USRE35804E - Systems and methods for removing undesired matter from blood cells - Google Patents
Systems and methods for removing undesired matter from blood cells Download PDFInfo
- Publication number
- USRE35804E USRE35804E US08/026,516 US2651693A USRE35804E US RE35804 E USRE35804 E US RE35804E US 2651693 A US2651693 A US 2651693A US RE35804 E USRE35804 E US RE35804E
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- United States
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- container
- fluid path
- blood cells
- assembly
- separation
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- Expired - Lifetime
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/02—Blood transfusion apparatus
- A61M1/0209—Multiple bag systems for separating or storing blood components
- A61M1/0218—Multiple bag systems for separating or storing blood components with filters
- A61M1/0222—Multiple bag systems for separating or storing blood components with filters and filter bypass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/02—Blood transfusion apparatus
- A61M1/0209—Multiple bag systems for separating or storing blood components
- A61M1/0231—Multiple bag systems for separating or storing blood components with gas separating means, e.g. air outlet through microporous membrane or gas bag
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0413—Blood
- A61M2202/0427—Platelets; Thrombocytes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0413—Blood
- A61M2202/0429—Red blood cells; Erythrocytes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0413—Blood
- A61M2202/0439—White blood cells; Leucocytes
Definitions
- the invention generally relates to blood collection and processing systems and methods.
- the invention relates to systems and methods for removing white blood cells from red blood cells prior to transfusion or long term storage.
- red blood cells typically red blood cells, platelets, and plasma
- the red blood cell component is used to treat anemia
- the concentrated platelet component is used to control thrombocytopenic bleeding
- the platelet-poor plasma component is used as a volume expander or as a source of Clotting Factor VIII for the treatment of hemophilia.
- One aspect of the invention provides a blood collection system that comprises an assembly for collecting blood cells and an assembly for separating undesired matter from blood cells prior to storage or transfusion.
- the blood cells are initially collected and processed in the blood collection assembly.
- the separation assembly is then temporarily attached to the blood collection assembly.
- the blood cells are transferred into the attached separation assembly to remove undesired matter.
- the blood cells are then immediately returned to the blood collection assembly for storage and transfusion, and the separation assembly is detached.
- the blood collection assembly includes a primary container that serves both as the container in which the blood cells are collected during processing and the container in which the blood cells are ultimately returned for storage after undesired matter is removed.
- the separation assembly includes a transfer container that comes into contact with the blood for only a short period of time during the separation process. This is because the blood separation assembly is only temporarily attached to the collection assembly during the separation process, and is then detached.
- Another aspect of the invention provides a blood separation assembly having a temporary transfer container that is connected to two distinct fluid paths.
- the first fluid path has an inline separation device for separating the undesired matter from the blood cells.
- the second fluid path bypasses the separation device.
- a flow control mechanism is associated with the first and second flow paths and is operable in two modes: one in which blood is conveyed through the first path, and another in which blood is conveyed through the second path.
- the separation assembly When the separation assembly is attached to a blood collection container, and the flow control mechanism is placed in its first mode, blood cells can be conveyed from the collection container through the first flow path, and thereby through separation device, into the transfer container. In the process, the undesired matter is removed from the blood cells. Then, when the flow control means is placed in its second mode, the blood cells, now substantially free of the undesired matter, can be returned from the transfer container through the second flow path directly back to the collection container for storage or transfusion, altogether bypassing the separation device.
- the separation assembly comprises a separate assembly that is temporarily joined to the blood collection container only during the separation process.
- the blood collection assembly and the separation assembly each comprises a sterile, closed system.
- a sterile connection assembly attaches and detaches the collection and separation assemblies to preserve the sterile, closed integrity of both systems. Unwanted matter can thereby be removed from blood cells and the blood cells returned to their storage container without involving a single "non-sterile" entry into the system, and thereby without adversely effecting the quality of the blood products or the length of their storage periods.
- Another aspect of the invention provides a method of collecting blood cells for storage substantially free of undesired matter.
- the method comprises the steps of collecting a quantity of blood cells in a first container that forms a part of a blood collection system.
- the blood is then conveyed into a separation system that includes a second container to which first and second fluid paths are attached.
- the first path includes a separation device for separating the undesired matter from the blood cells.
- the second path bypasses the separation device.
- the blood cells are conveyed from the first container through the first fluid path and separation device and thence into the second container, thereby separating the undesired matter from the blood cells.
