PRP (Platelet-Rich-Plasma) Therapyadvancedbio-med.com/doc/ProPRP.pdf · Title: Microsoft PowerPoint...
Transcript of PRP (Platelet-Rich-Plasma) Therapyadvancedbio-med.com/doc/ProPRP.pdf · Title: Microsoft PowerPoint...
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PRP (Platelet-Rich-Plasma) TherapyA presentation
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• BS PRP System• No need to use needles for
extracting PRP.• Minimize exposure to
air contamination• State-of-the-art extraction skills
based on patents• PRP (Platelet-Rich-Plasma)
Therapy
Patents
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Patents
The Characteristics of BS PRP System
• A) State-of-the-art skills based on patients.
• B) Minimized exposure to air contamination.• No need to use needles to extract PRP• Need only 20cc blood to extract PRP• Time saving with simple extraction process• Very easy process available to all medical staff• The movement of Buffy-coat which is floating inside
plasma can be observed with the naked eyes
It is amazing!
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TIGER WOODS & PRP‘He claims that the treatmentswere successful and he Feels strong’
The New York Times – Feb 16 2009A promising treatment for Athletes, in BloodGroundbreaking platelet-rich plasma therapyprovides highly innovative treatments for athletes.Hines Ward of the Pittsburgh Steelers is among thefirst recipients of Plasma Therapy to treat a sprainedmedial collateral ligament in his right knee.
Examples of PRP prolotherapy
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PRP (Platelet Rich Plasma) Therapy
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What is PRP?Platelet is one of blood elements. It usually moves alongthe blood stream as inactivated form. If it is activated byWounds or damages of tissues, it does perform itsoriginal functions of bloodclotting and wound healing. PRP therapy is to maximize the main functions of platelets.
PRP (Platelet Rich Plasma) Therapy
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STEP 1Blood Sampling
After drawing blood,shake syringe well inorder to Mix PRP And Anticoagulant
PRP (Platelet Rich Plasma) Therapy step-by-step
STEP 2The value forCentrifugation
1000 RCF (about2500 rpm) 9 minutes.(use only a soft spin)The spin value mayBe different accordingto the ages or sex.
STEP 3The figure after Centrifugation
Red blood cells, buffyCoat, plasma frombottom to top.
STEP 4Extraction of PRP
There is no need to useNeedles. PRP Kit.Use only <syringe tosyringe movements>
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Applications for PRP
• There are a lot of reports about the efficacy of PRP, and the effects of PRP have been proved already through many scientific studies
• PRP is a fundamental and excellent treatment method for chronic diseases which are not cured easily, and is a noninvasive method which needs no surgical interventions.
After6 days
After6 months
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Applications for PRP
1. Aesthetic purpose, bald treatment, pain control
2. Degenerative arthritis3. Osteomalacia4. Cartilage injuries5. Ligament injuries6. Frozen shoulder7. Chronic elbow tendinosis (tennis
elbow, golf elbow)
8. Ligament-injuries according to various Sports (sport medicine)
9. Ligament injuries or cartilage damage of ankles
10. Achilles tendinitis11. Plantar fasciitis12. Pain control after operation13. When fast recovery is required
after operation
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Applications for PRP
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The movement of Buffy-coat I
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The movement of Buffy-coat II
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The movement of Buffy-coat II
• Extraction of PRP with Buffy-coat
• PRP extraction process
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The movement of Buffy-coat II
• Separated PPP, PRP
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The movement of Buffy-coat II
• Separated PPP, PRP
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The movement of Buffy-coat II
Immediately aftercentrifugation
After time passed
Platelet
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The movement of Buffy-coat II
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The movement of Buffy-coat II
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The movement of Buffy-coat II
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BS PRP System is a kind of ‘SUPER PRP Kits’
BS PRP SystemFor effective PRP treatment, platelets should be keptIn their original conditions (they should not be activatedEarly stages, but collected in unimpaired conditions).
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Showed picture in microscope (Original)
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Platelet Count Test Record
Examined in the laboratory of Cell & Tech Corp.BS PRP System
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Hematopoietic Stem Cell Pathway
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Hemostasis process
At first step, thrombin converts fibrinogen to fibrin
Finally they form a clot
with platelets and leukocytes
Then, Fibrins form 3 dimensional structure when fibrins get together ( thereby they form fibrin mesh )
Fibrin thread
Let’s see about normal hemostatic process.
