CN202637573U - Extracorporeal circulation blood passage for hematodialysis - Google Patents

Extracorporeal circulation blood passage for hematodialysis Download PDF

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Publication number
CN202637573U
CN202637573U CN 201220288136 CN201220288136U CN202637573U CN 202637573 U CN202637573 U CN 202637573U CN 201220288136 CN201220288136 CN 201220288136 CN 201220288136 U CN201220288136 U CN 201220288136U CN 202637573 U CN202637573 U CN 202637573U
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China
Prior art keywords
vein
emissary
venous
extracorporeal circulation
interface module
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Expired - Fee Related
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CN 201220288136
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Chinese (zh)
Inventor
符霞
梁馨苓
宋利
庾瑞红
邱碧辉
刘敏芬
许德珍
刘志杭
叶锡兰
温建霞
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Guangdong General Hospital
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Guangdong General Hospital
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Abstract

The utility model discloses an extracorporeal circulation blood passage for hematodialysis. The extracorporeal circulation blood passage comprises an artery passage and a vein passage. The artery passage is provided with a T-shaped pipe branch passage communicated with the vein passage. The T-shaped pipe branch passage comprises a T-shaped pipe on a catheter and an infusion regulating device. A small flow stop clamp is disposed between the T-shaped pipe and an artery passage main passage. In the pre-rinsing process, the vein passage does not need repeatedly connecting and the closed pre-rinsing effect can be achieved and probability of infection is effectively reduced. The artery passage is provided with the T-shaped pipe which facilitates infusion operation. Through utilization of the T-shaped pipe or an artery monitoring pipe, closed blood return can be achieved. The blood return process is simple so as to facilitate operating by a nurse. At the same time, occurrences of needle stick injury adverse events are well avoided. In the therapeutic process, an arterial pressure sensor can be used for continue monitoring arterial pressure so as to facilitate observing changes of the passages.

