CN107469170A - A kind of wearable artificial kidney - Google Patents

A kind of wearable artificial kidney Download PDF

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Publication number
CN107469170A
CN107469170A CN201710908855.8A CN201710908855A CN107469170A CN 107469170 A CN107469170 A CN 107469170A CN 201710908855 A CN201710908855 A CN 201710908855A CN 107469170 A CN107469170 A CN 107469170A
Authority
CN
China
Prior art keywords
dialyzer
dialyzate
blood
dialysis
housing
Prior art date
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
CN201710908855.8A
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Chinese (zh)
Inventor
陈贵文
刘韶林
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CHENGDU WEILISHENG BIOTECH Co Ltd
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CHENGDU WEILISHENG BIOTECH Co Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by CHENGDU WEILISHENG BIOTECH Co Ltd filed Critical CHENGDU WEILISHENG BIOTECH Co Ltd
Priority to CN201710908855.8A priority Critical patent/CN107469170A/en
Publication of CN107469170A publication Critical patent/CN107469170A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • 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
    • A61M1/1623Disposition or location of membranes relative to fluids
    • A61M1/1627Dialyser of the inside perfusion type, i.e. blood flow inside hollow membrane fibres or tubes
    • 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
    • A61M1/1678Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes intracorporal
    • 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
    • A61M1/1694Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes with recirculating dialysing liquid
    • A61M1/1696Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes with recirculating dialysing liquid with dialysate regeneration
    • 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/75General characteristics of the apparatus with filters
    • 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
    • A61M2206/00Characteristics of a physical parameter; associated device therefor
    • A61M2206/10Flow characteristics
    • 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
    • A61M2209/00Ancillary equipment
    • A61M2209/08Supports for equipment
    • A61M2209/088Supports for equipment on the body

Abstract

The invention discloses a kind of wearable artificial kidney, including haemodialysis component, in addition to wearable device, the haemodialysis component is installed on wearable device;The haemodialysis component includes blood pump, dialyzer, dialysis liquid pump and dialysis fluid container;The blood pump is connected by pipeline with dialyzer, and blood pump is used to provide the power for flowing through dialyzer for blood;In pipeline of the dialyzate series connection of pumps between dialysis fluid container and dialyzer, dialysis liquid pump is used to provide the power for flowing through dialyzer for dialyzate.This artificial kidney can be carried with by dialysis person, to realize that hemodialysis patient completes haemodialysis in daily work and life.

Description

A kind of wearable artificial kidney
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of wearable artificial kidney.
Background technology
Haemodialysis (hemodialysis, HD) is one of acute or chronic renal failure kidneys of patients Replacement Therapy. It by by internal blood drainage to external, through one by thousands of dialyzers formed to tens of thousands of hollow fibre pipes, dialysis When blood by being flowed through in hollow fibre pipe, dialyzate carries out solute exchange by flowing through outside hollow fibre pipe, by disperse/convection current, Reach and remove internal metabolic waste, maintain electrolyte and acid-base balance;Moisture excessive in vivo is removed simultaneously, and will be passed through net The blood recovery of change is to internal.Wherein hollow fibre pipe is the semi-transparent membrane tube for being covered with micro aperture on a kind of tube wall, only molecule The solute that diameter is less than micropore just can freely lead to.
In the prior art, it is necessary to which the patient for carrying out haemodialysis, which generally requires hospital, completes haemodialysis, and blood is saturating The frequency of analysis is even as high as three-times-weekly, and the water consumption of single dialysis, at 150 liters or so, the time is 4-6 hours.It is therefore existing There is hemodialysis patient in technology to carry out the special place of haemodialysis needs, having a strong impact on needs outgoing work or tourism blood saturating Analyse the work and life of patient.
The content of the invention
Carrying out haemodialysis for hemodialysis patient in the prior art set forth above needs special place, has a strong impact on The problem of needing outgoing work or the work and life of hemodialysis patient of travelling, the invention provides a kind of Worn type is artificial Kidney, this artificial kidney can be carried with by dialysis person, to realize that hemodialysis patient completes blood in daily work and life Dialysis.
A kind of wearable artificial kidney provided by the invention solves problem by following technical essential:A kind of Worn type is artificial Kidney, including haemodialysis component, in addition to wearable device, the haemodialysis component are installed on wearable device;
The haemodialysis component includes blood pump, dialyzer, dialysis liquid pump and dialysis fluid container;
The blood pump is connected by pipeline with dialyzer, and blood pump is used to provide the power for flowing through dialyzer for blood;
In pipeline of the dialyzate series connection of pumps between dialysis fluid container and dialyzer, dialysis liquid pump is used to be dialyzate The power for flowing through dialyzer is provided.
Specifically, above wearable device can use the wearable in the dress on human body of the forms such as waistband, mandarin jacket, knapsack Put, in a manner of reaching by increasing wearable device with human contact's area, the comfortable of this artificial kidney is worn to improve human body Property., so, can be by blood because waistband and mandarin jacket are respectively provided with the characteristics of covering people's bulk area is big when such as using waistband or mandarin jacket Dialysis component is split as multiple modules according to function, as blood pump, dialyzer, dialysis liquid pump, dialysis fluid container are respectively used as a mould Block, is fixed on the diverse location of wearable device, and the fluid passage between corresponding module is realized by pipeline, respective electric connection Connected also through the electrical cable of softness, after wearable device is worn on human body, above modules are using human body in The heart so, is fallen on human body or closer to human body center of gravity itself around human body annular branch by the center of gravity of this artificial kidney Mode so that this artificial kidney has more preferable wear comfort.
