CN204563087U - The two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous - Google Patents

The two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous Download PDF

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Publication number
CN204563087U
CN204563087U CN201520149149.6U CN201520149149U CN204563087U CN 204563087 U CN204563087 U CN 204563087U CN 201520149149 U CN201520149149 U CN 201520149149U CN 204563087 U CN204563087 U CN 204563087U
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blood
pump
tube
artery
pipeline
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CN201520149149.6U
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张金霞
王中菊
丁晓仙
何英
朱丽
樊玲燕
陈益
顾雪莲
金娟
汪梅
徐晔
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Abstract

The utility model discloses the two-way blood back hemodialysis pipeline of one not termination of pumping bridging closed arteriovenous, this arterial line comprises pump prerolandic artery Rolando blood tube, blood pump, the first pump artery blood tube, tremulous pulse kettle and the second pump artery blood tube, one end of pump prerolandic artery Rolando blood tube is connected with arterial puncture needle, the other end of pump prerolandic artery Rolando blood tube is communicated in the inlet of blood pump, the liquid outlet of blood pump is communicated in the liquid inlet of tremulous pulse kettle by the first pump artery blood tube, the liquid outlet of tremulous pulse kettle is connected to a hemodialyzer by the second pump artery blood tube; Tremulous pulse kettle is also connected with a downtake pipe; Separately be provided with a blood back pipeline, this blood back pipeline is connected with pump prerolandic artery Rolando blood tube with downtake pipe respectively, and this blood back pipeline, downtake pipe and pump prerolandic artery Rolando blood tube also form a closed blood back path jointly; This hemodialysis pipeline achieves artery and vein and carries out blood recovery simultaneously, and does not need termination of pumping, simple to operate, safety.