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Sequencing physiologic changes after introducing PRP in our body
1. Fibrins form 3-dimentional structure
2. Various growth factors are secreted from platelets and
leukocytes 3. GFs cause migration of stem cells
5. Stem cell differentiation 4. Stem cell proliferation
These pictures are showing the sequencing physiologic changes after introducing PRP into our skin.
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Sequencing physiologic changes after introducing PRP in our body
Injection of activated platelets in the skin.
Growth factors emitted fromPlatelets draw stem cells.
Stem cells create elasticFiber cells like collagen
and elastin.
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PRP 20 %
PRP 0 , 2%FBS
PRP 2 %
PRP 0 %
Fibroblast under various conditions for 4 days (in vitro)
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Platelet• Size:2–4 micometer• Consist:
£Seudopodial extensions£Vaginations£Types of internal vesicles
• 3 types of internal vesicles®Aysosomal vesicle®Dense vesicle®Alpha vesicle
What is PRP?
Stable state
Activated state
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Activation–1
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Definition:Activation means to change stable (inactivated)platelets to activated platelets, thus variousgrowth factors are easily released from inside of platelets.
Activation–1
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This picture is showing the difference between stable platelet and activated platelet. There are several growth factors inside alpha-vesicle.When platelets are activated, alpha vesicle pours out a lot of growth factors immediately.
Activation–1 Stable platelet & activated platelet
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This picture is showing that activated platelets are only possible to release several growth factors.
Effectiveness
Activated Platelets release Growth FactorsInto the surrounding tissue.
Measuring available platelets may be a measure of available protein load in The wound site.
Growth FactorProtein
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Role of growth factors
Several GFs are involved in several inflammation and wound healing process
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What happens as we get older?
When we are young, there are thick healthy dermis, in which a lot ofCollagens and elastins reside, but as years go by, our dermis loses its
Healthy dermis, thus there remains little collagens and elastins.
24 years old 48 years old
Elastica von Giesson staining
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Activation–2
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PAP-A : Safe Activation
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Safe Activation of Platelets
PRP - A RESULT
= More effective than higher cost Thrombin
= Calcium Chloride / Chemicals promotes Side Effects / Allergies
Invented in South Korea and possesses International patent
Simple device (1 kit )
Based on statistics and studies, PRP-A promotes the quickest wound Healing results
PAP-A : Safe Activation
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PAP-A : Safe Activation
Activation Factor Chemical agonist Physical stress
Type
Calcium Chloride, Thrombin, ADP, Collagen, Peptide , etc.
- Shear stress
-Capillary stress
Advantages Can activate platelets by simply adding agonist- Safety
- Overcame adverse effects of chemical substances
Drawbacks- Possible thrombus formation due to strong blood
clotting stimulation- Impossible clinical apply except Calcium Chloride
No commercialized product in the market
→ World’s first
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PAP-A : Safe Activation
PhysicallyActivated
PRP using PRP - A
ChemicallyActivated
PRP• Promotes high possibility of allergic
reactions
• Promotes high possibility of side effects
• Chemically altered procedure (non-autologous procedure)
• Higher count of Growth Factors (EGF, VEGF, FGF-2, PDGF etc.)
• Full “100% autologous PRP” procedure
• Safe and easy procedure with a small device using capillary stress to enhance growth factors in platelets
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PAP-A : Clinical Data
Natural Healing
PRP
A-PRP
In-vivo Validation Evaluation (Wound Healing Model)
Wound Healing Assay
WB PRP PRP + THR PRP + C S
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PAP-A : EGF
Epidermal Growth Factor
PRP‐A
Epidermal Growth Factor, or EGF, is a growth factor that stimulates cell growth, proliferation, and differentiation.
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PAP-A : PDGF
Preliminary Experiment: PDGFPlatelet Derived Growth Factor, or PDGF, is a growth factor that plays a role in embryonic development, cell proliferation, cellmigration and has been implicated in tissue remodeling and cellular differentiation.
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PAP-A : VEGF
Vascular Endothelial Growth Factor: VEGFVascular Endothelial Growth Factor, or VEGF, is a growth factor that plays a part in restoring the oxygen supply to tissues when bloodcirculation is inadequate.
