CN107243089A - Pd machine/pac-xtra - Google Patents

Abstract

A kind of medical pd machine/pac-xtra, it is a feature of the present invention that innovative design one kind can prevent the medicine equipment of the abdominal cavity infection (peritoneal dialysis Related peritonitis) caused by environmental pollution.The present invention is available for operation and the saturating person's home dialysis operation of abdomen thoroughly of the abdomen in medical institutions at different levels.The ultraviolet of 254nm wave bands and 185nm wave bands is employed as sterilization, sterile medium, the principle effect of two kinds of band ultraviolets is played.The present invention operates self security protection system by the warm system of peritoneal dialysis liquid numerical control heating weighing apparatus, disinfection system, transfusion operation system, peritoneal dialysis liquid using prosecution system, the saturating person of abdomen is preceding checked, and mobile system during conversion application places is constituted.

Description

Pd machine/pac-xtra

First, technical field

Pd machine/pac-xtra is the content of kidney trouble, blood purification professional domain and medical engineering technical scope.Peritoneal dialysis is Current home and abroad is used to treat one of main therapy of End-stage renal disease (ESRD).The pd machine/pac-xtra of the innovation Project-developing is A kind of abbreviation of medical digital peritoneal dialysis unit.It is particularly a kind of to be directed to acute kidney the present invention relates to a kind of medicine equipment Function damage (AKI), acute renal failure (ARF), severe pancreatitis (SAP), chronic kidney hypofunction (CRF), uremia (Uremia), MOF is with renal failure (MOF and RF), and drug poisoning, fish bile poisoning, mushroom poisoning etc. is controlled Treat, rescue, the medicine equipment of the artificial kidney alternative medicine sustained life.The present invention has by control operation environment, makes behaviour The local environment of work reaches germ-free condition, and reaching prevents operational pollution, so as to prevent the effect of peritoneal dialysis Related peritonitis. The patient of chronic kidney hypofunction End-stage renal disease (ESRD), is a kind of alternative medicine sustained life for a long time using peritoneal dialysis, and The concurrent abdominal cavity infection of peritoneal dialysis, is still the generally acknowledged challenge problem in the whole world at present.The saturating person of long-term maintenance abdomen, it is most of to be The elderly, the saturating person of China's person in middle and old age's abdomen, because relatives can not accompany at one's side for a long time, voluntarily maintains abdomen often to be answered thoroughly Somebody's text is shown loving care for and life is looked after so that the saturating person's long term maintenance Self-operating of maintenance abdomen has certain difficulty.Easily because of operation Error causes to pollute and occur abdominal cavity infection, peritonitis.The present invention, which has, to be prevented from operating local pollution, and peritoneal dialysis liquid is added Temperature, weighing apparatus temperature, whether optical check peritoneal dialysis liquid normal, mobile flexible, is not take up excessive space, provide for oneself a variety of functions such as Infusion support with Aided design, the saturating person of abdomen for being especially suitable for chronic ESRD (ESRD) is used for a long time.Continue not bed property peritoneal dialysis (Continuous Ambulatory Pritoneal Dialysis, CAPD) can be by medical worker, sufferers themselves or relatives side Help completion treatment operation.It can simplify the saturating operating process of chronic abdomen using the present invention, can also prevent because of the pollution in operating process Caused abdominal cavity infection, is particularly suitable for using in medical institutions at different levels, is especially suitable for using in the family of patient.It is general for China And treatment provides a kind of reliable pre- abdominal cavity infection medicine equipment to the abdomen of blood purification treatment at home thoroughly.

