CN105107042A - Blood purifier - Google Patents

Blood purifier Download PDF

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Publication number
CN105107042A
CN105107042A CN201510361343.5A CN201510361343A CN105107042A CN 105107042 A CN105107042 A CN 105107042A CN 201510361343 A CN201510361343 A CN 201510361343A CN 105107042 A CN105107042 A CN 105107042A
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CN
China
Prior art keywords
blood
gating switch
channel gating
pump
pipe
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201510361343.5A
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Chinese (zh)
Inventor
唐天泽
刘远金
吕光宇
张理
黄艳青
谭筱芸
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Individual
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Individual
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Priority to CN201510361343.5A priority Critical patent/CN105107042A/en
Publication of CN105107042A publication Critical patent/CN105107042A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1621Constructional aspects thereof
    • A61M1/1633Constructional aspects thereof with more than one dialyser unit

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Anesthesiology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Emergency Medicine (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention discloses a blood purifier. The blood purifier comprises an artery pipe, a vein pipe and a blood filter. The artery pipe communicates with an artery kettle after bypassing a blood pump, and the vein pipe communicates with a vein kettle. A displacement liquid communicates with the vein kettle after bypassing a displacement liquid pump through pipes. A liquid waste output port of the blood filter communicates with a liquid waste collecting bag after bypassing a liquid waste pump through pipes. One in-film joint of the blood filter communicates with a first multi-pipe gating switch, and the other in-film joint of the blood filter communicates with a second multi-pipe gating switch. The first multi-pipe gating switch communicates with the vein kettle, and the second multi-pipe gating switch communicates with the artery kettle. Both the first multi-pipe gating switch and the second multi-pipe gating switch have ports connected with a blood filter to be replaced. The blood purifier can solve the problems, such as blood exosmosis, increase of financial burden for a patient caused by frequently whole pipe replacement, influence on blood filtration, and increase of risk of blood infection, caused by direct separation of cruor in pipes during blood purification and installation of pipes and a blood filter.

