CN1160994A - Vibrator appliance particularly useful for dialysis - Google Patents
Vibrator appliance particularly useful for dialysis Download PDFInfo
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- CN1160994A CN1160994A CN 96190812 CN96190812A CN1160994A CN 1160994 A CN1160994 A CN 1160994A CN 96190812 CN96190812 CN 96190812 CN 96190812 A CN96190812 A CN 96190812A CN 1160994 A CN1160994 A CN 1160994A
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Abstract
An appliance to enhance the rate of removal of solutes during a peritoneal dialysis treatment of a subject, includes a holder to be applied to the subject, and a vibrator device, preferably two such devices, carried by the holder at a location to engage the front side of the subject's abdomen and to apply mechanical vibrations thereto at a frequency of 1-15 Hz, and an amplitude of 1-20 mm, particularly sur-prising results having been obtained at a frequency of 2-6 Hz, and an amplitude of 5-10 mm.
Description
Technical field and background of invention
The present invention relates to vibrator assembly, particularly help peritoneal dialysis (PD) treatment vibrator assembly.This invention also relates to dialysis process, and is particularly related to the dialysis process that utilizes novel vibrator assembly.
Peritoneal dialysis (PD) is a kind of therapeutic treatment of implementing when renal function is not enough.When carrying out peritoneal dialysis (PD), an aseptic plastic conduit is inserted in curee's the abdominal cavity, injects dialysis solution, make solute from the blood of barrier film capillary bed, pass peritoneum and be transferred in the dialysis solution with the flushing peritoneum.This treatment is unlike in and has required machine in the hemodialysis like that, but gets rid of the time that certain claim is much longer in order to obtain with the comparable solute of intermittent hemodialysis.Usually, such treatment is according to carrying out in the mode of go the rounds of CAPD (peritoneal dialysis of go the rounds continuously) treatment.
CAPD generally divided four 6 hour periods to carry out during per 24 hours.In each period, dialysis solution is injected in curee's the abdominal cavity, and makes it to stop therein 6 hours, and after this, this dialysis solution is discharged from, and injects new dialysis solution.The routine matter that this big relatively time hop count has disturbed curee's every day widely.This has also increased the risk that infects.
Carried out research to improve the efficient that adopts PD (peritoneal dialysis) to get rid of refuse to using mechanical vibration; See Jie Ludaoyi (J.Rudoy) etc., Nephron 46: 364-366 (1987); Theodore Levitt (Levitt) etc., the kidney world (Kidney International), the 35th volume, 1145-1150 page or leaf (1989); With Utsunomia-T etc., Nippon-Jinzo-Gakkai-Shi, January nineteen ninety-five, 37 (1): 24-28.People's such as Lu Daoyi works (1987) described by patient hold one with the perpendicular vibrator of patients abdomen, the mechanical vibration that it is 24Hz that the person that makes the human body therapy is subjected to a frequency, thus this human body therapy person's peritoneum shifts and is improved; The works (1989) that Lay is kept etc. has been described and has been adopted the shake mouse, thus the research that the peritoneum transfer rate of mouse is exerted an influence; Japanese's works (1995) has described then that the mouse stomach wall is carried out frequency is 80Hz when vibration, the research of mouse peritoneum transfer rate.
Goal of the invention and simplified summary
The objective of the invention is to propose a kind of in peritoneal dialysis useful especially vibrator assembly, improving one's methods of a kind of peritoneal dialysis also proposed.Apparatus and method of the present invention are particularly useful to CAPD, but also can be used for other PD treatment, and such as APD (automated peritoneal dialysis) and CCPD (consecutive periods peritoneal dialysis), implement their common nights at home.
According to an aspect of the present invention, proposed a kind of device so that improve the speed that solute is got rid of during curee's peritoneal dialysis treatment, this device comprises: be positioned over curee's holder on one's body; With at least one vibrator device, it is installed on the abdominal part of an one position with the engagement curee by holder, and applies partially to it, inwardly points to, and frequency is the mechanical vibration of 1-15Hz.
As hereinafter being illustrated especially,, can produce amazing good effect when the vibrator device is when applying mechanical vibration under the 2-6Hz in frequency.
In the most preferred embodiment of following invention, holder carries two vibrator devices, and the opposite side of curee's abdominal part is meshed in vibrator device present position, and its sensing is to apply mechanical vibration to introversion to curee abdominal cavity middle section.
