CN1235849A - Automatic hemodialysis filter - Google Patents

Automatic hemodialysis filter Download PDF

Info

Publication number
CN1235849A
CN1235849A CN 98112254 CN98112254A CN1235849A CN 1235849 A CN1235849 A CN 1235849A CN 98112254 CN98112254 CN 98112254 CN 98112254 A CN98112254 A CN 98112254A CN 1235849 A CN1235849 A CN 1235849A
Authority
CN
China
Prior art keywords
dialysate
computer
filtration
dialysis
pump
Prior art date
Application number
CN 98112254
Other languages
Chinese (zh)
Inventor
彭罗民
Original Assignee
彭罗民
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 彭罗民 filed Critical 彭罗民
Priority to CN 98112254 priority Critical patent/CN1235849A/en
Publication of CN1235849A publication Critical patent/CN1235849A/en

Links

Abstract

Automatic hemodialysis filter consists of extracorporeal blood circulation system, dialysate circulation, volume and temperature monitoring system and dialysis filtering and monitoring system. It is suitable for treating and curing acute and chronic kidney hypofunction, uraemia, drug poisoning and herion poisoning. The extracorporeal blood circulation is that the roller pump drives blood from arterial duct to flow through hemodialysis filter and vein duct, and return to body of the patient. The dialysate circulation is that the dialysate pump drives dialysate from dialysate container to flow through dialysate pipe and hemodialysis filter and return to dialysate container; and the other dialysate circulation is realized by the lift to drive the dialysate bag to move like a cable car.

Description

自动血透滤过机 Automatic hemodialysis filtration machine

本发明涉及一种医疗设备,特别是一种自动血透滤过机。 The present invention relates to a medical device, particularly an automatic filtration hemodialysis machine. 本发明适合各级医疗单位用于救治急性肾功能衰竭,慢性肾功能衰竭、尿毒症,多器官功能衰竭伴肾衰,药物(镇静安眠药、抗精神病药、老鼠药等)中毒,毒物中毒,海洛因中毒、成瘾,洒精中毒,肾病综合征伴严重体液潴留,糖尿病肾病伴严重体液潴留等。 The invention is suitable for all levels of medical treatment of acute renal failure, chronic renal failure, uremia, multiple organ failure with renal failure, drugs (sedative hypnotics, antipsychotics, rat poison, etc.) poisoning, toxic poisoning, heroin poisoning, addiction, as alcohol poisoning, nephrotic syndrome with severe fluid retention, diabetic nephropathy with severe fluid retention and so on.

现有技术的常规血液透析机共同的优点是:1、可做碳酸氢盐透析;2、有容量监控系统;3、依靠电脑控制。 Common advantages over conventional prior art hemodialysis machine are: 1, do bicarbonate dialysis; 2, has a capacity monitoring system; 3, rely on computer control. 常规血透机都有共同的缺点是:1、价格昂贵,一般具有碳酸氢盐透析和容量监控的常规血液透析机价格都在30-40万/每台。 Conventional hemodialysis machines have a common drawback is: 1, expensive, generally has a bicarbonate dialysis and monitoring capacity of conventional hemodialysis machine prices are 300,000-400,000 / each. 配对滤过透析机每台主机加水处理机需近50万元。 Each host paired filtration dialysis machine plus water treatment machines to be nearly 50 million. 配对滤过透析器是由一个小型聚砜膜滤过器(滤过器面积:0.55m2)和一个纤维类透析器(透析器面积:1.15-1.60m2)对接构成。 It is paired filtration dialysis polysulfone membrane by a small strainer (strainer area: 0.55m2): constituting (1.15-1.60m2 dialyzer area) and a mating fiber dialyzer. 配对滤过透析装置主机除和常规血透机一样的装置外,主要进步是:(1)在滤过液流动管线上增加了尿素传感器,以便在治疗中监测血液滤过液中尿素的浓度,有利于调整确定治疗时间监测病情;(2)在滤过液流动管线上设置了活性炭吸附灌,使滤过液在通过吸附灌时清除滤过液中的肌酐、尿酸等尿毒素,滤过液从滤过器滤出后,通过滤过液引流导管把滤过液引入下方对接的透析器的血液循环中,使滤过液回收,减少补液量。 Paired filtration dialysis apparatus and the host in addition to a conventional hemodialysis machine like device, is a major advance: (1) an increase in the urea sensor filtrate flow line, so as to monitor the blood treatment fluid filtration in the concentration of the urea, determination of a therapeutically beneficial adjustment time monitoring of the disease; (2) provided with carbon adsorption irrigation flow line in the filtrate, so the filtrate was clear filtrate in uremic creatinine, uric acid by adsorption at the time of filling, the filtrate was after filtration from the filter out through the filtrate, the filtrate was introduced into the drainage catheter dialyzer blood circulation in the lower docking the filtrate was recovered, reduced fluid volume. [A.Santoro0n-line monitoring Nephrology Dialysis Transplantation 1995.10.615-618];[LJGarred,B.Canaud,JYBosc and C.Tetta Urea rebound deliverdKt/V determination with acontinuous urea sensor];[PMGhezziHemodiafiltration with Separate Convection and Diffusion:PairdFiltration Dialysis Contr.Nephro.,vol.69,pp.141-161,1989]这一设计尤其是炭筒技术难度并不大,但却提高了治疗成本,使一般中小医院对此类昂贵的常规血液透析机难以问津。 [A.Santoro0n-line monitoring Nephrology Dialysis Transplantation 1995.10.615-618]; [LJGarred, B.Canaud, JYBosc and C.Tetta Urea rebound deliverdKt / V determination with acontinuous urea sensor]; [PMGhezziHemodiafiltration with Separate Convection and Diffusion: PairdFiltration dialysis Contr.Nephro., vol.69, pp.141-161,1989] this carbon tube designed especially technical difficulty is not large, but it increases the cost of treatment, so that the average small hospitals for such an expensive conventional hemodialysis machine difficult cares. 2、依赖水源,常规进口或国内组装的血液透析机都依赖水源,治疗中一旦停水,必须停止治疗,以防止发生不良后果。 2, dependent on the water, imported or domestic assembly conventional hemodialysis machine are dependent on water, once without water treatment, treatment must be stopped in order to prevent adverse consequences. 3、对应用环境要求高,不能用于出诊抢救。 3, the application of high environmental requirements, can not be used to rescue visits. 4、对电源要求高,电压稍低即可出现故障,不能进行治疗。 4, high power requirements, lower voltage failure can not be treated. 5、出现故障维修困难,医护人员无法进行维修。 5, breakdown maintenance difficulties, staff can not be repaired. 6、对水消耗量大,每次治疗需12万毫升以上方可完成一次治疗。 6, the water consumed in large quantities, each treatment takes more than 120,000 milliliters before the completion of the first treatment. 7、透析液供液系统很复杂,出现故障的机会也随着增加。 7, the dialysis liquid supply system is complex, along with the chance of failure increases.

本发明的目的是针对现有常规血液透析机的不足而设计的一种目前国内、国外没有的新型自动血透滤过机及其新的自动工作程序,她适合我国现阶段的国情,可在所有医疗单位使用。 The present invention is directed to lack of existing conventional hemodialysis machine designed for a domestic, not foreign hemodialysis filtration of the new automatic machines and their new automated procedures, she was suited to the condition of our country at this stage, can All medical units. 本发明可用做血液透析超滤,血液透析滤过,配对血液滤过透析,单纯血液滤过,单纯血液超滤,血液灌流,血浆置换,血液透析超滤与灌流同时进行等。 The present invention is useful as an ultrafiltration hemodialysis, hemodiafiltration, hemodiafiltration pairing, pure hemofiltration, pure ultrafiltration, hemoperfusion, plasma exchange, hemodiafiltration and ultrafiltration perfusion simultaneously and the like. 主要用于救治急性肾衰,慢性肾衰,早期、晚期、终末期尿毒症,多器官衰竭伴肾哀,药物中毒,毒物中毒,海洛因中毒、成瘾等。 Mainly used for the treatment of acute renal failure, chronic renal failure, early, late, end-stage uremia, multiple organ failure with renal sorrow, drug toxicity, toxic poisoning, heroin poisoning, addiction and so on.

本发明是这样实现的:它是由体外血液循环系统;透析液循环、透析液容量、透析液温度监控系统;透析滤过系统和计算机自动监测系统构成。 The present invention is implemented: it is an extracorporeal blood circulation system; circulating dialysate, dialysate fluid volume, the dialysate temperature monitoring system; hemodiafiltration automatic monitoring system and computer system configuration. 本发明的特征在于:a. The present invention is characterized in that: a. 透析液循环、透析液容量、透析液温度监控系统是由透析液循环输出管(1)与透析液加温衡温器(3)的接头管(2-1)相连接并输入透析液至(3),透析液在透析液加温衡温器(3)内经过加温衡温,从透析液加温衡温器(3)的另一接头管(2-2)输出至透析液循环管(4),并与透析器、透析型透析滤过器、透析滤过器或滤过器或配对滤过透析器(5)一端的透析液孔相连接,透析液从透析器、透析型透析滤过器,透析滤过器或滤过器或配对滤过透析器(5)另一端的透析液孔排出后,与透析液循环管(4)相连接,透析液循环管(4)前行与透析液泵管(6)相连接,在透析液循环管(6)的管线上有尿素生物传感器(6-1),经透析液泵(7)的驱动,吸引透析液继续前行至透析液循环输入管(8),透析液循环输出管(1)和透析液循环输入管(8)均置入透析液容器(9)内,透析液容器(10)为备用续接透析液,透析液 Circulating dialysate, dialysate fluid volume, the dialysate temperature monitoring system is connected to the dialysate and enter the circulation from the dialysate outlet pipe (1) and the dialysate constant temperature heating device (3) of the adapter tube (2-1) ( 3), warmed dialysate through the dialysate constant temperature in the constant temperature heating device (3), warmed dialysate from the other terminal under constant temperature, (3) a tube (2-2) to the dialysate circulation pipe (4), and dialyzer, dialysate is filtered through a dialysis, filtration or diafiltration or filtration dialyzer counterpart (5) of the dialysate is connected to one end of the hole, the dialysate from the dialyzer, a dialysis dialysis after dialysis liquid inlet (5) and the other end of the strainer, or filter diafiltration or dialysis filtration mating discharged, is connected to a dialysis fluid circulation tube (4), the dialysate circulation pipe (4) forward a dialysate pump connected to the tube (6), urea biosensor (6-1) in the dialysate circulation pipe line (6), via dialysate pump (7) is driven to move dialysate suction dialysis circulating liquid inlet pipe (8), the output of the dialysate circulation pipe (1) and a dialysate circulation inlet pipe (8) are placed in the dialysate container (9), the dialysate container (10) of the splice spare dialysate, dialysate liquid 容器(9、10)放置在电子重量衡测器压力传感器平台(11)上,在电子重量衡测器压力传感器平台(11)的下方是压力传感器(12)及电子传输系统(13),电子传输系统(13)把电子重量衡测器压力传感器(12)所测的透析液容器(9、10)的信息双向传输至计算机(37),接受并执行计算机(37)的指令,构成透析液循环、透析液容量和透析液温度临控系统,如图1,图2所示。 The container (9,10) is placed on the electronic weighing scale measuring pressure sensor platform (11), below the electronic weighing scale measuring pressure sensor platform (11) is a pressure sensor (12) and the electron transport system (13), an electronic (12) the measured dialysate container (9, 10) two-way transmission of information (13) the electronic weighing scale measuring pressure sensor delivery system to the computer (37), accept and execute instructions of a computer (37) constituting the dialysate circulating dialysate temporary capacity and dialysate temperature control system, as shown in FIG 1, FIG. 2.