In this programme, above wearable device is worn on the wearable device on human body as this artificial kidney, and above blood is saturating Functional part of the component as processing blood is analysed, by such scheme, may be such that haemodialysis component can move with wearer, Haemodialysis is completed in the daily life of wearer or the course of work so that when undergoing hemodialysis is not necessarily in spending specific Jian Qu hospitals complete haemodialysis, are greatly improved the quality of the life of undergoing hemodialysis.
Further technical scheme is:
In the prior art, the dialyzate required for single blood dialysis is completed typically in 150L or so, to cause using this During artificial kidney, user is unnecessary to carry substantial amounts of dialyzate, to mitigate the heavy burden burden of dialysis person, in addition to is used for dialyzate The regenerating unit of regeneration,
Pipeline is additionally provided between dialyzate outlet and dialysis fluid container on dialyzer, the regenerating unit is series at dialysis In pipeline on device between dialyzate outlet and dialysis fluid container;
Dialyzate entrance and dialyzate hold on pipeline, dialyzer on dialyzer between dialyzate outlet and dialysis fluid container Pipeline, dialysis liquid pump, dialyzer, regenerating unit, dialysis fluid container between device collectively constitute what is circulated for dialyzate Loop.In this programme, equivalent to completing the dialyzate exchanged with blood material in dialyzer finally by being dialysed on dialyzer Liquid outlet is entered in dialysis fluid container after flowing through regenerating unit, and above regenerating unit is used to purify corresponding dialyzate to be allowed to Reach the standard used next time, so, this artificial kidney user wears several litres of dialyzates, continuous by being carried out to these dialyzates Recycle, wearer bear a heavy burden it is lighter in the case of so that these dialyzates can be used in completing whole dialysis procedure.
Above regenerating unit can use the multiple process tanks being sequentially connected in series, such as flow through the flowing of regenerating unit in dialyzate On direction, chopped-off head process tank subsequently sets gradually active carbon adsorption column, immuno absorbence using the urease tank for being provided with urease Post, zirconium hydroxide and zirconium phosphate tank, i.e., the urea in used dialyzate is decomposed by the urease first, subsequently in profit Other toxic components in dialyzate are adsorbed with active carbon adsorption column, immunoabsorbent column, zirconium hydroxide and zirconium phosphate tank, reaches and keeps away Exempt from the purpose that urea impacts to the adsorbing medium in subsequent treatment tank.
In this programme, above dialysis liquid pump can be used as the power source that entirely circulates of dialyzate participation, i.e., it is actually Also it is a circulating pump.
For ease of removing the excessive moisture in blood, in addition to it is connected to the ultrafiltrate pump on dialyzer in dialyzate outlet.
As one kind in the case where reaching specific dialysis-effect, the less dialyzer scheme of required dialysis liquid measure, the dialysis Device includes dialyzer housing, and being additionally provided with blood entry port interface, dialyzate discharge coupling, dialyzate entrance on dialyzer housing connects Mouthful and blood discharge coupling, be additionally provided with dialysis tubing in dialyzer housing, in addition to the resistive portion being arranged in dialyzer housing, The resistive portion is located at the outside of dialysis tubing, and resistive portion is between dialyzate discharge coupling and dialyzate ingress interface, institute Resistive portion is stated to be used to increase the resistance that dialyzate flows through dialyzer;
The blood pump is connected by blood entry port interface with dialyzer;
The blood discharge coupling is used to connect the pipeline that blood is led back to human body;
The dialyzate ingress interface is used to connect dialysis liquid pump;
The dialyzate that the dialyzate discharge coupling is used to use by dialyzer discharges dialyzer.
Specifically, above blood entry port interface is used to connect the pipeline between blood pump and dialyzer, to draw into dialyzer Enter pending blood;Above blood discharge coupling is used to connect the draining blood pipeline between dialyzer and human body;It is described Analysis pipe uses hollow fibre pipe, and the dialysis tubing flows through as blood between blood entry port interface and blood discharge coupling The pipeline of parser;Above dialyzate ingress interface and dialyzate discharge coupling are respectively used to connection and dialyzate are introduced into dialyzer Pipeline and draw dialyzate pipeline.At work, pending blood flows through dialyzer, dialyzate to dialyzer by dialysis tubing Dialyzer is flowed through by the outside of dialysis tubing, separated material is needed in blood under Brownian movement, through on dialysis tube wall Micropore is entered in dialyzate, completes the separation of part harmful substance in blood, i.e., carries out mass exchange by disperse;Existing skill Also there is the scheme for directly filling into dialyzate to blood before dialyzer processing by dialyzate system in art, that is, a displacement is set Liquid pump, the dialyzate as displacement liquid is filled into the transducer potector between blood entry port interface and blood pump, then by saturating Analysis liquid system suctions out a certain amount of liquid from dialysis tubing, reaches and carries out mass exchange by convection current.So, it is existing to pass through convection current Carry out in the Dialysis scheme of mass exchange, it is necessary to increase filter and displacement liquid pump in the entire system.
