exosmart
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THE EXOSMART™ SYSTEM

PRP and PPP.
One concentrated
preparation.

The patient’s own PRP and PPP, processed together through hollow-fibre ultrafiltration.

exosmart adds a concentration step after centrifugation. Water and permeable solutes leave through the membrane; retained platelet and plasma components remain together in a smaller volume.

Inside the system
The exosmart hollow-fibre ultrafiltration device
EXOSMART™ · SINGLE-USE ULTRAFILTRATION DEVICE
PRP + PPPBoth plasma fractions
~30 → ~6 mLNominal input and output
3–5 minConcentration step

01 / THE STARTING MATERIAL

What PRP and PPP
bring to the preparation.

Conceptual blood tube with separated plasma and blood-cell layers
Plasma separation

PRP supplies platelets and their associated signals. The surrounding plasma carries vesicles, soluble mediators and proteins involved in transport, regulation and matrix formation.

PRP

Platelet-rich plasma

Supplies platelets and their stored and membrane-associated mediators.

PPP

Platelet-poor plasma

Contributes circulating signals, carrier and regulatory proteins, and matrix-forming proteins.

We collect both fractions before concentration. Each preparation reflects the patient’s plasma and the centrifugation method used.

02 / FROM BLOOD TO CONCENTRATE

From the blood draw
to the final preparation.

01 / COLLECT & SEPARATE

Prepare the plasma

≈60 mLblood/≈30 mLPRP + PPP

Collect the patient’s blood and separate the plasma using the selected preparation system. Both PRP and PPP are carried forward.

Tubes illustrate one preparation method.
02 / CONCENTRATE

Concentrate with exosmart

3–5minutes

Plasma moves along the hollow fibres. Water and permeable small solutes cross the membrane while retained components concentrate.

Time for the concentration step.
03 / FINAL PREPARATION

Collect the preparation

≈6 mLconcentrated preparation

The retained preparation is collected in a syringe, ready for the next stage of the clinical workflow.

Final volume depends on the protocol.

Typical preparation volumes are shown. The concentration step takes approximately 3–5 minutes after blood collection and centrifugation. Haematocrit and the preparation protocol influence the volumes and timing. Follow the current manufacturer’s Instructions for Use for device operation.

03 / INSIDE THE DEVICE

Plasma flows along the fibres.
Fluid passes through the wall.

The syringes move plasma back and forth along the hollow fibres. This movement along the membrane surface is called tangential flow.

Device overview above an enlarged hollow fibre containing plasma components
Device overview and enlarged hollow fibre

Inside the fibresPlasma moves back and forth along the membrane.

Across the membraneWater and permeable small solutes pass into the collection compartment.

In the preparationRetained components concentrate as fluid volume falls.

870Hollow fibres
15 kDaNominal membrane cut-off
0.075 m²Membrane area
PolysulfoneHollow-fibre membrane
RETAINED PREPARATION

What remains inside

Platelets, vesicles and retained plasma proteins concentrate in the remaining fluid. Retention also depends on molecular form and binding to carrier proteins.

PERMEATE

What crosses the membrane

Water and permeable small solutes leave into the collection bag. The nominal cut-off characterises membrane permeability; molecular form also influences passage.

30 ÷ 6 = 5

The final volume is approximately one fifth of the starting plasma volume. Laboratory testing measures the concentration and recovery of individual components.

04 / THE BIOLOGY WE KEEP TOGETHER

Five biological layers.
One plasma preparation.

The Complete Autologous Plasma Secretome brings together vesicles, platelets, soluble signals, carrier and regulatory proteins, and matrix-forming proteins. Select each layer to see how it contributes to the biological environment.

Membranes, surfaces and cargo
01 / VESICLES

Membranes, surfaces and cargo

Extracellular vesicles carry proteins, lipids and RNA. Their surface and surrounding proteins also influence interactions with recipient cells.

exosmart concentrates vesicles together with platelets and the surrounding plasma components.

These components interact within the same plasma preparation. The Science page connects their biological roles with laboratory findings and clinical observations.

05 / LABORATORY CHARACTERISATION

Laboratory analysis
of the final preparation.

Particle tracking, microscopy, marker testing and growth-factor assays describe the preparation from complementary perspectives: size, structure and molecular composition.

Science & evidence
PARTICLE SIZE & CONCENTRATION · NTA

Four preparations.
Four size distributions.

Nanoparticle tracking analysis measures light-scattering particles. The laboratory reported 5–30 × 10¹² particles/mL across four finished preparations, with median diameters of 127–178 nm.

NTA counts light-scattering particles across the sample, including vesicles and other plasma particles such as lipoproteins.

Original NTA size-distribution curve for sample 1
Sample 1 · Full-size graph
Original NTA size-distribution curve for sample 2
Sample 2 · Full-size graph
Original NTA size-distribution curve for sample C
Sample C · Full-size graph
Original NTA size-distribution curve for sample F
Sample F · Full-size graph

Source: StemExoOne, four finished preparations; original curves reproduced from Scientific Foundation, slide 32. Each graph retains its original vertical scale. Headline concentrations are laboratory-reported totals.

Original Western blot panels labelled CD9, CD81 and CD63
Original Western blot panels · StemExoOne · Scientific Foundation, slide 33.
EV-ASSOCIATED MARKERS

CD9. CD63. CD81.

Western blot and flow cytometry identified the EV-associated markers CD9, CD63 and CD81 in the analysed preparations.

Read alongside microscopy and particle tracking, these findings add molecular detail to the characterisation of the preparation.

GROWTH FACTORS · MULTIPLEX IMMUNOASSAY

Measured in the
final preparation.

Three donor sets were assessed by a third-party laboratory using Luminex xMAP / Bio-Plex 200. The ranges show variation between donors.

Final output concentrations · pg/mL
Growth factorObserved range
PDGF-AA3,303–6,153
PDGF-AB/BB1,428–3,936
VEGF66.8–157.5
TGF-β123,331–40,665*
EGF164–413

Source: Woongbee Testing Center, report 2025-027-L; three donors, triplicate wells. *The highest TGF-β1 value was extrapolated above the assay standard curve and is an estimate.

06 / PREPARATION IN PRACTICE

Watch the preparation.

Follow the original exosmart preparation film, from the assembled circuit to collection of the concentrate.

07 / DOCUMENTATION & TRAINING

Bring the system
into your practice.

Ask our team for the current device documentation, analytical reports and clinical training for your specialty.

exosmart is a sterile, single-use hollow-fibre ultrafiltration device manufactured by Medica S.p.A.