CA2156721A1 - Removal of Selected Factors from Whole Blood or Its Components - Google Patents
Removal of Selected Factors from Whole Blood or Its ComponentsInfo
- Publication number
- CA2156721A1 CA2156721A1 CA2156721A CA2156721A CA2156721A1 CA 2156721 A1 CA2156721 A1 CA 2156721A1 CA 2156721 A CA2156721 A CA 2156721A CA 2156721 A CA2156721 A CA 2156721A CA 2156721 A1 CA2156721 A1 CA 2156721A1
- Authority
- CA
- Canada
- Prior art keywords
- removal
- whole blood
- components
- blood
- selected factors
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3679—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits by absorption
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
- A61K35/14—Blood; Artificial blood
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3424—Substitution fluid path
- A61M1/3431—Substitution fluid path upstream of the filter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3643—Priming, rinsing before or after use
- A61M1/3644—Mode of operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3672—Means preventing coagulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3672—Means preventing coagulation
- A61M1/3673—Anticoagulant coating, e.g. Heparin coating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3643—Priming, rinsing before or after use
Abstract
This invention provides a composition, device and method for the removal of factors from whole blood or plasma. As shown in the figure, blood enters through line (100) and passes through pump (102). Pump (102) allows the blood to flow through silica bed (104) which has a pressure monitoring device (106) at its inlet and pressure monitoring device (108) at its outlet. The blood is returned to the body through line (110).
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/032,357 | 1993-03-16 | ||
US08/032,357 US5437861A (en) | 1993-03-16 | 1993-03-16 | Removal of selected factors from whole blood or its components; and prevention and treatment of septic shock syndrome |
US20111794A | 1994-02-24 | 1994-02-24 | |
US08/201,117 | 1994-02-24 | ||
PCT/US1994/002541 WO1994021124A1 (en) | 1993-03-16 | 1994-03-08 | Removal of selected factors from whole blood or its components |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2156721A1 true CA2156721A1 (en) | 1994-09-29 |
CA2156721C CA2156721C (en) | 1999-06-01 |
Family
ID=26708317
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002156721A Expired - Fee Related CA2156721C (en) | 1993-03-16 | 1994-03-08 | Removal of selected factors from whole blood or its components |
Country Status (6)
Country | Link |
---|---|
US (1) | US5523096A (en) |
EP (1) | EP0689380A4 (en) |
JP (1) | JPH09501066A (en) |
AU (1) | AU680897B2 (en) |
CA (1) | CA2156721C (en) |
WO (1) | WO1994021124A1 (en) |
Families Citing this family (51)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5437861A (en) * | 1993-03-16 | 1995-08-01 | Applied Immune Sciences, Inc. | Removal of selected factors from whole blood or its components; and prevention and treatment of septic shock syndrome |
US5744038A (en) | 1993-07-30 | 1998-04-28 | Aruba International Pty Ltd. | Solvent extraction methods for delipidating plasma |
AUPN030794A0 (en) | 1994-12-22 | 1995-01-27 | Aruba International Pty Ltd | Discontinuous plasma or serum delipidation |
JPH08257115A (en) * | 1995-03-20 | 1996-10-08 | Kanegafuchi Chem Ind Co Ltd | Adsorbent of tumor necrosis factor and adsorption removal method |
ES2245457T3 (en) * | 1995-07-10 | 2006-01-01 | Asahi Medical Co., Ltd. | EXTRACORPORAL BLOOD CIRCULATION SYSTEM FOR THE TREATMENT OF INFLAMMATORY DISEASES. |
US7166084B2 (en) * | 1996-09-23 | 2007-01-23 | Dsu Medical Corporation | Blood set priming method and apparatus |
