CN1105581C - Automatic hemo-dialyser - Google Patents

Automatic hemo-dialyser Download PDF

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CN1105581C
CN1105581C CN 95103196 CN95103196A CN1105581C CN 1105581 C CN1105581 C CN 1105581C CN 95103196 CN95103196 CN 95103196 CN 95103196 A CN95103196 A CN 95103196A CN 1105581 C CN1105581 C CN 1105581C
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dialysis solution
dialyser
circulation pipe
solution circulation
roller
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CN 95103196
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CN1122720A (en
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彭罗民
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CHENG YUYUN
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CHENG YUYUN
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Abstract

The present invention is used for treating renal failure, multiple organ failure, poisoning, etc. The present invention is composed of a convex roller pump, an arterial duct, a blood taking hole at the artery end, an end A transfusion short tube, a heparin adding tube, a heparin injector, a dialyzer or a filter, a venous duct, defoamer, an exhaust tube, a venous pressure tube, a venous pressure meter, an end V transfusion short tube, a blood taking hole at the venous end, a non convex roller pump, a dialysis fluid pool, a dialysis fluid circulating tube, a dialysis fluid bag, an electronic measurement device, a thermotank, a trolley, a display screen of a blood dialysis machine, buttons of the display screen of a blood dialysis machine, a single chip computer and a transfusion bracket. The present invention has the advantages of rich material source, low price and simple manufacture technology.

Description

Automatic hemo-dialyser
The present invention relates to a kind of serial armarium, particularly a kind of serial automatic hemo-dialyser.The present invention is suitable for medical institutions at different levels and is used for the treatment of acute renal failure, chronic renal failure with uremia, and the multiple organ failure, MOF accompanies renal failure, poisonous substance, drug intoxication etc.
Present conventional artificial kidney machine has many shortcomings: 1, cost an arm and a leg.2, volume heaviness can not be moved patient's other treatment of bed according to patient's the state of an illness to temporarily.3, the conventional artificial kidney machine of dependence water source, power supply, import is higher to water, power requirement, and water, power supply hypotony all can not be moved, out of service at once can not the treatment of cutting off the water.4, dialysis solution is one-way flow, disposablely promptly dumps without abundant application by dialyser, causes energy waste.5, side reaction is big, and unbalanced syndrome takes place in the treatment, hypotension, even shock.External portable, Wearable artificial kidney, its basic scheme is that conventional artificial kidney machine's automatic monitoring system is partly dwindled, use the dialysate regeneration device and dwindle the dialysis solution feed system, as the REDY system, the mode that dialysis solution circulates in dialyser is the same with traditional conventional artificial kidney machine, is one-way flow.The the lighter of external Wearable artificial kidney total amount is 4.5 kilograms, relies on the power supply of battery or external power supply.Because imperfection own is not popularized the domestic Wearable artificial kidney application report that does not have import so far up till now yet in a large number.Continuous arterio venous hemofiltration (CAVH), though the other treatment of feasible bed accompanies the renal failure patient to offer convenience to treatment acute renal failure, chronic renal failure with uremia, multiple organ failure, MOF,, CAVH still has its shortcoming: 1, micromolecule is removed rate variance; 2, need in the treatment to replenish a large amount of displacement liquids and easily cause severe infections, and treat the cost height; 3, only can lie in bed and carry out.Continuous arterio venous hemofiltration dialysis (CAVHD) has improved the part curative effect of CAVH, but its shortcoming is: 1, dialysis solution still imitates traditional flow and method, is one-way flow, and per minute 15ml, disposable application dialysis solution be waste still.2, treatment time is long, easily concurrent hemorrhage.3, only can lie in bed and treat.United States Patent (USP), the patent No.: 4.631050.Int.Cl 4.A61M1/03。By " the defeated automatically streaming system and the method " of invention such as Charles C.Reed mainly by three impeller pumps, two filter unit and ultrafiltration unit and tubing and constitute, and are used for the cleaning from body blood of wound, operation, concentrate, feed back, can not carry out hemodialysis.United States Patent (USP), the patent No.: 4,650,457.Int.Cl 4.A61M1/03。" external lung auxiliary device " by inventions such as Tohrn Morioka is mainly used in the treatment acute respiratory failure.United States Patent (USP), the patent No.: 4,755,168.Int.Cl 4.A61M1/03。Be mainly used in the drainage wash of organ by " the medical drainage pump and the purging method " of inventions such as Pat Romanelli.United States Patent (USP), the patent No.: 4.838,865.Int.Cl 4,A61M1/03。" liquid monitoring system " by inventions such as Hans P.Flank can be used for hemodialysis, hemofiltration, but design is too complicated, and volume is big.United States Patent (USP), the patent No.: 4,769,001 Int.Cl 4, A61M1/03." standard combination pump liquid drainage system apparatus and method " by Paul R.Pince invention are the separation when being used for plasmapheresis.This system applies two pumps, can not carry out hemodialysis, feasible separating plasma and filtration, its shortcoming is that volume is big and heavy.