b. b. 体外血液循环系统是由动脉导管(14),输液短管(15)与动脉导管(14)相连接,血泵管(16)与动脉导管(14)相连接,在血泵(17)中装有血泵管(16),追加肝素管(18)与动脉导管(14)相连接,肝素注射器(19)与追加肝素管(18)相连接,动脉导管(14)的另一端与透析器、透析型透析滤过器、透析滤过器或滤过器或配对滤过透析器(5)的动脉端相连接,透析器、透析型透析滤过器、透析滤过器或滤过器或配对滤过透析器(5)的静脉端与静脉导管(20)相连接,在静脉导管上有与其相连的除泡器(21),在除泡器(21)上有排气管(22)和静脉压管(23),静脉压管(23)在应用状态下与静脉压监测器及接头(24)相连接,除泡器之后的静脉导管(20)绕过空气监测器的自动血管夹(25)继续前行,在静脉导管(20)上有采血穿刺器(26)构成体外血液循环系统,如图1所示。 Extracorporeal blood circulation system are connected by the arterial catheter (14), a short infusion tube (15) and the arterial catheter (14), the blood pump tube (16) and the arterial catheter (14) connected to the blood pump (17) are installed blood pump tube (16), adding a heparin tube (18) and the arterial catheter (14) is connected, heparin syringe (19) to the additional heparin tube (18) is connected to the arterial catheter (14) the other end of the dialyzer, dialysis dialysis filtration, a diafiltration or filter filtration or pairing dialyzer (5) connected to the arterial end, a dialyzer, dialysate is filtered through a dialysis, filtration or diafiltration or paired filtered through a dialyzer (5) and the venous end of the vein catheter (20) is connected with a bubble trap (21) connected thereto in an intravenous catheter, in addition to the exhaust pipe (21) bubble (22) and venous pressure pipe (23), the venous pressure pipe (23) is connected to the venous pressure monitor and joints (24) in the application state, in addition to venous catheter after the bubble trap (20) bypassing the air monitor automatically vascular clip ( 25) move, the venous catheter (20) has a blood collection piercer (26) constituting the extracorporeal blood circulation system as shown in FIG.

c. c. 透析滤过系统是由配对滤过透析器(5),与配对透析滤过器(5)滤过液排出孔相连的是滤过液收集管(27),滤过液收集管(27)与滤过液收集袋(28)相连接,和滤过液收集袋(28)相连的容量监测器传感器挂钩(29)和容量监测器传感器(30)构成透析滤过系统的滤过部分;由平衡液袋和输液管(31),输液管与动脉导管上的输液短(15)相连接,平衡液袋和输液管(31)与容量监测器传感器挂钩(32)相连,和容量监测器传感器((33)构成透析滤过系统的补液部分;容量监测器传感器(30)和容量监测器传感器(33)的电子传输系统(30-1和33-1)与计算机电缆线插座(37-1)相连,共同构成透析滤过系统,如图2,图3所示。 Diafiltration is paired filtration dialysis system (5), paired with diafiltration device (5) connected to the filtrate discharge holes is filtrate collecting pipe (27), filtered through a collection tube (27) and filtrate collection bag (28) is connected, and a filtrate collection bag (28) connected to the sensor monitors the capacity of the hook (29) and the capacitance monitor sensor (30) constituting the filtration portion hemodiafiltration system; the balance fluid bag and the infusion tube (31), the infusion on the infusion tube and the arterial catheter a short (15) is connected to balanced solution bag and the infusion tube (31) and the capacity of the monitor sensor hook (32) is connected, and the capacity of the monitor sensor ( (33) constituting part of a dialysis fluid filtration system; capacitance monitor sensor (30) monitors and capacity sensor (33) of the electron transport system (30-1 and 33-1) and a computer cable outlet (37-1) connected together constitute hemodiafiltration system, FIG. 2, FIG. 3.

d. d. 计算机监控系统是由体外血液循环监控系统,透析液循环监控系统,透析液温度监控,滤过、超滤、补液量监控,滤过超滤液尿素浓度监控,系统监控六部分构成。 Computer monitoring system by monitoring the extracorporeal blood circulation system, the dialysate circulation monitoring system, temperature monitoring dialysate, filtration, ultrafiltration, monitoring the amount of fluid, filtered ultrafiltrate urea concentration monitoring system monitors six parts.

体外血液循环系统监控是由启动电源(34),连通血泵(17)通电,血泵(17)开动后即可在血泵显示屏(35)显示血泵的转速、流量,并可根椐需要在血泵(17)的调节旋钮(17-1)调整转速和流量,静脉压监测器(24)连续监测静压的高、低,当静脉压过高或过低达到或超过阀值时,计算机(37)指令立即报警,同时指令血泵(17)停转,当排除静脉压异常情况后,血泵(17)方可恢复转动,继续进行治疗,当除泡器(21)进入空气达到监界水平面,气体监测器超声传感器(36)立即探知,把信息传入计算机(37),计算机(37)立即指令血泵(17)停转,同时指令空气监测器的自动血管夹(25)钳夹静脉导管(20),防止气体进入患者体内,当从排气管(22)排除气泡,血泵(17)方可恢复转动,继续进行治疗,如图3,图5所示。 Monitoring the extracorporeal blood circulation system, the communication blood pump (17) is energized, the blood pump (17) actuated by a start power supply (34) to display the rotational speed of the blood pump, the blood pump flow rate display (35), and noted in needed (17-1) to adjust the blood pump (17) and the flow speed of the adjustment knob, venous pressure monitor (24) the continuous monitoring of high static pressure, low, when the high or low venous pressure reaches or exceeds the threshold value , a computer (37) instructions to the police, while the instruction of the blood pump (17) stops, when the negative pressure venous abnormalities, blood pump (17) is rotated before recovery, continued treatment, when the bubble trap (21) into the air monitoring the level reached sector, gas monitor ultrasonic sensor (36) immediately ascertain, the information of the incoming PC (37), a computer (37) instructions immediately blood pump (17) stops, while the instruction automatically monitor air vascular clip (25 ) jaw venous catheter (20), to prevent gas into the patient, when the remove air bubbles, the blood pump (17) is rotated before recovery, continued treatment, FIG. 3, FIG. 5 from the exhaust pipe (22).

透析液循环、透析液温度、超滤和滤过补液监控系统是由启动电源(34)启动后,连通透析液泵(7)通电,透析液泵(7)开动后即可在透析液泵显示屏(38)显示转速、流量,并可根椐需要在透析液泵(7)的调节旋钮(7-1)调整转速和流量;同时在计算机(37)的屏幕上显示透析液温度℃;当把透析液容器(9、10)放置在衡器测量器压力传感器平台(11)上时,压力传感器(12)即把信息传入计算机(37),计算机(37)即连续不断地测算透析液量并以毫升数显示;治疗开始计算机(37)即自动记录治疗时间,并以分钟计算,同时记录应用透析液总量,单位时间内超滤量,超滤总量,滤过总量;由计算机(37)连续计算判断超滤量、滤过量是否超标? Circulating dialysate, dialysate temperature, and filtered through the ultrafiltration after rehydration monitoring system (34) started by the power source, communication dialysate pump (7) is energized, the dialysate pump (7) to display the dialysate pump after start screen (38) displays the speed, flow rate, and adjusting knob according to demands in the dialysate pump (7) (7-1) to adjust the speed and flow; dialysate temperature ℃ simultaneously displayed on the computer (37) screen; when when the dialysate container (9,10) is placed on the weighing platform measuring pressure sensor (11), a pressure sensor (12) that is to pass information to a computer (37), a computer (37) that is continuously measure the amount of dialysate and displayed in milliliters; treatment started computer (37) automatically records the treatment time, and in minutes, while the total amount of the dialysate recording application, the ultrafiltration volume per unit time, the total amount of the ultrafiltration, the total filtration; computer (37) continuously calculated ultrafiltration volume is determined, the amount of filtration is exceeded? 若超滤量达到或超过预定指标的毫升数,计算机(37)屏幕上即自动显示应补液总量的毫升数,并报警提示需实际补液量的毫升数;若透析液温度过低或过高,低于或高于预定的温度值,计算机(37)立即报警,透析液泵(7)不能开动或停转,当透析液温度恢复正常,透析液泵(7)即可开动或恢复转动,继续进行治疗,如图3,图5所示。 If the ultrafiltration volume reaches or exceeds a predetermined number of milliliters index, a computer (37) to be automatically displayed few ml fluid volume on the screen, and a few ml of alarm for an actual fluid amount; if the temperature is too low or too high dialysate , temperatures lower or higher than a predetermined value, a computer (37) to the police, the dialysate pump (7) can not be started or stopped, when the temperature returns to normal the dialysate, dialysate pump (7) to start or resume the rotation, treatment continued, as shown in FIG 3, FIG 5.

透析液循环另一监控系统和补液系统是由升降机(39)在计算机(37)的监控下执行,启动电源,升降机(39)通电,当把1号满液袋挂在高位容量监测器挂钩(32)和把2号空液袋挂在低位容量监测器传感器挂钩(29)上时,计算机(37)即自动测定1号新鲜透析液量的毫升数,透析液从1号高位液袋,流入透析器(5),流出透析器(5),流入2号低位液袋,计算机(37)判断1号液袋是否流空? Dialysate fluid circulation system and the further monitoring system is performed by a hoist (39) in the monitoring computer (37) to start power supply, the elevator (39) is energized, when the number of bags 1 filled at high capacity monitor hanging hook ( 32), and when the No. 2 empty of bags hanging low capacitance monitor sensor hook (29), the computer (37) automatically measuring the 1st few ml fresh dialysate volume, the dialysate from the No. 1 high fluid bags, flows a dialyzer (5), flows out of the dialyzer (5), No. 2 flows into the lower fluid bags, a computer (37) determines whether or not the bag was emptied No. 1? 若是,升降机(39)通过可逆电机(40)转动齿轮(41),牵动链条(42),再通过链条(42)牵动滑拉轮(43-1),和(43-2),链条的对侧是不锈钢丝绳(44)从反面牵引滑拉轮(43-1;43-2),以稳定滑拉轮(43-1;43-2),自动顺钟向翻转交换1、2号液袋(重量传感器33和30)的位置,同时记录交换次数1次,显示透析液流量,累加用液量、每次超滤量、超滤总量,滤过总量和应补液量,若超滤量或/和滤过量超过预定目标值,计算机(37)自动报警并显示应补液总量的毫升数在屏幕上,把需补充的液体(31)挂在容量监测器压力传感器挂钩(32)上,输液管与动脉导管(14)上的输液短管(15)相连接进行补液,计算机(37)对实补液量计数,连续监测实补液量,计算机(37)判断预定交换次数到否? If, elevator (39) is rotated by a reversible electric motor (40) gear (41), affecting the chain (42), then through a chain (42) affects the pull-wheel slide (43-1) and (43-2), the chain side is stainless steel wire rope (44) from the opposite side to pull the traction wheel slip (43-1; 43-2), to stabilize the pull-wheel slide (43-1; 43-2), automatic overturning clockwise exchange liquid 1,2 the position of the bag (the weight sensor 33 and 30), while the number of recording exchange 1, the display dialysate flow, with the accumulated amount of liquid, each ultrafiltration volume, total ultrafiltration, the total amount of fluid to be filtered and, if super the amount of filtration and / or filtration amount exceeds a predetermined target value, the computer (37) and displaying the number of alarm should ml fluid volume on the screen, the need to add the liquid (31) hung on the pressure sensor monitors the capacity of the hook (32) , the infusion tube with an arterial catheter infusion short tube (15) (14) is connected for fluid, a computer (37) for the real fluid volume count, continuous monitoring of real fluid volume, the computer (37) determines a predetermined number of times switching to NO? 若没到,继续翻转交换,若已到,停止翻转、传呼更换新鲜透析液,若突然停电,计算机(37)自动报警,传呼人工交换透析液,治疗时间到,指令结束治疗,如图2、图3、和图5所示。 If not to continue flipping exchange Ruoyi to stop flipping, paging replaced with fresh dialysate, if a sudden power failure, the computer (37) alarm, manual switch paging dialysate, the treatment time, an instruction to end the treatment, as shown in FIG 2, 3, and 5.

