USRE36132E - Three envelope package for sterile specimens - Google Patents
Three envelope package for sterile specimens Download PDFInfo
- Publication number
- USRE36132E USRE36132E US08/630,464 US63046496A USRE36132E US RE36132 E USRE36132 E US RE36132E US 63046496 A US63046496 A US 63046496A US RE36132 E USRE36132 E US RE36132E
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- US
- United States
- Prior art keywords
- envelope
- sterile
- innermost
- package
- interior
- 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.)
- Expired - Lifetime
Links
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims abstract description 70
- 239000007788 liquid Substances 0.000 claims abstract description 40
- 229910052757 nitrogen Inorganic materials 0.000 claims abstract description 35
- 238000003860 storage Methods 0.000 claims abstract description 14
- 239000000463 material Substances 0.000 claims description 34
- 238000011109 contamination Methods 0.000 claims description 13
- -1 polypropylene Polymers 0.000 claims description 10
- 238000010257 thawing Methods 0.000 claims description 10
- 230000006378 damage Effects 0.000 claims description 9
- 238000005138 cryopreservation Methods 0.000 claims description 7
- 229920001721 polyimide Polymers 0.000 claims description 7
- 239000004743 Polypropylene Substances 0.000 claims description 6
- 229920001155 polypropylene Polymers 0.000 claims description 4
- 230000004888 barrier function Effects 0.000 claims description 3
- 125000000816 ethylene group Polymers [H]C([H])([*:1])C([H])([H])[*:2] 0.000 claims description 3
- 239000004642 Polyimide Substances 0.000 claims 4
- 239000011888 foil Substances 0.000 abstract description 10
- 239000000126 substance Substances 0.000 abstract 1
- 230000036512 infertility Effects 0.000 description 13
- 241000894006 Bacteria Species 0.000 description 9
- 229920000728 polyester Polymers 0.000 description 8
- 229920001780 ECTFE Polymers 0.000 description 5
- 239000004698 Polyethylene Substances 0.000 description 5
- 238000010276 construction Methods 0.000 description 5
- 239000002826 coolant Substances 0.000 description 5
- 238000004806 packaging method and process Methods 0.000 description 5
- 229920000573 polyethylene Polymers 0.000 description 5
- 241001465754 Metazoa Species 0.000 description 4
- 239000004809 Teflon Substances 0.000 description 4
- 229920006362 Teflon® Polymers 0.000 description 4
- 238000005336 cracking Methods 0.000 description 4
- 229920000840 ethylene tetrafluoroethylene copolymer Polymers 0.000 description 4
- 238000007710 freezing Methods 0.000 description 4
- 230000008014 freezing Effects 0.000 description 4
- 229920001903 high density polyethylene Polymers 0.000 description 4
- 239000004700 high-density polyethylene Substances 0.000 description 4
- 229920003223 poly(pyromellitimide-1,4-diphenyl ether) Polymers 0.000 description 4
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 4
- 239000004793 Polystyrene Substances 0.000 description 3
- 229920001684 low density polyethylene Polymers 0.000 description 3
- 239000004702 low-density polyethylene Substances 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 239000004417 polycarbonate Substances 0.000 description 3
- 229920000306 polymethylpentene Polymers 0.000 description 3
- 239000011116 polymethylpentene Substances 0.000 description 3
- 239000004814 polyurethane Substances 0.000 description 3
- 239000004800 polyvinyl chloride Substances 0.000 description 3
- 229920000915 polyvinyl chloride Polymers 0.000 description 3
- 238000004321 preservation Methods 0.000 description 3
- 238000007789 sealing Methods 0.000 description 3
- BFKJFAAPBSQJPD-UHFFFAOYSA-N tetrafluoroethene Chemical compound FC(F)=C(F)F BFKJFAAPBSQJPD-UHFFFAOYSA-N 0.000 description 3
- VGGSQFUCUMXWEO-UHFFFAOYSA-N Ethene Chemical compound C=C VGGSQFUCUMXWEO-UHFFFAOYSA-N 0.000 description 2
- 239000004677 Nylon Substances 0.000 description 2
- 239000002033 PVDF binder Substances 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 239000000356 contaminant Substances 0.000 description 2
- 239000004703 cross-linked polyethylene Substances 0.000 description 2
- 229920003020 cross-linked polyethylene Polymers 0.000 description 2
- 238000005520 cutting process Methods 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 229920001778 nylon Polymers 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 2
- 239000004926 polymethyl methacrylate Substances 0.000 description 2
- 229920002981 polyvinylidene fluoride Polymers 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 238000009877 rendering Methods 0.000 description 2
- 238000012216 screening Methods 0.000 description 2
- 230000035899 viability Effects 0.000 description 2
