TWI542370B - Blood purification device - Google Patents

Blood purification device Download PDF

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TWI542370B
TWI542370B TW102107598A TW102107598A TWI542370B TW I542370 B TWI542370 B TW I542370B TW 102107598 A TW102107598 A TW 102107598A TW 102107598 A TW102107598 A TW 102107598A TW I542370 B TWI542370 B TW I542370B
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flow rate
pump
heat source
operating temperature
blood purification
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TW102107598A
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Chinese (zh)
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TW201341005A (en
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Masayuki Takahashi
Satoshi Tokumitsu
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Kawasumi Lab Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3496Plasmapheresis; Leucopheresis; Lymphopheresis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3623Means for actively controlling temperature of blood
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3368Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/36General characteristics of the apparatus related to heating or cooling

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Cardiology (AREA)
  • External Artificial Organs (AREA)

Description

血液淨化裝置 Blood purification device

本發明係關於一種血液淨化裝置。 The present invention relates to a blood purification device.

作為習知之血液淨化裝置,已知有具備用以調整流動於體外循環迴路內之液體之溫度之加溫器的血液淨化裝置(參照專利文獻1及2)。作為加溫器,而於專利文獻1所記載血液淨化裝置中,係以將通過體外循環迴路而注入至患者體內之液體(血液或補充液等)之溫度調整為所需之溫度為目的而配設,於專利文獻2所記載之血液淨化裝置中,係以提高血漿成分分離器(Plasma Fractionator)之分離過濾功能為目的而配設。 As a blood purification device of the prior art, a blood purification device including a warmer for adjusting the temperature of a liquid flowing in an extracorporeal circulation circuit is known (see Patent Documents 1 and 2). In the blood purification device described in Patent Document 1, the blood purification device described in Patent Document 1 is configured to adjust the temperature of a liquid (blood, supplement, or the like) injected into a patient through an extracorporeal circuit to a desired temperature. In the blood purification device described in Patent Document 2, it is provided for the purpose of improving the separation and filtration function of a plasma component separator (Plasma Fractionator).

[先前技術文獻] [Previous Technical Literature] [專利文獻] [Patent Literature]

專利文獻1:日本專利特開2001-029459號公報 Patent Document 1: Japanese Patent Laid-Open Publication No. 2001-029459

專利文獻2:日本專利特開2007-215569號公報 Patent Document 2: Japanese Patent Laid-Open Publication No. 2007-215569

然而,配設於血液淨化裝置中之血液泵等並非以所設定之流量始終持續地動作。例如亦存在如下類型:於體外循環迴路內之壓力暫時變高時,考慮到安全性,以減少自泵實際傳送之流量(以下,稱為執行流量)之方式而調整。對於以此方式實施減少執行流量之控制 的血液泵等而言,若加溫器之設定溫度為固定,則擔心會存在產生如下問題。 However, the blood pump or the like disposed in the blood purification device does not always operate continuously at the set flow rate. For example, there is also a type in which the pressure in the extracorporeal circuit is temporarily increased, and the safety is reduced in consideration of the flow rate actually transmitted from the pump (hereinafter referred to as the execution flow rate). Implementing control to reduce execution traffic in this way In the case of a blood pump or the like, if the set temperature of the warmer is fixed, there is a fear that the following problems may occur.

例如,對於以注入體內之液體之溫度調整為目的而配置有加溫器之血液淨化裝置而言,儘管實施減少泵之執行流量之控制,但若加溫器之設定溫度維持為固定,則注入體內之液體之溫度很可能高於所需之溫度。假設液體溫度上升至不理想之溫度,則會對液體之組成造成惡劣影響,作為結果,可想像可能無法充分地取得預期之治療效果。 For example, in the blood purification device in which the warmer is disposed for the purpose of temperature adjustment of the liquid injected into the body, although the control for reducing the execution flow rate of the pump is implemented, if the set temperature of the warmer is maintained constant, the injection is performed. The temperature of the liquid in the body is likely to be higher than the desired temperature. Assuming that the temperature of the liquid rises to an undesired temperature, the composition of the liquid is adversely affected. As a result, it is conceivable that the desired therapeutic effect may not be sufficiently obtained.