滤过液、超滤液中尿素浓度监控系统是由尿素生物传感器(6-1)和计算机(37)完成,当需要监测滤过液和/或超滤液中尿素浓度时,可暂时把透析液循环输出管(1)提出至透析液容器(9、10)之外,或用夹具夹住透析液循环输出管(1),此时,透析液流出中止,只有滤过液和/或超滤液通过透析液循环管(6)流出至尿素生物传感器(6-1),尿素生物传感器(6-1)把所监测的信息传至计算机(37),计算机(37)经计算显示出滤过液和/或超滤液中尿素的浓度,做为确定进一步治疗时间和监测病情变化提供动态实验依据,如图4所示。 Filtrate, the concentration of urea in the ultrafiltrate is completed by the surveillance system is a urea biosensor (6-1) and a computer (37), when desired or monitoring the filtrate and / ultrafiltrate urea concentration, dialysis can be temporarily circulating liquid outlet pipe (1) is proposed to the dialysate container (9, 10), the clamping jig or circulating dialysate outlet pipe (1), at this time, effluent dialysate suspended, only the filtrate and / or super the filtrate flows through the dialysate circulation pipe (6) to the urea biosensor (6-1), a urea biosensor (6-1) to pass information to a computer (37) is monitored, the computer (37) shows the calculated filter concentration is too fluid and / or urea in the ultrafiltrate, is determined as a time for further treatment and monitoring dynamic changes in condition to provide an experimental basis, as shown in FIG.

系统监控系统是由计算机(37)通过启动电源,连通透析液泵(7),血泵(17),升降机(39),同时监控的三个系统,体外血液循环系统通过超声探测器重点监控除泡器(21),通过静脉压监测器及接头(24)传递信息到计算机(37)监控静脉压的高、低;透析液循环系统的监控有二个,1个是透析液泵(7)带动的循环系统,通过压力传感器(12)和加温衡温器(3)传递信息到计算机,重点监控透析液温度,超滤量,滤过量,需补液量和实补液量;另一系统是由升降机带动的透析液循环系统,重点监控超滤量、滤过量、需补液量和实补液量,如图5所示。 System monitoring system is a system simultaneously monitoring three extracorporeal blood circulation system by the ultrasound probe focused by a computer monitor (37) by actuating the power source, communication dialysate pump (7), the blood pump (17), the elevator (39), in addition to bubble (21), and by fitting the venous pressure monitor (24) to pass information to a computer (37) to monitor the venous pressure of the high, low; monitoring dialysate circulation system has two, is a dialysate pump (7) driven circulation system, the information transmitted by the pressure sensor (12) and the warming temperature value (3) to the computer, the focus monitor dialysate temperature, ultrafiltration volume, the amount of filtration required fluid volume and the real fluid volume; the other system dialysate circulating driven lift system, the focus monitoring ultrafiltration volume, the amount of filtration required fluid volume and the real fluid volume, as shown in FIG.

自动血透滤过机的整机特征在于:整机有附件输液支架(45),底盘(46),底盘(46)与自控机架(47)相连接,自控机架(47)与整机方向轮(48)相衔接,如图3所示。 Automatic machine characterized in that the hemodialysis machine filtration: Infusion machine has an attachment bracket (45), the chassis (46), the chassis (46) and automatic control rack (47) is connected, controlled carrier (47) and machine The direction of wheel (48) are connected, as shown in FIG. 透析液加温衡温器(3)是由外部装置(49),透析液循环管(50),加热件(51)和开关调节加热温度显示件(52)构成;采用对通过加温衡温器(3)中的透析液循环管中的透析液进行间接加温衡温的方法进行加温衡温,在加温衡温器(3)中的透析液循环管外,有加热器和加温衡温介质水,使透析液循环管浸泡在加温衡温器的介质水中,既可达到加温衡温,又可保持透析液循环管腔内的洁净,在没有进行治疗的情况下,定时对介质水加温到98℃,即可达到消毒灭菌的目的,使加温衡温器内的透析液循环管腔内保持无菌的环境,如图4所示。 Dialysate constant temperature heating device (3) by an external device (49), a dialysis fluid circulation tube (50), heating element (51) and a switch element regulating the heating temperature display (52) configured; use of constant temperature by heating dialysate fluid circulating pipe (3) in the vessel by indirect heating method of heating is performed under constant temperature, constant temperature, constant temperature heating in the outer (3) in the dialysate circulation pipe, a heater and processing constant temperature water, medium temperature, the dialysate circulation pipe immersed in a water medium heating value of the thermostat, can reach the constant temperature heating, but also to maintain the clean dialysis fluid circulation lumen, in the absence of treatment, timing medium water heated to 98 deg.] C, can achieve the purpose of sterilization, the holding sterile dialysate circulating constant temperature heating intraluminal device environment, as shown in FIG.

本发明还可以是这样实现的:透析液供液系统是由透析液泵(7)和升降机(39)两套供液系统构成,在有电的情况下,既可用透析液泵(7)供液系统,也可用升降机(39)透析液循环系统,在停电的情况下,可利用升降机(39)的液袋挂钩(29和32)进行手工操作,继续维持治疗,如图1所示。 The present invention may also be implemented as follows: a dialysis liquid supply system (39) consists of two systems for liquid dialysate pump (7) and a lift, in the case where electric, either (7) for a dialysate pump liquid system may also be an elevator (39) dialysis fluid circulation system, in case of power failure, the elevator may be utilized (39) of the hook of bags (29 and 32) for manual operation, the continuation of the treatment, as shown in FIG.

本发明还可以是这样实现的:自动血透滤过机,其特征是自控部分(包括:计算机(37),血泵(17),透析液泵(7),静脉压监测器(24),气体监测器超升传感器(36),加温衡温器(3))与自控机架(47)和升降机(39)用分体组装的方法制造安装;自控部分可与升降机(39)分离单独使用,也可组装在一起在室内使用,如图1-1所示。 The present invention may also be implemented as follows: automatic filtration hemodialysis machine, wherein the automatic control section (comprising: a computer (37), the blood pump (17), the dialysate pump (7), the venous pressure monitor (24), exaltation gas monitor sensor (36), constant temperature heating device (3)) and automatic control rack (47) and lifts (39) a method for producing a separate mounting assembly; automatic control portion may be separated from the lift (39) alone use may also be assembled for indoor use, shown in Figure 1-1.

本发明还可以是这样实现的:自动血透滤过机其特征还在于透析液容器(9、10)可以是高分子材料,无毒聚氯乙烯,聚丙烯塑料,聚碳酸酯等,也可以是不锈钢材料,透析液容器(9、10)的容量为3500ml一个和5500ml一个。 The present invention may also be implemented as follows: automatic filtration hemodialysis machine further characterized in that the dialysate container (9, 10) may be a polymer material, non-toxic polyvinyl chloride, polypropylene plastic, polycarbonate, etc., may be stainless steel materials, the dialysate container (9,10) and a capacity of 3500ml 5500ml a. 透析液容器的形状可以是长立方体,也可以是其它形状。 Shape of the dialysate container may be of a cube, other shapes may be. 滤过液收集袋(28)和输液袋(31)可以是高分子材料,也可以是玻璃瓶,容量为500ml,1000ml,1500ml,2000ml一个。 Filtrate collection bag (28) and the infusion bag (31) may be a polymer material, may be glass, a capacity of 500ml, 1000ml, 1500ml, 2000ml a. 滤过液收集管(27)和补液管(31)可以是高分子材料,包括:塑料,医用硅橡胶或医用乳胶管,如图1-4所示。 Filtrate collection tube (27) and a fluid pipe (31) may be a polymer material, comprising: a plastic, or a medical silicone rubber latex medical tube shown in Figure 1-4.

本发明还可以是这样实现的:自动血透滤过机其特征还在于透析液泵(7)可以是滚柱(珠)泵,也可以是离心泵,还可以是齿轮泵或叶片泵,如图1-4所示。 The present invention may also be implemented as follows: automatic filtration hemodialysis machine further characterized in that the dialysis pump (7) may be a roller (beads) pump, a centrifugal pump may be, or may also be a gear pump vane pump, such as As shown in Figure 1-4.

本发明的特征还在于:滤过液、超滤液尿素浓度监测系统是由尿素生物传感器(6-1)和计算机(37)完成,当需检测滤过液和/或超滤液的尿素浓度时,暂时把透析液循环输出管(1)提出到透析液容器(9、10)之外,或用夹具夹住透析液循环输出管(1),此时透析液流出中止,只有滤过液和/或超滤液通过透析液循环管(6)流出至尿素生物传感器(6-1),尿素生物传器(6-1)把所监测的信息传至计算机(37),计算机(37)经计算并显示出滤过液和/或超滤液中尿素的浓度,为进一步确定治疗时间和监测病情提供动态实验依据。 The present invention is further characterized in that: filtrate, ultrafiltrate urea concentration monitoring system is performed by a urea biosensor (6-1) and a computer (37), to be detected when the filtrate and / or urea concentration ultrafiltrate when temporarily circulating dialysate outlet pipe (1) is proposed to the dialysate container (9, 10), the clamping jig or circulating dialysate outlet pipe (1), then suspended dialysate effluent, only filtrate and / or ultrafiltrate effluent dialysate circulation pipe (6) to the urea biosensor (6-1), urea biosensors device (6-1) monitoring the information transmitted to the computer (37), a computer (37) and displaying the calculated concentration of filtrate and / or urea in the ultrafiltrate, dynamic experimental data for determining the duration of treatment and monitoring of the disease.

下面结合附图对本实用新型作进一步描述:图1中的1-透析液循环输出管与2-透析液加温衡温器接头管相结合并输入透析液到3-透析液加温衡温器,经加温衡温后的透析液自2-透析液加温衡温器的另一接头管输出透析液至4-透析液循环管,并与5-透析器、透析型透析滤过器、透析滤过器或滤过器或配对滤过透析器一端的透析液孔相结合,透析液从5-透析器、透析型透析滤过器,透析滤过器或配对滤过透析器的另一端透析液孔排出后,再与4-透析液循环管相连接,4-透析液循环管前行与6-透析液泵管相连接,经7-透析液泵的驱动,吸引透析液继续前行至8-透析液循环输入管,1-透析液循环输出管和8-透析液循环输入管均置入9-透析液容器内,10-透析液容器为备用续接透析液,把9、10-透析液容器,放置在11-电子重量衡测器压力传感器平台上,在11-电子重量衡测器 OF THE DRAWINGS The present invention is further described as: FIG. 11- in a dialysate circulation pipe output value with 2 dialysate heating thermostat joint pipe combined dialysate and enter into the dialysate 3- thermostat heating value , the dialysate warmed dialysate from 2- constant temperature constant temperature heating pipe joint according to another output dialysate to the dialysate circulation pipe 4-, 5- and with the dialyzer, a dialysis dialysis filtration device, dialysate hole hemodiafiltration or filter filtration or the mating end of the dialyzer combination, from 5-dialyzer dialysate, dialysate dialysis filtration, and the other end of the diafiltration or filtration mating dialyzer after dialysis fluid discharge hole, and then connected to the dialysis fluid circulation tube 4-, 4- dialysate circulation pipe with 6 forward pump tube connected to the dialysis, the dialysate pump driven by 7- to attract the dialysate move to 8 circulating dialysate inlet tube, outlet tube 1- dialysate circulating dialysate circulation and 8 are input into the inner tube dialysate containers 9-, 10- dialysate container is connected to the dialysate continuous backup, the 9,10 - dialysate container placed on the electronic weighing scale measuring 11- pressure sensor platform, the electronic weighing scale measuring device 11- 力传感器平台的下方是12-压力传感器及13-电子传输系统,13-电子传输系统把电子重量衡测器12-压力传感器所测的9、10-透析液容器的信息双向传输至37-计算机,接受并执行37-计算机的指令,构成自动血透滤过机的透析液循环、透析液容量和透析液温度监控系统。 The force sensor is below the platform and the pressure sensor 12- 13- electron transport system, electron transport system 13- bidirectional transmission of information to the electronic weighing scale measuring the pressure measured by the sensor (12) - 9,10-37- dialysate container to the computer accept and execute computer instructions 37- constituting the dialysate hemodialysis filtration automatic machine cycle, the capacity dialysate and dialysate temperature monitoring system.

