CN109045381A - Special pipeline pre-charging circulating device for ECMO and application thereof - Google Patents

Special pipeline pre-charging circulating device for ECMO and application thereof Download PDF

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Publication number
CN109045381A
CN109045381A CN201810795196.6A CN201810795196A CN109045381A CN 109045381 A CN109045381 A CN 109045381A CN 201810795196 A CN201810795196 A CN 201810795196A CN 109045381 A CN109045381 A CN 109045381A
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CN
China
Prior art keywords
preliminary filling
ecmo
circulator
pipeline
infusion bag
Prior art date
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Pending
Application number
CN201810795196.6A
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Chinese (zh)
Inventor
高永霞
张劲松
陈旭锋
顾则娟
宋燕波
吕金如
孙昊
陆真
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
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Application filed by Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University filed Critical Jiangsu Province Hospital First Affiliated Hospital With Nanjing Medical University
Priority to CN201810795196.6A priority Critical patent/CN109045381A/en
Publication of CN109045381A publication Critical patent/CN109045381A/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

Abstract

The invention discloses a pre-charging circulating device of a special pipeline for ECMO and application thereof, wherein the pre-charging circulating device comprises an infusion bag pre-charged with normal saline, two pre-charging liquid ports are arranged at the bottom of the infusion bag, a heparin capsule containing heparin sodium liquid medicine is arranged between the two pre-charging liquid ports, a channel is arranged between the heparin capsule and the infusion bag, a blocking film is arranged in the channel, and the distance between the two pre-charging liquid ports is 6-8 cm; the pre-filling circulating device can avoid liquid emptying caused by using a liquid transfer bag, shorten the pre-filling time of a pipeline and improve the first pre-filling success rate of the ECOM.

