CN1803207A - Hematodialysis circulating device - Google Patents

Hematodialysis circulating device Download PDF

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Publication number
CN1803207A
CN1803207A CN 200610009610 CN200610009610A CN1803207A CN 1803207 A CN1803207 A CN 1803207A CN 200610009610 CN200610009610 CN 200610009610 CN 200610009610 A CN200610009610 A CN 200610009610A CN 1803207 A CN1803207 A CN 1803207A
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sebific duct
kettle
pipe
duct
vein
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CN100457203C (en
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赵滨宇
李勇
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Abstract

The invention discloses a one-way blood dialytic circulation device, which is characterized by the following: setting the fluid infusion pipe adjustment valve (23) on the fluid infusion pipe rubber hose (21) between the fluid infusion pipe drip kettle (22) and piecing needle (24); connecting one end of alternative pipe rubber hose (26) with the alternative pipe interface (29) through pipe drip kettle (27) and the other end with the teat rubber hose (25); connecting the vein connection rubber hose (18) with the interface adjustment valve (5). The invention prevents the blood dialytic loop from clogging, which shortens the treatment time and reduces the patient mortality.

Description

Hematodialysis circulating device
Technical field: the present invention relates to haemodialysis equipment, be specially a kind of hematodialysis circulating device.
Background technology: be subjected to the inspiration of hemodialysis mid-term the 1950's, multinomial blood purification methods such as hemoperfusion, hemofiltration, lipid purification, plasmapheresis grow up on the hemodialysis basis.The Japanese Plasauto IQ type haemodialysis control unit of China's introduction at present, extensive use in clinical.Yet how to set up safe and reliablely, durable in use in therapeutic process, the desirable vascular access that dialysis is convenient, little to the patient suffering is an outstanding clinical problem always.The action principle of former hematodialysis circulating device pipeline and deficiency: former pipeline extracorporeal circulation is from " tremulous pulse " (actual capabilities are Peripheral arteries or vein) puncture needle, connect plasma separator by the arterial blood pipeline, claim arterial blood line before the plasma separator, claim the vein bloody path behind the plasma separator, by blood pump outside tremulous pulse or the venous blood lead body, separate through the blood plasma separator, contain hemocyte after the separation and hematoblastic concentrate blood flows into vein end by end opening, when carrying out the secondary separating plasma as need, need to start separate pump, sending in separator of blood plasma components or the absorbent-type plasma purification device through the blood plasma separator isolated blood plasma first time, carry out the blood plasma components separation second time, filtration waste liquid after the separation discards under the driving of positive displacement pump, and the whole circulation process is all in a pipeline.The arteriovenous end does not have connector can not constitute backflow to circulate voluntarily, and the standby pipes of former pipeline washing pipe can only be used for pipeline generation blood coagulation the time.In therapeutic process, arterial end breaks down, and can only select to puncture again.Be to prevent the pipeline blood coagulation and under can not the situation of stall, the arterial end blood flow must replace to replenish liquid at machine during puncture, as the puncture overlong time, will cause that like this to enter in the body amount of liquid too much, thereby increase the weight of the heart burden that the phenomenon of being critically ill appears in patient easily.Can not add the heparin sodium anticoagulant owing to replenish in the liquid, also can cause that heparin sodium content descends in pipeline and the separator simultaneously, when connecting line once more, easily cause the pipeline blood coagulation.Because of this pipeline all belongs to medical disposable material, economical price is between 3000 ~ 4000 yuan, once the pipeline blood coagulation takes place, this pipeline can not reuse, certainly will cause patient's heavy losses economically.Because therefore arterial end this path only must separate the puncture needle that can be connected new site of puncture with the arterial end interface with former puncture needle, will occasion a delay the time like this after puncturing successfully again, the careless slightly arterial end interface that also can cause is contaminated.In therapeutic process, when vein end breaks down, equally also can only select to puncture again, during puncture machine be prevent that the pipeline blood coagulation can not the situation of stall under, the vein end blood that refluxes must be discarded,, can reconnect until the vein end success of puncturing again.Must cause patient blood to run off like this, blood loss is too much, blood pressure is descended fast cause hemorrhagic shock.In therapeutic process, when the artery and vein end breaks down simultaneously, equally also can only select to puncture again, during puncture machine be prevent that the pipeline blood coagulation can not the situation of stall under, must there be additional liquid to replace the arterial end blood flow, and the blood in pipeline and the separator is discarded by vein end, after getting rid of, artery and vein end fault can reconnect, so not only reduced the heparin sodium content in pipeline and the separator, increased the probability of pipeline blood coagulation, lose patients'blood again, damaged the healthy of patient, increased patient's mental pressure.
