JPS63189162A - Apparatus for removing components in blood - Google Patents

Apparatus for removing components in blood

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Publication number
JPS63189162A
JPS63189162A JP62020177A JP2017787A JPS63189162A JP S63189162 A JPS63189162 A JP S63189162A JP 62020177 A JP62020177 A JP 62020177A JP 2017787 A JP2017787 A JP 2017787A JP S63189162 A JPS63189162 A JP S63189162A
Authority
JP
Japan
Prior art keywords
blood
plasma
harmful components
concentration
harmful
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP62020177A
Other languages
Japanese (ja)
Other versions
JPH0588626B2 (en
Inventor
邦治 鬼村
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Yokogawa Electric Corp
Original Assignee
Yokogawa Electric Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Yokogawa Electric Corp filed Critical Yokogawa Electric Corp
Priority to JP62020177A priority Critical patent/JPS63189162A/en
Publication of JPS63189162A publication Critical patent/JPS63189162A/en
Publication of JPH0588626B2 publication Critical patent/JPH0588626B2/ja
Granted legal-status Critical Current

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Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 く産業上の利用分野〉 本発明は、血液に含まれているコレステロール等の有害
成分を選択的に除去する血中成分除去装置に関する。
DETAILED DESCRIPTION OF THE INVENTION Industrial Application Field The present invention relates to a blood component removal device that selectively removes harmful components such as cholesterol contained in blood.

〈従来の技術〉 従来、特開昭59−197255号公報に開示されてい
るような血中成分除去装置が公知である。
<Prior Art> Conventionally, a blood component removal device as disclosed in Japanese Unexamined Patent Publication No. 59-197255 is known.

この除去装置は、患者から採取した血液を送液する第1
ポンプと、血液を血漿と血球成分に分離する血漿分離部
と、血漿に含まれている有害成分(例えばコレステロー
ル)を選択的に除去する吸着器と、この吸着器に前記血
漿分離部で分離された血漿を送液する第2ポンプと、前
記血漿分離部で分離された血球成分に前記吸着器で有害
成分が除去された血漿を混合する混合部とを設け、上記
第1及び第2のポンプを手動操作でスピードコントロー
ルして、血液に含まれている前記有害成分を除去するよ
うにしている。
This removal device has a first
a pump, a plasma separation section that separates blood into plasma and blood cell components, an adsorption device that selectively removes harmful components (for example, cholesterol) contained in the plasma, and a device that separates blood in the plasma separation section into the adsorption device. the first and second pumps; The speed is controlled manually to remove the harmful components contained in the blood.

このような装置では、治療にょ簀患者の血液から実際に
除去したコレステロールの総量を知ることが出来なかっ
た。
With such devices, it was not possible to determine the total amount of cholesterol actually removed from the blood of the patient being treated.

〈発明が解決しようとする問題点〉 本発明の解決しようとする技術的課題は、前記血中成分
除去装置において、血液から実際に除去/、シた有害成
分の総量を検知できるようにすることにある。
<Problems to be Solved by the Invention> A technical problem to be solved by the present invention is to enable the blood component removal device to detect the total amount of harmful components actually removed from the blood. It is in.

く問題点を解決するための手段〉 本発明の第1の発明の構成は、前記血中成分除去装置に
おいて、前記吸着器が有害成分で飽和したとき行われる
再生モード時、前記吸着器に流される再生液の流量に対
応した信号を発生する手段と、前記吸着器から排出され
る再生液中の有害成分の濃度を検出する濃度検出手段と
を設け、前記流山測定手段並びに濃度検出手段の出力に
基き演算により前記患者の血液から除去した有害成分の
総量を求めるようにしたことにある。
Means for Solving the Problems> A first aspect of the present invention is that in the blood component removal device, during a regeneration mode that is performed when the adsorption device is saturated with harmful components, means for generating a signal corresponding to the flow rate of the regenerating liquid discharged from the adsorber; and a concentration detecting means for detecting the concentration of harmful components in the regenerating liquid discharged from the adsorber; The total amount of harmful components removed from the patient's blood is determined by calculation based on the above.

本発明の第2の発明の構成は、前記血中成分除去装置に
おいて、治療モード時、前記吸@器に流される血漿の流
量に対応した信号を発生する手段と、前記吸着器の入口
及び出口に前記血漿中の有害成分のm1度を検出する濃
度検出手段を夫々設け、前記吸着器の入口及び出口にお
番プる前記有害成分の濃度差と前記血漿の流量とに基き
演算により前記患者の血液から除去した有害成分の総量
を求めるようにしたことにある。
According to a second aspect of the present invention, the blood component removal device includes means for generating a signal corresponding to the flow rate of plasma flowing into the suction device in the treatment mode, and an inlet and an outlet of the suction device. are respectively provided with concentration detection means for detecting m1 degree of the harmful component in the plasma, and calculates the concentration of the harmful component in the blood plasma at the inlet and outlet of the adsorbent and the flow rate of the plasma. The aim is to calculate the total amount of harmful components removed from the blood of patients.

