CN115607760A - Activated leukocyte adsorber - Google Patents

Activated leukocyte adsorber Download PDF

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Publication number
CN115607760A
CN115607760A CN202110803083.8A CN202110803083A CN115607760A CN 115607760 A CN115607760 A CN 115607760A CN 202110803083 A CN202110803083 A CN 202110803083A CN 115607760 A CN115607760 A CN 115607760A
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China
Prior art keywords
adsorption film
adsorption
blood
activated leukocyte
adsorber
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CN202110803083.8A
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陈长伟
牧杰
杜磊
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Chengdu Shangyuantai Biotechnology Co ltd
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West China Hospital of Sichuan University
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Priority to CN202110803083.8A priority Critical patent/CN115607760A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3496Plasmapheresis; Leucopheresis; Lymphopheresis
    • 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

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

Abstract

The invention provides an activated leukocyte absorber, which comprises end covers, a shell and an adsorption film, wherein the end covers are connected with the two ends of the shell to form a closed cavity, the shell wraps the adsorption film, the adsorption film is positioned in the closed cavity, one end cover is provided with a blood inflow port, and the other end cover is provided with a blood outflow port; the method is characterized in that: the both ends of adsorption film are connected with adsorption film bearing structure respectively, and adsorption film bearing structure is the cavity pipeline structure of evenly arranging, the spiral arrangement is rolled up to the adsorption film, and adsorption film bearing structure supports adjacent two-layer adsorption film, forms the clearance between each layer, and blood flows in the adsorption film reel through these cavity pipelines. When the activated leukocyte adsorber of the invention is used for purifying the blood of a SIRS patient, the blood flows through the adsorption membranes to replace a hemofiltration mode, and the adsorption membranes selectively adsorb and remove activated leukocytes, simultaneously can reduce the damage and reactivation of the leukocytes, and does not influence other blood components of the patient.