另一方面,對於以血漿成分分離器之分離過濾功能之提高為目的而配設有加溫器之血液淨化裝置而言,儘管實施減少泵之執行流量之控制,但若加溫器之設定溫度維持為固定,則注入至血漿成分分離器內之液體之溫度很可能變高至設想值以上。假設液體溫度上升至不理想之溫度,則會對液體之組成造成惡劣影響,作為結果,可想像可能無法充分地取得預期之治療效果。 On the other hand, in the case of a blood purification device equipped with a warmer for the purpose of improving the separation and filtration function of the plasma component separator, although the control for reducing the execution flow rate of the pump is implemented, if the temperature of the warmer is set Maintaining the fixation, the temperature of the liquid injected into the plasma component separator is likely to rise above the assumed value. Assuming that the temperature of the liquid rises to an undesired temperature, the composition of the liquid is adversely affected. As a result, it is conceivable that the desired therapeutic effect may not be sufficiently obtained.

再者,上述課題並非限於實施減少泵之執行流量之控制之情形,對於實施增加泵之執行流量之控制而言亦同樣,若加溫器之設定溫度維持為固定,則可想像會因加溫不足而導致可能無法充分地取得預期之治療效果。 Furthermore, the above-mentioned problem is not limited to the case of implementing the control for reducing the execution flow rate of the pump, and the same is true for the control for increasing the execution flow rate of the pump. If the set temperature of the warmer is maintained constant, it is conceivable that the heating is due to heating. Insufficient results may not fully achieve the desired therapeutic effect.

又,上述課題並非限於具備加溫器之血液淨化裝置。例如,於被稱為血漿冷卻過濾法(Cryofiltration Plasmapheresis,低溫過濾血漿清除術)之血液淨化療法中,可使用具備用以使由血漿分離器分離之血漿冷卻之冷卻器的血液淨化裝置。於具備該冷卻器之血液淨化裝置中,於實施使泵之執行流量變動之控制之情形時,若冷卻器之設定溫度一直維持為固定溫度,則可想像會因冷卻過剩或冷卻不足而導致 可能無法充分地取得預期之治療效果。 Further, the above problem is not limited to a blood purification device including a warmer. For example, in a blood purification therapy called a cryofiltration plasmapheresis, a blood purification device having a cooler for cooling plasma separated by a plasma separator can be used. In the blood purification apparatus including the cooler, when the control for changing the flow rate of the pump is performed, if the set temperature of the cooler is maintained at a constant temperature, it is conceivable that the cooling is excessive or the cooling is insufficient. The expected therapeutic effect may not be fully achieved.

因此,本發明係為解決上述課題而完成者,其目的在於提供一種即便泵之執行流量有所變動,亦可充分地取得預期之治療效果的血液淨化裝置。 Therefore, the present invention has been made to solve the above problems, and an object of the invention is to provide a blood purification apparatus which can sufficiently obtain an intended therapeutic effect even if the flow rate of the pump is changed.

本發明之血液淨化裝置具備:裝置本體,其係於體外循環迴路上裝卸自如;至少1個泵,其係用以向上述體外循環迴路內輸送液體;熱源器,其對流動於上述體外循環迴路內之液體進行加溫或冷卻;及主控制部,其執行各種控制;且,上述主控制部具備:執行流量決定部,其決定上述泵之執行流量;泵控制部,其根據藉由上述執行流量決定部所決定的上述泵之執行流量,而控制上述泵之驅動;動作溫度決定部,其根據藉由上述執行流量決定部所決定的上述泵之執行流量,而決定上述熱源器之動作溫度;及熱源器控制部,其根據藉由上述動作溫度決定部所決定的上述熱源器之動作溫度,而控制於上述熱源器及上述液體間傳導之熱量。 The blood purification device of the present invention comprises: a device body detachably attached to the extracorporeal circuit; at least one pump for delivering the liquid to the extracorporeal circuit; and a heat source for flowing to the extracorporeal circuit The liquid inside is heated or cooled; and the main control unit performs various controls; and the main control unit includes an execution flow rate determining unit that determines an execution flow rate of the pump, and a pump control unit that performs the above The operation rate of the pump determined by the flow rate determining unit controls the driving of the pump, and the operating temperature determining unit determines the operating temperature of the heat source based on the execution flow rate of the pump determined by the execution flow rate determining unit. And a heat source control unit that controls heat transferred between the heat source and the liquid based on an operating temperature of the heat source determined by the operating temperature determining unit.

