JP2010148851A - Blood cell removal module and method of manufacturing blood cell removal module - Google Patents

Blood cell removal module and method of manufacturing blood cell removal module Download PDF

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JP2010148851A
JP2010148851A JP2009098289A JP2009098289A JP2010148851A JP 2010148851 A JP2010148851 A JP 2010148851A JP 2009098289 A JP2009098289 A JP 2009098289A JP 2009098289 A JP2009098289 A JP 2009098289A JP 2010148851 A JP2010148851 A JP 2010148851A
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blood cell
blood
adsorbent
cell removal
removal module
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JP5271781B2 (en
JP2010148851A5 (en
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Michiharu Nakao
通治 中尾
Kiyohide Hayashi
清秀 林
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Nikkiso Co Ltd
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Nikkiso Co Ltd
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Priority to KR1020107025775A priority patent/KR101179638B1/en
Priority to CN200980113657.6A priority patent/CN102006899B/en
Priority to AT09731790T priority patent/ATE551083T1/en
Priority to EP09731790A priority patent/EP2266642B1/en
Priority to CA2720665A priority patent/CA2720665C/en
Priority to PCT/JP2009/058112 priority patent/WO2009128564A1/en
Priority to US12/937,163 priority patent/US8541538B2/en
Priority to ES09731790T priority patent/ES2383647T3/en
Publication of JP2010148851A publication Critical patent/JP2010148851A/en
Publication of JP2010148851A5 publication Critical patent/JP2010148851A5/ja
Priority to US13/924,300 priority patent/US8748560B2/en
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a blood cell removal module and a method of manufacturing the blood cell removal module with no risk of residual blood, and with fewer pressure drop in the blood cell removal compared with absorbents for beads-shaped blood cell removal. <P>SOLUTION: The method of manufacturing the module for the blood cell removal includes the following steps; a step of arranging absorbent 54 for the blood cell removal composed of a plurality of hollow fiber-like or solid fiber-like staples on a net-state cloth 52 through which blood is possible to pass; a subsequent step of fusion-bonding and fixing the net-state cloth 52 using a fusion-bonding device 70 to both the ends of absorbent 54 for the blood cell removal; a step of forming an absorbent integral net-state cloth 60 for the blood cell removal by sealing the end of absorbent 54 for the blood cell removal (S100); a next step of winding up the obtained absorbent integral net-state cloth 60 for the blood cell removal, along a sequence direction of absorbent 54 for the blood cell removal as shown by an arrow mark of white space on a colored background (S110); a step of forming a cylindrical absorbent 50 for the blood cell removal (S112); and a further step of storing the obtained cylindrical absorbent 50 for the blood cell removal in a case 20. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

本発明は、血球除去モジュール及び血球除去モジュールの製造方法に関する。   The present invention relates to a blood cell removal module and a method for manufacturing a blood cell removal module.

近年、白血球吸着器が炎症性腸疾患(IBD)や関節リウマチ(RA)の治療デバイスとして普及し始めている。白血球吸着器では、吸着・濾過の原理を用いて、炎症の原因となる白血球を血液中から直接取り除くことにより、治療効果が発揮される。白血球吸着器による治療では、薬物による治療と異なり、副作用が少ないことが最大の特徴である。実用化されている白血球吸着器では、ある一定の表面粗さを持った担体を用いた方法や極細高分子繊維のフィルタを用いた方法が提案されている。   In recent years, leukocyte adsorbers have begun to spread as therapeutic devices for inflammatory bowel disease (IBD) and rheumatoid arthritis (RA). In the leukocyte adsorber, the therapeutic effect is exhibited by directly removing leukocytes that cause inflammation from the blood using the principle of adsorption and filtration. The treatment with a leukocyte adsorber is characterized by few side effects unlike the treatment with drugs. For the leukocyte adsorber that has been put into practical use, a method using a carrier having a certain surface roughness and a method using a filter of ultrafine polymer fibers have been proposed.

たとえば、特許文献1には、中心線平均粗さRa値が0.2μm〜100μmであり、凹凸平均間隔Sm値が5μm〜200μmの範囲にある凹凸表面を有する顆粒球吸着用担体が開示されている。   For example, Patent Document 1 discloses a granulocyte-adsorbing carrier having an uneven surface having a center line average roughness Ra value of 0.2 μm to 100 μm and an uneven average interval Sm value of 5 μm to 200 μm. Yes.

また、特許文献2には、数平均分子量が10000以上であり、凝固価が異なる少なくとも2種のポリマーを、各ポリマーに対して相溶性を有する溶媒に溶解し、該ポリマー溶液を液滴状態で非溶媒が含まれる凝固液中にて凝固させて製造する多孔質ビーズの製造方法が提案されている。   Patent Document 2 discloses that at least two polymers having a number average molecular weight of 10,000 or more and different coagulation values are dissolved in a solvent compatible with each polymer, and the polymer solution is in a droplet state. There has been proposed a method for producing a porous bead produced by coagulation in a coagulation liquid containing a non-solvent.

さらに、特許文献3には、有機ポリマーによる繊維を、高度に規則的に配列させる、つまり実質的に平行に配置し、その間に血液を流通させることにより、不織布等のフィルタでは防ぐことが困難であった血球の破壊や血液の凝固などの問題を克服しながら繊維表面に白血球を捕捉する技術が開示されている。   Furthermore, in Patent Document 3, it is difficult to prevent the fibers made of organic polymer by using a filter such as a non-woven fabric by arranging the fibers of the organic polymer in a highly regular manner, that is, by arranging them substantially in parallel and circulating blood therebetween. A technique for capturing leukocytes on the fiber surface while overcoming problems such as destruction of blood cells and coagulation of blood has been disclosed.

これらの方法は、がん患者や免疫系に異常をきたした患者の血液から主に顆粒球、リンパ球などの白血球を除去するために考案された。ところが、最近の研究では、特に自己免疫疾患などの炎症性疾患において、白血球だけでなく血液中の血小板が炎症性細胞として関与していることが明らかになってきている。   These methods have been devised to remove mainly white blood cells such as granulocytes and lymphocytes from the blood of cancer patients and patients with abnormal immune systems. However, recent studies have revealed that not only leukocytes but also blood platelets are involved as inflammatory cells, particularly in inflammatory diseases such as autoimmune diseases.

一方、中空糸や中実糸の繊維からなる血球除去用吸着体をケース内に収納してなる血球除去用モジュールが提案されており、例えば、中空糸や中実糸の繊維からなる複数の血球除去用吸着体をケース内に装填した後、ポリウレタン等の接着剤を用いて、繊維からなる血球除去用吸着体の両端部を接着固定し、繊維からなる血球除去用吸着体の外側面に血液を通液し、血液を繊維からなる血球除去用吸着体の外側面に接触させて還流させる方法が提案されている。また、接着剤の代わりに、複数の繊維からなる血球除去用吸着体の両端部をメッシュ等の固定手段を用いて固定しケース内に収納してなる血球除去用モジュールも提案されている。   On the other hand, a blood cell removal module has been proposed in which a blood cell removal adsorbent made of hollow fiber or solid yarn fiber is housed in a case. For example, a plurality of blood cells made of hollow fiber or solid fiber are proposed. After the removal adsorbent is loaded into the case, both ends of the blood cell removal adsorbent made of fiber are bonded and fixed using an adhesive such as polyurethane, and blood is attached to the outer surface of the blood cell removal adsorbent made of fiber. There has been proposed a method in which blood is passed through and brought into contact with the outer surface of a blood cell removing adsorbent made of fibers to reflux. In addition, a blood cell removing module in which both ends of a blood cell removing adsorbent comprising a plurality of fibers are fixed using a fixing means such as a mesh and housed in a case instead of an adhesive has been proposed.