- 229930040373 Paraformaldehyde Natural products 0.000 description 1
- 239000004952 Polyamide Substances 0.000 description 1
- 229920006356 Teflon™ FEP Polymers 0.000 description 1
- 229920006355 Tefzel Polymers 0.000 description 1
- DHKHKXVYLBGOIT-UHFFFAOYSA-N acetaldehyde Diethyl Acetal Natural products CCOC(C)OCC DHKHKXVYLBGOIT-UHFFFAOYSA-N 0.000 description 1
- 125000002777 acetyl group Chemical class [H]C([H])([H])C(*)=O 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000003833 cell viability Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- QHSJIZLJUFMIFP-UHFFFAOYSA-N ethene;1,1,2,2-tetrafluoroethene Chemical compound C=C.FC(F)=C(F)F QHSJIZLJUFMIFP-UHFFFAOYSA-N 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 238000007654 immersion Methods 0.000 description 1
- 210000000987 immune system Anatomy 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000005022 packaging material Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920002492 poly(sulfone) Polymers 0.000 description 1
- 229920002647 polyamide Polymers 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 229920006324 polyoxymethylene Polymers 0.000 description 1
- 229920002223 polystyrene Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 238000005057 refrigeration Methods 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 1
- 229920002554 vinyl polymer Polymers 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
- A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
- A01N1/00—Preservation of bodies of humans or animals, or parts thereof
- A01N1/10—Preservation of living parts
- A01N1/14—Mechanical aspects of preservation; Apparatus or containers therefor
- A01N1/146—Non-refrigerated containers specially adapted for transporting or storing living parts whilst preserving
- A01N1/147—Carriers for immersion in cryogenic fluid for slow freezing or vitrification
-
- A—HUMAN NECESSITIES
- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
- A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
- A01N1/00—Preservation of bodies of humans or animals, or parts thereof
- A01N1/10—Preservation of living parts
-
- A—HUMAN NECESSITIES
- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
- A01N—PRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
- A01N1/00—Preservation of bodies of humans or animals, or parts thereof
- A01N1/10—Preservation of living parts
- A01N1/14—Mechanical aspects of preservation; Apparatus or containers therefor
- A01N1/146—Non-refrigerated containers specially adapted for transporting or storing living parts whilst preserving
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
Definitions
- the present invention relates in general to packaging for sterile specimens, and more particularly relates to a package for storing a sterile transplant specimen in a preserving medium and maintaining sterility when subsequently removing the specimens from the package.
- the sterile specimens may be biological, marine, or agricultural specimens stored for analysis in a laboratory.
- the sterile specimen may also be human or animal tissue for use in transplants.
- Human tissue transplant operations have become commonplace in recent times. The success of these transplant operations has created a high demand for the human tissue. However, it is often difficult to find fresh donor tissue for immediate transplant to a recipient. Donor tissue must match the recipient's tissue as closely as possible, to minimize the risk of tissue rejection by the recipient's immune system, and for that reason homografts are preferred; heart valves and blood vessels are two examples of human tissue currently used for human homografts. The tissue is preferably preserved and stored for later implant so that a supply of tissue is on hand independently of immediate donor availability.
- Human and animal tissue is preferably cryopreserved for storage beyond a few hours.
- the tissue after excision from the donor and suitable treatment as known to those skilled in the art, is stored in a sterile package impermeable to bacteria and then frozen, after which the frozen tissue is stored at a low temperature for relatively long-term preservation. Because the low temperatures required for effective cryopreservation are not attainable by economically-feasible mechanical refrigeration equipment, the packaged tissue specimens are stored by immersion in liquid nitrogen to maintain the cryopreserved tissue viable throughout storage. It is, therefore, important that the storage package be impermeable to liquid nitrogen. When a suitable recipient is found for the tissue, the storage package is removed from the liquid nitrogen storage facility. The tissue is then thawed and removed from its storage package immediately before implant in the recipient.