图1中所示的14-动脉导管,在14-动脉导管上结合有15-输液短管,16-血泵管与14动脉导管相连接,在17-血泵中装有16-血泵管,18-追加肝素管与14-动脉导管相连接,19-肝素注射器与18-追加肝素管相连接,14-动脉导管的另一端与5-透析器、透析型透析滤过器、透析滤过器或滤过器或配对滤过透析器的动脉端相连接,5-透析器、透析型透析滤过器、透析滤过器或滤过器或配对滤过透析器的静脉端与20-静脉导管相连接,在20-静脉导管上有与其相连的21-除泡器,在21-除泡器上有22-排气管和23-静脉压管,23-静脉压管在应用状态下与24-静脉压监测器及接头相连接,21-除泡器之后的20-静脉压管绕过25-空气监测器的自动血管夹继续前行,在20-静脉导管上有26-采血穿刺器构成自动血透滤过机的体外血液循环系统。 14- arterial catheter shown in FIG. 1, in combination with the 14- arterial infusion of short tubes 15, 16 and 14 the blood tubing is connected to the arterial catheter, the blood pump tube containing 16- 17- blood pump , additional heparin tube 18 is connected to the arterial catheter 14-, 19- heparin syringe 18 is connected to the additional heparin tube, 14 the other end of the arterial catheter with 5 dialyzer, dialysate is filtered through a dialysis, diafiltration mating or filter filtration or arterial dialyzer connector end, 5- dialyzer, a dialysis dialysis filtration, a venous hemodiafiltration or filter filtration or pairing with the dialyzer vein 20 catheter connected with a defoamer 21 connected thereto on an intravenous catheter 20, there are 22- and 23- venous pressure exhaust pipe 21 in addition to the blister, 23- venous pressure in the tube with the application state 24- venous pressure monitor is connected and a connector, 21 after the venous bubble trap tube 20 to bypass the blood vessel 25 to automatically move the air monitor folder, there is a puncture in a blood 26- 20- venous catheter automatic machine constituting the hemodialysis filtration extracorporeal blood circulation system.

图2中的5-配对滤过透析器,与5-配对滤过透析器的滤过液排出孔相连的是27-滤过液收集管,27-滤过液收集管与28-滤过液收集袋相连接,和28-滤过液收集袋相连的是29-容量监测器传感器挂钩,29-容量监测器传感器挂钩与30-容量监测器传感器相结合构成配对滤过透析系统的滤过部分;由31-平衡液袋和输液管与14-动脉导管上的15-输液短管相连接,31-平衡液袋和输液管与32-容量监测器挂钩相接,和33-容量监测器传感器一起构成配对滤过透析系统的补液系统和滤过液收集系统;图3中的30-1和33-1是30和33-容量监测传感器的电子传输系统,与37-1计算机电缆线插座相连,共同构成配对滤过透析系统。 FIG dialyzer 25- mating filtration, and the filtrate was filtered through a dialyzer 5- paired discharge hole is connected to filtrate collection tube 27-, 27- and 28- filtrate collection tube filtrate collection bag connected to the liquid collection bag and 28- filtration 29- capacity is connected sensors monitor the hook, 29- capacitance sensor monitors linked 30- capacity monitor sensor portion constituting the combined filtration system paired filtration dialysis ; are connected by the short tube 15 on the infusion liquid bag and a balance of 31- and 14- arterial infusion tube, and infusion bags 31- balance liquid pipe 32- capacity monitor hook contact, and the sensor 33 monitors the capacity of the filtrate was collected and rehydration system together constitute a system of paired filtration dialysis system; FIG. 3 30-1 and 33-1 are electron transport system 30 and sensor 33 monitoring capacity, computer 37-1 connected to the cable outlet together constitute paired filtration dialysis system.

图3中所示的34-起动电源,与37-计算机电缆线插座相结合,35-血泵显示屏,36-气体监测器超声传感器与21-除泡器和25-空气监测器的自动血管夹线路相连,37-计算机,38-透析液泵显示屏,39-升降机,40-可逆电机,与41-转动齿轮相结合,在42-牵动链条的牵动下,使43-滑拉轮上下移动,在对侧44-不锈钢丝绳的牵动下,使滑拉轮平稳上下移动,45-整机附件输液支架,46-底盘,与47-自控机架相结合,47-自控机架下相结合有48-整机方向轮。 34- starting power shown in FIG. 3, in combination with the 37- computer cable outlet, the blood pump display 35, 36- ultrasonic sensor and the gas monitor 21 and the automatic vessel 25 an air bubble trap monitor connected to the line clip, computer 37-, 38- dialysate pump display, 39- elevator, reversible motor 40, in combination with the rotating gear 41-, 42- affect affect in the chain, so that pulling wheel slide 43 moves up and down in the contralateral 44- affect the stainless steel wire rope, pulling the slide wheels move smoothly up and down, the whole attachment infusion stand 45-, 46- chassis, combined with controlled rack 47-, 47- phasor combination of controlled rack there are 48- machine direction round.

图4中的49-透析液加温衡温外部装置,49-中的50-透析液循环管置于其中,51-加热件,52-透析液加温衡温器开关及显示件。 49- warmed dialysate external temperature balancing device in FIG. 4, the 49-50- dialysate circulation pipe disposed therein, the heating element 51, 52- dialysate constant temperature heating element and the display switch.

图5、图1、所示的计算机监控系统,体外血液循环系统是由34-起动电源连通17-血泵通电,开动17-血泵后即可在35-血泵显示屏显示转速、流量,并可根据需要在17-血泵调节旋钮调整转速和流量;24-静脉压监测器连续监测静脉压的高、低,当静脉压过高或过低达到或超过阀值时,37-计算机即指令立即报警,同时指令17-血泵停转,当排除静脉异常情况后,17-血泵方可恢复转动,继续进行治疗;当21-除泡器进入空气达到监界水平面,36-气体监测器超声传感器立即探知,把信息传入37-计算机,37-计算机立即指令17-血泵停转,同时指令36-气体监测器的25-自动血管夹钳夹20-静脉导管,防止气体进入患者体内,当从22-排气管排除气泡,17-血泵方可恢复转动,继续进行治疗。 5, FIG. 1, the computer monitoring system shown, the extracorporeal blood circulation system of the blood pump is powered by the communication 17- starting power 34-, 17- actuated to display the blood pump speed, flow rate of the blood pump 35 in the display, and required 17-adjust the speed of the blood pump and flow adjusting knob; 24- venous pressure monitor continuously monitoring venous pressure is high, low, when the high or low venous pressure reaches or exceeds the threshold, i.e., a computer 37- instruction to the police, while the blood pump stops instruction 17-, intravenous when excluding abnormal conditions, 17- blood pump before resuming rotation, continued treatment; if air enters bubble trap 21 to reach the level monitoring sector, gas monitoring 36- immediately ascertain the ultrasound transducer, the pass information to a computer 37-, 37- 17- computer instructions immediately stop the blood pump, while instruction 25 36- automatic gas monitor vascular clamp jaws 20 venous catheter, into a patient to prevent gas vivo, when the exhaust pipe to remove air bubbles from the 22-, 17- blood pump before resuming rotation, continue treatment.

图5、图1、所示的计算机监控系统,透析液循环、透析液温度、超滤和滤过补液系统是由34-启动电源启动后,连通7-透析液泵通电,7-透析液泵开动后即在38-透析液泵显示屏显示转速、流量,并可根据需要在7-透析液泵的7-1调节旋钮调整转速和流量;同时在37-计算机的屏幕上显示透析液温度℃,若透析液温度过低或过高,低于或高于预定的温度值,37-计算机立即报警,7-透析液泵不能开动或停转,当透析液温度恢复正常,7-透析液泵即可开动或恢复转动,继续进行治疗; 5, FIG. 1, the computer monitoring system shown, circulating dialysate, dialysate temperature, and filtered through the ultrafiltration system after rehydration started by the starting power 34-, 7- communication dialysate pump power, 7- dialysate pump actuated after display speed, the display dialysate pump flow 38-, 7- and required 7-1 dialysate pump speed and flow rate adjustment knob; dialysate temperature display simultaneously on a computer screen ℃ 37- If the temperature is too low or too high dialysate, lower or higher than a predetermined temperature value, the computer immediately alarm 37-, 7- dialysate pump can not be started or stopped, when the temperature returns to normal the dialysate, dialysate pump 7- rotated to start or resume, continue treatment;

当把9、10-透析液容器放置在11-衡器测量器压力传感器平台上时,12-压力传感器即把信息传入37-计算机,37-计算机即连续不断地测算透析液量并以毫升数显示;治疗开始37-计算机即自动记录治疗时间,并以分钟表示,同时记录应用透析液总量,单位时间内超滤量,超滤总量,滤过总量,用液总量;由37-计算机连续计算判断超滤量、滤过量是否超标? When 9,10 dialysate container is placed on a 11- measuring instrument platform when the pressure sensor, the pressure sensor 12- 37- computer i.e. the incoming information, i.e. 37- computer continuously measure the amount of the dialysate and to milliliters display; 37- treatment is started the computer automatically records the treatment time in minutes and, at the same time recording the total amount of dialysis fluid application, the amount of ultrafiltration, ultrafiltration total, the total amount of filtration per unit time, the total amount of liquid; from 37 - The computer calculated continuously determine the amount of ultrafiltration, filtration amount is excessive? 若超滤量或滤过量超过预定指标的毫升数,37-计算机屏幕上即显示应补液总量的毫升数,同时报警提示需实际补液量的毫升数。 If the number of milliliters of filtration or ultrafiltration exceeds a predetermined index, i.e. the number of milliliters to be displayed on the fluid volume of 37- computer screen, while the number of alarms tips mL actual fluid volume required.

