for transplant objects and methods and systems for providing three-dimensional structural data and for sterilizing a transplant object |
PCT/EP2020/085670 WO2021122346A1 (en) | 2019-12-20 | 2020-12-11 | Container, closure lid, and vessel for transplant objects, and methods and systems for providing three-dimensional structure data and for sterilizing a transplant object |
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EP4076543A1 true EP4076543A1 (en) | 2022-10-26 |
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Application Number | Title | Priority Date | Filing Date |
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EP20841664.4A Pending EP4076543A1 (en) | 2019-12-20 | 2020-12-11 | Container, closure lid, and vessel for transplant objects, and methods and systems for providing three-dimensional structure data and for sterilizing a transplant object |
Country Status (4)
Country | Link |
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US (1) | US20230025854A1 (en) |
EP (1) | EP4076543A1 (en) |
DE (1) | DE102019135506A1 (en) |
WO (1) | WO2021122346A1 (en) |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
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US4695536A (en) * | 1984-01-10 | 1987-09-22 | Lindstrom Richard L | Corneal storage system |
US4844242A (en) * | 1987-09-02 | 1989-07-04 | The Johns Hopkins University | Cornea retainer |
US5681740A (en) * | 1995-06-05 | 1997-10-28 | Cytotherapeutics, Inc. | Apparatus and method for storage and transporation of bioartificial organs |
US5965433A (en) * | 1996-05-29 | 1999-10-12 | Trans D.A.T.A. Service, Inc. | Portable perfusion/oxygenation module having mechanically linked dual pumps and mechanically actuated flow control for pulsatile cycling of oxygenated perfusate |
US5960956A (en) * | 1997-02-19 | 1999-10-05 | St. Jude Medical, Inc. | Storage container |
US6100082A (en) * | 1997-09-23 | 2000-08-08 | Hassanein; Waleed H. | Perfusion apparatus and method including chemical compositions for maintaining an organ |
US20080294149A1 (en) * | 2007-05-25 | 2008-11-27 | Arthur Krolman | Corneal Viewing Chamber |
CA2722615C (en) * | 2008-04-22 | 2018-01-16 | The Board Of Regents Of The University Of Texas System | Fluidics-based pulsatile perfusion organ preservation device |
DE102016223797A1 (en) | 2016-11-30 | 2018-05-30 | Technische Universität München | X-ray CT method, sample holder and X-ray CT apparatus |
-
2019
- 2019-12-20 DE DE102019135506.0A patent/DE102019135506A1/en active Pending
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2020
- 2020-12-11 EP EP20841664.4A patent/EP4076543A1/en active Pending
- 2020-12-11 WO PCT/EP2020/085670 patent/WO2021122346A1/en unknown
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WO2021122346A1 (en) | 2021-06-24 |
DE102019135506A1 (en) | 2021-06-24 |
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