Purpose of the present invention, a kind of serial automatic hemo-dialyser that designs at above deficiency exactly.Automatic hemo-dialyser has been simplified conventional artificial kidney machine's dialysis solution feed system widely, does not rely on the water source, can freely move the patient and rescue at one's side, not limited by the place.Automatic hemo-dialyser is simplified to complicated conventional artificial kidney machine just like a medical little treatment center, basic point of the present invention that Here it is, the purpose of this series that Here it is invention.So, the patient that can make numerous needs obtain blood purification treatment can both obtain treatment, thereby improves the situation that the following medical institutions in present numerous unit, especially county and county hang back in the face of the conventional artificial kidney machine of expensive import.The automatic hemo-dialyser series technical project can make the hemodialysis carried out, hemodiafiltration etc. realize automatization or semi-automation, improves individual medical personnel's work efficiency.The present invention is fit to hospitals at different levels, the big-and-middle-sized hospital that especially carries out specific treatment, and county, city, district, township level hospital, factories and miness hospital, Army ambulance corps, individual specialist clinics etc. have large-scale application prospect.
The present invention is achieved in that a kind of medical automatic hemo-dialyser, and it is by first roller pump (1), ductus arteriosus (2), arterial end blood sampling hole (3), A end transfusion short tube (4), append calparine pipe (5), heparin syringe (6), dialyser or filter (7), venous duct (8), bubble trap (9), exhaustor (10), vein pressure pipe (11), venous pressure table (12), V end transfusion short tube (13), vein end blood sampling hole (14), second roller pump (15), dialysis liquid pool (16), first dialyzate bag (16-1), second dialyzate bag (16-2), the first dialysis solution circulation pipe (17), the second dialysis solution circulation pipe (18), electronic measuring device (19), object wearing device (20), go-cart (21), hemo system display screen (22), hemo system display screen button (23), the automatic hemo-dialyser that infusion support (24) constitutes, as Fig. 1, Fig. 2, shown in Figure 3, it is characterized in that: in the designed overall structure, thick section (1-1) by the convex roller of first roller pump (1) rolls ductus arteriosus (2), the process auxiliary drive blood circulation, the thin segment (1-2) of first roller pump (1) convex roller, roll the first dialysis solution circulation pipe (17) and drive the dialysis solution circulation, the thick section of the roller of convex roller pump (1-1) diameter is 20mm, and length is 18mm; The thin segment of roller (1-2) diameter is 15mm, and length is 23mm, and other adnexa is determined according to the size of convex roller pump convex roller, as Fig. 4, shown in Figure 5; Fig. 2, first roller pump (1) and second roller pump (15) shown in Figure 3 are non-convex roller pump, and the loop direction of dialysis solution is decided according to the position that roller rotation side is high and dialysis solution circulation pipe (17,18) is put of second roller pump (15).