〈実施例〉 以下、図面に従い本発明の詳細な説明する。第1図は本
発明の第1の発明の実施例を示す構成図ある。1aは患
者の腕等〈図示せず)から血液を採取する採血部、1b
は患者の腕等に血液を戻す返血部、2a〜2!は血液、
血漿、再生液用のチャンバー、3a〜3gは圧力計、4
aは血液を送液する第1のポンプ(血液ポンプ)、4b
は血漿を送液する第2のポンプ(血漿ポンプ)、4cは
再生液を送液する第3のポンプ(充填液/再生液ポンプ
)、5は例えばチューブ状の膜によって内部が内室と外
室とに仕切られ、前記内室には流入口5aと流出口5b
S設けられ、前記外室には流出口5cが設けられたセパ
レータ、6a、6bは吸着剤が充填され、夫々に流入口
6a+、6b+と流出口6a2.6b2とが設けられた
吸着器、7は混合部、8a〜8hは吸着器6a、6bの
動作を血中成分除去動作と再生動作とに切換えるバルブ
、8t、8Jは排出液径路を切換えるバルブ、8b、8
tは充填液(リンゲル液)が入れられたバッグ9と吸着
器6a、6bを再生する再生液が入れられた再生液バッ
グ1oとを切換えるバルブ、11は吸着器6a、6bの
再生状態をチェックする為の導電率計、12は生理食塩
水が入れられた生食バッグ、13は返血部1bに至る回
路に設けられた気泡検出器、14はヒータである。
<Example> The present invention will be described in detail below with reference to the drawings. FIG. 1 is a block diagram showing a first embodiment of the present invention. 1a is a blood sampling section for collecting blood from a patient's arm or the like (not shown); 1b
is the blood return part that returns blood to the patient's arm, etc., 2a~2! is blood,
Chamber for plasma and regeneration solution, 3a to 3g are pressure gauges, 4
a is a first pump (blood pump) that pumps blood, 4b
4c is a third pump (filling liquid/regenerating liquid pump) that sends plasma; 5 is a tube-like membrane that connects the inside with the outside; The inner chamber has an inlet 5a and an outlet 5b.
a separator having an outlet port 5c in the outer chamber; an adsorbent 7 filled with an adsorbent and having inlets 6a+, 6b+ and outlet ports 6a2 and 6b2, respectively; 8a to 8h are mixing parts, 8a to 8h are valves that switch the operation of the adsorbers 6a and 6b between blood component removal operation and regeneration operation, 8t and 8J are valves that switch the discharge liquid path, 8b and 8
t is a valve that switches between the bag 9 containing the filling liquid (Ringer's solution) and the regenerating liquid bag 1o containing the regenerating liquid for regenerating the adsorbers 6a and 6b; 11 is a valve that checks the regeneration state of the adsorbers 6a and 6b. 12 is a saline bag containing physiological saline, 13 is an air bubble detector provided in the circuit leading to the blood return section 1b, and 14 is a heater.

15は吸着器6a、6bからの排出液径路に設けられた
、排出される再生液中のコレステロールの11度を検出
する濃度検出手段である。この検出手段には、例えばコ
レステロールと酵素反応する固定化酵素が表面に形成さ
れた酵素電極が用いられ前記排出液径路に直接挿入して
使用される。
Reference numeral 15 denotes a concentration detection means provided in the discharge liquid path from the adsorbers 6a and 6b for detecting 11 degrees of cholesterol in the discharged regenerated liquid. This detection means uses, for example, an enzyme electrode on the surface of which is formed an immobilized enzyme that enzymatically reacts with cholesterol, and is used by directly inserting it into the effluent path.

16は演算制御部で、濃度検出手段15からの検出出力
CC1並びに吸着器6 a * 6 bに流される再生
液の流量に対応した第3のポンプ4cからの信号Qが与
えられている。尚、演算制御部16には、この他にも各
種のセンサから測定入力が与えられ、バルブ等各種の操
作端を制御する制御信号が出力されるが、本図では説明
の便宜上、本発明に直接関係のある上記二つの信号だけ
が示されている。
Reference numeral 16 denotes an arithmetic control unit, which is supplied with a detection output CC1 from the concentration detection means 15 and a signal Q from the third pump 4c corresponding to the flow rate of the regeneration liquid flowing into the adsorbers 6a*6b. Note that measurement inputs are also given to the arithmetic control unit 16 from various sensors, and control signals for controlling various operating ends such as valves are output, but in this figure, for convenience of explanation, the present invention is not shown. Only the two directly related signals are shown.