Description

Apparatus for purifying blood
Technical field
The present invention relates to technical field of medical instruments, especially a kind of clinically for the device of blood purification.
Background technology
Continuous renal replacementtherapy clinical application range, at expanding day, especially plays important effect in the treatment of the critical illnesses such as severe infections, wound, poisoning and MOFE.What have a kind of continuous renal replacementtherapy to adopt in prior art is Fei Senyousi ﹙ Multifiltrate ﹚ CRRT machine, as shown in Figure 1, patient commonly uses the Therapeutic mode of Continuous Veno-venous Xue liquid Lv Guo ﹙ CVVH ﹚, because treatment time is long, affecting pipeline coagulation factor more, just there is blood filter blood coagulation in 10 several hours in treatment sometimes, for without anticoagulant row patient CRRT, treatment time can be shorter, and the position that blood coagulation the most often occurs in blood purifying pipeline is blood filter, is secondly venous chambers.During without anticoagulant, for preventing pipeline blood coagulation and extending the blood filter life-span, often take be interrupted normal saline flushing pipeline and improve the measures such as rate of blood flow, but all difficulty achieves the goal; And change the financial burden that a whole set of pipeline had both increased patient frequently, affect again the therapeutic effect of hemofiltration, also lose time simultaneously.Moreover, repeated multiple times flushing of pipeline also can increase the risk of blood infection.If pipeline directly replaces the blood filter of blood coagulation outward, at the outer pre-flush blood filter of pipeline, easily contaminated, be separated simultaneously and installation pipeline and blood filter time, also easily generation blood extravasation and pollution.If the blood filter of blood coagulation can be replaced before finding the complete blood coagulation of blood filter, so just can re-establish CRRT treatment, both for patient reduces the financial burden, can resume treatment rapidly again.
Summary of the invention
Technical problem to be solved by this invention is to provide a kind of apparatus for purifying blood, it can solve in blood samples of patients purification process due to pipeline blood coagulation need be separated with installation pipeline and blood filter time, easy generation blood extravasation and pollution and frequently change the financial burden that a whole set of pipeline had both increased patient, affect again the therapeutic effect of hemofiltration and increase the problem of blood infection risk.
In order to solve the problem, technical scheme of the present invention is: this apparatus for purifying blood comprises arterial line and venous line and the first blood filter and control unit; Described arterial line is walked around blood pump and is connected with the entrance of tremulous pulse kettle, and described venous line is connected with the outlet of the first venous chambers; Displacement liquid is walked around displacement liquid pump by pipeline and is connected with the entrance of described first venous chambers; The waste liquid delivery outlet of described first blood filter is walked around waste drains pump by pipeline and is connected with liquid waste collector; Described blood pump, displacement liquid pump and waste drains pump are electrically connected with described control unit respectively by wire; A film nipple of described first blood filter is communicated with the first multi-channel gating switch, and another film nipple is communicated with the second multi-channel gating switch; Described first multi-channel gating switch is connected with the entrance of described first venous chambers, and described second multi-channel gating switch is connected with the outlet of described tremulous pulse kettle; Described first multi-channel gating switch and described second multi-channel gating switch are all reserved with the port of the temporary close be connected with the second blood filter waiting.
Another program is: the entrance of described first venous chambers of this apparatus for purifying blood is communicated with the 3rd multi-channel gating switch, and the outlet of described first venous chambers is communicated with the 4th multi-channel gating switch; Described 3rd multi-channel gating switch is connected with described first multi-channel gating switch, and described 4th multi-channel gating switch is connected with described venous line; Described 3rd multi-channel gating switch is all reserved with the port of the temporary close be connected with the second venous chambers waiting with described 4th multi-channel gating switch.
In technique scheme, more specifically scheme can also be: described first multi-channel gating switch, described second multi-channel gating switch, described 3rd multi-channel gating switch and described 4th multi-channel gating switch are knob three way cock.
Further: described blood pump, displacement liquid pump and waste drains pump are medical peristaltic pump.
Owing to adopting technique scheme, the present invention has following beneficial effect:
1, the present invention can select whether replace blood filter, flexible and convenient according to the practical situation of blood purification process; When blood coagulation appears in blood filter, replace the blood filter of blood coagulation in time with new blood filter, adopt closed filter to rush in advance, can avoid infection, set up treatment rapidly.
2, adopt the present invention can recover rapidly CRRT treatment, reach better therapeutic effect.
3, the present invention avoids changing a whole set of pipeline, and for patient reduces the financial burden, simultaneously because avoid the replacing of a whole set of pipeline, reduce the probability infected, program is simpler simultaneously, for medical worker saves time, realizes the cost degradation of blood purification treatment.
Accompanying drawing explanation
Fig. 1 is the structural representation of prior art apparatus for purifying blood;
Fig. 2 is the structural representation of the embodiment of the present invention one;
Fig. 3 is the structural representation of the embodiment of the present invention two.
Number in the figure is expressed as: 1, displacement liquid, and 2, displacement liquid pump, 3, heater, 4, the first venous chambers, the 5, first blood filter, 6, tremulous pulse kettle, 7, blood pump, 8, waste drains pump, 9, waste liquid collecting bag, 10, the second blood filter, 11, arterial line, 12, venous line, 13, the first multi-channel gating switch, the 14, second multi-channel gating switch, the 15, the 3rd multi-channel gating switch, 16, the 4th multi-channel gating switch, the 17, second venous chambers.