Description

ECMO pipe special preliminary filling circulator and its application
Technical field
This application involves medical instruments field, especially a kind of high-effect ECMO pipe special preliminary filling circulator and its answer With.
Background technique
Extracorporeal membrane oxygenation (extracorporeal membrane oxygenation, ECMO) is a breath cycle Support technology, principle are to be drained to the venous blood of patient in vitro through centrifugal pump, the gas exchanges through artificial lung (oxygenator), So that venous oxygen is combined into arterial blood, then is fed back to and plays cardiopulmonary substitution effect in vivo, as one of extracorporeal life support technology, Early stage is applied to the patients such as extracorporal circulatory system off line difficulty, after cardiac surgery Low cardiac output syndrome, and application site is mainly performed the operation Room;In recent years since ECMO effectively helps patient with severe symptoms to tide over fatal critical days, gain time significant effect for successive treatment, Increase year by year in the application of intensive care unit (ICU) and emergency treatment, the support of the especially Severe acute disease patient of sudden cardiac arrest is controlled It treats.
With the release of CPR guide and the training of reinforcement first-aid personnel, the spontaneous circulation of sudden cardiac arrest patient restores Rate increases, and still has some patientss that cannot restore spontaneous circulation;Furthermore existing traditional CPR, even if spontaneous circulation Restore, discharge survival rate, long-term surviving rate and Function outcome are also poor.Therefore, AHA " 2015 CPR in 2015 And emergency cardiovascular care guide " point out not react after carrying out traditional CPR for sudden cardiac arrest patient (adult or children), and body When outer CPR (ECPR) energy Rapid Implementation, i.e., implementable ECPR, as sudden cardiac arrest patient application extracorporeal membrane oxygenation (ECMO)。
Existing research shows that Extracorporeal cardiopulmonary resuscitation (ECPR) is relatively passed The CPR of system can significantly improve survival rate, and JENNIE RYAN is in Extracorporeal Membrane Oxygenation Be reported in the treatment of children in for Pediatric Cardiac Arrest point out traditional CPR survival rate 25%~27%, The survival rate 40%~60% of ECPR, part body researches show that up to 72%-80%, the gorgeous equal CPR in vitro of domestic Wei Hong Meta-analysis to human adult heart arrest victim's influence prognosis the result shows that: the spontaneous circulation of the patient of ECPR group and CPR group is extensive Multiple rate is respectively 86.0% and 61.0%, and discharge survival rate is respectively 34.8% and 17.3%, and long-term surviving rate is respectively 27.0% With 9.5%, Function outcome rate of good is respectively 21.0% and 7.4%, it was therefore concluded that is improving human adult heart arrest victim's Spontaneous circulation recovery rate, discharge survival rate, long-term surviving rate and nervous function state aspect, ECPR all have more significant excellent Gesture.
Successful CPR is not only to restore patient's spontaneous circulation, and final purpose is protection or as restores complete as possible Brain function, therefore as far as possible shorten cerebral hypoxia ischemia time be to restore the best factor of brain function.Specific to It is most important to need to shorten the operating time after implementing the decision of this technology, time and machine including setting pipe in the implementation of ECMO Device starts the time successfully operated.Research is pointed out, ECMO treatment is determined and started through specialist, once patient sets pipe success, Should be immediately connected to ECMO circulation line uplink supportive treatment, for this point, most of center usual used times in 10~20min, Thus the importance for having prompted ECPR therapeutic time after sudden arrest of heart beat carries out ECMO during CPR, restricts in success factor Most critical is timeliness, and making great efforts shortening Emergency care response time can effectively improve the success rate of recovery.
The implementation of ECMO is a complicated and fine technical process, and the main preparation including personnel's material, pipeline are pre- It fills, the merging of arteriovenous pipeline, postoperative care etc..Pipeline preliminary filling needs rigorously to have as sport technique segment important in ECMO implementation The care operation process of sequence, the domestic " ECMO write at present using teacher Huang Weiming that People's Health Publisher in 2014 publishes Application manual " in ECMO pipeline method for pre-charging: the ECMO pipeline preliminary filling of rescue scene is a urgent and fine process, behaviour Served as during work by 2 High qualification nurses, Sang Baozhen etc. in vitro membrane lung oxygen close art Plays care program research with Report in practice: using standardization of care program, ECMO pipeline pre-charging time has 24.10 original ± 2.05min to foreshorten to 19.67±2.38min。
At present ECMO pipeline preliminary filling using conventional infusion bag (as shown in Fig. 1) infusion bag lower end set there are two port, one For connecting pre- charge and exhaust pipe B syringe needle, one end is used for the heparin sodium aqua being added in priming fluid at end, and distance is about between two ports 2cm or so.When preliminary filling, 10mg heparin sodium is added into 1000ml infusion bag as required first, so that glutinous in heparin sodium aqua Polysaccharide and the work material surface of extracorporeal membrane oxygenation carry out Covalent bonding together, make artificial material part simulation human vas endothelium function Can, the generation of lactic acid is reduced, the biocompatibility of material is increased, the formation of thrombus is avoided and mitigates Postoperative inflammatory reaction.And show Having heparin sodium aqua is that 2ml/ branch glass pacifies amber packaging, and medical staff needs to pacify amber first with iodophor disinfection and the glass broken into two with one's hands, sternly 0.2ml heparin is extracted under lattice asptic technique adds normal saline dilution to 2ml, using with needle injection by the heparin sodium of predetermined dose Solution is added from the dosing port of infusion bag, and the concentration and dosage of medical fluid is effectively ensured, which will undoubtedly occupy a large amount of valuable Rescue time.
