CN214969897U - Multifunctional monitoring device for hemodialysis machine pipeline - Google Patents
Multifunctional monitoring device for hemodialysis machine pipeline Download PDFInfo
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- CN214969897U CN214969897U CN202120173796.6U CN202120173796U CN214969897U CN 214969897 U CN214969897 U CN 214969897U CN 202120173796 U CN202120173796 U CN 202120173796U CN 214969897 U CN214969897 U CN 214969897U
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- 238000001631 haemodialysis Methods 0.000 title claims abstract description 39
- 230000000322 hemodialysis Effects 0.000 title claims abstract description 39
- 238000012806 monitoring device Methods 0.000 title claims abstract description 21
- 239000008280 blood Substances 0.000 claims abstract description 131
- 210000004369 blood Anatomy 0.000 claims abstract description 131
- 230000004872 arterial blood pressure Effects 0.000 claims abstract description 50
- 238000012544 monitoring process Methods 0.000 claims abstract description 20
- 238000000502 dialysis Methods 0.000 claims abstract description 18
- 230000004087 circulation Effects 0.000 claims abstract description 15
- 230000001105 regulatory effect Effects 0.000 claims abstract description 8
- 230000023555 blood coagulation Effects 0.000 abstract description 15
- 210000001367 artery Anatomy 0.000 abstract description 10
- 210000003462 vein Anatomy 0.000 abstract description 8
- 230000008878 coupling Effects 0.000 abstract 2
- 238000010168 coupling process Methods 0.000 abstract 2
- 238000005859 coupling reaction Methods 0.000 abstract 2
- 238000011010 flushing procedure Methods 0.000 description 13
- 230000007246 mechanism Effects 0.000 description 8
- 230000017531 blood circulation Effects 0.000 description 7
- 239000002504 physiological saline solution Substances 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 230000008569 process Effects 0.000 description 6
- 239000000243 solution Substances 0.000 description 6
- 230000008859 change Effects 0.000 description 5
- 239000007788 liquid Substances 0.000 description 5
- 239000002699 waste material Substances 0.000 description 3
- 230000009471 action Effects 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 238000005345 coagulation Methods 0.000 description 2
- 238000009792 diffusion process Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000000108 ultra-filtration Methods 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 208000009304 Acute Kidney Injury Diseases 0.000 description 1
- 208000033626 Renal failure acute Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 201000011040 acute kidney failure Diseases 0.000 description 1
- 208000012998 acute renal failure Diseases 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 208000020832 chronic kidney disease Diseases 0.000 description 1
- 208000022831 chronic renal failure syndrome Diseases 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000005429 filling process Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
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Abstract
The utility model discloses a multi-functional monitoring device of hemodialysis machine pipeline belongs to the medical instrument field, including setting up venous pressure monitor and the arterial pressure monitor on the hemodialysis machine organism, be equipped with the blood pump through the outside circulation pipeline when blood pipe connection forms the dialysis on the organism, the artery kettle, cerini dialyser cerini and vein kettle, venous pressure monitor and vein kettle are connected, be connected with the main duct on the arterial pressure monitor, be connected with two spinal branch pipes on the main duct, one of them spinal branch union coupling is on the blood pipeline between blood pump and the human body, a spinal branch union coupling is on the artery kettle in addition, it is used for arterial pressure monitor monitoring arterial pressure only to be equipped with one of them spinal branch pipe of regulating part control and main duct intercommunication. The utility model discloses can not only monitor the pressure of the blood pipeline between blood pump and the human body through arterial pressure monitor, but also can monitor the pressure of arteria pot department to simple structure adjusts the convenience, and rational utilization arterial pressure monitor makes things convenient for medical personnel to know the blood coagulation condition of hemodialysis machine pipeline.
Description
Technical Field
The utility model relates to the field of medical equipment, especially, relate to multi-functional monitoring device of hemodialysis machine pipeline.
Background
Hemodialysis machines (also known as hemodialysis machines) are the main extracorporeal circulation devices used to treat acute and chronic renal failure. The hemodialysis machine mainly comprises a blood pipeline, a blood pump, a dialyzer, a dialysate supply device, an arterial pot, a venous pot and a pressure monitoring device, wherein the blood pump, the arterial pot, the dialyzer and the venous pot are sequentially connected through the blood pipeline, the blood pump is connected with a human artery, and the venous pot is connected with a human vein. The operating principle of the hemodialysis machine is as follows: the blood pipeline leads the blood in the human body out of the body under the action of the blood pump and conveys the blood to the arterial pot, and then leads the blood into the dialyzer from the arterial pot, and the blood and the qualified dialysate prepared by concentrated solution and water through the dialysate supply device in the dialyzer carry out solute diffusion, osmosis and ultrafiltration; the blood of the patient after the action is introduced into the venous pot and then is conveyed back to the body of the patient through a blood pipeline by the venous pot, and the liquid after dialysis is taken as waste liquid and is discharged by the dialysate supply device; the whole dialysis process is completed by continuous circulation.