如本發明之血液淨化裝置,其中較佳為,進而具備輸入部,其可輸入用以設定上述泵之執行流量之流量值,上述執行流量決定部根據輸入至上述輸入部中之流量值,而決定上述泵之執行流量。 Preferably, the blood purification device according to the present invention further includes an input unit that inputs a flow rate value for setting an execution flow rate of the pump, wherein the execution flow rate determining unit is based on a flow rate value input to the input unit. Determine the execution flow rate of the above pump.

又,如本發明之血液淨化裝置,其中較佳為,進而具備記憶部,其記憶上述泵之執行流量之相關資訊,上述執行流量決定部係根據記憶於上述記憶部中之上述執行流量之相關資訊,而決定上述泵之執行流量。 Further, preferably, the blood purification device according to the present invention further includes a memory unit that stores information on the execution flow rate of the pump, wherein the execution flow rate determining unit is related to the execution flow rate stored in the storage unit. Information, and determine the execution flow of the above pump.

如本發明之血液淨化裝置,其中較佳為,於上述熱源器上,預先設定有作為動作溫度而容許之可變動範圍,上述動作溫度決 定部係於根據上述泵之執行流量而導出之上述熱源器之動作溫度自預先設定之上述可變動範圍偏離時,暫時變更該可變動範圍之上限值或下限值,且於變更後之上述可變動範圍內決定上述熱源器之動作溫度。 In the blood purification device of the present invention, preferably, the heat source device is provided with a variable range that is allowed as the operating temperature, and the operating temperature is determined. The fixed portion temporarily changes the upper limit value or the lower limit value of the variable range when the operating temperature of the heat source derived from the pump flow rate is deviated from the preset variable range, and is changed after the change The operating temperature of the heat source is determined within the above-described variable range.

如本發明之血液淨化裝置,其中上述熱源器為加溫器,亦可為冷卻器。 In the blood purification device of the present invention, the heat source device is a warmer or a cooler.

根據本發明之血液淨化裝置,其具備上述之動作溫度決定部及熱源器控制部,故而即便已實施使泵之執行流量變動之控制,亦可根據其變動後之執行流量而控制於熱源器及液體間傳導之熱量。即,即便泵之執行流量有所變動,亦可將血液等調整為理想之溫度,作為結果,可充分地取得預期之治療效果。 According to the blood purification device of the present invention, the operation temperature determining unit and the heat source control unit are provided. Therefore, even if the control for changing the flow rate of the pump is performed, the blood flow rate can be controlled based on the changed flow rate. The amount of heat transferred between the liquids. That is, even if the flow rate of the pump is changed, the blood or the like can be adjusted to a desired temperature, and as a result, the desired therapeutic effect can be sufficiently obtained.