In this programme, above resistive portion is to be arranged on dialyzate dialyzate between dialysis tubing and dialyzer housing to flow In flow, by the flow resistance for increasing dialyzate in the flow so that part or all of dialyzate is under differential pressure through dialysis Pipe is entered in blood flow, then again in existing dialyzate system in the presence of balance system so that in blood flow to The outside of dialysis tubing flows out the liquid isometric with the above-mentioned dialyzate entered in blood flow, so, is worn in respective liquid When crossing dialysis tube wall outflow dialysis tubing, the material in blood is under the power of forced convertion, it is easier to through dialysis tube wall, So, it not only ensure that the small molecule being harmful in blood can be entered smoothly by blood and blood purification completed in dialyzate, It is strong so as to reach as middle molecule toxins can be also entered in dialyzate through dialysis tubing so that the harmful substance that molecule is bigger Change the purpose of haemodialysis effect.
The resistive portion is intended to increase the flow resistance of dialyzate in dialyzate flow between dialysis tubing and dialyzer housing, As those skilled in the art, the implementation of above resistive portion can be subject to reality by way of being placed obstacles in corresponding flow It is existing:Tamper such as is set in corresponding flow, to reduce the area of a certain section of circulation passage in corresponding flow, by external force Dialyzer housing inwardly produces deformation, to reduce the area of a certain section of circulation passage in corresponding flow, change dialyzer housing Shape, increase flow resistance to cause respective streams journey that there are more inflection points, deflection plate is set in corresponding flow, with logical When crossing dialyzate and being flowed in corresponding flow, there are dialyzate more turns to reach increase flow resistance etc. in corresponding flow Scheme.
To sum up, this programme is compared to the existing scheme that mass exchange is carried out by convection current, it is not necessary in whole dialysis system Middle increase filter can be realized with displacement liquid pump completes mass exchange by way of convection current, i.e., this programme is more simple in structure In the case of list, not only small molecule toxins can be by clear in blood, while middle molecule toxins can also be forced through dialysis Pipe, so, may be such that haemodialysis reaches preferable effect;The dialyzer scheme that this programme provides, due to partly or entirely saturating It is enough through dialysis tubing to analyse liquid energy, in the presence of forced convertion, can be reached preferably thoroughly using the dialyzate of less volume Analyse effect;The dialyzer scheme that this programme provides, because part or all of dialyzate can pass through dialysis tubing, with forced convertion Under effect, in the case of dialyzate equivalent, more preferable dialysis-effect can reach;The dialyzer scheme that this programme provides, due to Dialyzate, which enters blood, to be needed through dialysis tubing, and blood before dialysis is directly entered by replacing liquid pump dialyzate compared to existing Scheme, the security of this programme are more reliable.
The dialyzer provided using this programme, can be saturating by existing progress single in the case where reaching same dialysis purpose Dialysate consumption amount is analysed by 150 as little as 2 liters or so of liftings.When this programme combines the scheme with regenerating unit, single is completed Dialyzate required for dialysis procedure is reduced to 1 liter or so:Such as to ensure that it is enough saturating that dialysis liquid pump can provide for dialyzer Analyse liquid to supply, the reliability service of whole system can be met when the weight of dialyzate is 5 liters in whole artificial kidney.
As the specific implementation of resistive portion, the resistive portion is the size reduction section on dialyzer housing.This realization Mode can be on existing dialyzer housing, and in outside, the simple processing of work can obtain the required forced convertion that includes and purify blood Dialyzer.
Because the existing hollow fiber conduit as dialysis tubing has specific ultrafiltrate coefficient, therefore can pass through under differential pressure The dialysate flow that dialysis tubing is entered in blood has bottleneck, to enable this dialyzer to utilize disperse and convection current simultaneously Mass exchange is carried out, also has between the size reduction section and dialysis tubing and is used for the gap that dialyzate passes through.Using this programme, Circulation passage of the above gap as the dialyzate that blood purification is carried out by disperse principle, as reach required dialysis effect Rate, when reaching maximum through dialysis tubing progress blood to carry out the dialysate flow of convection current mass exchange, it can also pass through increasing The flow of the dialyzate in the gap is passed through greatly, to strengthen the flow for the dialyzate that blood purification is carried out by disperse principle, i.e., This programme disperse, convection current progress mass exchange can be carried out simultaneously.
The dialyzer housing is in the form of a column, and blood entry port interface is arranged on the difference of dialyzer housing with blood discharge coupling End;
The both ends of the dialyzer housing are provided with tube sheet, and each tube sheet described in end dialyzer housing where it with dialysing Manage as more, each dialysis tubing is installed between two tube sheets, and each dialysis tubing is the communicating pipe between two blood rooms;
Dialyzate discharge coupling and dialyzate ingress interface are arranged in the region between two tube sheets.In this programme, phase When two pieces of tube sheets serve not only as dialysing the fixed plate of tube end more than, while the inner space of dialyzer housing is divided into bag Include two blood rooms as described above and the dialysis working chamber between blood room, dialyzate discharge coupling and dialyzate ingress interface Communicated with dialysis working chamber, resistive portion is in dialysis working chamber.