In the hemodialysis process, the pressure in an external circulation pipeline formed by connecting a blood pump, an arterial pot, a dialyzer and a venous pot can be high and low, different problems occurring in the external circulation pipeline can be explained by different changes of the pressure, and if the pressure changes cannot be found and treated in time, a plurality of problems are brought to clinical care, great influence is brought to treatment, and even the life of a patient is endangered. Therefore, the monitoring and control of pressure during hemodialysis is one of the difficulties in clinical care work, and the pressure monitoring device mainly comprises an arterial pressure monitoring mechanism and a venous pressure monitoring mechanism, wherein the arterial pressure monitoring mechanism can be divided into a pre-pump arterial pressure monitoring mechanism and a post-pump arterial pressure monitoring mechanism according to the difference of the types of the hemodialysis machine and the used blood pipeline. The pre-pump arterial pressure monitoring mechanism mainly reflects the arterial blood vessel access problem, and the post-pump arterial pressure monitoring can better explain the blood coagulation problem of the dialyzer. Most dialysis center (room) only monitors venous pressure at present, think can know with it whether the blood flow of blood pipeline is sufficient, actually not so, if the blood pump rotational speed that the machine set up is too high, and the flow of patient's blood pipeline is not enough just can not arouse venous pressure to report to the police, only leans on preceding arterial pressure monitoring mechanism of pump to explain artery vascular access problem betterly, and preceding arterial pressure monitoring of pump has reflected and has inhaled the blood of patient's blood pipeline artery end and reach the required pressure of blood pump section pipeline. Because the blood treated by the dialyzer is easy to coagulate and can cause the blockage of the venous pot, the existing hemodialysis machine generally monitors the pressure of the venous pot and the pressure of the artery before the pump, but because the blood condition of a patient is high, the blood concentration of some patients is easy to coagulate, and after the blood is introduced into the arterial pot through a blood pump, the blood can coagulate in the arterial pot, which can cause the blockage of the arterial pot, the pressure of the arterial pot needs to be monitored, but the problem of coagulation in the arterial pot does not occur frequently, the arterial pot does not need to be monitored in real time, the pressure in the arterial pot only needs to be monitored at intervals, if a pressure monitoring mechanism is specially equipped for the arterial pot, the resource waste can be caused, the cost is increased, the venous pressure of the venous pot and the pressure of the artery before the pump need to be monitored in real time, the existing hemodialysis machine does not have good capability of monitoring the hemodialysis machine pipeline.
And when the external circulation pipeline of the existing dialysis machine monitors the blood coagulation, the whole external circulation pipeline can only be replaced, so that a large amount of blood is lost for a patient, time is required for replacing medical appliances, and better emergency treatment can not be realized on the problems.
Disclosure of Invention
The utility model aims to solve the technical problem that a multi-functional monitoring device is provided for monitoring the pressure variation condition in the hemodialysis machine pipeline, can monitor the blood coagulation condition of understanding the hemodialysis machine pipeline to the arterial pressure before the pump and after the pump.
The technical scheme of the utility model is that: the multifunctional monitoring device for the hemodialysis machine pipeline comprises a venous pressure monitor and an arterial pressure monitor which are arranged on a hemodialysis machine body, wherein a blood pipeline, a blood pump, an arterial pot, a dialyzer and a venous pot are arranged on the machine body, the blood pump, the arterial pot, the dialyzer and the venous pot are connected through the blood pipeline to form an external circulation pipeline during dialysis, the venous pressure monitor is connected with the venous pot, and the multifunctional monitoring device is characterized in that a main catheter is connected onto the arterial pressure monitor, two branch catheters are connected onto the main catheter, one of the branch catheters is connected onto the blood pipeline between the blood pump and a human body, the other branch catheter is connected onto the arterial pot, and a regulating part is arranged to control the pressure monitoring of the arterial pressure monitor by communicating with the main catheter.
The adjusting piece is a flow stopping clamp, one branch pipe is closed through the flow stopping clamp, and the main pipe is communicated with only one branch pipe.
The two branch pipes are integrally connected to one end of the main pipe, and the main pipe is connected with the two branch pipes to form a Y shape.
The adjusting piece is a three-way valve, the main conduit and the two branch pipes are respectively connected to three valve ports of the three-way valve, the main conduit is communicated with one of the branch pipes by rotating a valve rod of the adjusting three-way valve, and the main conduit is closed with the other branch pipe.
The arterial pot comprises a first arterial pot and a second arterial pot, the blood pipeline comprises a first conduit and a second conduit, one end of the first conduit is Y-shaped and is respectively connected with the first arterial pot and the second arterial pot, the other end of the first conduit is connected with a dialyzer, one end of the second conduit is Y-shaped and is respectively connected with the other end of the first arterial pot and the other end of the second arterial pot, the other end of the second conduit is connected with a blood pump, a first elastic clamp is arranged between the first conduit and the first arterial pot, a second elastic clamp is arranged between the first conduit and the second arterial pot, a third elastic clamp is arranged between the second conduit and the first arterial pot, and a fourth elastic clamp is arranged between the second conduit and the second arterial pot.
The arterial pot comprises a first arterial pot and a second arterial pot, the blood pipeline comprises a first conduit, a second conduit and a third conduit, one end of the first conduit is Y-shaped and is respectively connected with the first arterial pot and the second arterial pot, the other end of the first conduit is connected with a dialyzer, the second conduit is connected with the other end of the first arterial pot, the third conduit is connected with the other end of the second arterial pot, the second conduit and the third conduit are selected to be connected with a blood pump, a first elastic clamp is arranged between the first conduit and the first arterial pot, a second elastic clamp is arranged between the first conduit and the second arterial pot, a third elastic clamp is arranged on the second conduit, and a fourth elastic clamp is arranged on the third conduit.
The venous pot comprises a first venous pot and a second venous pot, the blood pipeline comprises a fourth conduit and a fifth conduit, one end of the fourth conduit is Y-shaped and is respectively connected with the first venous pot and the second venous pot, one end of the fifth conduit is Y-shaped and is respectively connected with the other ends of the first venous pot and the second venous pot, the other end of the fifth conduit is connected with a dialyzer, a fifth elastic clamp is arranged between the fourth conduit and the first venous pot, a sixth elastic clamp is arranged between the fourth conduit and the second venous pot, a seventh elastic clamp is arranged between the fifth conduit and the first venous pot, and an eighth elastic clamp is arranged between the fifth conduit and the second venous pot.
The venous pot comprises a first venous pot and a second venous pot, the blood pipeline comprises a fourth conduit, a fifth conduit and a sixth conduit, one end of the fourth conduit is Y-shaped and is respectively connected with the first venous pot and the second venous pot, the fifth conduit is connected with the other end of the first venous pot, the sixth conduit is connected with the other end of the second venous pot, the fifth conduit and the sixth conduit are alternatively connected with a dialyzer, a fifth elastic clamp is arranged between the fourth conduit and the first venous pot, a sixth elastic clamp is arranged between the fourth conduit and the second venous pot, a seventh elastic clamp is arranged on the fifth conduit, and an eighth elastic clamp is arranged on the sixth conduit.
Compared with the prior art, the utility model has the advantages that the arterial pressure monitor is connected with a main pipe, the main pipe is connected with two branch pipes, one branch pipe is connected with a blood pipeline between the blood pump and the human body, the other branch pipe is connected with an arterial pot, an adjusting part is arranged to control only one branch pipe to be communicated with the main pipe for monitoring the arterial pressure of the arterial pressure monitor, when the normal state is realized, the branch pipe connected with the arterial pot is not communicated with the main pipe through the adjusting part, the main pipe is communicated with the other branch pipe only, and the arterial pressure monitor monitors the pressure in the blood pipeline between the human body and the blood pump; when the pressure at the position of an arterial pot needs to be monitored, the branch pipe connected to the arterial pot is controlled to be communicated with the main catheter through the adjusting piece, the other branch pipe is controlled to be not communicated with the main catheter through the adjusting piece, and the arterial pressure monitor monitors the pressure condition at the position of the arterial pot; make the arterial pressure monitor can not only monitor the arterial pressure in the blood pipeline between human body and the blood pump through adjusting the regulating part, also can monitor the arterial pressure of arterial kettle department moreover to simple structure adjusts the convenience, and rational utilization arterial pressure monitor can make things convenient for medical personnel to know the blood coagulation condition of hemodialysis machine pipeline.
Drawings
The present invention will be described in further detail below with reference to the drawings and preferred embodiments, but those skilled in the art will appreciate that the drawings are only drawn for the purpose of illustrating the background art and explaining the preferred embodiments, and therefore should not be taken as limiting the scope of the present invention. Furthermore, unless specifically stated otherwise, the drawings are merely schematic representations based on conceptual representations of elements or structures depicted and may contain exaggerated displays and are not necessarily drawn to scale.
Fig. 1 is an overall schematic view of a hemodialysis machine.
Fig. 2 is a schematic plan view of the external circulation line in the first embodiment of the regulating member.
Fig. 3 is a schematic plan view of the external circulation line in the second embodiment of the regulating member.
Fig. 4 is a schematic plan view of the external circulation line in the case of the second embodiment of the arterial pot structure.
Fig. 5 is a schematic plan view of the external circulation line in the second embodiment of the intravenous drip chamber.
In the figure: 1. a body; 2. a venous pressure monitor; 3. an arterial pressure monitor; 4. a blood pump; 5. a first venous pot; 6. a second venous pot; 7. a first arterial pot; 8. a second arterial pot; 9. a dialyzer; 10. a blood conduit; 11. a main duct; 12. a first branch pipe; 13. a second branch pipe; 14. a flow stopping clip; 15. a second conduit; 16. a first conduit; 17. a first spring clip; 18. a second elastic clip; 19. a third elastic clip; 20. a fourth elastic clip; 21. a three-way valve; 22. a fourth conduit; 23. a fifth conduit; 24. a fifth elastic clip; 25. a sixth elastic clip; 26. a seventh elastic clip; 27. an eighth elastic clip; 28. a third conduit; 29. a sixth conduit.
Detailed Description
Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. Those skilled in the art will appreciate that the description is illustrative only, and is not to be construed as limiting the scope of the invention.
It should be noted that: like reference numerals refer to like items in the following figures, and thus, once an item is defined in one figure, it may not be further defined and explained in subsequent figures.
In the description of the present invention, it should be noted that the terms "inside" and "outside" are used for indicating the position or positional relationship based on the position or positional relationship shown in the drawings, or the position or positional relationship that the utility model is usually placed when using, and are only for convenience of describing the present invention and simplifying the description, but not for indicating or implying that the device or element to be referred must have a specific position, be constructed and operated in a specific position, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and the like are used merely to distinguish one description from another, and are not to be construed as indicating or implying relative importance.
As shown in fig. 1-5, the utility model comprises a venous pressure monitor 2 and an arterial pressure monitor 3 arranged on a hemodialysis machine body 1, a blood pipeline 10, a blood pump 4, an arterial pot, a dialyzer 9 and a venous pot are arranged on the machine body 1 of the hemodialysis machine, the blood pump 4, the arterial pot, the dialyzer 9 and the venous pot are connected through the blood pipeline 10 to form an external circulation pipeline during dialysis, the blood pump 4 is connected with the artery of a human body through the blood pipeline 10, the venous pot is connected with the vein of the human body through the blood pipeline 10, the blood pump 4 draws blood from the artery of the human body and conveys the blood into the arterial pot, the blood flows into the dialyzer 9 after passing through the arterial pot, the blood is subjected to solute diffusion, osmosis and ultrafiltration with a dialysate which is qualified by using a concentrated solution and water through a dialysate supply device in the dialyzer 9, the acted blood flows into the venous pot, finally, the liquid is led into the veins of the human body from the vein pot and continuously circulates to finish the whole dialysis process, and the liquid used for dialysis is taken as waste liquid to be discharged by the dialysate supply device.
Referring to fig. 1, the venous pressure monitor 2 is connected to a venous pot, the venous pressure monitor 2 is used for monitoring the pressure in a blood conduit 10 from the venous pot to a blood access of a patient, and preferably, the venous pressure monitor 2 is a commercially available pressure monitoring device used in hemodialysis machines.
As shown in figure 1, a main pipe 11 is connected to the arterial pressure monitor 3, two branch pipes are connected to the main pipe 11, one of the branch pipes is connected to a blood pipeline 10 between the blood pump 4 and a human body, the branch pipe is set to be a first branch pipe 12, the other branch pipe is connected to an arterial kettle, the branch pipe is set to be a second branch pipe 13, and a regulating part is arranged to control only one of the branch pipes to be communicated with the main pipe 11 and used for the arterial pressure monitor 3 to monitor arterial pressure.
Be equipped with multiple regulation structure between main duct 11 and the two spinal branch pipes and adjust main duct 11 and only communicate with one of them branch pipe, for example:
in the first scheme, as shown in fig. 2, the adjusting part is a flow stopping clip 14, the flow stopping clip 14 is a medical flow stopping clip existing on the market, the flow stopping clips 14 are arranged on two branch pipes, one branch pipe is clamped and closed by the flow stopping clamp 14, so that the main pipe 11 is communicated with only one branch pipe, preferably, the two branch pipes are integrally connected at one end of the main pipe 11, the main pipe 11 is connected with the two branch pipes to form a Y shape, when in normal state, the second branch pipe 13 is clamped by the flow stopping clamp 14, the first branch pipe 12 is opened to communicate the first branch pipe 12 with the main pipe 11, the arterial pressure monitor 3 monitors the pressure in the blood conduit 10 between the human body and the blood pump 4, when the medical staff needs to monitor the position of the artery, the second branch pipe 13 is opened to lead the second branch pipe 13 to be communicated with the main pipe 11, while the first branch 12 is clamped closed by a stop clamp 14, the arterial pressure monitor 3 monitors the pressure at the arterial pot;
as shown in fig. 3, in the second scheme, the adjusting member is a three-way valve 21, the main conduit 11 and two branch conduits are respectively connected to three valve ports of the three-way valve 21, the main conduit 11 is communicated with one of the branch conduits by rotating a valve rod of the three-way valve 21, the main conduit 11 is sealed with the other branch conduit, preferably, a hand-rotating part is arranged on a valve rod of the three-way valve 21, a medical worker can rotate the valve rod of the three-way valve 21 by the hand-rotating part, when the medical worker is in a normal state, the valve rod of the three-way valve 21 is rotated to a position where the first branch conduit 12 is communicated with the main conduit 11, the second branch conduit 13 is sealed with the main conduit 11, the arterial pressure monitor 3 monitors the pressure in the blood conduit 10 between the human body and the blood pump 4, when the medical worker needs to monitor the position of the arterial pot, the valve rod is rotated to communicate the second branch conduit 13 with the main conduit 11, the first branch conduit 12 is sealed with the main conduit 11, the arterial pressure monitor 3 monitors the pressure at the arterial pot.
Medical personnel can not only can monitor the arterial pressure in the blood pipeline 10 between human body and the blood pump 4 through adjusting the regulating part to make arterial pressure monitor 3, also can monitor the arterial pressure of arteria kettle department to simple structure adjusts the convenience, and rational utilization arterial pressure monitor 3 can make things convenient for medical personnel to know the blood coagulation condition of hemodialysis machine pipeline.
When the arterial pressure monitor 3 is connected to a blood pipeline 10 between the blood pump 4 and a human body, the arterial pressure monitor can be used for monitoring the pressure required by blood at the arterial end of a patient blood vessel access to the blood pipeline 10 at the section of the blood pump 4; when the arterial pressure monitor 3 is connected to an arterial kettle, the arterial pressure monitor can be used for monitoring the blood coagulation problem of a hemodialysis machine pipeline, and preferably, the arterial pressure monitor 3 is an existing pressure monitoring device used for the hemodialysis machine in the market.
Medical personnel can regard as initial numerical value through the pressure of arterial kettle department when the record normal dialysis, then compare the pressure value of arterial kettle department that will monitor afterwards with initial numerical value, know the pressure rise of arterial kettle department or reduce.
If the pressure at the arterial pot is increased and the pressure at the venous pot is decreased, blood coagulation may occur at the arterial pot or at the dialyzer 9;
if the pressure at the position of the arterial pot is increased and the pressure at the position of the venous pot is also increased, the blood coagulation at the position of the venous pot is possible;
if large-area blood coagulation occurs, the pressure reading will be increased rapidly, and medical care personnel can judge according to the pressure change at each position and check the position where blood coagulation may occur, so that the medical care personnel can know the position of blood coagulation more conveniently and more rapidly.
When blood coagulation appears in the pipeline in the hemodialysis process, medical personnel need to treat the pipeline and rebuild a quick, safe and smooth extracorporeal circulation pipeline in order to ensure the safe treatment of patients.
When a section of the arteria pot becomes coagulated, the arteria pot has a variety of structures to deal with the problem of coagulation, such as:
in a first technical solution, as shown in fig. 2, the arterial pot comprises a first arterial pot 7 and a second arterial pot 8, the blood tube 10 comprises a first conduit 16 and a second conduit 15, one end of the first conduit 16 is Y-shaped and is connected with the first arterial pot 7 and the second arterial pot 8 respectively, the other end of the first conduit 16 is connected with a dialyzer 9, one end of the second conduit 15 is Y-shaped and is connected with the other ends of the first arterial pot 7 and the second arterial pot 8 respectively, the other end of the second conduit 15 is connected with a blood pump 4, a first elastic clamp 17 is arranged between the first conduit 16 and the first arterial pot 7, a second elastic clamp 18 is arranged between the first conduit 16 and the second arterial pot 8, a third elastic clamp 19 is arranged between the second conduit 15 and the first arterial pot 7, a fourth elastic clamp 20 is arranged between the second conduit 15 and the second arterial pot 8, the first arterial pot 7 and the second arterial pot 8 are two arterial pots which are connected in parallel and are the same, so that the two arterial pots can be used before and after being connected with the blood pump 4, the arterial pot, the dialyzer 9, the venous pot and other pipeline parts, the first elastic clamp 17 and the third elastic clamp 19 are clamped firstly, the second elastic clamp 18 and the fourth elastic clamp 20 are opened, the second arterial pot 8 is communicated with the blood pump 4 and the dialyzer 9, according to a conventional pre-flushing flow, when the second arterial pot 8 is filled with physiological saline, the second elastic clamp 18 and the fourth elastic clamp 20 are clamped for standby, then the first elastic clamp 17 and the third elastic clamp 19 are opened, the first arterial pot 7 is communicated with the blood pump 4 and the dialyzer 9, and when the first arterial pot 7 is filled with physiological saline and reaches a certain pre-flushing amount, the pre-flushing can be stopped.
When the first arterial pot 7 in a use state in dialysis coagulates and blocks the first arterial pot 7, the pressure at the first arterial pot 7 is increased, the medical staff immediately closes the blood pump 4, clamps the first elastic clamp 17 and the third elastic clamp 19 of the first arterial pot 7 in the use state, connects the second branch pipe 13 connected with the first arterial pot 7 to the standby second arterial pot 8, opens the second elastic clamp 18 and the fourth elastic clamp 20, communicates the second arterial pot 8 with the blood pump 4 and the dialyzer 9, slows down the blood flow to 100ml/min, opens the blood pump 4, observes the change of the arterial pressure at the second arterial pot 8, and determines to continue dialysis treatment or end blood return treatment according to clinical needs.
