JP2018154580A - Tissue treatment method - Google Patents

Abstract

To provide a tissue processing method that contributes to the production of a suspension having a high regeneration effect. A tissue processing method for producing an intermediate-stage product of a cell / tissue-utilizing medicine or medical material using a tissue collected from a human as a raw material, comprising: a pulverizing step for pulverizing the tissue; And a mixing step of adding physiological saline to produce a suspension containing the pulverized tissue and the physiological saline. In the pulverization step, the tissue is pulverized into a shape that fits in a cube having a side of 100 μm or less. In the mixing step, physiological saline is added to the tissue of 1 to 200 mm 3 at a rate of 0.5 to 16 mL. [Selection] Figure 1

Description

  The present invention relates to a tissue processing method for producing a cell suspension that becomes a micrograft containing, for example, various components and cell components such as a matrix by crushing a collected tissue.

  Conventionally, various methods for treating wounds and damaged sites have been tried.

  The inventor then obtained by appropriately processing a tissue collected from normal tissues (any of the tissues including epidermis, dermis, subcutaneous fat, organs, and bones) equivalent to the wound and the damaged site. It has been found that the suspension exhibits a high regeneration effect only by injecting the suspension into the tissue at the treatment site of the same person as the person from whom the tissue was collected.

  The present invention has been made in consideration of the above-described matters, and an object thereof is to provide a tissue processing method that contributes to the production of a suspension having a high regeneration effect.

  In order to achieve the above object, a tissue processing method according to the present invention is a tissue processing method for producing an intermediate-stage product of a cell / tissue-utilizing medicine or medical material using a tissue collected from a human as a raw material. A pulverizing step of pulverizing the tissue and a mixing step of adding physiological saline to the tissue to produce a suspension containing the pulverized tissue and the physiological saline (Claim 1).

In the tissue processing method, the tissue is pulverized into a shape that fits in a cube having a side of 100 μm or less in the pulverization step, and physiological saline is added to the tissue of 1 to 200 mm ³ in the ratio of 0.5 to 16 mL in the mixing step. It may be added (Claim 2).

  In this invention, the structure | tissue processing method which contributes to manufacture of a suspension with a high regeneration effect is obtained.

  In other words, in the tissue processing method of the invention according to each claim of the present application, by using a healthy self-tissue, there is no rejection (does not change the chemical component of the tissue), treatment can be performed safely and safely, and there are few side effects. A suspension can be obtained. In addition, by immediately performing the production of the suspension after collection of the tissue, a high survival rate and activity of the cells contained in the suspension can be expected.

It is a perspective view which shows roughly the structure of the processing apparatus used for the structure | tissue processing method which concerns on one embodiment of this invention. It is a disassembled perspective view which shows the structure of the said processing apparatus roughly. (A) is a plan view of the processing apparatus, (B) is a front view, (C) is a side view, (D) is a sectional view taken along the line DD of (A), and (E) is E of (A). -E line sectional drawing, (F) is the FF line | wire sectional view taken on the line of (A). (A) is a perspective view schematically showing a configuration of a main part of the processing apparatus, and (B) is an explanatory view schematically showing a configuration of micro holes of the processing apparatus.

  Embodiments of the present invention will be described below with reference to the drawings.

  The tissue processing method according to the present embodiment is a cell / tissue-utilizing medicine (or any tissue (including any of the tissues including epidermis, dermis, subcutaneous fat, organ, and bone) collected from a human). An intermediate stage product of a medical material, comprising a pulverizing step of pulverizing the tissue, and a mixing step of adding physiological saline to the tissue, and the pulverized tissue and the physiology A suspension containing saline is produced.

  In the present embodiment, in the pulverizing step, the structure is pulverized into a shape (for example, a flake shape) that fits in a cube having a side of 100 μm or less (preferably 50 μm or less). Note that the tissue to be crushed can be collected using, for example, a puncture collection instrument such as Derma Punch (registered trademark) provided with a cylindrical blade at the tip, a scalpel or scissors for operation, and the like. . More specifically, for example, in the case of a tissue having a size of 1 mm × 1 mm × 1 mm to 4 mm × 4 mm × 4 mm, it is collected by a derma punch (registered trademark), and a size of 10 mm × 10 mm × 2 mm or more is obtained. The tissue can be collected with a scalpel and a scissors.

For example, in the mixing step performed after the pulverization step, physiological saline (sterilized physiological saline) is added to the 1 to 200 mm ³ tissue at a rate of 0.5 to 16 mL, and both are mixed. In this example, physiological saline is added to the tissue of 1 to 6 mm ³ at a rate of 1 to 1.2 mL.

  The suspension is collected, for example, with a 1.0 to 16 mL syringe having a 27 to 30 G (gauge) needle, and injected (or applied in some cases) to the treatment site. At this time, it is used for treatment by spraying or mixing (hyaluronic acid, PRP, etc.) on biomaterials (collagen sponge, hydroxyapatite, etc.) as necessary. That is, the suspension can be used in combination with various biomaterials, and can be easily made without culturing or the like.

  In the treatment using the above suspension, by using a healthy autologous tissue, there is no rejection reaction (the chemical component of the tissue is not changed), and the treatment can be performed safely and safely, and there are few side effects. In addition, by immediately performing the production of the suspension after collection of the tissue, a high survival rate and activity of the cells contained in the suspension can be expected.

  In addition, although what is contained in suspension changes with donor tissue (site | part which extract | collected the said tissue), as what is contained in suspension which consists of dermal tissue of skin, for example, (1) MSCs (mesenchymal cells: between Leaf tissue stem cells), endothelial cells (endothelial cells), tissue cells such as Pericytes (pericytes), (2) cell growth factors, and (3) matrix (extracellular matrix).