Summary of the invention: the object of the present invention is to provide a kind of simple in structure, with low cost, safe and reliable, easy to use, shorten treatment time, reduce the one-way hematodialysis circulating device of mortality.The object of the present invention is achieved like this: it comprises tremulous pulse nipple-shape sebific duct (1), arterial sebific duct (2), arterial drug delivery port (3), interface control valve (4), tremulous pulse interface sebific duct (5), drug delivery port sebific duct (6), pressure receptor (7), tremulous pulse kettle (8), pressure receptor (9), I level membrane separator (10), abandon liquid pipe (11), hemocyte return duct (12), vein kettle pressure receptor (13), vein kettle (14), duct of Arantius sebific duct (15), duct of Arantius drug delivery port (16), control valve (17), vein connects sebific duct (18), vein nipple-shape sebific duct (19), heat bag (20), liquid supplementation pipe sebific duct (21), liquid supplementation pipe is dripped kettle (22), liquid supplementation pipe control valve (23), puncture needle (24), standby nipple-shape sebific duct (25), standby pipes sebific duct (26), standby pipes is dripped kettle (27), standby pipes control valve (28), standby pipes interface (29), pressure receptor sebific duct (30), drug delivery port sebific duct (31), divide slurry kettle (32), II level membrane separator (33), slurry recovering tube sebific duct (34), II level film pressure sensor (35), abandon slurry pipe sebific duct (36).On liquid supplementation pipe is dripped liquid supplementation pipe sebific duct (21) between kettle (22) and the puncture needle (24) liquid supplementation pipe control valve (23) is arranged, an end of standby pipes sebific duct (26) is connected with nipple-shape sebific duct (25), and the other end passes pipe and drips kettle (27) to standby pipes interface (29); Vein connects sebific duct (18) and is connected with tremulous pulse interface sebific duct (5).The utility model has the advantages that: simple in structure, with low cost, hemodialysis circulation line does not stop up, and is safe and reliable, durable in use, dialysis is convenient, easy to use, shorten treatment time, the reduction mortality.
Description of drawings: Fig. 1 is a structural principle sketch map of the present invention; Fig. 2 drips kettle, standby pipes control valve, standby pipes interface syndeton principle schematic for the standby nipple-shape sebific duct of the present invention and standby pipes sebific duct, standby pipes.
The specific embodiment: on liquid supplementation pipe is dripped liquid supplementation pipe sebific duct (21) between kettle (22) and the puncture needle (24), liquid supplementation pipe control valve (23) is arranged, one end of standby pipes sebific duct (26) is connected with nipple-shape sebific duct (25), and the other end passes pipe and drips kettle (27) to standby pipes interface (29); Vein connects sebific duct (18) and is connected with tremulous pulse interface sebific duct (5).Work process of the present invention is: extracorporeal circulation from tremulous pulse nipple-shape sebific duct to the arterial sebific duct, I level membrane separator (10), duct of Arantius sebific duct (15), vein nipple-shape sebific duct (19) feed back in the human body, the filtration waste liquid after the separation discards under the driving of positive displacement pump.When tremulous pulse nipple-shape sebific duct, vein nipple-shape sebific duct break down simultaneously, for preventing the blood coagulation of I level membrane separator, pressure receptor (7), the stall of vein kettle pressure receptor (13) warning machine, the waste consumptive material, vein can be connected sebific duct is connected with tremulous pulse interface sebific duct, pipeline internal memory blood is constituted reflux, stop positive displacement pump.Circulation from tremulous pulse nipple-shape sebific duct, I level membrane separator, duct of Arantius sebific duct, connect sebific duct to vein and constitute circulation.Circulation is rebulid, and it is normal that machine run recovers.Origin operation is changed when replenishing liquid and shut-down operation, use the additional liquid of mosquito forceps blocking-up and enter liquid supplementation pipe sebific duct (21), the liquid supplementation pipe sebific duct (21) that pipeline of the present invention drips between kettle (22) and the puncture needle (24) in liquid supplementation pipe is gone up increase liquid supplementation pipe control valve (23), change when replenishing liquid and shut-down operation like this, directly close control valve and get final product.Can reduce program without mosquito forceps, for the medical worker brings convenience.