このような構成の本発明実施例装置の動作を以下に説明
する。血液回路に生理食塩水を充填した後、採血部1a
に接続された針を返血部1bに接続された針と共に患者
に穿刺し治療を行う。採血部1aから血液回路に導かれ
た血液は血液ポンプ4aによりセパレータ5に送液され
、血漿と血球成分に分離される。血漿は血漿ポンプ4b
で吸着器6a、6bの一方に送液され、血球成分は混合
部7へ送液される。
The operation of the apparatus according to the embodiment of the present invention having such a configuration will be described below. After filling the blood circuit with physiological saline, the blood sampling section 1a
The needle connected to the blood return unit 1b is punctured into the patient together with the needle connected to the blood return unit 1b to perform treatment. Blood led from the blood sampling section 1a to the blood circuit is sent to a separator 5 by a blood pump 4a, and is separated into plasma and blood cell components. Plasma pump 4b
The blood cell component is sent to one of the adsorbers 6a and 6b, and the blood cell component is sent to the mixing section 7.

吸着器6a或は6bに充填された吸着剤によって血漿中
のコレステロールのみが吸着される。処理された血漿は
混合部7で血球成分と合流され、返血部1bから患者に
返血される。
Only cholesterol in plasma is adsorbed by the adsorbent filled in the adsorbent 6a or 6b. The treated plasma is combined with blood cell components in the mixing section 7 and returned to the patient from the blood return section 1b.

吸着器6a或は6bは、コレステロールの吸着が飽和し
たとき再生が行われる。吸着器6aを再生する場合、バ
ルブ8a、8eを閏とし血液回路から切離し、バルブ8
c、8s、8fを開、バルブ8kを閉とし、再生バッグ
10より再生液を吸着器6aに流す。
The adsorber 6a or 6b is regenerated when adsorption of cholesterol is saturated. When regenerating the adsorber 6a, the valves 8a and 8e are used as levers to disconnect it from the blood circuit, and the valve 8a is disconnected from the blood circuit.
c, 8s, and 8f are opened, valve 8k is closed, and the regenerated liquid is allowed to flow from the regeneration bag 10 to the adsorber 6a.

/パ      このとき吸着器6・から再生液によ・
て洗い流されるコレステロールの量を検出する。酵素電
極を用いた濃度検出手段15では、コレステロールが固
定化酵素膜に拡散し酵素反応を起す。これにより過酸化
水素を発生づると共に酸素を消費し、電極への酸素の流
れを減少させる。酸素の変化量とコレステロール量とは
関連しており、酵素電極における電気量の変化からコレ
ステロール濃度を測定する。コレステロール濃度を測定
する別な方法として、N素反応によって生じた過酸化水
素を電気化学反応電極によって測定する方法もある。
/Pa At this time, the regenerated liquid is
detect the amount of cholesterol that is washed away. In the concentration detection means 15 using an enzyme electrode, cholesterol diffuses into the immobilized enzyme membrane and causes an enzyme reaction. This generates hydrogen peroxide and consumes oxygen, reducing the flow of oxygen to the electrodes. The amount of change in oxygen and the amount of cholesterol are related, and the cholesterol concentration is measured from the change in the amount of electricity at the enzyme electrode. Another method for measuring cholesterol concentration is to measure hydrogen peroxide produced by the nitrogen reaction using an electrochemical reaction electrode.

これら方法によって再生液によって洗い流されたコレス
テロールの濃度Cc  (mo/me >が測定出来る
By these methods, the concentration of cholesterol Cc (mo/me >) washed away by the regenerating solution can be measured.

第2図は再生モードの動作説明図で、図(a)は再生が
行われる期間を表わし、図(b)は濃度検出手段15で
検出されるコレステロール濃度の変化を表わす。
FIG. 2 is an explanatory diagram of the operation in the regeneration mode, in which FIG. 2A shows the period during which regeneration is performed, and FIG. 2B shows the change in the cholesterol concentration detected by the concentration detection means 15.