Detailed description of the invention
Below in conjunction with drawings and Examples, the present invention is further described:
Fig. 1 is the structural representation of prior art blood purifying pipeline, in device, one end of the first blood filter 5 directly and the outlet of tremulous pulse kettle 6, and the other end is directly communicated with the entrance of the first venous chambers 4, the outlet of the first venous chambers 4 is directly communicated with venous line 12.
The apparatus for purifying blood of the embodiment of the present invention one: Fig. 2, comprises arterial line 11 and venous line 12 and the first blood filter 5 and control unit (not marking in figure); Arterial line 11 is walked around blood pump 7 and is connected with the entrance of tremulous pulse kettle 6, and venous line 12 is connected with the outlet of the first venous chambers 4; Displacement liquid 1 is walked around displacement liquid pump 2 by pipeline and is connected with the entrance of the first venous chambers 4; Pipeline between displacement liquid pump 2 and the entrance of the first venous chambers 4 is provided with the heater 3 for heating displacement liquid;
The waste liquid delivery outlet e of the first blood filter 5 walks around waste drains pump 8 by pipeline and is connected with waste liquid collecting bag 9; Blood pump 7, displacement liquid pump 2 and waste drains pump 8 are electrically connected with control unit (not marking in figure) respectively by wire, and blood pump 7, displacement liquid pump 2 and waste drains pump 8 are medical peristaltic pump; A film nipple of the first blood filter 5 is communicated with the first multi-channel gating switch 13, and another film nipple of the first blood filter 5 is communicated with the second multi-channel gating switch 14; First multi-channel gating switch 13 is connected with the entrance of the first venous chambers 4, and the second multi-channel gating switch 14 is connected with the outlet of tremulous pulse kettle 6; First multi-channel gating switch 13 is reserved with the port a of the temporary close be connected with the second blood filter 10 waiting, and the second multi-channel gating switch 14 is reserved with the port d of the temporary close be connected with the second blood filter 10 waiting.When the second blood filter 10 changed by needs, close the switch communicated with the first blood filter 5, two film nipples of the second blood filter 10 are connected respectively by the port d that the port a that pipeline b is reserved with the first multi-channel gating switch 13 with pipeline c is reserved with the second multi-channel gating switch 14, the pipeline be connected are twisted off the waste liquid delivery outlet receiving the second blood filter 10 with the waste liquid delivery outlet e of the first blood filter 5 simultaneously; Knob three way cock is at the present embodiment first multi-channel gating switch 13 and the second multi-channel gating switch 14.
The apparatus for purifying blood of the embodiment of the present invention two: Fig. 3, on the basis of embodiment one, the entrance of the first venous chambers 4 is communicated with the 3rd multi-channel gating switch 15, and the outlet of the first venous chambers 4 is communicated with the 4th multi-channel gating switch 16; 3rd multi-channel gating switch 15 is connected with the first multi-channel gating switch 13, and the 4th multi-channel gating switch 16 is connected with venous line 12; 3rd multi-channel gating switch 15 is reserved with the port f of the temporary close be connected with the second venous chambers 17 waiting, and the 4th multi-channel gating switch 16 is reserved with the port i of the temporary close be connected with the second venous chambers 17 waiting.When the second venous chambers 17 changed by needs, close the switch communicated with the first venous chambers 4, the inlet union of the second venous chambers 17 is connected by the port f that pipeline g is reserved with the 3rd multi-channel gating switch 15, and the outlet connection of the second venous chambers 17 is connected with the port i reserved with the 4th multi-channel gating switch 16 by pipeline h; Knob three way cock is at the present embodiment the 3rd multi-channel gating switch 15 and the 4th multi-channel gating switch 16.
Operation principle of the present invention is as follows:
Under the driving of blood pump 7, blood enters arterial line 11 and tremulous pulse kettle 6 successively from human vas, in the film that knob three way cock enters the first blood filter 5, and then enter the first venous chambers 4 through another knob three way cock, also finally feed back in human vas through venous line 12 again, form continuous print extracorporeal circulation of blood.Meanwhile, under the driving of displacement liquid pump 2, displacement liquid 1 enters the first venous chambers 4 from influidic pipe and together feeds back to human vas with the blood filtered; And the liquid outside the first blood filter 5 film is finally entered in waste liquid collecting bag 9 by useless influidic pipe under the driving of waste drains pump 8.
When there is severe blood coagulation situation in the first blood filter 5, closed filter is adopted to rush in advance to the second blood filter 10 for replacing in time, then reserve port with pipeline c with two threeways of closing respectively by pipeline b to be connected, now suspend extracorporeal circulation of blood, then the first blood filter 5 is closed with pipeline by the knob of swivel tee joint, the pipeline be connected is extracted the waste liquid delivery outlet receiving the second blood filter 10 with the waste liquid delivery outlet e of the first blood filter 5 simultaneously; Then port is reserved in two threeways of closing be connected with the second blood filter 10 open-minded, after carrying out the interior pre-punching of pipeline, proceed extracorporeal circulation of blood and blood is purified.
When there is severe blood coagulation situation in the first venous chambers 4, closed filter is adopted to rush in advance to the second venous chambers 17 for replacing in time, then reserve port with pipeline h with two threeways of closing respectively by pipeline g to be connected, then the first venous chambers and pipeline are closed by the knob of swivel tee joint, open two threeways of closing be connected with the second venous chambers 17 simultaneously and reserve port, blood purification proceeds.

