BMT Lab Group

Processing

Welcome Everyone,

The purpose of this area will be to provide information regarding hematopoietic cell processing. As with all areas within the BMT lab forum, contributions are not based on literature format, but rather on information content. It is th sharing of information/commmunication that is important to the group, with all contributions considered relevant.

The first contribution to this forum will be on the topic of cryopreservation and also to list possible topics for future discussion.

Posted Documents:
LABELS USED IN HEMATOPOIETIC PROGENITOR CELL COLLECTION AND PROCESSING
HEMATOPOIETIC CELL PROCESSING - CRYOPRESERVATION
 

 

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Labels

When preparing for accreditation, an important area of concern is the type and content of labels used in hematopoietic progenitor cell collection and processing. There is currently no commercially available label that meets FACT/AABB standards and many different forms of labels are used across Canada. The Canadian Blood Services/Ottawa Centre laboratory has developed labels using FACT guidelines that meet such standards as;

  • Unique identifier (tracing component from collection to infusion)
  • Proper name of component
  • Date and time of collection
  • Volume of component
  • Volume of additives
  • Identity of collection and processing facility
  • Expiration date
  • Storage conditions
  • Autologous/Allogeneic

The labeling system consists of a base label with an attached supplementary label used for additional specific processing methods. The reason this method was chosen is because of the many different possible combination of processing methods currently used in the laboratory and also to accommodate future processing technology. Also, the labeling system should be clearly defined in a Standard Operating Procedure (SOP) with examples of completed labels.

Examples:

Base Label

  • Bone Marrow - Autologous
  • Bone Marrow - Allogeneic
  • Peripheral Blood Progenitor Cell - Autologous
  • Peripheral Blood Progenitor Cell - Allogeneic

Supplementary Labels (some examples)

  • Cryopreserved
  • CD34 Enriched
  • CD34 Enriched - Cryopreserved
  • T-cell Depleted

Our labels are produced using Microsoft word (other facilities have produced labels using other software) and printed on Avery full sheet labels 81/2 X 11 (Cat#05165) for the base labels and Avery Addressing Labels 4 X 11/3 (Cat#05162) for the supplementary label. These labels can be printed or photocopied.

To label component;

  1. supplementary label is affixed to the base label
  2. base label cut/folded and affixed to a tie tag
  3. tie tag is attached to component bag using transfer tubing (heat seal loop to join tie tag and component bag)

Base Label

PROCESSING FACILITY RECEIVING FACILITY
Processing Facility Name and Address Receiving Facility Name and Address
Component Identifier:  
 
Donor Name:                                                                        Donor Identifier:                                   
Donor ABO/Rh:                                     
HUMAN PERIPHERAL BLOOD PROGENITOR CELLS
 
Warning. This Product May Transmit Infectious Agents Transmissible Disease Testing Completed and Negative
Properly Identify Intended Recipient and Component or Unit
Affix Biohazard Label if applicable
DO NOT IRRADIATE
Expiration:                                        /                                        
                              (Date)                             (Time)
 
FOR AUTOLOGOUS USE ONLY  
COLLECTION FACILITY
Collection facility Name and Address
Collection Date/Time:                      /                      
                                        (Date)             (Time)

Label CPL010L3, Version 2.0, Effective Date: 09 April 2001

Supplementary Label

Component Identifier:

CD34 ENRICHED-CRYOPRESERVED
Bag             of            
Processing Date:                                
Contains             x106 cells in             mL 5% DMSO, "List additives"
Storage Temperature:<-120OC
Label CPL010L11, Version 1.0, Effective Date: 09 April 2001

Notes:

  1. With the Nexell Cryocyte bag containing a label pocket, we also use a cloth label containing minimal information (unique identifier, donor name, component type, processing date).
  2. This labeling system allows viewing/inspection of the component.

I would be interested in hearing about other facilities labeling systems and the possibility of developing a "Canadian Label" or "BMTlab Group" label to be commercially manufactured for Canadian collection and processing facilities.

 


 

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HEMATOPOIETIC CELL PROCESSING - CRYOPRESERVATION

Canadian Blood Services / Ottawa Centre Experience

Controlled Rate Cryopreservation - 1985 - 1996

Standard controlled rate freezing with transfer to liquid nitrogen storage.
"Dump Method" Cryopreservation - 1996 - Present
Briefly, cryopreservation solution is added to component then transferred directly to liquid nitrogen vapour.
Cooling Rate: approximately 3 degrees C/minute
Storage Temperature: < -120 degrees Celcius

REFERENCES

  1. Galmes A., Besalduch J., Bargay J., et al. Cryopreservation of Hematopoietic Progenitor Cells with 5 Percent Dimethyl Sulfoxide at -80OC Without Rate- controlled Freezing. Transfusion 1996; 36:794-97.
  2. Stiff, P.J., Koester, A.R., Weidner, M.K., et al. Autologous Bone MarrowTransplantation Using Unfractionated Cells Cryopreserved in Demethylsulfoxideand Hydroxyethyl Starch Without Controlled-Rate Freezing. Blood 1987;70:4:974-78.
  3. O'Kane-Murphy, B., Jackson, J.D., Dicke, K.A. Analysis of VariationsIn Cryomedium and Methods of Freezing on Human Bone Marrow Stem Cells.In:Advances in Bone Marrow Purging and Processing. Wiley-Liss, 1992; 361-66.
  4. Rowley, S.D., Bensinger, W.I., Gooley, T.A. et al. Effect of CellConcentration on Bone Marrow and Peripheral Blood Stem CellCryopreservation. Blood 1994;83:9:2731-36.

Cryopreservation Solution

Pentaspan/HSA/Hank's BSS/DMSO
(5% final DMSO concentration)
Storage Bags
Baxter (label pocket)
Storage
Liquid Nitrogen tank and Ultra Low mechanical freezer
Transport - liquid nitrogen dry shipper
Labels
Liquid nitrogen cloth label (label pocket) and tie tag label.

 

Additional Notes:

  1. Cryopreservation Validtion - cryopreservation methode must be validated before implemented, usually consisting of pre and post data (CD34+, nucleated cell counts, viability, current literature).
  2. Future procedure - controlled rate additional of cryoprotectant (DMSO). (D. Yang - CBS/Edmonton)


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