In the second technical solution, as shown in fig. 4, the arterial pot comprises a first arterial pot 7 and a second arterial pot 8, the blood tube 10 comprises a first conduit 16, a second conduit 15 and a third conduit 28, one end of the first conduit 16 is Y-shaped and is respectively connected with the first arterial pot 7 and the second arterial pot 8, the other end of the first conduit 16 is connected with a dialyzer 9, the second conduit 15 is connected with the other end of the first arterial pot 7, the third conduit 28 is connected with the other end of the second arterial pot 8, the first arterial pot 7 and the second arterial pot 8 are two arterial pots which are parallel and same, therefore, the use can be performed without being divided, so the second conduit 15 and the third conduit 28 are alternatively connected with the blood pump 4, a first elastic clamp 17 is arranged between the first conduit 16 and the first arterial pot 7, a second elastic clamp 18 is arranged between the first conduit 16 and the second arterial pot 8, a third elastic clamp 19 is arranged on the second conduit 15, a fourth elastic clamp 20 is arranged on the third conduit 28, after the blood pump 4, the arterial pot, the dialyzer 9, the venous pot and other pipeline components are connected, the first elastic clamp 17 and the third elastic clamp 19 are clamped firstly, the third duct 28 is connected with the blood pump 4, the second elastic clamp 18 and the fourth elastic clamp 20 are opened, the second arterial pot 8 is communicated with the blood pump 4 and the dialyzer 9, according to the conventional pre-flushing process, when the second arterial pot 8 is filled with the physiological saline, the second elastic clamp 18 and the fourth elastic clamp 20 are clamped for standby, the third conduit 28 is disconnected from the blood pump 4, the second conduit 15 is connected with the blood pump 4, the first elastic clamp 17 and the third elastic clamp 19 are opened, the first arterial pot 7 is communicated with the blood pump 4 and the dialyzer 9, when the first arterial pot 7 is filled with physiological saline and reaches a certain pre-flushing amount, the pre-flushing can be stopped.
When the first arterial pot 7 in a use state in dialysis coagulates and blocks the first arterial pot 7, the pressure at the first arterial pot 7 is increased, the medical staff immediately closes the blood pump 4, clamps the first elastic clamp 17 and the third elastic clamp 19 of the first arterial pot 7 in the use state, disconnects the second conduit 15 from the blood pump 4, connects the second branch pipe 13 connected with the first arterial pot 7 to the standby second arterial pot 8, connects the third conduit 28 with the blood pump 4, opens the second elastic clamp 18 and the fourth elastic clamp 20, connects the second arterial pot 8 with the blood pump 4 and the dialyzer 9, slows down the blood flow to 100ml/min, starts the blood pump 4, observes the change of arterial pressure at the second arterial pot 8, and determines to continue dialysis treatment or finish blood return treatment according to clinical needs. Said third conduit 28 can also be connected directly to a blood transfusion unit through which the amount of blood lost in the patient is replenished, whether the treatment is to be ended or not being determined according to the clinical situation after completion of the replenishment.
When a venous pot segment develops blood clotting, the venous pot has a variety of structures to address the problem of blood clotting, such as:
in a first technical solution, as shown in fig. 3, the venous pot includes a first venous pot 5 and a second venous pot 6, the blood pipeline 10 includes a fourth conduit 22 and a fifth conduit 23, one end of the fourth conduit 22 is Y-shaped and is connected with the first venous pot 5 and the second venous pot 6 respectively, one end of the fifth conduit 23 is Y-shaped and is connected with the other ends of the first venous pot 5 and the second venous pot 6 respectively, the other end of the fifth conduit 23 is connected with a dialyzer 9, a fifth elastic clamp 24 is arranged between the fourth conduit 22 and the first venous pot 5, a sixth elastic clamp 25 is arranged between the fourth conduit 22 and the second venous pot 6, a seventh elastic clamp 26 is arranged between the fifth conduit 23 and the first venous pot 5, an eighth elastic clamp 27 is arranged between the fifth conduit 23 and the second venous pot 6, the first venous pot 5 and the second venous pot 6 are two parallel and identical venous pots, therefore, before and after the blood pump 4, the arterial pot, the dialyzer 9, the venous pot and other pipeline components are connected, the fifth elastic clamp 24 and the seventh elastic clamp 26 are clamped, the sixth elastic clamp 25 and the eighth elastic clamp 27 are opened, the second venous pot 6 is communicated with the fourth conduit 22 and the dialyzer 9, according to the conventional pre-flushing process, when the second venous pot 6 is filled with physiological saline, the sixth elastic clamp 25 and the eighth elastic clamp 27 are clamped for standby, then the fifth elastic clamp 24 and the seventh elastic clamp 26 are opened, the first venous pot 5 is communicated with the fourth conduit 22 and the dialyzer 9, when the first venous pot 5 is filled with physiological saline and reaches a certain pre-flushing amount, pre-flushing can be stopped, and the fourth conduit 22 is connected with the veins of a human body after pre-flushing is completed.
When the first venous pot 5 in a use state in dialysis is coagulated blood and blocks the first venous pot 5, the pressure at the first venous pot 5 is increased, the medical staff immediately turns off the blood pump 4, clamps and closes the fifth elastic clamp 24 and the seventh elastic clamp 26 of the first venous pot 5 in the use state, connects the venous pressure monitor 2 connected with the first venous pot 5 to the standby second venous pot 6, opens the sixth elastic clamp 25 and the eighth elastic clamp 27, communicates the second venous pot 6 with the fourth catheter 22 and the dialyzer 9, slows down the blood flow to 100ml/min, starts the blood pump 4, observes the change of the venous pressure at the second venous pot 6, and determines to continue dialysis treatment or end treatment by blood return according to clinical needs.
In the second technical solution, as shown in fig. 5, the venous pot includes a first venous pot 5 and a second venous pot 6, the blood pipeline 10 includes a fourth conduit 22, a fifth conduit 23 and a sixth conduit 29, one end of the fourth conduit 22 is Y-shaped and is connected to the first venous pot 5 and the second venous pot 6 respectively, the fifth conduit 23 is connected to the other end of the first venous pot 5, the sixth conduit 29 is connected to the other end of the second venous pot 6, the first venous pot 5 and the second venous pot 6 are two parallel and identical venous pots, so that they can be used before and after each other, so that the fifth conduit 23 and the sixth conduit 29 are alternatively connected to the dialyzer 9, a fifth elastic clamp 24 is provided between the fourth conduit 22 and the first venous pot 5, a sixth elastic clamp 25 is provided between the fourth conduit 22 and the second venous pot 6, a seventh elastic clamp 26 is provided on the fifth conduit 23, an eighth elastic clamp 27 is arranged on a sixth conduit 29, after the blood pump 4, the arterial pot, the dialyzer 9, the venous pot and other pipeline components are connected, the fifth elastic clamp 24 and the seventh elastic clamp 26 are clamped, the sixth conduit 29 is connected with the dialyzer 9, the sixth elastic clamp 25 and the eighth elastic clamp 27 are opened, the second venous pot 6 is communicated with the fourth conduit 22 and the dialyzer 9, according to the conventional pre-filling process, when the second venous pot 6 is filled with physiological saline, the sixth elastic clamp 25 and the eighth elastic clamp 27 are clamped for standby, the sixth conduit 29 is disconnected from the dialyzer 9, the fifth conduit 23 is connected with the dialyzer 9, the fifth elastic clamp 24 and the seventh elastic clamp 26 are opened, the first venous pot 5 is communicated with the fourth conduit 22 and the dialyzer 9, when the first venous pot 5 is filled with normal saline and reaches a certain pre-flushing amount, the pre-flushing can be stopped, and the fourth catheter 22 is connected with the vein of the human body after the pre-flushing is finished.
When the first venous pot 5 in the use state in dialysis is coagulated blood and blocks the first venous pot 5, the pressure at the first venous pot 5 is increased, the medical staff immediately closes the blood pump 4, clamps the fifth elastic clamp 24 and the seventh elastic clamp 26 of the first venous pot 5 in the use state, disconnects the fifth conduit 23 from the dialyzer 9, connects the venous pressure monitor 2 connected with the first venous pot 5 to the standby second venous pot 6, connects the sixth conduit 29 with the dialyzer 9, opens the sixth elastic clamp 25 and the eighth elastic clamp 27, connects the second venous pot 6 with the fourth conduit 22 and the dialyzer 9, slows down the blood flow to 100ml/min, starts the blood pump 4, observes the change of the venous pressure at the second venous pot 6, and determines to continue the dialysis treatment or end the blood return treatment according to the clinical requirement. Said sixth conduit 29 can also be connected directly to a blood transfusion unit through which the amount of blood lost in the patient is replenished, whether the treatment is to be ended or not being determined according to the clinical situation after completion of the replenishment.
The elastic clip is an existing medical flow stopping clip on the market.
It is right above the utility model provides a many function monitoring device of hemodialysis machine pipeline has carried out detailed introduction, and it is right to have used specific individual example herein the utility model discloses a principle and implementation mode have been explained, and the explanation of above embodiment is only used for helping to understand the utility model discloses and core thought. It should be noted that, for those skilled in the art, without departing from the principle of the present invention, the present invention can be further modified and modified, and such modifications and modifications also fall within the protection scope of the appended claims.
Claims (8)
1. The multifunctional monitoring device for the hemodialysis machine pipeline comprises a venous pressure monitor and an arterial pressure monitor which are arranged on a hemodialysis machine body, wherein a blood pipeline, a blood pump, an arterial pot, a dialyzer and a venous pot are arranged on the machine body, the blood pump, the arterial pot, the dialyzer and the venous pot are connected through the blood pipeline to form an external circulation pipeline during dialysis, the venous pressure monitor is connected with the venous pot, and the multifunctional monitoring device is characterized in that a main catheter is connected onto the arterial pressure monitor, two branch catheters are connected onto the main catheter, one of the branch catheters is connected onto the blood pipeline between the blood pump and a human body, the other branch catheter is connected onto the arterial pot, and a regulating part is arranged to control the pressure monitoring of the arterial pressure monitor by communicating with the main catheter.
