A NOVEL CLOSED SYSTEM USING A STERILE CONNECTION DEVICE AND PRECONNECTED PLATELET RICH PLASMA (PRP) PACK FOR EXTENDED STORAGE OF APHERESIS PLATELET CONCENTRATES

In order to prevent bacterial contamination during the procedure of plateletapheresis, preconnected platelet rich plasma (PRP) packs were prepared which include the apheresis bowel set of a plasma collecting system (PCS) with a 16 G AVF needle and a double-or triple-bag system. The anticoagulant lin...

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Published inJournal of the Japan Society of Blood Transfusion Vol. 36; no. 1; pp. 43 - 49
Main Authors Endoh, Nobuyoshi, Tayama, Tatsuya, Kouketsu, Keiko, Yokoyama, Shigeki, Miyahara, Masayuki, Shiraki, Hiroshi, Kamiya, Tadashi, Shimizu, Tetsuo, Oonuki, Shirou, Sasagawa, Shigeru, Hasegawa, Iwazo
Format Journal Article
LanguageJapanese
Published The Japan Society of Transfusion Medicine and Cell Therapy 1990
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ISSN0546-1448
1883-8383
DOI10.3925/jjtc1958.36.43

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Abstract In order to prevent bacterial contamination during the procedure of plateletapheresis, preconnected platelet rich plasma (PRP) packs were prepared which include the apheresis bowel set of a plasma collecting system (PCS) with a 16 G AVF needle and a double-or triple-bag system. The anticoagulant line of the PRP pack and that from the bag containing acid-citrate-dextrose solution formula A were welded by a sterile connection device (SCD model 312, Du Point). No additional care was needed to perform plateletapheresis with the present closed system. The 388 preparations of platelet concentrates (PCs) tested were demonstrated to be sterile. PCs stored in conventional PVC plastic bags for 3 days at room temperature were evaluated. PC5 with a plasma volume of 100ml containing 1-<2×1011 platelets stored in two 0.6 liter bags and PC10 with a plasma volume of 200-280ml containng 2-4×1011 platelets stored in two or three 1-liter PVC bags maintained their pH at the neutral level for 3 days. The percent hypotonic shock response (%HSR) of platelets was also improved during storage of 3 days. These data suggest that the present closed system will be useful for reducing the risk of bacterial contamination in platelet products during cytapheresis.
AbstractList In order to prevent bacterial contamination during the procedure of plateletapheresis, preconnected platelet rich plasma (PRP) packs were prepared which include the apheresis bowel set of a plasma collecting system (PCS) with a 16 G AVF needle and a double-or triple-bag system. The anticoagulant line of the PRP pack and that from the bag containing acid-citrate-dextrose solution formula A were welded by a sterile connection device (SCD model 312, Du Point). No additional care was needed to perform plateletapheresis with the present closed system. The 388 preparations of platelet concentrates (PCs) tested were demonstrated to be sterile. PCs stored in conventional PVC plastic bags for 3 days at room temperature were evaluated. PC5 with a plasma volume of 100ml containing 1-<2×1011 platelets stored in two 0.6 liter bags and PC10 with a plasma volume of 200-280ml containng 2-4×1011 platelets stored in two or three 1-liter PVC bags maintained their pH at the neutral level for 3 days. The percent hypotonic shock response (%HSR) of platelets was also improved during storage of 3 days. These data suggest that the present closed system will be useful for reducing the risk of bacterial contamination in platelet products during cytapheresis.
Author Hasegawa, Iwazo
Kamiya, Tadashi
Shimizu, Tetsuo
Endoh, Nobuyoshi
Shiraki, Hiroshi
Tayama, Tatsuya
Oonuki, Shirou
Miyahara, Masayuki
Yokoyama, Shigeki
Sasagawa, Shigeru
Kouketsu, Keiko
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  fullname: Shimizu, Tetsuo
  organization: Japanese Red Cross Blood Center
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  organization: Japanese Red Cross Blood Center
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  fullname: Sasagawa, Shigeru
  organization: Japanese Red Cross Blood Center
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  fullname: Hasegawa, Iwazo
  organization: Japanese Red Cross Blood Center
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References 3) Kouketsu, K. and Shimizu, T.: Storage of apheresis platelets in ethylenevinyl acetate copolymer bags: Relationship between the bag size and the number of platelets maintaining aerobic metabolism. Cryobiology, 25: 440-444, 1988.
5) Heal, J. M., Jones, M. E., Forey, J. and Chaudhry, A.: Fatal Salmonella septicemia after platelet transfusion. Transfusion, 27: 2-5, 1987.
