WO1991003264A1 - Process for rendering inactive infectious and parasitic agents in biological media using ultrasound and its applications - Google Patents

Process for rendering inactive infectious and parasitic agents in biological media using ultrasound and its applications Download PDF

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Publication number
WO1991003264A1
WO1991003264A1 PCT/FR1990/000644 FR9000644W WO9103264A1 WO 1991003264 A1 WO1991003264 A1 WO 1991003264A1 FR 9000644 W FR9000644 W FR 9000644W WO 9103264 A1 WO9103264 A1 WO 9103264A1
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Prior art keywords
ultrasound
viral
application
blood
infectious
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Application number
PCT/FR1990/000644
Other languages
French (fr)
Inventor
Léandre Pourcelot
Frédéric PATAT
Laurence Boucher
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Fondation Nationale De Transfusion Sanguine
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Publication of WO1991003264A1 publication Critical patent/WO1991003264A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00Ultrasound therapy
    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L3/00Preservation of foods or foodstuffs, in general, e.g. pasteurising, sterilising, specially adapted for foods or foodstuffs
    • A23L3/26Preservation of foods or foodstuffs, in general, e.g. pasteurising, sterilising, specially adapted for foods or foodstuffs by irradiation without heating
    • A23L3/30Preservation of foods or foodstuffs, in general, e.g. pasteurising, sterilising, specially adapted for foods or foodstuffs by irradiation without heating by treatment with ultrasonic waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/0005Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for pharmaceuticals, biologicals or living parts
    • A61L2/0011Methods 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22082Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
    • A61B2017/22088Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance ultrasound absorbing, drug activated by ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/05General characteristics of the apparatus combined with other kinds of therapy
    • A61M2205/058General characteristics of the apparatus combined with other kinds of therapy with ultrasound therapy

Definitions

  • the present invention relates to the field of in vitro inactivation of infectious rents of viral, bacteriological or even parasitic nature capable of contaminating biological liquid media, and relates more particularly to a new method of treatment of such a biological medium for less partially inactivate the infectious agents that it may contain.
  • Chagas is a major concern of transfusion centers in endemic areas.
  • a virus such as the flu virus
  • the present invention is based on the experimental discovery that, under certain conditions, ultrasound irradiation is capable of effectively inactivating various infectious agents, that is to say of definitively preventing them from replicating without degrading organic products thus treated.
  • the present invention relates to a method for treating a liquid biological medium capable of being contaminated with at least one infectious agent of viral, parasitic or bacteriological nature, characterized in that a coherent beam of ultrasound is applied to the medium at a frequency between about 0.1 and 100 MHz, so as to inactivate the infectious agent or agents.
  • the ultrasound beam is applied for a period of between 1 and 10,000 seconds.
  • an ultrasonic beam with a surface power of between 0.5 and 50 W / cm 2 is particularly advantageous.
  • the ultrasound causes the medium to vibrate at a high frequency to such a degree that the mechanical structure of the viral capsid breaks.
  • FIG. 1 is a schematic elevational view of an experimental device for implementing the method of the invention
  • FIG. 2 is a view in axial vertical section of an ultrasonic irradiation tank according to the invention
  • - Figure 3 is a diagram illustrating the results obtained in a particular case with the method of the invention.
  • a side wall 101 of the tank 100 is formed an opening 102 to the right of which is rigidly fixed, for example by bonding, a ceramic 110, protected by a waterproof housing 120.
  • the tank 100 may have a volume of 80 cm 3 and ceramic 110 an area of 9 cm 2 .
  • a reflector 130 of ultrasonic waves so as to create in the tank a stationary field of ultrasonic waves.
  • the reflector 130 can be replaced by a material absorbing the ultrasound at the frequencies considered, so as to create in this case a progressive field of ultrasound.
  • Means are provided for ensuring in the tank
  • a circulation of chilled water comprising a tank 140 das which are arranged with water and ice cubes.
  • a tube 141 connects the tank 140 to the inlet of a water pump 142, the outlet of which is connected by a second tube 143 to an inlet fitting 103 of the tank 100.
  • An outlet fitting 104 of the tank is connected by a third tube 144 to tank 140.
  • the supply part of the ceramic consists of a high frequency generator 150 whose output is connected on the one hand to a high frequency amplifier 160 and on the other hand to an oscilloscope 170.
  • the frequency and amplitude of the output signal from generator 150 can be adjusted.
  • the output of the amplifier 160 is connected, by an appropriate coaxial cable 161, to the ceramic 110.
  • a test tube 200 containing the sample of biological liquid to be irradiated is immersed in the water contained in the tank 100, through a suitable opening (not shown) formed in the upper wall 105 of the tank.
  • the tank here comprises a cylindrical side wall 106, a bottom 107 also forming a support plate and a cover 108, assembled together by suitable mechanical means , with suitable seals.
  • the tank can advantageously be made of duralumin.
  • the ultrasound here is generated by a ceramic 110 of circular shape arranged horizontally and produced for example from a ferroelectric ceramic.
  • the ceramic 110 is fixed in an opening 107a made in the bottom wall 107.
  • the core 161a of the power cable 161 is welded to the underside of the ceramic, while its shield is welded to the bottom 107.
  • a peripheral weld bead 107b between the upper face of the ceramic and the wall 107 constitutes the other supply connection for the ceramic.
  • the sample of biological fluid to be treated is contained in a vertical sample tube 200, also made of duralumin, passing through an opening provided in the cover 108.