Clinically pre- charge and exhaust pipe has AB two (attached drawing 3), connects liquid transfering bag on exhaust pipe A, under connect the three of circulation pipe Pass (by centrifugation pump head distal end) is opened up, pre- charge and exhaust pipe B syringe needle is inserted into priming fluid sack, and other end connects the three-way cock of circulation pipe (by being centrifuged pump head proximal end) is closed this two pre- charge and exhaust pipes with pipe clamp, need to adjust after booting zeroing flow knob to 2000r/h (flow > 1.0L/min), the preliminary filling under desired quick revolving speed or flow need operator in packed priming fluid The pre- charge and exhaust pipe B of clamp, prevents emptying rate of liquid and shuts down when interior liquid will be finished, and pulls out priming fluid sack B pipe syringe needle, insertion Another infusion port of liquid transfering bag forms circulation of the liquid in bag, such to operate emptying rate of liquid often and cause pipeline And enter air in centrifugation pump head, lead to preliminary filling failure for the first time, and need repeat switch machine, pre-charging time caused to extend, Seriously affect the machine supportive treatment time on the ECMO of patient.To improve preliminary filling success rate for the first time, pipe is carried out frequently with double cooperation The operation of road preliminary filling, i.e. a people is responsible for the operation of pipeline preliminary filling exhaust, while another people is responsible for the packed preliminary filling liquid row of close observation Air situation condition, it is necessary to shut down and adjust the socket of preliminary filling B pipe before emptying rate of liquid in time, assist clinician to carry out two at the same time The indwelling of road pipeline.In the case where the especially late night care human resources of current emergency care shortage of resources lack, often Only nursing staff is responsible for that preliminary filling and cooperation doctor's indwelling pipeline of ECMO pipeline etc. be complicated and fine operation skill simultaneously Art, therefore how to implement one man operation, solution releases more human ltcs, cooperate other emergency treatments of ECMO treatment, and And can effectively shorten pipeline pre-charging time, one preliminary filling success rate for the first time is improved, is as early as possible that CPR patient implements machine branch on ECMO Hold treatment, it has also become using ECMO technology, improve salvage success rate technical problem urgently to be resolved.
Summary of the invention
In view of the above-mentioned problems, the present invention provides a kind of high-effect ECMO pipe special preliminary filling circulator, can avoid using Emptying rate of liquid caused by liquid transfering bag shortens pipeline pre-charging time, and preliminary filling success rate, the present invention are realized in for the first time for raising :
A kind of ECMO pipe special preliminary filling circulator, the infusion bag including preliminary filling physiological saline, there are two infusion bag bottom is set Priming fluid port, respectively port A and port B are equipped between two priming fluid ports (i.e. between port A and port B) and contain liver The heparin capsule of plain sodium medical fluid is equipped with a channel, is equipped with one of blocking thin film in channel between heparin capsule and infusion bag;It is described The interior spacing (i.e. the interior spacing of port A and port B) of two priming fluid ports is 6-8cm.
Further, in ECMO pipe special preliminary filling circulator provided by the invention, preliminary filling in the infusion bag 0.9% physiological saline 1000m, the heparin sodium containing 10mg in heparin capsule, after the two mixing, will obtain mass fraction is 10mg Heparin sodium priming fluid.
The present invention additionally provides the application of the ECMO pipe special preliminary filling circulator, conventional extracorporeal membrane oxygenation simultaneously Emptying closed circuit is concatenated by passing sequentially through pipeline between centrifugal pump, external membrane lung, connector, and pipeline is equipped with the end a and b End, specific step is as follows for the application:
1) end a of pipeline and the end b are passed through into fittings, it is ensured that pipeline forms closed circuit;The ECMO pipe special is pre- It fills in one section of pipeline that the priming fluid port of circulator is respectively connected between connector and centrifugal pump, pipe grippers is then blocked two Pipeline between access point makes ECMO pipe special preliminary filling circulator become the bypass branch of this section of pipeline of substitution;
2) heparin capsule is squeezed, the heparin in capsule breaks through the physiological saline that blocking thin film enters infusion bag under the effect of the pressure Middle formation buffer;
3) start centrifugal pump, making the buffer in ECMO pipe special preliminary filling circulator, membrane lung oxygen closes emptying closed tube in vitro It is recycled in road, by the air displacement in closed circuit into ECMO pipe special preliminary filling circulator;
4) after the air in conventional extracorporeal membrane oxygenation emptying closed circuit is all replaced, stop centrifugal pump, this When connector is disconnected rapidly, after the end pipeline a and the end b to be respectively connected to arterial cannulation and the venous cannula position of human body, off-tube Road pincers, and be completely separated with ECMO pipe special preliminary filling circulator.
Compared with prior art, the present invention has following technical effect that
1, transfusion label is affixed directly in infusion outer packing, is conveniently taken;Transfusion label content is primarily directed to pipeline preliminary filling Design, do not need clinical nursing staff write or write when omit important content, can the effectively save time, meet safety nursing Quality.
2, there are two priming fluid ports for design, and preliminary filling pipe A, B are connected simultaneously, avoided using caused by liquid transfering bag The possibility of emptying rate of liquid improves preliminary filling success rate for the first time, shortens pipeline pre-charging time, improves working efficiency, avoids using liquid Repeat switch machine when transfering bag can safely and efficiently implement single preliminary filling in the state that operator is in short supply.
3, the distance between the port A of circulation fluid bag lower end and port B internal diameter are 6-8cm, in use, one end (port A) For air inlet (being discharged into the air in circulation line, connect the preliminary filling interface tube A on circulation line), one end (port B) is infusion Mouth (the preliminary filling interface tube B on connection circulation line), distance between the two can be effectively prevented air and enter circulation with liquid In pipeline.