7) Shimizu, T., Kouketsu, K., Kamiya, T., Futagawa, H. and Hirose, S.: A novel second-generation polyolefin container for storage of single-donor apheresis platelets. Vox Sang., 56: 174-180, 1989.
12) Ishikawa, Y. and Sasakawa, S.: Platelet storage in glow discharge treated polyvinylchloride bags: Effects of a plasticizer on platelet hypotonic shock response. Vox Sang., 47: 330-334, 1984.
1) Szymanski, I. O.: Sterility of single-donor apheresis platelets. Transfusion, 25: 290, 1985.
4) Punsalang, A., Punsalang, A., Heal, J. M. and Murphy, P. J.: Growth of gram-positive and gram-negative bacteria in platelet concentrates. Transfusion, 29: 596-599, 1989.
6) Murphy, S.: Platelet storage for transfusion. Semin Hematol, 22: 165-177, 1985.
10) Holme, H., Heaton, A. and Momoda, G.: Evaluation of a new, more oxygen permeable, polyvinylchloride container. Transfusion, 29: 159-164, 1989.
2) Shimizu, T., Kouketsu, K., Morishima, Y., Hasegawa, I. and Kamiya, T.: New closed system using a sterile connection device and preconnected PRP pack for extended storage of apheresis platelet products. Tohoku J. Exp. Med., 155: 303-304, 1988.
9) Shimizu, T., Kouketsu, K., Morishima, Y., Goto, S., Hasegawa, I., Kamiya, T., Tamura, Y. and Kora, S.: A new polyvinylchloride blood bag plasticized with less-leachable phthalate ester analogue, di-n-decyl phthalate, for storage of platelets. Transfusion, 29: 292-297, 1989.
11) Ishikawa, Y., Honda, K., Sasakawa, S., Hatada, K. and Kobayashi, H.: Prevention of leakage of di-2-ethylhexyl phthalate (DEHP) from blood bags by glow discharge treatment and its effect on aggregability of stored platelets. Vox Sang., 45: 68-76, 1983.
8) Shimizu, T., Kouketsu, K., Kamiya, T., Futagawa, H. and Hirose, S.: New version of heat-sealed LE-2 polyolefin container with improved gas permeability for storage of cytapheresis platelets. Transfusion Science, 10: 265-270, 1989.
References_xml – reference: 1) Szymanski, I. O.: Sterility of single-donor apheresis platelets. Transfusion, 25: 290, 1985.
– reference: 8) Shimizu, T., Kouketsu, K., Kamiya, T., Futagawa, H. and Hirose, S.: New version of heat-sealed LE-2 polyolefin container with improved gas permeability for storage of cytapheresis platelets. Transfusion Science, 10: 265-270, 1989.
– reference: 3) Kouketsu, K. and Shimizu, T.: Storage of apheresis platelets in ethylenevinyl acetate copolymer bags: Relationship between the bag size and the number of platelets maintaining aerobic metabolism. Cryobiology, 25: 440-444, 1988.
– reference: 11) Ishikawa, Y., Honda, K., Sasakawa, S., Hatada, K. and Kobayashi, H.: Prevention of leakage of di-2-ethylhexyl phthalate (DEHP) from blood bags by glow discharge treatment and its effect on aggregability of stored platelets. Vox Sang., 45: 68-76, 1983.
– reference: 5) Heal, J. M., Jones, M. E., Forey, J. and Chaudhry, A.: Fatal Salmonella septicemia after platelet transfusion. Transfusion, 27: 2-5, 1987.
– reference: 7) Shimizu, T., Kouketsu, K., Kamiya, T., Futagawa, H. and Hirose, S.: A novel second-generation polyolefin container for storage of single-donor apheresis platelets. Vox Sang., 56: 174-180, 1989.
– reference: 2) Shimizu, T., Kouketsu, K., Morishima, Y., Hasegawa, I. and Kamiya, T.: New closed system using a sterile connection device and preconnected PRP pack for extended storage of apheresis platelet products. Tohoku J. Exp. Med., 155: 303-304, 1988.
– reference: 12) Ishikawa, Y. and Sasakawa, S.: Platelet storage in glow discharge treated polyvinylchloride bags: Effects of a plasticizer on platelet hypotonic shock response. Vox Sang., 47: 330-334, 1984.
– reference: 4) Punsalang, A., Punsalang, A., Heal, J. M. and Murphy, P. J.: Growth of gram-positive and gram-negative bacteria in platelet concentrates. Transfusion, 29: 596-599, 1989.
– reference: 9) Shimizu, T., Kouketsu, K., Morishima, Y., Goto, S., Hasegawa, I., Kamiya, T., Tamura, Y. and Kora, S.: A new polyvinylchloride blood bag plasticized with less-leachable phthalate ester analogue, di-n-decyl phthalate, for storage of platelets. Transfusion, 29: 292-297, 1989.
– reference: 6) Murphy, S.: Platelet storage for transfusion. Semin Hematol, 22: 165-177, 1985.
– reference: 10) Holme, H., Heaton, A. and Momoda, G.: Evaluation of a new, more oxygen permeable, polyvinylchloride container. Transfusion, 29: 159-164, 1989.
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Title A NOVEL CLOSED SYSTEM USING A STERILE CONNECTION DEVICE AND PRECONNECTED PLATELET RICH PLASMA (PRP) PACK FOR EXTENDED STORAGE OF APHERESIS PLATELET CONCENTRATES
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