Description

The two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous
Technical field
This utility model relates to technical field of medical instruments, specifically provides one not termination of pumping bridging closed arteriovenous two-way blood back hemodialysis pipeline.
Background technology
At present, the arteriovenous blood back hemodialysis pipeline that domestic each hospital adopts mostly as shown in Figure 1, and the operating procedure using this arteriovenous blood back hemodialysis pipeline to carry out lower machine blood back is: 1. stop blood pump 3 to operate, open the 3rd on the first arterial side arm 2 and control folder 13, utilize normal saline to rely on the effect of gravity to be fed back to after in patient body the blood in pump prerolandic artery Rolando blood tube 1, the clip that folder closes on arterial puncture needle or folder close the clip (not shown) be located in pump prerolandic artery Rolando blood tube 1; 2. open blood pump 3, drive normal saline to make blood recovery in the first pump artery blood tube 5, tremulous pulse kettle 6, second pump artery blood tube 7 and hemodialyzer in patient body by blood pump.
Although existing arteriovenous blood back hemodialysis pipeline can meet blood back requirement, but also have certain defect: 1) existing arteriovenous blood back hemodialysis pipeline need utilize the natural gravity of normal saline by blood recovery to the arterial end of pump prerolandic artery Rolando blood tube 1, therefore just need a large amount of normal saline to carry out blood back, this amount of liquid entering patient to control is disadvantageous, the cardiac load of patient can be increased, and then affect the cardiovascular function of patient.And enter the number of normal saline in patient body, be also directly connected to the growth of patients with hemodialysis's interval body weight, therefore this operation has some limitations.2) this operational approach needs termination of pumping 40 ~ 60s when the arterial end blood operation being fed back to pump prerolandic artery Rolando blood tube, because of blood samples of patients relative enhancement at the end of dialysis, especially, easily there is instantaneous blood-coagulating in the termination of pumping stage in the high blood coagulation of the No heparinization HD therapy patient of clotting mechanism exception and blood constituent exception, high glutinous patient.Especially the patient large for ultrafiltration volume, blood flow rate is slow, hematochrome is high, when the termination of pumping time is slightly long, namely there will be blood color dimmed, blood back difficulty, the phenomenon that the residual blood of dialyser increases the weight of.And because maintenance dialysis patient treatment is frequent, need weekly dialysis 2 ~ 3 times, if all remaining blood volume is too much during each dialysis blood back, then can cause dialysis patient chronic blood loss, accumulating over a long period also can the severity of anemia of making patients.
Summary of the invention
In order to overcome above-mentioned defect, this utility model provides the two-way blood back hemodialysis pipeline of one not termination of pumping bridging closed arteriovenous, and this hemodialysis pipeline is simple to operate, safe, practical.
This utility model in order to the technical scheme solving its technical problem and adopt is: the two-way blood back hemodialysis pipeline of one not termination of pumping bridging closed arteriovenous, comprise arterial line, this arterial line comprises pump prerolandic artery Rolando blood tube, blood pump, first pump artery blood tube, tremulous pulse kettle and the second pump artery blood tube, wherein, one end of described pump prerolandic artery Rolando blood tube is connected with arterial puncture needle, the other end of described pump prerolandic artery Rolando blood tube is communicated in the inlet of blood pump, the liquid outlet of another blood pump is communicated in the liquid inlet of tremulous pulse kettle by described first pump artery blood tube, and the liquid outlet of tremulous pulse kettle is also connected to a hemodialyzer by described second pump artery blood tube, it is characterized in that: described tremulous pulse kettle is also connected with one in order to the downtake pipe of aerofluxus, separately be provided with a blood back pipeline, this blood back pipeline is connected with described pump prerolandic artery Rolando blood tube with described downtake pipe respectively, and this blood back pipeline, described downtake pipe and described pump prerolandic artery Rolando blood tube also form a closed blood back path jointly.
As further improvement of the utility model, this blood back pipeline to comprise after pump blood return tube before blood return tube, filter jug and pump, described filter jug is provided with liquid inlet and liquid outlet, and the liquid inlet of described filter jug is communicated in described downtake pipe by blood return tube after described pump, the liquid outlet of described filter jug is communicated in the other end of described pump prerolandic artery Rolando blood tube by blood return tube before described pump;
Another on described filter jug, be also connected with one in order to the second exhaust pipe of aerofluxus.
As further improvement of the utility model, be also provided with the 3rd arterial side arm, before described pump, blood return tube is communicated in the other end of described pump prerolandic artery Rolando blood tube by described 3rd arterial side arm.
As further improvement of the utility model, described second exhaust pipe is provided with the first control folder in order to be opened by described second exhaust pipe or to close;