4, the heparin sodium 10mg that preliminary filling needs dosage is placed at place, and it is raw to enter preliminary filling for implementable extruding heparin liquid when needing to add It manages in salt water, avoids dosing, save the time, prevent needle and stab generation.
Detailed description of the invention
Fig. 1 is existing infusion bag structural schematic diagram;
Fig. 2 is ECMO pipe special preliminary filling circulator structural schematic diagram;
Fig. 3 is that existing ECMO pipe special preliminary filling recycles schematic diagram;
Fig. 4 is that the application ECMO pipe special preliminary filling recycles schematic diagram;
In figure: 1, infusion bag;2, port A;3, port B;4, heparin capsule;5, label;6, diaphragm is blocked;7, centrifugal pump;8, body Outer membrane lung;9, connector;10, pipeline;11, exhaust pipe A;12, pre- charge and exhaust pipe B;13, pipe grippers.
Specific embodiment
1 ECMO pipe special preliminary filling circulator of embodiment
ECMO pipe special preliminary filling circulator structure provided in this embodiment is as shown in Figure 2: a kind of ECMO pipe special preliminary filling Circulator, the infusion bag 1 including preliminary filling physiological saline, infusion bag bottom are set there are two priming fluid port, respectively port A2 With port B3, the heparin capsule 4 of the medical fluid containing heparin sodium is equipped between port A2 and port B3, between heparin capsule 4 and infusion bag 1 Equipped with a channel, one of blocking thin film 6 is equipped in channel;Interior spacing between port A2 and port B3 is 8cm(specific implementation In, which can control within the scope of 6-8cm).
In the present embodiment, the physiological saline 1000m that preliminary filling mass fraction is 0.9% in infusion bag 1 contains in heparin capsule 4 There is the heparin sodium of 10mg, after the two mixing, the heparin sodium priming fluid that mass fraction is 10mg will be obtained in infusion bag 1.
In the present embodiment, the material of blocking thin film 6 is that PVC material also can be used in the prior art in specific implementation Block the other materials of diaphragm.
2 ECMO pipe special preliminary filling circulator application of embodiment
Conventional extracorporeal membrane oxygenation emptying closed circuit is by passing sequentially through pipeline between centrifugal pump 7, external membrane lung 8, connector 9 10 concatenate, and pipeline 10 is equipped with the end a and the end b, set that there are two threeways on pipeline 10, are arranged respectively by exhaust pipe A11 and preliminary filling Tracheae B12 is connected with the port A2 and port B3 of ECMO pipe special preliminary filling circulator.
The ECMO pipe special preliminary filling circulator priming procedure is as follows:
1, finger pressure heparin capsule 4, the heparin sodium in capsule break through the life that blocking thin film 6 enters infusion bag 1 under the effect of the pressure Priming fluid is formed in reason salt water;
2, the end a of pipeline 10 is connected to the end b by connector 9, it is ensured that pipeline 10 forms closed circuit;By exhaust pipe A11, hang defeated It on liquid frame, is inserted into 1 port A2 of infusion bag, the three-way cock of circulation pipe is connect under exhaust pipe A11 (by centrifugation pump head distal end);It takes out another One pre- charge and exhaust pipe B12 is inserted into 1 port B3 of infusion bag, and other end connects the three-way cock (by being centrifuged pump head proximal end) of circulation pipe, Exhaust pipe A11 and pre- charge and exhaust pipe B12 is closed with pipe clamp, circulation line 13 clamp of pipe grippers between two pipes;
2, the pipe clamp of pre- charge and exhaust pipe B12 is opened, the three-way cock for connecting circulation pipe is opened, the preliminary filling liquid stream in infusion bag 1 Through centrifugal pump 7 and external membrane lung 8, the air in centrifugal pump 7 and external membrane lung 8 is drained, centrifugation pump head rate of discharge connector is smeared Centrifugation pump head is placed in pump slot and is fixed by couplant;Open the centrifugation pump head pre- charge and exhaust pipe A11 in distal end three-way cock and Pipe clamp opens centrifugal pump 7, rotation flow button, and revolving speed is gradually increased to 2000r/min(flow > 1.0L/min), checks complete After portion's pipeline air exhaust water is clean, open the pipe grippers of the circulation line between two three-way cocks, (with the flow of 3~4L/min) again Pipeline (especially circulating line packet) bubble-free is reaffirmed in exhaust, observes machine run situation.
3, the priming fluid in infusion bag 1 flows through entire circulation line, the air in pipeline 10 is discharged by port A2 defeated In liquid bag 1, since physiological saline volume (1000ml) is much higher than volume of air (about 500ml) in pipeline in infusion bag 1, therefore preliminary filling Liquid is in pipeline 10 and ECMO pipe special preliminary filling circulator internal circulation flow, without pipeline evacuation situation.
4, after the air in conventional extracorporeal membrane oxygenation emptying closed circuit is all replaced, using sterile tube The end a and the end b on road clamp stopped pipe road 10, at this time rapidly disconnect connector 9, and the end a of pipeline 10 and the end b are respectively connected to human body After arterial cannulation and venous cannula position, sterile pipes pincers are disconnected, are recycled so that the blood of patient closes in pipeline in ECMO oxygen, it It is completely separated afterwards with ECMO pipe special preliminary filling circulator.
Those skilled in the art can understand that unless otherwise defined, all terms used herein (including skill Art term and scientific term) there is meaning identical with the general understanding of those of ordinary skill in fields of the present invention.Also It should be understood that those terms such as defined in the general dictionary should be understood that have in the context of the prior art The consistent meaning of meaning will not be explained in an idealized or overly formal meaning and unless defined as here.
Above-described specific embodiment has carried out further the purpose of the present invention, technical scheme and beneficial effects It is described in detail, it should be understood that being not limited to this hair the foregoing is merely a specific embodiment of the invention Bright, all within the spirits and principles of the present invention, any modification, equivalent substitution, improvement and etc. done should be included in the present invention Protection scope within.