  • the tube 200 is closed at its upper end by a plug 201 and at its lower end by a membrane 202 in "Kapton” (registered trademark), permeable to ultrasonic irradiation.
  • refrigerated water is made to circulate in the tank 100, using the fittings 103 and 104.
  • this establishes when the ceramic 110 is supplied a stationary field of ultrasound in the tank 100, to which field the biological liquid contained in the tube 200.
  • the ultrasonic field has a frequency between 0.1 and 100 MHz, preferably between 1 and 20 MHz.
  • the surface intensity of the ultrasonic field is preferably between 0.5 and 50 W / cm 2 , and the optimal irradiation time, which varies according to the frequency and intensity of the field and the type of infectious agent. to deactivate, can be between 1 and 10,000 seconds.
  • the infectious power of the virus was assessed by cell culture for four days, on an MRC5 cell.
  • the titration was carried out by calculating the infecting dose 50 (ID 50%), by the method of Reed and Muench; it may be recalled here that, according to this procedure, the 10 n dilution which would have infected 50% of the cell culture is calculated.
  • ID 50% the infecting dose 50
  • Reed and Muench the 10 n dilution which would have infected 50% of the cell culture is calculated.
  • a 4 log decrease in the titer of viruses exposed to ultrasound compared to that witness virus was retained here as a criterion for inactivation of this viral strain.
  • (+) indicates partial inactivation of the virus (decrease in viral titer, but less than 4 log); and indicates an absence of modification of the viral titer, that is to say no inactivation.
  • the second experiment consisted in studying the inactivation of an echovirus strain, still in suspension in a biological conservation medium, under the same conditions and with the same methods as for example 1.
  • Example 3 The inactivating effect of ultrasound on the HIV1 virus (strain HTLVIII-RF) was studied. This virus was suspended in a culture supernatant consisting of RPMI 1640 medium supplemented with 20% of decomplemented fetal calf serum, 1% of glutamine and 1% of antibiotic and antifungal mixture. This supernatant was distributed in five tubes, the first of which was kept as a control. The other four tubes were subjected to an ultrasonic treatment at a frequency of 4.7 MHz with a power density of 30 W / cm 2 for 2000 s for two of them and 5000 s for the other two. A viral titration was then carried out by observation of the cytopathogenic effect after 5 days on Sup T1 lymphocyte cells.
  • a decrease in viral activity of more than 3 log is observed for the media treated for 2000 s and by more than 5 log for the media treated for 5000 s.
  • the ultrasonic field can be, as indicated above, stationary or progressive, and the ultrasonic waves can be emitted continuously or pulsed, the most suitable modes of implementation being determined by experience in the case. not case.
  • the ultrasound treatment described above can be combined with any other treatment capable of amplifying the effect of ultrasound.
  • detergents of the deoxycholate or sodium dodecylsulfate type can be used, or alternatively products which bind to nucleic acids, such as acridine and its derivatives, porphyrins, chlorines, cyclic compounds, etc. These substances are preferably incorporated into the biological medium to be treated before exposure to ultrasound.
  • genetic engineering and cell engineering processes now make it possible to manufacture injectable therapeutic products (in particular insulin, specific antibodies, vaccines, etc.) requiring procedures, or derived from transformed cells, likely to contain viruses. human or animal origin. The invention is of course also applicable to the treatment of these products in order to ensure viral safety.

Abstract

The invention relates to a process for the treatment of a liquid biological medium which can be contaminated by at least one infectious agent of a viral, parasitic or bacterial nature, which is characterised by the fact that a coherent ultrasound beam is applied to said medium at a frequency between about 0.1 and 100 MHz, such that the infectious agent or agents are rendered inactive. Application: treatment of blood products and their derivates, sperm, and various biological and food products.

Description

PROCEDE D'INACTIVATION PAR ULTRASONS D'AGENTS INFECTIEUX OU METHOD FOR ULTRASONIC INACTIVATION OF INFECTIOUS AGENTS OR
PARASITAIRES DANS DES MILIEUX BIOLOGIQUES ET APPLICATIONS DU PROCEDE PARASITARIES IN BIOLOGICAL MEDIA AND APPLICATIONS OF THE PROCESS
La présente invention a trait au domaine de l'inactivation in vitro d' jents infectieux de nature virale, bactériologique ou encore parasitaire susceptibles de contaminer des milieux liquides biologiques, et concerne plus particulièrement un nouveau procédé de traitement d'un tel milieu biologique pour au moins partiellement inactiver les agents infectieux qu'il peut contenir. The present invention relates to the field of in vitro inactivation of infectious rents of viral, bacteriological or even parasitic nature capable of contaminating biological liquid media, and relates more particularly to a new method of treatment of such a biological medium for less partially inactivate the infectious agents that it may contain.
La gravité des problèmes de contamination des receveurs de transfusions de sang ou de dérivé sanguin est actuellement remise en lumière en liaison avec le développement épidémique du SIDA. Cela étant, ce sont de nombreux virus qui peuvent être transmis d'un patient à l'autre par transfusion de sang, et notamment les virus HIV, HTLV1 et CMV , les virus des hépatites, etc.  The seriousness of the contamination problems of recipients of blood transfusions or blood derivatives is currently being brought to light in connection with the epidemic development of AIDS. However, there are many viruses which can be transmitted from one patient to another by blood transfusion, and in particular the HIV, HTLV1 and CMV viruses, hepatitis viruses, etc.