1‧‧‧血液淨化系統 1‧‧‧Blood purification system

10‧‧‧血漿分離器 10‧‧‧plasma separator

12‧‧‧(血漿分離器之)流入部 12‧‧‧ (plasma separator) inflow

14‧‧‧(血漿分離器之)第1流出部 14‧‧‧ (Peptide Separator) First Outflow

16‧‧‧(血漿分離器之)第2流出部 16‧‧‧ (plasma separator) second outflow

20‧‧‧動脈側迴路 20‧‧‧Arterial side circuit

22、32、52‧‧‧氣阱 22, 32, 52‧‧‧ gas trap

24、54、64‧‧‧轉管部 24, 54, 64‧‧ ‧ Department of Transfer

30‧‧‧靜脈側迴路 30‧‧‧ Venous side circuit

40‧‧‧血漿成分分離器 40‧‧‧ plasma component separator

42‧‧‧(血漿成分分離器之)流入部 42‧‧‧ (in the plasma component separator) inflow section

44‧‧‧(血漿成分分離器之)第1流出部 44‧‧‧ (the plasma component separator) first outflow

46‧‧‧(血漿成分分離器之)第2流出部 46‧‧‧ (the plasma component separator) second outflow

50‧‧‧第1連接迴路 50‧‧‧1st connection loop

60‧‧‧循環迴路 60‧‧‧Circuit loop

70‧‧‧第2連接迴路 70‧‧‧2nd connection loop

100、200‧‧‧血液淨化裝置 100,200‧‧‧ blood purification device

110‧‧‧裝置本體 110‧‧‧ device body

120‧‧‧血液泵 120‧‧‧ blood pump

122‧‧‧血漿泵 122‧‧‧plasma pump

124‧‧‧循環泵 124‧‧‧Circulating pump

130‧‧‧熱源器 130‧‧‧heat source

140‧‧‧電源部 140‧‧‧Power Supply Department

142‧‧‧輸入部 142‧‧‧ Input Department

144‧‧‧顯示部 144‧‧‧Display Department

146‧‧‧記憶部 146‧‧‧Memory Department

160、260‧‧‧主控制部 160, 260‧‧‧ Main Control Department

170、270‧‧‧執行流量決定部 170, 270‧‧‧ Implementation Flow Decision Department

172‧‧‧泵控制部 172‧‧‧Pump Control Department

180‧‧‧動作溫度決定部 180‧‧‧Action Temperature Decision Department

182‧‧‧熱源器控制部 182‧‧‧Hot source control department

圖1係表示用以說明第1實施形態之血液淨化系統1之圖。 Fig. 1 is a view for explaining the blood purification system 1 of the first embodiment.

圖2係表示第1實施形態之血液淨化裝置100之電性構成之方塊圖。 Fig. 2 is a block diagram showing an electrical configuration of the blood purification device 100 of the first embodiment.

圖3係表示第2實施形態之血液淨化裝置200之電性構成之方塊圖。 Fig. 3 is a block diagram showing an electrical configuration of the blood purification device 200 of the second embodiment.

圖4係表示第1實施形態之血液淨化裝置100之泵之驅動處理之流程圖。 Fig. 4 is a flow chart showing the driving process of the pump of the blood purification device 100 according to the first embodiment.

圖5係表示第1實施形態之血液淨化裝置100之熱源器之驅動處理之流程圖。 Fig. 5 is a flowchart showing a driving process of a heat source device of the blood purification device 100 according to the first embodiment.

以下,根據圖示之實施形態對本發明之血液淨化裝置進 行說明。 Hereinafter, the blood purification device of the present invention is introduced according to the illustrated embodiment. Line description.

[第1實施形態] [First Embodiment]

首先,使用圖1及圖2對第1實施形態之血液淨化系統1及血液淨化裝置100之構成進行說明。 First, the configuration of the blood purification system 1 and the blood purification device 100 according to the first embodiment will be described with reference to Figs. 1 and 2 .

圖1係表示用以說明第1實施形態之血液淨化系統1之圖。圖2係表示第1實施形態之血液淨化裝置100之電性構成之方塊圖。 Fig. 1 is a view for explaining the blood purification system 1 of the first embodiment. Fig. 2 is a block diagram showing an electrical configuration of the blood purification device 100 of the first embodiment.

如圖1所示,第1實施形態之血液淨化系統1包含體外循環迴路、與血液淨化裝置100(參照圖2)而構成。血液淨化系統1例如係用以實施加溫式再循環法(亦被稱為DF thermo法或加溫再循環型雙重膜過濾血漿交換法等)之血液淨化系統。 As shown in Fig. 1, the blood purification system 1 according to the first embodiment includes an extracorporeal circulation circuit and a blood purification device 100 (see Fig. 2). The blood purification system 1 is, for example, a blood purification system for performing a warming type recycling method (also referred to as a DF thermo method or a warming-recycling type double membrane filtration plasma exchange method).

