CN202270211U - Integral device of extracorporeal membrane oxygenation oxygenator and hemofiltration machine - Google Patents
Integral device of extracorporeal membrane oxygenation oxygenator and hemofiltration machine Download PDFInfo
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- CN202270211U CN202270211U CN2011203774400U CN201120377440U CN202270211U CN 202270211 U CN202270211 U CN 202270211U CN 2011203774400 U CN2011203774400 U CN 2011203774400U CN 201120377440 U CN201120377440 U CN 201120377440U CN 202270211 U CN202270211 U CN 202270211U
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1698—Blood oxygenators with or without heat-exchangers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/3403—Regulation parameters
- A61M1/3406—Physical characteristics of the filtrate, e.g. urea
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Hematology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Urology & Nephrology (AREA)
- Emergency Medicine (AREA)
- Cardiology (AREA)
- External Artificial Organs (AREA)
Abstract
The utility model discloses an integral device of an extracorporeal membrane oxygenation oxygenator and a hemofiltration machine. The integral device comprises the oxygenator and the hemofiltration machine, wherein the oxygenator is mutually communicated with the hemofiltration machine through a tee joint I and a tee joint II. The integral device is simple and feasible, and can obviously reduce treatment cost of a sufferer by self-producing and connecting three-way valves in front of and/or behind the oxygenator as ports for leading blood and returning blood. Furthermore, risks and various complications, such as increased stress, increase of blood clot risk, ischemia of a supply area of a blood vessel at the catheter placing part, avascular necrosis of limbs caused by blood backflow obstacles and the like, caused by repeated catheters placing (at different placing parts in two treatments in twice), are avoided. The integral device has important application value in clinical use and is worth of popularization.
Description
Technical field
This utility model belongs to medical instruments field, is specifically related to a kind of extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus.
Background technology
ECMO is that the English of external film oxygen and (extracorporeal membrane oxygenation) is called for short, and is the extracorporeal circulation technology of walking out the operation on heart chamber.Its principle is with outside the intravital venous blood lead body, through injecting patient artery or Venous system behind the special substance artificial heart-lung bypass oxygenate, plays part cardiopulmonary vicarious function, keeps human internal organ tissue oxygenation blood and supplies.It represents a hospital, even a special kind of skill of the critical illness first aid level of an area, a country.ECMO is the various types of respiratory failures of clinical treatment (like the ARDS of adult or infant, meconium sucks syndrome), one of most important mode of heart failure etc., and this type of patient's who improves greatly more back and survival rate.
The basic structure of ECMO device is: blood vessel interpolation pipe, connection tube, kinetic pump (artificial heart), oxygenator (artificial lung), oxygen supply pipe, monitoring system.Often can abandon part clinically and form the cover bag, and can not abandon part and bind and deposit, and be designed to removablely, improve emergency capability.Wherein its function of oxygenator (artificial lung) is that non-oxygenated blood oxygenate is become oxygenated blood.
Need the patient of ECMO Supporting Therapy often to have renal insufficiency, ECMO associating hemofiltration is the common treatment measure of such patient.But because condition restriction; Present two kinds of therapeutic modalities independently carry out; This has not only obviously increased patient's medical expense; More increased the weight of repeatedly to put the risk and all kinds of complication of pipe (pipe is put in two kinds of treatments at twice), as increased the weight of stress, to increase the thrombosis risk, put the ischemia, the ischemic necrosis of limbs that blood backflow obstacle causes or the like of feed region of the blood vessel at pipe position, therefore both have been integrated and have the important clinical meaning.
The utility model content
The purpose of this utility model is to provide a kind of extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus.
The purpose of this utility model can realize through following technical scheme:
A kind of extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus; Comprise oxygenator and blood filtering machine; Its described oxygenator and blood filtering machine are interconnected through threeway I and threeway II; First entrance end of described threeway I and threeway II is connected with hemorrhage end with the blood inlet end of blood filtering machine respectively, and threeway I second entrance end is connected with the port of export of oxygenator; Second of threeway II imports and exports the termination human body and goes into the blood end; The inlet termination human body of oxygenator draws the blood end, and the 3rd entrance end of threeway I and threeway II is interconnected and is connected.
