Assessment of blood interactions with the Therapore Apheresis System.

A M Pitt, J L O'Connor, C R Valeri, F Castino
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Abstract

Biocompatibility evaluations are a complex issue involving not only classical toxicity and animal testing but also the interactions of biological systems. The evaluations of the Therapore Primary System are reported for three model systems: (1) in vitro human blood, (2) a baboon (Papio anubis) animal model, and (3) normal human volunteer apheresis. Measurements of both complement (C3a) and platelet (BTG and TXB2) activation products during the apheresis procedures are given as a sensitive indicator of biocompatibility. No statistically significant elevations of these activation products were observed. Thus, the Therapore System was found to have negligible perturbations of the interacting biological systems evaluated even with the highly sensitive RIA procedures employed. These observations and methods establish a solid foundation for comprehensive biocompatibility evaluations of future extracorporeal devices.

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血液与治疗单采系统相互作用的评估。
生物相容性评价是一个复杂的问题,不仅涉及经典的毒性和动物试验,而且涉及生物系统的相互作用。报道了三种模型系统对Therapore Primary System的评估:(1)体外人血,(2)狒狒(Papio anubis)动物模型,(3)正常人类志愿者采血。在分离过程中补体(C3a)和血小板(BTG和TXB2)活化产物的测量作为生物相容性的敏感指标。没有观察到这些激活产物有统计学意义的升高。因此,即使采用高度敏感的RIA程序,也发现Therapore系统对相互作用的生物系统的扰动可以忽略不计。这些观察和方法为未来体外装置的综合生物相容性评估奠定了坚实的基础。
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