Claims (4)

1. a kind of ECMO pipe special preliminary filling circulator, the infusion bag including preliminary filling physiological saline, it is characterised in that: infusion bag Bottom is set there are two priming fluid port, and the heparin capsule of the medical fluid containing heparin sodium, heparin capsule are equipped between two priming fluid ports It is equipped with a channel between infusion bag, is equipped with one of blocking thin film in channel.
2. ECMO pipe special preliminary filling circulator according to claim 1, it is characterised in that: two priming fluid ports Spacing is 6-8cm.
3. ECMO pipe special preliminary filling circulator according to claim 1 or 2, it is characterised in that: it is characterized by: institute The preliminary filling physiological saline of 1000ml in the infusion bag stated contains heparin sodium 10mg in heparin capsule.
4. a kind of application of ECMO pipe special preliminary filling circulator as claimed in claim 3, it is characterised in that: conventional is external Membrane lung oxygen, which closes emptying closed circuit, to be concatenated by passing sequentially through pipeline between centrifugal pump, external membrane lung, connector, using specific Steps are as follows:
1) one be respectively connected to the priming fluid port of the ECMO pipe special preliminary filling circulator between connector and centrifugal pump In Duan Guanlu, pipe grippers are then blocked into the pipeline between two access points, becomes ECMO pipe special preliminary filling circulator and replaces For the bypass branch of this section of pipeline;
2) heparin capsule is squeezed, heparin sodium stoste breaks through 0.9% physiology that blocking thin film enters infusion bag under the effect of the pressure Priming fluid is formed in salt water;
3) start centrifugal pump, making the priming fluid in ECMO pipe special preliminary filling circulator, membrane lung oxygen closes emptying closed tube in vitro It is recycled in road, by the air displacement in closed circuit into ECMO pipe special preliminary filling circulator;
4) after the air in conventional extracorporeal membrane oxygenation emptying closed circuit is all replaced, stop centrifugal pump, this When connector is disconnected rapidly, after being respectively connected to arterial cannulation and the venous cannula position of human body, disconnect pipe grippers, and it is special with ECMO It is completely separated with pipeline preliminary filling circulator.
CN201810795196.6A 2018-07-19 2018-07-19 Special pipeline pre-charging circulating device for ECMO and application thereof Pending CN109045381A (en)