According to another aspect of invention, proposed a kind of the curee to be implemented the method for peritoneal dialysis, this method involving vibrations period, this vibration period comprises: the abdominal cavity that dialysis solution is injected into the curee; Curee's abdominal part front side is applied extraneous local mechanical vibration, and frequency of vibration is 1-15Hz, and amplitude is 1-20mm; And from curee abdominal cavity discharge dialysis solution.As noted above, and will be illustrated more comprehensively hereinafter, when applying frequency is 2-6Hz, when amplitude is the mechanical vibration of 5-10mm, obtained amazing good effect, be used in the relative both sides of curee's abdominal part centrage when two vibrator heads especially, engagement curee abdominal part front side, and all the more so when mechanical vibration are pointed to curee abdominal cavity middle section.
Like this, find that apply the vibration that frequency surpasses 15Hz vibration can not be imported in the body cavity dearly, therefore the frequency of the 24Hz that mentions can only produce limited improvement in peritoneal dialysis treatment in people's works such as above-mentioned Jie Ludaoyi.Also find, apply frequency and also produce very limited effect less than the vibration of 1Hz.Discovery has amazing good effect in the frequency range of 2-6Hz, the solute that it produced discharges the improvement of speed up to 150%, by comparison, in people's works such as grey Lu Daoyi, describe when applying frequency and be the mechanical vibration of 24Hz, improve and be about 30-40%.
Can be preferably in the 2-6Hz scope according to curee's size, physique and weight, iptimum speed is determined on each curee's experience ground.
Amplitude is preferably in the 1-20mm scope, has obtained best effect in amplitude is 5-10mm.These amplitudes and the frequency relation of being inversely proportional to; Also promptly, the said frequencies scope than low side, amplitude will be in the higher-end of amplitude range, vice versa.The combination of amplitude and frequency preferably should be lower than the level that the curee is produced suitable pain or discomfort just, for example, is in second limit of iso standard 2631.
Other characteristics of invention and advantage will be from hereinafter becoming more obvious the explanation.
Summary of drawings
Only by example, with reference to the accompanying drawings invention is described herein, wherein:
Fig. 1 has showed a kind of vibrator assembly of pattern, and it adopts electricity to drive vibrator according to the present invention and makes;
Fig. 2 has showed rotation motor type vibrator, and it can be used in the device of Fig. 1;
Fig. 3 has showed the spiral cast vibrator, and it can be used in the device of Fig. 1;
Fig. 4 has showed the piston-type vibrator assembly, and it is made according to the present invention;
Fig. 5 has showed airbag type vibrator assembly, and it is made according to the present invention;
Fig. 6 has showed mobile belt-type vibrator assembly, and it is made according to invention;
Fig. 7 has showed another vibrator assembly, and it comprises a root bark band, is used to support two electro-motors that rotate eccentric weight;
Fig. 8 has showed another vibrator assembly, and wherein vibration is subjected to the influence of a pair of motor, and this stretches to motor cycles ground and loosens the belt that is applied to wearer's abdominal part;
Fig. 9 is the vertical view of another types of devices made in accordance with the present invention;
Figure 10 is the dorsal view that installs among Fig. 9;
Figure 11 is the vertical view of another device more made in accordance with the present invention;
Figure 12 is the dorsal view that installs among Figure 11;
Figure 13 is the vertical view according to another device again of manufacturing of the present invention;
Figure 14 is the front view that installs among Figure 13;
Figure 15 is the perspective view of a kind of form in the vibrator assembly made in accordance with the present invention;
Figure 16 has showed a cover dialysis machine, and it is particularly useful to apparatus and method of the present invention.
The explanation of most preferred embodiment
Be shown in the vibrator assembly holder 2 of Fig. 1, its shape for the ring of sealing to surround the wearer's who represents by dotted line AB abdominal part.Holder 2 is equipped with two vibrator 3a, 3b, and every vibrator is by slide plate 4a, and 4b is installed on the holder slippingly, so that make every residing position of vibrator apply mechanical vibration to the opposite side of curee's abdominal part.