图1、图2、图3、图5所示的透析液循环另一监控系统是由39-升降机在37-计算机的监控下执行,启动电源,39-升降机通电,当把1号满液袋挂在高位32-容量监测器传感器挂钩和把空液袋挂在低位29-容量监测器传感器挂钩上时,37-计算机即自动测定1号新鲜透析液的毫升数,透析液从1号高位,流入5-透析器,流出5-透析器,流入2号低位液袋,37-计算机判断1号液袋是否流空? FIG 1, FIG 2, FIG 3, another circulating dialysate monitoring system shown in Figure 5 is executed by the elevator at 39- 37- computer monitor, starting power, 39- elevator power, when the full number of bags 1 32- hung at a high level sensor monitors the capacity of the empty hook, and the bag was hung on a hook low capacitance monitor sensor 29-, 37- computer automatically measured number of 1 mL of fresh dialysate, the dialysate from the No. 1 high, 5- dialyzer inflow, outflow 5- dialyzer, No. 2 flows into the lower fluid bags, 37- computer determines whether the number of bags emptied 1? 若是,39-升降机通过40-可逆电机转动41-转动齿轮,带动42-牵动链条,再通过42-链条牵动43-1和43-2-滑拉轮,链条的对侧是44-不锈钢丝绳,从反面牵引43-1和43-2,以稳定43-1和43-2滑拉轮自动顺钟向翻转交换1、2号液袋(重量传感器33和30)的位置,同时记录交换次数1次,显示透析液流量,累加用液量、每次超滤量、超滤总量,滤过总量和应补充液量,若超滤量或/和滤过量超过预定目标值,37-计算机自动报警并显示应补液总量的毫升数在屏幕上,把31-平衡液袋和输液管及需补充的液体挂在32-容量监测器压力传感器挂钩上,31-平衡液袋上的输液管与14-动脉导管上的15-输液短管相连接进行补液,37-计算机对实补液量计数,连续监测实补液量,37-计算机判断预定交换次数到否? If, 39- elevator by a reversible electric motor 40 rotates the rotating gear 41-, 42- affects drive chain, and then affects 43-2- 43-1 through 42- wheel slip pull chain, the chain contralateral stainless steel wire rope is 44- , 43-1 and 43-2 from the negative traction, 43-1 and 43-2 in order to stabilize the position of the slide to pull the reversing wheel clockwise automatic exchange fluid bags 1, 2 (weight sensor 33 and 30), and also record the number of exchanges 1, the display dialysate flow, the accumulated amount of liquid, each ultrafiltration volume, total ultrafiltration, filtered, and the total amount of liquid should be added, if the amount of ultrafiltration or / and a filtration amount exceeds a predetermined target value, 37- the computer should be displayed and alarm ml fluid volume number on the screen, the balance of bags 31- and infusion tube and the need to add liquid hanging in the pressure sensor monitors the capacity of 32- hook, balance liquid infusion bags of the 31- short tube 15 on the infusion tube and is connected to the arterial catheter 14- rehydration, 37- real computer counts the amount of fluid, a solid continuously monitored fluid volume, 37- computer determines whether a predetermined number of exchanges to? 若没到,继续翻转交换,若已到,停止翻转,传呼更换新鲜的透析液,若突然停电,37-计算机自动报警,传呼人工交换透析液,若治疗时间到,指令结束治疗;图1、图2、图3、图4、图5所示的系统监控由37-计算机通过启动电源,连通7-透析液泵,17-血泵,和39-升降机,同时监控三个系统,体外血液循环系统通过超声监测器重点监控21-除泡器,通过24-静脉压监测器及接头传递信息到37-计算机监测静脉压的高、低;透析液循环系统的监测有二个,1个是由7-透析液泵带动的循环系统,通过12-压力传感器传递信息到37-计算机,重点监控透析液总量,透析用液量,超滤量,滤过量,需补液量和实补液量;另一透析液循环系统是由39-升降机带动的透析液循环系统,重点监控透析液总量,透析用液量,超滤量,滤过量,需补液量和实补液量;通过对3-加温衡温器透 If not to continue flipping exchange Ruoyi to stop flipping, paging replaced with fresh dialysate, if a sudden power failure, alarm 37- computer, paging manual switch dialysate, if the treatment time, an instruction to end the treatment; FIG. 1, FIG 2, FIG 3, FIG. 4, the monitoring system shown in Figure 5 by starting the computer by the power 37-, 7- communication dialysate pump, the blood pump 17-, 39- and lift, while monitoring the three systems, extracorporeal blood circulation by an ultrasonic monitor system to monitor focus bubble trap 21, passes the information to the computer monitor 37- high venous pressure, low venous pressure monitor by 24- and joints; monitoring dialysate circulation system has two, one is 7- dialysate pump-driven circulation system, information is transmitted to the pressure sensor 12- 37- computer, the total focus on monitoring the dialysate, the amount of dialysis fluid, ultrafiltration volume, the amount of filtration required fluid volume and the real fluid volume; other a dialysis liquid circulating system is a dialysis liquid circulating system 39- driven elevator, the total amount of the focus monitor dialysate, the amount of dialysis fluid, ultrafiltration volume, the amount of filtration required fluid volume and the real fluid volume; 3- warmed by through constant temperature control 液循环管中的透析液进行间接加温衡温,在3-加温衡温器中的透析液循环管外,有51-加热件和加温介质水,使透析液循环管浸泡在加温衡温器的介质水中,既可达到加温衡温的目的,又可保持介质水中的透析液循环管内腔的洁净,在没有进行治疗的情况下,用耐高温的9、10-透析液容器,定时把介质水加温到98℃,即可达到消毒灭菌的目的,使加温衡温器内的透析液循环管腔内保持无菌的环境;在治疗的情况下,通过37-计算机,监控51-加热件,当透析液温度低于阀值时,51-加热件自动加热,当透析液温度达到或超过阀值时,51-加热件停止加热,维持透析液温度在可使用范围。 Dialysate fluid circulation tube by indirect heating constant temperature, constant temperature in the heating reactor 3- dialysate circulation pipe, the heating element 51 has a heating medium and water, the dialysate circulation pipe immersed in warm constant temperature water filter medium, can achieve the purpose of heating the constant temperature, but also to maintain a clean tube lumen dialysate circulating water medium, in the absence of treatment, the dialysate container with refractory 9,10 , the timing of medium water heated to 98 deg.] C, can achieve the purpose of sterilization, maintaining a sterile environment so dialysate circulating constant temperature heating intraluminal device; in the case of treatment, by a computer 37- monitoring the heating element 51, when the dialysate temperature below a threshold, the automatic heating element 51 is heated, when the dialysate reaches or exceeds the threshold temperature, the heating element 51 stops heating the dialysate is maintained at a temperature range can be used .

图1-4所示的两套透析液供液系统是由7-透析液泵和39-升降机构成,在有电的情况下,既可用7-透析液泵供液系统,也可用39-升降机透析液循环系供液系统,在停电的情况下,可用39-升降机的29和32-透析液袋挂钩,进行手工操作,继续维持治疗。 Two dialysis liquid supply system shown in FIG. 1-4 is made 7- and 39- dialysate pump lift, in the case of electrical, for both dialysate pump fluid system with 7-, 39- elevator can also be used dialysate circulating the liquid supply system lines, in case of power failure, the available 39- and 32- 29 lifts dialysis bag hook, manual operation, the continuation of the treatment.

图1所示的自动血透滤过机其特征还在于:自控部分(包括:37-计算机,17-血泵,7-透析液泵,24-静脉压监测器,36-气体监测器超声传感器,3-加温衡温器),与47-自控机架和39-升降机采用分体组装的方法制造安装;自控部分可与39-升降机分离单独使用,也可组装在一起在室内使用。 Automatic filtered hemodialysis machine illustrated in Figure 1 further characterized by: automatic control section (comprising: a computer-37-, 17- blood pump, a dialysate pump 7-, 24- venous pressure monitor, an ultrasonic sensor monitors the gas 36- 3- constant temperature heating device), and the rack and automatic control methods using split lift 39- 47- manufacturing a mounting assembly; 39- automatic control portion may be separated from the lift used singly assembled indoor use.

图1-4所示的9,10-透析液容器,可以是高分子材料,无毒聚氯乙烯,聚丙烯塑料,聚碳酸酯,聚酯聚醚砜等,也可以是不锈钢材料,9,10-透析液容器的容量为3500ml和5500ml一个。 9,10 dialysate container shown in Figures 1-4, may be a polymer material, non-toxic polyvinyl chloride, polypropylene plastic, polycarbonate, polyester, polyether sulfone, may be stainless steel, 9, 10- dialysate capacity of 3500ml and 5500ml container a. 透析液容器的形状可以是长立方体,也可以是其它形状。 Shape of the dialysate container may be of a cube, other shapes may be. 28-滤过液收集袋和31-输液袋可以是高分子材料,也可以是玻璃瓶,容量500ml,1000ml,1500ml,2000ml一个。 28- and 31- filtrate collection bag infusion bag may be a polymer material may be glass, the capacity of 500ml, 1000ml, 1500ml, 2000ml a. 27-滤过液收集管和31-补液管可以是高分子材料,包括:塑料,医用硅橡胶或医用乳胶管。 27- and 31- filtrate collection tube fluid tube may be a polymer material, comprising: a plastic, or a medical silicone rubber latex medical tube.

图1-4所示的7-透析液泵可以是滚柱(珠)泵,也可以是离心泵,还可以是齿轮泵或叶片泵。 Figure 7 - Figure 1-4 dialysate pump may be a roller (beads) pump, a centrifugal pump may be, or may also be a gear pump vane pump. 泵的功能效果特征是能维持透析液流量在10-1000ml/每分钟。 Wherein the functional effect is that the pump can maintain the dialysate flow 10-1000ml / min.

图4所示的6-1-尿素生物传感器具有尿素浓度生物检测功能,当滤过液和/或超滤液通过6-1-尿素生物传感器时,6-1-尿素生物传感器把滤过液和超滤液的尿素浓度信息传向37-计算机,37-计算机即可把滤过液和超滤液的尿素浓度信息分析显示于屏幕上。 FIG 6-1- urea biosensor 4 shown having a urea concentration of the biological detection, when the filtrate and / or urea 6-1- ultrafiltrate through the biosensor, the biosensor 6-1- filtrate urea ultrafiltrate urea concentration and information transmitted to the computer 37-, 37- computer to the filtrate and the urea concentration in the ultrafiltrate analysis information displayed on the screen. 当需要在治疗过程中检测滤过液和超滤液的尿素浓度以便间接地判断血液尿素浓度时,把1-透析液循环管暂时提出9或10-透析液容器或用夹具夹住1-透析液输出管,这时即暂无透析液通过5-透析型透析滤过器,透析滤过器,滤过型透析滤过器,透析器,滤过器,所测定的滤过液和/或超滤液中的尿素浓度,可间接地判断血液中的尿素浓度,实现尿素浓度生物传感器的自动动态监测功能,为确定进一步治疗时间和监测病情提供动态实验依据。 When required during therapy and the filtrate was detected urea concentration in the ultrafiltrate to indirectly determine the concentration of blood urea, 1- dialysate circulation pipe to temporarily raise the dialysate container 9 or 10 sandwiched with a jig or dialysis 1- a liquid outlet pipe, i.e. time no dialysate 5- strainer dialysis dialysis, diafiltration, a strainer dialysis filtration, dialysis, filtration, a filtrate is measured and / or the urea concentration in the ultrafiltrate, can indirectly determine the urea concentration in the blood, the dynamic automatic monitoring the urea concentration of the biosensor provide experimental evidence for dynamic determination of time for further treatment and monitoring of the disease.

本发明与现有技术相比所具备的有益效果主要有以下方面:(1)适应面广,由于本自动血透滤过机采用的是具有中国特色的技术,独立设计,国内加工,虽属高新技术产品,但制造成本相对较低,故本发明具有适应面广的特点。 The present invention as compared with the prior art included are the following advantageous effects: (1) Wide adaptability, thanks to the automatic machine is used in hemodialysis filtration technology with Chinese characteristics, independent design, domestic processing, corporations high-tech products, but manufacturing costs are relatively low, so that the present invention has wide adaptability characteristics. (2)本产品虽是血透滤过治疗,但免除了水处理系统,因用水量不象常规血透机和Bellc公司的配对滤过透析机那样多,故用蒸溜水配制透析液,即可满足需要。 (2) Although the product is filtered through a hemodialysis treatment, but eliminating the water treatment system, as much water because unlike conventional hemodialysis machine and Bellc's paired filtration dialysis machine, so that water vapor slip dialysate formulation, i.e., to meet the needs. (3)本产品不依赖水源,的突然停水的情况下,仍然可进行正常的治疗,这是目前国内、外所有的常规血透机和配对滤过透析机所不具备的功能。 In the case of sudden disruption of water supply (3) This product is not dependent on the water, still can be a normal treatment, which is the current domestic and foreign all conventional hemodialysis machine and paired filtration dialysis machine does not have the function. (4)本产品有两套透析液供液系统,自动系统和手动系统,即使在治疗中突然停电,也能照常完成血透滤过治疗。 (4) This product has two dialysis liquid supply system, automatic and manual systems, even in the treatment of a sudden power failure, hemodialysis filtration can be completed as usual treatment. (5)本产品采用分体组装的方法制造,可在室内安装使用,也可分离自控部分和升降机部分,单独把自控部分主机外携出诊抢救。 (5) The product is split assembly manufacturing method, it can be installed in indoors, and also lifts the detachable portion controlled portion, the outer part of the host separately controlled to bring the rescue visits. (6)透析液供液系统设计巧妙,医护人员可在出故障时自行维修。 (6) a dialysis liquid supply system cleverly designed, medical serviceable in case of failure. (7)本产品对环境要求不高,适合在多种环境中进行治疗。 (7) This product is less demanding environment, suitable for treatment in a variety of environments. (8)价格比常规进口血透机和Bellc公司的配对滤过透析机低廉,效果良好,使国内医疗单位及患者都能接受。 (8) low prices than conventional hemodialysis machine and import company Bellc paired filtration dialysis machines, to good effect, the domestic medical institutions and patients can accept. (9)整机体积小,使用占地面积小,容易安排整机的治疗场所。 (9) the whole small volume, small footprint to use, easy to arrange the whole treatment sites. (10)结构简捷,容易学习掌握。 (10) structure is simple, easy to learn to master. (11)本产品所用的消耗品,可以是目前现有技术的透析器,滤过器,配对滤过透析器;也可以是透析型透析滤过器,透析滤过器和滤过型透析滤过器;还可以是血液灌流器,血浆分离器,除进行血液滤过透析和血液透超滤外,还可进行血液灌流和血浆置换治疗。 (11) The product consumables used, may be present prior art dialyzer, filtration, companion filtration dialyzer; may also be a filtration device dialysis dialysis, diafiltration and dialysis was filtered through filter through the device; it may also be hemoperfusion, plasma separator, in addition to hemodiafiltration and hemodialysis ultrafiltration, but also for the treatment of plasmapheresis and hemoperfusion. 本产品所用制造材料来源光广反泛,价格便宜,容易制造。 This product is the source material for light manufacturing wide anti-generic, cheap, easy to manufacture.