Description

The extracorporeal circulation blood circuit of hemodialysis
Technical field
This utility model relates to Dialysis tubing road technique field, particularly a kind of extracorporeal circulation blood circuit of hemodialysis.
Background technology
When hemodialysis, the hemodialysis extracorporeal circulation blood circuit causes the patient body inner blood external after filter purifies again in the defeated ex vivo.Therefore, this device is mainly used in setting up extracorporeal circulation of blood.Stability, reliability, safety, operability, the prevention infection of hemodialysis extracorporeal circulation blood circuit pipe is the smooth important guarantee of hemodialysis.
At present, the in advance mode of rushing of hemodialysis extracorporeal circulation blood circuit pipe is open, mainly introduces first normal saline by arterial end, discarded saline is discharged in the fixing discharge outlet or disposable box; When dialyser blood district is full of normal saline, vein end is received repetitive cycling on the side pipe of tremulous pulse, to rush fully in advance dialyser.In this process, because need to repeatedly separate and be connected the vein end interface, thereby make the hemodialysis extracorporeal circulation blood circuit have larger pollution risk.
In addition, in the dialysis procedure, the arterial pressure force measurements can reflect the situation of change of hemodialysis extracorporeal circulation blood circuit pipe path.Cross when low when arterial pressure, the abnormal phenomenas such as the prompting Access flow is not enough, arterial line gives a discount, adherent or run-bake-needle fault are to guarantee the dialysis quality, safeguard the important guarantee of patient's life security.But do not design the side pipe that detects arterial pressure on the present hemodialysis extracorporeal circulation blood circuit pipe, can not immediately continue to monitor arterial pressure.Come off if arterial puncture needle occurs, machine can't instant alarming, makes the internal fistula oozing of blood event of 200-300ml/min speed can not get timely processing.Thereby there is a great potential safety hazard.
When dialysis finished, the present many employings of blood back mode separated first arterial end; With No. 16 syringe needles arterial end is accessed normal saline again, thus with the blood recovery in the pipeline in patient body.This process operation is complicated, and new nurse is not easy to grasp, and the danger of contaminated pinhead is arranged, very easily the needle injuries adverse events when separating arterial end.
In sum, at present the deficiency that exists of hemodialysis extracorporeal circulation blood circuit pipe mainly is to break through in advance journey and exists in the danger of polluting, the treatment poor stability and blood back process nursing procedure complicated, increases nurse's workload and work risk.These deficiencies may cause the patient and have a strong impact on, even the quality of impact treatment.
The utility model content
Utility model purpose of the present utility model is for the technical deficiency of existing hemodialysis extracorporeal circulation blood circuit, and a kind of hemodialysis extracorporeal circulation blood circuit is provided.
For realizing above-mentioned utility model purpose, the technical solution adopted in the utility model is:
A kind of extracorporeal circulation blood circuit of hemodialysis is provided, and this extracorporeal circulation blood circuit comprises arterial line and venous line, and described arterial line is provided with Mo Feishi dropper branch road, and described Mo Feishi dropper is located at the conduit tip away from the arterial line main road; Also be provided with for the T-shaped pipe that is connected with venous line on the described Mo Feishi dropper branch road, also be provided with infusion adjusting device between described T-shaped pipe and the Mo Feishi dropper, also be provided with little flow-stopping clip between described T-shaped pipe and the arterial line main road.
Preferably, described T-shaped pipe branch road also comprises the Mo Feishi dropper, and described Mo Feishi dropper is located at the conduit tip away from arterial line.