特開平5−168706号公報JP-A-5-168706 特開昭62−243561号公報Japanese Patent Laid-Open No. 62-243561 欧州特許第1931404号明細書European Patent No. 1931404

しかしながら、上述した中空糸や中実糸の繊維からなる血球除去用吸着体をケース内に収納してなる血球除去用モジュールのいずれも、繊維からなる血球除去用吸着体の端部を除く繊維間は何ら拘束されていないため、血液の通液時に血球除去用吸着体の繊維間の隙間を適切に保つことが難しく、その結果、血球吸着効率の低下、残血などが発生する虞がある。また、接着剤を用いて血球除去用吸着体の端部を固定する場合、製造工程が煩雑に成り、また血液と接着剤とが接触する可能性を有し、あまり好ましくない。また、メッシュにより中空糸からなる血球除去用吸着体を固定する場合、血球除去用吸着体の端面は中空のままであるため、中空糸内に血液成分が流入し、残血の虞がある。また、ビーズ状の吸着体を用いた場合には、血球除去時の圧力損失が大きくなるという問題がある。   However, in any of the blood cell removal modules in which the above-described adsorbent for removing blood cells made of hollow fiber or solid fiber is housed in the case, the inter-fiber space except for the end of the adsorbent for removing blood cells made of fiber is used. Is not restrained at all, it is difficult to keep the gap between the fibers of the adsorbent for removing blood cells properly when blood passes through. As a result, there is a possibility that the blood cell adsorption efficiency is lowered and residual blood is generated. Moreover, when fixing the edge part of the adsorbent for blood cell removal using an adhesive agent, a manufacturing process becomes complicated and there is a possibility that the blood and the adhesive agent come into contact with each other. Further, when the blood cell removing adsorbent comprising a hollow fiber is fixed with a mesh, the end surface of the blood cell removing adsorbent remains hollow, so that blood components may flow into the hollow fiber, possibly causing residual blood. In addition, when a bead-shaped adsorbent is used, there is a problem that the pressure loss during blood cell removal increases.

本発明は、残血の虞がなく、また、ビーズ状血球除去用吸着体に比べ血球除去時の圧力損失が少ない血球除去モジュール及び血球除去モジュールの製造方法を提供することを目的とする。   An object of the present invention is to provide a blood cell removal module and a method for producing the blood cell removal module that are free from residual blood and have less pressure loss during blood cell removal than an adsorbent for removing beaded blood cells.

本発明者らは、上記課題を解決するために鋭意検討した結果、以下に示す本発明を完成するに至った。本願発明は、以下の特徴を有する。   As a result of intensive studies to solve the above problems, the present inventors have completed the present invention shown below. The present invention has the following features.

(I)血球除去前の血流が流入する入口部と血球除去後の血流が排出される出口部が設けられたケースと、配列された複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体の両端部が血液通過可能な網目状布に固定された血球除去用吸着体一体型網目状布を前記血球除去用吸着体の配列方向に沿って巻き込んで成る筒状血球除去用吸着体と、を備えた血球除去モジュールである。   (I) A blood cell composed of a case provided with an inlet portion into which blood flow before blood cell removal flows and an outlet portion through which blood flow after blood cell removal is discharged, and a plurality of hollow fiber or solid yarn fibers arranged Cylindrical blood cell removal structure comprising a blood cell removing adsorber-integrated mesh cloth fixed at both ends of a removing adsorbent body to a mesh cloth capable of passing blood along the arrangement direction of the blood cell removing adsorbent body And a blood cell removal module.

(II)さらに、前記入口部および前記出口部の内側にそれぞれ設けられ、前記血球除去用吸着体を前記ケース内に保持するメッシュを備える上記(I)に記載の血球除去モジュールである。   (II) The blood cell removal module according to (I), further including a mesh provided inside each of the inlet portion and the outlet portion and holding the blood cell removing adsorbent in the case.

(III)前記血球除去用吸着体は、以下に示す化学式(1)で表される繰り返し単位を有するポリアリレート樹脂および化学式(2)または化学式(3)で表される繰り返し単位を有するポリエーテルスルホン樹脂の少なくとも一種の疎水性高分子樹脂を含有する上記(I)または(II)に記載の血球除去モジュールである。


化学式(1)において、R1およびR2は炭素数が1〜5の低級アルキル基であり、R1およびR2はそれぞれ同一であっても相違していてもよい。


化学式(2)において、R3およびR4は炭素数が1〜5の低級アルキル基であり、R3およびR4はそれぞれ同一であっても相違していてもよい。
(III) The adsorbent for removing blood cells includes a polyarylate resin having a repeating unit represented by the following chemical formula (1) and a polyethersulfone having a repeating unit represented by the chemical formula (2) or chemical formula (3): The blood cell removal module according to the above (I) or (II), which contains at least one kind of hydrophobic polymer resin.


In the chemical formula (1), R1 and R2 are lower alkyl groups having 1 to 5 carbon atoms, and R1 and R2 may be the same or different.


In the chemical formula (2), R3 and R4 are lower alkyl groups having 1 to 5 carbon atoms, and R3 and R4 may be the same or different.

(IV)血液中の白血球及び血小板の除去に用いられる上記(I)から(III)のいずれか1つに記載の血球除去モジュールである。   (IV) The blood cell removal module according to any one of (I) to (III), which is used for removing white blood cells and platelets in blood.

(V)配列された複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体の両端部を血液通過可能な網目状布に固定し血球除去用吸着体一体型網目状布を形成する工程と、前記血球除去用吸着体一体型網目状布を血球除去用吸着体の配列方向に沿って巻き込み筒状血球除去用吸着体を形成する工程と、前記筒状血球除去用吸着体を、血球除去前の血流が流入する入口部と血球除去後の血流が排出される出口部が設けられたケース内に収容する工程と、を有する血球除去モジュールの製造方法である。   (V) Both ends of a blood cell removing adsorbent comprising a plurality of arranged hollow fiber-like or solid yarn-like fibers are fixed to a mesh cloth capable of passing blood to form a blood cell removing adsorbent-integrated mesh cloth. A step of forming a cylindrical blood cell removing adsorbent by winding the blood cell removing adsorber-integrated mesh cloth along the arrangement direction of the blood cell removing adsorbent, and the cylindrical blood cell removing adsorbent, A method of manufacturing a blood cell removal module comprising: an inlet portion into which blood flow before blood cell removal flows and a case provided with an outlet portion from which blood flow after blood cell removal is discharged is provided.

(VI)血球除去用吸着体一体型網目状布を形成する工程において、前記血球除去用吸着体が中空糸であって、前記血球除去用吸着体の両端部を血液通過可能な網目状布に熱融着により固定する場合、熱融着させた血球除去用吸着体の両端部の中空は封止されている上記(V)に記載の血球除去モジュールの製造方法である。   (VI) In the step of forming the blood cell removing adsorbent-integrated mesh cloth, the blood cell removing adsorbent is a hollow fiber, and the mesh cloth is capable of passing blood through both ends of the blood cell removing adsorbent. In the case of fixing by heat fusion, the method for producing the blood cell removal module according to (V) above, wherein the hollows at both ends of the heat-fusion adsorbent for removing blood cells are sealed.