- the tissue must be kept sterile during removal from the storage package before implanting in the recipient. This is not a trivial requirement, as the exterior surface of the storage package is nonsterile or is presumed as such.
- the sterile packages known in the prior art are inadequate for storing cryopreserved human or animal tissue specimens, because these packages cannot insure the sterility of the specimen when the package is stored in an unsterile coolant medium such as liquid nitrogen.
- Packaging material impermeable to liquid nitrogen is well known, metallic foil being one example, but simply making the prior art packaging out of material impermeable to liquid nitrogen does not solve the problems of sterility. Because the outer surface of such an envelope is unsterile, there is a risk of contamination of the specimen when the envelope is cut open and the specimen is pulled out of the envelope.
- a peel-back opening allows an envelope to be opened by pulling apart the two sides of the envelope, so that the contents are exposed and can be removed without contacting the outer surface of the envelope.
- the outer surface of any single-envelope package is always considered unsterile.
- a further problem with a single envelope package is that an envelope with a peel-back opening feature is not impermeable to liquid nitrogen. Since a single-envelope package for storing specimens in liquid nitrogen cannot have a peel-back opening, the envelope must be cut open to remove the specimen. There is then a substantial risk that the specimen will make actual physical contact with the unsterile outer surface or opening of the envelope and become contaminated.
- a typical double envelope package for storing specimens is also inadequate for insuring sterility of a cryopreserved specimen.
- a typical double envelope package is made of a sterile inner envelope that contains the specimen, and this inner envelope is stored in an outer envelope impermeable to liquid nitrogen. When the outer envelope is cut open and the inner envelope is removed, there is a substantial risk that the sterile outer surface of the inner envelope will become contaminated from contact with the unsterile outer surface of the outer envelope. Likewise, when the sterile specimen is removed from the inner envelope, there is some risk that the specimen will be contaminated by the presumed-unsterile outer surface of the inner envelope.
- the tissue specimen is stored in a liquid medium in the inner envelope. If the inner envelope is opened by peeling off part of the inner envelope, the liquid will pour uncontrollably out of the inner envelope, and contact the outside surface of the inner envelope, causing inconvenience and a further risk of contamination to the specimen.
- the present invention solves the above-described problems in the prior art by providing a three-envelope package for storing sterile specimens.
- the present invention is comprised of three envelopes: an inner envelope, an intermediate envelope, and an outer envelope.
- the inner envelope is made of a material completely impermeable to bacteria, and the sterile tissue specimen is stored in the inner envelope.
- the inner envelope is sterile inside and out, when a tissue specimen is deposited therein.
- the inner envelope is then stored in the intermediate envelope, also made of a material impermeable to bacteria.
- the intermediate envelope is also sterilized inside and out, when the inner envelope is stored therein.
- the intermediate envelope is made with a peel-back flap that allows the intermediate envelope to be opened by pulling the two sides of the envelope apart, thereby exposing the contents of the inner envelope.
- the intermediate envelope is stored in the outer envelope.
- the outer envelope is made of a material completely impermeable both to liquid nitrogen and bacteria.
- the outer envelope is sterile on the inside when stored but is not sterile on the outside when stored, because the outer surface of the outer envelope contacts an unsterile universe including the cryogenic coolant medium.
- the novel construction of the present invention insures the sterility of the tissue specimen as the specimen is removed from the package.
- the package containing the sterile specimen is removed from the coolant medium and the tissue specimen is thawed.
- the outer envelope is then cut open, and the intermediate envelope is pulled from the outer envelope and the outer envelope is discarded. It is possible that the outer surface of the intermediate envelope is contaminated by contact with the unsterile cut edge of the outer envelope as the intermediate envelope is removed, and in any case the outer surface of the intermediate envelope is treated as if it were contaminated.
- the outer surface of the intermediate envelope is presumed unsterile, the inner envelope can remain sterile while being removed from the intermediate envelope.