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CN201810795196.6A CN109045381A (en) 2018-07-19 2018-07-19 Special pipeline pre-charging circulating device for ECMO and application thereof

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Application Number Priority Date Filing Date Title
CN201810795196.6A CN109045381A (en) 2018-07-19 2018-07-19 Special pipeline pre-charging circulating device for ECMO and application thereof

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Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5391142A (en) * 1992-07-29 1995-02-21 Organetics, Ltd. Apparatus and method for the extracorporeal treatment of the blood of a patient having a medical condition
CN2640478Y (en) * 2003-07-14 2004-09-15 王孝文 Portable external circulation film lung pump
CN201073456Y (en) * 2007-07-06 2008-06-18 段大为 Vitro membrane oxygenation pipeline quick pre-charging bag
KR20120122623A (en) * 2011-04-29 2012-11-07 대한약품공업 주식회사 A port assembly and an infusion bag for preventing drug misuse
JP2013017580A (en) * 2011-07-08 2013-01-31 Nipro Corp Extracorporeal circulation device and priming method of the same
WO2014076549A1 (en) * 2012-11-16 2014-05-22 Eurosets S.R.L. Biomedical appliance
CN104803082A (en) * 2014-01-24 2015-07-29 李和伟 Novel three-chamber facial mask packing bag including freeze-drying endowed preparation and preparation method thereof
CN205010765U (en) * 2015-08-03 2016-02-03 广东南海星格新型包装材料有限公司 Facial mask package bag
CN205633490U (en) * 2016-05-17 2016-10-12 北京希诺赛尔健康科技推广有限公司 Separating facial mask bag
CN209075643U (en) * 2018-07-19 2019-07-09 江苏省人民医院(南京医科大学第一附属医院) Special pipeline pre-filling circulating device for ECMO

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5391142A (en) * 1992-07-29 1995-02-21 Organetics, Ltd. Apparatus and method for the extracorporeal treatment of the blood of a patient having a medical condition
CN2640478Y (en) * 2003-07-14 2004-09-15 王孝文 Portable external circulation film lung pump
CN201073456Y (en) * 2007-07-06 2008-06-18 段大为 Vitro membrane oxygenation pipeline quick pre-charging bag
KR20120122623A (en) * 2011-04-29 2012-11-07 대한약품공업 주식회사 A port assembly and an infusion bag for preventing drug misuse
JP2013017580A (en) * 2011-07-08 2013-01-31 Nipro Corp Extracorporeal circulation device and priming method of the same
WO2014076549A1 (en) * 2012-11-16 2014-05-22 Eurosets S.R.L. Biomedical appliance
CN104803082A (en) * 2014-01-24 2015-07-29 李和伟 Novel three-chamber facial mask packing bag including freeze-drying endowed preparation and preparation method thereof
CN205010765U (en) * 2015-08-03 2016-02-03 广东南海星格新型包装材料有限公司 Facial mask package bag
CN205633490U (en) * 2016-05-17 2016-10-12 北京希诺赛尔健康科技推广有限公司 Separating facial mask bag
CN209075643U (en) * 2018-07-19 2019-07-09 江苏省人民医院(南京医科大学第一附属医院) Special pipeline pre-filling circulating device for ECMO

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