本発明によれば、ビーズ状血球除去用吸着体に比べ、血球除去時の圧力損失を少なくすることができる。   According to the present invention, pressure loss at the time of blood cell removal can be reduced as compared with the bead-shaped blood cell removal adsorbent.

また、網目状布が複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体のスペーサとして機能し、収納されている血球除去用吸着体の繊維間距離が血球除去モジュール内でほぼ均一で、また適切な空隙を形成することができる。したがって、血球除去モジュール内における血流の滞りが抑制される。これにより、血球吸着効率が向上し、さらに、従来のような繊維からなる血球除去用吸着体の端部を固定するメッシュを強いて用いなくてもよいので、部品点数を削減でき、製造工程が簡略化される。   In addition, the mesh cloth functions as a spacer for the blood cell removing adsorbent comprising a plurality of hollow or solid fibers, and the interfiber distance of the stored blood cell removing adsorbent is substantially uniform within the blood cell removing module. In addition, an appropriate gap can be formed. Therefore, stagnation of blood flow in the blood cell removal module is suppressed. This improves blood cell adsorption efficiency, and further eliminates the need to use a mesh for fixing the end of the blood cell removal adsorbent made of conventional fibers, thus reducing the number of parts and simplifying the manufacturing process. It becomes.

また、血球除去用吸着体が中空糸である場合、熱融着させた血球除去用吸着体の両端面の中空は封止されるので、血球除去時に、血球除去用吸着体の中空糸内への血液が流入して残血が発生することを抑制できる。   Also, when the adsorbent for removing blood cells is a hollow fiber, the hollows at both end surfaces of the heat-adhered adsorbent for removing blood cells are sealed, so that when removing blood cells, the adsorbent for removing blood cells is inserted into the hollow fiber. It is possible to suppress the occurrence of residual blood due to the inflow of blood.

本発明の実施の形態における血球除去用モジュールの構造の一例の斜視図である。It is a perspective view of an example of the structure of the module for blood cell removal in embodiment of this invention. 本発明の実施の形態における血球除去用モジュールの一例の分解斜視図である。It is a disassembled perspective view of an example of the module for blood cell removal in embodiment of this invention. 本発明の実施の形態における血球除去用モジュールの製造方法の一例を説明する図である。It is a figure explaining an example of the manufacturing method of the module for blood cell removal in embodiment of this invention. 本発明の実施の形態における筒状血球除去用吸着体の構成を説明する図であって図2のA−A線に沿った断面の一例を示す図である。It is a figure explaining the structure of the adsorption body for cylindrical blood cell removal in embodiment of this invention, Comprising: It is a figure which shows an example of the cross section along the AA of FIG. 本発明の実施の形態における筒状血球除去用吸着体の構成を説明する図であって図2のA−A線に沿った断面の他の例を示す図である。It is a figure explaining the structure of the adsorbent for cylindrical blood cell removal in embodiment of this invention, Comprising: It is a figure which shows the other example of the cross section along the AA of FIG.

本発明の実施の形態における血球除去モジュール及び血球除去モジュールの製造方法について、以下説明する。   The blood cell removal module and the method for manufacturing the blood cell removal module in the embodiment of the present invention will be described below.

図1及び図2に示すように、本実施の形態における血球除去モジュール10は、ケース20内に、筒状血球除去用吸着体50が収納されている。ケース20は、ケース本体21と、血液流入出口22,24をそれぞれ備えたヘッダ40a,40bと、必要に応じて一対のメッシュ30a,30bとを有する。   As shown in FIGS. 1 and 2, in the blood cell removal module 10 according to the present embodiment, a cylindrical blood cell removal adsorbent 50 is housed in a case 20. The case 20 includes a case main body 21, headers 40a and 40b each having blood inflow / outflow ports 22 and 24, and a pair of meshes 30a and 30b as necessary.

一方、筒状血球除去用吸着体50は、図2及び図3,図4に示すように、配列された複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体54の両端部が血液通過可能な網目状布52に固定された血球除去用吸着体一体型網目状布60を血球除去用吸着体54の配列方向に沿って巻き込んで形成されている。ここで、血球除去用吸着体54の両端部を血液通過可能な網目状布52に固定する場合、接着剤を用いて両者を固定してもよく、また、血球除去用吸着体54の両端部を血液通過可能な網目状布52に融着させて固定してもよい。なお、血球除去用吸着体54が中空糸状の繊維である場合、固定の際に融着(特に熱融着)を用いることにより、接着剤による固定に比べ、血球除去用吸着体の両端部の中空が容易に封止される。したがって、血球除去モジュール10として使用した際に、より簡便な方法で、中空糸内への血液成分の流入が抑制され、残血が防止される。   On the other hand, as shown in FIGS. 2, 3, and 4, the cylindrical blood cell removing adsorbent 50 has both ends of a blood cell removing adsorbent 54 composed of a plurality of arranged hollow fiber-like or solid fiber-like fibers. A blood cell removing adsorber-integrated mesh cloth 60 fixed to a mesh cloth 52 through which blood can pass is wound in the arrangement direction of the blood cell removing adsorber 54. Here, when both ends of the blood cell removing adsorbent 54 are fixed to the mesh cloth 52 capable of passing blood, both may be fixed using an adhesive, and both ends of the blood cell removing adsorbent 54 may be fixed. May be fused and fixed to a mesh cloth 52 through which blood can pass. When the blood cell removing adsorbent 54 is a hollow fiber-like fiber, fusion (especially heat fusion) is used at the time of fixing, so that both ends of the blood cell removing adsorbent are fixed compared to fixing with an adhesive. The hollow is easily sealed. Therefore, when used as the blood cell removal module 10, inflow of blood components into the hollow fiber is suppressed by a simpler method, and residual blood is prevented.

さらに、本実施の形態における筒状血球除去用吸着体50および血球除去用モジュールの製造方法については、図3を用いて説明する。なお、ここでは、血球除去用吸着体54の両端部を血液通過可能な網目状布52に固定する方法として、融着を例に取って説明する。図3に示すように、メッシュ等からなる血液通過可能な網目状布52上に、複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体54を配列し、次いで、血球除去用吸着体54の両端部に融着装置70を用いて網目状布52に融着固定し、血球除去用吸着体54の端部を封止して(S100)、血球除去用吸着体一体型網目状布60を形成する。ここで、融着装置70は、熱融着または超音波融着のいずれの手段を用いるものであってもよい。後述するように、血球除去用吸着体54は樹脂からなり、一方、網目状布52も樹脂からなる。したがって、融着装置70を用いることにより、血球除去用吸着体54の両端部と網目状布52とを接着剤を用いずとも固定することができ、且つ血球除去用吸着体54の端部を封止することができる。また、得られた血球除去用吸着体一体型網目状布60の融着部分56より外側の端部は残留させても切断してもよい。次に、得られた血球除去用吸着体一体型網目状布60を、白抜き矢印に示すように、血球除去用吸着体54の配列方向に沿って巻き込んでいき(S110)、スペーサとなる網目状布52を介在させた血球除去用吸着体54の束からなる筒状血球除去用吸着体50を形成する(S112)。また、得られた筒状血球除去用吸着体50をケース20内に収納することにより、本実施の形態における血球除去モジュールが製造される。なお、上述した融着固定の代わりに、接着剤を用いて固定し、さらに必要に応じて血球除去用吸着体54の両端部を接着剤により封止してもよい。   Further, a method for manufacturing the cylindrical blood cell removing adsorbent 50 and the blood cell removing module in the present embodiment will be described with reference to FIG. Here, as an example of a method for fixing both end portions of the blood cell removing adsorbent 54 to the mesh cloth 52 that can pass blood, a fusion is taken as an example. As shown in FIG. 3, a blood cell removing adsorbent 54 made of a plurality of hollow fiber-like or solid yarn-like fibers is arranged on a mesh cloth 52 made of mesh or the like that can pass blood, and then adsorbed for removing blood cells. Both ends of the body 54 are fused and fixed to the mesh cloth 52 by using the fusion device 70, and the ends of the blood cell removing adsorbent 54 are sealed (S100), and the blood cell removing adsorber-integrated network is formed. A cloth 60 is formed. Here, the fusion apparatus 70 may use any means of thermal fusion or ultrasonic fusion. As will be described later, the blood cell removing adsorbent 54 is made of resin, while the mesh cloth 52 is also made of resin. Therefore, by using the fusing device 70, both ends of the blood cell removing adsorbent 54 and the mesh cloth 52 can be fixed without using an adhesive, and the end of the blood cell removing adsorbent 54 can be fixed. It can be sealed. Further, the outer end portion of the obtained blood cell removing adsorber-integrated mesh cloth 60 from the fused portion 56 may remain or be cut. Next, the obtained blood cell removing adsorbent body-integrated mesh cloth 60 is rolled up along the arrangement direction of the blood cell removing adsorbent bodies 54 as indicated by white arrows (S110), and the mesh to be used as a spacer is obtained. A cylindrical blood cell removing adsorbent 50 formed of a bundle of blood cell removing adsorbents 54 with a cloth 52 interposed therebetween is formed (S112). Further, by storing the obtained cylindrical blood cell removing adsorbent 50 in the case 20, the blood cell removing module according to the present embodiment is manufactured. Instead of the above-described fusion fixing, the adhesive may be used for fixing, and if necessary, both ends of the blood cell removing adsorbent 54 may be sealed with an adhesive.