Preferably, described arterial line comprises the tremulous pulse kettle that links together by some emissary vein and is located at blood filter screen in the kettle, normal saline transfusion branch road, calparine pipe branch road, some flow-stopping clips and critical point medicated cap, pump line, blood sampling mouth assembly, soft pillow, tremulous pulse interface module and adapter assembly; One end of described the first emissary vein communicates with the tremulous pulse interface module, and the other end is connected with an end and the T-shaped pipe branch road of blood sampling mouthful assembly, and is provided with large flow-stopping clip between the first emissary vein and the blood sampling mouthful assembly; The other end of described blood sampling mouthful assembly is connected with an end of the second emissary vein, the other end of described the second emissary vein is connected with an end of soft pillow, the end that the other end of described soft pillow and the 3rd is led is connected, the other end of described the 3rd emissary vein is connected with an end of pump inner tube, the other end of described pump inner tube and calparine pipe branch road are connected with an end of the 4th emissary vein, the other end level normal saline transfusion branch road of described the 4th emissary vein is connected with an end of tremulous pulse kettle, the other end of described tremulous pulse kettle is connected with an end of the 5th emissary vein, described the 5th emissary vein is connected with an end of adapter assembly, and the other end of described adapter assembly is connected with the critical point medicated cap.
Preferably, in order to continue to monitor arterial pressure, one end of described pump inner tube also is connected with the arterial pressure transducer branch road, and described arterial pressure transducer branch road comprises and is located at supravasal arterial pressure transducer, is provided with little flow-stopping clip between described arterial pressure transducer and the arterial line main road.
Preferably, described venous line comprises the venous chambers that links together by some emissary vein and is located at the blood filter screen in the kettle, some flow-stopping clips and critical point medicated cap, venous blood collection mouth assembly, vein interface module, vein adapter assembly and venous pressure monitoring branch road; One end of described the first vein emissary vein communicates with the vein interface module, is provided with large flow-stopping clip between described vein interface module and the venous chambers; The other end of the first vein emissary vein is connected with an end of venous chambers, the other end of described venous chambers is connected with an end and the venous pressure monitoring branch road of the second vein emissary vein, the other end of described the second vein emissary vein is connected with an end of venous blood collection mouth assembly, the other end of described venous blood collection mouth assembly is connected with an end of the 3rd vein emissary vein, the other end of described the 3rd vein emissary vein is connected with an end of vein adapter assembly, and the other end of described vein adapter assembly is connected with the critical point medicated cap.
Preferably, cause polluting and infringement in order to prevent waste liquid from flowing out everywhere, described extracorporeal circulation blood circuit also comprises waste liquid collecting bag, described tremulous pulse interface module all is connected with waste liquid collecting bag by conduit with the vein interface module, and be provided with the first flow-stopping clip between described tremulous pulse interface module and the waste liquid collecting bag, be provided with the second flow-stopping clip between described vein interface module and the waste liquid collecting bag.
Preferably, be handled easily, described tremulous pulse interface module is connected with waste liquid collecting bag by Y-shaped three-way pipe with the vein interface module, and described Y-shaped three-way pipe supervisor is provided with main flow-stopping clip.
Preferably, flow backwards for placing waste liquid, described waste liquid collecting bag internal orifice is provided with anti-backflow device.
This utility model has following beneficial effect with respect to prior art: this utility model is broken through journey in advance not to be needed repeatedly to connect ostium venosum cordis, reaches the effect of the pre-punching of closed, effectively reduces the chance that infects; The operation of the convenient transfusion of T-shaped pipe that the arterial line pipeline carries utilizes T-shaped pipe or tremulous pulse monitoring pipe can finish the closed blood back, and the blood back process is simple, makes things convenient for nurse's operation, can avoid well the generation of pricking wound adverse events simultaneously; Can continue to monitor arterial pressure by arterial pressure transducer in the therapeutic process, thereby be convenient to the variation of sight clear line situation.This bloody path mainly adopts the medical grade PVC material to make; Therefore, the tubing quality is soft, transparent, bright and clean and without broken pipe, can avoid gallery pressure to increase or path unstable.In addition, this bloody path adopts the gamma ray sterilization, and when sterilization was finished, according to design, the indicator at the packaging bag back side became yellow.