The dialyzate ingress interface is arranged on one end that blood discharge coupling is set on dialyzer housing, the dialyzate Discharge coupling is arranged on one end that blood entry port interface is set on dialyzer housing.In this programme, by being connect to dialyzate entrance Mouth, the position relationship of blood discharge coupling, dialyzate discharge coupling, blood entry port interface limit, and enter equivalent to dialyzate Mouth both interface and blood discharge coupling are located at same one end of dialyzer housing, dialyzate discharge coupling, blood entry port interface two Person is located at the other end of dialyzer housing, and so, between dialyzate ingress interface and resistive portion, dialyzate enters through dialysis tubing While entering blood, in dialyzate system in the presence of balance system, the liquid of blood moderate is by dialyzate discharge coupling Forced convertion flows out dialysis tubing and takes away the toxin in blood between resistive portion, now, because liquid passes through dialysis in blood Pipe enters haemoconcentration in the dialysis tubing corresponding to the outside of dialysis tubing and, closer to blood entry port interface, is participating in the saturating of convection current In the case that analysis liquid accumulated amount is consistent, because the concentration of blood in corresponding dialysis tubing pipeline section is bigger, more poison can be so taken away Element, i.e., using this programme, along in dialysis tubing on the flow direction of blood, because elder generation is by sucking liquid in dialysis tubing, then to saturating Feeding-in liquid in pipe is analysed, in the case of identical dialysis liquid measure, more preferable toxin elimination effect can be reached.
Because dialyzer housing is equivalent to for an internal pressure vessel, to cause dialyzer housing, stress is more preferable when in use, The dialyzer housing is cylindrical;
The resistive portion is the undergauge section on dialyzer housing;
Flex point is additionally provided with the original position and final position of the undergauge section, part or all of dialysis tubing, it is each Flex point on analysis pipe causes middle part of the dialysis tubing closer to dialyzer housing at undergauge fragment position.This programme is intended to so that institute Stating undergauge section does not influence the laying quantity of dialysis tubing.When the cross section of dialyzer housing is circular, the dialysis tubing on the circle of section Between each other can be by the way of uniform, when having dialysis tubing such as the center of section circle, the dialysis tubing in center need not be set Put flex point, excentral dialysis tubing is in undergauge fragment position to center deviation.
To enable dialysis tubing to play preferable blood purification effect by disperse, between dialysis tubing and dialysis tubing, thoroughly Gap is respectively provided between analysis pipe and dialyzer housing.
The invention has the advantages that:
In this programme, above wearable device is worn on the wearable device on human body as this artificial kidney, and above blood is saturating Functional part of the component as processing blood is analysed, by such scheme, may be such that haemodialysis component can move with wearer, Haemodialysis is completed in the daily life of wearer or the course of work so that when undergoing hemodialysis is not necessarily in spending specific Jian Qu hospitals complete haemodialysis, are greatly improved the quality of the life of undergoing hemodialysis.
Brief description of the drawings
Fig. 1 is a kind of three-dimensional structure diagram of one specific embodiment of wearable artificial kidney of the present invention;
Fig. 2 is a kind of system topological figure of one specific embodiment of wearable artificial kidney of the present invention, wherein, accordingly Pipeline upward arrow represents the flow direction of fluid in the pipeline;
Fig. 3 is the front sectional view of dialyzer in one specific embodiment of a kind of wearable artificial kidney of the present invention.
Reference in figure is followed successively by:1st, dialyzer housing, 2, resistive portion, 3, dialysis tubing, 4, tube sheet, 5, blood entry port Interface, 6, dialyzate discharge coupling, 7, dialyzate ingress interface, 8, blood discharge coupling, 9, blood room, 10, wearable device, 11st, blood pump, 12, ultrafiltrate pump, 13, regenerating unit, 14, dialysis fluid container, 15, dialysis liquid pump.
Embodiment
With reference to embodiment, the present invention is described in further detail, but the present invention structure be not limited only to it is following Embodiment.
Embodiment 1:
As shown in Figure 1 to Figure 3, a kind of wearable artificial kidney, including haemodialysis component, in addition to wearable device 10, The haemodialysis component is installed on wearable device 10;
The haemodialysis component includes blood pump 11, dialyzer, dialysis liquid pump 15 and dialysis fluid container 14;
The blood pump 11 is connected by pipeline with dialyzer, and blood pump 11 is used to provide the power for flowing through dialyzer for blood;
The dialysis liquid pump 15 is connected in the pipeline between dialysis fluid container 14 and dialyzer, and dialysis liquid pump 15 is for being Dialyzate provides the power for flowing through dialyzer.