2nd, background technology

CKD China the incidence of disease up to 10.8%, currently by blood purification (haemodialysis (HD), blood Liquid dialysis filtration (HDF), blood perfusion (HP), ESRD (ESRD) patient of Hemodialysis hemo perfusion (HDP) maintaining treatment Nearly 400,000 people is reached；The people of patient about 60,000 sustained life is treated by peritoneal dialysis (PD).The payment for medical care such as haemodialysis are consumed It is larger, it has also become the larger burden that national medical insurance is paid.The consumption of peritoneal dialysis (PD) payment for medical care is relatively fewer, and global kidney Popular name for, blood purification expert generally acknowledge that peritoneal dialysis also has the strong effect for depositing renal function of protection.But it is due to that peritoneal dialysis can be sent out Raw CAPD-related peritonitis, causes the development of global peritoneal dialysis greatly to be limited.Peritoneal dialysis Related peritonitis It is the generally acknowledged challenge problem in the whole world.Although since the sixties in last century, the whole world is all in the changing from the saturating pipe of abdomen of research Enter, such as sixties in last century TenchoffShi is managed thoroughly with the abdomen that synthetic fibre covers, the certain positive work of hair is played to prevention abdominal cavity infection With；The designs such as middle nineteen seventies Popvich continue not bed property peritoneal dialysis (Continuous Amburatory Peritoneal Dialysis, CAPD) technology all contributes for the development of peritoneal dialysis technology.Last century Mo develops Automatic pd machine/pac-xtra (Automatic Peritoneal Dialysis, the APD) abdomen come thoroughly, makes peritoneal dialysis technology further obtain It must develop.

Yi Youduo companies of the current country produce automatic pd machine/pac-xtra.Foreign countries are headed by Bexter companies of the U.S., at home extensively East is set up factories, and produces peritoneal dialysis liquid, automatic pd machine/pac-xtra is even more that account for the saturating market of very big abdomen in China.Although home and abroad is saturating in peritonaeum It is made that certain development and contribution in the development of analysis technology, variously-shaped automatic pd machine/pac-xtra, full-automatic peritoneal dialysis machine are In marketing, but possess effectively prevention abdominal cavity infection Functional Design currently without that peritoneal dialysis machine, have It is much that design is identical, mutually imitates.Peritoneal dialysis Related peritonitis is still current challenge problem, still needs to research solution The equipment scheme and product of peritoneal dialysis Related peritonitis can be certainly prevented to provide Clinical Selection.The present invention original intention, be exactly for , abdominal cavity infection with operational pollution implication related to peritoneal dialysis is solved, peritonitis.

The saturating room of standard abdomen, the patent No.：2014 1 410206615.X are for prevention abdominal cavity infection, CAPD-related peritonitis And the special equipment designed, but the technical scheme is mainly placed in entire patient in the saturating room of standard abdomen and operated, with ultraviolet Line carries out disinfection processing within doors thoroughly to standard abdomen.Though purpose of design can be reached, single-piece cost is of a relatively high, and design is relative More complicated point.The design feature in the saturating room of standard abdomen is to carry out aseptic process within doors thoroughly to whole abdomen, causes a gnotobasis, has The infection changed thoroughly beneficial to prevention abdomen during liquid.Number of patent application：The 2016 1 saturating companions of 0594695.X abdomens, are also for prevention abdomen Chamber infects, CAPD-related peritonitis and the intelligent peritoneal dialysis unit that designs.But, the saturating companion of abdomen is by pouring into abdomen Peritoneal dialysis solution before chamber carries out ultraviolet irradiation, reaches sterilisation purpose, so as to reach effect and this hair of prevention peritonitis Bright difference.

3rd, the content of the invention

Peritoneal dialysis Related peritonitis is whole world kidney trouble, blood purification specialty " formidable opponent ".The whole world is concurrent to this Disease, also without very reliable countermeasure.Present invention is to be directed to the prevention of peritoneal dialysis Related peritonitis and design Special equipment, its action principle is：Sterilization directly is irradiated to aseptic operating platform area using the ultraviolet of 540nm wavelength, The effect of super oxygen can be produced after irradiating aseptic operating platform area air plus the ultraviolet using 185nm wavelength, jointly to sterile behaviour Make platform part change liquid zone subenvironment carry out disinfection, sterilization functions, through experiment test, only need to irradiate one minute, aseptic operating platform Area's local environment can maintain germ-free condition.And during practical application, the irradiation time to sterile Cao Tai areas is operated by changing liquid completely Person determines, liquid process is changed every time, fully controllable system keeps the operating environment in aseptic operating platform area within the effectively time In germ-free condition.So, even if the patient without medical sterile general knowledge, make there is product of the present invention to be also avoided that because of operation not When the abdominal cavity infection, peritonitis that pollute peritoneal dialysis liquid bag pipe joint and the saturating external short tube joint of abdomen and cause.The present invention is also wrapped simultaneously Include peritoneal dialysis solution is heated, weigh temperature, temperature detection is shown；Quality optical inspection is carried out to peritoneal dialysis solution；It is also equipped with The Infusion support and mobile design of infusion peritoneal dialysis liquid are provided.