得られた筒状血球除去用吸着体50において、網目状布52は、複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体54のスペーサとして機能し、これにより、ケース20内に収納されている血球除去用吸着体54の繊維間距離は、血球除去モジュール内にてほぼ均一になり、また適切な空隙が形成されることになる。したがって、血球除去モジュール内における血流の滞りが抑制され、本実施の形態における血球除去モジュールは、血球吸着効率が向上し、さらに、従来のように、繊維からなる血球除去用吸着体の端部を強いてメッシュを用いて固定する必要がないため、部品点数を削減することができ、製造工程を簡略化することができる。   In the obtained cylindrical blood cell removing adsorbent 50, the mesh cloth 52 functions as a spacer of the blood cell removing adsorbent 54 made of a plurality of hollow fiber-like or solid fiber-like fibers. The interfiber distance of the accommodated adsorbent 54 for removing blood cells is substantially uniform in the blood cell removing module, and an appropriate gap is formed. Therefore, the stagnation of blood flow in the blood cell removal module is suppressed, and the blood cell removal module in the present embodiment improves the blood cell adsorption efficiency. Further, as in the prior art, the end portion of the adsorbent for removing blood cells made of fibers is used. Therefore, the number of parts can be reduced and the manufacturing process can be simplified.

また、血球除去用吸着体が54中空糸である場合、融着させた血球除去用吸着体54の両端面の中空は封止されるので、血球除去時に、血球除去用吸着体54の中空糸内への血液が流入して残血が発生することが抑制される。   Further, when the blood cell removing adsorbent is a 54 hollow fiber, the hollow ends of both ends of the fused blood cell removing adsorbent 54 are sealed, so that the hollow fiber of the blood cell removing adsorbent 54 is removed when removing the blood cell. It is suppressed that blood flows into the inside and residual blood is generated.

本実施の形態における筒状血球除去用吸着体50は、網目状布52上に、一層のみならず複数層の血球除去用吸着体54を配列しその両端部を融着したのち、巻き上げられて形成されている。本実施の形態における筒状血球除去用吸着体50の構成の一例を、図2のA−A線に沿った断面図である図4,図5を用いて説明する。例えば、図4には、網目状布52上に一層で配列されて融着固定された血球除去用吸着体54を、血球除去用吸着体54の配列方向に沿った巻き上げ形成された筒状血球除去用吸着体50が示されている。また、図5には、網目状布52上に二層で配列されて融着固定された血球除去用吸着体54を、血球除去用吸着体54の配列方向に沿った巻き上げ形成された筒状血球除去用吸着体50aが示されている。網目状布52上に何層の血球除去用吸着体54を配列して融着させるかは、血球除去用吸着体54の径や長さ、通液する血液の粘度により、適宜選定される。   The cylindrical blood cell removing adsorbent 50 in this embodiment is wound up after arranging not only one layer but also a plurality of layers of blood cell removing adsorbents 54 on the mesh cloth 52 and fusing both ends thereof. Is formed. An example of the configuration of the cylindrical blood cell removing adsorbent 50 in the present embodiment will be described with reference to FIGS. 4 and 5 which are cross-sectional views taken along the line AA of FIG. For example, FIG. 4 shows a cylindrical blood cell in which a blood cell removing adsorbent 54 arranged in a single layer on a mesh cloth 52 and fused and fixed is wound up along the direction of arrangement of the blood cell removing adsorbent 54. A removal adsorbent 50 is shown. FIG. 5 shows a cylindrical shape in which a blood cell removing adsorbent 54 arranged in two layers on a mesh cloth 52 and fused and fixed is wound up in the arrangement direction of the blood cell removing adsorbent 54. A blood cell removing adsorbent 50a is shown. The number of blood cell removing adsorbents 54 arranged and fused on the mesh cloth 52 is appropriately selected according to the diameter and length of the blood cell removing adsorbent 54 and the viscosity of the blood to be passed through.

次に、本実施の形態の血球除去用モジュールに用いる中空糸状または中実糸状の繊維からなる血球除去用吸着体54について、具体的に説明する。血球除去用吸着体54は疎水性高分子樹脂からなることが好ましい。これにより、血球除去用吸着体54の表面が疎水性となるため、疎水性相互作用によって炎症性細胞である顆粒球だけでなく、血小板も効率よく除去することができる。さらに、副作用を抑えつつ、自己免疫疾患由来の炎症症状を抑制することができる。   Next, the blood cell removing adsorbent 54 made of hollow fiber-like or solid yarn-like fibers used in the blood cell removing module of the present embodiment will be specifically described. The blood cell removing adsorbent 54 is preferably made of a hydrophobic polymer resin. Thereby, since the surface of the adsorbent 54 for removing blood cells becomes hydrophobic, not only granulocytes which are inflammatory cells but also platelets can be efficiently removed by the hydrophobic interaction. Furthermore, inflammatory symptoms derived from autoimmune diseases can be suppressed while suppressing side effects.

疎水性高分子樹脂として、ポリアリレート樹脂(PAR)、ポリエーテルスルホン樹脂(PES)、ポリスルホン酸樹脂(PES)またはこれらの樹脂のポリマーアロイが好適である。   As the hydrophobic polymer resin, polyarylate resin (PAR), polyethersulfone resin (PES), polysulfonic acid resin (PES), or a polymer alloy of these resins is suitable.