实现本发明的量好方式是:按照图1所示,需准备的主要配件有:1、滚柱泵两个,一个做血泵(17),另一个做透析液泵(7),做透析液泵(7)的电机要适当的大功率电机;2、计算机(37)是按本产品计算机程序框图设计的单片机;3、透析液加温衡温器(3),按照图4所示进行加工;4、透析液容器(9、10)按图1-4中所进行加工;5、升降机(39)外部装置,可逆电机(40),转动齿轮(41),牵动链条(42),滑拉轮(43-1和43-2),不锈钢丝绳(44),输液支架(45),底盘(46),自控机架(47),方向轮(48)分别购置和进行机加工;6、透析器、滤过器、配对滤过透析器,透析型透析滤过器,滤过器,滤过型透析滤过器,动静脉导管可进行购置。 The present invention is an amount to achieve a good way: according to FIG. 1, the main parts have to be prepared: 1, two roller pumps, to do a blood pump (17), the other dialysis pump (7), dialysis pump (7) to the appropriate motor power motor; 2, a computer (37) is a block diagram of a computer program product according to the design of the microcontroller; 3, the dialysate constant temperature heating device (3), as shown in Figure 4 processing; 4, the dialysate container (9,10) by the processing in FIG. 1-4; 5, lift (39) an external device, a reversible electric motor (40), rotation of the gear (41), affecting the chain (42), the slide pull wheel (43-1 and 43-2), stainless steel wire rope (44), the infusion stand (45), the chassis (46), controlled carrier (47), a direction wheel (48), respectively, and the acquisition of machining; 6 , dialysis, filtration, companion filtered through a dialyzer, a dialysis dialysis filtration, a filtration device, filtration dialysis strainer, arteriovenous catheters can be purchased. 其它图中所示配件按说明书进行准备。 Accessories for preparation and elsewhere in the specification shown in FIG. 把所准备的配件器材按图1-4所示进行装配,即可制造成自动血透滤过机。 The prepared fitting equipment assembled as shown in Figure 1-4, it can be fabricated to automatic filtration hemodialysis machine.

Claims (7)