4th, technical scheme

The present invention is achieved in that as a kind of medical peritoneal dialysis (Peritoneal Dialysis, PD) auxiliary dress The pd machine/pac-xtra put, it is characterized in that：It is connected by Infusion support (1) with top panel (2), there are two Infusion supports (1) on top panel (2) Connecting hole (3-1 and 3-2), also light medicine inspection platform (4), lamp source (5), heat emission hole (6), passage handle (7), peritoneal dialysis liquid Temperature display (8), light source switch (9) and temperature adjustment buttons (10), what is be connected with top panel (2) is two hidden Ultraviolet lamp source (11), (ultraviolet that quartz burner is sent is the ultraviolet of 254nm and 180nm wave bands respectively) and UV protection cover (12), is aseptic operating platform (13), the two of aseptic operating platform (13) below UV protection cover (12) While be designed with that pipe clamp groove (14-1 and 14-2) is connected with aseptic operating platform (13) is peritoneal dialysis liquid weighing apparatus incubator (15), with peritoneal dialysis liquid The pd machine/pac-xtra base (16) being connected below weighing apparatus incubator (15), at pd machine/pac-xtra base (16) four corners below, is connected with four ten thousand To wheel (17), two of which front-wheel pressable fixed position has on the left side chassis of pd machine/pac-xtra and is connected under Infusion support (1) There is power line (19) to be drawn from the lower end of peritoneal dialysis liquid weighing apparatus incubator (15) beside hole (18), the hole (18) that is connected under, in abdomen Controller (20) then is installed in casing on the back of saturating machine, is peritoneal dialysis liquid heating weighing apparatus incubator below controller (20) (21) it is, two fan switch gates (22-1 and 22-2) outside peritoneal dialysis liquid heating weighing apparatus case (21), in peritoneal dialysis liquid heating weighing apparatus incubator, design Four layers of warm plate (23) of heating weighing apparatus are installed, four temperature sensors (24) are installed in the middle of the warm plate of heating weighing apparatus, in four layers of heating Four heating indicator lamps (25) are connected with the left of the warm plate of weighing apparatus, on the external right side top of pd machine/pac-xtra, the external cable congruence is installed Poly- device (26) is to collect cable, on the shell of the rear peripheral control unit of pd machine/pac-xtra, and design is machined with radiating hole slot (27) In favor of the radiating of pd machine/pac-xtra, each part of the above is connected with each other, assembling, collectively forms pd machine/pac-xtra；

The operating method of pd machine/pac-xtra：The first step：Power line (18) plug of pd machine/pac-xtra is inserted in 220V power outlets, with After power outlet is connected；Second step：4 bags of (8000ml) peritoneal dialysis liquids are taken, is respectively placed in 4 layers of heating weighing apparatus incubator, is now In warm-up mode, the aobvious red of heating indicator lamp (25), when temperature is up to 37 DEG C, heating indicator lamp (25) extinguishes；3rd step：Change liquid During operation, first pd machine/pac-xtra back door (21-1 and 21-2) is opened；4th step：One bag of peritoneal dialysis liquid (2000ml) is taken out, outer packing is taken apart Peritoneal dialysis liquid, bag is placed on light medicine inspection platform (4) examine whether there is shape thing for this reason by bag, if having abandon without；5th step： Peritoneal dialysis liquid after inspection, is hung on Infusion support (1), and peritoneal dialysis liquid bag pipe is pulled down；6th step：By the joint pipe portion of peritoneal dialysis liquid bag pipe It is stuck in sterile change in the pipe clamp groove (14-1) on liquid operating desk (13) left side；7th step：Patient takes out the abdomen with controlling oneself, and pipe is outer thoroughly Short tube is connect, the saturating external short tube of abdomen, which is placed on sterile change, to be made on platform (13), removes iodide-containing cap, the saturating pipe external short tube of abdomen is connect H/A Transparent liquid bag pipe joint phase Title connects；8th step：Waste fluid bag is placed on electronic surveying following by pd machine/pac-xtra to deserve to be called, opening is external short Pipe, makes the waste liquid in abdominal cavity be drained from abdominal cavity, into waste fluid bag, until the waste liquor stream in abdominal cavity is empty；9th step：Split off Interior stemming rod in fresh peritoneal dialysis liquid bag pipe, flows out fresh peritoneal dialysis liquid, when fresh peritoneal dialysis liquid flow to waste fluid bag pipe about 30-50cm Afterwards, waste fluid bag pipe is clamped, makes fresh peritoneal dialysis liquid to intraperitoneal stream, until fresh peritoneal dialysis liquid bag stream is empty, closes the saturating short tube switch of abdomen, The saturating short tube of abdomen is separated with peritoneal dialysis liquid bag pipe, liquid operation is changed in end；The peritoneal dialysis liquid poured into abdominal cavity reaches reservation in abdominal cavity Setting time, repeats aforesaid operations.