Description of drawings
Fig. 1 is the overall structure figure of the extracorporeal circulation blood circuit of utility model hemodialysis;
Fig. 2 is the structure chart of arterial line of the extracorporeal circulation blood circuit of utility model hemodialysis;
Fig. 3 is the structure chart of venous line of the extracorporeal circulation blood circuit of utility model hemodialysis;
Fig. 4 is the structure chart of waste liquid collecting bag of the extracorporeal circulation blood circuit of utility model hemodialysis.
The specific embodiment
Below in conjunction with the drawings and specific embodiments utility model purpose of the present utility model is described in further detail, embodiment can not give unnecessary details one by one at this, but therefore embodiment of the present utility model is not defined in following examples.Unless stated otherwise, material and the processing method of this utility model employing are the art conventional material and processing method.
As shown in Figure 1, a kind of extracorporeal circulation blood circuit of hemodialysis, this extracorporeal circulation blood circuit comprise arterial line 1 and venous line 3.Extracorporeal circulation blood circuit also comprises waste liquid collecting bag 5, and tremulous pulse interface module 17 all is connected with waste liquid collecting bag 5 by conduit with vein interface module 33.This bloody path mainly adopts the medical grade PVC material to make; Therefore, the tubing quality is soft, transparent, bright and clean and without broken pipe, can avoid gallery pressure to increase or path unstable.In addition, this bloody path adopts the gamma ray sterilization, and when sterilization was finished, according to design, the indicator at the packaging bag back side became yellow.
As shown in Figure 2, arterial line 1 is provided with Mo Feishi dropper branch road, and Mo Feishi dropper 11c is located at the conduit 11d tip away from arterial line 1 main road.Also be provided with on the Mo Feishi dropper branch road for the T-shaped pipe 11a that is connected with venous line 2, also be provided with infusion adjusting device 11b between T-shaped pipe 11a and the Mo Feishi dropper 11c, also be provided with little flow-stopping clip between T-shaped pipe 11a and arterial line 1 main road.
Arterial line 1 comprises the tremulous pulse kettle 12 that links together by some emissary vein and is located at blood filter screen 12a, normal saline transfusion branch road 13, calparine pipe branch road 21, some flow-stopping clips and critical point medicated cap, the pump inner tube 14 in the kettle, take a blood sample a mouthful assembly 15, soft pillow 16, tremulous pulse interface module 17 and adapter assembly 18.Particularly, be provided with the blood filter screen in the tremulous pulse kettle dripping chamber, can stop that clot enters in the patient.
The end of the first emissary vein 19a communicates with tremulous pulse interface module 17, and the other end is connected with an end and the T-shaped pipe branch road 11 of blood sampling mouthful assembly 15, and is provided with large flow-stopping clip 10a between the first emissary vein 19a and the blood sampling mouthful assembly 15.The other end of blood sampling mouthful assembly 15 is connected with the end of the second emissary vein 19b.The other end of the second emissary vein 19b is connected with an end of soft pillow 16.The other end of soft pillow 16 is connected with the end of the 3rd emissary vein 19c.The other end of the 3rd emissary vein 19c is connected with an end of pump inner tube 14.The other end of pump inner tube 14 and calparine pipe branch road 21 are connected with the end of the 4th emissary vein 19d.The other end of the 4th emissary vein 19d and normal saline transfusion branch road 13 are connected with an end of tremulous pulse kettle 12.The other end of tremulous pulse kettle 12 is connected with the end of the 5th emissary vein 19e, and the 5th emissary vein 19e is connected with an end of adapter assembly 18, and the other end of adapter assembly 18 is connected with critical point medicated cap 10b.
One end of pump inner tube 14 also is provided with arterial pressure transducer branch road 20, and arterial pressure transducer branch road 20 comprises the arterial pressure transducer 20b that is located on the conduit 20a, is provided with little flow-stopping clip 10c between arterial pressure transducer 20b and arterial line 1 main road.
As shown in Figure 3, venous line 3 comprises the venous chambers 31 that links together by some emissary vein and is located at the blood filter screen 31a in the kettle, some flow-stopping clips and critical point medicated cap, venous blood collection mouth assembly 32, vein interface module 33, vein adapter assembly 34 and venous pressure monitoring branch road 35.Particularly, be provided with the blood filter screen in the venous chambers dripping chamber, can stop that clot enters in the patient.