Former pipeline whole circulation process is all in a pipeline, and former pipeline standby pipes sebific duct (26) one ends can link to each other with tremulous pulse interface sebific duct, and an end band puncture needle can only connect the flushing liquor bottleneck.Washing pipe in the time of can only being used for pipeline generation blood coagulation.Standby pipes sebific duct of the present invention, standby pipes interface (29) end can be connected with tremulous pulse interface sebific duct, and nipple-shape sebific duct end nipple-shape contact surface can connect puncture needle.Can reach the purpose of one tube multipurpose like this, washing pipe when can be used for pipeline generation blood coagulation can replace the arterial sebific duct to set up new circulation approach.Also can with the arterial sebific duct simultaneously and usefulness, thereby solved clinical in, because of a venous channel blood flow not enough must the puncture tremulous pulse, the problem of increase patient misery.Article two, the blood flow of venous channel, it is required to be enough to finish whole circulation, has strengthened work efficiency greatly, has reduced and has caused shutdowns, deadlock, the problem of pipeline blood coagulation because of blood flow is not enough.Tremulous pulse nipple-shape sebific duct (1) the nipple-shape sebific duct link to each other with puncture needle (drawing blood) that links to each other with puncture needle, arterial sebific duct (in fact may be Peripheral arteries or vein), the arterial sebific duct terminal with I level membrane separator (10) in the shape of a spiral formula be connected, contain the heparin sodium syringe and connect drug delivery port sebific duct (6), heparin sodium injects tremulous pulse kettle sebific duct (8) by this pipe, tremulous pulse kettle pressure receptor (7) directly connects pick off, experience tremulous pulse kettle pressure, I level film pressure sensor (9) beginning directly connects pick off, experience separator pressure, end does not directly connect I level membrane separator (10), hemocyte return duct (12) formula in the shape of a spiral connects I level membrane separator (10), vein kettle pressure receptor (13) directly connects pick off, experience vein kettle pressure, vein nipple-shape sebific duct (19) and puncture needle link to each other (feedback blood) vein is connected sebific duct (18) and tremulous pulse standby pipes interface (5) in the shape of a spiral formula is connected the backflow of blood formation is circulated voluntarily, abandoning liquid pipe sebific duct (11) beginning directly connects I level membrane separator (10), liquid supplementation pipe (24) is connected puncture needle (24) (band aerofluxus syringe needle) and links to each other with the fluid infusion bottle with the liquid bottleneck, liquid supplementation pipe control valve (23) can replace mosquito forceps, use when being used to stop fluid infusion or changing liquid bottles, standby pipes interface (29) formula in the shape of a spiral connects arterial interface sebific duct (5), during pipeline generation blood coagulation, flushing liquor can also can replace arterial sebific duct (2) also can also use simultaneously with arterial sebific duct (2) by this pipe flushing line.Standby nipple-shape sebific duct (25) links to each other with puncture needle, can connect puncture needle.Abandoning liquid pipe (11) beginning directly connects I level membrane separator (10), end formula in the shape of a spiral connects II level membrane separator (33), making isolating blood plasma enter II level film liquid supplementation pipe (24) is connected puncture needle (band aerofluxus syringe needle) the liquid supplementation pipe control valve (23) that links to each other with the fluid infusion bottle and can replaces mosquito forceps with the liquid bottleneck, use standby pipes interface (29) to connect tremulous pulse standby pipes interface sebific duct formula connection tremulous pulse interface sebific duct (5) in the shape of a spiral when being used to stop fluid infusion or changing liquid bottles, during pipeline generation blood coagulation, flushing liquor can be by this pipe flushing line, also can replace arterial sebific duct (2) also can also be connected puncture needle pressure receptor sebific duct (30) with standby nipple-shape sebific duct (25) and the continuous nipple-shape sebific duct of puncture needle simultaneously with arterial sebific duct (2) divides slurry kettle pressure receptor directly to connect pick off, impression with starch kettle pressure slurry recovering tube sebific duct (34) and directly be connected II level membrane separator (33) II level film pressure sensor (35) beginning and directly connect pick off, experience II level membrane separator (33) pressure, the terminal II level membrane separator (33) that directly connects is abandoned slurry pipe sebific duct (36) formula edge joint II level membrane separator (33) in the shape of a spiral.Can the former standby pipes sebific duct and the syringe needle of liquid bottleneck junction change into can with the nipple-shape contact surface on puncture needle is connected, promptly standby nipple-shape sebific duct (25).Time spent needs only and connects puncture needle, thereby reaches the purpose of one tube multipurpose.Increase this Guan Keyu interface sebific duct (5) of connection sebific duct (18) at duct of Arantius sebific duct (15) 10cm place and connect, this pipe can make pipeline constitute backflow circulation voluntarily.Liquid supplementation pipe control valve (23) on liquid supplementation pipe sebific duct (21) uses when being used to change the liquid make-up bottle and stopping substantial length of operation, reduces program control by-pass and uses mosquito forceps.
The clinical implementation example: this organizes 12 examples, male 6 examples, and women 6 examples, at 13 ~ 70 years old age, 4 routine arterial ends in therapeutic process (in fact may be Peripheral arteries or vein) break down, 4 routine vein ends break down, 4 routine artery and veins break down simultaneously.This group all is to adopt the fault that occurs in direct venipuncture or the central vein infusion therapy.Direct median antebrachial vein 6 examples that puncture wherein, use the present invention after pipeline solve fault 5 examples, treatment is finished smoothly.Direct arterypuncture 2 examples, pipeline solves fault 1 example behind use the present invention, and treatment is finished smoothly.Central vein intubate 4 examples use pipeline of the present invention to solve fault 3 examples, and treatment is finished smoothly.3 examples use former pipeline hematodialysis circulating device 2 examples because of adopting direct venipuncture to cause patient's angor repeatedly in this group, and the vagus nerve fever causes that heart rate drops to below 50 times/minute fast, thereby causes stopped treatment.When 1 routine femoral venous catheter patient stands up the cleaning Excreta, cause deadlock, because of former pipeline has only a path, Puncture connection tube needs the time again, finally causes the pipeline blood coagulation, can not use, and brings unnecessary financial burden to patient.Pipeline solves fault behind all the other 9 example use this utility model, and treatment is all finished smoothly.
Pipeline of the present invention mainly is by moving arterial sebific duct (2), duct of Arantius sebific duct (15), liquid supplementation pipe sebific duct (21), drug delivery port sebific duct (6), abandons liquid pipe (11), monitoring pipeline [--arterial baroreceptor (7), pressure receptor (9), vein kettle pressure receptor (13)], is abandoned slurry pipe sebific duct (36) eight big major parts compositions at standby pipes sebific duct (26).It can be sebific duct puncture needle connector sebific duct with the nipple-shape contact surface on puncture needle is connected that the former standby pipes sebific duct and the syringe needle of liquid bottleneck junction are changed into, and the time spent is as long as connect the purpose that puncture needle can reach one tube multipurpose.Washing pipe when can be used for pipeline generation blood coagulation.When cyclic process medium-sized artery pipe sebific duct puncture failure, the sebific duct standby pipes of available band puncture needle is puncture again fast, directly substitute when the arterial sebific duct is given clinical manipulation and save time, in case to enter intravital amount of liquid too much because arterial sebific duct puncture failure causes, also can prevent because of changing the site of puncture to of the pollution of sebific duct arterial junction to nipple.Sebific duct standby pipes of the present invention also can also be used with it when arterial sebific duct blood flow is not enough, solve fast and effectively clinical in owing to blood flow deficiency or the bad deadlock that causes of native blood vessel condition, alleviate outpatients mental state pressure and misery, alleviate patient's financial burden, finish smoothly thereby guarantee to operate.
Increase connection standby pipes interface sebific duct at duct of Arantius sebific duct 10cm place, this Guan Keyu standby pipes interface sebific duct connects, and can make this pipeline constitute backflow circulation voluntarily.This pipeline can be started when clinical medium-sized vein pipe sebific duct breaks down, prevent a series of adverse consequencess because of worrying that the pipeline blood coagulation causes patient's severe loss of blood to be brought.When the arterial sebific duct, when the duct of Arantius sebific duct breaks down simultaneously, for prevent the pipeline blood coagulation, avoid severe loss of blood, influence is healthy, also can start this pipe, make in the pipeline the existing blood anti-hemostasis-coagulation that can circulate voluntarily, the sense of urgency of bringing to the medical worker in the time of also can alleviating because of handling failure.