5th, illustrate

Fig. 1 is the front schematic view of pd machine/pac-xtra product structure, and 1- Infusion supports are connected with 2- top panels, and 2- top panels have Two transfusion frame aperture 3-1 and 3-2,4- light medicine inspection platform are located at 2- top panels, and 5- lamp sources are located at the lower section of 4- light medicine inspection platforms, 6- heat emission holes are located at the lower wall of 4- light medicine inspection platforms, and 7- passage handles are located at the dorsal part of 2- top panels on one side, 8- peritoneal dialysis liquid temperature Display location is spent above the front of 2- top panels, 9- light source switch is located at the preceding right side of 2- top panels, 10- temperature adjustments are pressed Button is located above the positive middle position of 2- top panels, ultraviolet lamp source hidden 11- two, in 12- UV protection covers Face, 13- aseptic operating platforms are located at the lower section of 12- UV protection covers, and it is sterile that 14-1- pipe clamps groove and 14-2- pipe clamps groove are located at 13- Operating desk both sides, 15- peritoneal dialysis liquids weighing apparatus incubator is located at the lower section of 13- aseptic operating platforms, and 16- pd machine/pac-xtras base weighs with 15- peritoneal dialysis liquids Incubator is connected, and the lower section for the incubator that weighed positioned at 15- peritoneal dialysis liquids, tetra- universal wheels of 17- are located at the corner below 16- pd machine/pac-xtra bases Be connected hole under place, 18-, is electric 19- sources line by the hole that is connected under 18-；

Fig. 2 is structure schematic diagram of the present invention, and it in the upper rear portion of the saturating car of abdomen is 20- controllers that shown in top, which is, It is 21- peritoneal dialysis liquids heating weighing apparatus incubator in the lower section of 20- controllers, 22-1- and 22-2- peritoneal dialysis liquids heating weighing apparatus case 21- two fans are opened Close the door, tetra- layers of warm plates of heating weighing apparatus of 23-, tetra- temperature sensors of 24- are located at tetra- layers of heatings of 23- that 21- peritoneal dialysis liquids heat weighing apparatus incubator The centre of the warm plate of weighing apparatus, tetra- heating indicator lamps of 25- are located at the lower left corner of tetra- layers of warm plates of heating weighing apparatus of 23-；

Shown in Fig. 3 is the right side aft section structural representation of pd machine/pac-xtra, 26- external cable line aggregators, positioned at abdomen The left outside upper lateral part of saturating car,

Shown in Fig. 4 is structure schematic diagram after pd machine/pac-xtra, 27- radiating hole slots, production of the dissipation in controller room Heat, each part collectively forms the saturating car of abdomen more than；

Shown in Fig. 5 is the actual Bacteria Culture testing result to pd machine/pac-xtra sterilization, disinfecting action platform local environment, is pointed out As long as being irradiated one minute with ultraviolet lamp, pd machine/pac-xtra aseptic operating platform environment is in germ-free condition.