US20020159995A1 (en) | 1997-07-30 | 2002-10-31 | Renal Tech International | Devices, systems, and methods for reducing levels of pro-inflammatory or anti-inflammatory stimulators or mediators in the blood, generated as a result of extracorporeal blood processing |
US20020198487A1 (en) * | 2001-04-10 | 2002-12-26 | Renal Tech International | Devices, systems, and methods for reducing levels of pro-inflammatory or anti-inflammatory stimulators or mediators in physiologic fluids |
US20020197249A1 (en) * | 2001-04-10 | 2002-12-26 | Renal Tech International | Devices, systems, and methods for reducing levels of pro-inflammatory or anti-inflammatory stimulators or mediators in blood products |
US8329388B2 (en) * | 1997-07-30 | 2012-12-11 | Cytosorbents, Inc. | Biocompatible devices, systems, and methods for reducing levels of proinflammatory of antiinflammatory stimulators or mediators in the blood |
US20020197250A1 (en) * | 2001-04-10 | 2002-12-26 | Renal Tech International | Biocompatible devices, systems, and methods for reducing levels of pro-inflammatory or anti-inflammatory stimulators or mediators in the blood |
US5945457A (en) * | 1997-10-01 | 1999-08-31 | A.V. Topchiev Institute Of Petrochemical Synthesis, Russian Academy Of Science | Process for preparing biologically compatible polymers and their use in medical devices |
US6620382B1 (en) * | 1998-05-22 | 2003-09-16 | Biopheresis Technologies, Llc. | Method and compositions for treatment of cancers |
US8197430B1 (en) | 1998-05-22 | 2012-06-12 | Biopheresis Technologies, Inc. | Method and system to remove cytokine inhibitor in patients |
US6287516B1 (en) | 1998-07-10 | 2001-09-11 | Immunocept, L.L.C. | Hemofiltration systems, methods, and devices used to treat inflammatory mediator related disease |
US20040199099A1 (en) * | 1998-07-10 | 2004-10-07 | Matson James R | Hemofiltration systems, methods and devices used to treat inflammatory mediator related disease |
JP2000262895A (en) * | 1999-03-17 | 2000-09-26 | P Sharuma Chandora | Production of immunity adsorbent matrix and immunity adsorbent column |
DE19913707A1 (en) * | 1999-03-26 | 2000-10-05 | Privates Inst Bioserv Gmbh | Immunosorbent for sepsis therapy |
US6379708B1 (en) * | 1999-11-20 | 2002-04-30 | Cytologic, Llc | Method for enhancing immune responses in mammals |
US6736972B1 (en) | 2000-03-24 | 2004-05-18 | Immunocept, L.L.C. | Method and system for providing therapeutic agents with hemofiltration for reducing inflammatory mediator related diseases |
US7291122B2 (en) | 2000-03-24 | 2007-11-06 | Immunocept, L.L.C. | Hemofiltration methods for treatment of diseases in a mammal |
US6787040B2 (en) * | 2000-05-16 | 2004-09-07 | Immunocept, L.L.C. | Method and system for colloid exchange therapy |
US7407663B2 (en) | 2000-06-29 | 2008-08-05 | Lipid Sciences, Inc. | Modified immunodeficiency virus particles |
AUPQ846900A0 (en) * | 2000-06-29 | 2000-07-27 | Aruba International Pty Ltd | A vaccine |
US7407662B2 (en) * | 2000-06-29 | 2008-08-05 | Lipid Sciences, Inc. | Modified viral particles with immunogenic properties and reduced lipid content |
US20090017069A1 (en) * | 2000-06-29 | 2009-01-15 | Lipid Sciences, Inc. | SARS Vaccine Compositions and Methods of Making and Using Them |
US7439052B2 (en) * | 2000-06-29 | 2008-10-21 | Lipid Sciences | Method of making modified immunodeficiency virus particles |
US6878127B2 (en) | 2001-04-10 | 2005-04-12 | Renaltech International, Llc | Devices, systems, and methods for reducing levels of pro-inflammatory or anti-inflammatory stimulators or mediators in the blood |
US20020197252A1 (en) * | 2001-04-10 | 2002-12-26 | Renal Tech International | Selective adsorption devices and systems |