De même, la sécurité des produits transfusionnels vis-à-vis de maladies comme le paludisme ou la maladie de Likewise, the safety of transfusion products with regard to diseases such as malaria or
Chagas est un souci majeur des centres de transfusion dans les zones d'endémie. Chagas is a major concern of transfusion centers in endemic areas.
Ainsi, à côté des précautions usuelles de dépistage, qui ne sont pas à même de résoudre complètement ces problèmes, il est nécessaire d'utiliser des techniques destinées à réduire encore le risque de contamination par transfusion. Cela étant, on ne connaît pas à l'heure actuelle de moyen efficace pour inactiver les agents infectieux potentiellement présents dans des concentrés érythrocytaires tout en conservant la qualité de ces concentrés.  Thus, in addition to the usual screening precautions, which are not capable of completely solving these problems, it is necessary to use techniques intended to further reduce the risk of contamination by transfusion. However, at present there is no known effective means for inactivating the infectious agents potentially present in erythrocyte concentrates while retaining the quality of these concentrates.
Par ailleurs, il existe à l'heure actuelle une demande croissante adressée aux centres de conservation du sperme et aux centres de fécondation in vitro par des hommes séropositifs vis-à-vis du virus du SIDA VIH, hommes qui souhaiteraient avoir des enfants mais ne le peuvent sans risque de contaminer leur partenaire et leur enfant. Et ces deux types d'organismes souhaitent légitimement mieux se prémunir contre les risques de contamination liés à l'utilisation du sperme des donneurs. In addition, there is currently an increasing demand addressed to the centers of sperm conservation and to the centers of in vitro fertilization by men seropositive vis-a-vis the virus of the AIDS virus HIV, men who would like to have children but not can do so without risk of infecting their partner and their child. And these two types of organizations want legitimately better guard against the risks of contamination linked to the use of donor sperm.
Sur un plan plus général, il existe une forte demande pour inactiver in vitro des éventuels agents infectieux présents dans un liquide biologique destiné à une utilisation in vivo (par transfusion, insémination, ingestion...) sans pour autant dégrader les propriétés utiles d'un tel liquide et notamment capacité de conservation des hématies pour le sang, pouvoir fécondant pour le sperme, durée de vie, etc.  On a more general level, there is a strong demand to inactivate in vitro any infectious agents present in a biological fluid intended for in vivo use (by transfusion, insemination, ingestion ...) without degrading the useful properties of such a liquid, and in particular the capacity for keeping red cells for the blood, fertilizing power for sperm, lifespan, etc.
Et actuellement il n'existe aucune technique de traitement de tels produits qui soit capable de satisfaire efficacement à cette demande.  And currently there is no technique for processing such products which is capable of effectively meeting this demand.
Par ailleurs, il est déjà connu dans la technique antérieure d'utiliser à titre expérimental des ultrasons pour:  Furthermore, it is already known in the prior art to use ultrasound on an experimental basis for:
- libérer un virus (tel que le virus de la grippe) des cellules hôtes;  - release a virus (such as the flu virus) from host cells;
_ homogénéiser une suspension virale;  _ homogenize a viral suspension;
- dissocier des complexes Ag-Ac;  - dissociate Ag-Ac complexes;
- désagréger les virus pour en séparer les divers constituants; ou encore  - disaggregate viruses to separate the various constituents; or
- provoquer des altérations de diverses cellules, et en particulier le phénomène d'hémolyse.  - cause alterations of various cells, and in particular the phenomenon of hemolysis.
Par ailleurs, en ce qui concerne le domaine de l'inactivation virale, on a déjà utilisé des ultrasons de façon occasionnelle et anecdotique non pas pour l'inactivation des virus, mais pour l'étude purement expérimentale des propriétés virales ou encore pour la mise au point de techniques virologiques (notamment extraction de virions à partir de leurs cellules hôtes).  Furthermore, with regard to the field of viral inactivation, ultrasound has already been used occasionally and anecdotally not for the inactivation of viruses, but for the purely experimental study of viral properties or even for the implementation at the point of virological techniques (in particular extraction of virions from their host cells).
En outre, toutes ces recherches sur ce sujet ont fait appel à des champs ultrasonores à basse fréquence (de 10 à 50 kHz) engendrés par des cuves de nettoyage ou de broyage cellulaire. Le document le plus représentatif de la technique antérieure est "Changes in light scattering, absorption, fluorescence and biological characteristics of influenza virus A (H1N1) exposed to sonification", C.N. ZAHARDA et A.L. PETRFSCU, Rev. Roum. Med. - Virol., 35. 2 , 105-107, 1984. Ce document enseigne l'application d'un champ ultrasonore d'une fréquence de 20 kHz dans une cuve de 600 W, en décrivant simplement les anomalies morphologiques, observées au microscope électronique, apparues pendant l'exposition. In addition, all this research on this subject made use of low frequency ultrasonic fields (from 10 to 50 kHz) generated by cleaning or cell grinding tanks. The most representative document of the prior art is "Changes in light scattering, absorption, fluorescence and biological characteristics of influenza virus A (H1N1) exposed to sonification", CN ZAHARDA and AL PETRFSCU, Rev. Roum. Med. - Virol., 35. 2, 105-107, 1984. This document teaches the application of an ultrasonic field with a frequency of 20 kHz in a 600 W tank, by simply describing the morphological anomalies observed under the electron microscope , which appeared during the exhibition.