A kind of extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus; Comprise oxygenator and blood filtering machine; Its described oxygenator and blood filtering machine are interconnected through threeway I and threeway II; First entrance end of described threeway I and threeway II is connected with hemorrhage end with the blood inlet end of blood filtering machine respectively, and threeway I second imports and exports the termination human body and draws the blood end; Second entrance end of threeway II is connected with the arrival end of oxygenator; The outlet termination human body of oxygenator is gone into the blood end, and the 3rd entrance end of threeway I and threeway II is interconnected and is connected.
A kind of extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus; Comprise oxygenator and blood filtering machine; Its described oxygenator and blood filtering machine are interconnected through threeway I and threeway II; First entrance end of described threeway I and threeway II is connected with hemorrhage end with the blood inlet end of blood filtering machine respectively; Second entrance end of threeway I and threeway II is connected with the port of export with the arrival end of oxygenator respectively, and the 3rd entrance end of threeway I and threeway II connects drawing the blood end and going into the blood end of human body respectively.
The beneficial effect of this utility model:
This invention is simple; Only need that self-control connects 2 three-way valve as the port that draws blood and blood back before or after extracorporeal membrane oxygenation oxygenator film, can obviously reduce patient's medical expense, avoided more repeatedly putting risk and all kinds of complication that pipe (two kinds treat different parts put pipe) at twice causes because of having weighed; As increase the weight of stress, to increase the thrombosis risk, put the ischemia, the ischemic necrosis of limbs that blood backflow obstacle causes or the like of feed region of the blood vessel at pipe position; In clinical, have important use and be worth, be worthy to be popularized, the present invention has carried out zoopery in the Nanjing Military Command hospital general; Scheme is simple; Have important clinical application value,, obtain good effect at present in clinical practice.
Description of drawings
Fig. 1 is extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus connected mode one.
Fig. 2 is extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus connected mode two.
Fig. 3 is extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus connected mode three.
The specific embodiment
Extracorporeal membrane oxygenation oxygenator as shown in Figure 1 and blood filtering machine integrated apparatus; Comprise oxygenator (trade name is: Edwards) 1 and blood filtering machine (trade name is: MAQUET) 2; Described oxygenator 1 is interconnected through threeway I 3 and threeway II 4 with blood filtering machine 2; First entrance end of described threeway I 3 and threeway II 4 is connected with hemorrhage end with the blood inlet end of blood filtering machine 2 respectively, and threeway I 3 second entrance ends are connected with the port of export of oxygenator 1; Second of threeway II 4 imports and exports the termination human body and goes into the blood end; The inlet termination human body of oxygenator 1 draws the blood end, and the 3rd entrance end of threeway I 3 and threeway II 4 is interconnected and is connected.
Extracorporeal membrane oxygenation oxygenator as shown in Figure 2 and blood filtering machine integrated apparatus; Comprise oxygenator 1 and blood filtering machine 2; Described oxygenator 1 is interconnected through threeway I 3 and threeway II 4 with blood filtering machine 1; First entrance end of described threeway I 3 and threeway II 4 is connected with hemorrhage end with the blood inlet end of blood filtering machine 2 respectively, and threeway I 3 second imports and exports the termination human body and draws the blood end; Second entrance end of threeway II 4 is connected with the arrival end of oxygenator 1; The outlet termination human body of oxygenator 1 is gone into the blood end, and the 3rd entrance end of threeway I 3 and threeway II 4 is interconnected and is connected.
Extracorporeal membrane oxygenation oxygenator as shown in Figure 3 and blood filtering machine integrated apparatus; Comprise oxygenator 1 and blood filtering machine 2; Described oxygenator 1 is interconnected through threeway I 3 and threeway II 4 with blood filtering machine 2; First entrance end of described threeway I 3 and threeway II 4 is connected with hemorrhage end with the blood inlet end of blood filtering machine 1 respectively; Second entrance end of threeway I 3 and threeway II 4 is connected with the port of export with the arrival end of oxygenator 1 respectively, and the 3rd entrance end of threeway I 3 and threeway II 4 connects drawing the blood end and going into the blood end of human body respectively.