US20030104350A1 (en) * | 2001-06-25 | 2003-06-05 | Bomberger David C. | Systems and methods using a solvent for the removal of lipids from fluids |
EP1409108A4 (en) * | 2001-06-25 | 2007-11-14 | Lipid Sciences Inc | Hollow fiber contactor systems for removal of lipids from fluids |
US6991727B2 (en) * | 2001-06-25 | 2006-01-31 | Lipid Sciences, Inc. | Hollow fiber contactor systems for removal of lipids from fluids |
US20060060520A1 (en) * | 2001-06-25 | 2006-03-23 | Bomberger David C | Systems and methods using a solvent for the removal of lipids from fluids |
US7033500B2 (en) * | 2001-06-25 | 2006-04-25 | Lipid Sciences, Inc. | Systems and methods using multiple solvents for the removal of lipids from fluids |
WO2003055545A1 (en) * | 2001-12-25 | 2003-07-10 | Kaneka Corporation | Adsorbent for cytokine, method of adsorptive removal, and apparatus for adsorptive removal |
US7569025B2 (en) * | 2002-04-02 | 2009-08-04 | Scantibodies Laboratory, Inc. | Methods and devices for treating severe peripheral bacterial infections |
BRPI0313399A2 (en) * | 2002-08-13 | 2016-11-08 | Arbios Technologies Inc | selective plasma exchange therapy |
CA2496831A1 (en) * | 2002-08-26 | 2004-03-04 | Lipid Sciences, Inc. | Treating alzheimers using delipidated protein particles |
PT1641421T (en) * | 2003-07-03 | 2019-03-27 | Hdl Therapeutics Inc | Methods and apparatus for creating particle derivatives of hdl with reduced lipid content |
US7393826B2 (en) * | 2003-07-03 | 2008-07-01 | Lipid Sciences, Inc. | Methods and apparatus for creating particle derivatives of HDL with reduced lipid content |
US6960803B2 (en) * | 2003-10-23 | 2005-11-01 | Silicon Storage Technology, Inc. | Landing pad for use as a contact to a conductive spacer |
PT1949915E (en) * | 2004-04-30 | 2012-11-27 | Biopheresis Technologies Inc | Method and system to remove soluble tnfr1, tnfr2, and il2r in patients |
US20070065514A1 (en) * | 2005-09-22 | 2007-03-22 | Howell Mark D | Method for enhancing immune responses in mammals |
US20080075690A1 (en) * | 2006-09-22 | 2008-03-27 | Mark Douglas Howell | Method for enhancing immune responses in mammals |
US9421317B2 (en) * | 2012-06-08 | 2016-08-23 | Pall Corporation | Cell harvesting device and system |
US9427512B2 (en) * | 2012-06-08 | 2016-08-30 | Pall Corporation | Filter device |
CN111868232A (en) | 2017-11-22 | 2020-10-30 | Hdl治疗公司 | System and method for priming a fluid circuit of a plasma processing system |
CA3087207A1 (en) | 2017-12-28 | 2019-07-04 | Hdl Therapeutics, Inc. | Methods for preserving and administering pre-beta high density lipoprotein extracted from human plasma |
JP6783897B1 (en) * | 2019-05-09 | 2020-11-11 | 日機装株式会社 | Blood purification device |
CN112439397A (en) * | 2019-08-28 | 2021-03-05 | 云南师范大学 | Blood perfusion adsorbent coated and immobilized with heparin and preparation method thereof |
EP3834860A1 (en) * | 2019-12-11 | 2021-06-16 | Infomed SA | Device for extracorporeal circulation of blood |
Family Cites Families (27)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3442819A (en) * | 1965-03-26 | 1969-05-06 | Mount Sinai Hospital Research | Molecular sieve coated particulate adsorbent and processes using same |
US3607857A (en) * | 1970-03-03 | 1971-09-21 | Upjohn Co | Process of removing acrinol from gamma globulin using siliceous material such as silica gel |
US3896217A (en) * | 1973-03-19 | 1975-07-22 | Summa Corp | Method and apparatus for radioimmunoassay with regeneration of immunoadsorbent |
US4006059A (en) * | 1974-07-29 | 1977-02-01 | Purdue Research Foundation | Hydrophobic noncovalent binding of proteins to support materials |