The end of the first vein emissary vein 36a communicates with vein interface module 33.Be provided with large flow-stopping clip 37a between vein interface module 33 and the venous chambers 31.The other end of the first vein emissary vein 36a is connected with an end of venous chambers 31.The other end of venous chambers 31 is connected with an end and the venous pressure monitoring branch road 35 of the second vein emissary vein 36b, and the other end of the second vein emissary vein 36c is connected with an end of venous blood collection mouth assembly 32.The other end of venous blood collection mouth assembly 32 is connected with the end of the 3rd vein emissary vein 36d.The other end of the 3rd vein emissary vein 36d is connected with an end of vein adapter assembly 34.The other end of vein adapter assembly 34 is connected 37b with the critical point medicated cap.
As shown in Figure 4, extracorporeal circulation blood circuit also comprises waste liquid collecting bag 5, and tremulous pulse interface module 17 is connected with waste liquid collecting bag 5 by Y-shaped three-way pipe 51 with vein interface module 33, and the Y-shaped three-way pipe supervisor is provided with main flow-stopping clip 51.And, be provided with the first flow-stopping clip 53 between tremulous pulse interface module and the waste liquid collecting bag, be provided with the second flow-stopping clip 54 between vein interface module and the waste liquid collecting bag.
Tremulous pulse interface module 17 pools together with vein interface module 33 and is connected with waste liquid collecting bag 5 by conduit afterwards.
It is as follows that pipeline rushes operation principle in advance:
1, prepare pipeline and check and check: whether model, effect duration, package integrity properties, the packaging bag back side indicator of checking bloody path are yellow;
2, connecting line: taking-up arterial line, venous line (are tightened all blocks; Folder closes two side pipes, the calparine pipe of tremulous pulse kettle, the dummy pipe of pump inner tube; Folder closes two side pipes of venous chambers, and folder closes the junction of arterial line, venous line and waste fluid bag); Venous line is installed first, hangs waste fluid bag, arterial line is installed again, and (arterial line finds end interface first; Then reverse make infall in order after, hang upside down first the tremulous pulse kettle, refill the pump inner flexible tube, make T-shaped pipe in order, folder closes the conduit of all branch roads in this process) → take out new dialyser, new dialyser is connected with tremulous pulse is upside down in (tremulous pulse, the vein end critical point medicated cap of new dialyser are enclosed within respectively tremulous pulse, venous line opening part) on the dialyser fixed mount after venous line connects.
3, connect normal saline: check the 1000ml normal saline, unpack, take out and check on the quality, hang up the transfusion hook (not polluting infusion orifice) of dialyser → T-shaped pipe is connected 1000ml normal saline bag and fixing.
Aerofluxus: use first gravity principle, allowing saline be full of arterial line connects the first flow-stopping clip that waste liquid collecting bag to T-shaped this section of pipe pipeline → folder closes arterial line → press the prime key and begins pre-punching, gas in pump inner tube flow velocity 80-100ml/min → emptying arterial line and the new dialyser blood district, pump inner tube flow velocity is transferred to 200-300ml → the unload critical point medicated cap in the new dialyser bypass, connect the dialysis solution joint and (connect first venous line, connect again arterial line, the new dialyser of emptying liquid zone gas.
Follow pipe: the 1000ml normal saline is arranged surplus three/for the moment approximately, and termination of pumping inner tube → folder closes the first flow-stopping clip of the flow-stopping clip that waste liquid collecting bag is responsible for → open arterial line → start pump inner circle tube (pump inner tube flow velocity 300ml/min).
Venous chambers liquid level aerofluxus: open the monitoring flow-stopping clip of venous pressure monitoring branch road → again venous line is filled in the venous clamp of dialysis machine, carry out venous chambers aerofluxus → adjust the venous chambers liquid level by the liquid level key.
Pre-punching is finished, and waits for the upper machine into the patient.
Above-described embodiment is preferred embodiment of the present utility model only, is not to limit practical range of the present utility model.Be that all equalizations of doing according to this utility model content change and modification, all contained by this utility model claim scope required for protection.