This utility model is incorporated into two kinds of important therapeutic modalities together through above-mentioned three kinds of different connected modes.Connected mode one (like Fig. 1): blood is drawn through the blood end that draws that is positioned at human body femoral vein catheter place; Through oxygenator 1 oxygenate and after drawing blood; At oxygenator 1 port of export (film rear end) threeway I 3 and threeway II 4 are set; Extension blood gets into blood filtering machine 2 and carries out hemofiltration (200ml/h), and the blood after then blood filtering machine 2 being filtered is with pumping into the human body internal jugular vein without blood filtering machine 1 filterable blood through going into the blood end.
Connected mode two (Fig. 2): blood is drawn through the blood end that draws that is positioned at human body femoral vein catheter place; In oxygenator 1 arrival end (film front end) connection threeway I 3 and threeway II 4 are set; Part blood is drawn the blood end via human body draws and gets into blood filtering machine 2 and carry out hemofiltration; Blood after filtering is not converged and gets into oxygenator 2 and carry out oxygenate with carrying out filterable blood, and the blood of oxygenate pumps into the human body internal jugular vein via going into the blood end the most at last.
Connected mode three (Fig. 3): blood is drawn through the human body femoral vein; At oxygenator film front end and film rear end threeway I 3 and threeway II 4 are set respectively; Blood is drawn through the blood end that draws that is positioned at human body femoral vein catheter place; Get into oxygenator 1 respectively and carry out blood oxygenation and filtration, oxygenate and filterable blood are imported pipeline through threeway II 4, and finally pump into internal jugular vein via going into the blood end with blood filtering machine 2.
Claims (3)
1. extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus; Comprise oxygenator (1) and blood filtering machine (2); It is characterized in that described oxygenator (1) and blood filtering machine (2) are interconnected through threeway I (3) and threeway II (4); First entrance end of described threeway I (3) and threeway II (4) is connected with hemorrhage end with the blood inlet end of blood filtering machine (2) respectively, and threeway I (3) second entrance ends are connected with the port of export of oxygenator (1); Second of threeway II (4) imports and exports the termination human body and goes into the blood end; The inlet termination human body of oxygenator (1) draws the blood end, and the 3rd entrance end of threeway I (3) and threeway II (4) is interconnected and is connected.
2. extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus; Comprise oxygenator (1) and blood filtering machine (2); It is characterized in that described oxygenator (1) and blood filtering machine (1) are interconnected through threeway I (3) and threeway II (4); First entrance end of described threeway I (3) and threeway II (4) is connected with hemorrhage end with the blood inlet end of blood filtering machine (2) respectively, and threeway I (3) second imports and exports the termination human body and draws the blood end; Second entrance end of threeway II (4) is connected with the arrival end of oxygenator (1); The outlet termination human body of oxygenator (1) is gone into the blood end, and the 3rd entrance end of threeway I (3) and threeway II (4) is interconnected and is connected.
3. extracorporeal membrane oxygenation oxygenator and blood filtering machine integrated apparatus; Comprise oxygenator (1) and blood filtering machine (2); It is characterized in that described oxygenator (1) and blood filtering machine (2) are interconnected through threeway I (3) and threeway II (4); First entrance end of described threeway I (3) and threeway II (4) is connected with hemorrhage end with the blood inlet end of blood filtering machine (1) respectively; Second entrance end of threeway I (3) and threeway II (4) is connected with the port of export with the arrival end of oxygenator (1) respectively, and the 3rd entrance end of threeway I (3) and threeway II (4) connects drawing the blood end and going into the blood end of human body respectively.
