# US 5,344,393 A · Use of synthetic oxygen carriers to facilitate oxygen delivery

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- Number: US 5,344,393 A
- Document ID: US5344393A
- Status: Granted
- Kind: A
- Application number: 07/843,518
- Filed: 1992-02-28
- Granted: 1994-09-06
- Earliest claimed: 1992-02-28
- Assignees: Alliance Pharmaceutical Corp.
- Inventors: Duane J. Roth; Peter E. Keipert; Nicholas S. Faithfull; Thomas F. Zuck; Jean G. Riess
- Web page: https://patentgrep.com/patent/US5344393A

## CPC

- A61K 31/02: Halogenated hydrocarbons
- A61K 38/42: Haemoglobins; Myoglobins
- A61M 1/02: Blood transfusion apparatus (blood infusion by syringes A61M5/14)
- A61P 7/08: Plasma substitutes; Perfusion solutions; Dialytics or haemodialytics; Drugs for electrolytic or acid-base disorders, e.g. hypovolemic shock (artificial tears A61P27/04)
- A61M 2202/0476: Oxygenated solutions
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

A method for facilitating autologous blood use by a patient facing a loss of blood, comprising the steps of removing and preferably storing a portion of the patient's blood, intravenously administering a biocompatible liquid in sufficient quantity to substantially maintain the patient's hemodynamic stability, wherein the liquid comprises an effective oxygen-delivery enhancing amount of a biocompatible synthetic oxygen carrier, after which the patient undergoes a loss of blood, and then readministering blood to the patient, preferably the stored blood. In one embodiment, the biocompatible liquid further comprises a hemodiluent and the hemodiluent is administered separately from the oxygen carrier.

## Claims

### Claim 1

A method for facilitating autologous blood use by a patient facing a loss of blood, comprising the steps of:
removing and storing a portion of the patient's blood;
intravenously administering a biocompatible liquid in sufficient quantity to maintain the patient's blood volume, wherein said liquid comprises an effective oxygen-delivery enhancing amount of a synthetic biocompatible oxygen carrier;
having said patient undergo a loss of blood subsequent to the administration of the biocompatible liquid;
administering breathing gas enriched with a concentrated of 50%-100% oxygen to said patient during said loss of blood; and
readministering said stored blood to said patient.

### Claim 2 (depends on 1)

The method of claim 1, wherein the biocompatible liquid further comprises a hemodiluent and wherein said hemodiluent is administered separately from said oxygen carrier.

### Claim 3 (depends on 1)

The method of claim 1, wherein the oxygen carrier is derived from human, animal, plant, or recombinant hemoglobin.

### Claim 4 (depends on 1)

The method of claim 1, wherein the oxygen carrier is a fluorocarbon emulsion.

### Claim 5 (depends on 2)

The method of claim 2, wherein the said oxygen carrier is a fluorocarbon emulsion and the volume of said administered oxygen carrier is less than 50% of the volume of said hemodiluent.

### Claim 6 (depends on 4)

The method of claim 4, wherein said fluorocarbon emulsion has a concentration of at least 40%, w/v.

### Claim 7 (depends on 6)

The method of claim 6, wherein the concentration of said fluorocarbon emulsion is at least 60%, w/v.

### Claim 8 (depends on 1)

The method of claim 1, wherein said hemodiluent is a crystalloid, a colloid, or a combination thereof.

### Claim 9 (depends on 1)

The method of claim 1, wherein said blood loss is associated with surgery.

### Claim 10 (depends on 1)

The method of claim 1, wherein said blood loss is associated with trauma.

### Claim 11 (depends on 1)

The method of claim 1, wherein the amount of oxygen carrier administered is between about 0.5 and 10 g/kg, based on the body weight of the patient.

### Claim 12 (depends on 1)

The method of claim 1, wherein said biocompatible liquid includes a hemodiluent.

### Claim 13 (depends on 1)

The method of claim 1, wherein said quantity of biocompatible liquid is from about 75% to about 300% of the volume of blood removed in said removing step.

### Claim 14 (depends on 9)

The method of claim 9, further comprising the step of administering an additional amount of a biocompatible synthetic oxygen carrier to said patient during said surgery.

### Claim 15

A method for facilitating autologous blood use by a patient facing a loss of blood during surgery, comprising the steps of:
removing and storing a portion of the patient's blood;
intravenously administering a hemodiluent to said patient in conjunction with the removing step in a volume at least
as great as the volume of blood removed, thereby increasing the cardiac output of the patient;
thereafter initiating a surgical procedure on said patient, said surgical procedure involving a loss of blood;
administering an effective oxygen-delivery enhancing amount of a biocompatible synthetic oxygen carrier to said patient during said surgical procedure; and
administering a breathing gas to said patient during said surgical procedure, said breathing gas being enriched with a concentration of 50%-100% oxygen.

### Claim 16 (depends on 15)

The method of claim 15, wherein said synthetic oxygen carrier is a fluorocarbon emulsion and the administered volume of fluorocarbon is less than 50% of the volume of said hemodiluent.

### Claim 17 (depends on 15)

The method of claim 15, further comprising the step of readministering said stored blood to said patient.