La présente invention est basée sur la découverte expérimentale selon laquelle, dans certaines conditions, une irradiation ultrasonore est capable d'inactiver de façon efficace des agents infectieux divers, c'est-à-dire de les empêcher définitivement de se répliquer sans pour autant dégrader les produits biologiques ainsi traités.  The present invention is based on the experimental discovery that, under certain conditions, ultrasound irradiation is capable of effectively inactivating various infectious agents, that is to say of definitively preventing them from replicating without degrading organic products thus treated.
Ainsi, la présente invention concerne un procédé de traitement d'un milieu biologique liquide susceptible d'être contaminé par au moins un agent infectieux de nature virale, parasitaire ou bactériologique, caractérisé en ce qu'on applique au milieu un faisceau cohérent d'ultrasons à une fréquence comprise entre environ 0,1 et 100 MHz, de manière à inactiver le ou les agents infectieux.  Thus, the present invention relates to a method for treating a liquid biological medium capable of being contaminated with at least one infectious agent of viral, parasitic or bacteriological nature, characterized in that a coherent beam of ultrasound is applied to the medium at a frequency between about 0.1 and 100 MHz, so as to inactivate the infectious agent or agents.
De façon préférée, on applique le faisceau d'ultrasons pendant une durée comprise entre 1 et 10.000 secondes. En outre, un faisceau d'ultrasons d'une puissance surfacique comprise entre 0,5 et 50 W/cm2 est particulièrement avantageux. Preferably, the ultrasound beam is applied for a period of between 1 and 10,000 seconds. In addition, an ultrasonic beam with a surface power of between 0.5 and 50 W / cm 2 is particularly advantageous.
Le mécanisme exact des inactivations virales observées en mettant en oeuvre le procédé de la présente invention n'est pas encore identifié avec certitude. On peut néanmoins mentionner les hypothèses suivantes :  The exact mechanism of viral inactivation observed by implementing the process of the present invention has not yet been identified with certainty. We can nevertheless mention the following hypotheses:
- le champ ultrasonore crée à ces fréquences un phénomène intense de cavitation transitoire grâce auquel, au moment du collapsus des bulles, il est engendré des pressions et des températures locales élevées ainsi que des ondes de choc. Ces phénomènes créent des radicaux libres en grand nombre, dont l'activité chimique peut être une clé du phénomène d'inactivation observé; - the ultrasonic field creates at these frequencies an intense phenomenon of transient cavitation thanks to which, at the time of the collapse of the bubbles, it is generated high local pressures and temperatures as well as shock waves. These phenomena create free radicals in large numbers, whose chemical activity can be a key to the phenomenon of inactivation observed;
- les ultrasons sont à l'origine de relaxations moléculaires telles que certaines protéines ou l'acide nucléique de l'agent infectieux viennent à se modifier; ou encore:  - ultrasound is at the origin of molecular relaxations such that certain proteins or the nucleic acid of the infectious agent come to be modified; or:
- les ultrasons provoquent la mise en vibration du milieu à fréquence élevée à un degré tel que la structure mécanique de la capside virale se rompt.  - the ultrasound causes the medium to vibrate at a high frequency to such a degree that the mechanical structure of the viral capsid breaks.
On peut noter ici que l'analyse de la technique antérieure concernant le comportement de cellules, et notamment d'hématies, sous l'effet d'une irradiation ultrasonore, bien que toutes les études qui y sont décrites impliquent des ultrasons à basse fréquence, de l'ordre de 10 à 80 kHz, et malgré des conditions disparates de mise en oeuvre, conduit à favoriser l'hypothèse selon laquelle le phénomène de cavitation, soit directement par effet mécanique au voisinage du collapsus, soit indirectement par la production de radicaux libres ou d'ondes de choc, est responsable de l'effet d'inactivation observé.  It may be noted here that the analysis of the prior art concerning the behavior of cells, and in particular red blood cells, under the effect of ultrasound irradiation, although all the studies described therein involve low frequency ultrasound, of the order of 10 to 80 kHz, and despite disparate conditions of implementation, leads to favor the hypothesis according to which the cavitation phenomenon, either directly by mechanical effect in the vicinity of the collapse, or indirectly by the production of radicals free or shock waves, is responsible for the observed inactivation effect.
D'autres aspects, buts et avantages de la présente invention apparaîtront mieux à la lecture de la description détaillée suivante de formes de réalisation préférées d'appareils pour la mise en oeuvre du procédé, donnée à titre d'exemple non limitatif et faite en référence aux dessins annexés, sur lequel :  Other aspects, aims and advantages of the present invention will appear better on reading the following detailed description of preferred embodiments of apparatus for implementing the method, given by way of nonlimiting example and given with reference to the accompanying drawings, in which:
- la figure 1 est une vue schématique en élévatiod'un dispositif expérimental pour la mise en oeuvre du procédé de l'invention,  FIG. 1 is a schematic elevational view of an experimental device for implementing the method of the invention,
- la figure 2 est une vue en coupe verticale axiale d'une cuve d'irradiation ultrasonore selon l'invention, et - la figure 3 est un diagramme illustrant les résultats obtenus dans un cas particulier avec le procédé de l'invention. FIG. 2 is a view in axial vertical section of an ultrasonic irradiation tank according to the invention, and - Figure 3 is a diagram illustrating the results obtained in a particular case with the method of the invention.
On indiquera tout d'abord que, d'une figure à l'autre, des éléments ou parties identiques ou similaires sont désignés par les mêmes numéros de référence.  It will first be indicated that, from one figure to another, identical or similar elements or parts are designated by the same reference numbers.