Specifically, above wearable device 10 can use the wearable in the dress on human body of the forms such as waistband, mandarin jacket, knapsack Put, in a manner of reaching by increasing wearable device 10 with human contact's area, relaxing for this artificial kidney is worn to improve human body Adaptive., so, can be by blood because waistband and mandarin jacket are respectively provided with the characteristics of covering people's bulk area is big when such as using waistband or mandarin jacket Liquid dialysis component is split as multiple modules according to function, as blood pump 11, dialyzer, dialysis liquid pump 15, dialysis fluid container 14 are respectively made For a module, the diverse location of wearable device 10 is fixed on, the fluid passage between corresponding module is realized by pipeline, phase It should be electrically connected and be connected also through the electrical cable of softness, after wearable device 10 is worn on human body, each mould of the above Block centered on human body around human body annular branch, so, fallen by the center of gravity of this artificial kidney on human body or closer to The mode of human body itself center of gravity so that this artificial kidney has more preferable wear comfort.
In this programme, above wearable device 10 is worn on the wearable device on human body, above blood as this artificial kidney Component dialyse as the functional part for handling blood, by such scheme, may be such that haemodialysis component can move with wearer It is dynamic, complete haemodialysis in the daily life of wearer or the course of work so that undergoing hemodialysis is specific not necessarily in spending Time go to hospital to complete haemodialysis, be greatly improved the quality of the life of undergoing hemodialysis.
Embodiment 2:
As shown in Figure 1 to Figure 3, the present embodiment is further qualified on the basis of embodiment 1:In the prior art, complete Dialyzate required for single blood dialysis is typically in 150L or so, and during to use this artificial kidney, user is unnecessary to be taken With substantial amounts of dialyzate, to mitigate the heavy burden burden of dialysis person, in addition to it is used for the regenerating unit 13 of dialysate regeneration,
Pipeline is additionally provided between dialyzate outlet and dialysis fluid container 14 on dialyzer, the regenerating unit 13 is series at In pipeline on dialyzer between dialyzate outlet and dialysis fluid container 14;
Dialyzate entrance and dialyzate on pipeline, dialyzer on dialyzer between dialyzate outlet and dialysis fluid container 14 Pipeline, dialysis liquid pump 15, dialyzer, regenerating unit 13, dialysis fluid container 14 between container 14 are collectively constituted for dialyzate The loop circulated.In this programme, equivalent to completing the dialyzate exchanged with blood material in dialyzer finally by saturating Dialyzate outlet is entered in dialysis fluid container 14 after flowing through regenerating unit 13 on parser, and above regenerating unit 13 is used to purify phase The dialyzate answered is to make up to the standard that next time uses, and so, this artificial kidney user wears several litres of dialyzates, by this A little dialyzates are constantly recycled, in the case where wearer's heavy burden is lighter so that these dialyzates can be used in Into whole dialysis procedure.
Above regenerating unit 13 can use the multiple process tanks being sequentially connected in series, and the stream of regenerating unit 13 is such as flowed through in dialyzate On dynamic direction, chopped-off head process tank subsequently sets gradually active carbon adsorption column, immune suction using the urease tank for being provided with urease Attached column, zirconium hydroxide and zirconium phosphate tank, i.e., the urea in used dialyzate is decomposed by the urease first, subsequently existed Other toxic components in dialyzate are adsorbed using active carbon adsorption column, immunoabsorbent column, zirconium hydroxide and zirconium phosphate tank, are reached The purpose for avoiding urea from impacting the adsorbing medium in subsequent treatment tank.
In this programme, above dialysis liquid pump 15 can participate in the power source entirely circulated, i.e. its reality as dialyzate On be also a circulating pump.
For ease of removing the excessive moisture in blood, in addition to it is connected to the ultrafiltrate pump on dialyzer in dialyzate outlet 12。
Embodiment 3:
As shown in Figure 1 to Figure 3, the present embodiment is made further on the basis of the technical scheme that embodiment 2 provides to this case Limit, as one kind in the case where reaching specific dialysis-effect, the less dialyzer scheme of required dialysis liquid measure, the dialyzer bag Dialyzer housing 1 is included, blood entry port interface 5, dialyzate discharge coupling 6, dialyzate entrance are additionally provided with dialyzer housing 1 and is connect Mouthfuls 7 and blood discharge coupling 8, dialysis tubing 3 is additionally provided with dialyzer housing 1, in addition to the resistance being arranged in dialyzer housing 1 Stream portion 2, the resistive portion 2 is located at the outside of dialysis tubing 3, and resistive portion 2 is located at dialyzate discharge coupling 6 and connect with dialyzate entrance Between mouth 7, the resistive portion 2 is used to increase the resistance that dialyzate flows through dialyzer;
The blood pump 11 is connected by blood entry port interface 5 with dialyzer;
The blood discharge coupling 8 is used to connect the pipeline that blood is led back to human body;
The dialyzate ingress interface 7 is used to connect dialysis liquid pump 15;
The dialyzate that the dialyzate discharge coupling 6 is used to use by dialyzer discharges dialyzer.