第3のポンプ4cの駆動信号は通常は固定であり吸着器
6aに流される再生液の流ff1Q(rrl/m1n)
に対応している。従って、第3のポンプ4cからの信号
Qと濃度検出手段5の検出出力Ccとを演算制御部16
に与えて以下のv4算を行えば、治療において患者の血
液から除去したコレステロールの総I W cが求めら
れる。
The drive signal of the third pump 4c is normally fixed, and the flow rate of the regenerating liquid flowing into the adsorber 6a is ff1Q (rrl/m1n).
It corresponds to Therefore, the signal Q from the third pump 4c and the detection output Cc of the concentration detection means 5 are calculated by the calculation control section 16.
, and perform the following v4 calculation to determine the total cholesterol I W c removed from the patient's blood during treatment.

尚、治療で2以上の吸着器が使用された場合には、夫々
の吸着器について再生を行い、上記の演算を行って得た
結果を合計したものが患者の血液から除去したコレステ
ロールの総量となる。
In addition, if two or more adsorbers are used for treatment, the total amount of cholesterol removed from the patient's blood is calculated by regenerating each adsorber and summing the results obtained by performing the above calculation. Become.

第3図は本発明の第2の発明の実施例装置を示す構成図
である。図中、第1図における要素と同じ要素には同一
符号を付し説明は省略する。17゜18は吸@器6aの
入口と出口に設けられた血漿中の有害成分の濃度を検出
する濃度検出手段、19.20は吸着器6bの入口と出
口に設けられた血漿中の有害成分の11度を検出する濃
度検出手段である。これら濃度検出手段には第1図の濃
度検出手段15と同じものが使用され、ここからの検出
出力は演算制御部16に与えられている。演算制御部1
6には、また血漿ポンプ4bからの信号Q′が与えられ
ている。
FIG. 3 is a configuration diagram showing an apparatus according to a second embodiment of the present invention. In the figure, the same elements as those in FIG. 1 are given the same reference numerals, and explanations thereof will be omitted. 17 and 18 are concentration detection means for detecting the concentration of harmful components in plasma, which are provided at the inlet and outlet of the suction device 6a, and 19.20 are harmful components in plasma, which are provided at the inlet and outlet of the adsorption device 6b. This is a concentration detection means for detecting 11 degrees of the temperature. These concentration detecting means are the same as the concentration detecting means 15 shown in FIG. Arithmetic control unit 1
6 is also provided with a signal Q' from the plasma pump 4b.

このような構成で、治療モード時、例えば吸着器6aが
使用されている場合、この吸着器によって吸着されるコ
レステロール量は吸着器6aの入口及び出口に設けられ
た11度検出手段17.18で検出されるコレステロー
ルalfflの差Cc’で表わされる。このCc′と血
漿ポンプ4bから与えられる、吸着rA 6 aに流さ
れる血漿の流量に対応した信号Q′ とから、 なる演算を行えば、吸着器6bに吸着されるコレステロ
ールの総量、即ち、患者の血液から除去したコレステロ
ールの総理が分る。
With this configuration, in the treatment mode, for example, when the adsorber 6a is used, the amount of cholesterol adsorbed by this adsorber is determined by the 11 degree detection means 17.18 provided at the inlet and outlet of the adsorber 6a. The difference in detected cholesterol alffl is expressed as Cc'. From this Cc' and the signal Q' given from the plasma pump 4b and corresponding to the flow rate of plasma flowing into the adsorbent rA 6a, the following calculation is performed to determine the total amount of cholesterol adsorbed on the adsorbent 6b, that is, the total amount of cholesterol adsorbed by the patient The amount of cholesterol removed from the blood of people is known.

〈発明の効果〉 本発明によれば、患者の血液から実際に除去した有害成
分の総量を検知できる為、血中成分除去装置による治療
効果を正確に把握することが出来る。
<Effects of the Invention> According to the present invention, since the total amount of harmful components actually removed from the patient's blood can be detected, the therapeutic effect of the blood component removal device can be accurately grasped.

【図面の簡単な説明】[Brief explanation of the drawing]

第1図は本発明の第1の発明の実施例装置を示す構成図
、第2図は第1図の本発明実施例装置の動作説明図、第
3図は本発明の第2の発明の実施例装置を示す構成図で
ある。 1a・・・採血部、1b・・・返血部、4a・・・加液
ポンプ、4b・・・血漿ポンプ、4c・・・再生液ポン
プ、5・・・セパレータ、6a、6b・・・吸着器、7
・・・混合部、15・・・濃度検出手段、16・・・演
算制御部、17〜20・・・11度検出手段、Q・・・
再生液の流量信号、Cc・・・再生液中の有害成分濃度
、Q′・・・血漿の流量信号 第2図
FIG. 1 is a configuration diagram showing an apparatus according to a first embodiment of the present invention, FIG. 2 is an explanatory diagram of the operation of the apparatus according to an embodiment of the present invention shown in FIG. 1, and FIG. FIG. 1 is a configuration diagram showing an example device. 1a...Blood collection section, 1b...Blood return section, 4a...Liquid pump, 4b...Plasma pump, 4c...Regeneration liquid pump, 5...Separator, 6a, 6b... Adsorber, 7
...Mixing section, 15...Concentration detection means, 16...Arithmetic control section, 17-20...11 degree detection means, Q...
Flow rate signal of regenerating solution, Cc... Concentration of harmful components in regenerating solution, Q'... Flow rate signal of plasma Fig. 2