Another the second control blood return tube, described 3rd arterial side arm and described pump prerolandic artery Rolando blood tube being respectively respectively arranged with to control fluid flow after described downtake pipe, described pump is pressed from both sides.
As further improvement of the utility model, on described second exhaust pipe and the position being close to described filter jug is provided with described first controls folder;
Another on described downtake pipe and after being close to the position of described tremulous pulse kettle, described pump, blood return tube be close on the position of described filter jug, described 3rd arterial side arm and be close in the position of described pump prerolandic artery Rolando blood tube and described pump prerolandic artery Rolando blood tube and the position being close to described blood pump inlet is respectively respectively arranged with described second controls folder.
As further improvement of the utility model, between the other end and the inlet of described blood pump of described pump prerolandic artery Rolando blood tube, be also connected with one in order to be connected the first arterial side arm of normal saline; Separately between described first pump artery blood tube and the liquid outlet of described blood pump, be also connected with one in order to be connected the second arterial side arm of heparin.
As further improvement of the utility model, the on described first arterial side arm and described second arterial side arm, be also provided with to control fluid flow respectively the 3rd controls folder.
The beneficial effects of the utility model are: compared to prior art, and this utility model improves hemodialysis pipeline, achieve a kind of not termination of pumping and artery and vein carries out the hemodialysis pipeline of blood recovery simultaneously; This arteriovenous two-way blood back hemodialysis pipeline has significant progress: 1. the two-way blood back hemodialysis pipeline of this arteriovenous decreases the saline volume of feedback, well alleviates patient burden, has ensured the personal safety of patient; 2. the two-way blood back hemodialysis pipeline of this arteriovenous does not need termination of pumping, so not only shorten Blood return time, turn avoid danger dialyser blood coagulation occurring because of termination of pumping, increases remaining blood volume, be applicable to internal fistula, put pipe or the patient of artificial blood vessel, especially excessive for arteries pressure and closed blood back person can not be used also to be suitable for.In addition, the two-way blood back hemodialysis pipeline of this arteriovenous also reduces the operating procedure of nursing staff, greatly saves the operating time of nursing staff.
Accompanying drawing explanation
Fig. 1 is the structural representation of arteriovenous blood back hemodialysis pipeline in prior art;
Fig. 2 is the structural representation of the two-way blood back hemodialysis pipeline of arteriovenous in this utility model;
Fig. 3 is that the blood back of the two-way blood back of arteriovenous in this utility model flows to schematic diagram.
By reference to the accompanying drawings, make the following instructions:
1---pump prerolandic artery Rolando blood tube 2---first arterial side arm
3---blood pump 4---the second arterial side arm
5---first pump artery blood tube 6---tremulous pulse kettle
7---second pump artery blood tube 8---downtake pipe
9---blood back pipeline 90---blood return tube after pump
91---filter jug 92---blood return tube before pump
93---second exhaust pipe 10---the 3rd arterial side arm
Second controls folder to 11---first controls folder 12---
13---the 3rd controls folder.
Detailed description of the invention
Referring to figure, preferred embodiment of the present utility model is described in detail.
The two-way blood back hemodialysis pipeline of one not termination of pumping bridging closed arteriovenous described in the utility model, comprise arterial line, this arterial line comprises pump prerolandic artery Rolando blood tube 1, blood pump 3, first pump artery blood tube 5, tremulous pulse kettle 6 and the second pump artery blood tube 7, wherein, one end of described pump prerolandic artery Rolando blood tube 1 is connected with arterial puncture needle, the other end of described pump prerolandic artery Rolando blood tube 1 is communicated in the inlet of blood pump 3, the liquid outlet of another blood pump 3 is communicated in the liquid inlet of tremulous pulse kettle 6 by described first pump artery blood tube 5, and the liquid outlet of tremulous pulse kettle 6 is also connected to a hemodialyzer by described second pump artery blood tube 7, described tremulous pulse kettle 6 is also connected with one in order to the downtake pipe 8 of aerofluxus, separately be provided with a blood back pipeline 9, this blood back pipeline 9 is connected with described pump prerolandic artery Rolando blood tube 1 with described downtake pipe 8 respectively, and this blood back pipeline 9, described downtake pipe 8 and described pump prerolandic artery Rolando blood tube 1 also common formation one closed blood back path.Compared to prior art, this utility model improves hemodialysis pipeline, achieves a kind of not termination of pumping and the hemodialysis pipeline of artery and vein simultaneously blood recovery.This arteriovenous two-way blood back hemodialysis pipeline has significant progress: 1. the two-way blood back hemodialysis pipeline of this arteriovenous decreases the saline volume of feedback, well alleviates patient burden, has ensured the medical safety of patient; 2. the two-way blood back hemodialysis pipeline of this arteriovenous does not need termination of pumping, both Blood return time was shortened, turn avoid the danger that dialyser blood coagulation and the remaining blood volume of increase occur because of termination of pumping, be applicable to internal fistula, put the patient of pipe or artificial blood vessel, especially excessive for arteries pressure and closed blood back person can not be used also to be suitable for, simple to operate, safe, practical.
In the present embodiment, this blood back pipeline 9 to comprise after pump blood return tube 92 before blood return tube 90, filter jug 91 and pump, described filter jug 91 is provided with liquid inlet and liquid outlet, and the liquid inlet of described filter jug is communicated in described downtake pipe 8 by blood return tube 90 after described pump, the liquid outlet of described filter jug 91 is communicated in the other end of described pump prerolandic artery Rolando blood tube 1 by blood return tube 92 before described pump; Another on described filter jug 91, be also connected with one in order to the second exhaust pipe 93 of aerofluxus.
In the present embodiment, be also provided with the 3rd arterial side arm 10, before described pump, blood return tube 92 is communicated in the other end of described pump prerolandic artery Rolando blood tube 1 by described 3rd arterial side arm 10; Preferably, described 3rd arterial side arm 10 is connected with described pump prerolandic artery Rolando blood tube 1 one.
In the present embodiment, described second exhaust pipe 93 is provided with the first control folder 11 in order to be opened by described second exhaust pipe or to close, namely described first control folder 11 can be closed or discharge gas;
Separately blood return tube 90, described 3rd arterial side arm 10 and described pump prerolandic artery Rolando blood tube 1 are respectively respectively arranged with to control second of fluid flow after described downtake pipe 8, described pump and control folder 12.
In the present embodiment, on described second exhaust pipe 93 and the position being close to described filter jug 91 is provided with described first controls folder;
Another on described downtake pipe 8 and after being close to the position of described tremulous pulse kettle 6, described pump, blood return tube 90 be close on the position of described filter jug 91, described 3rd arterial side arm 10 and be close in the position of described pump prerolandic artery Rolando blood tube 1 and described pump prerolandic artery Rolando blood tube 1 and the position being close to described blood pump 3 inlet is respectively respectively arranged with described second controls folder.
In the present embodiment, between the other end and the inlet of described blood pump 3 of described pump prerolandic artery Rolando blood tube 1, one is also connected with in order to be connected the first arterial side arm 2 of normal saline; Separately between described first pump artery blood tube 5 and the liquid outlet of described blood pump 3, be also connected with one in order to be connected the second arterial side arm 4 of heparin.
In the present embodiment, the on described first arterial side arm 2 and described second arterial side arm 4, be also provided with to control fluid flow respectively the 3rd controls folder 13.Preferably, to be close on the position of described blood pump 3 inlet and described second arterial side arm 4 and the position being close to described blood pump 3 liquid outlet is provided with the 3rd controls folder 13 on described first arterial side arm 2 respectively.
The new operation principle of this practicality is: after whole hemodialysis pipeline (containing arterial line and venous line) closed is made in advance, blood return tube before pump 92 is connected with the 3rd arterial side arm 10 and opens second on the 3rd arterial side arm 10 and control to press from both sides, then again blood return tube after pump 90 is connected with downtake pipe 8 and presss from both sides and close second on downtake pipe 8 and control to press from both sides, be exhausted by second exhaust pipe 93; After second exhaust pipe 93 aerofluxus, folder closes first on it and controls folder, and what folder closed after described pump in blood return tube 90 and the 3rd arterial side arm 10 simultaneously second controls folder.
When carrying out lower machine blood back, operating procedure is: 1. slow down blood flow, 3rd control of opening on described first arterial side arm 2 is pressed from both sides and second after described pump on blood return tube 90, downtake pipe 8 and the 3rd arterial side arm 10 controls folder, and the second control that folder closes in described pump prerolandic artery Rolando blood tube 1 is simultaneously pressed from both sides; 2. by described first arterial side arm 2 to saline injection in blood pump 3, blood pump 3 drives normal saline to flow to described tremulous pulse Hu6Chu from the first pump artery blood tube 5, also means the blood recovery in the first pump artery blood tube 5 to tremulous pulse Hu6Chu simultaneously; 3. because this utility model is provided with a blood back pipeline between the downtake pipe 8 and pump prerolandic artery Rolando blood tube 1 of tremulous pulse kettle, therefore two blood back paths are then formed with in tremulous pulse kettle position, wherein the normal saline of a part drives and makes blood recovery in tremulous pulse kettle 6, second pump artery blood tube 7 and hemodialyzer in patient body, forms first blood back path; Flow in described pump prerolandic artery Rolando blood tube 1 after blood return tube 92 and the 3rd arterial side arm 10 before blood return tube 90, filter jug 91, pump after the normal saline of another part then flows through downtake pipe 8, pump successively, make blood recovery in pump prerolandic artery Rolando blood tube 1 in patient body, form second blood back path.
This operation achieves artery and vein closed blood back simultaneously, and whole blood back process does not need termination of pumping.

Claims (7)

1. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous, comprise arterial line, this arterial line comprises pump prerolandic artery Rolando blood tube (1), blood pump (3), first pump artery blood tube (5), tremulous pulse kettle (6) and the second pump artery blood tube (7), wherein, one end of described pump prerolandic artery Rolando blood tube (1) is connected with arterial puncture needle, the other end of described pump prerolandic artery Rolando blood tube (1) is communicated in the inlet of blood pump (3), the liquid outlet of another blood pump (3) is communicated in the liquid inlet of tremulous pulse kettle (6) by described first pump artery blood tube (5), and the liquid outlet of tremulous pulse kettle (6) is also connected to a hemodialyzer by described second pump artery blood tube (7), it is characterized in that: described tremulous pulse kettle (6) is also connected with one in order to the downtake pipe (8) of aerofluxus, separately be provided with a blood back pipeline (9), this blood back pipeline (9) is connected with described pump prerolandic artery Rolando blood tube (1) with described downtake pipe (8) respectively, and this blood back pipeline (9), described downtake pipe (8) and described pump prerolandic artery Rolando blood tube (1) also common formation one closed blood back path.
2. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous according to claim 1, it is characterized in that: this blood back pipeline (9) comprises blood return tube (90) after pump, blood return tube (92) before filter jug (91) and pump, described filter jug (91) is provided with liquid inlet and liquid outlet, and the liquid inlet of described filter jug is communicated in described downtake pipe (8) by blood return tube (90) after described pump, the liquid outlet of described filter jug (91) is communicated in the other end of described pump prerolandic artery Rolando blood tube (1) by blood return tube (92) before described pump,
Another on described filter jug (91), be also connected with one in order to the second exhaust pipe (93) of aerofluxus.
3. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous according to claim 2, it is characterized in that: be also provided with the 3rd arterial side arm (10), before described pump, blood return tube (92) is communicated in the other end of described pump prerolandic artery Rolando blood tube (1) by described 3rd arterial side arm (10).
4. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous according to claim 3, is characterized in that: on described second exhaust pipe (93), be provided with the first control folder (11) in order to be opened by described second exhaust pipe or to close;
(12) are pressed from both sides in another the second control blood return tube (90), described 3rd arterial side arm (10) and described pump prerolandic artery Rolando blood tube (1) being respectively respectively arranged with to control fluid flow after described downtake pipe (8), described pump.
5. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous according to claim 4, is characterized in that: to go up and the position being close to described filter jug (91) is provided with described first controls folder at described second exhaust pipe (93);
Another after described downtake pipe (8) go up and is close to the position of described tremulous pulse kettle (6), described pump blood return tube (90) go up and be close to the position of described filter jug (91), described 3rd arterial side arm (10) goes up and is close to the position of described pump prerolandic artery Rolando blood tube (1) and described pump prerolandic artery Rolando blood tube (1) and to go up and the position being close to described blood pump (3) inlet is respectively respectively arranged with described second control presss from both sides.
6. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous according to claim 2, is characterized in that: between the other end and the inlet of described blood pump (3) of described pump prerolandic artery Rolando blood tube (1), be also connected with one in order to be connected the first arterial side arm (2) of normal saline; Separately between described first pump artery blood tube (5) and the liquid outlet of described blood pump (3), be also connected with one in order to be connected the second arterial side arm (4) of heparin.
7. the two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous according to claim 6, is characterized in that: the on described first arterial side arm (2) and described second arterial side arm (4), be also provided with to control fluid flow respectively the 3rd controls folder (13).
CN201520149149.6U 2015-03-17 2015-03-17 The two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous Expired - Fee Related CN204563087U (en)

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CN201520149149.6U CN204563087U (en) 2015-03-17 2015-03-17 The two-way blood back hemodialysis pipeline of not termination of pumping bridging closed arteriovenous

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108310504A (en) * 2018-02-27 2018-07-24 四川大学华西医院 A kind of vena cave retroperfusion pipe and its application method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108310504A (en) * 2018-02-27 2018-07-24 四川大学华西医院 A kind of vena cave retroperfusion pipe and its application method

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20150819

Termination date: 20170317