En référence tout d'abord à la figure 1, un appareil d'irradiation pour mettre en oeuvre le procédé selon l'invention comprend une cuve 100, de préférence en aluminium, de forme parallélépipédique. Dans une paroi latérale 101 de la cuve 100 est pratiquée une ouverture 102 au droit de laquelle est fixée rigidement, par exemple par collage, une céramique 110, protégée par un boîtier étanche 120. Par exemple, la cuve 100 peut avoir un volume de 80 cm3 et la céramique 110 une surface de 9 cm2. Sur la paroi 102 de la cuve qui est opposée à la paroi 101 est fixé, du côté intérieur, un réflecteur 130 d'ondes ultrasonores, de manière à créer dans la cuve un champ stationnaire d'ondes ultrasonores. Referring firstly to FIG. 1, an irradiation apparatus for implementing the method according to the invention comprises a tank 100, preferably made of aluminum, of parallelepiped shape. In a side wall 101 of the tank 100 is formed an opening 102 to the right of which is rigidly fixed, for example by bonding, a ceramic 110, protected by a waterproof housing 120. For example, the tank 100 may have a volume of 80 cm 3 and ceramic 110 an area of 9 cm 2 . On the wall 102 of the tank which is opposite to the wall 101 is fixed, on the inside, a reflector 130 of ultrasonic waves, so as to create in the tank a stationary field of ultrasonic waves.
II est à noter que, dans une variante de réalisation, le réflecteur 130 peut être remplacé par un matériau absorbant les ultrasons aux fréquences considérées, de manière à créer dans ce cas un champ progressif d'ultrasons.  It should be noted that, in an alternative embodiment, the reflector 130 can be replaced by a material absorbing the ultrasound at the frequencies considered, so as to create in this case a progressive field of ultrasound.
Des moyens sont prévus pour assurer dans la cuve Means are provided for ensuring in the tank
100 une circulation d'eau réfrigérée. Ces moyens comprennent un bac 140 das lequel sont disposés de l'eau et des glaçons. Un tube 141 relie le bac 140 à l'entrée d'une pompe à eau 142 dont la sortie est reliée par un second tube 143 à un raccord d'entrée 103 de la cuve 100. Un raccord de sortie 104 de la cuve est relié par un troisième tube 144 au bac 140. 100 a circulation of chilled water. These means comprise a tank 140 das which are arranged with water and ice cubes. A tube 141 connects the tank 140 to the inlet of a water pump 142, the outlet of which is connected by a second tube 143 to an inlet fitting 103 of the tank 100. An outlet fitting 104 of the tank is connected by a third tube 144 to tank 140.
La partie d'alimentation de la céramique se compose d'un générateur à haute fréquence 150 dont la sortie est reliée d'une part à un amplificateur à haute fréquence 160 et d'autre part à un oscilloscope 170. La fréquence et l'amplitude du signal de sortie du générateur 150 peuvent être réglées. The supply part of the ceramic consists of a high frequency generator 150 whose output is connected on the one hand to a high frequency amplifier 160 and on the other hand to an oscilloscope 170. The frequency and amplitude of the output signal from generator 150 can be adjusted.
La sortie de l'amplificateur 160 est reliée, par un câble coaxial approprié 161, à la céramique 110.  The output of the amplifier 160 is connected, by an appropriate coaxial cable 161, to the ceramic 110.
On peut ainsi créer dans la cuve 100, par l'intermédiaire de la céramique 110, un champ ultrasonorc de fréquence et d'intensité déterminées, ces conditions étant visualisées sur l'oscilloscope.  It is thus possible to create in the tank 100, by means of the ceramic 110, an ultrasonic field of determined frequency and intensity, these conditions being displayed on the oscilloscope.
Un tube à essais 200 contenant l'échantillon de liquide biologique à irradier est plongé dans l'eau contenue dans la cuve 100, à travers une ouverture appropriée (non illustrée) formée dans la paroi supérieure 105 de la cuve.  A test tube 200 containing the sample of biological liquid to be irradiated is immersed in the water contained in the tank 100, through a suitable opening (not shown) formed in the upper wall 105 of the tank.
On a représenté sur la figure 2 une variante de réalisation de l'ensemble de la cuve 100. La cuve comporte ici une paroi latérale cylindrique 106, un fond 107 formant également platine support et un couvercle 108, assemblés entre eux par des moyens mécaniques appropriés, avec des étanchéités convenables. La cuve peut être réalisée avantageusement en duralumin.  There is shown in Figure 2 an alternative embodiment of the assembly of the tank 100. The tank here comprises a cylindrical side wall 106, a bottom 107 also forming a support plate and a cover 108, assembled together by suitable mechanical means , with suitable seals. The tank can advantageously be made of duralumin.
Les ultrasons sont ici engendrés par une céramique 110 de forme circulaire disposée horizontalement et réalisée par exemple en une céramique ferro-électrique. La céramique 110 est fixée dans une ouverture 107a pratiquée dans la paroi de fond 107. L'âme 161a du câble d'alimentation 161 est soudée sur la face inférieure de la céramique, tandis que son blindage est soudé au fond 107. Par ailleurs, un cordon de soudure périphérique 107b entre la face supérieure de la céramique et la paroi 107 constitue l'autre connexion d'alimentation de la céramique.  The ultrasound here is generated by a ceramic 110 of circular shape arranged horizontally and produced for example from a ferroelectric ceramic. The ceramic 110 is fixed in an opening 107a made in the bottom wall 107. The core 161a of the power cable 161 is welded to the underside of the ceramic, while its shield is welded to the bottom 107. Furthermore, a peripheral weld bead 107b between the upper face of the ceramic and the wall 107 constitutes the other supply connection for the ceramic.