Priority Applications (1)
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CN2011203774400U CN202270211U (en) | 2011-09-28 | 2011-09-28 | Integral device of extracorporeal membrane oxygenation oxygenator and hemofiltration machine |
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CN2011203774400U CN202270211U (en) | 2011-09-28 | 2011-09-28 | Integral device of extracorporeal membrane oxygenation oxygenator and hemofiltration machine |
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Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN105536086A (en) * | 2016-02-23 | 2016-05-04 | 南京医科大学第一附属医院 | Multifunctional ECMO circulating pipeline and method for performing extracorporeal membrane oxygenation by utilizing multifunctional ECMO circulating pipeline |
WO2016103290A1 (en) * | 2014-12-22 | 2016-06-30 | Extra Corporeal Solutions S.R.L. | Apparatus for the treatment of blood |
ITUB20159389A1 (en) * | 2015-12-18 | 2017-06-18 | Eurosets Srl | EQUIPMENT FOR BLOOD DECAPNIZATION |
ITUB20159161A1 (en) * | 2015-12-18 | 2017-06-18 | Eurosets Srl | EQUIPMENT FOR BLOOD DECAPNIZATION |
IT201700038389A1 (en) * | 2017-04-07 | 2018-10-07 | In10Sivecare S R L | Equipment for extracorporeal blood treatment |
IT201700052603A1 (en) * | 2017-05-16 | 2018-11-16 | Medica S P A | FILTERING SYSTEM FOR CONTINUOUS RENAL SUBSTITUTE THERAPIES |
IT201900002233A1 (en) * | 2019-02-15 | 2020-08-15 | Medica S P A | FILTERING SYSTEM FOR CONTINUOUS KIDNEY REPLACEMENT THERAPIES |
CN113456917A (en) * | 2021-07-05 | 2021-10-01 | 柳州市中医医院(柳州市壮医医院) | Extracorporeal membrane lung oxygenation device for preventing lower limb ischemia |
CN116617482A (en) * | 2023-04-28 | 2023-08-22 | 天津大学温州安全(应急)研究院 | ECMO combined blood purification device for animals and application method thereof |
US11918720B2 (en) | 2017-02-03 | 2024-03-05 | Nxstage Medical, Inc. | Multiple mode treatment devices methods and systems |
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2011
- 2011-09-28 CN CN2011203774400U patent/CN202270211U/en not_active Expired - Fee Related
Cited By (13)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2016103290A1 (en) * | 2014-12-22 | 2016-06-30 | Extra Corporeal Solutions S.R.L. | Apparatus for the treatment of blood |
ITUB20159389A1 (en) * | 2015-12-18 | 2017-06-18 | Eurosets Srl | EQUIPMENT FOR BLOOD DECAPNIZATION |
ITUB20159161A1 (en) * | 2015-12-18 | 2017-06-18 | Eurosets Srl | EQUIPMENT FOR BLOOD DECAPNIZATION |
CN105536086A (en) * | 2016-02-23 | 2016-05-04 | 南京医科大学第一附属医院 | Multifunctional ECMO circulating pipeline and method for performing extracorporeal membrane oxygenation by utilizing multifunctional ECMO circulating pipeline |
US11918720B2 (en) | 2017-02-03 | 2024-03-05 | Nxstage Medical, Inc. | Multiple mode treatment devices methods and systems |
CN110461387A (en) * | 2017-04-07 | 2019-11-15 | 因特斯维开尔有限责任公司 | The equipment of extracorporeal treatment for blood |
IT201700038389A1 (en) * | 2017-04-07 | 2018-10-07 | In10Sivecare S R L | Equipment for extracorporeal blood treatment |
WO2018185734A1 (en) * | 2017-04-07 | 2018-10-11 | In10Sivecare S.R.L. | Apparatus for the extracorporeal treatment of blood |
IT201700052603A1 (en) * | 2017-05-16 | 2018-11-16 | Medica S P A | FILTERING SYSTEM FOR CONTINUOUS RENAL SUBSTITUTE THERAPIES |
WO2018211434A1 (en) * | 2017-05-16 | 2018-11-22 | Medica S.P.A. | Filtering system for continuous renal replacement therapies |
IT201900002233A1 (en) * | 2019-02-15 | 2020-08-15 | Medica S P A | FILTERING SYSTEM FOR CONTINUOUS KIDNEY REPLACEMENT THERAPIES |
CN113456917A (en) * | 2021-07-05 | 2021-10-01 | 柳州市中医医院(柳州市壮医医院) | Extracorporeal membrane lung oxygenation device for preventing lower limb ischemia |
CN116617482A (en) * | 2023-04-28 | 2023-08-22 | 天津大学温州安全(应急)研究院 | ECMO combined blood purification device for animals and application method thereof |
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