Specifically, above blood entry port interface 5 is used to connect the pipeline between blood pump 11 and dialyzer, with into dialyzer Introduce pending blood;Above blood discharge coupling 8 is used to connect the draining blood pipeline between dialyzer and human body;It is described Dialysis tubing more than 3 uses hollow fibre pipe, and the dialysis tubing 3 is as blood between blood entry port interface 5 and blood discharge coupling 8 Flow through the pipeline of dialyzer;Above dialyzate ingress interface 7 and dialyzate discharge coupling 6 are respectively used to connection and drawn into dialyzer Enter the pipeline of dialyzate and draw the pipeline of dialyzate.At work, pending blood flows through dialysis to dialyzer by dialysis tubing 3 Device, dialyzate flow through dialyzer by the outside of dialysis tubing 3, and separated material is needed in blood under Brownian movement, through saturating Micropore on the analysis wall of pipe 3 is entered in dialyzate, completes the separation of part harmful substance in blood, i.e., carries out material by disperse Exchange;Also there is the scheme for directly filling into dialyzate to blood before dialyzer processing by dialyzate system in the prior art, i.e., One displacement liquid pump, the transducer potector that the dialyzate as displacement liquid is filled between blood entry port interface 5 and blood pump 11 are set In, a certain amount of liquid is then being suctioned out from dialysis tubing 3 by dialyzate system, is reaching and carries out mass exchange by convection current. So, it is necessary to increase filter and displacement liquid in the entire system in the existing Dialysis scheme that mass exchange is carried out by convection current Pump.
In this programme, above resistive portion 2 is arranged on dialyzate and dialysed between dialysis tubing 3 and dialyzer housing 1 liquid stream In dynamic flow, by the flow resistance for increasing dialyzate in the flow so that part or all of dialyzate passes through under differential pressure Dialysis tubing 3 is entered in blood flow, then again in existing dialyzate system in the presence of balance system so that blood flow The middle liquid isometric with the above-mentioned dialyzate entered in blood flow to the outside outflow of dialysis tubing 3, so, in corresponding liquid When body is through the tube wall of dialysis tubing 3 outflow dialysis tubing 3, the material in blood is under the power of forced convertion, it is easier to through dialysis The tube wall of pipe 3, so, it not only ensure that the small molecule being harmful in blood can be entered smoothly by blood and blood completed in dialyzate Liquid purifies so that the bigger harmful substance of molecule, as middle molecule toxins can be also entered in dialyzate through dialysis tubing 3, from And reach the purpose for strengthening haemodialysis effect.
The flowing that the resistive portion 2 is intended to increase dialyzate in dialyzate flow between dialysis tubing 3 and dialyzer housing 1 hinders Power, as those skilled in the art, the implementation of above resistive portion 2 can be added by way of being placed obstacles in corresponding flow To realize:Tamper such as is set in corresponding flow, to reduce the area of a certain section of circulation passage in corresponding flow, pass through external force So that dialyzer housing 1 inwardly produces deformation, to reduce the area of a certain section of circulation passage in corresponding flow, change dialyzer shell The shape of body 1, increase flow resistance to cause respective streams journey that there are more inflection points, baffling is set in corresponding flow Plate, during being flowed by dialyzate in corresponding flow, dialyzate there are more turns to reach increase flows in corresponding flow The schemes such as dynamic resistance.
To sum up, this programme is compared to the existing scheme that mass exchange is carried out by convection current, it is not necessary in whole dialysis system Middle increase filter can be realized with displacement liquid pump completes mass exchange by way of convection current, i.e., this programme is more simple in structure In the case of list, not only small molecule toxins can be by clear in blood, while middle molecule toxins can also be forced through dialysis Pipe 3, so, it may be such that haemodialysis reaches preferable effect;The dialyzer scheme that this programme provides, due to partly or entirely saturating It is enough through dialysis tubing 3 to analyse liquid energy, in the presence of forced convertion, can be reached preferably thoroughly using the dialyzate of less volume Analyse effect;The dialyzer scheme that this programme provides, because part or all of dialyzate can pass through dialysis tubing 3, with forced convertion In the presence of, in the case of dialyzate equivalent, it can reach more preferable dialysis-effect;The dialyzer scheme that this programme provides, by In dialyzate enter blood need through dialysis tubing 3, compared to it is existing by replace liquid pump dialyzate be directly entered dialysis before blood The scheme of liquid, the security of this programme are more reliable.
The dialyzer provided using this programme, can be saturating by existing progress single in the case where reaching same dialysis purpose Dialysate consumption amount is analysed by 150 as little as 2 liters or so of liftings.When this programme combines the scheme with regenerating unit 13, complete single Dialyzate required for secondary dialysis procedure is less:Such as supplied to ensure that dialysis liquid pump 15 can provide enough dialyzates for dialyzer Answer, the reliability service of whole system can be met when the weight of dialyzate is 5 liters in whole artificial kidney.
As the specific implementation of resistive portion 2, the resistive portion 2 is the size reduction section on dialyzer housing 1.This reality Existing mode can be made simple processing and can obtain required to include forced convertion purified blood on existing dialyzer housing 1 outside The dialyzer of liquid.