1.一种自动血透滤过机及其工作程序,本发明是由体外血液循环系统;透析液循环、透析液容量、透析液温度监控系统;透折滤过系统和计算机自动监控系统构成。 An automatic filtration hemodialysis procedures and machines, the present invention is an extracorporeal blood circulation system; circulating dialysate, dialysate fluid volume, the dialysate temperature monitoring system; filtered off through automatic monitoring system and a computer system configuration. 本发明的特征在于:a. The present invention is characterized in that: a. 透析液循环,透析液容量,滤过、超滤液尿素浓度,温度检测监控系统是由透析液循环输出管(1)与透析液加温衡温器接头管(2-1)相连接并输入透析液,透析液在透析液加温衡温器(3)内经过加温衡温,从透析液加温衡温器另一接头管(2-2)输出至透析液循环管(4),并与透析器、透析型透析滤过器,透析滤过器或滤过器或配对滤过透析器(5)一端的透析液孔相连接,透析液从透析器、透析型透析滤过器,透析滤过器或滤过器或配对滤过透析器(5)另一端的透析液孔排出后,与透析液循环管(4)相连接,透析液循环管(4)前行与透析液泵管(6)相连接,在透析液泵管(6)上有尿素生物传感器(6-1),经透析液泵(7)的驱动,吸引透析液继续前行至透析液循环输入管(8),透析液循环输出管(1)和透析液循环输入管(8)均置入透析液容器(9)内,透析液容器(10)为备用续接透析液,透析液 Circulating the dialysate, the dialysate capacity, filtered, ultrafiltrate urea concentration, temperature detection by the surveillance system is circulating dialysate outlet pipe (1) with constant temperature heating device dialysate connector tube (2-1) and is connected to the input dialysate, the dialysate is heated in a constant temperature constant temperature heated dialysate through (3), constant temperature warmed dialysate from another pipe joint (2-2) to the dialysate circulation pipe (4), and dialyzer, dialysate is filtered through a dialysis, filtration or diafiltration or filtration dialyzer counterpart (5) of the dialysate is connected to one end of the hole, the dialysate from the dialyzer, a dialysis dialysis filtration device, after dialysis liquid inlet (5) and the other end of the dialyzer or filter filtration paired filtration dialysis or discharged, is connected to a dialysis fluid circulation tube (4), the dialysate circulation pipe (4) forward and dialysate pump tube (6) is connected, urea biosensor (6-1) on the dialysate pump tube (6), the dialysate pump (7) is driven to move dialysate attract circulating dialysate inlet pipe (8 ), the output of the dialysate circulation pipe (1) and a dialysate circulation inlet pipe (8) are placed in the dialysate container) (9, dialysate container (10) of the splice spare dialysate, the dialysate 容器(9、10)放置在电子重量衡测器压力传感器平台(11)上,在电子重量衡测器压力传感器平台(11)的下方是压力传感器(12)及电子传输系统(13),电子传输系统(13)把电子重量衡测器压力传感器(12)所测的透析液容器(9、10)的信息双向传输至计算机(37),接受执行计算机的指令,构成透析液循环,透析液容量,滤过和/或超滤液尿素浓度,透析液温度监控系统。 The container (9,10) is placed on the electronic weighing scale measuring pressure sensor platform (11), below the electronic weighing scale measuring pressure sensor platform (11) is a pressure sensor (12) and the electron transport system (13), an electronic (12) the measured dialysate container (9, 10) two-way transmission of information (13) the electronic weighing scale measuring pressure sensor delivery system to the computer (37), accepts an instruction executed by a computer constituting circulating dialysate, the dialysate capacity, filtration and / or urea concentration ultrafiltrate, dialysate temperature monitoring system. b. b. 体外血液循环系统是由动脉导管(14),输液短管(15)与动脉导管(14)相连接,血泵管(16)与动脉导管(14)相连接,在血泵(17)中装有血泵管(16),追加肝素管(18)与动脉导管(14)相连接,肝素注射器(19)与追加肝素管(18)相连接,动脉导管(14)的另一端与透析器、透析型透析滤过器、透析滤过器或滤过器或配对透析滤过器(5)的动脉端相连接,透析器、透析型透析滤过器、滤过器或透析滤过器或配对透析滤过器(5)的静脉端与静脉导管(20)相连接,在静脉导管上有与其相连的除泡器(21),在除泡器(21)上有排气管(22)和静脉压管(23),静脉压管(23)在应用状态下与静脉压监测器及接头(24)相连接,除泡器之后的静脉导管(20)经绕过空气监测器的自动血管夹(25)继续前行,在静脉导管(20)上有采血穿刺器(26)共同构成体外血液循环系统。 Extracorporeal blood circulation system are connected by the arterial catheter (14), a short infusion tube (15) and the arterial catheter (14), the blood pump tube (16) and the arterial catheter (14) connected to the blood pump (17) are installed blood pump tube (16), adding a heparin tube (18) and the arterial catheter (14) is connected, heparin syringe (19) to the additional heparin tube (18) is connected to the arterial catheter (14) the other end of the dialyzer, dialysis dialysis filtration, a diafiltration or filter or match hemodiafiltration (5) connected to the arterial end, dialysis, dialysis dialysis filtration, a filtration or diafiltration or paired diafiltration device (5) and the venous end of the vein catheter (20) is connected with a bubble trap (21) connected thereto in an intravenous catheter, in addition to the exhaust pipe (21) bubble (22) and venous pressure pipe (23), the venous pressure pipe (23) is connected to the venous pressure monitor and joints (24) in the application state, in addition to an intravenous catheter (20) after the bubble trap through the bypass air monitor automatically vascular clip (25) move, the venous catheter (20) has a blood collection piercer (26) together constituting the extracorporeal blood circulation system. c. c. 配对滤过透析系统是由配对滤过透析器(5),与配对滤过透析器(5)的滤过液排出孔相连的是滤过液收集管(27),滤过液收集管(27)与滤过液收集袋(28)相连接,和滤过液收集袋(28)相连的容量监测器传感器挂钩(29)和容量监测器传感器(30)构成配对滤过透析系统的滤过部分;由平衡液装和输液管(31),输液管与动脉导管上的输液短管(15)相连接,平衡液袋和输液管(31)与容量监测器传感器挂钩(32)相连,和容量监测器传感器(33)构成配对滤过透析系统的补液部分,容量监测器传感器(30)和容量监测器传感器(33)的电子传输系统(30-1和33-1)与计算机电缆线插座(37-1)相连,共同构成配对滤过透析系统。 Paired filtration dialysis system is a pair filtrate was filtered through a dialyzer (5), and filtered through a dialyzer counterpart (5) connected to the discharge holes is filtrate collecting pipe (27), filtered through a collection tube (27 ) and the filtrate collection bag (28) is connected, and a filtrate collection bag (28) connected to the sensor monitors the capacity of the hook (29) and the capacitance monitor sensor (30) constituting the filtration paired filtration dialysis system part ; are connected by a fluid balance means and infusion tube (31), the infusion short pipe (15) on the infusion tube and arterial catheters, balanced solution bag and the infusion tube (31) and the capacity of the monitor sensor hook (32) is connected, and capacity monitoring sensor (33) constituting part of the fluid replacement is paired filtration dialysis system, the capacity of the monitor sensor (30) monitors and capacity sensor (33) of the electron transport system (30-1 and 33-1) and the computer socket cable ( 37-1) connected together form paired filtration dialysis system. d. d. 计算机监控系统是由:(1)体外血液循环监控系统;(2)透析液循环监控系统;(3)透析液温度监控系统;(4)滤过、超滤、补液量监控系统;(5)滤过、超滤液尿素浓度监测系统;(6)系统监控六部分构成。 Computer monitoring system by: (1) monitoring the extracorporeal blood circulation system; (2) a dialysate circulation monitoring system; (3) dialysate temperature monitoring system; (4) filtration, ultrafiltration, the amount of fluid monitoring system; (5) filtration, concentration monitoring system ultrafiltrate urea; (6) six parts monitoring system. 体外血液循环系统监控是由启动电源(34),连通血泵(17)通电,血泵(17)开动后即可在血泵显示屏(35)显示转速、流量,并可根据需要在血泵(17)的调节旋钮(17-1)调整转速和流量,静脉压监测器(24)连续监测静脉压的高、低,当静脉压过高或过低达到或超过阀值时,计算机(37)指令立即报警,同时指令血泵(17)停转,当排除静脉压异常情况后,血泵(17)方可恢复转动,继续进行治疗,当除泡器(21)进入空气达到临界水平面,气体监测器超声传感器(36)立即探知后,把信息传入计算机(37),计算机(37)立即指令血泵(17)停转,同时指令空气监测器的自动血管夹(25)钳夹静脉导管(20),防止气体进入患者体内,当从排气管(22)排除气泡,血泵(17)方可恢复转动,继续进行治疗;透析液循环、透析液温度、超滤和滤过补液监控系统是由启动电源(34)启动后,连通透析液泵(7)通电,透 Monitoring the extracorporeal blood circulation system, the communication blood pump (17) is energized, the blood pump (17) actuated by a start power supply (34) to show the speed, the blood pump flow rate display (35), and according to need blood pump (17) a knob (17-1) to adjust the speed and flow, venous pressure monitor (24) continuous monitoring of venous pressure is high, low, high or low when the venous pressure reaches or exceeds the threshold value, the computer (37 ) instruction immediately alarm instruction while the blood pump (17) stops, when the negative pressure venous abnormalities, blood pump (17) is rotated before recovery, continued treatment, when the bubble trap (21) into the air reaches a critical level, after gas monitor ultrasonic sensor (36) immediately ascertain, the information of the incoming PC (37), a computer (37) instructions immediately blood pump (17) stops, while the instruction monitor automatic air vascular clamp (25) clamping vein conduit (20), to prevent gas into the patient, when the remove air bubbles, the blood pump (17) is rotated before recovery, treatment is continued through the exhaust pipe (22); circulating dialysate, dialysate temperature, and filtered through the ultrafiltration rehydration after the monitoring system (34) started by the power source, communication dialysate pump (7) is powered through 析液泵(7)开动后即可在透析液泵显示屏(38)显示转速、流量,并可根据需要在透析液泵(7)的调节旋钮(7-1)调整转速和流量;当把透析液容器(9、10)放置在衡器测量器压力传感器平台(11)上时,压力传感器(12)即把信息传入计算机(37),计算机(37)即连续不断地测算透析液量并以毫升数显示;治疗开始计算机(37)即自动记录治疗时间,并以分钟计算,同时记录应用透析液总量,单位时间内超滤量,超滤总量,滤过总量;由计算机(37)连续计算判断超滤量、滤过量是否超标? Analysis pump (7) to display the start speed, flow rate display dialysate pump (38), and (7-1) to adjust the speed and flow rate required in the dialysate pump adjusting knob (7); and when the dialysate container (9,10) is placed on the weighing platform measuring pressure sensor (11), a pressure sensor (12) that is to pass information to a computer (37), a computer (37) that is continuously measure the amount of the dialysate and number displayed in milliliters; treatment started computer (37) automatically records the treatment time, and in minutes, while the total amount of the dialysate recording application, the ultrafiltration volume per unit time, the total amount of the ultrafiltration, the total filtration; by a computer ( 37) is determined continuously calculate the amount of ultrafiltration, filtration amount is excessive? 若超滤量达到或超过预定指标,计算机(37)屏幕上即自动显示应补液总量的毫升数,并报警提示需实际补液量的毫升数;同时在计算机(37)的屏幕上显示透析液温度℃,若透析液温度过低或过高,低于或高于预定温度,计算机(37)立即报警,透析液泵(7)不能开动或停转,当透析液温度恢复正常,透析液泵(7)即可开动或恢复转动,继续进行治疗;透析液循环另一监控系统和补液系统是由升降机(39)在计算机(37)的监控下执行,启动电源,升降机(39)通电,当把1号满液袋挂在高位容量监测器传感器挂钩(32)和把2号空液袋挂在低位容量监测器传感器挂钩(29)上时,计算机(37)即自动测定1号新鲜透析液量的毫升数,透析液从1号高位液袋,流入透析器(5),流出透析器(5),流入2号低位液袋,计算机(37)判断1号液袋是否流空? If the ultrafiltration volume reaches or exceeds a predetermined index, a computer (37) to be automatically displayed few ml fluid volume on the screen, and a few ml of alarm for an actual fluid volume; dialysate simultaneously displayed on the computer (37) screen temperature ℃, if the temperature is too low or too high dialysate, lower or higher than the predetermined temperature, the computer (37) immediately alarm dialysate pump (7) can not be started or stopped, when the temperature returns to normal the dialysate, dialysate pump (7) rotates to start or resume, continue treatment; dialysate fluid circulation system and other monitoring systems is performed by a hoist (39) in the monitoring computer (37) to start power supply, the elevator (39) is energized, when the No. 1 full of bags hanging high capacitance monitor sensor hook (32), and when the No. 2 empty of bags hanging low capacitance monitor sensor hook (29), the computer (37) automatically measuring 1 fresh dialysate few ml volume, high dialysate fluid bags 1, flows into the dialyzer (5), flows out of the dialyzer (5), No. 2 flows into the lower fluid bags, a computer (37) determines whether the number of bags emptied 1? 若是,升降机(39)通过可逆电机(40)转动齿轮(41),牵动链条(42),再通过链条(42)牵动滑拉轮(43-1),和(43-2),链条的对侧是不锈钢丝绳(44)从反面牵引滑拉轮(43-1;43-2),以稳定滑拉轮(43-1;43-2),自动顺钟向翻转交换1、2号液袋(重量传感器33和30)的位置,同时记录交换次数1次,显示透析液流量,此时2号液袋在高位,1号液袋在低位,透析液从2号液袋流入透析器(5),流出透析器(5),流入1号液袋,计算机(37)判断2号液袋是否流空? If, elevator (39) is rotated by a reversible electric motor (40) gear (41), affecting the chain (42), then through a chain (42) affects the pull-wheel slide (43-1) and (43-2), the chain side is stainless steel wire rope (44) from the opposite side to pull the traction wheel slip (43-1; 43-2), to stabilize the pull-wheel slide (43-1; 43-2), automatic overturning clockwise exchange liquid 1,2 the position of the bag (the weight sensor 33 and 30), and also record the number of exchanges 1, show the dialysate flowrate and the number of bags 2 at a high level, the low fluid bags 1, the dialysate flows from the dialyzer 2, fluid bags ( 5), flows out of the dialyzer (5), flows into the fluid bags 1, a computer (37) determines whether or not the bag was emptied No. 2? 若是,升降机(39)自动逆钟向翻转交换2、1号液袋(重量传感器30和33)的位置,同时记录交换次数1次,显示透析液流量,累加用液量、每次超滤量、超滤总量,滤过总量和应补液量,若超滤量或/和滤过量超过预定目标值,计算机(37)自动报警并显示应补液总量的毫升数在屏幕上,把要补充的液体(31)挂在容量监测器压力传感器挂钩(32)上,输液管与动脉导管(14)上的输液短管(15)相连接进行补液,计算机(37)对实补液量计数,连续监测实补液量,计算机(37)判断预定交换次数到否? If, elevator (39) against the clock to a flip position automatically switching 2,1 number of bags (weight sensor 30 and 33), and also record the number of exchanges 1, display dialysate flow, the accumulated amount of liquid per ultrafiltration total ultrafiltration, filtered, and the total amount of fluid should, if the amount of ultrafiltration or / and a filtration amount exceeds a predetermined target value, the computer (37) and displaying the number of alarm should ml fluid volume on the screen, to the supplementary liquid (31) hanging in the capacity to monitor pressure sensor hook (32) on the infusion tube and the arterial catheter infusion short tube (15) (14) is connected for fluid, a computer (37) for the real fluid volume count, continuous monitoring of real fluid volume, the computer (37) determines whether the predetermined number of exchanges? 若没到,继续翻转交换,若已到,停止翻转、传呼更换新鲜透析液,若突然停电,计算机(37)自动报管,传呼人工交换透析液,治疗时间到,指令结束治疗。 If not to continue flipping exchange Ruoyi to stop flipping, paging replaced with fresh dialysate, if a sudden power failure, the computer (37) automatically reported tube, paging manual switch dialysate, the treatment time, an instruction to end the treatment. 滤过液、超滤液尿素浓度监测系统是由尿素生物传感器(6-1)和计算机(37)完成,当暂时把透析液循环管(1)提出到透析液容器(9或10)外或用夹具夹住透析液循环输出管(1),此时透析液流动中止,只有滤过液和/或超滤液通过透析液循环管流经尿素生物传感器(6-1),尿素生物传感器(6-1)把所监测的信息传递至计算机(37),计算机(37)经计算分析并显示出滤过液和/或超滤液中尿素的浓度,作为确定进一步治疗时间和监测病情动态变化的依据。 The filtrate was ultrafiltrate urea concentration monitoring system is performed by a urea biosensor (6-1) and a computer (37), when the temporarily dialysate circulation pipe (1) is proposed to the dialysate container (9 or 10) or outer clamped with a jig circulating dialysate outlet pipe (1), then suspended dialysate flow, only the filtrate and / or ultrafiltrate flowing through the circulation pipe dialysate urea biosensor (6-1), a urea biosensor ( 6-1) communicate information to the monitoring computer (37), a computer (37) analysis calculated concentration of the filtrate and exhibit and / or urea in the ultrafiltrate, dynamic changes as a determination time for further treatment and monitoring of the disease basis. 系统监控系统是由计算机(37)通过启动电源,连通透析液泵(7),血泵(17),升降机(39),同时监控的三个系统,体外血液循环系统通过超声波探测器重点监控除泡器(21),通过静脉压监测器及接头(24)传递信息到计算机(37)监控静脉压的高、低;透析液循环系统监控有二个,一个是透析液泵(7)带动的循环系统,通过压力传感器(12)和加温衡温器(3)传递信息到计算机,重点监控透析液温度,超滤量、滤过量,需补液量和实补液量;另一系统是由升降机带动的透析液循环系统,重点监控超滤量、滤过量、需补液量和实补液量。 System monitoring system is a system simultaneously monitoring three extracorporeal blood circulation system by the ultrasonic probe by a computer monitor key (37) by actuating the power source, communication dialysate pump (7), the blood pump (17), the elevator (39), in addition to bubble (21), and by fitting the venous pressure monitor (24) to pass information to a computer (37) to monitor the venous pressure of the high, low; monitoring the dialysis liquid circulating system has two, it is a dialysate pump (7) driven circulatory system, the information transmitted by the pressure sensor (12) and the warming temperature value (3) to the computer, the focus monitor dialysate temperature, ultrafiltration volume, the amount of filtration required fluid volume and the real fluid volume; another elevator system is composed of driven dialysis fluid circulation system, focusing on monitoring the amount of ultrafiltration, filtration volume, fluid volume and need real fluid volume. 自动血透滤过机的整机特征在于:整机有附件输液支架(45),底盘(46),底盘(46)与自控机架(47)相衔接,自控机架(47)与整机方向轮(48)相衔接。 Automatic machine characterized in that the hemodialysis machine filtration: Infusion machine has an attachment bracket (45), the chassis (46), the chassis (46) and automatic control rack (47) are connected, controlled carrier (47) and machine The direction of wheel (48) of convergence.
2.根椐权利要求1所述的自动血透滤过机,其特征在于:透析液供液系统是由透析液泵(7)和升降机(39)两套供液系统构成,在有电的情况下,既可用透析液泵(7)供液系统也可用升降机(39)透析液循环系统,在停电的情况下,可利用升降机(39)的液袋挂钩(29、32)进行手工操作,继续维持治疗。 Hemodialysis machine according automatic filtered 2. As noted in claim 1, wherein: a dialysis liquid supply system is composed of a dialysate pump (7) and lifts (39) sets the liquid supply system in the electric case, either by dialysis pump (7) lift the liquid supply system may also be used (39) dialysis fluid circulation system, in case of power failure, the elevator may be utilized (39) of the hook fluid bags (29, 32) for manual operation, continued maintenance therapy.
3.根据权利要求1所述的自动血透滤过机,其特征还在于:自控部分(包括:计算机(37),血泵(17),透析液泵(7),静脉压监测器(24),气体监测器超声传感器(36),加温衡温器(3))与自控机架(47)和升降机(39)用分体组装的方法制造安装;自控部分可与升降机(39)分离单独使用,也可组装在一起在室内使用。 The automatic filtration Hemodialysis machine according to claim 1, characterized in further comprising: automatic control section (comprising: a computer (37), the blood pump (17), the dialysate pump (7), the venous pressure monitor (24 ), gas monitor ultrasonic sensor (36), constant temperature heating device (3)) and automatic control rack (47) and lifts (39) a method for producing a separate mounting assembly; automatic control portion may be separated from the lift (39) used alone or may be assembled for indoor use.
4.根椐权利要求1所述的自动血透滤过机,其特征还在于:透析液容器(9、10)可以是高分子材料如聚乙烯塑料,无毒聚氯乙烯,聚丙烯塑料,聚碳酸酯等,也可以是不锈钢材料,透析液容器(9、10)的容量为3500ml一个和5500ml一个。 Hemodialysis machine according automatic filtered 4. noted in claim 1, characterized in further comprising: a dialysate container (9, 10) may be a polymer material such as polyethylene plastic, non-toxic polyvinyl chloride, polypropylene plastic, polycarbonate, etc., may be stainless steel, the dialysate container (9,10) and a capacity of 3500ml 5500ml a. 透析液容器的形状可以是长立方体,也可以是其它形状。 Shape of the dialysate container may be of a cube, other shapes may be. 滤过液收集袋(28)和输液袋(31)可以是高分子材料,也可以是玻璃瓶,容量为500ml,1000ml,1500ml,2000ml一个。 Filtrate collection bag (28) and the infusion bag (31) may be a polymer material, may be glass, a capacity of 500ml, 1000ml, 1500ml, 2000ml a. 滤过液收集管(27)和补液管(31)可以是高分子材料,包括:塑料,医用硅橡胶或医用乳胶。 Filtrate collection tube (27) and a fluid pipe (31) may be a polymer material, comprising: a plastic, for medical or medical silicone rubber latex.
5.根据权利要求1所述的自动血透滤过机其特征还在于:透析液泵(7)可以是滚柱(珠)泵,也可以是离心泵,还可以是负压真空泵、齿轮泵或叶片泵。 The automatic filtration Hemodialysis machine according to claim 1 further characterized in that: the dialysate pump (7) may be a roller (beads) pump, a centrifugal pump may be, may also be a negative pressure pump, a gear pump or vane pump.
6.根据权利要求1所述的自动血透滤过机其特征还在于:透析液加温衡温器(3)是由外部装置(49),透析液循环管(50),加热件(51)和开关调节加热温度显示件(52)构成;采用对通过加温衡温器(3)中的透析液循环管中的透析液进行间接加温衡温的方法进行加温衡温,在加温衡温器(3)中的透析液循环管外,有加热器和加温衡温介质水,使透析液循环管浸泡在加温衡温器的介质水中,既可达到加温衡温,又可保持洁净,在没有进行治疗的情况下,定时对介质水加温到98℃,即可达到消毒灭菌的目的,使加温衡温器内的透析液循环管腔内保持无菌的环境。 The automatic filtration Hemodialysis machine according to claim 1 further characterized in that: the dialysate constant temperature heating device (3) by an external device (49), a dialysis fluid circulation tube (50), heating element (51 ) and a switch element regulating the heating temperature display (52) configured; using dialysate circulating pipe (3) in a constant temperature vessel by warming dialysate indirect heating method heating is performed under constant temperature, constant temperature, in addition dialysate temperature constant temperature circulating pipe (3), the heater has a constant temperature heating medium and water, the dialysate circulation pipe immersed in a water medium heating value of the thermostat, can reach the constant temperature heating, but also to maintain clean, in the absence of treatment, the timing of medium water heated to 98 deg.] C, can achieve the purpose of sterilization, the holding sterile dialysate circulating constant temperature heating intraluminal filter surroundings.
7.根据权利要求1所述的自动血透滤过机其特征还在于:在透析液循环管(6)上设置有尿素浓度生物传感器(6-1),当在治疗过程中进行尿素浓度监测时,把透析液循环管(1)暂时提出透析液容器(9或10)之外或用夹具夹住透析液循环管的输出管(1),这时只有滤过液和/或超滤液自5-透析型透析滤过器,透析滤过器,滤过型透析滤过器,透析器和滤过器的透析液孔流出,当流至尿素浓度生物传感器(6-1)时,尿素浓度生物传感器(6-1)即可把尿素浓度信息传到计算机(37),计算机(37)把测定的滤过液和/或超滤液中尿素的浓度显示在屏幕上,间接检测患者体内血液循环中的尿素浓度,实现尿素浓度生物传感器的自动检测功能,为进一步确定治疗时间和监测病情变化提供动态实验依据。 The automatic filtration Hemodialysis machine according to claim 1 further characterized in that: disposed in the dialysate circulation pipe (6) has a urea concentration biosensor (6-1), when performing the urea concentration monitoring during treatment when, the dialysate circulation pipe (1) is temporarily raised dialysate container outside (9 or 10) or a dialysate outlet pipe clamped circulation pipe (1) with a jig, then only the filtrate and / or ultrafiltrate from 5 dialysis dialysis filtration, a diafiltration, a dialysate is filtered through a dialysis filtration apertures, a dialyzer and a strainer effluent, when the flow to the urea concentration biosensor (6-1), urea concentration biosensor (6-1) to the urea concentration information to the computer (37), a computer (37) Determination of the concentration of the filtrate and / or urea in the ultrafiltrate displayed on the screen, the patient indirect detection the urea concentration in the blood circulation, the urea concentration to achieve automatic detection of the biosensor, providing dynamic experimental data for determining the duration of treatment and monitoring changes in condition.
CN 98112254 1998-09-17 1998-09-17 Automatic hemodialysis filter CN1235849A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 98112254 CN1235849A (en) 1998-09-17 1998-09-17 Automatic hemodialysis filter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 98112254 CN1235849A (en) 1998-09-17 1998-09-17 Automatic hemodialysis filter

