Robert F. Baugh - Parker CO Lisa M. Lim - Aurora CO Julie S. Johnston - Highlands Ranch CO John G. Rivera - Aurora CO
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
A61K 3516
US Classification:
424530, 424529, 424531, 424532
Abstract:
In general, the present invention relates to a two-phase method for forming an autologous bioadhesive sealant composition or fibrin glue wherein all of the blood components for the bioadhesive sealant are derived from a patient to whom the bioadhesive sealant will be applied. First, a platelet rich plasma and a platelet poor plasma are formed by centrifuging a quantity of anticoagulated whole blood that was previously drawn from the patient. The platelet rich plasma and platelet poor plasma are then divided into two portions. To the first portion, which is used in phase-one, a compound that reverses the effect of the anticoagulant is added, and a clot is allowed to form. The clot is then triturated and the resulting serum, containing autologous thrombin, is collected. The serum obtained from phase-one is then mixed with the second portion of the platelet rich plasma or platelet poor plasma, used in phase-two, to form the bioadhesive sealant of the present invention.
A piercing instrument ( ) for obtaining a non-activated drop of blood (B) by capillary puncture is formed by depositing a coating agent ( ) on the exterior surface of the piercing instrument ( ). The coating agent comprises compounds that inhibit the activation of blood.
Blood is tested for clot lysis conditions such as natural lytic capabilities, the effect of previously administered thrombolytic and anti-thrombolytic agents, and dose responses thereto, by forming a clot in a sample of blood, lysing the clot, and measuring the elapsed time period from initial clot formation to clot lysis, all while continuously evaluating the blood sample. Thrombolytic agents include streptokinase, urokinase and recombinant tissue plasminogen activator. Plasmin and plasminogen activator inhibitors, clot activating agents (e. g. kaolin), and agents to deactivate anticoagulants (e. g. heparinase) may also be used as reagents during testing.
Method And Device For Testing A Sample Of Fresh Whole Blood
Robert F. Baugh - Parker CO Colleen Lutz - Plymouth MN
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
G01N 3386
US Classification:
436 69, 422 73, 600369, 73 6441
Abstract:
A method and device for testing a sample of fresh whole blood. In particular the present invention provides a method and device for testing a sample of fresh whole blood to determine whether a patient would benefit from the administration of a blood factor (such as AT III. ).
Method For Determining Platelet Inhibitor Response
Robert F. Baugh - Parker CO Carole G. Lane - Greenwood Village CO Adrian C. Wilson - Denver CO
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
G01N 3386
US Classification:
422 681, 422 73, 436 10, 436 69
Abstract:
An apparatus is provided for performing an activated clotting time test on a sample of blood containing platelets using a plunger sensor technique, the apparatus comprising a test cell, and wherein the test cell comprises an anticoagulant, a contact activator, and a predetermined amount of a platelet inactivating agent.
Apparatus For Performing A Platelet Inhibition Test
Robert F. Baugh - Parker CO Carole G. Lane - Greenwood Village CO Adrian C. Wilson - Denver CO
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
G01N 3316
US Classification:
422 73, 436 10, 436 69, 435 4, 435 13
Abstract:
An apparatus for performing a platelet inhibition test on a sample of blood is provided, comprising a plurality of test cells, the cells being adapted for receiving an aliquot portion of the sample, wherein each of the cells comprises an anticoagulant and a clotting activator, and wherein at least one of the cells further comprises a platelet inactivating agent, wherein a clotting time is determined for each of the aliquot portions, and wherein a relative clotting time for each of the aliquot portions comprising the platelet inhibitor is determined as compared to a reference clotting time for a cell containing no platelet inhibitor, wherein the relative clotting times for the cells are determinative of the platelet inhibition of the sample.
Method For Determining A Contact Activator For Platelet Activation
Robert F. Baugh - Parker CO Carole G. Lane - Greenwood Village CO Adrian C. Wilson - Denver CO
Assignee:
Medtronic, Inc. - Minneapolis MN
International Classification:
G01N 3386
US Classification:
436 69, 436 10, 422 73, 435 4, 435 13
Abstract:
A method of determining a contact activator for platelet activation and/or clotting activation is provided, comprising placing a predetermined amount of an anticoagulant in each cell of a multicell test cartridge, placing a predetermined amount of a platelet inactivating agent in each cell, and placing a measured amount of contact activator in each cell, the amount of contact activator in each cell differing from the amount in each other cell. An aliquot of a blood sample is added to each cell, and the blood sample aliquot, clotting reagent and platelet inactivating agent are mixed. Each cell sample is allowed to clot, and the clotting time for each cell is measured. The relative clotting times are used to determine the platelet activation and/or clotting activation effect of the clotting activator.
System And Method For The Production Of Autologous Platelet Gel
A centrifuge system for the formation of an autologous platelet gel wherein all of the blood components for the gel are derived from a patient to whom the gel is to be applied. First a platelet rich plasma and a platelet poor plasma are formed by centrifuging a quantity of anticoagulated whole blood that was previously drawn from the patient. The platelet rich plasma or platelet poor plasma is then automatically drawn out of the centrifuge bag and proportioned into separate chambers in a dispenser. The first portion is activated where a clot is formed and thrombin is obtained. The thrombin is then latter mixed with the second portion to obtain a platelet gel.
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