- the peel-back flap of the intermediate envelope is pulled, thereby pulling apart the two sides of the intermediate envelope and exposing the inner envelope.
- the inner envelope is lifted from the intermediate envelope by a sterile instrument so that the inner envelope does not contact the peeled-back unsterile outer surface of the intermediate envelope.
- the outer surface of the inner envelope thus remains sterile after the inner envelope is removed from the intermediate envelope.
- the intermediate envelope is then discarded and the sterile inner envelope is introduced to a sterile environment.
- the tissue specimen is there removed from the inner envelope with no risk of contamination from contact with the outer surface of the intermediate envelope.
- FIG. 1 is a pictorial view, partially broken away for illustrative purposes, showing a package according to a preferred embodiment of the present invention.
- FIG. 2 is a plan view, also partially broken away, showing the package of FIG. 1.
- FIG. 3 is a pictorial view illustrating the stages of opening the package shown in FIGS. 1 and 2.
- an envelope package including three individual envelopes or pouches. These envelopes are the outermost envelope 12, an intermediate envelope 14 contained immediately within the outermost envelope, and an innermost envelope 16 received within the intermediate envelope.
- the tissue specimen (generally at 17) is contained within only the innermost envelope 16 in the present embodiment of the invention, and it will be understood that the innermost envelope may also contain a suitable liquid medium (17a) for preserving the viability of the tissue specimen.
- the disclosed embodiment is discussed as a sterile means for storing and substantially utilizing a cryopreserved specimen of human or animal tissue, that specific application is not intended to limit the utility of the present invention.
- the outermost envelope 12 provides the dual functions of isolating its sterile interior from bacteria, and of providing an impermeable barrier to the cryogenic atmosphere (irrespective of sterility) in which the envelope is kept.
- Liquid nitrogen comprises the particular cryogenic atmosphere of concern for the envelope package 10 of the preferred embodiment, and so the outermost envelope 12 must be impervious to liquid nitrogen.
- a metallic foil, such as aluminum foil or the like, is a preferred material for fabricating the outermost envelope 12.
- the outermost envelope is fabricated from two foil panels 12a and a 12b (FIG. 2) of equal dimensions, overlaying each other and enclosing the intermediate envelope 14.
- the interior of the outermost envelope 12 is sterilized before receiving the intermediate envelope 14.
- the peripheral edges 18 of the outermost envelope 12 are then welded shut along the aligned 19 by heat sealing or another appropriate sealing technique which makes the outermost envelope impervious to bacteria and to penetration by the liquid nitrogen in which the envelope package 10 is then placed.
- the innermost envelope 16 receives the sterile tissue specimen 17 and, typically, a liquid medium (17a) which bathes the tissue specimen.
- the innermost envelope 16 while in the envelope package 10, is not exposed to liquid nitrogen, nor to an unsterile condition, and so the innermost envelope is preferably a polyester bag of sufficient size to contain the tissue specimen and any supporting liquid medium.
- the innermost envelope is sterile inside and out, and is sealed shut at one end 16a by heat sealing or the like after the tissue specimen and any liquid medium are in place within the innermost envelope.
- the intermediate envelope 14 is preferably of peel-back construction, to facilitate subsequent opening of that envelope without subjecting the innermost envelope 16 contained within the intermediate envelope, to possible contamination on the outer surface of the intermediate envelope.
- the intermediate envelope 14 is protected by the outermost envelope 12 against exposure to the liquid nitrogen storage medium, and so the possibility of liquid nitrogen seeping through the peel-back seal of the intermediate envelope is eliminated.
- the intermediate envelope 14 is of two-piece construction, including a lower layer 24 sandwiched beneath an upper layer 25.
- the upper and lower layers are preferably rectangular sheets of thin flexible material such as foil or polyester, as is known to those skilled in the art.
- Confronting peripheral portions of the facing surfaces on the layers 24 and 25 are sealed together as at the seal line 28, and this seal line preferably extends on three sides of the intermediate envelope 14.
- the seal 28 is a peel-back seal of known construction, in which the confronting surfaces of the lower layer 24 and the upper layer 25 are tack-sealed together by heating or the like, forming an airtight seal impervious to the passage of bacteria or other contaminants.