Claims (7)

1. the extracorporeal circulation blood circuit of a hemodialysis, this extracorporeal circulation blood circuit comprises arterial line (1) and venous line (3), described arterial line (1) is provided with Mo Feishi dropper branch road, and described Mo Feishi dropper (11c) is located at conduit (11d) tip away from arterial line (1) main road; It is characterized in that: also be provided with the T-shaped pipe (11a) that is connected for venous line (2) on the described Mo Feishi dropper branch road, also be provided with infusion adjusting device (11b) between described T-shaped pipe (11a) and the Mo Feishi dropper (11c), also be provided with little flow-stopping clip between described T-shaped pipe (11a) and arterial line (1) main road.
2. the extracorporeal circulation blood circuit of hemodialysis according to claim 1 is characterized in that: described arterial line (1) comprises the tremulous pulse kettle (12) that links together by some emissary vein and is located at blood filter screen (12a), normal saline transfusion branch road (13), calparine pipe branch road (21), some flow-stopping clips and critical point medicated cap, pump inner tube (14), a blood sampling mouthful assembly (15), soft pillow (16), tremulous pulse interface module (17) and adapter assembly (18) in the kettle; One end of described the first emissary vein (19a) communicates with tremulous pulse interface module (17), the other end is connected with an end and the T-shaped pipe branch road (11) of blood sampling mouthful assembly (15), and is provided with large flow-stopping clip (10a) between the first emissary vein (19a) and the blood sampling mouthful assembly (15); The other end of described blood sampling mouthful assembly (15) is connected with an end of the second emissary vein (19b), the other end of described the second emissary vein (19b) is connected with an end of soft pillow (16), the other end of described soft pillow (16) is connected with an end of the 3rd emissary vein (19c), the other end of described the 3rd emissary vein (19c) is connected with an end of pump inner tube (14), the other end of described pump inner tube (14) and calparine pipe branch road (21) are connected with an end of the 4th emissary vein (19d), the other end of described the 4th emissary vein (19d) is connected with an end of tremulous pulse kettle (12), the other end of described tremulous pulse kettle (12) is connected with an end of the 5th emissary vein (19e), described the 5th emissary vein (19e) is connected with an end of adapter assembly (18), and the other end of described adapter assembly (18) is connected with critical point medicated cap (10b).
3. the extracorporeal circulation blood circuit of hemodialysis according to claim 2, it is characterized in that: an end of described pump inner tube (14) also is provided with arterial pressure transducer branch road (20), described arterial pressure transducer branch road (20) comprises the arterial pressure transducer (20b) that is located on the conduit (20a), is provided with little flow-stopping clip (10c) between described arterial pressure transducer (20b) and arterial line (1) main road.
4. the extracorporeal circulation blood circuit of hemodialysis according to claim 3 is characterized in that: described venous line (3) comprises the venous chambers (31) that links together by some emissary vein and is located at blood filter screen (31a), some flow-stopping clips and critical point medicated cap, venous blood collection mouth assembly (32), vein interface module (33), vein adapter assembly (34) and venous pressure monitoring branch road (35) in the kettle; One end of described the first vein emissary vein (36a) communicates with vein interface module (33), is provided with large flow-stopping clip (37a) between described vein interface module (33) and the venous chambers (31); The other end of the first vein emissary vein (36a) is connected with an end of venous chambers (31), the other end of described venous chambers (31) is connected with an end and the venous pressure monitoring branch road (35) of the second vein emissary vein (36b), the other end of described the second vein emissary vein (36b) is connected with an end of venous blood collection mouth assembly (32), the other end of described venous blood collection mouth assembly (32) is connected with an end of the 3rd vein emissary vein (36c), the other end of described the 3rd vein emissary vein (36c) is connected with an end of vein adapter assembly (34), and the other end of described vein adapter assembly (34) is connected (37b) with the critical point medicated cap.
5. the extracorporeal circulation blood circuit of hemodialysis according to claim 4, it is characterized in that: described extracorporeal circulation blood circuit also comprises waste liquid collecting bag (5), described tremulous pulse interface module (17) all is connected with waste liquid collecting bag (5) by conduit with vein interface module (33), and be provided with the first flow-stopping clip (53) between described tremulous pulse interface module and the waste liquid collecting bag, be provided with the second flow-stopping clip (54) between described vein interface module and the waste liquid collecting bag.
6. the extracorporeal circulation blood circuit of hemodialysis according to claim 5, it is characterized in that: described tremulous pulse interface module (17) is connected with waste liquid collecting bag (5) by Y-shaped three-way pipe (51) with vein interface module (33), and described Y-shaped three-way pipe supervisor is provided with main flow-stopping clip (51).
7. the extracorporeal circulation blood circuit of hemodialysis according to claim 6, it is characterized in that: described waste liquid collecting bag (5) internal orifice is provided with anti-backflow device (52).
CN 201220288136 2012-06-19 2012-06-19 Extracorporeal circulation blood passage for hematodialysis Expired - Fee Related CN202637573U (en)

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Application Number Priority Date Filing Date Title
CN 201220288136 CN202637573U (en) 2012-06-19 2012-06-19 Extracorporeal circulation blood passage for hematodialysis

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Application Number Priority Date Filing Date Title
CN 201220288136 CN202637573U (en) 2012-06-19 2012-06-19 Extracorporeal circulation blood passage for hematodialysis

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103263706A (en) * 2013-05-09 2013-08-28 浙江大学 Plasma storage bag special for plasma exchange, absorption, and filtration treatment
CN105407939A (en) * 2013-07-25 2016-03-16 弗雷泽纽斯医疗保健德国有限公司 Method and device for monitoring an extracorporeal blood circuit

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103263706A (en) * 2013-05-09 2013-08-28 浙江大学 Plasma storage bag special for plasma exchange, absorption, and filtration treatment
CN105407939A (en) * 2013-07-25 2016-03-16 弗雷泽纽斯医疗保健德国有限公司 Method and device for monitoring an extracorporeal blood circuit

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