- the blood cells, now substantially free of the undesired matter, are then returned from the second container through the second fluid path, bypassing the separation device, and back into the first container for storage or transfusion.
- the separation system can then be removed from the blood collection system.
- the invention provides blood processing systems and methods in which separation is accomplished using a temporary transfer bag assembly that need not be subject to stringent governmental regulations, and in which the bag that serves as the blood collection container prior to separation also serves as the blood storage container after separation.
- the systems and methods that embody the features of the invention are particularly well suited for use in association with closed blood collection systems and conventional sterile connection techniques, thereby permitting separation to occur in a sterile, closed environment.
- an assembly for removing undesired matter from blood cells comprising a filter body having an inlet and an outlet, and filtration medium in the filter body for removing undesired matter from blood cells.
- the assembly further comprises an inlet fluid path communicating with the inlet of the filter body and including means for attaching a first container holding a quantity of blood cells for conveying blood cells from the first container to the filtration medium for the removal of undesired matter.
- the assembly further comprises an outlet fluid path communicating with the outlet of the filter body for conveying blood cells from the filtration medium substantially free of undesired matter.
- the outlet fluid path includes a second container for receiving blood cells substantially free of undesired matter.
- the assembly further comprises a bypass path having opposite ends, one end being attached to the inlet fluid path between the first container and the inlet of the filter body and the opposite end being attached to the outlet fluid path between the second container and the outlet of the filter body for venting air without transferring liquid between the inlet fluid path and the outlet fluid path, bypassing the filtration medium in the filter body.
- FIG. 1 is a schematic view of a blood collection system that includes a blood processing assembly and a blood filtration assembly that embody the features of the invention
- FIG. 2 is a schematic view of the system shown in FIG. 1, with the blood filtration assembly attached to the blood processing assembly for the purpose of removing undesired matter from the blood cells;
- FIG. 3 is a schematic view of the system shown in FIG. 1, with the blood cells, now substantially free of undesired matter, being returned to the blood processing assembly;
- FIG. 4 is a schematic view of the system shown in FIG. 1, with the blood filtration assembly detached from the blood processing assembly after filtration is completed;
- FIG. 5 is an enlarged side sectional view of the sterile connection devices associated with the system shown in FIG. 1.
- a blood collection system 10 is shown in FIG. 1.
- the system 10 comprises a blood collection, processing and storage assembly 12 and a separation assembly 14.
- the separation assembly 14 serves to remove undesired matter from blood cells by filtration. For this reason, it will be referred to as a "filtration" assembly. It should be appreciated, however, that separation can occur by various centrifugal and noncentrifugal techniques, and not merely “filtration” in the technical sense. Separation can occur by absorption, columns, chemical, electrical, and electromagnetic means.
- the term “filtration assembly” is broadly used in this specification encompass all of these separation techniques as well.
- the filtration assembly 14 comprises an initially separate subassembly not joined to the blood processing assembly 12. This arrangement serves to reduce the regulatory requirements for the filtration assembly 14. It should be appreciated, however, that the filtration assembly 14 can be made as an integral part of the processing assembly 12.
- the blood collection and storage assembly 12 comprises a multiple blood bag system having a primary bag or container 16 and one or more integrally attached transfer bags or containers 18 and 20.
- the primary bag 16 (which is typically also called a donor bag) receives whole blood from a donor through integrally attached donor tubing 22 that carries an phlebotomy needle 24.
- a suitable anticoagulant A is contained in the primary bag 16.
- the primary bag 16 also serves as the storage container for the red blood cells processed in the assembly 12.
- a satellite bag 26 is attached to the primary bag 16 by integrally attached tubing 28.
- the satellite bag 26 contains a suitable storage solution S for the red blood cells.
- One such solution is disclosed in Grode et al U.S. Pat. No. 4,267,269.
- the transfer bags 18 and 20 are attached to the primary bag 16 by integrally attached transfer tubing 30 and 32.
- the transfer bags 18 and 20 are intended to receive the platelet and plasma blood components for processing.
- the first transfer bag 18 ultimately serves as the storage container for the platelet concentrate
- the second transfer bag 20 ultimately serves as the storage container for the platelet-poor plasma.
- All of the bags and tubing associated with the processing assembly 12 can be made from conventional approved medical grade plastic materials, such as polyvinyl chloride plasticized with di-2-ethylhexylphthalate (DEHP).