ポリアリレート樹脂は、下記化学式(4)で表わされる繰り返し単位を有する樹脂である。ポリアリレート樹脂の数平均分子量は、20,000〜30,000であることが好ましい。ポリアリレート樹脂の数平均分子量が30,000より大きいと、表面凹凸が大きくなり過ぎるため、適正な表面凹凸を形成することが困難になる。一方、ポリアリレート樹脂の数平均分子量が20,000より小さいと、血球除去用吸着体の強度が低くなり、血球除去用吸着体の製造歩留まりが悪くなる。   The polyarylate resin is a resin having a repeating unit represented by the following chemical formula (4). The number average molecular weight of the polyarylate resin is preferably 20,000 to 30,000. When the number average molecular weight of the polyarylate resin is larger than 30,000, the surface unevenness becomes too large, and it becomes difficult to form appropriate surface unevenness. On the other hand, when the number average molecular weight of the polyarylate resin is less than 20,000, the strength of the adsorbent for removing blood cells is lowered, and the production yield of the adsorbent for removing blood cells is deteriorated.

化学式(4)において、R1およびR2は炭素数が1〜5の低級アルキル基であり、R1およびR2はそれぞれ同一であっても相違していてもよい。R1およびR2としては、例えばメチル基、エチル基、プロピル基、ブチル基、ペンチル基などが挙げられる。好ましいR1およびR2は、メチル基である。   In the chemical formula (4), R1 and R2 are lower alkyl groups having 1 to 5 carbon atoms, and R1 and R2 may be the same or different. Examples of R1 and R2 include a methyl group, an ethyl group, a propyl group, a butyl group, and a pentyl group. Preferred R1 and R2 are methyl groups.

なお、ポリアリレート樹脂は、化学式(4)で表わされる繰り返し単位を主たる繰り返し単位とする限り特に制限がなく、本発明の目的を阻害しない限り他の繰り返し単位を含有していてもよい。   The polyarylate resin is not particularly limited as long as the repeating unit represented by the chemical formula (4) is a main repeating unit, and may contain other repeating units as long as the object of the present invention is not impaired.

ポリエーテルスルホン樹脂は、下記化学式(5)または化学式(6)で表わされる繰り返し単位を有する樹脂である。ポリエーテルスルホン樹脂の数平均分子量は、15,000〜30,000であることが好ましい。ポリエーテルスルホン樹脂の数平均分子量が30,000より大きいと、表面凹凸が大きくなり過ぎるため、適正な表面凹凸を形成することが困難になる。一方、ポリエーテルスルホン樹脂の数平均分子量が15,000より小さいと、血球除去用吸着体の強度が低くなり、血球除去用吸着体の製造歩留まりが悪くなる。   The polyethersulfone resin is a resin having a repeating unit represented by the following chemical formula (5) or chemical formula (6). The number average molecular weight of the polyethersulfone resin is preferably 15,000 to 30,000. If the number average molecular weight of the polyethersulfone resin is larger than 30,000, the surface unevenness becomes too large, and it becomes difficult to form appropriate surface unevenness. On the other hand, when the number average molecular weight of the polyethersulfone resin is less than 15,000, the strength of the adsorbent for removing blood cells is lowered, and the production yield of the adsorbent for removing blood cells is deteriorated.

化学式(5)において、R3およびR4は炭素数が1〜5の低級アルキル基であり、R3およびR4はそれぞれ同一であっても相違していてもよい。R3およびR4としては、例えばメチル基、エチル基、プロピル基、ブチル基、ペンチル基などが挙げられる。好ましいR1およびR2は、メチル基である。   In the chemical formula (5), R3 and R4 are lower alkyl groups having 1 to 5 carbon atoms, and R3 and R4 may be the same or different. Examples of R3 and R4 include a methyl group, an ethyl group, a propyl group, a butyl group, and a pentyl group. Preferred R1 and R2 are methyl groups.

血球除去用吸着体の表面のRaを5〜100nmとすることにより、白血球および血小板の吸着性をより向上させることができる。なお、血球除去用吸着体の表面のRaを5より小さくすることは製造上困難である。一方、血球除去用吸着体の表面のRaが100nmより大きいと、血小板(大きさ2〜4μm)の吸着への寄与が減少する。血球除去用吸着体の表面のRaは、AFM(原子間力顕微鏡)により測定することができる。本実施の形態における血球除去用吸着体の表面のRaの測定は、AFMとして、セイコーインスツルメンツ社製「SPA400」を用い、探針として「DMF SZDF20AL」(セイコーインスツルメンツ社製)を用い、AFMによる測定領域は10μm×10μmである。   By setting the Ra on the surface of the adsorbent for removing blood cells to 5 to 100 nm, the adsorptivity of leukocytes and platelets can be further improved. In addition, it is difficult in manufacturing to make Ra of the surface of the adsorbent for removing blood cells smaller than 5. On the other hand, if Ra on the surface of the adsorbent for removing blood cells is larger than 100 nm, contribution to the adsorption of platelets (size 2 to 4 μm) decreases. Ra of the surface of the adsorbent for removing blood cells can be measured by an AFM (atomic force microscope). In the present embodiment, Ra on the surface of the adsorbent for removing blood cells is measured by AFM using “SPA400” manufactured by Seiko Instruments Inc. as an AFM and “DMF SZDF20AL” (manufactured by Seiko Instruments Inc.) as a probe. The area is 10 μm × 10 μm.

本実施の形態における繊維からなる血球除去用吸着体は、以下に説明する凝固法により製造される。   The blood cell removing adsorbent comprising fibers according to the present embodiment is manufactured by a coagulation method described below.

(中空糸状の血球除去用吸着体の製造方法)
本実施の形態における中空糸状の血球除去用吸着体中空糸の製造方法について説明する。まず、疎水性高分子樹脂を有機溶媒に溶解させ、紡糸原液を調製する。有機溶剤としては、疎水性高分子樹脂に対して良溶剤であれば特に制限がなく、たとえばテトラヒドロフラン、ジオキサン、ジメチルホルムアミド、ジメチルアセトアミド、NMPなどを挙げることができる。これらの中でもNMPが有機溶剤として好ましい。
(Method for producing hollow fiber-shaped adsorbent for removing blood cells)
A method for producing a hollow fiber-like adsorbent hollow fiber for removing blood cells in the present embodiment will be described. First, a hydrophobic polymer resin is dissolved in an organic solvent to prepare a spinning dope. The organic solvent is not particularly limited as long as it is a good solvent for the hydrophobic polymer resin, and examples thereof include tetrahydrofuran, dioxane, dimethylformamide, dimethylacetamide, and NMP. Among these, NMP is preferable as the organic solvent.

二重ノズルを用い、紡糸原液を内部凝固液(水を含んだ有機溶剤)とともに押し出し、外部凝固液(水を含んだ有機溶剤)に落とし込むことにより、血球除去用中空糸を製造することができる。血球除去用中空糸を紡糸する際の温度は、5〜15℃程度が好ましい。紡糸温度をこの範囲とすることにより、紡糸原液の安定性が向上し、相分離等が生じにくくなる。内部凝固液(芯液)と外部凝固液の濃度差の比率は0.6〜1.6であることが好ましい。   Using a double nozzle, the spinning solution is extruded together with the internal coagulation liquid (water-containing organic solvent) and dropped into the external coagulation liquid (water-containing organic solvent) to produce a hollow fiber for removing blood cells. . The temperature when spinning the blood cell removing hollow fiber is preferably about 5 to 15 ° C. By setting the spinning temperature within this range, the stability of the spinning solution is improved and phase separation or the like is less likely to occur. The ratio of the concentration difference between the internal coagulating liquid (core liquid) and the external coagulating liquid is preferably 0.6 to 1.6.