L'échantillon de liquide biologique à traiter est contenu dans un tube vertical d'échantillon 200, également en duralumin, traversant une ouverture prévue dans le couvercle 108. Le tube 200 est fermé à son extrémité supérieure par un bouchon 201 et à son extrémité inférieure par une membrane 202 en "Kapton" (Marque déposée), perméable à l'irradiation ultrasonore. The sample of biological fluid to be treated is contained in a vertical sample tube 200, also made of duralumin, passing through an opening provided in the cover 108. The tube 200 is closed at its upper end by a plug 201 and at its lower end by a membrane 202 in "Kapton" (registered trademark), permeable to ultrasonic irradiation.
De même que dans le cas de la figure 1, on fait circuler dans la cuve 100 de l'eau réfrigérée, en faisant intervenir les raccords 103 et 104.  As in the case of FIG. 1, refrigerated water is made to circulate in the tank 100, using the fittings 103 and 104.
En disposant dans la région supérieure de la cuve 100 un réflecteur d'ultrasons approprié (non représenté), on établit ainsi lorsque la céramique 110 est alimentée un champ stationnaire d'ultrasons dans la cuve 100, champ auquel est exposé le liquide biologique contenu dans le tube 200.  By having in the upper region of the tank 100 an appropriate ultrasonic reflector (not shown), this establishes when the ceramic 110 is supplied a stationary field of ultrasound in the tank 100, to which field the biological liquid contained in the tube 200.
Conformément à un aspect essentiel de l'invention, le champ ultrasonore a une fréquence comprise entre 0,1 et 100 MHz, de préférence entre 1 et 20 MHz. L'intensité surfacique du champ ultrasonore est préférentiellement comprise entre 0,5 et 50 W/cm2, et la durée d'irradiation optimale, qui varie en fonction de la fréquence et de l'intensité du champ et du type d'agent infectieux à inactiver, peut être comprise entre 1 et 10000 secondes. According to an essential aspect of the invention, the ultrasonic field has a frequency between 0.1 and 100 MHz, preferably between 1 and 20 MHz. The surface intensity of the ultrasonic field is preferably between 0.5 and 50 W / cm 2 , and the optimal irradiation time, which varies according to the frequency and intensity of the field and the type of infectious agent. to deactivate, can be between 1 and 10,000 seconds.
Exemple 1 Example 1
On va décrire ci-dessous une expérience d'inactivation virale d'une souche d'herpèsvirus de type II en suspension dans un milieu biologique de conservation. We will describe below an experiment of viral inactivation of a type II herpesvirus strain in suspension in a biological conservation medium.
Des échantillons ont été soumis à un champ ultrasonore dans le dispositif représenté sur la figure 2.  Samples were subjected to an ultrasonic field in the device shown in Figure 2.
L'appréciation du pouvoir infectieux du virus a été réalisée par culture cellulaire pendant quatre jours, sur cellule MRC5. Le titrage a été réalisé par le calcul de la dose infectante 50 (DI 50%), par la méthode de Reed et Muench; on peut rappeler ici que, selon cette procédure, on calcule la dilution 10n qui aurait infecté 50% de la culture cellulaire. Une diminution de 4 log du titre des virus exposés aux ultrasons par rapport à celui de virus témoir a été retenue ici comme critère d' inactivation de cette souche virale. The infectious power of the virus was assessed by cell culture for four days, on an MRC5 cell. The titration was carried out by calculating the infecting dose 50 (ID 50%), by the method of Reed and Muench; it may be recalled here that, according to this procedure, the 10 n dilution which would have infected 50% of the cell culture is calculated. A 4 log decrease in the titer of viruses exposed to ultrasound compared to that witness virus was retained here as a criterion for inactivation of this viral strain.
Cette expérience a été résumée dans le tableau I ci-après, qui indique les résultats obtenus avec diverses énergies ultrasonores I et diverses fréquences ultrasonores F.  This experiment has been summarized in Table I below, which indicates the results obtained with various ultrasonic energies I and various ultrasonic frequencies F.
Ces résultats sont symbolisés comme suit : These results are symbolized as follows:
+ indique une inactivation totale du virus;+ indicates complete inactivation of the virus;
(+) indique une inactivation partielle du virus (diminution du titre viral, mais inférieure à 4 log); et indique une absence de modification du titre viral, c'est-à-dire aucune inactivation. (+) indicates partial inactivation of the virus (decrease in viral titer, but less than 4 log); and indicates an absence of modification of the viral titer, that is to say no inactivation.
Par ailleurs, on a indiqué dans chaque cas la durée minimale d'irradiation nécessaire pour atteindre le résultat indiqué (en secondes).  In addition, the minimum duration of irradiation necessary to achieve the indicated result has been indicated in each case (in seconds).
Figure imgf000010_0001
On peut observer sur le tableau I qu'une inactivation partielle ou totale est obtenue pour chacune des fréquences d'ultrasons utilisées. On note en outre qu'aux fréquences les plus basses (autour de 1 MHz), l'inactivation est réalisée avec de faibles intensités d'ultrasons. A 3 et 5 MHz, une intensité plus grande, de l'ordre de 20 W/cm2, est requise. Enfin aux fréquences les plus élevées (7 et 11 MHz) et avec une forte intensité, l'inactivation peut être réalisée avec les durées les plus courtes.