The present invention can be achieved in that with two non-convex first roller pumps (1) and second roller pump (15), rolls the ductus arteriosus (2) and the first dialysis solution circulation pipe (17) respectively, process auxiliary drive blood circulation and the circulation of driving dialysis solution; Place two non-convex first roller pumps (1) and second roller pump (15) in the go-cart respectively, dialysis liquid pool (16) places on the electronic measuring device (19) of go-cart (21) below, moving of an end of blood circulation ductus arteriosus (2) and patient's limbs, vein external shunt or puncture needle tail pipe join, heparin syringe (6) places its support, ductus arteriosus (2) is by first roller pump (1), the other end is connected with the arterial end of dialyser or filter (7), the vein end of one end of venous duct (8) and dialyser or filter (7) is joined, bubble trap (9) places its support, the other end of venous duct (8) joins with the vein external shunt of patient's limbs or puncture needle tail pipe, dialyser or filter (7) are placed object wearing device (20), object wearing device (20) is placed bedside; One end of the first dialysis solution circulation pipe (17) is inserted in the dialysis liquid pool (16), the first dialysis solution circulation pipe (17) joins by the dialysis solution access hole of second roller pump (15) other end and dialyser or filter (7), pass back in the dialysis liquid pool (16), as shown in Figure 2 by the second dialysis solution circulation pipe (18); After starting first roller pump (1), patient's blood flow is from flowing in the body → ductus arteriosus (2) → by first roller pump (1) → enter dialyser or filter (7) arterial end → flow out back → to venous duct (8) → by bubble trap (9) → be back in patient's body from the vein end of dialyser or filter (7); After starting second roller pump (15), dialysis solution in dialysis liquid pool (16) → by the dialysate hole of the first dialysis solution circulation pipe (17) → again by second roller pump (15) back → enter dialyser or filter (7) one ends → from the other end dialysate hole outflow of dialyser or filter (7) → by the second dialysis solution circulation pipe (18) → be back in the liquid pool (16) of dialysing, as shown in Figure 2; Also available non-convex first roller pump (1) rolls ductus arteriosus (2), the process auxiliary drive blood circulation, adopt the high and low position of exchange first dialyzate bag (16-1) and the first dialysis solution circulation pipe (17) and second dialyzate bag (16-2) and the second dialysis solution circulation pipe (18) to realize the dialysis solution circulation, as Fig. 3, shown in Figure 6; The dialysis solution circulation pipe is a silicone rubber, and diameter is 5mm, 12mm, and 18mm, 20mm, joint adopt nylon to make, and are shaped as straight shape and Y shape; Applying electronic measuring device (19) and computer single-chip microcomputer (25) are measured the milliliter number that shows the dialysate flow per minute, with the number that rises of liquid total amount, and the number that rises that rises number, exchange total amount of ultrafiltration volume.
The present invention also can be achieved in that first dialyzate bag (16-1) and second dialyzate bag (16-2) that volume is 1500ml/, 2500ml/ is individual, 3000ml/ is individual, adopts nonmetal macromolecular material to make; Volume is that the dialysis liquid pool (16) that 5000ml/ is individual, 10000ml/ is individual adopts nonmetal macromolecular material to make, or adopt inwall to add HHT higher high tensile Magnetized Material and resistance wire with ceramic material, conductor wire is made, and shell is made with non-metal insulating material, and being closed to its position component of shell by inwall is pottery magnetic, the HHT higher high tensile Magnetized Material, resistance wire, conductor wire, pottery, the non-metal insulating material shell is as Fig. 1 (16), Fig. 2 (16) and Fig. 3 (16-1; 16-2), Fig. 6 (16-1; 16-2); The resistance wire of Fig. 1, dialysis liquid pool (16) shown in Figure 2 imports electric energy by conductor wire, reaches the purpose of the temperature of heating, weigh;
The present invention can also be achieved in that first roller pump (1) adopts non-convex roller to be positioned on the go-cart (21), ductus arteriosus (2) joins with the external shunt or the puncture needle tail pipe of patient's limbs, append calparine pipe (5) and coupled heparin syringe (6) places syringe rack, ductus arteriosus (2) links to each other with the ductus arteriosus of dialyser or filter (7) by first roller pump (1), venous duct (8) one ends link to each other with the vein end of dialyser or filter (7), the bubble trap (9) that links to each other with venous duct (8) places the bubble trap support, the vein pressure pipe (11) that links to each other with bubble trap (9) links to each other with the connection tube of first roller pump (1) venous pressure table (12) behind, and the other end venous duct of venous duct (8) links to each other with the external shunt of patient's limbs or puncture needle tail pipe; Dialyser or filter (7) are placed object wearing device (20), and object wearing device (20) is placed on patient's bed side; First dialyzate bag (16-1) is for completely adorning the dialyzate bag of dialysis solution, one end is suspended on the infusion support (24), the other end is connected with the first dialysis solution circulation pipe (17), one end of the first dialysis solution circulation pipe (17) is connected with first dialyzate bag (16-1), the other end is gone into to portal with the dialysis solution of dialyser or filter (7) and is connected, second dialyzate bag (16-2) places on the low level treatment table for the empty dialyzate bag that is unkitted dialysis solution, the unsettled placement of one end, the other end is connected with the second dialysis solution circulation pipe (18), and the other end of the second dialysis solution circulation pipe is connected with the dialysis solution access hole of dialyser or filter (7); After starting first roller pump (1), first roller pump (1) is the contra solem and rotates, the intravital blood of patient flows out to ductus arteriosus (2) through external shunt or puncture needle tail pipe, by first roller pump (1), enter the arterial end of dialyser or filter (7), flow out the laggard vein conduit (S) of going into from the vein end of dialyser or filter (7), get back in patient's body from external shunt or puncture needle tail pipe to the other end of venous duct (S) again by bubble trap (9); The endless form of dialysis solution is, hang on the dialysis solution in elevated first dialyzate bag (16-1), in the potential difference that falls naturally, atmospheric pressure, under gravitational effect, by the first dialysis solution circulation pipe (17) → to dialyser or filter (7) → flow out back → flow to second dialyzate bag (16-2) that is positioned at low level to the second dialysis solution circulation pipe (18) → at last from the opposite side of dialyser or filter (7), elevated first dialyzate bag (16-1) stream is empty when hanging on, second dialyzate bag (16-2) stream that is positioned at low level is full, promptly exchange is high, the position of low level first dialyzate bag (16-1) and second dialyzate bag (16-2), after exchanging certain number of times, be replaced with fresh dialysis solution, as Fig. 3, shown in Figure 6;
The present invention can also be achieved in that first roller pump (1) adopts non-convex roller to be positioned on the monitor of automatic hemo-dialyser, one end of ductus arteriosus (2) is connected with the external shunt of patient's limbs or puncture needle tail pipe, blood sampling hole (3) is arranged on the ductus arteriosus (2), transfusion short tube (4) appends calparine pipe (5), syringe (6), the other end of ductus arteriosus (2) is connected with an end of dialyser or filter (7), the other end of dialyser or filter (7) is connected with an end of venous duct (8), bubble trap (9) is arranged on the venous duct (8), exhaustor (10) is arranged on the bubble trap (9), vein pressure pipe (11), be connected with venous pressure table (12), transfusion short tube (13) is arranged on the venous duct (8), blood sampling hole (14), the other end of venous duct (8) is connected with the external shunt of patient's limbs or puncture needle tail pipe; The dialysis solution blood circulation is by first dialyzate bag (16-1), second dialyzate bag (16-2), the first dialysis solution circulation pipe (17) and the second dialysis solution circulation pipe (18) are formed, the first dialysis solution circulation pipe (17) and the second dialysis solution circulation pipe (18) adopt machined or mould to make straight shape and Y shape nylon joint, the diameter of silicone rubber tube is: 5mm, 12mm, 18mm and 20mm; The dialysis solution monitoring system is by calorstat (26), temperature control switch and display lamp (27), and heat sensitive sensor (28), heater (29), electronic measuring device (19,36), display screen (30), computer single-chip microcomputer switch (25) electronic circuit (31) constitutes; The blood flow Monitoring and Controlling is by first roller pump (1), blood flow scale (32), and total power switch (33), pause switch (34) constitutes; Complete machine supports that by the universal wheel (35) under the calorstat (26), dialysis solution chaptrel (37) constitutes, as shown in Figure 6;
The present invention can also be achieved in that its roller of first roller pump (1) that is the convex roller is convex, as Fig. 4 (1-1,1-2), Fig. 5 (1-1,1-2), the roller of Fig. 4, convex roller pump shown in Figure 5, its each section diameter is respectively 20mm and 15mm, and thick section (1-1) diameter of convex roller is 20mm, and length is 18mm; The thin segment of convex roller (1-2) diameter is 15mm, and length is 23mm, and other adnexa of the convex roller of first roller pump (1) is determined according to the shape and size of convex roller pump convex roller.