(中実糸の血球除去用吸着体の製造方法)
本実施の形態における中実糸の血球除去用吸着体の製造方法について説明する。まず、疎水性高分子樹脂を有機溶媒に溶解させ、紡糸原液を調製する。有機溶剤としては、疎水性高分子樹脂に対して良溶剤であれば特に制限がなく、たとえばテトラヒドロフラン、ジオキサン、ジメチルホルムアミド、ジメチルアセトアミド、NMPなどを挙げることができる。これらの中でもNMPが有機溶剤として好ましい。
(Method for producing adsorbent for removing blood cells from solid yarn)
A method for producing a solid thread blood cell removing adsorbent in the present embodiment will be described. First, a hydrophobic polymer resin is dissolved in an organic solvent to prepare a spinning dope. The organic solvent is not particularly limited as long as it is a good solvent for the hydrophobic polymer resin, and examples thereof include tetrahydrofuran, dioxane, dimethylformamide, dimethylacetamide, and NMP. Among these, NMP is preferable as the organic solvent.

通常のノズル(オリフィス)を用い、紡糸原液を凝固液(水を含んだ有機溶剤)とともに落とし込むことにより、血球除去用中実糸を製造することができる。血球除去用中実糸を紡糸する際の温度は、5〜15℃程度が好ましい。紡糸温度をこの範囲とすることにより、紡糸原液の安定性が向上し、相分離等が生じにくくなる。   By using a normal nozzle (orifice) and dropping the spinning solution together with a coagulation solution (an organic solvent containing water), a solid yarn for removing blood cells can be produced. The temperature for spinning the blood cell removing solid yarn is preferably about 5 to 15 ° C. By setting the spinning temperature within this range, the stability of the spinning solution is improved and phase separation or the like is less likely to occur.

また、本実施の形態における繊維からなる血球除去用吸着体の外径は、0.1mmから5mmの中空糸または中実糸であり、本実施の形態における繊維からなる血球除去用吸着体の表面の平均細孔径は、50nmから300nmである。   The outer diameter of the adsorbent for removing blood cells made of fibers in the present embodiment is a hollow fiber or solid thread of 0.1 mm to 5 mm, and the surface of the adsorbent for removing blood cells made of fibers in the present embodiment The average pore diameter is from 50 nm to 300 nm.

本実施の形態における繊維からなる血球除去用吸着体はストレート糸形状なので、極細繊維不織布を用いたもの(例えば旭化成クラレメディカル社製「セルソーバ」)と比べて、患者の血液の粘性が高く血球除去用モジュールのケース内で凝固などリスクが高い場合であっても使用することができる。   Since the adsorbent for removing blood cells made of fibers in the present embodiment is in a straight thread shape, the patient's blood is highly viscous compared to those using ultra-fine fiber nonwoven fabric (for example, “CELLSOVA” manufactured by Asahi Kasei Kuraray Medical Co., Ltd.). Even if there is a high risk of coagulation in the module case, it can be used.

本実施の形態における網目状布は、例えば、繊維径(線径)が20μmから100μmであり、1インチあたりの繊維の本数が3本から80本(3〜80メッシュ)のメッシュが好ましく、該メッシュの材質は、ポリエステル、ナイロン、ポリエチレン、ポリプロピレンから選ばれる。   The mesh cloth in the present embodiment is preferably, for example, a mesh having a fiber diameter (wire diameter) of 20 μm to 100 μm and a number of fibers per inch of 3 to 80 (3 to 80 mesh), The material of the mesh is selected from polyester, nylon, polyethylene, and polypropylene.

本実施の形態における血球除去用モジュールは、LCAP(リンパ球除去療法)と異なり、リンパ球の除去を行わないので、免疫に関与するメモリーセルを除去してしまう危険性が低い。また、本実施の形態における血球除去用モジュールに用いる筒状血球除去用吸着体は、後述するように、GCAP(顆粒球除去療法)に用いられるセルロースジアセテートビーズからなる吸着体の「アダカラム」(JIMRO社製)に比べ、より多くの血小板を除去することができる。その結果、効率的に患者の炎症症状を抑制することができる。また、本実施の形態における血球除去用モジュールは、全血を通過させるだけで治療ができるため、簡便で安全性が高く、従来の遠心分離器法に用いる遠心分離器の様な高価な装置を必要としない。   Unlike the LCAP (Lymphocyte Depletion Therapy), the blood cell removal module in the present embodiment does not remove lymphocytes, so that there is a low risk of removing memory cells involved in immunity. In addition, the cylindrical blood cell removing adsorbent used in the blood cell removing module in the present embodiment is an “adacolumn” of adsorbent made of cellulose diacetate beads used for GCAP (granulocyte removal therapy) (described later). More platelets can be removed compared to JIMRO). As a result, the patient's inflammatory symptoms can be efficiently suppressed. In addition, since the blood cell removal module in the present embodiment can be treated simply by passing whole blood, it is simple and highly safe, and an expensive device such as a centrifuge used in the conventional centrifuge method is used. do not need.

以下、実施例により本発明を説明するが、本発明はこれらの実施例に限定されるものではない。   EXAMPLES Hereinafter, although an Example demonstrates this invention, this invention is not limited to these Examples.

[実施例1]
ポリアリレート樹脂(以下PAR、数平均分子量25,000、ユニチカ製、商品名:Uポリマー)とポリエーテルスルホン樹脂(以下PES、グレード4800P、数平均分子量21,000、住友化学工業製、商品名:スミカエクセルPES)と、N−メチルピロリドン(NMP)とを用いてポリマー原液を調整した。PARとPESとNMPとの重量混合比は7.5:7.5:85.0とした。N−メチルピロリドン水溶液(水にNMPを60%混合したもの)を凝固液および芯液とした。前述したポリマー原液を、二重管紡糸口金を用いて芯液と共に凝固液中へ吐出して中空糸膜を作製、連続的に切断し、外径300μm、内径200μm、長さ12mmの中空糸状短繊維の血球除去用吸着体を得た。
[Example 1]
Polyarylate resin (hereinafter PAR, number average molecular weight 25,000, manufactured by Unitika, trade name: U polymer) and polyethersulfone resin (hereinafter PES, grade 4800P, number average molecular weight 21,000, manufactured by Sumitomo Chemical Co., Ltd., trade name: A polymer stock solution was prepared using Sumika Excel PES) and N-methylpyrrolidone (NMP). The weight mixing ratio of PAR, PES, and NMP was 7.5: 7.5: 85.0. An aqueous solution of N-methylpyrrolidone (mixed 60% of NMP in water) was used as a coagulation liquid and a core liquid. The polymer stock solution described above is discharged into the coagulation liquid together with the core liquid using a double tube spinneret to produce a hollow fiber membrane, which is continuously cut, and has a hollow fiber short shape with an outer diameter of 300 μm, an inner diameter of 200 μm, and a length of 12 mm. An adsorbent for removing blood cells was obtained.

本実施例の血球除去用吸着体の表面粗さを、AFM(10μm×10μm、セイコーインスツルメンツ社製SPA400、探針:DFM SZDF20AL(セイコーインスツルメンツ社製))を用いて測定したところ、Ra=5.2nmであった。また、平均細孔径は、25.4nmであった。   When the surface roughness of the adsorbent for removing blood cells of this example was measured using AFM (10 μm × 10 μm, SPA400 manufactured by Seiko Instruments Inc., probe: DFM SZDF20AL (Seiko Instruments Inc.)), Ra = 5. It was 2 nm. Moreover, the average pore diameter was 25.4 nm.