再者,本說明書中所謂「體外循環迴路」,係指血液淨化系統之構成要素中除血液淨化裝置以外者。即,第1實施形態之血液淨化系統1中所謂「體外循環迴路」,係指自上述血液淨化系統1之構成要素中去除血液淨化裝置100以外者。具體而言,體外循環迴路具備:血漿分離器10;與血漿分離器10連接之動脈側迴路20及靜脈側迴路30;血漿成分分離器40;與血漿分離器10及血漿成分分離器40連接之第1連接迴路50;與血漿成分分離器40及第1連接迴路50連接之循環迴路60;及與血漿成分分離器40及靜脈側迴路30連接之第2連接迴路70。 In addition, the "extracorporeal circulation circuit" as used herein means a component other than the blood purification device among the components of the blood purification system. In the blood purification system 1 of the first embodiment, the "extracorporeal circulation circuit" refers to a method in which the blood purification device 100 is removed from the components of the blood purification system 1. Specifically, the extracorporeal circulation circuit includes a plasma separator 10, an arterial side circuit 20 and a vein side circuit 30 connected to the plasma separator 10, a plasma component separator 40, and a plasma separator 10 and a plasma component separator 40. The first connection circuit 50; the circulation circuit 60 connected to the plasma component separator 40 and the first connection circuit 50; and the second connection circuit 70 connected to the plasma component separator 40 and the vein side circuit 30.

血漿分離器10省略圖示之詳細的說明,其係所謂膜型血漿分離器,於筒狀外殼之內部,配置有將流入之血液分離為血球成分與血漿成分之選擇性分離膜。於外殼上,設置有:供血液流入之流入部12;供藉由選擇性分離膜而分離之血液中主要含有血球成分之液體流出的第1流出部14;及供藉由選擇性分離膜而分離之血液中主要 含有血漿成分之液體流出的第2流出部16。 The plasma separator 10 is not described in detail. The membrane type plasma separator is a selective separation membrane that separates the inflowing blood into a blood cell component and a plasma component inside the cylindrical casing. The outer casing is provided with: an inflow portion 12 through which blood flows in; a first outflow portion 14 through which a liquid mainly containing a blood cell component is separated from blood separated by a selective separation membrane; and a selective separation membrane Mainly separated blood The second outflow portion 16 from which the liquid containing the plasma component flows out.

動脈側迴路20係與血漿分離器10之流入部12連接。於動脈側迴路20之中途,設置有氣阱(air trap)22、與轉管(rolling tube)部24。再者,圖1中雖未記載,但於動脈側迴路20之中途,連接有用以將抗凝固劑導入至迴路內之抗凝固劑注入線。 The arterial side circuit 20 is connected to the inflow portion 12 of the plasma separator 10. An air trap 22 and a rolling tube portion 24 are provided in the middle of the artery side circuit 20. Further, although not described in FIG. 1, an anticoagulant injection line for introducing an anticoagulant into the circuit is connected in the middle of the artery side circuit 20.

靜脈側迴路30係與血漿分離器10之第1流出部14連接。於靜脈側迴路30之中途,設置有氣阱32。再者,圖1中雖未記載,但於靜脈側迴路30之中途設置有氣泡檢測器,於氣阱32上連接有壓力感測器。 The vein side circuit 30 is connected to the first outflow portion 14 of the plasma separator 10. A gas trap 32 is provided in the middle of the vein side circuit 30. Further, although not shown in FIG. 1, a bubble detector is provided in the middle of the vein side circuit 30, and a pressure sensor is connected to the gas trap 32.

血漿成分分離器40省略圖示之詳細的說明,但其係所謂膜型血漿成分分離器,於筒狀外殼之內部,配置有將流入之血漿成分分離為低分子量成分與高分子量成分之選擇性分離膜。於低分子量成分中,較多地含有例如白蛋白或尿素、肌酸酐、肌紅蛋白等,於高分子量成分中,較多地含有例如免疫球蛋白(IgM等)或LDL(low-density lipoprotein,低密度脂蛋白)膽固醇等。於外殼上,設置有供血漿成分流入之流入部42;供藉由選擇性分離膜而分離之血漿成分中主要含有高分子量成分之液體流出的第1流出部44;及供藉由選擇性分離膜而分離之血漿成分中主要含有低分子量成分之液體流出的第2流出部46。 Although the plasma component separator 40 is not described in detail, the membrane type plasma component separator is disposed inside the cylindrical casing and is configured to separate the inflowing plasma component into a low molecular weight component and a high molecular weight component. Separation membrane. Among the low molecular weight components, for example, albumin or urea, creatinine, myoglobin, and the like are contained in a large amount, and among the high molecular weight components, for example, immunoglobulin (IgM or the like) or LDL (low-density lipoprotein) is contained in a large amount. Low density lipoprotein) cholesterol and the like. An inflow portion 42 into which a plasma component flows is provided on the outer casing; a first outflow portion 44 through which a liquid mainly containing a high molecular weight component is separated from a plasma component separated by a selective separation membrane; and by selective separation The plasma component separated by the membrane mainly contains the second outflow portion 46 from which the liquid of the low molecular weight component flows out.