- the first transfer container 18, which is intended to store the platelet concentrate can be made of polyolefin material (as disclosed in Gajewski et al U.S. Pat. No. 4,140,162) or a polyvinyl chloride material plasticized with tri-2-ethylhexyl trimellitate (TEHTM).
- TEZTM tri-2-ethylhexyl trimellitate
- the blood collection and storage assembly 12 once sterilized, constitutes a sterile, "closed” system, as judged by the applicable standards in the United States.
- Whole blood is collected and then separated into its various therapeutic components within the assembly 12. These therapeutic components are typically red blood cells, plasma, and platelets.
- therapeutic components are typically red blood cells, plasma, and platelets.
- the collected whole blood is centrifugally separated within the primary bag 16 into red blood cells and platelet-rich plasma.
- the platelet-rich plasma is transferred by conventional techniques into the first transfer bag 30, leaving the red blood cells in the primary bag.
- the transfer bags 18 and 20 are detached in a sterile fashion using a conventional heat sealing device (for example, the Hematron® dielectric sealer sold by Baxter Healthcare Corporation), which forms a hermetic, snap-apart seal in the tubing 30 (this seal is schematically shown by an "x" in FIGS. 2 to 4).
- the red blood cell storage solution S is transferred into the primary container 16, and the satellite bag 26 is also disconnected using the snap-apart seal "x" (as shown in FIG. 2).
- the donor tubing 22 is sealed and disconnected in the same fashion (as also shown in FIG. 2).
- the platelet-rich plasma undergoes subsequent centrifugal separation within the first transfer bag 18 into platelet concentrate and platelet-poor plasma.
- the platelet-poor plasma is transferred into the second transfer bag 20, leaving the platelet concentrate in the first transfer bag 18.
- the transfer bags 18 and 20 are then separated by the snap-apart seals "x" in the tubing 32 (as shown in FIG. 2) for subsequent storage of the collected components.
- the filtration assembly 14 includes a temporary transfer container 34 and two associated fluid flow paths 36 and 38.
- the temporary transfer container 34, as well as the entire filtration assembly 14 itself, are preferably provided in a "dry" condition, free of any fluids, storage mediums, and the like (except for any entrapped air), thereby avoiding regulatory requirements governing fluid-containing systems.
- the first fluid path 36 includes an inline filtration device 40 for separating undesired matter from blood cells.
- the second fluid path 38 bypasses the filtration device 40.
- the transfer container 34 and fluid paths 36 and 38 are all made of low cost medical grade plastic materials, such as polyvinyl chloride plasticized with DEHP.
- the filtration assembly 14 can be used to remove all types of undesired materials from different types blood cells, depending upon its particular construction.
- the filtration assembly 14 is intended to remove white blood cells (and preferably also platelets) from the red blood cells prior to storage.
- the filtration device 40 includes a housing 42 containing a conventional filtration medium 44 suited for the removal of white blood cells and platelets from red blood cells.
- the filtration medium 44 can include cotton wool, cellulose acetate or another synthetic fiber like polyester.
- the filtration assembly 14 includes flow control means 46 associated with the first and second flow paths 36 and 38.
- the flow control means 46 is operable in a first mode for directing flow through the first flow path 36, and thus through filtration device 40 (as shown in FIG. 2).
- the flow control means 46 is also operable in a second mode for directing flow through the second flow path 38, thereby bypassing the filtration device 40 (as shown in FIG. 3).
- connection assembly 48 is associated with the initially separate blood collection and filtration assemblies 12 and 14.
- the connection assembly 48 permits selective attachment of the filtration assembly 14 to the blood collection assembly 12.
- red blood cells can be conveyed from the primary container 16 through the first flow path 36 and filtration device 40 into the temporary transfer container 34.
- the undesired white cells (and platelets) are removed by the filtration device 40 from the blood cells.
- the flow control means 46 is placed in its second mode, as shown in FIG. 3.
- the red blood cells now substantially free of undesired white cells (and platelets), are returned from the temporary transfer container 34 through the second flow path 38, bypassing the filtration device 40, and back into the primary container 16.
- the filtration assembly 14 is then detached from the blood collection assembly 12, as shown in FIG. 4.
- the filtration assembly 14 can be variously constructed.
- the first fluid path 36 takes the form of a length of flexible tubing 50 made of a medical grade plastic material like polyvinyl chloride.