Publications (1)

Publication Number Publication Date
CN1235849A true CN1235849A (en) 1999-11-24

Family

ID=5222124

Family Applications (1)

Application Number Title Priority Date Filing Date
CN 98112254 CN1235849A (en) 1998-09-17 1998-09-17 Automatic hemodialysis filter

Country Status (1)

Country Link
CN (1) CN1235849A (en)

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN100460026C (en) 2006-04-12 2009-02-11 重庆山外山科技有限公司 Medical hemodialysis filter
CN1946441B (en) 2004-05-07 2011-04-13 甘布罗伦迪亚股份公司 Blood treatment equipment, method for controlling infusion
CN102307650A (en) * 2008-10-07 2012-01-04 弗雷塞尼斯医疗保健控股公司 Priming system and method for dialysis systems
CN101708347B (en) 2009-03-11 2013-02-20 重庆多泰医用设备有限公司 Hemodialysis system for controlling electric conduction and ultra-filtration by weighing
CN103845768A (en) * 2007-02-27 2014-06-11 德卡产品有限公司 Hemodialysis systems and methods
CN102046260B (en) 2008-01-18 2014-09-24 弗雷塞尼斯医疗保健控股公司 Carbon dioxide gas removal from a fluid circuit of a dialysis device
CN104707195A (en) * 2015-03-08 2015-06-17 王功勋 Hematodialysis conversion device for nephrology department
CN104826186A (en) * 2015-05-18 2015-08-12 陈丽 Hematodialysis device for nephrology department
US9157786B2 (en) 2012-12-24 2015-10-13 Fresenius Medical Care Holdings, Inc. Load suspension and weighing system for a dialysis machine reservoir
CN105013031A (en) * 2015-07-03 2015-11-04 广州市红十字会医院 Fully automatic carbonate peritoneal dialysis device and dialysis method
US9308307B2 (en) 2007-09-13 2016-04-12 Fresenius Medical Care Holdings, Inc. Manifold diaphragms
US9352282B2 (en) 2007-09-25 2016-05-31 Fresenius Medical Care Holdings, Inc. Manifolds for use in conducting dialysis
US9354640B2 (en) 2013-11-11 2016-05-31 Fresenius Medical Care Holdings, Inc. Smart actuator for valve
US9360129B2 (en) 2009-01-12 2016-06-07 Fresenius Medical Care Holdings, Inc. Valve system
US9358331B2 (en) 2007-09-13 2016-06-07 Fresenius Medical Care Holdings, Inc. Portable dialysis machine with improved reservoir heating system
US9415152B2 (en) 2007-11-29 2016-08-16 Fresenius Medical Care Holdings, Inc. Disposable apparatus and kit for conducting dialysis
US9517296B2 (en) 2007-09-13 2016-12-13 Fresenius Medical Care Holdings, Inc. Portable dialysis machine
US9759710B2 (en) 2008-09-12 2017-09-12 Fresenius Medical Care Holdings, Inc. Modular reservoir assembly for a hemodialysis and hemofiltration system

Cited By (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1946441B (en) 2004-05-07 2011-04-13 甘布罗伦迪亚股份公司 Blood treatment equipment, method for controlling infusion
CN100460026C (en) 2006-04-12 2009-02-11 重庆山外山科技有限公司 Medical hemodialysis filter
CN103845768A (en) * 2007-02-27 2014-06-11 德卡产品有限公司 Hemodialysis systems and methods
CN103845768B (en) * 2007-02-27 2016-09-28 德卡产品有限公司 Hemodialysis system and method
US9308307B2 (en) 2007-09-13 2016-04-12 Fresenius Medical Care Holdings, Inc. Manifold diaphragms
US10258731B2 (en) 2007-09-13 2019-04-16 Fresenius Medical Care Holdings, Inc. Manifold diaphragms
US9517296B2 (en) 2007-09-13 2016-12-13 Fresenius Medical Care Holdings, Inc. Portable dialysis machine
US9358331B2 (en) 2007-09-13 2016-06-07 Fresenius Medical Care Holdings, Inc. Portable dialysis machine with improved reservoir heating system
US10383993B2 (en) 2007-09-13 2019-08-20 Fresenius Medical Care Holdings, Inc. Pump shoe for use in a pumping system of a dialysis machine
US10022673B2 (en) 2007-09-25 2018-07-17 Fresenius Medical Care Holdings, Inc. Manifolds for use in conducting dialysis
US9352282B2 (en) 2007-09-25 2016-05-31 Fresenius Medical Care Holdings, Inc. Manifolds for use in conducting dialysis
US9415152B2 (en) 2007-11-29 2016-08-16 Fresenius Medical Care Holdings, Inc. Disposable apparatus and kit for conducting dialysis
US10034973B2 (en) 2007-11-29 2018-07-31 Fresenius Medical Care Holdings, Inc. Disposable apparatus and kit for conducting dialysis
CN102046260B (en) 2008-01-18 2014-09-24 弗雷塞尼斯医疗保健控股公司 Carbon dioxide gas removal from a fluid circuit of a dialysis device
US9759710B2 (en) 2008-09-12 2017-09-12 Fresenius Medical Care Holdings, Inc. Modular reservoir assembly for a hemodialysis and hemofiltration system
CN102307650A (en) * 2008-10-07 2012-01-04 弗雷塞尼斯医疗保健控股公司 Priming system and method for dialysis systems
CN102307650B (en) * 2008-10-07 2015-09-16 弗雷塞尼斯医疗保健控股公司 System and method for filling the dialysis system
US9360129B2 (en) 2009-01-12 2016-06-07 Fresenius Medical Care Holdings, Inc. Valve system
US10197180B2 (en) 2009-01-12 2019-02-05 Fresenius Medical Care Holdings, Inc. Valve system
CN101708347B (en) 2009-03-11 2013-02-20 重庆多泰医用设备有限公司 Hemodialysis system for controlling electric conduction and ultra-filtration by weighing
US9157786B2 (en) 2012-12-24 2015-10-13 Fresenius Medical Care Holdings, Inc. Load suspension and weighing system for a dialysis machine reservoir
US10019020B2 (en) 2013-11-11 2018-07-10 Fresenius Medical Care Holdings, Inc. Smart actuator for valve
US9354640B2 (en) 2013-11-11 2016-05-31 Fresenius Medical Care Holdings, Inc. Smart actuator for valve
CN104707195A (en) * 2015-03-08 2015-06-17 王功勋 Hematodialysis conversion device for nephrology department
CN104826186A (en) * 2015-05-18 2015-08-12 陈丽 Hematodialysis device for nephrology department
CN105013031A (en) * 2015-07-03 2015-11-04 广州市红十字会医院 Fully automatic carbonate peritoneal dialysis device and dialysis method

Similar Documents

Publication Publication Date Title
US6132616A (en) Method for flushing and filling of an extracorporeal blood circulation system of a dialysis machine
EP1523351B1 (en) System for peritoneal dialysis
JP6001660B2 (en) Hemodialysis system having a flow path with controlled follow-up volume
US9814820B2 (en) Weight-controlled sorbent system for hemodialysis
US9656013B2 (en) Membrane separation devices, systems and methods employing same, and data management systems and methods
US7674237B2 (en) Method and apparatus for blood withdrawal and infusion using a pressure controller
US9724458B2 (en) Hemodialysis system
EP0969887B1 (en) Hemofiltration system
EP0739234B1 (en) Hemofiltration and plasmafiltration device
JP4276431B2 (en) Cassettes with integrated separation device
US9526820B2 (en) Dialysis systems, components, and methods
ES2427174T3 (en) Systems to develop peritoneal dialysis
US6689083B1 (en) Controller for ultrafiltration blood circuit which prevents hypotension by monitoring osmotic pressure in blood
US7531098B2 (en) Integrated automatic blood processing unit
US4209392A (en) Portable hepatic-assist method and apparatus for same
ES2443615T3 (en) Method and apparatus for an extracorporeal treatment device to control blood collection and infusion
RU2298428C2 (en) Method and the device for operation with the hemmodiafiltering receiving-withdrawing module
US6887214B1 (en) Blood pump having a disposable blood passage cartridge with integrated pressure sensors
EP0386048B1 (en) Blood purification apparatus
EP1296727B1 (en) Apparatus for peripheral vein fluid removal in heart failure
US20090120864A1 (en) Wearable dialysis methods and devices
US20040254513A1 (en) Conductive polymer materials and applications thereof including monitoring and providing effective therapy
JP5140369B2 (en) High convection home hemodialysis / hemofiltration and adsorbent system
US20060241543A1 (en) Method for installing and servicing a wearable continuous renal replacement therapy device
CN1021884C (en) Artificial kidney with moderate exchange rates

Legal Events

Date Code Title Description
C06 Publication