第1連接迴路50之端部係與血漿分離器10之第2流出部16及血漿成分分離器40之流入部42分別連接。於第1連接迴路50之中途,設置有氣阱52、與轉管部54。再者,圖1中雖未記載,但於氣阱52上連接有壓力感測器。 The end of the first connecting circuit 50 is connected to the second outflow portion 16 of the plasma separator 10 and the inflow portion 42 of the plasma component separator 40, respectively. A gas trap 52 and a transfer portion 54 are provided in the middle of the first connection circuit 50. Further, although not shown in FIG. 1, a pressure sensor is connected to the air trap 52.

循環迴路60之端部係與血漿成分分離器40之第1流出部44及第1連接迴路50之氣阱52分別連接。於循環迴路60之中途, 設置有轉管部64。 The end of the circulation circuit 60 is connected to the first outflow portion 44 of the plasma component separator 40 and the gas trap 52 of the first connection circuit 50, respectively. In the middle of the circulation loop 60, A turn portion 64 is provided.

第2連接迴路70之端部係與血漿成分分離器40之第2流出部46及靜脈側迴路30之氣阱32分別連接。 The end of the second connecting circuit 70 is connected to the second outflow portion 46 of the plasma component separator 40 and the gas trap 32 of the vein side circuit 30, respectively.

如圖1及圖2所示,血液淨化裝置100具備:裝置本體110;血液泵120,其用以將動脈側迴路20上之血液向血漿分離器10中輸送;血漿泵122,其用以將第1連接迴路50上之血漿成分向血漿成分分離器40中輸送;循環泵124,其用以將循環迴路60上之液體(較多地含有高分子量成分之液體)向第1連接迴路50中輸送;熱源器130,其對流動於循環迴路60內之液體之溫度進行調整;電源部140,其用以對裝置本體110內之各部供給電力;輸入部142,其接受來自操作者之各種輸入;顯示部144,其顯示流動於迴路內之血液之溫度資訊或藉由壓力感測器而測定之壓力資訊等各種資訊;記憶部146,其記憶各種資訊;及主控制部160,其總括地控制血液淨化裝置100內之各部。 As shown in FIGS. 1 and 2, the blood purification device 100 includes a device body 110, a blood pump 120 for transporting blood on the arterial side circuit 20 to the plasma separator 10, and a plasma pump 122 for The plasma component on the first connection circuit 50 is sent to the plasma component separator 40, and the circulation pump 124 is for discharging the liquid on the circulation circuit 60 (the liquid containing a high molecular weight component in a large amount) into the first connection circuit 50. The heat source 130 adjusts the temperature of the liquid flowing in the circulation circuit 60; the power supply unit 140 supplies power to each part in the apparatus body 110; and the input unit 142 receives various inputs from the operator. a display unit 144 that displays various information such as temperature information of blood flowing in the circuit or pressure information measured by a pressure sensor; a memory unit 146 that memorizes various information; and a main control unit 160 that collectively Each part in the blood purification apparatus 100 is controlled.