6th, embodiment

According to structural principle shown in Fig. 1-Fig. 1-4 and each accessory, prepare following manufacture material：1st, PVC board 1；2nd, PC is organic Glass is some；3rd, 12V Switching Power Supplies 1；4th, 5V double switch powers 1；5th, Infusion support 1；6th, LED power 1；7th, copper-clad plate 2；8th, liquid crystal display 1；9th, 1 set of universal wheel (4)；10th, 1, one drag two rectifier；11st, 254 uviol lamp 1；12nd, 185 is purple Outer 1, lamp；13rd, LED 3；14th, power line 1；15th, some of component；16th, wire rod is some；17th, screw is some；18、 Pull handle 1 pair 19, power line；20th, controller；21st, peritoneal dialysis liquid heating weighing apparatus incubator；22-1 and 22-2, two fan switch gates；23rd, four The warm plate of layer heating weighing apparatus；24th, four temperature sensors；25th, four heating indicator lamps；26th, external cable line aggregator；27th, control Device shell heat emission hole, groove；Go out each critical piece of pd machine/pac-xtra using computer design, casing, outsourcing special part is manufactured with 3D printing The special portion companion of pd machine/pac-xtra, collects after whole accessories, according to design drawing, since chassis, installs pd machine/pac-xtra complete machine, completes overall After installation, clinical trial can be carried out after debugging.

7th, the positive effect of the present invention

CAPD-related peritonitis, the main cause that it occurs is related to changing the pollution relationships in liquid operating process, close.Once Generation is not that can be cured every time by antibiotic.Moreover, frequency is more, the destruction to peritoneal membrane function is more serious, finally Cause peritoneal fibrosiss, peritonaeum hardening, ultrafiltration function is lost, or cause to be difficult to control to finally extremely because multi-drug resistant bacteria infects Die, or because fungal infection operation of having to is pulled out abdomen and managed thoroughly, terminate abdomen saturating.

The present invention is the ultraviolet of the pre- use effectively 254nm and 180nm wave bands of purple designed with physical principle, and in abdomen, saturating person changes liquid In operating process, the small local environment of exchange liquid operation adapter carries out direct irradiation, makes pathogenic microorganism (bacterium, virus, true Bacterium) etc. can not change the deposit of liquid local microenvironment, a reliable subenvironment existed without microorganism is caused, so that it is saturating to improve abdomen Change the security of liquid.

Shown from clinical trial practice result：Preposition culture dish is not sterilized 5 minutes, the clump count of bacterium is 1 CFU/ wares, works as photograph Penetrate after 1 minute to 5 minutes, without bacterial growth.Prompting the design changes liquid for abdomen and can formed completely thoroughly reliably sterile changes liquid Subenvironment.

The positive effect of the present invention is：1st, innovate a small reliable abdomen and change pendular ring border and method thoroughly；2nd, can be as at home Abdomen changes the good auxiliary equipment of liquid thoroughly；3rd, heating, the weighing apparatus temperature of peritoneal dialysis liquid can be automatically controlled；4th, operation facility, easy to learn, understandable, i.e., Make not understanding principle, as long as operating with operation sequence, sterile working level can be reached；5th, medical transfusion stand, left and right side Operating habit has designed, has been equipped with plug-in unit；6th, peritoneal dialysis liquid heating weighing apparatus temperature has instruction in pd machine/pac-xtra weighing apparatus each layer peritoneal dialysis liquid of incubator；7、 Peritoneal dialysis liquid bag catheter clip tube seat contributes to behaviour person is safe to place peritoneal dialysis liquid bag pipe and the saturating external short tube of abdomen；8th, ultraviolet shield energy The effectively excessive irradiation of protection；9th, the convenient place to place that can take the circumstances into consideration to exchange pd machine/pac-xtra is elapsed；10th, small and exquisite is economical and practical.

Claims (1)