- the fourth side 29 of the intermediate envelope 14 is welded together in a relatively permanent seal, and the fourth side also is impervious to bacteria or other contaminants.
- the seal 28 and fourth side 29 thus define an interior region 26 within the intermediate envelope 14, and this interior region is of sufficient dimension to receive the aforementioned innermost envelope 16 as illustrated in FIG. 4. Both the inside and outside of the intermediate envelope 14 are sterilized.
- a preferred construction of the intermediate envelope 14 has one of the layers 24 and 25, for example, the upper layer 25, made of a transparent polyester sheet, and the other layer made of foil, the two layers being heat-sealed or otherwise interconnected along three sides to form the peel-back seal 28.
- the peel-back seal 28 preferably follows a diagonal path 30 across at least one corner of the intermediate envelope 14, leaving the outermost corner 31 unsealed to facilitate grasping and opening the peel-back seal.
- the use of dissimilar materials, such as foil and vinyl, for the layers 24 and 25 facilitates forming a seal 28 having the desired peel-back characteristics necessary for opening the envelope package as described below. Inasmuch as the outermost envelope 12 is a barrier to liquid nitrogen, the intermediate envelope 14 is never subjected to liquid nitrogen and the permeability of peel-back seals to liquid nitrogen is not a problem with the present envelope package 10.
- the package described herein further serves to protect the cryogenically preserved transplantable tissue contained in the innermost envelope.
- the package should be made of material which is suitable for exposure to extremely low temperatures, e.g., -196 degrees C. to elevated temperatures, e.g., +37 degrees C., such as are observed and utilized in the preparation of cryogenically preserved tissue for transplant into a patient in need of such treatment.
- the envelope material should withstand wide, rapid, extreme freeze-thaw temperature changes without cracking, be chemically inert and enhance or preserve the tissue to improve tissue viability upon transplant. Table I shows a list of commonly available materials and their brittleness temperatures.
- tissue envelope At temperatures near or below the brittleness temperature, these materials become fragile.
- An example of material which is not generally suitable for use in the envelope described herein is ordinary polyethylene, which does not adequately protect the tissue upon thawing.
- the tissue envelope is easily damaged during freezing, thawing, and shipping, and the tissue may develop cracks upon thawing rendering the tissue unacceptable for transplant purposes.
- Part A is a general screening test whereby a sample of the test material is placed into liquid nitrogen (-196 degrees C.) to expose the material to ultracold temperatures. The material is then removed from the liquid nitrogen, and placed into a warm bath until the temperature equilibrates at 37 degrees C. This simulates actual treatment conditions during preparation for transplant surgery.
- Part B of the screening procedure utilizes a 100 ml quantity of water cryogenically frozen in an envelope comprised of the test material. After freezing, the package is removed from liquid nitrogen and dropped immediately from a height of 40 to 45 inches. The package is visually inspected for damage to the test material.
- Part C of the test is identical to part B, except that the test material and water contained therein are first cryogenically frozen and then warmed to 37° C. The samples are then dropped from a height of 36 to 40 inches and examined for damage.
- polyethylene and polyester are unacceptable from a performance standpoint, due to cracking of the test material and unacceptable levels of tissue damage.
- the polyimide film for example, demonstrates highly acceptable physical strength and resistance to the freeze-thaw cycle.
- the polyimide film demonstrates acceptable transplant tissue protection.
- Kapton® is commercially available.
- Other film materials which meet the above criteria will be equally useful for practicing the invention described herein. Kapton®'s durability during these tests shows a significant and unexpected advantage over all other materials tested. This is primarily due to its overall strength and ability to remain pliable and flexible at temperatures at least as low as -196° C.
- Kapton® greatly reduce physical damage (i.e. tissue cracking), which occurs during freezing and thawing. Such cracking reduces cellular viability and tissue integrity, rendering the tissue unimplantable.
- Kapton® film is chemically inert due in part to a laminated layer of Teflon (FEP).
- the innermost envelope 16 When fabricating and assembling the envelope package 10, the innermost envelope 16 is sterile inside and out, and of course the tissue specimen 17 and medium 17a sealed within the innermost envelope is also sterile.