- the tubing 50 includes first and second opposite end portions 52 and 54.
- the first end portion 52 is integrally connected to the transfer container 34.
- the filtration device 40 is located inline between the opposite end portion 54 and the transfer container 34.
- the second fluid path 38 also includes a length of flexible tubing 56 made of a medical grade plastic material like polyvinyl chloride.
- the tubing 56 also includes opposite end portions 58 and 60.
- One end portion 60 joins the first fluid path tubing 50 between its second opposite end portion 54 and the filtration device 40.
- the other end portion 58 joins the first fluid path tubing 50 between the filtration device 40 and the transfer container 34.
- the flow control means 46 includes a first flow control device 62 in the first flow path 36 between the filtration device 40 and the transfer container 34.
- the flow control means 46 also includes a second flow control device 64 in the second flow path 38 between the opposite tubing ends 58 and 60.
- the second flow control device 64 is preferably located adjacent the tubing end portion 60 that joins the first flow path tubing 50 between its second end portion 54 and the filtration device 40.
- the flow control devices 62 and 64 are conventional roller clamps that are manually operated to open and close the associated tubing path 50 and 56. In the first mode of operation, the first roller clamp 62 is opened, and the second roller clamp 64 is closed. In the second mode of operation, the opposite is true.
- the filtration assembly 14 once sterilized, comprises a sterile, "closed” system (like the processing and storage assembly 12), as judged by the applicable United States standards.
- the connection assembly 48 serves to attach and detach the collection and filtration assembly in a manner that preserves the sterile integrity of the closed systems 12 and 14.
- connection assembly 48 comprises two mating sterile connection devices (designated 66a and 66b).
- the devices 66a and 66b are described in Granzow et al U.S. Pat. Nos. 4,157,723 and 4,265,280, which are incorporated herein by reference.
- One device 66a is carried by tubing 68 attached to the primary bag 16.
- the other device 66b is carried at the tubing end 54 of the filtration assembly 14.
- the sterile connection devices 66a and 66b each generally includes a housing 70 having a normally closed, meltable wall 72 made of a radiant energy absorbing material.
- the housings 70 are joined together with mating bayonet-type couplers 74a and 74b, with the walls 72 placed in facing contact. When connected and exposed to radiant energy, the walls 72 melt at temperatures that result in the destruction of bacteria, while at the same time opening a fluid path between the connected housings 70.
- the devices 66a and 66b normally close the associated assemblies 12 and 14 from communication with the atmosphere and are opened in conjunction with an active sterilization step which serves to sterilize the regions adjacent to the interconnecting fluid path as the fluid path is being formed. These devices 66a and 66b also hermetically seal the interconnecting fluid path at the time it is formed. The use of these sterile connection devices 66a and 66b assures a probability of non-sterility that exceeds one in a million. The devices 66a and 66b thus serve to connect the two assemblies 12 and 14 without compromising the sterile integrity of either.
- connection assembly 48 can comprise the sterile connecting system disclosed in Spencer U.S. Pat. No. 4,412,835 (not shown). In this arrangement, this system forms a molten seal between the transfer tubing 30 of the primary bag 16 with the tubing end portion 54 of the filtration assembly 14. Once cooled, a sterile weld is formed.
- whole blood is collected in the donor bag 16 that forms a part of a blood collection assembly 12.
- the donor bag 16 is temporarily attached to the filtration assembly 14 using the associated sterile connection devices 66a and 66b.
- the first roller clamp 42 is opened, and the second roller clamp 64 is closed.
- the donor bag 16 is lifted above the temporary transfer bag 34, and the red blood cells are conveyed by gravity flow from the donor bag 16 through the first fluid path 36 and filtration device 40 and into the transfer bag 34.
- the undesired matter i.e., white blood cells and platelets
- the filtration device 40 removes the red blood cells from the red blood cells by the filtration device 40.
- the first roller clamp 62 When filtration is completed, the first roller clamp 62 is closed, and the second roller clamp 64 is opened. As shown in FIG. 3, the transfer bag 34 is lifted above the donor bag 12, and the red blood cells, now substantially free of the undesired matter, are returned by gravity flow from the temporary transfer bag 34 through the second fluid path 38, altogether bypassing the filtration device 40, and back into the donor bag 16.
- the filtration assembly 14 is then separated from the blood collection assembly 12. This is accomplished by forming snap-apart seals "x" in the tubing 68 of the primary bag 16 and in the tubing 50 of the filtration assembly 14 to remove the connected sterile connection devices 66a and 66b.