本実施例の中空糸状の血球除去用吸着体(外径300μm、長さ70mm)を約3,500本、平面状に並べ、その上に、網目状布であるポリエステル樹脂製のメッシュ(70メッシュ、線径:71μm)を重ねた状態で、ヒートシーラーを用い、血球除去用吸着体の両端部とメッシュとを融着させ、血球除去用吸着体の端面を封止した(吸着表面積は約2,300cm)。次に、融着した部分より外側の端部をそれぞれ切り除き、血球除去用吸着体の配列方向に沿って巻き込んで、スペーサとなるメッシュを介在させた血球除去用吸着体の束からなる筒状血球除去用吸着体を得た。 About 3,500 hollow fiber-shaped adsorbents for removing blood cells (outer diameter 300 μm, length 70 mm) of this example are arranged in a plane, and a mesh made of polyester resin (70 mesh) as a mesh cloth is formed thereon. In the state where the wire diameter is 71 μm), both ends of the blood cell removing adsorbent and the mesh are fused using a heat sealer, and the end surface of the blood cell removing adsorbent is sealed (adsorption surface area is about 2). , 300 cm 2 ). Next, the outer ends of the fused parts are respectively cut off, wound in the arrangement direction of the blood cell removing adsorbents, and formed of a bundle of blood cell removing adsorbents with a spacer mesh interposed therebetween. An adsorbent for removing blood cells was obtained.

図2に示すように、得られた筒状血球除去用吸着体50をポリカーボネート製のケース20(全長:70mm、内径:27mm、容量:40mL)に装填し、血液導入口及び血液流出口を有する一対のヘッダ40a,40bを装着して、血球除去用モジュールAを作製した。   As shown in FIG. 2, the obtained adsorbent 50 for removing cylindrical blood cells is loaded in a polycarbonate case 20 (full length: 70 mm, inner diameter: 27 mm, capacity: 40 mL), and has a blood inlet and a blood outlet. A pair of headers 40a and 40b was attached to produce a blood cell removal module A.

[比較例1]
顆粒球吸着カラムであるアダカラム(JIMRO社製)の充填剤(直径約2mmのセルローストリアセテートビーズ、Ra=133nm)を、実施例1と同様のポリカーボネート製のケース(全長:70mm、内径:27mm、容量:40mL)に装填し、血液導入口及び血液流出口を有する一対のヘッダを装着して、血球除去用モジュールBを作製した。
[Comparative Example 1]
A polycarbonate column (total length: 70 mm, inner diameter: 27 mm, volume) similar to that of Example 1 was used for the packing of Adacolumn (manufactured by JIMRO) which is a granulocyte adsorption column (cellulose triacetate beads having a diameter of about 2 mm, Ra = 133 nm). : 40 mL), and a pair of headers having a blood inlet and a blood outlet were attached to prepare a blood cell removal module B.

<評価方法>
健常者より500mLの血液を採取し、ヘパリン化後、血液パックに250mLずつに分け、それぞれの血液を7mL/minで30還流した後、顆粒球(好中球)数、血小板数、リンパ球数の変化より、各血球除去用モジュールの吸着率を算出した。結果を以下の表1に示す。なお、これは、6回測定された結果の平均値である。
<Evaluation method>
500 mL of blood is collected from healthy individuals, heparinized, divided into 250 mL blood packs, and each blood is refluxed at 7 mL / min for 30, then granulocyte (neutrophil) count, platelet count, lymphocyte count From these changes, the adsorption rate of each blood cell removal module was calculated. The results are shown in Table 1 below. In addition, this is an average value of the result measured 6 times.

表1より、実施例1の血球除去用モジュールAの方が、比較例1の血球除去用モジュールBに比べ血小板の吸着率が極めて高いことがわかる。   From Table 1, it can be seen that the blood cell removing module A of Example 1 has a much higher platelet adsorption rate than the blood cell removing module B of Comparative Example 1.

[実施例2]
実施例1にて得られた中空糸状の血球除去用吸着体(外径300μm、長さ12mm)を約8,000本、平面状に並べ、その上に、網目状布であるポリエステル樹脂製のメッシュ(70メッシュ、線径:100μm)を重ねた状態で、ヒートシーラーを用い、血球除去用吸着体の両端部とメッシュとを融着させ、血球除去用吸着体の端面を封止した(吸着表面積は約0.9m)。次に、融着した部分より外側の端部をそれぞれ切り除き、血球除去用吸着体の配列方向に沿って巻き込んで、スペーサとなるメッシュを介在させた血球除去用吸着体の束からなる筒状血球除去用吸着体を得た。
[Example 2]
About 8,000 hollow-fiber adsorbents for blood cell removal (outer diameter 300 μm, length 12 mm) obtained in Example 1 are arranged in a plane, and a mesh cloth made of polyester resin is formed thereon. In a state where the mesh (70 mesh, wire diameter: 100 μm) is overlaid, both ends of the blood cell removing adsorbent and the mesh are fused using a heat sealer to seal the end surface of the blood cell removing adsorbent (adsorption) The surface area is about 0.9 m 2 ). Next, the outer ends of the fused parts are respectively cut off, wound in the arrangement direction of the blood cell removing adsorbents, and formed of a bundle of blood cell removing adsorbents with a spacer mesh interposed therebetween. An adsorbent for removing blood cells was obtained.

図2に示すように、得られた筒状血球除去用吸着体50をポリカーボネート製のケース20(全長:185mm、内径:59mm、容量:324mL)に装填し、血液導入口及び血液流出口を有する一対のヘッダ40a,40bを装着して、血球除去用モジュールCを作製した。   As shown in FIG. 2, the obtained cylindrical blood cell removing adsorbent 50 is loaded into a polycarbonate case 20 (total length: 185 mm, inner diameter: 59 mm, capacity: 324 mL), and has a blood inlet and a blood outlet. A pair of headers 40a and 40b was attached to produce a blood cell removal module C.

[参考例]
ポリアリレート樹脂(以下PAR、数平均分子量25,000、ユニチカ製、商品名:Uポリマー)とポリエーテルスルホン樹脂(以下PES、グレード4800P、数平均分子量21,000、住友化学工業製、商品名:スミカエクセルPES)と、N−メチルピロリドン(NMP)とを用いてポリマー原液を調整した。PARとPESとNMPとの重量混合比は7.5:7.5:85.0とした。N−メチルピロリドン水溶液(水にNMPを60%混合したもの)を凝固液とした。当該ポリマー溶液を内径0.25mmのノズルより凝固液槽の液面から約20cmの高さより、滴下した。凝固液内で十分に凝固を行った後、蒸留水で洗浄し、直径約1mmの血球除去用ビーズを得た。
[Reference example]
Polyarylate resin (hereinafter PAR, number average molecular weight 25,000, manufactured by Unitika, trade name: U polymer) and polyethersulfone resin (hereinafter PES, grade 4800P, number average molecular weight 21,000, manufactured by Sumitomo Chemical Co., Ltd., trade name: A polymer stock solution was prepared using Sumika Excel PES) and N-methylpyrrolidone (NMP). The weight mixing ratio of PAR, PES, and NMP was 7.5: 7.5: 85.0. An aqueous solution of N-methylpyrrolidone (mixed 60% of NMP in water) was used as a coagulation liquid. The polymer solution was dropped from a nozzle having an inner diameter of 0.25 mm from the surface of the coagulation liquid tank at a height of about 20 cm. After sufficiently coagulating in the coagulation solution, the cells were washed with distilled water to obtain blood cell removing beads having a diameter of about 1 mm.