- the interior 26 of the intermediate envelope 14 also are sterilized before receiving the innermost envelope 16, assuring that the innermost envelope remains in a sterile environment.
- the outside of the intermediate envelope 14 is likewise sterilized before placing the intermediate envelope within the outermost envelope although, as discussed below, the outside of the intermediate envelope is treated as though non-sterile during subsequent opening of the envelope package 10.
- the inside of the outermost envelope 12 is sterilized before the intermediate envelope 14 (containing the innermost envelope 16) is placed within the outermost envelope.
- the outermost envelope 12 is then sealed as discussed above, completely isolating the interior of the outermost envelope from contamination by bacteria or by the liquid nitrogen medium in which the envelope package 10 is subsequently stored.
- the packaged tissue is preserved by freezing and is then immersed in liquid nitrogen for preservation.
- Opening of the envelope package 10 takes place with the following steps, to preserve the sterility of the innermost envelope 16 and the tissue specimen 17 contained within the innermost envelope.
- the entire envelope package 10 is removed from the cryogenic storage medium or shipping container (not shown), and is at least partially thawed by placing the envelope package into a warm water bath. This bath is not sterile but should be proximate to a sterile field, for example, in the operating room where the tissue speciment will be implanted in the recipient.
- the envelope package is immersed in the water bath for the desired time, the envelope package is removed and the exterior of the outermost envelope 12 is dried.
- the outermost envelope 12 is now opened by cutting away the envelope end portion 32, as illustrated in FIG. 3. This cutting operation is accomplished with any suitable implement, such as the scalpel 33 or scissors; the involvement preferably is sterile, although this is not a requirement for maintaining the sterility of the tissue sample within the innermost envelope 16.
- the intermediate envelope 14 is withdrawn by using sterile forceps 36 or the like, as illustrated in FIG. 3. Although the interior of the outermost envelope 12 and the exterior of the intermediate envelope 14 were previously sterilized, the exterior of the intermediate envelope is treated as though non-sterile in the opening of the envelope package 10. Thus, it is recognized that the outside of the intermediate envelope 14 may become contaminated as the intermediate envelope is pulled through the cut edge of the outermost envelope 12, and so removal of the intermediate envelope need not take place in a sterile field.
- the outermost envelope 12 is discarded after the intermediate envelope 14 is removed.
- the peel-back seal 28 of the intermediate envelope 14 is now opened, using sterilized forceps or other implements to hole the lower layer 24 at the outermost corner 31 while simultaneously unpeeling the upper layer 25.
- the completely peeled-back intermediate envelope 14 is illustrated at 39 in FIG. 3.
- the peel-back opening procedure of the intermediate envelope 14 avoids contaminating the interior region 26 of the intermediate envelope or the innermost envelope 16 therein, irrespective of possible contamination on the outside of the intermediate envelope.
- the upper layer 25 of the intermediate envelope 14 is peeled back as illustrated at 39 to expose the innermost envelope 16, without subjecting the innermost envelope to contact with any portion of the outer surface of the intermediate envelope.
- the innermost envelope 16 is now grasped by fresh sterile forceps 37 or the like, and is removed as indicated at 41 to a sterile field without exposing the outside of the innermost envelope to contamination.
- the innermost envelope is then opened in the sterile field, for removal of the tissue specimen contained within the innermost envelope.
- the present envelope package maintains a tissue specimen isolated from bacterial contamination and from contact with liquid nitrogen or another storage medium.
- the outermost envelope 12 is made impermeable to liquid nitrogen, without regard to whether the immediate contents of the outermost envelope become contaminated upon removal. Even if the intermediate envelope is contaminated when removed from the outermost envelope, the intermediate envelope can be opened in a way that preserves sterility of the innermost envelope. The possibility of liquid nitrogen seeping through the welds in the peel-back seal of the intermediate envelope is eliminated, because the peel-back seal is protected by the nitrogen-impermeable outermost envelope. Moreover, use of the innermost envelope gives extra sterility protection, and sterility of the innermost envelope could be maintained for some time even if the outermost envelope ruptures. The resulting envelope package is more durable than previous packages for sterile tissue specimens, and is easier to handle in the hospital operating room.