The present invention can also be achieved in that the calculation procedure of dialysis solution flow process is: beginning → the first dialyzate bag (16-1) hangs on the dialysis solution of a high position → high-order first dialyzate bag (16-1) → be delivered to computer single-chip microcomputer (25) → calculating dialysate flow ceasing letter by electronic measuring device (36), calculate practical liquid measure, calculate dialysis solution exchange total amount, dialysis solution → inflow first dialysis solution the circulation pipe (the 17) → inflow dialyser or filter (the 7) → inflow second dialysis solution circulation pipe (18) → again that calculate speed → first dialyzate bag (16-1) that flows into low level second dialyzate bag (16-2) flow into second dialyzate bag (16-2), when first dialyzate bag (16-1) stream sky, second dialyzate bag (16-2) stream is full, promptly exchange the position of two bags of first dialyzate bag (16-1) and second dialyzate bags (16-2), carrying out next round uses, after exchanging certain number of times, be replaced with fresh dialysis solution, finish treatment until treatment time to stopping to change, as shown in Figure 7.
Below in conjunction with accompanying drawing the present invention is described in further detail:
Fig. 1 is a kind of duty principle schematic of the present invention, 1-first roller pump among the figure (two kinds of convex and non-convexs), 2-ductus arteriosus, 3-arterial blood drawing hole, 4-A end transfusion short tube, 5-appends calparine pipe, 6-heparin syringe, 7-dialyser or filter, 8-venous duct, the 9-bubble trap, 10-exhaustor, 11-vein pressure pipe, 12-venous pressure table, 13-V end transfusion short tube, 14-vein end blood sampling hole, the 16-liquid pool of dialysing, the 17-first dialysis solution circulation pipe, the 18-second dialysis solution circulation pipe, 19-electronic measuring device, 20-object wearing device, the 21-go-cart, 22-hemo system display screen, 23-hemo system display screen button, 24-infusion support.
Blood is flowed through the 1-first convex roller pump to-7 dialysers or filter through the 2-ductus arteriosus, and blood is back in patient's body after the 9-bubble trap through the 8-venous duct after flowing out 7-dialyser or filter.Dialysis solution in the dialysis liquid pool (16), pass through the 1-first convex roller pump to 7-dialyser or filter through the first dialysis solution circulation pipe (17), flow out 7-dialyser or filter after the 18-second dialysis solution circulation pipe is back to 16-dialysis liquid pool, dialysis solution in the dialysis liquid pool (16) promptly is replaced with fresh dialysis solution behind the cycle applications certain hour.
Fig. 2 is the another kind of working state schematic representation of the present invention, the 1-first non-convex roller pump among the figure, 2-ductus arteriosus, 3-arterial end blood sampling hole, 4-A end transfusion short tube, 5-appends calparine pipe, 6-heparin syringe, 7-dialyser or filter, 8-vein pressure pipe, the 9-bubble trap, 10-exhaustor, 11-vein pressure pipe, 12-venous pressure table, 13-V end transfusion short tube, 14-vein end blood sampling hole, the 15-second non-convex roller pump, the 16-liquid pool of dialysing, the 17-first dialysis solution circulation pipe, the 18-second dialysis solution circulation pipe, the 19-electronic measuring device, the 20-object wearing device, 21-go-cart, 22-hemo system display screen, 23-hemo system display screen button, the 24-infusion support.
Blood is flowed through the 1-first non-convex roller pump to 7-dialyser or filter through the 2-ductus arteriosus, behind outflow 7-dialyser or the filter, is back in patient's body after the 9-bubble trap through the 8-venous duct.
Dialysis solution passes through the 15-second non-convex roller pump to 7-dialyser or filter from dialysis liquid pool (16) through the 17-first dialysis solution circulation pipe, flow out 7-dialyser or filter after the 18-second dialysis solution circulation pipe is back in the 16-dialysis liquid pool, dialysis solution in the dialysis liquid pool (16), behind the circulation certain hour, promptly be replaced with fresh dialysis solution.