Claims (5)

1. an apparatus for purifying blood, comprises arterial line (11) and venous line (12) and the first blood filter (5) and control circuit; Described arterial line (11) is walked around blood pump (7) and is connected with the entrance of tremulous pulse kettle (6), and described venous line (12) is connected with the outlet of the first venous chambers (4); Displacement liquid (1) is walked around displacement liquid pump (2) by pipeline and is connected with the entrance of described first venous chambers (4); The waste liquid delivery outlet of described first blood filter (5) is walked around waste drains pump (8) by pipeline and is connected with waste liquid collecting bag (9); Described blood pump (7), displacement liquid pump (2) and waste drains pump (8) are electrically connected with described control unit respectively by wire; It is characterized in that: a film nipple of described first blood filter (5) is communicated with the first multi-channel gating switch (13), and another film nipple is communicated with the second multi-channel gating switch (14); Described first multi-channel gating switch (13) is connected with the entrance of described first venous chambers (4), and described second multi-channel gating switch (14) is connected with the outlet of described tremulous pulse kettle (6); Described first multi-channel gating switch (13) and described second multi-channel gating switch (14) are all reserved with the port (a, d) of the temporary close be connected with the second blood filter (10) waiting.
2. apparatus for purifying blood according to claim 1, is characterized in that: described first multi-channel gating switch (13) and described second multi-channel gating switch (14) are knob three way cock.
3. apparatus for purifying blood according to claim 1 and 2, is characterized in that: described blood pump (7), displacement liquid pump (2) and waste drains pump (8) are medical peristaltic pump.
4. as an apparatus for purifying blood for claim 1 or 2 or 3, it is characterized in that: the entrance of described first venous chambers (4) is communicated with the 3rd multi-channel gating switch (15), the outlet of described first venous chambers (4) is communicated with the 4th multi-channel gating switch (16); Described 3rd multi-channel gating switch (15) is connected with described first multi-channel gating switch (13), and described 4th multi-channel gating switch (16) is connected with described venous line (12); Described 3rd multi-channel gating switch (15) and described 4th multi-channel gating switch (16) are all reserved with the port (f, i) of the temporary close be connected with the second venous chambers (17) waiting.
5. apparatus for purifying blood according to claim 4, is characterized in that: described 3rd multi-channel gating switch (15) and described 4th multi-channel gating switch (16) are knob three way cock.
CN201510361343.5A 2015-06-28 2015-06-28 Blood purifier Pending CN105107042A (en)

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Application Number Priority Date Filing Date Title
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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105879138A (en) * 2016-06-11 2016-08-24 赵晓玲 Extracorporeal circulation pipeline of plasma exchange device capable of switching blood separators
CN107715205A (en) * 2017-01-23 2018-02-23 任进 A kind of haemodialysis extracorporeal circulation pipeline system
CN110740769A (en) * 2017-06-10 2020-01-31 费森尤斯医疗护理德国有限责任公司 Device for extracorporeal blood treatment and method for determining hemodynamic parameters during extracorporeal blood treatment
CN111514396A (en) * 2020-04-09 2020-08-11 中南大学湘雅医院 Double-vein kettle external circulation system capable of automatically adjusting treatment dosage
WO2023226109A1 (en) * 2022-05-26 2023-11-30 重庆山外山血液净化技术股份有限公司 Extracorporeal circulation system of blood purification apparatus, and automatic pre-washing method thereof

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105879138A (en) * 2016-06-11 2016-08-24 赵晓玲 Extracorporeal circulation pipeline of plasma exchange device capable of switching blood separators
CN105879138B (en) * 2016-06-11 2018-12-28 赵晓玲 The plasmapheresis device extracorporeal circulation pipeline of changeable blood separator
CN107715205A (en) * 2017-01-23 2018-02-23 任进 A kind of haemodialysis extracorporeal circulation pipeline system
CN110740769A (en) * 2017-06-10 2020-01-31 费森尤斯医疗护理德国有限责任公司 Device for extracorporeal blood treatment and method for determining hemodynamic parameters during extracorporeal blood treatment
US11596725B2 (en) 2017-06-10 2023-03-07 Fresenius Medical Care Deutschland Gmbh Device for an extracorporeal blood treatment, and method for determining a hemodynamic parameter during an extracorporeal blood treatment
CN111514396A (en) * 2020-04-09 2020-08-11 中南大学湘雅医院 Double-vein kettle external circulation system capable of automatically adjusting treatment dosage
WO2023226109A1 (en) * 2022-05-26 2023-11-30 重庆山外山血液净化技术股份有限公司 Extracorporeal circulation system of blood purification apparatus, and automatic pre-washing method thereof

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Application publication date: 20151202