- each envelope Although preferred materials are disclosed for each envelope, those skilled in the art will understand that other materials can be substituted so long as each individual envelope maintains the requirements disclosed herein. Furthermore, the envelope materials must be sterilizable and must withstand cryogenic temperatures without undergoing significant degradation of physical qualities.
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Abstract
Description
TABLE I ______________________________________ LIST OF COMMONLY USED PLASTICS Brittleness Resin Temp (°F./°C. ______________________________________ LDPE* -148/-100 HDPE* -148/-100 XLPE -180/-118 PP 32/0 PA -40/-40 PMP 68/20 PS -148/-100 PVC -22/-30 ACL -- NYL* 32/0 PC -211/-135 PSF -148/-100 FEP* -454/-270 ETFE/ECTFE -157/-105 PFA -454/-270 PUR -94/-70 ______________________________________ LEGEND LDPE: Low-density polyethylene HDPE: High-density polyethylene XLPE: Cross-linked, high-density polyethylene PP: Polypropylene PA: Polyallomer PMP: Polymethylpentene PMMA: Polymethyl methacrylate PVC: Polyvinyl chloride ACL: Acetal (polyoxymethylene) NYL: Nylon (polyamide) PC: Polycarbonate PSF: Polysulfone TFE: Teflon TFE (tetrafluoroethylene) FEP: Teflon FEP (fluorinated ethylene polypropylene) ETFE: Tefzel ETFE (ethylene-tetrafluoroethylene) ECTFE: Halar ECTFE (ethylene-chlorotrifluoroethylene copolymer) PFA: Teflon PFA (perfluoroalkoyl) PUR: Polyurethane PVDF: Polyvinylidene fluoride PS: Polystyrene ______________________________________ *Materials tested in this study
TABLE II ______________________________________ RESULTS Test Materials A B C ______________________________________ Polymide/FEP 3 3 3 Foil/Polyester/Polyethylene 3 1-2 2 Teflon (FEP) 2-3 1 2 Polyester/Polyethylene 2 1 2 Polyester 2 1 2 Matalized Polyester 1 1 1 Nylon/Saran 1 1 1 Polyethylene 1 1 1 ______________________________________ LEGEND 1. Completely unacceptable. Material does not survive the test intact in least 50% of the trials. 2. Acceptable. This material survives the test in 50% to 90% of the trials. 3. Highly Acceptable. This material survived the test in better than 90% of the trials.
Claims (6)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/630,464 USRE36132E (en) | 1987-10-07 | 1996-04-10 | Three envelope package for sterile specimens |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10522087A | 1987-10-07 | 1987-10-07 | |
US07/395,297 US5031762A (en) | 1987-10-07 | 1989-08-17 | Three envelope package for sterile specimens |
US07/730,356 US5257692A (en) | 1987-10-07 | 1991-07-15 | Three envelope package for sterile specimens |
US08/630,464 USRE36132E (en) | 1987-10-07 | 1996-04-10 | Three envelope package for sterile specimens |
Related Parent Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/395,297 Continuation US5031762A (en) | 1987-10-07 | 1989-08-17 | Three envelope package for sterile specimens |
US07/730,356 Reissue US5257692A (en) | 1987-10-07 | 1991-07-15 | Three envelope package for sterile specimens |
Publications (1)
Publication Number | Publication Date |
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USRE36132E true USRE36132E (en) | 1999-03-09 |
Family
ID=26802359
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/395,297 Ceased US5031762A (en) | 1987-10-07 | 1989-08-17 | Three envelope package for sterile specimens |
US08/630,464 Expired - Lifetime USRE36132E (en) | 1987-10-07 | 1996-04-10 | Three envelope package for sterile specimens |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US07/395,297 Ceased US5031762A (en) | 1987-10-07 | 1989-08-17 | Three envelope package for sterile specimens |
Country Status (1)
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US (2) | US5031762A (en) |
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US8540139B2 (en) | 2010-06-22 | 2013-09-24 | Ethicon, Inc. | Outer boxes for storing and delivering medical devices used during surgical procedures and methods therefor |
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