Fig. 3 is another working state schematic representation of the present invention, the 1-first non-convex roller pump among the figure, 2-ductus arteriosus, 3-arterial end blood sampling hole, 4-A end transfusion short tube, 5-appends calparine pipe, 6-heparin syringe, 7-dialyser or filter, 8-venous duct, the 9-bubble trap, 10-exhaustor, 11-vein pressure pipe, 12-venous pressure table, 13-V end transfusion short tube, 14-vein end blood sampling hole, 16-1 first dialyzate bag, 16-2 second dialyzate bag, the 17-first dialysis solution circulation pipe, the 18-second dialysis solution circulation pipe, 20-object wearing device, the 21-go-cart, 22-hemo system display screen, 23-hemo system display screen button, 24-infusion support.
Blood is flowed through the 1-first non-convex roller pump to 7-dialyser or filter through the 2-ductus arteriosus, flows out after 7-dialyser or the filter,, continues transvenous catheter (8) after the blood outflow 9-bubble trap and is back in patient's body to the 9-bubble trap through the 8-venous duct.
Dialysis solution flow to 7-dialyser or filter by high-order 16-1 first (expiring) dialyzate bag through the 17-first dialysis solution circulation pipe, arrive the 18-second dialysis solution circulation pipe to low level 16-2-second (sky) dialyzate bag after flowing out 7-dialyser or filter, when high-order 16-1 first (expiring) dialyzate bag stream sky, low level 16-2-second (sky) dialyzate bag stream is full, promptly exchange two bags position, be replaced with fresh dialysis solution continuation exchange behind the certain number of times of continuation exchange and after reaching the dialysis object time, stop.
Fig. 4 is a convex roller pump pump head of the present invention, shows the shape of convex roller pump among the figure, and roller is divided into two sections, thin segment (1-2 and thick section (1-1); Thick section (1-1) diameter 20mm, length 18mm; Thin segment (1-2) diameter 15mm, length 23mm, other adnexa of convex roller pump pump head is determined according to the shape and size of convex roller pump pump head.
Fig. 5 is the profile of convex roller pump pump head of the present invention, and the thick section of roller (1-1) is consistent with length with Fig. 4 with roller thin segment (1-2) diameter separately.The thick section of roller (1-1) is used to roll the 2-ductus arteriosus, the process auxiliary drive blood circulation; The thin segment of roller (1-2) is used to roll the 17-first dialysis solution circulation pipe, drives the dialysis solution circulation.
Fig. 6 is another duty principle schematic of the present invention, the 1-first non-convex roller pump among the figure, 2-ductus arteriosus, 3-ductus arteriosus blood sampling hole, the 4-short tube of infusing, 5-appends calparine pipe, the 6-syringe, 7-dialyser or filter, 8-venous duct, the 9-bubble trap, 10-exhaustor, 11-vein pressure pipe, 12-venous pressure table, the 13-short tube of infusing, the 14-hole of taking a blood sample, 16-1-first dialyzate bag, 16-2-second dialyzate bag, the 17-first dialysis solution circulation pipe, the 18-second dialysis solution circulation pipe, 25-computer single-chip microcomputer switch button, the 26-calorstat, 27-temperature control switch and display lamp, 28-heat sensitive sensor, 19; The 36-electronic measuring device, 30-display screen, 31-electronic circuit, 32-blood flow scale, 33-total power switch, 34-pause switch, 35-universal caster wheel, 37-dialysis solution chaptrel.
Blood is flowed through the 1-first non-convex roller pump to 7-dialyser or filter through the 2-ductus arteriosus, flows out after 7-dialyser or the filter, and to the 9-bubble trap, transvenous catheter (8) is back in patient's body after the outflow 9-bubble trap through the 8-venous duct.
Dialysis solution flow to 7-dialyser or filter by full 16-1-first dialyzate bag of a high position through the 17-first dialysis solution circulation pipe, flow to empty 16-2-second dialyzate bag of low level through the 18-second dialysis solution circulation pipe after flowing out 7-dialyser or filter, when full 16-1-first dialyzate bag stream of high position sky, empty 16-2-second dialyzate bag stream of low level is full, promptly exchange the position of high low level 16-1-first dialyzate bag and 16-2-second dialyzate bag, keep the dialysis solution circulation, after exchanging certain number of times, promptly be replaced with fresh dialysis solution, continue exchange and then stop until reaching treatment time.