Figure imgf000010_0001
It can be observed in Table I that a partial or total inactivation is obtained for each of the ultrasound frequencies used. We also note that at the lowest frequencies (around 1 MHz), inactivation is carried out with low ultrasonic intensities. At 3 and 5 MHz, a higher intensity, of the order of 20 W / cm 2 , is required. Finally at the highest frequencies (7 and 11 MHz) and with high intensity, inactivation can be carried out with the shortest durations.
Exemple 2 Example 2
La deuxième expérience a consisté à étudier l'inactivation d'une souche d'échovirus, toujours en suspension dans un milieu biologique de conservation, dans les mêmes conditions et avec les mêmes méthodes que pour l'exemple 1. The second experiment consisted in studying the inactivation of an echovirus strain, still in suspension in a biological conservation medium, under the same conditions and with the same methods as for example 1.
Les résultats sont présentés dans le tableau II ci-dessous.  The results are presented in Table II below.
Figure imgf000011_0001
On peut voir sur ce tableau que les conditions d'exposition aux ultrasons permettant l'inactivation sont proches de celles observées pour l'herpèsvirus type II, mais les durées de traitement sont plus élevées.
Figure imgf000011_0001
It can be seen from this table that the conditions of exposure to ultrasound allowing inactivation are close to those observed for herpesvirus type II, but the treatment durations are higher.
On note egaiement que les fréquences les plus élevées (7 et 11 MHz) paraissent être les plus favorables.  We also note that the highest frequencies (7 and 11 MHz) seem to be the most favorable.
Exemple 3 On a étudié l'effet inactivant des ultrasons sur le virus HIV1 (souche HTLVIII-RF). On a mis ce virus en suspension dans un surnageant de culture constitué de milieu RPMI 1640 additionné de 20% de sérum de veau foetal décomplémenté, de 1% de glutamine et de 1% de mélange antibiotique et antifongique. Ce surnageant a été réparti dans cinq tubes, dont on a conservé le premier comme témoin. Les quatre autres tubes ont été soumis à un traitement par ultrasons à une fréquence de 4,7 MHz avec une puissance surfacique de 30 W/cm2 pendant 2000 s pour deux d'entre eux et 5000 s pour les deux autres. On a ensuite effectué un titrage viral par observation de l'effet cytopathogène après 5 jours sur cellules lymphocytaires Sup T1. Example 3 The inactivating effect of ultrasound on the HIV1 virus (strain HTLVIII-RF) was studied. This virus was suspended in a culture supernatant consisting of RPMI 1640 medium supplemented with 20% of decomplemented fetal calf serum, 1% of glutamine and 1% of antibiotic and antifungal mixture. This supernatant was distributed in five tubes, the first of which was kept as a control. The other four tubes were subjected to an ultrasonic treatment at a frequency of 4.7 MHz with a power density of 30 W / cm 2 for 2000 s for two of them and 5000 s for the other two. A viral titration was then carried out by observation of the cytopathogenic effect after 5 days on Sup T1 lymphocyte cells.
Les résultats sont présentés sur la figure 3 des dessins, avec en abcisse la durée d'exposition aux ultrasons et en ordonnée le titre (en logarithme à base 10) de la dose infectieuse 50%.  The results are presented in FIG. 3 of the drawings, with the abscissa the duration of exposure to ultrasound and the ordinate the title (in logarithm to base 10) of the infectious dose 50%.
On observe une diminution de l'activité virale de plus de 3 log pour les milieux traités pendant 2000 s et de plus de 5 log pour les milieux traités pendant 5000 s.  A decrease in viral activity of more than 3 log is observed for the media treated for 2000 s and by more than 5 log for the media treated for 5000 s.
On en conclut que, dans un milieu faiblement protéique comme celui étudié, contenant 20% de sérum de veau foetal, on peut obtenir une inactivation de l'ordre de 4 log en traitant le milieu pendant une durée comprise entre environ une demi-heure et une heure. Bien entendu, la présente invention n'est nullement limitée à la forme de réalisation décrite ci-dessus et représentée sur les dessins, mais l'homme de l'art saura y apporter toute variante ou modification conforme à son esprit. We conclude that, in a low protein medium like the one studied, containing 20% fetal calf serum, an inactivation of the order of 4 log can be obtained by treating the medium for a period of between about half an hour and one o'clock. Of course, the present invention is in no way limited to the embodiment described above and shown in the drawings, but a person skilled in the art will know how to make any variant or modification in accordance with his spirit.
En particulier, bien que l'on ait décrit ci-dessus des appareillages expérimentaux pour irradier des échantillons de liquides biologiques, l'homme de l'art saura concevoir des appareils capables de traiter des liquides biologiques en des quantités importantes, en multipliant la capacité de la cuve et la taille et la puissance du dispositif engendrant le champ d'ultrasons ou d'une autre manière. A cet égard, on peut envisager un traitement global d'un liquide contenu dans un récipient tel qu'un tube, une poche ou un bac, et ce de façon immédiate après le prélèvement ou différée. On peut également envisager d'app±iquer le champ ultrasonore à une partie d'une tubulure de recueil du sang dans le cas des dons sanguins.  In particular, although experimental apparatus has been described above for irradiating samples of biological liquids, those skilled in the art will know how to design apparatus capable of treating biological liquids in large quantities, by multiplying the capacity of the tank and the size and power of the device generating the ultrasound field or otherwise. In this regard, it is possible to envisage an overall treatment of a liquid contained in a container such as a tube, a pocket or a tray, and this immediately after the sampling or deferred. It is also possible to envisage applying the ultrasonic field to a part of a blood collection tube in the case of blood donations.