In the embodiment shown in Fig. 1, two vibrator 3a, 3b is electrically driven (operated).Fig. 2 has showed an example of this vibrator, its form is that an electro-motor 10 rotates a disk 11, one arm 12 is installed on disk 11 prejudicially, this arm 12 is closed in the corrugated tube 13, and have 14 of an engageable user abdominal part, like this, when motor 10 energisings, eccentric arm 12 and head 14 thereof are moved back and forth, thereby wearer's abdominal part is applied mechanical vibration.Fig. 3 has showed another example of vibrator, its form is one makes magnetic tongue 16 reciprocating corrugated tubings 15, and magnetic tongue 16 is enclosed in the corrugated tube 17, and has 18 of an engagement wearer abdominal part, be used for when serpentine pipe 15 energisings, it being applied mechanical vibration.An example is arranged again, and comprising an electro-motor that drives eccentric weight, this will describe with reference to figure 7 hereinafter.Vibration displacement is regulated or is changed, and is the change by arm 12 degree of eccentricitys in the device of Fig. 2, is the change by the electric current of the serpentine pipe 15 of flowing through in the device of Fig. 3, then is that the change by pouring weight realizes in the device of Fig. 7.
Have been found that the vibrator assembly shown in employing Fig. 1-3 can make the CAPD treatment be divided into two 12 hour periods, rather than four 6 hour periods in the conventional CAPD treatment of picture.It below is an example for the treatment of two such periods;
In each period, dialysis solution is injected into curee's abdominal cavity, drives two vibrator 3a, 3b, and making them apply frequency to abdominal part is 1-15Hz, amplitude is mechanical vibration 15-60 minute of 1-20mm.After this lingering period, dialysis solution is discharged from the curee; Inject new dialysis solution, and be allowed to condition at the 12 hour period that stops this period remainder among the curee; Then dialysis solution is discharged.Finished 12 hour period like this, begun next 12 hour period subsequently, and repeat aforesaid order of steps.As previously noted, when frequency is 2-6Hz, amplitude is 5-10mm, and lingering period is for about 30-40 minute the time, the improvement result who obtains improves up to 150% astoundingly, by comparison, is improved to 30-40% in the people's such as Jie Ludaoyi of above-mentioned employing 24Hz vibration works.
These improve the result makes the CAPD treatment of four common periods can reduce into two periods, each period comprises, and for example is attended by 40 minutes lingering periods of vibration and follows hard on, for example 11 hours 20 minutes lingering period of vibration not.Like this, find to be attended by in 40 minutes in the basic and conventional CAPD treatment of the solute amount of being got rid of in the lingering period of vibration, the solute amount of being got rid of in conventional 6 hour period is identical.Compare with four common period systems, two such period systems not only greatly make things convenient for and significantly reduce the interference to patient's routine matter, but also have eliminated infected probability substantially.
These two vibrators can under different frequencies, or move under the frequency that changes under identical constant frequency.They can move in identical phase place or under different phase places.One or two vibrators also can continuously change phase angle ground and move.Best result obtains when following state, promptly working as two vibrators all moves in the scope of 2-4.5Hz, and vibrator is to move with the slightly different frequency (for example correspondingly being 2.5Hz and 2.6Hz) of another vibrator, to produce the staggered homophase and the out-of-phase motion of curee's abdominal part.In each first, when applying vibration, the curee can be in seat, lie or the standing place period, but when the curee was positioned at seat or supine position, the result of acquisition was best.
Fig. 4 has showed a kind of vibrator assembly, and it is similar to the vibrator assembly of Fig. 1 except that vibrator, wherein, the corresponding vibrator of representing with 23a, 23b, its form is a fluid piston, it can move in cylinder so that wearer's abdominal part is applied vibration.In Fig. 4, shown every vibrator 23a, 23b comprise corrugated tube 24a, 24b, the piston of their sealing corresponding vibration devices.Piston among vibrator 23a, the 23b can pneumatically or hydraulically move.Fig. 4 has schematically showed in order to pump that moves these pistons or compressor 25.In all others, basic identical with above-mentioned Fig. 1 of the structure of vibrator assembly shown in Figure 4 and motion, therefore, the device corresponding component is indicated to help understanding with same numbers.
Fig. 5 has showed the vibrator assembly of another kind of form, and wherein holder is made belt 32 shapes with around the curee, and vibrator shape is inflatable airbag 33a, 33b, and they are carried the opposite side that is contained in wearer's abdominal part by belt.Airbag 33a, 33b expand and contraction to require frequency by compressor 35.
Fig. 6 has showed another vibrator assembly, and wherein holder comprises the back of framework 40 with the engagement wearer, and first belt 41 is used for around the wearer, and second belt 42 is used for around first belt 41.This device also comprises two vibrators, and the opposite side of wearing abdominal part is applied mechanical vibration.In this situation, every vibrator comprises some plates 43, they at one end pivotally be mounted in belt 41, and outside the opposite end pivotally is mounted to belt 42.This equipment is such, and when the direction of pressing arrow 44 when belt 42 was come to motion, these two groups of plates 43 pivoted to 180 ° by a series of positions from 0 °, and during this pivot of these plates rotated, they applied mechanical vibration to wearer's abdominal part.Like this, when plate was 0 ° to these two belts 41,42, amplitude was zero, but moved to when two belts are 90 ° of positions when plate, and they apply the width of the suitable plate of amplitude of mechanical vibration to wearer's abdominal part.
Like this, every vibrator comprises that one group of pivotally is installed in the plate 43 between the two root bark bands 41,42.The width of every block of plate 43 reduces to the front side from the dorsal part of corresponding vibration device, thereby amplitude also correspondingly reduces to the front side from the dorsal part of vibrator.
Fig. 6 has showed that schematically preceding belt 42 is moved around by a pair of motor 45,46 on back of the body framework 40 opposite ends.Be used to the actuator 48 carrying on the back the actuator 47 of framework 40 and be used for this two root bark band 41,42, make this device can be suitable for the people of different size.
Fig. 7 has showed another kind of device, and it comprises a belt 50, and this belt 50 has back of the body actuator 51 and preceding actuator 52, thereby gets so that device can be fit to different size respectively.Belt 50 is equipped with pair of vibrator 53a at its opposite side, and 53b is with the opposite side of engagement wearer abdominal part.Every vibrator 53a, 53b comprise one by motor 54a, and 54b is used to drive a pair of eccentric weight 55a, 55b, and when respective motors was switched on, they just applied mechanical vibration to wearer's abdominal part.
Fig. 8 has showed a kind of more simple structure, and it comprises the back of the body framework 60 with actuator 61 and has the preceding belt 62,63 of preceding actuator 64.Back of the body framework 60 is equipped with a pair of electric notor 65,66, and this is to the opposite end of motor engagement belt 62,63, thereby when electric notor is switched on, strains periodically and loosen belt, causes that they are to being applied mechanical vibration by the opposite side of wearer's abdominal part of belt engages.
Fig. 9 and 10 has showed another kind of device 70, and it also comprises a cyclic holder, by being subjected to treatment to wear from support pattern.In this situation, device comprises two basic components 71,72, and they link together by hinge 73, and be mounted to hard or inflexible back plate 74 on, this back plate 74 is applicable to engagement curee's back. Basic component 71,72 is equipped with electric notor 75,76, and they are connected to an end of a pair of elastic webbing 77,78 prejudicially, and this is applicable to the front side of engagement curee abdominal part to elastic webbing 77,78.Be with 77,78 the other end then to link together with locking device or clasp 79.
Pair of vibrator 80,81 is with 77,78 entrained by two.80,81 extend towards the inside of ring so that the front side of the curee's of the opposite side of heart line contact therein abdominal part, and point to towards the middle section in curee abdominal cavity.Like this, when two electric notors 75,76 energising, they connect with the off-centre of elastic webbing 77,78, strain periodically and loosen band, cause that vibrator head 80,81 applies the mechanical vibration of the middle section in sensing curee abdominal cavity.
Before clasp or to lock 79 be adjustable, so that the diameter of ring regulate according to curee's size.Two vibrator heads 80,81st can make them be positioned at the optimum position, so that mechanical vibration are pointed to the middle section in curee abdominal cavity being with slippage on 77,78.Two articulated basic components 71,72 also can be in back plate 74 adjusted.Like this, as shown in figure 10, back plate 74 is equipped with two parallel screws 82,83, and they are rotated together by another screw 84.Screw 82,83rd on the back plate 74 is placed in two nuts 85,86 on the basic component 71,72, like this, rotated these two screws at 82,83 o'clock when public screw 84, according to the difference of screw 84 rotation directions, two basic components 71,72 just move up or down.
Figure 11 and 12 showed one to Fig. 9 and 10 in the similar device of device, therefore identical parts is adopted identical digital index.But in the device of Figure 11 and 12, the end of two basic components 71,72 is not hinged, but is formed with two narrow slits 91,92, in order to lay threaded pin 93,94.In addition, every basic component 71,72 is fixed on the lateral stiffness bar 95,96 at this, and they are applicable to and are placed in the groove 97,98 that is formed at back plate 74. Bar 95,96 that basic component 71,72 carries and the groove 97,98 on the back plate 74 all are formed with somely correspondingly along the hole that bar and groove length are extended, and these holes are applicable to lays threaded pin 99 selectively.Like this, by pin 99 being tightened in the selected hole of bar 95,96 and groove 97,98, just can be along the position of the length adjustment basic component of back plate; And pass through threaded pin 93,94 being close in their corresponding narrow slits 91,92, the diameter of device is with regard to the people of scalable with suitable different size.
Figure 13 and 14 has been showed another device 100, and it comprises a ring, and device can be worn in the mode of oneself supporting by user, device is bearing on one's body the curee to help ring but also comprise a pair of braces 102,103.
The device 100 that is shown in Figure 13 and 14 comprises the basic component 104 that is positioned at the device front side, promptly is used to mesh the front side of curee's abdominal part and is positioned at the back plate 105 of device opposite side with engagement curee back.Basic component 104 is by a pair of elastic webbing 101a, and 101b is connected to back plate 105, thereby so that limit closed-loop 101, device can be worn by the curee.Every elastic webbing comprises this class locking member or clasp 106,107, and it can make the length of band be regulated and lock, thereby makes device can be fit to the people of different size.
The basic component 104 that is positioned at the device front side carries an electric notor 111, this electric notor 111 has output shaft 112, it is at its opposite end and a pair of molding vibrator head 113,114 are connected prejudicially, the vibrator head is then entrained by the plate 115,116 that pivotally is mounted on the basic component 104.The eccentric connection of between motor output shaft 112 and the vibrator head 113,114 each comprises damper means 117,118, and their pivotallies are mounted on the plate 115,116.Every dampening arrangement 117,118 comprises uses screw 117a, the actuator that 118a represents, and it is used manually the decelerating effect of corresponding amortisseur and regulates.The decelerating effect of every amortisseur also can be regulated at a distance by electricity or hydraulic means.These actuators not only can be used for regulating the damping force that vibrator head 113,114 applies to curee's abdominal part, also are used in the relative phase that changes the power that applies when electric notor 111 rotates.
Figure 15 has showed the outward appearance of the vibrator assembly of making by the present invention 120.Device comprises and leans against 121, seat 122 and pair of armrests 123,124, each handrail has pivotally and is mounted to back part 123a, 124a and forward part 123b on the backrest 121,124b, they carry the front side of vibrator head 125,126 with engagement curee abdominal part.Back bar part 123a, 124a by as integral hinge 127 pivotallies that schematically illustrate be mounted on the backrest 121, and available any suitable device is fixed on any pivoted position such as screw and nut apparatus (not shown).Equally, preceding armrest portion 123b, 124b by shown in integral hinge 127 pivotallies be mounted on their corresponding back bar part 123a, 124a, and also can be fixed on any pivoted position, thereby can make device can be used for the people of different size.By preceding armrest portion 123b, the vibrator head 125,126 that 124b is entrained according in the aforementioned means any, can be electronic, hydraulic-driven or air operated.
Figure 16 has showed a cover dialysis machine, and it is particularly useful to said apparatus.Apparatus shown comprises the discharge bag 133 of two solution of preserving the supply bag 131,132 of fresh dialysis fluids and accepting to discharge from the curee on one's body.These three bags are by totally being connected to the adapter 134 that is used for dialysis solution conduit (not shown) with 135 pipings of representing.Piping 135 comprises two pipelines 136,137, is connected to corresponding supply bag 131,132 at their end, and is connected to the 3rd pipeline 138 of guiding catheter extension 134 in their opposite end.Pipeline 138 is connected to guides the 4th pipeline 139 of discharging bag 133 into.
Every pipeline 136,137 comprises valve 140,141, and valve normally cuts out, but can be controlled and open, thereby corresponding supply bag 131,132 can be injected into its fluid in the disease by the conduit that is connected to adapter 134.Valve 140,141 can be the separate type valve, and they are normally closed, but can manually separate to open valve.
When using dialysis machine shown in Figure 16, two supply bags 131,132 will be installed in the height that is higher than catheter extension 134, should be installed in the height that is lower than catheter extension 134 and discharge bag 133.In addition, Grip of pipeline 139 usefulness is clamped (not shown) and discharged bag 133 to stop dialysis solution to enter in the injection stage.When clamping pipeline 139 with clip, valve 140 is opened, thereby fluid is able under action of gravity, flow via a conduit the abdominal cavity with supply bag 131, subsequently, to the speed of vibrator assembly energising with the eliminating of raising solute.After the suitable time of staying, clip is taken away from pipeline 139, so that solution can be entered to discharging in the bag 133.And then clip clamped pipeline 139, the valve 141 of opening supply bag 132 can flow under the influence of gravity in curee's the abdominal cavity solution in this bag.
The dialysis machine that is shown in Figure 16 can so be connected with patient's conduit between twice successive commutation period, thereby significantly reduces infected probability, also reduces the interference to patient's routine matter.
Say that generally it is identical with dialysis treatment produced in 6 hours that do not follow mechanical vibration to have been found that 40 minutes of being attended by the mechanical vibration carried out in the above-mentioned arbitrary device solute that dialysis treatment produced shifts.Therefore, according to the character of each case and curee's convenience, such device is carried out various treatments.Be some examples of this treatment below:
(1) each 24 hours one day is divided into two 12 hour periods, comprises 15-60 minute vibration period each period, and remainder that should period is then for using the non-vibration period of fresh dialysis fluid.
(2) each 24 hours one day comprises four vibration periods, and each period is 15-60 minute, is separated by about 6 hours.
(3) each 24 hours one day is divided into four 6 hour periods, these the time interimly have a vibration period that comprises 15-60 minute period at least, the remainder in this period is for using the non-vibration period of fresh dialysis fluid, all the other the time be the non-vibration period of using fresh dialysis fluid each interim period.
(4) each 24 hours comprised vibration period of 15-60 minute in one day, use fresh dialysis fluid, 10-11.5 hour non-vibration period and another to use fresh dialysis fluid, 15-60 minute vibration period.
(5) comprise that 10-15 minute fresh dialysis fluid injects each period that comprised 6 equal intervals of 1-1.5 hour in one day of 24 hours each period, 30-60 minute the stop that is attended by vibration, and 15-20 minute dialysis solution is discharged.
In all above-mentioned treatments, except that treatment (4), each period (vibration or non-vibration) all should comprise the injection of the dialysis solution of 2-2.5 liter.But in above treatment (4), owing in 24 hours one day, have only 3 periods altogether, so each period should comprise the injection of the dialysis solution of about 2.5-3.0 liter.
Each vibration period should be between 15-60 minute, in most situations, thinks 40 minute period best.In addition, after each vibration period, dialysis solution should be discharged, and is next period adding fresh dialysis fluid.
When vibrator assembly was used for the treatment of continuous 24 hours a day (CAPD), device can be stated by above-mentioned, and it is worn on one's body the user, thereby made user carry out routine matter under the mode of disturbing minimum.But, when vibrator assembly is not when using continuously, in the self-supporting structure thing that it can be combined, such as above-mentioned chair, or estrade or desk.
Also be surprisingly found out that, when vibrator assembly under low frequency, down during operation, it can promote the wearer sleeping as 1-3Hz.Really, at hospital's experimental session, when device under these lower frequencies, down during operation, the wearer usually enters sleep to 1-3Hz, but stops when vibration, or frequency is revived when increasing to the 2-6Hz scope at once.Therefore, shown device limit can be used for hypnotic excellently.
Though some relatively most preferred embodiments are illustrated invention, it will be appreciated that, proposing these only is for example, therefore can much revise.For example, in the device that all are illustrated, two vibrators can be at same frequency, but moves under the out of phase, can move under different frequency, or move under the frequency that continuously changes.In addition, though the foregoing description comprises the vibrator of two engagement curee abdominal part opposite sides, also can use the vibrator of different numbers.Also have, the dampening arrangement shown in Figure 13 and 14 also can be used between the vibrator head and corresponding drivers of any other vibrator assembly.Obviously invention also can have many other changes, revises and uses.
Claims (37)
1, a kind of device is used for improving solute and gets rid of speed during curee's peritoneal dialysis treatment, this device comprises: be positioned over curee's holder on one's body; With at least one vibrator device, it is bearing on the one position abdominal part with the engagement curee by holder, and applies mechanical vibration partial, inside sensing, frequency 1-15Hz to it.
2, device as claimed in claim 1, wherein said vibrator device applies the described mechanical vibration that frequency is 2-6Hz to curee's abdominal part.
3, as arbitrary device in claim 1 and 2, wherein at least two vibrator devices device that is fixed is bearing in the position of engagement curee abdominal part opposite side, and its sensing is the mechanical vibration that can apply inward direction to curee abdominal cavity middle section.
4, as arbitrary device among the claim 1-3, wherein said holder comprises a ring, and it is designed to can be to be worn on from support pattern on one's body the curee.
5, device as claimed in claim 4, wherein said holder also comprises the braces of being worn by the curee, to help to install to be bearing in from support pattern on one's body the curee.
6, as arbitrary device among the claim 1-3, wherein said holder comprises backrest, and it can mesh with the curee back.
7, device as claimed in claim 6, wherein said holder also comprises a portion, and the curee can be sat down.
8, as arbitrary device among the claim 1-7, wherein every described vibrator device comprises a rotation motor, and it drives an eccentric arm.
9, as arbitrary device among the claim 1-7, wherein every described vibrator device comprises a serpentine pipe, its reciprocally swinging magnetic tongue.
10, as arbitrary device among the claim 1-7, wherein every described vibrator device comprises a rotation motor, and it drives an eccentric weight.
11, as arbitrary device in the right right-7, wherein every described vibrator device comprises the fluid drives piston, and it can move back and forth in cylinder.
12, as arbitrary device among the claim 1-7, wherein every described vibrator device comprises expandable bag.
13, as arbitrary device among the claim 1-7, wherein said holder comprises that size can surround wearer's first belt; Size can surround second belt of first belt; Every described resonator device comprises a rigid plate at least, and it is mounted to by pivotally on described first and second belts at its opposite end, thus can described relatively belt to pivot to be 180 ° substantially from being 0 ° substantially by a series of positions; And a driver, with so that described relatively first belt of described second belt move back and forth, thereby make described rigid plate by described a series of positions reciprocally swinging.
14, as the device of claim 13, wherein every described vibrator device comprises one group of described rigid plate, and this organizes described rigid plate and is mounted to by pivotally on described first and second belts by the separation spacing that does not have belt at their opposite end.
15, as the device of claim 14, the length of wherein said some rigid plate is the end from this group opposite ends of being reduced to this group.
16, as arbitrary device among the claim 1-7, wherein every described vibrator device comprises the vibrator head of a molding, it is supported by described holder so that contact with curee's abdominal part, and inside periodically, outer motion, thereby applies described mechanical vibration to curee's abdominal part.
17, as the device of claim 16, wherein said holder comprises an elastic webbing and tension, loosens the electric notor of described band; Described vibrator head is supported by described elastic webbing, and can be by described electric notor to the tension of described elastic webbing with loosen, the abdominal part that heads on the curee inwardly, outer motion.
18, as the device of claim 16, wherein said holder comprises an installation component, in order to described vibrator head to be installed, and installation electric notor, this electric notor is connected with described vibrator head by connecting device, when motor was switched on, this connecting device made the vibrator crown curee's abdominal part periodically and inwardly and outwards moves.
19, as arbitrary device among the claim 1-7, wherein every described vibrator device comprises an amortisseur, and it is alternative the adjusting, so that change thus the phase place of the mechanical vibration that apply to curee's abdominal part.
20, as arbitrary device among the claim 1-19, wherein these described vibrator devices move under same frequency and phase place.
21, as arbitrary device among the claim 1-19, wherein these described vibrator devices are at same frequency, but move under the out of phase.
22, as arbitrary device among the claim 1-19, wherein these described vibrator devices move under different frequency, to produce curee's abdominal part staggered homophase and out-of-phase motion.
23, a kind of the curee is implemented the method for peritoneal dialysis treatment, this method involving vibrations period, it comprises:
Dialysis solution is injected in curee's the peritoneal cavity;
Abdominal part to the curee applies extraneous local mechanical vibration, and its frequency is 1-15Hz, and amplitude is 1-20mm;
With the described dialysis solution of discharge from the curee abdominal cavity.
24, as the method for claim 23, wherein said mechanical vibration are to be 2-6Hz in frequency, and amplitude applies during for 5-10mm.
25, as arbitrary method in claim 23 and 24, wherein said extraneous mechanical vibration are to shake by two at least to advise the device head to apply to curee's abdominal part opposite side at the opposite side of curee's abdominal part centrage, and point to the middle section in curee abdominal cavity.
26, as arbitrary method among the claim 23-25, wherein said mechanical vibration apply under same frequency and phase place.
27, as arbitrary method among the claim 23-25, wherein said mechanical vibration are at same frequency, but under out of phase, apply.
28, as arbitrary method among the claim 23-25, wherein said mechanical vibration apply under different frequency, in order to produce curee's abdominal part staggered homophase and out-of-phase motion.
29, as arbitrary method among the claim 23-28, wherein each 24 hours one day is divided into two periods of 12 hours, comprise 15-60 minute described vibration period each period and in non-vibration period of the fresh dialysis solutions of use of all the other times in this period.
30, as arbitrary method among the claim 23-28, wherein each 24 hours one day comprises four vibration periods, and each period is 15-60 minute, is separated by about 6 hours.
31, as arbitrary method among the claim 23-28, wherein each 24 hours one day is divided into four 6 hour periods, interim when described have a vibration period that comprises 15-60 minute period at least, with non-vibration period of the fresh dialysis solution of use of remainder in this, be the non-vibration period of using fresh dialysis fluid interim remaining each period when described in period.
32, as arbitrary method among the claim 23-28, wherein each 24 hours one day comprises 15-60 minute described vibration period, 10-11.5 hour described vibration period of the fresh dialysis solution of use of non-vibration period and another 15-60 minute of the fresh dialysis solution of use.
33, as arbitrary method among the claim 23-28, wherein comprised the period that 6 intervals of 1-1.5 hour equate in living individual 24 hours one day, comprise the injection of 10-15 minute fresh dialysis solution each period, 30-60 minute the stop that is attended by vibration, and the discharge of 15-20 minute dialysis solution.
34, as arbitrary method among the claim 23-33, wherein said mechanical vibration are applied by the vibrator device, and it is supported to be worn on curee's holder on one's body from support pattern.
35, as arbitrary method among the claim 23-33, wherein said mechanical vibration are applied by the vibrator device, and it is supported by the engageable backrest of curee.
36, as the method for claim 35, wherein said mechanical vibration are to apply when the curee is sitting on the seat that supports described backrest and described vibrator device.
37, a cover dialysis machine, it is particularly useful to arbitrary method among arbitrary device among the claim 1-22 and the claim 23-26, and this complete equipment comprises:
Two supply bags desire to be injected into peritoneal dialysis solution in the curee abdominal cavity in order to preservation;
Discharge bag, in order to the dialysis solution of accepting from the curee abdominal cavity, to discharge;
And piping, it is connected to the conduit that is used for peritoneal dialysis with described two supply bags and described discharge bag;
Described piping comprises first and second pipelines, and every pipeline is connected to described of supplying in the bag at the one end, is connected to an end of the 3rd pipeline at its other end;
Described the 3rd pipeline is connected to catheter extension in its opposite end, and is connected to and described bag the 4th pipeline that is connected of discharging at intermediate point;
Described piping also is included in the separate type valve on each described first and first pipeline, in order to control fluid selectively from supply bag flowing to described conduit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 96190812 CN1160994A (en) | 1995-07-27 | 1996-07-24 | Vibrator appliance particularly useful for dialysis |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IL114768 | 1995-07-27 | ||
| CN 96190812 CN1160994A (en) | 1995-07-27 | 1996-07-24 | Vibrator appliance particularly useful for dialysis |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN1160994A true CN1160994A (en) | 1997-10-01 |
Family
ID=5128124
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 96190812 Pending CN1160994A (en) | 1995-07-27 | 1996-07-24 | Vibrator appliance particularly useful for dialysis |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN1160994A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113750310A (en) * | 2021-09-23 | 2021-12-07 | 韩久志 | Pressure-stabilizing emergency stop type safe ascites ultrafiltration reinfusion instrument |
-
1996
- 1996-07-24 CN CN 96190812 patent/CN1160994A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113750310A (en) * | 2021-09-23 | 2021-12-07 | 韩久志 | Pressure-stabilizing emergency stop type safe ascites ultrafiltration reinfusion instrument |
| CN113750310B (en) * | 2021-09-23 | 2023-10-10 | 龚淑利 | Pressure stabilizing emergency stop type safety ascites ultrafiltration back transfusion instrument |
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