The single-chip microcomputer working procedure of 25-computer single-chip microcomputer switch button control is among Fig. 7: after high-order first dialyzate bag (16-1) is hung on electronic measuring device hook (36), single-chip microcomputer receives the information from electronic measuring device (36), what rise once to calculate practical dialysis liquid measure, the dialysis solution of elevated full first dialyzate bag (16-1) is through the first dialysis solution circulation pipe (17), to dialyser or filter (7), again to the second dialysis solution circulation pipe (18), to the process of empty second dialyzate bag of low level (16-2), single-chip microcomputer (25) is represented the milliliter number of dialysis fluid flow per minute with the information of diminishing method calculating electronic measuring device (36); The dialysis solution of expiring first dialyzate bag (16-1) when a high position flows out through the first dialysis solution circulation pipe (17), through dialyser or filter (7), again after the second dialysis solution circulation pipe (18) arrives empty second dialyzate bag of low level (16-2), electronic measuring device (19) transmission information is to single-chip microcomputer (25), single-chip microcomputer adds up the information of electronic measuring device (36 and 19), calculate ultrafiltration volume and deposit note, single-chip microcomputer (25) reaches the whole additions of liquid measure information of (36) to high-order first dialyzate bag (16-1), promptly calculates dialysis solution exchange total amount.
The present invention compares with present all kinds of conventional artificial kidney machine and has the following advantages and good effect: 1. function is many, feasible sour sodium, sodium bicarbonate, sodium lactate, high sodium, low sodium dialysis; Feasible blood dialysis ultrafiltration; Hemodiafiltration; Pure hemofiltration; Hemodialysis and ultrafiltration are carried out simultaneously; Hemodialysis is carried out simultaneously with filtration; Hemoperfusion; The rescues such as blood dialysis ultrafiltration of paying a home visit outward.2. volume is small and exquisite, is convenient to move, and not limited by the place.3. low price only has the conventional artificial kidney machine's of import about 1/10.4. do not rely on the water source, power supply is not had specific (special) requirements.5. dialysis solution is reused, energy savings.6. dialysis solution is two-way flow, just like the counter-current multiplier system of glomerule.7. can grasp patient's body fluid balance in the treatment at any time, and need not complicated monitoring instrument.8. the basic element of character and material source are extensive, low price, and manufacturing process is simple, implements easily.9. dialysis solution can be prepared voluntarily by prescription by medical institutions, also can make special-purpose commodity dialysis solution by professional pharmaceutical factory and use.
Embodiment:
Press accompanying drawing 1, Fig. 2, Fig. 3, each parts of preparation shown in Figure 6 and equipment, press accompanying drawing 4, the convex roller of making roller pump with machined shown in Figure 5.Concrete implementation step suggestion:
1, adopts two of non-convex roller pumps, artery and vein conduit one cover, one of dialyser or filter, dialysis liquid circulating tube one cover, one of medical utility cart, electronic scale sensing measurement system one cover, dialysis liquid pool and shell are made in injection moulding, mould and to make dialysis liquid pool internal layer, make object wearing device with machined, by shown in Figure 2 carry out composite set a kind of automatic hemo-dialyser.2, adopt machined to make the convex roller pump after, one of convex roller pump is installed, miscellaneous part is basic with suggestion 1, assembles another kind of automatic hemo-dialyser by shown in Figure 1.3, adopt one of non-convex roller pump, arterio-venous catheter one cover, one of dialyser or filter, dialysis solution circulation pipe one cover, dialysis liquid pool (bag) is some, object wearing device one cover, one of medical utility cart assembles by shown in Figure 3.4, adopt machined etc. to make hemo system monitor and other parts, assemble by Fig. 6.