Description

Activated leucocyte adsorber
Technical Field
The invention relates to the field of medical instruments, in particular to an activated leukocyte adsorber.
Background
Systemic Inflammatory Response Syndrome (SIRS) is an inflammatory syndrome caused by a variety of diseases (e.g., sepsis, viral infection, trauma, extracorporeal circulation), with the pathogenesis of injury arising from uncontrolled activation of inflammatory cells and entry into tissues, with release of large amounts of proinflammatory factors to exert an inflammatory amplification effect. SIRS patients have high organ failure rate and high mortality rate, and an effective treatment means is lacked at present. Current intervention strategies for SIRS focus on systemic administration to suppress the inflammatory response, but this indiscriminate suppression of the body's inflammatory and normal immune responses results in the protocol ending up as a negative result in clinical trials. Inflammation-related substance adsorption is another strategy for treating SIRS, and proinflammatory factor adsorbers (such as
Figure BDA0003165366170000011
) Applied to the clinic, because proinflammatory factors are subordinate to inflammatory cells in SIRS generation, only limited therapeutic effect is shown in the clinic; proinflammatory factors are mainly released by activated inflammatory cells and play a main role in organ injury, so theoretically, the effect of eliminating the activated inflammatory cells is better than that of removing the proinflammatory factors. To remove these inflammatory cells, leukocyte filters are currently used, whose principle is: when blood passes through a filter membrane, a large number of leukocytes are "screened out" and thus it is not possible to selectively remove activated inflammatory cells, and such a filter may lead to an exacerbation of the patient's condition and is not suitable for clinical use.
Disclosure of Invention
In order to solve the defects in the prior art, the invention provides an activated leukocyte adsorber, wherein a filtering membrane is changed into a winding drum type adsorption membrane, blood flows through the adsorption membrane, a hemofiltration mode is replaced, when leukocytes contact the surface of the adsorption membrane, activated leukocytes with strong adhesive capacity are adhered to the adsorption membrane and then removed, but unactivated leukocytes smoothly pass through the adsorber due to lack of adhesive property, so that the removed cells are mainly activated leukocytes.
In order to achieve the technical purpose, the technical scheme adopted by the invention is as follows:
an activated leukocyte absorber comprises end covers, a shell and an adsorption film, wherein the end covers are connected with two ends of the shell to form a closed cavity, the shell wraps the adsorption film, the adsorption film is positioned in the closed cavity, one end cover is provided with a blood inflow port, and the other end cover is provided with a blood outflow port; the method is characterized in that: the both ends of adsorption film are connected with adsorption film bearing structure respectively, and adsorption film bearing structure is the cavity pipeline structure of evenly arranging, the adsorption film coils the heliciform and arranges, and adsorption film bearing structure supports adjacent two-layer adsorption film, forms the clearance between each layer, and blood flows in the adsorption film reel through these cavity pipelines.
Preferably, the adsorption membrane support structure is a hollow circular tube.
Preferably, the adsorption film support structure is a hollow triangular prism pipe.
The adsorption film further comprises an adsorption film inner support core, and the adsorption film is coiled into a spiral arrangement by taking the adsorption film inner support core as a core material.
Furthermore, the adsorption membrane is an activated leukocyte adsorption membrane, and the material of the adsorption membrane is a high molecular biological material.
Furthermore, the end cover and the shell are connected by welding in an ultrasonic welding mode, and the adsorption film support structure are connected by adhesion.
Compared with the prior art, the invention has the beneficial effects that:
1) When the activated leukocyte adsorber of the invention is used for purifying blood of a SIRS patient, the blood flows through the adsorption membranes, the blood filtration mode is replaced, the adsorption membranes selectively adsorb and remove activated leukocytes, meanwhile, the damage and reactivation of the leukocytes can be reduced, and other blood components (such as red blood cells, platelets and lymphocytes) of the patient are not influenced.
2) According to the activated leukocyte adsorber disclosed by the invention, the two ends of the adsorption film are respectively connected with the hollow adsorption film supporting structures, the adsorption film supporting structures support two adjacent layers of the spirally arranged adsorption film, gaps are formed between the layers, and blood flows into the adsorption film winding drum through the hollow pipelines, so that on one hand, the adsorption film supporting structures play a supporting role to avoid adhesion of the adsorption film, on the other hand, the blood can be in contact with the two sides of the adsorption film, the utilization rate of the adsorption film is improved, and the adsorption effect is good.
Drawings
To more clearly illustrate the technical solutions of the embodiments of the present application, the drawings needed in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present application and therefore should not be considered as limiting the scope, and those skilled in the art can also obtain other related drawings based on the drawings without inventive efforts.
FIG. 1 is a schematic structural diagram of a first embodiment of the present invention;
FIG. 2 is a cross-sectional view of the first embodiment shown in FIG. 1;
FIG. 3 is a schematic structural diagram of a second embodiment of the present invention;
FIG. 4 is a cross-sectional view of the second embodiment shown in FIG. 3;
FIG. 5 is a developed view of an absorbent film of the first embodiment shown in FIG. 1;
fig. 6 is a developed view of an absorbent film of the second embodiment shown in fig. 3.
Reference numerals: 1-outflow port, 2-end cover, 3-shell, 4-adsorption film, 5-adsorption film inner support core, 6-adsorption film support structure and 7-inflow port.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are some embodiments of the present application, but not all embodiments. The components of the embodiments of the present application, as generally described and illustrated in the figures herein, could be arranged and designed in a wide variety of different configurations.
The invention discloses an activated leukocyte absorber, which comprises end covers 2, a shell 3 and an adsorption film 4, wherein the end covers 2 are connected with two ends of the shell 3 to form a closed cavity, the shell 3 wraps the adsorption film 4, the adsorption film 4 is positioned in the closed cavity, one end cover 2 is provided with a blood inflow port 7, and the other end cover 2 is provided with a blood outflow port 1; the both ends of adsorption film 4 are connected with adsorption film bearing structure 6 respectively, and adsorption film bearing structure 6 is the hollow circular or triangular prism or the wave pipeline structure of evenly arranging, adsorption film 4 supports core 5 as the core in with the adsorption film, perhaps need not the direct spiral of coiling of core and arranges, and adsorption film bearing structure 6 supports adjacent two-layer adsorption film, forms the clearance between each layer, and blood flows in the adsorption film reel through these cavity pipelines.
The adsorption film 4 is an activated leukocyte adsorption film made of a high-molecular biological material, and the adsorption film support structure 6 is made of a high-molecular synthetic material.
The connection between end cover 2 and shell 3 is the welding, and the welding mode is ultrasonic bonding, support core 5 and adsorption film bearing structure 6's connection in adsorption film 4, the adsorption film is the adhesion.
When in use, the activated leucocyte connects the absorber into the extracorporeal circulation pipeline of a patient, blood flows in from the inflow port 7 and flows into the interior of the adsorption membrane reel through the hollow pipeline in the adsorption membrane supporting structure 6 at the inflow port end; blood flows through the adsorption membranes from the two adjacent layers inside the adsorption membranes, activated leucocytes are adsorbed by the adsorption membranes, and the purified blood flows through the hollow pipeline of the adsorption membrane supporting structure 6 at the end of the outflow port 1 and then flows out through the blood outflow port to return to the body of a patient, so that circulation is realized.
The activated leukocyte adsorber of the invention can reduce the damage and reactivation of leukocytes while selectively adsorbing and removing activated leukocytes by replacing a hemofiltration mode through the blood flowing between adsorption membranes when purifying the blood of SIRS patients, and does not influence other blood components (such as red blood cells, platelets and lymphocytes) of the patients.
The present invention is capable of other embodiments, and various changes and modifications can be made by one skilled in the art without departing from the spirit and scope of the invention.