Claims (1)

1, a kind of hematodialysis circulating device, it comprises tremulous pulse nipple-shape sebific duct (1), arterial sebific duct (2), arterial drug delivery port (3), interface control valve (4), tremulous pulse interface sebific duct (5), drug delivery port sebific duct (6), pressure receptor (7), tremulous pulse kettle (8), pressure receptor (9), I level membrane separator (10), abandon liquid pipe (11), hemocyte return duct (12), vein kettle pressure receptor (13), vein kettle (14), duct of Arantius sebific duct (15), duct of Arantius drug delivery port (16), control valve (17), vein connects sebific duct (18), vein nipple-shape sebific duct (19), heat bag (20), liquid supplementation pipe sebific duct (21), liquid supplementation pipe is dripped kettle (22), liquid supplementation pipe control valve (23), puncture needle (24), standby nipple-shape sebific duct (25), standby pipes sebific duct (26), standby pipes is dripped kettle (27), standby pipes control valve (28), standby pipes interface (29), pressure receptor sebific duct (30), drug delivery port sebific duct (31), divide slurry kettle (32), II level membrane separator (33), slurry recovering tube sebific duct (34), II level film pressure sensor (35), abandon slurry pipe sebific duct (36), it is characterized in that: it is characterized in that: on liquid supplementation pipe is dripped liquid supplementation pipe sebific duct (21) between kettle (22) and the puncture needle (24), liquid supplementation pipe control valve (23) is arranged, one end of standby pipes sebific duct (26) is connected with nipple-shape sebific duct (25), and the other end passes pipe and drips kettle (27) to standby pipes interface (29); Vein connects sebific duct (18) and is connected with tremulous pulse interface sebific duct (5).
CNB2006100096103A 2006-01-10 2006-01-10 Hematodialysis circulating device Expired - Fee Related CN100457203C (en)

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CN100457203C CN100457203C (en) 2009-02-04

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103845770A (en) * 2012-11-29 2014-06-11 珠海弘陞生物科技开发有限公司 Automatic flushing device and method for blood filter
CN113304341A (en) * 2016-03-31 2021-08-27 旭化成医疗株式会社 Blood purification system and priming method thereof

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CN2258768Y (en) * 1996-06-07 1997-08-06 重庆明日科技发展有限公司 Unidirectional circulation type hemodialysis machine
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CN2857954Y (en) * 2006-01-10 2007-01-17 赵滨宇 Circulation device for hemodialysis

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103845770A (en) * 2012-11-29 2014-06-11 珠海弘陞生物科技开发有限公司 Automatic flushing device and method for blood filter
CN113304341A (en) * 2016-03-31 2021-08-27 旭化成医疗株式会社 Blood purification system and priming method thereof
CN113304341B (en) * 2016-03-31 2024-05-14 旭化成医疗株式会社 Blood purification system and priming method therefor

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