Because the existing hollow fiber conduit as dialysis tubing 3 has specific ultrafiltrate coefficient, therefore can wear under differential pressure Crossing the dialysate flow that dialysis tubing 3 is entered in blood has bottleneck, for enable this dialyzer simultaneously using disperse and Convection current carries out mass exchange, also has between the size reduction section and dialysis tubing 3 and is used for the gap that dialyzate passes through.Using this Scheme, circulation passage of the above gap as the dialyzate that blood purification is carried out by disperse principle, required by as reaching Dialytic efficiency, when reaching maximum through the progress blood of dialysis tubing 3 to carry out the dialysate flow of convection current mass exchange, also may be used By increasing the flow through the dialyzate in the gap, to strengthen the stream for the dialyzate that blood purification is carried out by disperse principle Amount, i.e. this programme disperse, convection current progress mass exchange can be carried out simultaneously.
The dialyzer housing 1 is in the form of a column, and blood entry port interface 5 is arranged on dialyzer housing 1 with blood discharge coupling 8 Different ends;
The both ends of the dialyzer housing 1 are provided with tube sheet 4, each tube sheet 4 with described in end dialyzer housing 1 where it Dialysis tubing 3 is more, and each dialysis tubing 3 is installed between two tube sheets 4, and each dialysis tubing 3 is the connection between two blood rooms 9 Pipe;
Dialyzate discharge coupling 6 and dialyzate ingress interface 7 are arranged in the region between two tube sheets 4.In this programme, Two pieces of tube sheets 4 serve not only as the fixed plate of the end of dialysis tubing 3 equivalent to more than, while the inner space of dialyzer housing 1 is divided It is segmented into including two blood rooms 9 as described above and the dialysis working chamber between blood room 9, dialyzate discharge coupling 6 and dialysis Liquid ingress interface 7 communicates with dialysis working chamber, and resistive portion 2 is in dialysis working chamber.
The dialyzate ingress interface 7 is arranged on one end that blood discharge coupling 8 is set on dialyzer housing 1, described Analysis liquid discharge coupling 6 is arranged on one end that blood entry port interface 5 is set on dialyzer housing 1.In this programme, by dialyzate Ingress interface 7, blood discharge coupling 8, dialyzate discharge coupling 6, the position relationship of blood entry port interface 5 four limit, quite In dialyzate ingress interface 7 and blood discharge coupling 8, both are located at same one end of dialyzer housing 1, dialyzate discharge coupling 6, Both are located at the other end of dialyzer housing 1 to blood entry port interface 5, so, between dialyzate ingress interface 7 and resistive portion 2, While dialyzate is through dialysis tubing 3 into blood, in dialyzate system in the presence of balance system, the liquid of blood moderate Body flows out dialysis tubing 3 by forced convertion between dialyzate discharge coupling 6 and resistive portion 2 and takes away the toxin in blood, now, by Liquid enters in the dialysis tubing 3 corresponding to the outside of dialysis tubing 3 haemoconcentration closer to blood through dialysis tubing 3 in blood Ingress interface 5, in the case where the dialysis liquid accumulated amount for participating in convection current is consistent, due in the corresponding pipeline section of dialysis tubing 3 blood it is dense Degree is bigger, can so take away more toxin, i.e., using this programme, along in dialysis tubing 3 on the flow direction of blood, due to elder generation By sucking liquid in dialysis tubing 3, then the feeding-in liquid into dialysis tubing 3, in the case of identical dialysis liquid measure, can reach more preferable Toxin elimination effect.
Because dialyzer housing 1 is equivalent to for an internal pressure vessel, to cause dialyzer housing 1, stress is more when in use Good, the dialyzer housing 1 is cylindrical;
The resistive portion 2 is the undergauge section on dialyzer housing 1;
Flex point is additionally provided with the original position and final position of the undergauge section, part or all of dialysis tubing 3, it is each Flex point on analysis pipe 3 causes the dialysis tubing 3 at undergauge fragment position closer to the middle part of dialyzer housing 1.This programme is intended to make Obtaining the undergauge section does not influence the laying quantity of dialysis tubing 3.When the cross section of dialyzer housing 1 is circular, on the circle of section Dialysis tubing 3 between each other can be by the way of uniform, when having dialysis tubing 3 such as the center of section circle, the dialysis tubing 3 in center Flex point need not be set, and excentral dialysis tubing 3 is in undergauge fragment position to center deviation.
To enable dialysis tubing 3 to play preferable blood purification effect by disperse, between dialysis tubing 3 and dialysis tubing 3, Gap is respectively provided between dialysis tubing 3 and dialyzer housing 1.
Above content is to combine the further description that specific preferred embodiment is made to the present invention, it is impossible to assert this The embodiment of invention is confined to these explanations.For general technical staff of the technical field of the invention, The other embodiment drawn in the case where not departing from technical scheme, should be included within the scope of the present invention.

Claims (10)

1. a kind of wearable artificial kidney, including haemodialysis component, it is characterised in that described also including wearable device (10) Haemodialysis component is installed on wearable device (10);
The haemodialysis component includes blood pump (11), dialyzer, dialysis liquid pump (15) and dialysis fluid container (14);
The blood pump (11) is connected by pipeline with dialyzer, and blood pump (11) is used to provide the power for flowing through dialyzer for blood;
The dialysis liquid pump (15) is connected in pipeline of the dialysis fluid container (14) between dialyzer, and dialysis liquid pump (15) is used for The power for flowing through dialyzer is provided for dialyzate.