2. The multi-functional monitoring device of hemodialysis machine pipeline of claim 1, wherein the adjusting piece is a flow stopping clip, one of the branch pipes is closed by the flow stopping clip, and the main pipe is communicated with only one branch pipe.
3. The multifunctional monitoring device of the hemodialysis machine pipeline according to claim 2, wherein two branch pipes are integrally connected to one end of a main pipe, and the main pipe is connected with the two branch pipes to form a Y shape.
4. The multifunctional monitoring device for the hemodialysis machine pipeline according to claim 1, wherein the adjusting member is a three-way valve, the main conduit and the two branch conduits are respectively connected to three valve ports of the three-way valve, the main conduit is communicated with one of the branch conduits by rotating a valve rod of the adjusting three-way valve, and the main conduit is sealed from the other branch conduit.
5. The multi-functional monitoring device of hemodialysis machine line of claim 1, wherein the arterial pot comprises a first arterial pot and a second arterial pot, the blood line comprises a first conduit and a second conduit, one end of the first conduit is Y-shaped and connects the first arterial pot and the second arterial pot respectively, and the other end of the first conduit is connected with the dialyzer, one end of the second conduit is Y-shaped and connects the other ends of the first arterial pot and the second arterial pot respectively, and the other end of the second conduit is connected with the blood pump, there is a first elastic clamp between the first conduit and the first arterial pot, there is a second elastic clamp between the first conduit and the second arterial pot, there is a third elastic clamp between the second conduit and the first arterial pot, there is a fourth elastic clamp between the second conduit and the second arterial pot.
6. The multi-functional monitoring device of hemodialysis machine pipeline of claim 1, wherein the arterial pot includes a first arterial pot and a second arterial pot, the blood pipeline includes a first conduit, a second conduit and a third conduit, one end of the first conduit is Y-shaped and connects the first arterial pot and the second arterial pot respectively, and the other end of the first conduit is connected with the dialyzer, the second conduit is connected with the other end of the first arterial pot, the third conduit is connected with the other end of the second arterial pot, the second conduit and the third conduit are alternatively connected with the blood pump, a first elastic clamp is provided between the first conduit and the first arterial pot, a second elastic clamp is provided between the first conduit and the second arterial pot, a third elastic clamp is provided on the second conduit, and a fourth elastic clamp is provided on the third conduit.
7. The multi-functional monitoring device of hemodialysis machine line of claim 1, wherein the venous pot comprises a first venous pot and a second venous pot, the blood conduit comprises a fourth conduit and a fifth conduit, one end of the fourth conduit is Y-shaped and connects the first venous pot and the second venous pot respectively, one end of the fifth conduit is Y-shaped and connects the other ends of the first venous pot and the second venous pot respectively, and the other end of the fifth conduit is connected with the dialyzer, a fifth elastic clamp is provided between the fourth conduit and the first venous pot, a sixth elastic clamp is provided between the fourth conduit and the second venous pot, a seventh elastic clamp is provided between the fifth conduit and the first venous pot, and an eighth elastic clamp is provided between the fifth conduit and the second venous pot.
8. The multi-functional monitoring device of hemodialysis machine pipeline of claim 1, wherein the venous pot includes a first venous pot and a second venous pot, the blood pipeline includes a fourth conduit, a fifth conduit and a sixth conduit, one end of the fourth conduit is Y-shaped and connects the first venous pot and the second venous pot respectively, the fifth conduit connects the other end of the first venous pot, the sixth conduit connects the other end of the second venous pot, the fifth conduit and the sixth conduit are alternatively connected with the dialyzer, a fifth elastic clamp is provided between the fourth conduit and the first venous pot, a sixth elastic clamp is provided between the fourth conduit and the second venous pot, a seventh elastic clamp is provided on the fifth conduit, and an eighth elastic clamp is provided on the sixth conduit.
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114344595A (en) * | 2021-12-29 | 2022-04-15 | 江苏省中医院 | Hemodialysis system continuous dialysis extracorporeal circulation pipeline capable of switching concentrated solution |
CN116328072A (en) * | 2023-04-08 | 2023-06-27 | 上海吟涛医疗器械有限公司 | Miniature monitoring device |
-
2021
- 2021-01-21 CN CN202120173796.6U patent/CN214969897U/en not_active Expired - Fee Related
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114344595A (en) * | 2021-12-29 | 2022-04-15 | 江苏省中医院 | Hemodialysis system continuous dialysis extracorporeal circulation pipeline capable of switching concentrated solution |
CN114344595B (en) * | 2021-12-29 | 2023-05-05 | 江苏省中医院 | Hemodialysis system continuous dialysis external circulation pipeline capable of switching concentrated solution |
CN116328072A (en) * | 2023-04-08 | 2023-06-27 | 上海吟涛医疗器械有限公司 | Miniature monitoring device |
CN116328072B (en) * | 2023-04-08 | 2023-12-29 | 上海吟涛医疗器械有限公司 | Miniature monitoring device |
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