Claims (6)

1, a kind of medical automatic hemo-dialyser, by first roller pump (1), ductus arteriosus (2), arterial end blood sampling hole (3), A end transfusion short tube (4), append calparine pipe (5), heparin syringe (6), dialyser or filter (7), venous duct (8), bubble trap (9), exhaustor (10), vein pressure pipe (11), venous pressure table (12), V end transfusion short tube (13), vein end blood sampling hole (14), second roller pump (15), dialysis liquid pool (16), first dialyzate bag (16-1), second dialyzate bag (16-2), the first dialysis solution circulation pipe (17), the second dialysis solution circulation pipe (1S), electronic measuring device (19), object wearing device (20), go-cart (21), hemo system display screen (22), hemo system display screen button (23), the automatic hemo-dialyser that infusion support (24) constitutes, it is characterized in that: in the designed overall structure, thick section by the convex roller of first roller pump (1) is rolled ductus arteriosus (2), the process auxiliary drive blood circulation, the thin segment of the convex of first roller pump (1) convex roller rolls the first dialysis solution circulation pipe (17) and drives the dialysis solution circulation; Also can roll the ductus arteriosus (2) and the first dialysis solution circulation pipe (17) respectively, process auxiliary drive blood circulation and the circulation of driving dialysis solution by two non-convex first roller pumps (1) and second roller pump (15); Also available non-convex first roller pump (1) rolls ductus arteriosus (2), the process auxiliary drive blood circulation, the applications exchange first dialysis solution circulation pipe (17) and the second dialysis solution circulation pipe (18) and first dialyzate bag (16-1), the high low level of second dialyzate bag (16-2) is realized the dialysis solution circulation; The dialysis solution circulation pipe is a silicone rubber, and diameter is 5mm, 12mm, and 18mm, 20mm, joint adopt nylon to make, and are shaped as straight shape and Y shape; Applying electronic measuring device (19,36) and computer single-chip microcomputer (25) are measured the milliliter number that shows the dialysate flow per minute, with the number that rises of liquid total amount, and the number that rises that rises number, exchange total amount of ultrafiltration volume.
2, automatic hemo-dialyser according to claim 1 is characterized in that: first dialyzate bag (16-1) that volume is 1500ml/, 2500ml/ is individual, 3000ml/ is individual and second dialyzate bag (16-2) adopt nonmetal macromolecular material to make; Volume is that the dialysis liquid pool (16) that 5000ml/ is individual, 10000ml/ is individual adopts nonmetal macromolecular material to make, or the employing inwall adds the HHT higher high tensile Magnetized Material with ceramic material and the resistance wire conductor wire is made, shell is made with non-metal insulating material, being closed to its position component of shell by inwall is pottery magnetic, the HHT higher high tensile Magnetized Material, resistance wire, conductor wire, pottery, the non-metal insulating material shell.
3, automatic hemo-dialyser according to claim 1, its feature also is: the milliliter number of dialysate flow per minute is measured, calculated to single-chip microcomputer (25), practical liquid measure rise number, calculate the number that rises of ultrafiltration liquid measure, the number that rises of dialysis solution exchange total amount is to represent in the mode that shows respectively.
4, automatic hemo-dialyser according to claim 1, its feature also is: the first dialysis solution circulation pipe (17) and the second dialysis solution circulation pipe (18) are silicone rubber, and joint is that straight shape and Y shape nylon material are made, and the diameter of silicone rubber tube is 5mm, 12mm, 18mm and 20mm.
5, automatic hemo-dialyser according to claim 1, its feature also is: the dialysis solution endless form is to roll the first dialysis solution circulation pipe (17) according to first roller pump (1) and second roller pump (15) to drive dialysis solution and circulate, the position that the loop direction of dialysis solution is put according to the roller rotation direction of roller pump and the first dialysis solution circulation pipe (17) and the second dialysis solution circulation pipe (18) and deciding.
6, automatic hemo-dialyser according to claim 1, its feature also is: the convex roller of first roller pump (1) has two, and thick section (1-1) diameter of convex roller is 20mm, and length is 18mm; The thin segment of convex roller (1-2) diameter is 15mm, and length is 23mm, and other adnexa of convex roller is determined according to the shape and size of convex roller.
CN 95103196 1995-04-05 1995-04-05 Automatic hemo-dialyser Expired - Fee Related CN1105581C (en)

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CN 95103196 CN1105581C (en) 1995-04-05 1995-04-05 Automatic hemo-dialyser

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Application Number Priority Date Filing Date Title
CN 95103196 CN1105581C (en) 1995-04-05 1995-04-05 Automatic hemo-dialyser

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CN1105581C true CN1105581C (en) 2003-04-16

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