参考例で得られた血球除去用ビーズの約30万粒(約290mL)(吸着表面積は約0.9m)をポリカーボネート製のケース(全長:185mm、内径:59mm、容量:324mL)に装填し、血液導入口及び血液流出口を有する一対のヘッダを装着して、血球除去用モジュールDを作製した。 About 300,000 beads (about 290 mL) of the blood cell removal beads obtained in the reference example (adsorption surface area is about 0.9 m 2 ) are loaded into a polycarbonate case (total length: 185 mm, inner diameter: 59 mm, capacity: 324 mL). Then, a pair of headers having a blood inlet and a blood outlet were mounted, and a blood cell removal module D was produced.

<評価方法>
ヘパリン化した牛血液(ヘマトクリット血:32%)の3Lを50mL/minで、血球除去用モジュール内に循環状態で通液し、20分後の血球除去用モジュールの血液導入口の入口圧と、血液流出口の出口圧を測定し、モジュール内の圧力損出を算出した。結果を以下の表2に示す。
<Evaluation method>
3L of heparinized bovine blood (hematocrit blood: 32%) was passed through the blood cell removal module in a circulating state at 50 mL / min, 20 minutes later, the inlet pressure of the blood inlet of the blood cell removal module, The outlet pressure at the blood outlet was measured and the pressure loss in the module was calculated. The results are shown in Table 2 below.

表2により、実施例2の血球除去用モジュールCが、参考例のビーズ充填の血球除去用モジュールDより圧力損失が小さいことがわかる。なお、実施例2の血球除去用モジュールCが、参考例のビーズ充填の血球除去用モジュールDとは、顆粒球(好中球)、血小板の吸着率は同等であった。   Table 2 shows that the blood cell removal module C of Example 2 has a smaller pressure loss than the bead-filled blood cell removal module D of the reference example. It should be noted that the blood cell removal module C of Example 2 had the same adsorption rate of granulocytes (neutrophils) and platelets as the bead-filled blood cell removal module D of the reference example.

本発明は、血球除去用途に好適である。   The present invention is suitable for blood cell removal applications.

10 血球除去モジュール、20 ケース、21 ケース本体、22,24 血液流入出口、30a,30b メッシュ、40a,40b ヘッダ、50,50a 筒状血球除去用吸着体、52 網目状布、54 血球除去用吸着体、56 融着部分、60 血球除去用吸着体一体型網目状布、70 融着装置。   10 Blood Cell Removal Module, 20 Case, 21 Case Body, 22, 24 Blood Inlet / Outlet, 30a, 30b Mesh, 40a, 40b Header, 50, 50a Cylindrical Blood Cell Removal Adsorbent, 52 Mesh Cloth, 54 Blood Cell Removal Adsorption Body, 56 fused portion, 60 blood cell removing adsorbent-integrated mesh cloth, 70 fusion device.

Claims (6)

血球除去前の血流が流入する入口部と血球除去後の血流が排出される出口部が設けられたケースと、
配列された複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体の両端部が血液通過可能な網目状布に固定された血球除去用吸着体一体型網目状布を前記血球除去用吸着体の配列方向に沿って巻き込んで成る筒状血球除去用吸着体と、
を備えたことを特徴とする血球除去モジュール。
A case provided with an inlet part into which blood flow before blood cell removal flows and an outlet part through which blood flow after blood cell removal is discharged;
A blood cell removing adsorbent-integrated mesh cloth in which both ends of a blood cell removing adsorbent composed of a plurality of arranged hollow fiber-like or solid thread-like fibers are fixed to a mesh cloth capable of passing blood is used for the blood cell removal. An adsorbent for removing cylindrical blood cells, which is wound along the arrangement direction of the adsorbent;
A blood cell removal module comprising:
さらに、前記入口部および前記出口部の内側にそれぞれ設けられ、前記血球除去用吸着体を前記ケース内に保持するメッシュを備えることを特徴とする請求項1に記載の血球除去モジュール。   2. The blood cell removal module according to claim 1, further comprising a mesh that is provided inside each of the inlet portion and the outlet portion and holds the blood cell removing adsorbent in the case. 前記血球除去用吸着体は、以下に示す化学式(1)で表される繰り返し単位を有するポリアリレート樹脂および化学式(2)または化学式(3)で表される繰り返し単位を有するポリエーテルスルホン樹脂の少なくとも一種の疎水性高分子樹脂を含有することを特徴とする請求項1または請求項2に記載の血球除去モジュール。


化学式(1)において、R1およびR2は炭素数が1〜5の低級アルキル基であり、R1およびR2はそれぞれ同一であっても相違していてもよい。


化学式(2)において、R3およびR4は炭素数が1〜5の低級アルキル基であり、R3およびR4はそれぞれ同一であっても相違していてもよい。
The adsorbent for removing blood cells includes at least a polyarylate resin having a repeating unit represented by the following chemical formula (1) and a polyethersulfone resin having a repeating unit represented by the following chemical formula (2) or chemical formula (3): The blood cell removal module according to claim 1 or 2, wherein the blood cell removal module contains a kind of hydrophobic polymer resin.


In the chemical formula (1), R1 and R2 are lower alkyl groups having 1 to 5 carbon atoms, and R1 and R2 may be the same or different.


In the chemical formula (2), R3 and R4 are lower alkyl groups having 1 to 5 carbon atoms, and R3 and R4 may be the same or different.
血液中の白血球及び血小板の除去に用いられることを特徴とする請求項1から請求項3のいずれか1項に記載の血球除去モジュール。   The blood cell removal module according to any one of claims 1 to 3, wherein the blood cell removal module is used for removing white blood cells and platelets in blood. 配列された複数の中空糸状または中実糸状の繊維からなる血球除去用吸着体の両端部を血液通過可能な網目状布に固定し血球除去用吸着体一体型網目状布を形成する工程と、
前記血球除去用吸着体一体型網目状布を血球除去用吸着体の配列方向に沿って巻き込み筒状血球除去用吸着体を形成する工程と、
前記筒状血球除去用吸着体を、血球除去前の血流が流入する入口部と血球除去後の血流が排出される出口部が設けられたケース内に収容する工程と、
を有することを特徴とする血球除去モジュールの製造方法。
Fixing both ends of a blood cell removing adsorbent comprising a plurality of arranged hollow fiber-like or solid yarn-like fibers to a mesh cloth capable of passing blood, and forming a blood cell removing adsorbent-integrated mesh cloth;
Wrapping the blood cell removing adsorber-integrated mesh cloth along the array direction of the blood cell removing adsorbent to form a cylindrical blood cell removing adsorbent;
Storing the cylindrical blood cell removing adsorbent in a case provided with an inlet portion into which blood flow before blood cell removal flows and an outlet portion through which blood flow after blood cell removal is discharged;
A method for producing a blood cell removal module, comprising:
血球除去用吸着体一体型網目状布を形成する工程において、前記血球除去用吸着体が中空糸であって、前記血球除去用吸着体の両端部を血液通過可能な網目状布に熱融着により固定する場合、熱融着させた血球除去用吸着体の両端部の中空は封止されていることを特徴とする請求項5に記載の血球除去モジュールの製造方法。   In the step of forming the blood cell removing adsorbent-integrated mesh cloth, the blood cell removing adsorbent is a hollow fiber, and both ends of the blood cell removing adsorbent are heat-sealed to a mesh cloth capable of passing blood. 6. The method for producing a blood cell removal module according to claim 5, wherein the hollows at both end portions of the heat-fused adsorbent for removing blood cells are sealed when they are fixed by heat.
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