US3998946A (en) * | 1975-04-23 | 1976-12-21 | The Regents Of The University Of Minnesota | Fibrinogen-free plasminogen-plasmin-free plasma and method of preparing and using same |
US4102746A (en) * | 1975-08-29 | 1978-07-25 | Amerace Corporation | Immobilized proteins |
GB1536425A (en) * | 1976-01-30 | 1978-12-20 | Nat Res Dev | Blood treatment |
US4072566A (en) * | 1976-09-27 | 1978-02-07 | Corning Glass Works | Immobilized biologically active proteins |
US4073723A (en) * | 1976-11-15 | 1978-02-14 | Swank Roy L | Anti-coagulating and filtering blood |
DE3109123A1 (en) * | 1981-03-11 | 1982-09-23 | Fraunhofer-Gesellschaft zur Förderung der angewandten Forschung e.V., 8000 München | Process for the covalent immobilisation of biological detoxification systems on artificial surfaces |
US4787974A (en) * | 1981-06-29 | 1988-11-29 | Ambrus Clara M | Blood purification |
JPS5810056A (en) * | 1981-07-10 | 1983-01-20 | 株式会社クラレ | Blood purifying apparatus |
JPS5928972A (en) * | 1982-08-10 | 1984-02-15 | 株式会社日本メデイカル・サブライ | Adsorbing body for purifying blood and production thereof |
JPS6158664A (en) * | 1984-08-30 | 1986-03-25 | 旭化成株式会社 | Porous glass adsorbent for ectosomatic recirculation treatment |
US4748121A (en) * | 1984-11-30 | 1988-05-31 | Ppg Industries, Inc. | Porous glass fibers with immobilized biochemically active material |
US4681870A (en) * | 1985-01-11 | 1987-07-21 | Imre Corporation | Protein A-silica immunoadsorbent and process for its production |
IL79945A (en) * | 1986-09-04 | 1991-06-10 | I D L International Diagnostic | Method for the quantitative determination of total cholesterol in blood |
US4861707A (en) * | 1987-02-02 | 1989-08-29 | E. I. Du Pont De Nemours And Company | Human immunodeficiency virus antigen |
JPS63229061A (en) * | 1987-03-18 | 1988-09-22 | テルモ株式会社 | Membrane type artificial lung and its production |
DE3717951C1 (en) * | 1987-05-25 | 1988-11-24 | Shanmugam Murugavel | Use of silica gel to detoxify blood |
US4865841A (en) * | 1987-10-23 | 1989-09-12 | Imre Corporation | Methods and compositions for transient elimination of humoral immune antibodies |
US5041079A (en) * | 1987-12-04 | 1991-08-20 | Kuraray Co., Ltd. | Method for removing human immunodeficiency virus and/or its related compounds |
US4963265A (en) * | 1988-05-06 | 1990-10-16 | Applied Immunesciences, Inc. | Plasma processing device with anaphylatoxin remover |
US5022988A (en) * | 1988-05-06 | 1991-06-11 | Applied Immunesciences | Device for plasma modification--composition and remodeling |
US5055447A (en) * | 1988-07-28 | 1991-10-08 | Genentech, Inc. | Method and compositions for the treatment and prevention of septic shock |
US5437861A (en) * | 1993-03-16 | 1995-08-01 | Applied Immune Sciences, Inc. | Removal of selected factors from whole blood or its components; and prevention and treatment of septic shock syndrome |
US5421815A (en) * | 1993-12-14 | 1995-06-06 | Nof Corporation | Method for blood dialysis using anticoagulent composition |
-
1994
- 1994-03-08 CA CA002156721A patent/CA2156721C/en not_active Expired - Fee Related
- 1994-03-08 WO PCT/US1994/002541 patent/WO1994021124A1/en not_active Application Discontinuation
- 1994-03-08 AU AU65176/94A patent/AU680897B2/en not_active Ceased
- 1994-03-08 JP JP6521097A patent/JPH09501066A/en active Pending
- 1994-03-08 EP EP94912762A patent/EP0689380A4/en not_active Withdrawn
-
1995
- 1995-06-06 US US08/482,315 patent/US5523096A/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
CA2156721C (en) | 1999-06-01 |
EP0689380A4 (en) | 1996-08-14 |
AU6517694A (en) | 1994-10-11 |
AU680897B2 (en) | 1997-08-14 |
EP0689380A1 (en) | 1996-01-03 |
JPH09501066A (en) | 1997-02-04 |
WO1994021124A1 (en) | 1994-09-29 |
US5523096A (en) | 1996-06-04 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |