CN205215817U - Closed type artificial kidney connecting pipe - Google Patents
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Abstract
本实用新型公开了一种闭合式人工肾连接管,包括十根管路,其中第一管路、第二管路和第三管路分别与第一三通的三个接头连接;第三管路另一端、第四管路、第五管路和第七管路的一端分别与四通的四个接口连接,或者,第三管路另一端、第四管路的一端与第五管路的一端通过第四三通连接,第七管路的一端通过第五三通连接在第五管路的中部;第七管路另一端、第八管路一端和第十管路一端分别与第二三通的三个接头连接;第六管路一端、第八管路另一端和第九管路一端分别与第三三通的三个接口连接。该闭合式人工肾连接管可以同时满足灌流器和透析器的单独预冲和串联预冲、灌流器和透析器联合治疗和透析器单独治疗,无安全隐患。
The utility model discloses a closed artificial kidney connecting tube, which comprises ten pipelines, wherein the first pipeline, the second pipeline and the third pipeline are respectively connected with three joints of the first tee; the third pipeline The other end of the third pipeline, one end of the fourth pipeline, the fifth pipeline and the seventh pipeline are respectively connected to the four ports of the cross, or the other end of the third pipeline, one end of the fourth pipeline and the fifth pipeline One end of the seventh pipeline is connected to the middle of the fifth pipeline through the fifth three-way; the other end of the seventh pipeline, one end of the eighth pipeline and one end of the tenth pipeline are respectively connected with the first The three joints of the second and three links are connected; one end of the sixth pipeline, the other end of the eighth pipeline and one end of the ninth pipeline are respectively connected with the three interfaces of the third and three links. The closed artificial kidney connecting tube can simultaneously satisfy the individual preflushing and serial preflushing of the perfusion device and the dialyzer, the combined treatment of the perfusion device and the dialyzer, and the single treatment of the dialyzer, without safety hazards.
Description
技术领域technical field
本实用新型涉及一种血液净化耗材,尤其涉及一种闭合式人工肾连接管。The utility model relates to a blood purification consumable, in particular to a closed artificial kidney connecting tube.
背景技术Background technique
血液灌流和血液透析是近年来在临床上迅速崛起的血液净化技术,治疗范畴已涉及肾脏病、急性中毒、肝病、危重病、皮肤病及免疫性疾病等等。随着人们生活水平的提高及健康意识的增加,血液净化作为一种疾病治疗方式,已被广泛接受,且每年使用量呈增加的趋势。Hemoperfusion and hemodialysis are blood purification technologies that have been rapidly emerging clinically in recent years. The treatment scope has involved kidney disease, acute poisoning, liver disease, critical illness, skin disease and immune disease, etc. With the improvement of people's living standards and the increase of health awareness, blood purification has been widely accepted as a disease treatment method, and the annual usage is increasing.
目前临床常采用透析器和灌流器串联对尿毒症患者进行治疗。通常先使用血液灌流器及透析器联合治疗,2小时后再撤掉灌流器,然后单纯使用透析器透析2小时。此种透析治疗方式可以减少尿毒症患者的并发症状,弥补单纯透析器透析的缺陷,可起到一定的积极作用,但实际操作中经常会遇到一些技术问题。例如:(1)血液灌流器中的吸附剂一般为经过特殊工艺处理过的中性大孔吸附树脂,血液灌流器和透析器串联连接,在治疗前的预冲过程中,预冲液要先通过血液灌流器,然后再经管路进入透析器,从而可能导致经过灌流器的预冲液对透析器形成二次污染,甚至可能影响透析器的有效性。(2)灌流器、透析器串联治疗2小时后需要将灌流器拆除单纯使用透析器透析,拆除管路过程中透析器连接端部和患者透析管端部必然要暴露在空气中,空气中的细菌、微尘等易通过开放端部进入透析器和血液管路中造成污染或感染,给患者造成不必要的伤害。Currently, dialyzers and perfusion devices are often used in series to treat uremia patients. Usually, combined treatment with hemoperfusion and dialyzer is used first, then the perfusion device is removed after 2 hours, and then dialyzer is used for dialysis for 2 hours. This kind of dialysis treatment can reduce the complications of uremia patients and make up for the defects of simple dialyzer dialysis, which can play a certain positive role, but it often encounters some technical problems in actual operation. For example: (1) The adsorbent in the hemoperfusion device is generally a neutral macroporous adsorbent resin that has been processed by a special process. The hemoperfusion device and the dialyzer are connected in series. Pass through the hemoperfusion device, and then enter the dialyzer through the pipeline, which may cause secondary pollution of the dialyzer by the preflush passing through the perfusion device, and may even affect the effectiveness of the dialyzer. (2) After 2 hours of serial treatment with the perfusion device and the dialyzer, the perfusion device needs to be removed and the dialyzer alone is used for dialysis. During the removal of the pipeline, the connection end of the dialyzer and the end of the patient's dialysis tube must be exposed to the air. Bacteria, fine dust, etc. can easily enter the dialyzer and blood pipeline through the open end to cause pollution or infection, causing unnecessary harm to patients.
发明内容Contents of the invention
本实用新型所要解决的技术问题在于提供一种配合灌流器和透析器使用的闭合式人工肾连接管。The technical problem to be solved by the utility model is to provide a closed artificial kidney connecting tube used with a perfusion device and a dialyzer.
为了实现上述目的,本实用新型采用如下的技术方案:In order to achieve the above object, the utility model adopts the following technical solutions:
一种闭合式人工肾连接管,包括十根管路;其中,第一管路、第二管路和第三管路的一端分别与第一三通的三个接头连接;A closed artificial kidney connecting tube, including ten pipelines; wherein, one end of the first pipeline, the second pipeline and the third pipeline are respectively connected to the three joints of the first tee;
所述第三管路的另一端、第四管路的一端、第五管路的一端和第七管路的一端构成相互连通的结构;The other end of the third pipeline, one end of the fourth pipeline, one end of the fifth pipeline and one end of the seventh pipeline form an interconnected structure;
所述第七管路的另一端、第八管路的一端和第十管路的一端分别与第二三通的三个接头连接;The other end of the seventh pipeline, one end of the eighth pipeline and one end of the tenth pipeline are respectively connected to the three joints of the second tee;
第六管路的一端、所述第八管路的另一端和第九管路的一端分别与第三三通的三个接口连接。One end of the sixth pipeline, the other end of the eighth pipeline and one end of the ninth pipeline are respectively connected to the three interfaces of the third tee.
其中较优地,所述第一三通是可控制流量的旋塞式三通;或者,所述第一三通是普通三通,并在所述第二管路上设有管夹。Wherein preferably, the first three-way is a plug-type three-way that can control flow; or, the first three-way is an ordinary three-way, and a pipe clamp is provided on the second pipeline.
其中较优地,所述第三管路的另一端、所述第四管路的一端、所述第五管路的一端和所述第七管路的一端分别与四通的四个接口连接。Preferably, the other end of the third pipeline, one end of the fourth pipeline, one end of the fifth pipeline and one end of the seventh pipeline are respectively connected to the four interfaces of the four-way .
其中较优地,所述第二三通和所述第三三通为控制流量的旋塞式三通;所述四通为控制流量的旋塞式四通;其中,当所述第一三通是普通三通时,在所述第三管路上设有管夹。Wherein preferably, the second three-way and the third three-way are cock-type three-way for controlling flow; the four-way is a cock-type four-way for controlling flow; wherein, when the first three-way is In the case of a common tee, a pipe clamp is provided on the third pipeline.
或者,其中较优地,所述第二三通和所述第三三通为普通三通,所述四通为普通四通;在所述第三管路、所述第四管路、所述第五管路、所述第六管路、所述第七管路、所述第八管路和第九管路上分别设置有管夹;并在所述第四管路上靠近所述四通的位置设置有单向阀,用于使液体可沿着所述第四管路向所述第五管路方向单向流动。Or, preferably, the second three-way and the third three-way are ordinary three-way, and the four-way is an ordinary four-way; in the third pipeline, the fourth pipeline, the The fifth pipeline, the sixth pipeline, the seventh pipeline, the eighth pipeline and the ninth pipeline are respectively provided with pipe clamps; and the fourth pipeline is close to the four-way A one-way valve is provided at the position for allowing the liquid to flow in one direction along the fourth pipeline to the fifth pipeline.
其中较优地,所述第三管路的另一端、所述第四管路的一端与所述第五管路的一端通过第四三通连接;所述第七管路的一端通过第五三通连接在所述第五管路的中部或者所述第四管路的中部。Preferably, the other end of the third pipeline, one end of the fourth pipeline and one end of the fifth pipeline are connected through a fourth tee; one end of the seventh pipeline is connected through the fifth The tee is connected to the middle of the fifth pipeline or the middle of the fourth pipeline.
其中较优地,所述第二三通、所述第三三通、所述第四三通和所述第五三通为控制流量的旋塞式三通;其中,当所述第一三通是普通三通时,在所述第三管路上设有管夹。Wherein preferably, the second three-way, the third three-way, the fourth three-way and the fifth three-way are plug-type three-way for controlling flow; wherein, when the first three-way When it is an ordinary tee, a pipe clamp is provided on the third pipeline.
或者,其中较优地,所述第二三通、所述第三三通、所述第四三通和所述第五三通为普通三通;在所述第三管路、所述第四管路、所述第五管路、所述第六管路、所述第七管路、所述第八管路和第九管路上分别设置有管夹;并在所述第四管路上靠近所述第四三通的位置设置有单向阀,用于使液体可沿着所述第四管路向所述第五管路方向单向流动。Or, preferably, the second three-way, the third three-way, the fourth three-way and the fifth three-way are ordinary three-way; Pipe clamps are respectively arranged on the four pipelines, the fifth pipeline, the sixth pipeline, the seventh pipeline, the eighth pipeline and the ninth pipeline; and on the fourth pipeline A one-way valve is provided near the fourth three-way, for one-way flow of liquid along the fourth pipeline to the fifth pipeline.
其中较优地,还包括灌流器和透析器,所述灌流器的动脉端与所述第二管路远离所述第一三通的一端连接,所述灌流器的静脉端与所述第四管路远离所述第五管路的一端连接;所述透析器的动脉端与所述第五管路远离所述第四管路的一端连接,所述透析器的静脉端与所述第六管路远离所述第三三通的一端连接。Preferably, it also includes a perfusion device and a dialyzer, the arterial end of the perfusion device is connected to the end of the second pipeline away from the first tee, the venous end of the perfusion device is connected to the fourth The end of the pipeline away from the fifth pipeline is connected; the arterial end of the dialyzer is connected to the end of the fifth pipeline away from the fourth pipeline, and the venous end of the dialyzer is connected to the sixth pipeline. One end of the pipeline away from the third tee is connected.
其中较优地,所述第十管路的另一端与废液袋连接,或者所述第十管路的另一端通过二通与带有连接管路的废液袋连接。Preferably, the other end of the tenth pipeline is connected to a waste liquid bag, or the other end of the tenth pipeline is connected to a waste liquid bag with a connecting pipeline through a two-way.
本实用新型所提供的闭合式人工肾连接管,通过关闭不同的管路,可以在密闭的条件下,实现单独预冲灌流器、单独预冲透析器、串联预冲灌流器和透析器、使用灌流器和透析器串联治疗、以及仅使用透析器进行透析这几种功能之间的切换。该闭合式人工肾连接管通过管路设置,一方面,可首先分别预冲灌流器和透析器,避免了直接串联预冲灌流器和透析器时,灌流器预冲废液流入透析器中,导致污染透析器的问题;另一方面,在透析时通过关闭不同的管路上的管夹或调整多个旋塞式三通或四通,可直接切换两种透析方式,避免了在使用现有管路进行透析时,当切换两种透析方式时,需要拆除灌流器及其管路,造成管路及密封接头暴露污染的问题。The closed artificial kidney connecting tube provided by the utility model can realize a separate preflush perfusator, a separate preflush dialyzer, a series preflush perfusator and a dialyzer, using Toggle between the functions of tandem therapy with a perfusate and a dialyzer, and dialysis with only a dialyzer. The closed artificial kidney connecting tube is set through the pipeline. On the one hand, the perfusion device and the dialyzer can be pre-flushed separately at first, avoiding that when the pre-flush perfusion device and the dialyzer are directly connected in series, the pre-flushing waste liquid of the perfusion device flows into the dialyzer. Causes the problem of polluting the dialyzer; on the other hand, by closing the clamps on different pipelines or adjusting multiple plug-type tees or crosses during dialysis, the two dialysis methods can be directly switched, avoiding the need to use existing tubes. When the two dialysis methods are switched, the perfusion device and its pipeline need to be removed, causing the pollution of the pipeline and sealing joints.
附图说明Description of drawings
图1为第一实施例所提供的闭合式人工肾连接管的整体结构示意图;Fig. 1 is the overall structural schematic view of the closed artificial kidney connecting tube provided by the first embodiment;
图2为第二实施例所提供的闭合式人工肾连接管的整体结构示意图。Fig. 2 is a schematic diagram of the overall structure of the closed artificial kidney connecting tube provided by the second embodiment.
具体实施方式detailed description
下面结合附图和具体实施例对本实用新型的技术内容做进一步的详细描述。The technical content of the utility model will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
第一实施例和第二实施例提供了两种闭合式人工肾连接管的结构,其中,在图1所示的第一实施例中,在灌流器11和透析器12之间使用四通实现四根管路的相互连通;而在图2所示的第二实施例中,在灌流器11和透析器12之间使用两个三通实现四根管路的相互连通,下面进行具体介绍。The first embodiment and the second embodiment provide two kinds of closed artificial kidney connecting tube structures, wherein, in the first embodiment shown in FIG. The interconnection of the four pipelines; and in the second embodiment shown in FIG. 2 , two tees are used between the perfusion device 11 and the dialyzer 12 to realize the interconnection of the four pipelines, which will be described in detail below.
第一实施例first embodiment
如图1所示,闭合式人工肾连接管包括第一管路1、第二管路2、第三管路3、第四管路4、第五管路5、第六管路6、第七管路7、第八管路8、第九管路9和第十管路10。As shown in Figure 1, the closed artificial kidney connecting tube includes a first pipeline 1, a second pipeline 2, a third pipeline 3, a fourth pipeline 4, a fifth pipeline 5, a sixth pipeline 6, a The seventh pipeline 7 , the eighth pipeline 8 , the ninth pipeline 9 and the tenth pipeline 10 .
其中,第一管路1、第二管路2和第三管路3的一端分别与第一三通13的三个接头连接;第一三通13可以为普通三通或可控制流量的旋塞式三通;当第一三通13为普通三通时,在第二管路2上设置有管夹。Wherein, one end of the first pipeline 1, the second pipeline 2 and the third pipeline 3 are respectively connected with the three joints of the first three-way 13; the first three-way 13 can be a common three-way or a flow control cock type tee; when the first tee 13 is an ordinary tee, a pipe clamp is provided on the second pipeline 2.
第三管路3的另一端、第四管路4的一端、第五管路5的一端和第七管路7的一端分别与四通的4个接口连接,四通可以为普通四通或者可控制流量的旋塞四通。当四通为普通四通时,可以在第四管路4上靠近四通的位置设置单向阀20,用于使液体可沿着第四管路4向第五管路5方向单向流动,从而防止使用透析器12单独透析时的血液回渗至管路4中,防止患者的血液浪费。The other end of the third pipeline 3, one end of the fourth pipeline 4, one end of the fifth pipeline 5 and one end of the seventh pipeline 7 are respectively connected to 4 interfaces of the four-way, and the four-way can be an ordinary four-way or Cock cross for flow control. When the four-way is an ordinary four-way, a one-way valve 20 can be set on the fourth pipeline 4 near the four-way, so that the liquid can flow in one direction along the fourth pipeline 4 to the fifth pipeline 5 , thereby preventing the blood from seeping back into the pipeline 4 when the dialyzer 12 is used for dialysis alone, and preventing the patient's blood from being wasted.
在该闭合式人工肾连接管中,第七管路7的另一端、第八管路8的一端和第十管路10的一端分别与第二三通的三个接头连接;第六管路6的一端、第八管路8的另一端和第九管路9的一端分别与第三三通的三个接口连接。In this closed artificial kidney connecting tube, the other end of the seventh pipeline 7, one end of the eighth pipeline 8 and one end of the tenth pipeline 10 are respectively connected to the three joints of the second tee; the sixth pipeline One end of 6, the other end of the eighth pipeline 8 and one end of the ninth pipeline 9 are respectively connected to the three interfaces of the third tee.
该闭合式人工肾连接管中还包括灌流器11和透析器12。其中,灌流器11、透析器12和上述管路是分开包装保存的,在临床使用前需要将上述管路与灌流器11和透析器12连接起来。具体连接方式如下:灌流器11的动脉端与第二管路2远离第一三通13的一端连接,灌流器11的静脉端与第四管路4远离四通的一端连接;透析器12的动脉端与第五管路5远离四通的一端连接,透析器12的静脉端与第六管路6远离第三三通的一端连接。The closed artificial kidney connecting tube also includes a perfusion device 11 and a dialyzer 12 . Wherein, the perfusion device 11, the dialyzer 12 and the above-mentioned pipelines are packaged and stored separately, and the above-mentioned pipelines need to be connected with the perfusion device 11 and the dialyzer 12 before clinical use. The specific connection method is as follows: the arterial end of the perfusion device 11 is connected with the end of the second pipeline 2 away from the first tee 13, and the venous end of the perfusion device 11 is connected with the end of the fourth pipeline 4 away from the four-way connection; The arterial end is connected to the end of the fifth pipeline 5 away from the cross, and the venous end of the dialyzer 12 is connected to the end of the sixth pipeline 6 away from the third three-way.
在上述闭合式人工肾连接管中,四通可以使用控制流量的旋塞式四通,也可以使用普通四通;第二三通和第三三通可以使用控制流量的旋塞式三通,也可以使用普通三通。当第二三通和第三三通为普通三通、四通为普通四通时,在第三管路3、第四管路4、第五管路5、第六管路6、第七管路7和第八管路8上分别设置有管夹31、41、51、61、71和81。第九管路9上也可设有管夹91。通过关闭不同管路上的管夹或者旋转上述旋塞式三通和四通,可以实现灌流器、透析器的单独预冲和串联预冲,灌流器和透析器的联合治疗,以及仅使用透析器进行透析。In the above-mentioned closed artificial kidney connecting tube, the four-way can use a cock-type four-way to control the flow rate, and can also use an ordinary four-way; the second three-way and the third three-way can use a cock-type three-way to control the flow rate, or Use a regular tee. When the second three-way and the third three-way are ordinary three-way, and the four-way is an ordinary four-way, in the third pipeline 3, the fourth pipeline 4, the fifth pipeline 5, the sixth pipeline 6, the seventh Pipe clamps 31 , 41 , 51 , 61 , 71 and 81 are respectively provided on the pipeline 7 and the eighth pipeline 8 . A pipe clip 91 may also be provided on the ninth pipeline 9 . By closing the tube clamps on different lines or turning the above-mentioned stopcock tees and crosses, it is possible to realize individual pre-flushing and serial pre-flushing of perfusion and dialyzer, combined treatment of perfusion and dialyzer, as well as using only dialyzer. Dialysis.
在该闭合式人工肾连接管中,在第十管路10的另一端还设置有废液袋14,废液袋14直接与第十管路10连接或者第十管路10的另一端通过二通与带有连接管路的废液袋14连接。通过控制管夹81和91实现灌流器11和透析器12的预冲液排至废液袋14,从而避免灌流器11和透析器12的预冲液污染静脉管。In this closed artificial kidney connecting tube, a waste liquid bag 14 is also arranged at the other end of the tenth pipeline 10, and the waste liquid bag 14 is directly connected with the tenth pipeline 10 or the other end of the tenth pipeline 10 passes through two Connect with the waste liquid bag 14 that has connecting pipeline. By controlling the tube clamps 81 and 91 , the preflush of the perfusion device 11 and the dialyzer 12 is discharged to the waste bag 14 , thereby preventing the preflush of the perfusion device 11 and the dialyzer 12 from polluting the venous tube.
在该闭合式人工肾连接管中,在第一管路1、第二管路2、第四管路4、第五管路5、第六管路6、第九管路9和第十管路10的开放端部分别设有密封接头,并与肝素帽等保护帽耦合,用于确保管路内部的无菌环境。医护人员在临床使用前将保护帽与管路分离后,再与灌流器11、透析器12、废液袋14及人体静脉和动脉连接。In this closed artificial kidney connecting tube, the first pipeline 1, the second pipeline 2, the fourth pipeline 4, the fifth pipeline 5, the sixth pipeline 6, the ninth pipeline 9 and the tenth pipeline The open ends of the pipeline 10 are respectively provided with sealing joints, and are coupled with protective caps such as heparin caps to ensure a sterile environment inside the pipeline. After the medical personnel separate the protective cap from the pipeline before clinical use, they are connected with the perfusion device 11, the dialyzer 12, the waste liquid bag 14, and the veins and arteries of the human body.
在透析前需要用生理盐水预冲灌流器11及透析器12。当预冲灌流器11时,首先将第三管路3的管夹31、第五管路5的管夹51及第八管路8的管夹81关闭,将第四管路4的管夹41和第七管路7的管夹51打开,并将第一三通13旋塞调整到第一管路1和第二管路2连通且第三管路3断开状态,然后将生理盐水注入第一管路1;生理盐水经由第二管路2进入灌流器11,然后经第四管路4进入第七管路7,由第十管路10最终进入废液袋14中。Before dialysis, the perfusion device 11 and the dialyzer 12 need to be preflushed with physiological saline. When preflushing the perfusion device 11, first close the pipe clamp 31 of the third pipeline 3, the pipe clamp 51 of the fifth pipeline 5, and the pipe clamp 81 of the eighth pipeline 8, and close the pipe clamp of the fourth pipeline 4. 41 and the clamp 51 of the seventh pipeline 7 are opened, and the first three-way 13 cock is adjusted to the state where the first pipeline 1 and the second pipeline 2 are connected and the third pipeline 3 is disconnected, and then the physiological saline is injected The first pipeline 1 ; physiological saline enters the perfusion device 11 through the second pipeline 2 , then enters the seventh pipeline 7 through the fourth pipeline 4 , and finally enters the waste liquid bag 14 through the tenth pipeline 10 .
预冲透析器12时,先将第四管路4的管夹41、第七管路7的管夹71和第九管路9上的管夹91关闭,打开第三管路3的管夹31、第五管路5的管夹51、第六管路6的管夹61和第八管路8的管夹81,并将第一三通13旋塞调整到第一管路1和第三管路3连通且第二管路2断开状态;生理盐水经由第一管路1、第三管路3及第五管路5进入透析器12,然后通过第六管路6、第八管路8和第十管路10进入废液袋14中。整个系统预冲过程完毕,均为独立预冲,灌流器11和透析器12互不干扰。灌流器11和透析器12单独预冲结束后可将废液袋14从第十管路10上拆卸下来,从而避免质量较大的废液袋14对后续的操作方便性造成影响。When preflushing the dialyzer 12, first close the pipe clamp 41 of the fourth pipeline 4, the pipe clamp 71 of the seventh pipeline 7 and the pipe clamp 91 on the ninth pipeline 9, and open the pipe clamp of the third pipeline 3 31. The pipe clamp 51 of the fifth pipeline 5, the pipe clamp 61 of the sixth pipeline 6 and the pipe clamp 81 of the eighth pipeline 8, and adjust the first three-way 13 cock to the first pipeline 1 and the third The pipeline 3 is connected and the second pipeline 2 is disconnected; physiological saline enters the dialyzer 12 through the first pipeline 1, the third pipeline 3 and the fifth pipeline 5, and then passes through the sixth pipeline 6 and the eighth pipeline The line 8 and the tenth line 10 enter the waste liquid bag 14 . After the preflushing process of the whole system is completed, the preflushing process is independent, and the perfusion device 11 and the dialyzer 12 do not interfere with each other. After the perfusion device 11 and the dialyzer 12 are pre-flushed separately, the waste liquid bag 14 can be disassembled from the tenth pipeline 10, so as to avoid the influence of the waste liquid bag 14 with a large mass on the convenience of subsequent operations.
灌流器11和透析器12单独预冲结束后,将第三管路3的管夹31、第七管路7的管夹71及第八管路8的管夹81关闭,将第四管路4的管夹41、第五管路5的管夹51、第六管路6的管夹61和第九管路9上的管夹91打开,并将第一三通13旋塞调整到第一管路1和第二管路2连通且第三管路3断开状态,实现对第九管路9的预冲。After the perfusion device 11 and the dialyzer 12 are preflushed separately, the pipe clamp 31 of the third pipeline 3, the pipe clamp 71 of the seventh pipeline 7 and the pipe clamp 81 of the eighth pipeline 8 are closed, and the fourth pipeline is closed. 4, the pipe clamp 51 of the fifth pipeline 5, the pipe clamp 61 of the sixth pipeline 6 and the pipe clamp 91 on the ninth pipeline 9 are opened, and the first three-way 13 cock is adjusted to the first The pipeline 1 is in communication with the second pipeline 2 and the third pipeline 3 is disconnected to realize the preflushing of the ninth pipeline 9 .
灌流器11和透析器12预冲结束后,对透析器12和灌流器11串联透析时,保持管路中各管夹的启闭状态,同时第九管路9连接患者静脉血路管,第一管路1连接患者动脉血路管,血液经动脉血路管进入第一管路1、第二管路2、灌流器11、第四管路4、第五管路5、透析器12第六管路6及第九管路9进入静脉血路管,完成串联透析。After the perfusion device 11 and the dialyzer 12 are prefilled, when the dialyzer 12 and the perfusion device 11 are dialyzed in series, keep the open and closed state of each tube clamp in the pipeline, and at the same time, the ninth pipeline 9 is connected to the patient's venous blood line tube, the first The pipeline 1 is connected to the patient's arterial blood line, and the blood enters the first pipeline 1, the second pipeline 2, the perfusion device 11, the fourth pipeline 4, the fifth pipeline 5, the dialyzer 12 and the sixth pipeline through the arterial blood pipeline 6 and the ninth pipeline 9 enter the venous blood pipeline to complete the series dialysis.
透析2小时左右需要将灌流器11撤除,使用透析器12单独透析时,只需将第四管路4的管夹41关闭,打开第三管路3的管夹31,并使其他管夹保持灌流器11和透析器12联合治疗时的状态,然后将第一三通13旋塞调整到第一管路1和第三管路3连通且第二管路2断开状态,血液途经第一管路1、第三管路3、第五管路5进入透析器12,并经由第六管路6和第九管路9进入静脉血路管。同时由于单向阀20只允许液体从灌流器11向透析器12方向流动,而阻止液体从透析器12向灌流器11的方向流动,从而避免单独进行透析器12治疗时,血液回渗至第四管路4与灌流器11中,从而避免造成患者的血液浪费。The perfusion device 11 needs to be removed for about 2 hours of dialysis. When using the dialyzer 12 for dialysis alone, it is only necessary to close the pipe clamp 41 of the fourth pipeline 4, open the pipe clamp 31 of the third pipeline 3, and keep the other pipe clamps in place. The state of perfusion device 11 and dialyzer 12 combined treatment, then adjust the first three-way cock 13 to the state where the first pipeline 1 and the third pipeline 3 are connected and the second pipeline 2 is disconnected, and the blood passes through the first tube Line 1, third line 3, and fifth line 5 enter the dialyzer 12, and enter the venous blood line via the sixth line 6 and the ninth line 9. Simultaneously because one-way valve 20 only allows liquid to flow from perfusion device 11 to the direction of dialyzer 12, and prevents liquid from flowing from dialyzer 12 to the direction of perfusion device 11, thereby avoids when dialyzer 12 treatment is carried out alone, blood seeps back to the first Four pipelines 4 and the perfusion device 11, thereby avoiding the waste of blood of the patient.
在上述预冲和治疗过程中,闭合式人工肾连接管路均处于封闭的环境中,在完成灌流器和透析器联合透析后,仅需切换不同的开关和调整旋塞三通的连通状态,即可实现不同管路的切换,避免了透析过程中拆除管路造成开放端部暴露空气中带来的交叉感染危害。During the above-mentioned preflushing and treatment process, the closed artificial kidney connection pipeline is in a closed environment. After completing the combined dialysis of the perfusion device and the dialyzer, it is only necessary to switch different switches and adjust the communication state of the cock tee, that is, The switching of different pipelines can be realized, and the cross-infection hazard caused by the open end exposed to the air caused by the removal of the pipeline during the dialysis process is avoided.
上面对使用旋塞式的第一三通13和多个管夹进行预冲和治疗的过程进行了介绍,当该闭合式人工肾连接管路中使用的三通和四通均为旋塞式三通和旋塞式四通时,可以省去管夹的设置,仅需在预冲和治疗的过程中,将上述管路的流通状态调整到对应流通状态即可。而且,通过在第四管路4上靠近四通的位置设置单向阀20,在使用透析器12单独透析治疗时,避免了血液回渗至与灌流器11连接的管路中,防止血液浪费。The process of preflushing and treating with the first three-way 13 of the cock type and a plurality of pipe clamps has been introduced above. When connecting to the cock type four-way, the setting of the tube clamp can be omitted, and it is only necessary to adjust the flow state of the above-mentioned pipeline to the corresponding flow state during the process of preflushing and treatment. Moreover, by setting the one-way valve 20 near the four-way position on the fourth pipeline 4, when the dialyzer 12 is used for dialysis treatment alone, it prevents blood from seeping back into the pipeline connected to the perfusion device 11, preventing blood waste .
第二实施例second embodiment
第二实施例所提供的闭合式人工肾连接管的结构和使用原理与第一实施例类似,仅第三管路3、第四管路4、第五管路5和第七管路7之间的连接方式不同。The structure and operating principle of the closed artificial kidney connecting tube provided by the second embodiment are similar to those of the first embodiment, only the third pipeline 3, the fourth pipeline 4, the fifth pipeline 5 and the seventh pipeline 7 The connections between are different.
如图2所示,在该实施例中,第三管路3的另一端、第四管路4的一端与第五管路5的一端通过第四三通24连接;第七管路7的一端通过第五三通25连接在第五管路5的中部。当然,也可以将第七管路7的一端通过第五三通25连接在第四管路4的中部。As shown in Figure 2, in this embodiment, the other end of the third pipeline 3, one end of the fourth pipeline 4 and one end of the fifth pipeline 5 are connected through the fourth tee 24; One end is connected to the middle part of the fifth pipeline 5 through the fifth tee 25 . Of course, it is also possible to connect one end of the seventh pipeline 7 to the middle of the fourth pipeline 4 through the fifth tee 25 .
同理,在闭合式人工肾连接管中,第四三通4和第五三通5可以为普通三通或者旋塞式三通。当第四三通4和第五三通5为普通三通时,在第四管路4上靠近第四三通24的位置可以设置单向阀,用于使液体可沿着第四管路4向第五管路5方向单向流动,从而防止使用透析器12单独透析时的血液回渗至第四管路4中,防止患者的血液浪费。Similarly, in the closed artificial kidney connecting tube, the fourth three-way 4 and the fifth three-way 5 can be ordinary three-way or cock-type three-way. When the fourth three-way 4 and the fifth three-way 5 are ordinary three-way, a one-way valve can be set near the fourth three-way 24 on the fourth pipeline 4, so that the liquid can flow along the fourth pipeline. 4 flows in one direction in the direction of the fifth pipeline 5, so as to prevent the blood from seeping back into the fourth pipeline 4 when the dialyzer 12 is used for dialysis alone, and prevent the patient's blood from being wasted.
该闭合式人工肾连接管中的其他管路的连接方式与第一实施例中相同,在此,不再详述。The connection mode of other pipelines in the closed artificial kidney connecting tube is the same as that in the first embodiment, and will not be described in detail here.
该闭合式人工肾连接管中还包括灌流器11和透析器12。其中,灌流器11、透析器12和上述管路是分开包装保存的,在临床使用前需要将上述管路与灌流器11和透析器12连接起来。具体连接方式如下:灌流器11的动脉端与第二管路2远离第一三通21的一端连接,灌流器11的静脉端与第四管路4远离第四三通24的一端连接;透析器12的动脉端与第五管路5远离第五三通25的一端连接,透析器12的静脉端与第六管路6远离第三三通23的一端连接。The closed artificial kidney connecting tube also includes a perfusion device 11 and a dialyzer 12 . Wherein, the perfusion device 11, the dialyzer 12 and the above-mentioned pipelines are packaged and stored separately, and the above-mentioned pipelines need to be connected with the perfusion device 11 and the dialyzer 12 before clinical use. The specific connection method is as follows: the arterial end of the perfusion device 11 is connected to the end of the second pipeline 2 away from the first tee 21, and the venous end of the perfusion device 11 is connected to the end of the fourth pipeline 4 away from the fourth tee 24; The arterial end of the dialyzer 12 is connected to the end of the fifth pipeline 5 away from the fifth tee 25 , and the venous end of the dialyzer 12 is connected to the end of the sixth pipeline 6 away from the third tee 23 .
在上述闭合式人工肾连接管中,第二三通22、第三三通23、第四三通24和第五三通25可以使用控制流量的旋塞式三通,也可以使用普通三通。当第二三通22、第三三通23、第四三通24和第五三通25使用普通三通时,在第三管路3、第四管路4、第五管路5、第六管路6、第七管路7、第八管路8和第九管路9上分别设置有管夹。通过关闭不同管路上的管夹或者将上述旋塞式三通调整至不同的连通状态,可以实现灌流器、透析器的单独预冲和串联预冲,灌流器和透析器的联合治疗,以及仅使用透析器进行透析。In the above-mentioned closed artificial kidney connecting tube, the second three-way 22, the third three-way 23, the fourth three-way 24 and the fifth three-way 25 can use the cock type three-way to control the flow rate, and can also use the common three-way. When the second three-way 22, the third three-way 23, the fourth three-way 24 and the fifth three-way 25 use ordinary three-way, in the third pipeline 3, the fourth pipeline 4, the fifth pipeline 5, the fifth pipeline The sixth pipeline 6 , the seventh pipeline 7 , the eighth pipeline 8 and the ninth pipeline 9 are respectively provided with pipe clips. By closing the clamps on different pipelines or adjusting the above-mentioned cock tee to different communication states, it is possible to realize separate preflushing and serial preflushing of the perfusion device and the dialyzer, combined treatment of the perfusion device and the dialyzer, and use only Dialyzer for dialysis.
在该闭合式人工肾连接管中,在第十管路10的另一端同样设置有废液袋14,废液袋14直接与第十管路10连接或者第十管路10的另一端通过二通与带有连接管路的废液袋14连接。In this closed artificial kidney connecting tube, the other end of the tenth pipeline 10 is also provided with a waste liquid bag 14, and the waste liquid bag 14 is directly connected with the tenth pipeline 10 or the other end of the tenth pipeline 10 passes through two Connect with the waste liquid bag 14 that has connecting pipeline.
在该闭合式人工肾连接管中,在第一管路1、第二管路2、第四管路4、第五管路5、第六管路6、第九管路9和第十管路10的开放端部设有密封接头,并与肝素帽等保护帽耦合,用于确保管路内部的无菌环境。医护人员在临床使用前将保护帽与管路分离后,再与灌流器11、透析器12、废液袋14及人体静脉和动脉连接。In this closed artificial kidney connecting tube, the first pipeline 1, the second pipeline 2, the fourth pipeline 4, the fifth pipeline 5, the sixth pipeline 6, the ninth pipeline 9 and the tenth pipeline The open end of the pipeline 10 is provided with a sealed joint, and is coupled with a protective cap such as a heparin cap to ensure a sterile environment inside the pipeline. After the medical personnel separate the protective cap from the pipeline before clinical use, they are connected with the perfusion device 11, the dialyzer 12, the waste liquid bag 14, and the veins and arteries of the human body.
当该闭合式人工肾连接管所使用的第二三通22、第三三通23、第四三通24和第五三通25均为普通三通,并在第三管路3、第四管路4、第五管路5、第六管路6、第七管路7和第八管路8上分别设置管夹时,其预冲和治疗过程与第一实施例所介绍的过程相同。The second three-way 22, the third three-way 23, the fourth three-way 24 and the fifth three-way 25 used in this closed artificial kidney connecting pipe are all common three-way, and in the third pipeline 3, the fourth three-way When the tube clips are respectively installed on the pipeline 4, the fifth pipeline 5, the sixth pipeline 6, the seventh pipeline 7 and the eighth pipeline 8, the preflushing and treatment process are the same as those described in the first embodiment .
下面对该闭合式人工肾连接管所使用的第二三通22、第三三通23、第四三通24和第五三通25均为旋塞式三通时的预冲和治疗过程进行介绍。The second tee 22, the 3rd tee 23, the 4th tee 24 and the 5th tee 25 used by this closed artificial kidney connecting pipe are prewashing and treatment process when all are cock type tees below introduce.
在透析前需要用生理盐水预冲灌流器11及透析器12。当预冲灌流器11时,首先将第一三通21旋塞调整到第一管路1和第二管路2连通且第三管路3断开状态,将第四三通24和第五三通25旋塞调整到第五三通25与第四三通24之间的第五管路5和第四管路4连通,且第三管路3断开;第四三通24和第五三通25之间的第五管路5与第七管路7连通,且第五三通25与透析器12之间的第五管路5断开的状态,并将第二三通22旋塞调整到第七管路7和第十管路10连通且第八管路8断开状态;然后将生理盐水注入第一管路1;生理盐水经由第二管路2进入灌流器11,然后经第四管路4进入第七管路7,由第十管路10最终进入废液袋14中。Before dialysis, the perfusion device 11 and the dialyzer 12 need to be preflushed with physiological saline. When preflushing the perfusion device 11, first adjust the first three-way 21 cock to the state where the first pipeline 1 and the second pipeline 2 are connected and the third pipeline 3 is disconnected, and the fourth three-way 24 and the fifth three-way Through the cock of 25, adjust the fifth pipeline 5 between the fifth three-way 25 and the fourth three-way 24 to communicate with the fourth pipeline 4, and the third pipeline 3 is disconnected; the fourth three-way 24 and the fifth three-way The fifth pipeline 5 between the channels 25 is connected with the seventh pipeline 7, and the fifth pipeline 5 between the fifth three-way 25 and the dialyzer 12 is disconnected, and the second three-way 22 cock is adjusted To the state where the seventh pipeline 7 and the tenth pipeline 10 are connected and the eighth pipeline 8 is disconnected; then inject physiological saline into the first pipeline 1; The fourth pipeline 4 enters the seventh pipeline 7 , and finally enters the waste liquid bag 14 from the tenth pipeline 10 .
预冲透析器12时,将第一三通21旋塞调整到第一管路1和第三管路3连通且第二管路2断开状态,将第四三通24和第五三通25旋塞调整到第四三通24与第五三通25之间的第五管路5和第三管路3连通且第四管路4断开,第四三通24和第五三通25之间的第五管路5与第五三通25与透析器12之间的第五管路5连通且第七管路7断开的状态,并将第三三通23和第二三通22旋塞调整到第六管路6和第八管路8连通且第九管路9断开;第八管路8和第十管路10连通且第七管路7断开的状态;生理盐水经由第一管路1、第三管路3及第五管路5进入透析器12,然后通过第六管路6、第八管路8和第十管路10进入废液袋14中。整个系统预冲过程完毕,均为独立预冲,灌流器11和透析器12互不干扰。When preflushing the dialyzer 12, the first three-way 21 cock is adjusted to the state that the first pipeline 1 and the third pipeline 3 are connected and the second pipeline 2 is disconnected, and the fourth three-way 24 and the fifth three-way 25 are connected. The cock is adjusted so that the fifth pipeline 5 between the fourth three-way 24 and the fifth three-way 25 communicates with the third pipeline 3 and the fourth pipeline 4 is disconnected, and the connection between the fourth three-way 24 and the fifth three-way 25 Between the fifth pipeline 5 and the fifth three-way 25 and the fifth pipeline 5 between the dialyzer 12 and the state that the seventh pipeline 7 is disconnected, and the third three-way 23 and the second three-way 22 The cock is adjusted to the state where the sixth pipeline 6 is connected to the eighth pipeline 8 and the ninth pipeline 9 is disconnected; the eighth pipeline 8 is connected to the tenth pipeline 10 and the seventh pipeline 7 is disconnected; The first pipeline 1 , the third pipeline 3 and the fifth pipeline 5 enter the dialyzer 12 , and then enter the waste liquid bag 14 through the sixth pipeline 6 , the eighth pipeline 8 and the tenth pipeline 10 . After the preflushing process of the whole system is completed, the preflushing process is independent, and the perfusion device 11 and the dialyzer 12 do not interfere with each other.
灌流器11和透析器12单独预冲结束后,将第一三通21旋塞调整到第一管路1和第二管路2连通且第三管路3断开状态,将第四三通24和第五三通25旋塞调整到第四管路4和第五管路5连通且第三管路3和第七管路7断开的状态,并将第三三通23旋塞调整到第六管路6和第九管路9连通且第八管路8断开状态;从而完成对第九管路9的预冲。然后保持各三通的状态不变,进行透析器12和灌流器11串联透析,将第九管路9连接患者静脉血路管,第一管路1连接患者动脉血路管,血液经动脉血路管进入第一管路1、第二管路2、灌流器11、第四管路4、第五管路5、透析器12、第六管路6及第九管路9进入静脉血路管,完成串联透析。After the perfusion device 11 and the dialyzer 12 are pre-flushed separately, adjust the cock of the first three-way 21 to the state where the first pipeline 1 and the second pipeline 2 are connected and the third pipeline 3 is disconnected, and the fourth three-way 24 and the fifth three-way 25 cock to the state where the fourth pipeline 4 and the fifth pipeline 5 are connected and the third pipeline 3 and the seventh pipeline 7 are disconnected, and the third three-way 23 cock is adjusted to the sixth The pipeline 6 is in communication with the ninth pipeline 9 and the eighth pipeline 8 is disconnected; thus, the preflushing of the ninth pipeline 9 is completed. Then keep the state of each tee unchanged, carry out serial dialysis with dialyzer 12 and perfusion device 11, connect the ninth pipeline 9 to the patient's venous blood line, and the first pipeline 1 to connect the patient's arterial blood line, and the blood enters through the arterial blood line The first pipeline 1, the second pipeline 2, the perfusion device 11, the fourth pipeline 4, the fifth pipeline 5, the dialyzer 12, the sixth pipeline 6 and the ninth pipeline 9 enter the venous blood pipeline to complete the series connection Dialysis.
透析2小时左右需要将灌流器11撤除,透析器12单独透析时,只需将第一三通21旋塞调整到第一管路1和第三管路3连通且第二管路2断开状态,并将第四三通24调整到第三管路3和第五管路5连通且第四管路4断开的状态,其他三通状态保持不变;血液途经第一管路1、第三管路3、第五管路5进入透析器12,并经由第六管路6和第九管路9进入静脉血路管。The perfusion device 11 needs to be removed for about 2 hours of dialysis. When the dialyzer 12 is alone for dialysis, only the first three-way cock 21 needs to be adjusted to the state where the first pipeline 1 and the third pipeline 3 are connected and the second pipeline 2 is disconnected. , and the fourth three-way 24 is adjusted to the state where the third pipeline 3 and the fifth pipeline 5 are connected and the fourth pipeline 4 is disconnected, and the other three-way states remain unchanged; blood passes through the first pipeline 1, the second pipeline The third pipeline 3 and the fifth pipeline 5 enter the dialyzer 12 and enter the venous blood line via the sixth pipeline 6 and the ninth pipeline 9 .
该闭合式人工肾连接管路均处于封闭的环境中,在完成灌流器和透析器联合透析后,仅需将调整多个旋塞式三通的连通状态即可实现不同管路的切换,避免了透析过程中拆除管路造成开放端部暴露空气中带来的交叉感染危害。The closed artificial kidney connecting pipelines are all in a closed environment. After completing the combined dialysis of the perfusion device and the dialyzer, it is only necessary to adjust the connection status of multiple cock-type tees to realize the switching of different pipelines, avoiding the Cross-infection hazards caused by open ends exposed to air due to removal of tubing during dialysis.
综上所述,该闭合式人工肾连接管,通过管路设置,一方面,通过分别预冲灌流器和透析器,避免了直接串联预冲灌流器和透析器时,灌流器预冲废液流入透析器中污染透析器的问题;另一方面,在透析时通过关闭不同的管夹或调整三通和四通的状态可直接切换两种透析方式,避免了在透析过程中拆除灌流器及其管路,造成管路及密封接头暴露污染的问题。In summary, the closed artificial kidney connecting tube is set through the pipeline. On the one hand, by preflushing the cartridge and the dialyzer separately, it avoids the waste liquid of the cartridge preflushing when the cartridge and the dialyzer are directly connected in series. On the other hand, during dialysis, the two dialysis methods can be directly switched by closing different pipe clamps or adjusting the state of the three-way and four-way, avoiding the removal of the perfusion device and the Its pipeline causes the problem of pipeline and sealing joint exposure pollution.
以上对本实用新型所提供的闭合式人工肾连接管进行了详细的说明。对本领域的技术人员而言,在不背离本实用新型实质精神的前提下对它所做的任何显而易见的改动,都将属于本实用新型专利权的保护范围。The closed artificial kidney connecting tube provided by the present invention has been described in detail above. For those skilled in the art, any obvious changes made to the utility model without departing from the essential spirit of the utility model will fall within the scope of protection of the utility model patent right.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114404703A (en) * | 2021-12-21 | 2022-04-29 | 健帆生物科技集团股份有限公司 | Combined artificial kidney and its precharging method and working method |
| CN115645662A (en) * | 2022-10-12 | 2023-01-31 | 唐玲 | Blood perfusion device capable of automatically replacing envelope adsorbent |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN114404703A (en) * | 2021-12-21 | 2022-04-29 | 健帆生物科技集团股份有限公司 | Combined artificial kidney and its precharging method and working method |
| CN114404703B (en) * | 2021-12-21 | 2024-03-26 | 健帆生物科技集团股份有限公司 | Combined artificial kidney, pre-flushing method and working method thereof |
| CN115645662A (en) * | 2022-10-12 | 2023-01-31 | 唐玲 | Blood perfusion device capable of automatically replacing envelope adsorbent |
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