- the entire filtration process (including the attachment and detachment of the filtration assembly 14) can be accomplished in less than five minutes.
- the red blood cells, now substantially free of the undesired matter, can be stored in the primary bag 16 for transfusion. And, in the preferred embodiment, where the transfer is made using sterile connection techniques, the filtration has occurred without compromising the sterile integrity of the red blood cells or reducing its storage life.
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- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
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Abstract
Description
Claims (21)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/026,516 USRE35804E (en) | 1989-12-20 | 1993-03-04 | Systems and methods for removing undesired matter from blood cells |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US07/453,952 US4997577A (en) | 1989-12-20 | 1989-12-20 | Systems and methods for removing undesired matter from blood cells |
US08/026,516 USRE35804E (en) | 1989-12-20 | 1993-03-04 | Systems and methods for removing undesired matter from blood cells |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US07/453,952 Reissue US4997577A (en) | 1989-12-20 | 1989-12-20 | Systems and methods for removing undesired matter from blood cells |
Publications (1)
Publication Number | Publication Date |
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USRE35804E true USRE35804E (en) | 1998-05-26 |
Family
ID=23802703
Family Applications (2)
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US07/453,952 Ceased US4997577A (en) | 1989-12-20 | 1989-12-20 | Systems and methods for removing undesired matter from blood cells |
US08/026,516 Expired - Lifetime USRE35804E (en) | 1989-12-20 | 1993-03-04 | Systems and methods for removing undesired matter from blood cells |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
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US07/453,952 Ceased US4997577A (en) | 1989-12-20 | 1989-12-20 | Systems and methods for removing undesired matter from blood cells |
Country Status (6)
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US (2) | US4997577A (en) |
EP (1) | EP0458944B1 (en) |
JP (1) | JP2952433B2 (en) |
CA (1) | CA2045587C (en) |
DE (1) | DE69027306T2 (en) |
WO (1) | WO1991008820A1 (en) |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
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US20010055990A1 (en) * | 1994-10-12 | 2001-12-27 | Acres Gaming Incorporated | Method and apparatus for controlling the cost of playing an electronic gaming device |
US6358420B2 (en) | 1998-06-01 | 2002-03-19 | Baxter International Inc. | Blood collection method employing an air venting blood sample tube |
US20030104349A1 (en) * | 2001-12-05 | 2003-06-05 | Baxter International Inc. | Manual processing systems and methods for providing blood components conditioned for pathogen inactivation |
US20030144607A1 (en) * | 1999-07-29 | 2003-07-31 | Jean-Marie Mathias | Method and apparatus for collecting blood samples prior to a blood collection procedure |
US20030146162A1 (en) * | 1999-06-03 | 2003-08-07 | Metzel Peyton S. | Fluid processing sets and organizers for the same |
US20030176813A1 (en) * | 1999-07-29 | 2003-09-18 | Jean-Marie Mathias | Biological fluid sampling apparatus |
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Also Published As
Publication number | Publication date |
---|---|
JP2952433B2 (en) | 1999-09-27 |
CA2045587C (en) | 2000-11-14 |
US4997577A (en) | 1991-03-05 |
EP0458944A4 (en) | 1992-06-03 |
WO1991008820A1 (en) | 1991-06-27 |
CA2045587A1 (en) | 1991-06-21 |
EP0458944A1 (en) | 1991-12-04 |
DE69027306T2 (en) | 1997-02-06 |
EP0458944B1 (en) | 1996-06-05 |
DE69027306D1 (en) | 1996-07-11 |
JPH04504532A (en) | 1992-08-13 |
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Owner name: MORGAN STANLEY & CO. INCORPORATED,NEW YORK Free format text: SECOND-LIEN INTELLECTUAL PROPERTY SECURITY AGREEMENT;ASSIGNORS:FENWAL, INC.;FENWAL HOLDINGS, INC.;REEL/FRAME:019297/0168 Effective date: 20070228 Owner name: MORGAN STANLEY & CO. INCORPORATED, NEW YORK Free format text: SECOND-LIEN INTELLECTUAL PROPERTY SECURITY AGREEMENT;ASSIGNORS:FENWAL, INC.;FENWAL HOLDINGS, INC.;REEL/FRAME:019297/0168 Effective date: 20070228 |