Par ailleurs, le champ ultrasonore peut être comme on l'a indiqué plus haut stationnaire ou progressif, et les ondes ultrasonores peuvent être émises de façon continue ou puisée, les modes de mise en oeuvre les plus appropriés étant déterminés par l'expérience au cas pas cas.  Furthermore, the ultrasonic field can be, as indicated above, stationary or progressive, and the ultrasonic waves can be emitted continuously or pulsed, the most suitable modes of implementation being determined by experience in the case. not case.
En outre, il est clair qu'on peut combiner le traitement par ultrasons décrit ci-dessus avec tout autre traitement susceptible d'amplifier l'effet des ultrasons. Par exemple, on peut utiliser des détergents de type désoxycholate ou sodium dodécylsulfate, ou encore des produits se fixant sur les acides nucléiques, tels que l'acridine et ses dérivés, les porphyrines, les chlorines, les composés cycliques, etc. Ces substances sont de préférence incorporées au milieu biologique à traiter avant l'exposition aux ultrasons. Enfin, les procédés de génie génétique et de génie cellulaire permettent de fabriquer aujourd'hui des produits thérapeutiques injectables (notamment insuline, anticorps spécifiques, vaccins, etc.) nécessitant des procédures, ou issus de cellules transformées, susceptibles de contenir des virus d'origine humaine ou animale. L'invention s'applique bien entendu également au traitement de ces produits afin d'en assurer la sécurité virale. In addition, it is clear that the ultrasound treatment described above can be combined with any other treatment capable of amplifying the effect of ultrasound. For example, detergents of the deoxycholate or sodium dodecylsulfate type can be used, or alternatively products which bind to nucleic acids, such as acridine and its derivatives, porphyrins, chlorines, cyclic compounds, etc. These substances are preferably incorporated into the biological medium to be treated before exposure to ultrasound. Finally, genetic engineering and cell engineering processes now make it possible to manufacture injectable therapeutic products (in particular insulin, specific antibodies, vaccines, etc.) requiring procedures, or derived from transformed cells, likely to contain viruses. human or animal origin. The invention is of course also applicable to the treatment of these products in order to ensure viral safety.

Claims

REVENDICATIONS
1. Procédé de tra tement d'un milieu biologique liquide tel que du sang, du sperme, des prélèvements de moelle osseuse, ou des dérivés sanguins tels que des culots globulaires, du plasma ou des fractions protéiques, susceptible d'être contaminé par au moins un agent infectieux de nature virale, parasitaire ou bactérienne, caractérisé en ce qu'on applique au milieu un faisceau cohérent d'ultrasons à une fréquence comprise entre environ 0,1 et 100 MHz, de manière à inactiver le ou les agents infectieux. 1. Method for treating a liquid biological medium such as blood, sperm, bone marrow samples, or blood derivatives such as blood cells, plasma or protein fractions, which may be contaminated with at least one infectious agent of viral, parasitic or bacterial nature, characterized in that a coherent beam of ultrasound is applied to the medium at a frequency between about 0.1 and 100 MHz, so as to inactivate the infectious agent (s).
2. Procédé selon la revendication 1, caractérisé en ce qu'on applique le faisceau d'ultrasons pendant une durée comprise entre 1 et 10.000 secondes.  2. Method according to claim 1, characterized in that the ultrasound beam is applied for a period of between 1 and 10,000 seconds.
3. Procédé selon l'une des revendications 1 et 2, caractérisé en ce qu'on applique un faisceau d'ultrasons d'une puissance surfacique comprise entre 0,5 et 50 W/cm2. 3. Method according to one of claims 1 and 2, characterized in that an ultrasonic beam with a surface power of between 0.5 and 50 W / cm 2 is applied.
4. Procédé selon l'une des revendications précédentes, caractérisé en ce qu'avant l'application du faisceau d'ultrasons, on ajoute au milieu biologique au moins une substance amplificatrice choisie parmi les détergents et les produits se fixant sur les acides nucléiques.  4. Method according to one of the preceding claims, characterized in that before the application of the ultrasound beam, at least one amplifying substance chosen from detergents and products which bind to nucleic acids is added to the biological medium.
5. Procédé selon l ' une des revendications précédentes , caractérisé en ce que le faisceau d'ultrasons a une fréquence comprise entre 1 et 20 MHz.  5. Method according to one of the preceding claims, characterized in that the ultrasound beam has a frequency between 1 and 20 MHz.
6. Application du procédé selon l'une revendications 1 à 5 à l'inactivation virale de produits sanguins et de leurs dérivés.  6. Application of the method according to one of claims 1 to 5 to the viral inactivation of blood products and their derivatives.
7. Application du procédé selon l'une des revendications 1 à 5 à l'inactivation virale du sperme.  7. Application of the method according to one of claims 1 to 5 to viral inactivation of sperm.
8. Application du procédé selon l'une des revendications 1 à 5 à l'inactivation virale de prélèvements de moelle osseuse. 8. Application of the method according to one of claims 1 to 5 to the viral inactivation of bone marrow samples.
9. Application du procédé selon l'une des revendications 1 à 5 à l'inactivation virale de produits thérapeutiques obtenus par les techniques du génie génétique et du génie cellulaire. 9. Application of the method according to one of claims 1 to 5 to the viral inactivation of therapeutic products obtained by the techniques of genetic engineering and cell engineering.
PCT/FR1990/000644 1989-09-07 1990-09-05 Process for rendering inactive infectious and parasitic agents in biological media using ultrasound and its applications WO1991003264A1 (en)

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