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PRP Applications
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Ageing process
As we get older year by year, our skin nature also gets some changes.In early 20s, there are no wrinkles, but as we get older, there appears some
Changes in our skin, such as many wrinkles, dark circles etc
This picture is showing the changes of skin with age (20s–60s)
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PRP used to treat impaired skin
A B
A
B After 20 days of PRP treatment
After 30 days of common treatment
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Surgery for the chin and face
Autologous bone from Iliac crest
Bio membrane
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Other Surgery
Bio membrane
Figure 4: Patient nr 2 (Table 2). A neuroischemic diabetic heel ulcer prior to treatment with platelet gel.
Figure 5: Day 27: the wound size is reduced by 40%
Figure 6: Day 155: The wound has healed after two applications of platelet gel, off-loading and good local wound care.
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Other Surgery
Bio membrane
(After 6 days)
(After 6 months)
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Chronic ulcer treatment
Bio membrane
A: 83/F (3 months in the hospital)Before PRP treatment in the hospital
B: After seven PRP treatments for 160 days (Discharged from hospital after first PRP treatment.
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PRP aesthetic applications
Bio membrane
Wrinkle Melasma Freckles Loosened skin
PRP can be used for treatment of wrinkles, melasma, freckles and loosened skin.
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PRP aesthetic applications
Bio membrane
Before surgical procedure
After surgical procedure
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PRP aesthetic applications
Bio membrane
Acne, Whitening
before after
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PRP aesthetic applications
Bio membraneAcne, Whitening
before after
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PRP aesthetic applications
Bio membraneAcne, Whitening
before after
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PRP aesthetic applications
Bio membraneAcne, Whitening
before after
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PRP aesthetic applications
Bio membraneAcne
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PRP aesthetic applications
Bio membraneAfter PRP treatments (4 times)
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Pain Treatment
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PRP Prolotherapy (Comprisal table)
Bio membraneImpaired ligaments and muscle
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Clinical application Orthopedic, sports medicine
Bio membrane
• Tendinosis• Acute and chronic muscle strain• Ligamentous sprain• Joint capsular laxity• Arthritis• Articular cartilage defects• Meniscal injury• Chronic synovitis
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Clinical application Orthopedic, sports medicine
Bio membrane
Figure 1. Platelet-rich plasma injection technique
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Clinical application Orthopedic, sports medicine
Bio membrane
2. Should be injected in the correct partA. Surgical operation under ultrasonic wavesB. Surgical operation, seeing C arm
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Clinical application Orthopedic, sports medicine
Bio membrane
Correct injection on theimpaired part under Ultrasonic waves
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Clinical application Orthopedic, sports medicine
Bio membrane
Figure 6.Musculoskeletalultrasound, commonextensor tendinosis
Figure 7.Ultrasound guidedsuprapatella bursainjection/graft
Figure 8.Ultrasound guided kneeMCL injection/graft
Correct injection on the impaired part under Ultrasonic waves
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Clinical application Orthopedic, sports medicine
Bio membraneC-Arm
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Regeneration of damaged ligaments
Bio membrane
Before After
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Regeneration of damaged ligaments
Bio membrane
The World Anti-Doping Agency (WADA)
In 2010, WADA permitted for the athletes to usePRP Prolotherapy for tissue regeneration.
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Celebrity/Media endorsements
Bio membrane
Hines Ward: American Football
Date of Birth: 8 March 1976
Height: 183cm Weight: 98Kg
Eldrick Tiger Woods: Golf
Date of Birth: 30 December 1975
Height: 185cm Weight: 84Kg
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Celebrity/Media endorsements
Bio membrane
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Comparison of Magellan and yes PRP
Bio membrane
BS PRPAextraction ways electronic manualStart up costs (USD 18,000) (USD 900)Disposal kit price: (USD 150-450) (USD 30-40)Extraction order: RBCPRPPPP PPPPRPRBCWays: by using density difference by using density difference
Extraction time: fifteen minutes eight minutesExtracted platelet number: max 2-2.5 million/ul max 2-2.5 million/ulRBC inclusion volume: many modification possibleContaminaton possibility: Less LessCentrifugation No: one time one time
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Comparison of Magellan and yes PRP
Bio membrane
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Comparison of Magellan and yes PRP
Bio membrane
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Thank You
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