2. a kind of wearable artificial kidney according to claim 1, it is characterised in that also include being used for dialysate regeneration again Generating apparatus (13),
Pipeline is additionally provided between dialyzate outlet and dialysis fluid container (14) on dialyzer, the regenerating unit (13) is series at In pipeline on dialyzer between dialyzate outlet and dialysis fluid container (14);
Dialyzate entrance and dialyzate hold on pipeline, dialyzer on dialyzer between dialyzate outlet and dialysis fluid container (14) Pipeline, dialysis liquid pump, dialyzer, regenerating unit (13), dialysis fluid container (14) between device (14) are collectively constituted for dialysing The dynamic loop of liquid recycle stream.
3. a kind of wearable artificial kidney according to claim 1, it is characterised in that also include being connected on dialyzer dialysing Ultrafiltrate pump (12) in liquid outlet.
A kind of 4. wearable artificial kidney as claimed in any of claims 1 to 3, it is characterised in that the dialyzer Including dialyzer housing (1), be additionally provided with dialyzer housing (1) blood entry port interface (5), dialyzate discharge coupling (6), thoroughly Liquid ingress interface (7) and blood discharge coupling (8) are analysed, dialysis tubing (3) is additionally provided with dialyzer housing (1), in addition to set In the resistive portion (2) in dialyzer housing (1), the resistive portion (2) is located at the outside of dialysis tubing (3), and resistive portion (2) is located at Between dialyzate discharge coupling (6) and dialyzate ingress interface (7), the resistive portion (2) flows through dialysis for increasing dialyzate The resistance of device;
The blood pump (11) is connected by blood entry port interface (5) with dialyzer;
The blood discharge coupling (8) is used to connect the pipeline that blood is led back to human body;
The dialyzate ingress interface (7) is used to connect dialysis liquid pump (15);
The dialyzate that the dialyzate discharge coupling (6) is used to use by dialyzer discharges dialyzer.
5. a kind of wearable artificial kidney according to claim 4, it is characterised in that the resistive portion (2) is dialyzer shell Size reduction section on body (1).
6. a kind of wearable artificial kidney according to claim 5, it is characterised in that the size reduction section and dialysis tubing (3) also have between and be used for the gap that dialyzate passes through.
A kind of 7. wearable artificial kidney according to claim 4, it is characterised in that the dialyzer housing (1) is in the form of a column, Blood entry port interface (5) is arranged on the different ends of dialyzer housing (1) from blood discharge coupling (8);
The both ends of the dialyzer housing (1) are provided with tube sheet (4), each tube sheet (4) with end dialyzer housing (1) where it End surround blood room (9);
The dialysis tubing (3) is more, and each dialysis tubing (3) is installed between two tube sheets (4), and each dialysis tubing (3) is two Communicating pipe between blood room (9);
Dialyzate discharge coupling (6) and dialyzate ingress interface (7) are arranged in the region between two tube sheets (4).
8. a kind of wearable artificial kidney according to claim 7, it is characterised in that the dialyzate ingress interface (7) sets One end that blood discharge coupling (8) is set on dialyzer housing (1) is put, the dialyzate discharge coupling (6) is arranged on dialysis One end of blood entry port interface (5) is set on device housing (1).
9. a kind of wearable artificial kidney according to claim 4, it is characterised in that the dialyzer housing (1) is in cylinder Shape;
The resistive portion (2) is the undergauge section on dialyzer housing (1);
Flex point is additionally provided with the original position and final position of the undergauge section, part or all of dialysis tubing (3), each dialysis Flex point on pipe (3) causes the dialysis tubing (3) at undergauge fragment position closer to the middle part of dialyzer housing (1).
A kind of 10. wearable artificial kidney according to claim 9, it is characterised in that dialysis tubing (3) and dialysis tubing (3) it Between, between dialysis tubing (3) and dialyzer housing (1) be respectively provided with gap.
CN201710908855.8A 2017-09-29 2017-09-29 A kind of wearable artificial kidney Pending CN107469170A (en)

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CN111202880A (en) * 2020-02-03 2020-05-29 深圳汉诺医疗科技有限公司 Purifying column, device and method for purifying blood
CN112672678A (en) * 2018-06-27 2021-04-16 日内瓦基金会 Wearable modular in vitro life support device for mobile treatment of single and multiple organ failure
WO2021080538A1 (en) * 2019-10-23 2021-04-29 Canakkale Onsekiz Mart Universitesi Rektorlugu Hemodialysis system in the form of a wearable vest
WO2022133582A1 (en) * 2020-12-21 2022-06-30 Volutrol Inc. Wearable hemofiltration artificial kidney
WO2022133574A1 (en) * 2020-12-21 2022-06-30 Volutrol Inc. Wearable hemofiltration artificial kidney

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JPH11319079A (en) * 1998-05-12 1999-11-24 Nikkiso Co Ltd Hollow fiber type hemodialyzer
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112672678A (en) * 2018-06-27 2021-04-16 日内瓦基金会 Wearable modular in vitro life support device for mobile treatment of single and multiple organ failure
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WO2022133574A1 (en) * 2020-12-21 2022-06-30 Volutrol Inc. Wearable hemofiltration artificial kidney

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