  Donor tissue (collection site) varies depending on the treatment field, and includes bone (membrane), cartilage (membrane), dental bone (membrane), bone marrow, connective tissue such as dermis layer and fat layer, oral mucosa (gingiva), and organs It is.

  Indications vary depending on the treatment field, but in the plastic surgery field, acute wounds, postoperative retraction wounds, chronic wounds such as refractory ulcers, venous stasis ulcers, burns, in the field of cosmetic surgery / dermatology, vitiligo, rejuvenation Nation, keloids due to burns, scars, breast reconstruction, wrinkles and cracks, pregnancy lines, etc. In the dental field, GTR (periodontal tissue regeneration induction method), GBR (bone regeneration induction method), sinus lift, peri-implantitis In the scalp field, the effects of improving hair growth and flocking are expected.

  And the said grinding | pulverization process and mixing process can be implemented using the processing apparatus 1 shown, for example in FIGS.

  The processing apparatus 1 includes a hollow housing 2 as shown in FIGS. 1, 2, 3 (B) and (C). This housing 2 is made of, for example, a synthetic resin, and has a disk-like bottom wall 2a and a side wall 2b standing from the periphery of the bottom wall 2a as shown in FIGS. 3 (D) to (F). The upper part is open.

  Further, as shown in FIG. 3D, the inner wall of the housing 2 is provided with a protruding portion 2c (a stepped portion generated by a lower inner diameter lower than the upper inner diameter in this example) 2c. A perforated plate 3 made of a metal such as stainless steel is placed on the portion 2c. That is, the perforated plate 3 is accommodated in the housing 2 at a position spaced upward from the bottom wall 2a. As shown in FIGS. 2 and 4A, the perforated plate 3 is provided with a circular through hole 3a at the center, and a large number (for example, about 100) of fine holes 3b are provided around it. It has been.

  As shown in FIG. 4B, the fine holes 3b have a regular hexagonal shape, the maximum dimension d is 20 to 100 μm, and a blade 3c is continuously provided on each side. The fine hole 3b having such a blade 3c can be formed by using, for example, a punch having an arbitrary shape.

  As shown in FIGS. 3D to 3F, in the housing 2, a bush 4 is accommodated above the perforated plate 3, and a lid 5 (see also FIG. 3A) is further provided above the bush 4. ) And the upper opening of the housing 2 is closed by the lid 5, the bush 4 is pressed downward by the lid 5, and the perforated plate 3 is in a state where the peripheral portion is sandwiched between the protruding portion 2 c and the bush 4. Become. The lid 5 is detachably attached to the upper portion of the housing 2 by, for example, screw connection.

  On the other hand, as shown in FIGS. 3D to 3F, the through hole 3 a of the perforated plate 3 is penetrated by the shaft 6, and the portion of the shaft 6 that projects downward from the perforated plate 3 has a blade 7. Is mounted, and a propeller 8 is mounted at a position above the perforated plate 3. The lid 5 is provided with a through hole 5 a for avoiding the shaft 6, and the bush 4 is provided with a sleeve 4 a for guiding the shaft 6.

  In the processing apparatus 1 having the above-described configuration, when the tissue and physiological saline are put into the housing 2 with the lid 5 removed, the tissue is placed on the perforated plate 3, and the physiological saline is It will be in the state collected in the lower part of the housing 2. FIG. In this state, when the lid 5 is attached to the housing 2 and the shaft 6 is rotated, the propeller 8 and the blade 7 are rotated together with the shaft 6. The shaft 6 may be rotated, for example, by connecting a motor or the like (not shown) to the shaft 6, for example, rotating at 80 rpm for 1 to 2 minutes.

  The propeller 8 acts to press the tissue against the perforated plate 3 by rotation, and the tissue pressed against the perforated plate 3 reaches the lower side of the perforated plate 3 through the fine holes 3b, where the blade 7 The tissue that has been cut into thin pieces by the above-mentioned process and falls into a thin piece falls to the lower part of the housing 2 and is mixed with physiological saline to form a suspension. The suspension generated in this manner is taken out through a lead-out path 9 provided on the side wall 2b of the housing 2. The suspension can be taken out using, for example, a syringe.

  In addition, this invention is not limited to said embodiment at all, Of course, it can change and implement variously in the range which does not deviate from the summary of this invention. For example, the following modifications can be given.

  In the above embodiment, the lead-out path 9 is provided. However, for example, the lead-out path 9 is not provided, and the lower part of the housing 2 can be removed from the upper part, and the generated suspension is removed by removing the lower part of the housing 2. It may be possible to take it out.

  Needless to say, the modifications in this specification may be combined as appropriate.

DESCRIPTION OF SYMBOLS 1 Processing apparatus 2 Housing 2a Bottom wall 2b Side wall 2c Protrusion part 3 Perforated plate 3a Through-hole 3b Micro hole 4 Bush 4a Sleeve 5 Lid 5a Through-hole 6 Shaft 7 Blade 8 Propeller 9 Lead-out path d Maximum dimension

Claims (2)

A tissue processing method for producing an intermediate-stage product of a cell / tissue-utilizing medicine or medical material using tissue collected from a human as a raw material,
A tissue processing method comprising: a pulverizing step of pulverizing the tissue; and a mixing step of adding physiological saline to the tissue, and generating a suspension containing the pulverized tissue and the physiological saline. . Wherein said tissue in grinding process one side is ground into a shape that fits to the following cube 100 [mu] m, in claim 1, physiological saline is added at a ratio of 0.5~16mL the tissue of 1 to 200 mm ³ in the above mixing step The tissue processing method described.

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