The umbilical cord blood processing |
||
The quality processing determines several criteria, which can be influenced by: providing sterility; preserving the maximum amount of the stem cells; and the human factor.
The so-called closed system of the processing further decreases the contamination risk. Our control system has not recorded any contamination at the umbilical cord blood harvesting yet. The harvesting causes all the contamination, which is performed in comparison to the processing in real „battle field” conditions. In case of potential, mainly viral contamination it is important whether or not foreign biological material has been used at the processing. By utilisation of some methods, for instance, human albumin is used. It is prepared from the plasma mixture of thousands of donors, and though the plasma of each donor is thoroughly tested for known viruses, we cannot exclude the possible contamination by a presently unknown virus. It is not just a theoretical problem. A similar situation happened several years ago, when many patient treated with transfusions and blood derivatives (for instance haemophilic patients) got infected with the, at that time unknown, HIV virus. Therefore we use such methods of processing that don’t deploy any foreign biological material either of animal or of human origin. Otherwise we would be faced with the risk that we unintentionally contaminate the hundreds of transplants. The processing methods The technical equipment of our laboratories is at the highest possible level. All the equipment used in laboratories are manufactured by renowned world-wide producers and, as with all our material, they are certified by states authorities. The human factor Our processing system is based on the principle of decreasing the probability of a mistake occurring by utilising a parallel connection of the independent control in real time. If, in the classic control system, the employee misses a mistake with the probability of 1:1000 and the following output control does not reveal the mistake with the probability 1:1000, thus the probability, that the mistake will happen and will not be detected by control is only 1:1 000000, however the problem is that the classic output control usually detects the mistake, but it does not ensure its removal. Therefore the damage to the product remains in the ratio 1:1000, which corresponds with the probability of the mistake. As the autologous transplant is not a product that you can scrap and replace with others, this classic method is not suitable for the preparation of the unrepeatable auto-transplant. The probability that the transplant will be damaged will not be decreased in any case by input control. Our system, apart from the classic approach, includes also another one. Although transplant preparation can be carried out by only one person, our method requires 2 persons, where both employees control each other and reveal the colleagues mistakes prior to the possible damage of the transplant. If then the certain mistake occurs with the probability of 1:1000 and the second employee miss it with the probability of 1:1000 the total probability of transplant damage is only 1:1 000000. The processing of one transplant by 2 persons does not shorten the processing time markedly but it decreases the probability of the transplant damage. We do not introduce further standard methods like the irreplaceable way of labelling, the automated barcode system, the system of quality control here, because they are the common part of the modern laboratory practice and they should be obvious everywhere.
|
||