Claims (2)

【特許請求の範囲】[Claims] (1)患者から血液を採取しこの血液を血漿と血球成分
に分離し、血漿に含まれる有害成分を吸着器を用いて選
択的に除去し、前記分離された血球成分に前記有害成分
を除去した血漿を混合して前記患者に返血するようにし
た血中成分除去装置において、前記吸着器が有害成分で
飽和したとき行われる再生モード時、前記吸着器に流さ
れる再生液の流量に対応した信号を発生する手段と、前
記吸着器から排出される再生液中の有害成分の濃度を検
出する濃度検出手段とを設け、前記流量測定手段並びに
濃度検出手段の出力に基き演算により前記患者の血液か
ら除去した有害成分の総量を求めるようにしたことを特
徴とする血中成分除去装置。
(1) Collect blood from a patient, separate this blood into plasma and blood cell components, selectively remove harmful components contained in the plasma using an adsorbent, and remove the harmful components from the separated blood cell components. In the blood component removal device which mixes the collected plasma and returns the blood to the patient, the method corresponds to the flow rate of the regeneration liquid flowing into the adsorption device during a regeneration mode that is performed when the adsorption device is saturated with harmful components. and a concentration detection means for detecting the concentration of harmful components in the regenerated liquid discharged from the adsorption device, and a concentration detection means for detecting the concentration of harmful components in the regeneration liquid discharged from the adsorption device, and A blood component removal device characterized in that the total amount of harmful components removed from blood is determined.
(2)患者から血液を採取しこの血液を血漿と血球成分
に分離し、血漿に含まれる有害成分を吸着器を用いて選
択的に除去し、前記分離された血球成分に前記有害成分
を除去した血漿を混合して前記患者に返血するようにし
た血中成分除去装置において、治療モード時、前記吸着
器に流される血漿の流量に対応した信号を発生する手段
と、前記吸着器の入口及び出口に前記血漿中の有害成分
の濃度を検出する濃度検出手段を夫々設け、前記吸着器
の入口及び出口における前記有害成分の濃度差と前記血
漿の流量とに基き演算により前記患者の血液から除去し
た有害成分の総量を求めるようにしたことを特徴とする
血中成分除去装置。
(2) Collect blood from the patient, separate the blood into plasma and blood cell components, selectively remove harmful components contained in the plasma using an adsorbent, and remove the harmful components from the separated blood cell components. In the blood component removal device, the blood component removal device mixes the collected plasma and returns the blood to the patient, the device further comprising: means for generating a signal corresponding to the flow rate of plasma flowing into the adsorption device in a treatment mode; and an inlet of the adsorption device. and a concentration detection means for detecting the concentration of the harmful component in the plasma at the inlet and outlet of the adsorber, and calculates the amount of the harmful component from the patient's blood based on the difference in the concentration of the harmful component at the inlet and outlet of the adsorber and the flow rate of the plasma. A blood component removal device characterized in that the total amount of removed harmful components is determined.
JP62020177A 1987-01-30 1987-01-30 Apparatus for removing components in blood Granted JPS63189162A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP62020177A JPS63189162A (en) 1987-01-30 1987-01-30 Apparatus for removing components in blood

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP62020177A JPS63189162A (en) 1987-01-30 1987-01-30 Apparatus for removing components in blood

Publications (2)

Publication Number Publication Date
JPS63189162A true JPS63189162A (en) 1988-08-04
JPH0588626B2 JPH0588626B2 (en) 1993-12-22

Family

ID=12019895

Family Applications (1)

Application Number Title Priority Date Filing Date
JP62020177A Granted JPS63189162A (en) 1987-01-30 1987-01-30 Apparatus for removing components in blood

Country Status (1)

Country Link
JP (1) JPS63189162A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1033662A (en) * 1996-07-25 1998-02-10 Kanegafuchi Chem Ind Co Ltd Ex vivo blood circulating device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH1033662A (en) * 1996-07-25 1998-02-10 Kanegafuchi Chem Ind Co Ltd Ex vivo blood circulating device

Also Published As

Publication number Publication date
JPH0588626B2 (en) 1993-12-22

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