Claims (6)

1. An activated leukocyte absorber comprises end covers (2), shells (3) and an adsorption film (4), wherein the end covers (2) are connected with the two ends of the shells (3) to form a closed cavity, the shells (3) wrap the adsorption film (4), the adsorption film (4) is positioned in the closed cavity, one end cover (2) is provided with a blood inflow port (7), and the other end cover (2) is provided with a blood outflow port (1); the method is characterized in that: the both ends of adsorption film (4) are connected with adsorption film bearing structure (6) respectively, and adsorption film bearing structure (6) are the cavity pipeline structure of evenly arranging, adsorption film (4) batching heliciform is arranged, and adsorption film bearing structure (6) support adjacent two-layer adsorption film, forms the clearance between each layer, and blood flows in the adsorption film reel through these cavity pipelines.
2. The activated leukocyte adsorber of claim 1 wherein: the adsorption membrane support structure (6) is a hollow circular pipe.
3. The activated leukocyte adsorber of claim 1 wherein: the adsorption membrane support structure (6) is a hollow triangular prism pipe.
4. The activated leukocyte adsorber of claim 2 or 3 wherein: the adsorption film is characterized by further comprising an adsorption film inner supporting core (5), and the adsorption film (4) is coiled into a spiral arrangement by taking the adsorption film inner supporting core (5) as a core material.
5. The activated leukocyte adsorber of claim 1 wherein: the adsorption film (4) is an activated leukocyte adsorption film made of a high molecular biological material.
6. The activated leukocyte adsorber of claim 1 wherein: the connection between end cover (2) and shell (3) is the welding, and the welding mode is ultrasonic bonding, adsorption film (4) and adsorption film bearing structure (6) are connected for the adhesion.
CN202110803083.8A 2021-07-15 2021-07-15 Activated leukocyte adsorber Pending CN115607760A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202110803083.8A CN115607760A (en) 2021-07-15 2021-07-15 Activated leukocyte adsorber

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110803083.8A CN115607760A (en) 2021-07-15 2021-07-15 Activated leukocyte adsorber

Publications (1)

Publication Number Publication Date
CN115607760A true CN115607760A (en) 2023-01-17

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Application Number Title Priority Date Filing Date
CN202110803083.8A Pending CN115607760A (en) 2021-07-15 2021-07-15 Activated leukocyte adsorber

Country Status (1)

Country Link
CN (1) CN115607760A (en)

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Effective date of registration: 20231227

Address after: No. 1506, 15th Floor, Building 1, No. 1800 Yizhou Avenue Middle Section, Chengdu High tech Zone, China (Sichuan) Pilot Free Trade Zone, Chengdu City, Sichuan Province, 610000

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Applicant before: WEST CHINA HOSPITAL, SICHUAN University