초록 ▼

An inexpensive device with a disposable cartridge for preparing tissue sealant is disclosed. The device is particularly applicable to star preparation of autologous tissue sealant. A method of sealing tissue in which the tissue sealant is applied immediately after mixing platelet-rich plasma concent

An inexpensive device with a disposable cartridge for preparing tissue sealant is disclosed. The device is particularly applicable to star preparation of autologous tissue sealant. A method of sealing tissue in which the tissue sealant is applied immediately after mixing platelet-rich plasma concentrate (from the device) with a solution of calcium and thrombin is also disclosed. Preparation in the operating room of 5 cc sealant from 50 cc patient blood requires less than 15 minutes and only one simple operator step. There is no risk of tracking error because processing can be done in the operating room. Chemicals added may be limited to anticoagulant (e.g., citrate) and calcium chloride. The disposable cartridge may fit in the palm of the hand and is hermetically sealed to eliminate possible exposure to patient blood and ensure sterility. Adhesive and tensile strengths are comparable or superior to pooled blood fibrin sealants made with precipitation methods. Antifibrinolytic agents (such as aprotinin) are not necessary because the tissue sealant contains high concentrations of natural inhibitors of fibrinolysis from the patient\s blood. The tissue sealant also contains patient platelets and additional factors not present in available fibrin sealants that promote wound healing.

대표청구항 ▼

A method of making concentrated plasma for use as a tissue sealant or adhesive, comprising the steps of: (a) separating plasma from whole blood; (b) removing water from said plasma by contacting said plasma with a concentrator which does not significantly denature fibrinogen to provide said concentr

A method of making concentrated plasma for use as a tissue sealant or adhesive, comprising the steps of: (a) separating plasma from whole blood; (b) removing water from said plasma by contacting said plasma with a concentrator which does not significantly denature fibrinogen to provide said concentrated plasma; and (c) separating said concentrated plasma from said concentrator.