1. pd machine/pac-xtra is a kind of medical peritoneal dialysis (Peritoneal Dialysis, PD) servicing unit, it is characterized in that：By defeated Liquid frame (1) is connected with top panel (2), the connecting hole (3-1 and 3-2) for having two Infusion supports (1) on top panel (2), also has Light medicine inspection platform (4), lamp source (5), heat emission hole (6), passage handle (7), peritoneal dialysis liquid temperature display (8), light source switch (9) With temperature adjustment buttons (10), what is be connected with top panel (2) is two hidden ultraviolet lamp sources (11), (ultraviolet lamp The ultraviolet that pipe is sent is the ultraviolet of 254nm and 185nm wave bands respectively) and ultraviolet shield (12), it is anti-in ultraviolet Aseptic operating platform (13) below shield (12), the both sides of aseptic operating platform (13) be designed with pipe clamp groove (14-1 and 14-2) with What aseptic operating platform (13) was connected is peritoneal dialysis liquid weighing apparatus incubator (15), with the pd machine/pac-xtra bottom being connected below peritoneal dialysis liquid weighing apparatus incubator (15) Seat (16), at pd machine/pac-xtra base (16) four corners below, is connected with four universal wheels (17), two of which front-wheel pressable is fixed , there is the hole (18) that is connected under Infusion support (1) position on the left side chassis of pd machine/pac-xtra, the side for hole (18) that are connected under There is power line (19) to be drawn from the weigh lower end of incubator (15) of peritoneal dialysis liquid, controller then is installed in casing on the back of pd machine/pac-xtra (20), below controller (20) it is peritoneal dialysis liquid heating weighing apparatus incubator (21), is that two fans are opened outside peritoneal dialysis liquid heating weighing apparatus case (21) Close the door (22-1 and 22-2), in peritoneal dialysis liquid heating weighing apparatus incubator, and design and installation has four layers of warm plate (23) of heating weighing apparatus, in heating weighing apparatus temperature Four temperature sensors (24) are installed in the middle of plate, four heating indicator lamps are connected with the left of four layers of warm plate of heating weighing apparatus (25), on the external right side top of pd machine/pac-xtra, external cable line aggregator (26) is installed to collect cable, in pd machine/pac-xtra Afterwards on the shell of peripheral control unit, design is machined with heat emission hole, groove (27) in favor of the radiating of pd machine/pac-xtra, and each part of the above is mutually interconnected Connect, assemble, collectively form pd machine/pac-xtra；

The operating method of pd machine/pac-xtra：The first step：In power line (18) plug insertion 220V power outlets of pd machine/pac-xtra, with power supply After socket is connected；Second step：4 bags of (8000ml) peritoneal dialysis liquids are taken, are respectively placed in 4 layers of heating weighing apparatus incubator, are in now to add Temperature state, the aobvious red of heating indicator lamp (25), when temperature is up to 37 DEG C, heating indicator lamp (25) extinguishes；3rd step：Change liquid operation When, first open pd machine/pac-xtra back door (21-1 and 21-2)；4th step：One bag of peritoneal dialysis liquid (2000ml) is taken out, outer packaging bag is taken apart, Peritoneal dialysis liquid bag be placed on light medicine inspection platform (4) examine whether there is shape thing for this reason, if having abandon without；5th step：After checking Peritoneal dialysis liquid, hang on Infusion support (1), peritoneal dialysis liquid bag pipe pull down；6th step：The joint pipe portion of peritoneal dialysis liquid bag pipe is stuck in nothing Bacterium is changed in the pipe clamp groove (14-1) on liquid operating desk (13) left side；7th step：Patient takes out the saturating pipe external short tube of abdomen on one's body, The saturating external short tube of abdomen is placed on sterile change to make on platform (13), iodide-containing cap is removed, the saturating pipe external short tube joint of abdomen and peritoneal dialysis liquid bag Pipe joint phase Title connects；8th step：Waste fluid bag is placed on electronic surveying following by pd machine/pac-xtra to deserve to be called, open external short tube makes Waste liquid in abdominal cavity is drained from abdominal cavity, into waste fluid bag, until the waste liquor stream in abdominal cavity is empty；9th step：Split off fresh Interior stemming rod in peritoneal dialysis liquid bag pipe, flows out fresh peritoneal dialysis liquid, after fresh peritoneal dialysis liquid flow to waste fluid bag pipe about 30-50cm, Waste fluid bag pipe is clamped, makes fresh peritoneal dialysis liquid to intraperitoneal stream, until fresh peritoneal dialysis liquid bag stream is empty, closes the saturating short tube switch of abdomen, The saturating short tube of abdomen is separated with peritoneal dialysis liquid bag pipe, and liquid operation is changed in end；The peritoneal dialysis liquid poured into abdominal cavity reaches setting for reservation in abdominal cavity Fix time, repeat aforesaid operations.