血液泵120、血漿泵122及循環泵124係所謂輥子泵(roller pump)。省略圖示之說明,但血液泵120之輥子部可藉由在與動脈側迴路20之轉管部24接觸之狀態下旋轉(持動轉管部24),而將動脈側迴路20內之液體(血液)朝既定之方向傳送。關於其他泵122、124之功能,亦與血液泵120之情形為相同。血液泵120、血漿泵122及循環泵124係安裝於裝置本體110上。於該等血液泵120、血漿泵122及循環泵124之各者上安裝有轉管部24、轉管部54及轉管部64,並且將血漿分離器10、血漿成分分離器40、及其他構成構件配設裝置本體110之既定位置上,藉此將體外循環迴路安裝於裝置本體110上。又,亦可經過將體外循環迴路安裝於裝置本體110上的順序相反之順序,將其自裝置本體110上卸除。 The blood pump 120, the plasma pump 122, and the circulation pump 124 are so-called roller pumps. Although the description of the illustration is omitted, the roller portion of the blood pump 120 can rotate (hold the tube portion 24) in contact with the tube portion 24 of the artery side circuit 20, and the liquid in the artery side circuit 20 can be (Blood) is transmitted in the intended direction. The function of the other pumps 122, 124 is also the same as in the case of the blood pump 120. The blood pump 120, the plasma pump 122, and the circulation pump 124 are attached to the apparatus body 110. The tube portion 24, the tube portion 54, and the tube portion 64 are attached to each of the blood pump 120, the plasma pump 122, and the circulation pump 124, and the plasma separator 10, the plasma component separator 40, and the like are attached. The constituent member is disposed at a predetermined position of the apparatus body 110, whereby the extracorporeal circuit is mounted on the apparatus body 110. Alternatively, the extracorporeal circuit can be removed from the device body 110 in the reverse order of the order in which the extracorporeal circuit is mounted on the device body 110.

熱源器130省略圖示之說明,但其係所謂乾式加溫器,且係以如下方式構成:藉由將循環迴路60之一部分由加溫板夾入,而對流動於循環迴路60內之液體進行加溫。於熱源器130上,預先設定有動作溫度之可變動範圍(例如36℃~45℃)。 The heat source unit 130 is omitted from the illustration, but it is a so-called dry warmer and is configured to liquidize the flow in the circulation circuit 60 by sandwiching a portion of the circulation circuit 60 from the heating plate. Warm up. A variable range of the operating temperature (for example, 36 ° C to 45 ° C) is set in advance on the heat source unit 130.

輸入部142省略圖示之說明,但其係以可輸入各泵之流量值、熱源器130之動作溫度等之方式而構成。 The input unit 142 is not illustrated, but it is configured such that the flow rate of each pump can be input, the operating temperature of the heat source 130, and the like.

顯示部144省略圖示之說明,但其係以將主控制部160之各種運算結果可視地顯示輸出之方式而構成。 The display unit 144 is not illustrated in the drawings, but is configured to visually display and output various calculation results of the main control unit 160.

輸入部142及顯示部144省略圖示之說明,但其係配置於裝置本體110之外表面上。再者,輸入部142及顯示部144可如操作按鈕與螢幕般作為單獨之器件而構成,亦可為例如將輸入部分與顯示部分一體化之觸控面板式顯示器。 The input unit 142 and the display unit 144 are not shown in the drawings, but they are disposed on the outer surface of the apparatus body 110. Furthermore, the input unit 142 and the display unit 144 may be configured as separate devices as an operation button and a screen, or may be, for example, a touch panel type display in which an input portion and a display portion are integrated.

記憶部146係藉由電子可抹除可程式化唯讀記憶體(EEPROM,Electrically Erasable Programmable Read-Only Memory)等通用記憶體構成。於記憶部146中,除記憶有使用之血漿分離器10及血漿成分分離器40之性能資料等之外,還記憶有各泵120~124之既定流量值、熱源器130之既定動作溫度及動作溫度之可變動範圍。 The memory unit 146 is configured by a general-purpose memory such as an EEPROM (Electrically Erasable Programmable Read-Only Memory). In the memory unit 146, in addition to the performance data of the plasma separator 10 and the plasma component separator 40 used, the predetermined flow rate values of the pumps 120 to 124, the predetermined operating temperature of the heat source 130, and the operation are also stored. The range of temperature can vary.

再者,所謂各泵120~124之既定流量值,係於輸入部142中未輸入流量值之情形時使用的各泵120~124之流量之初始設定值。又,所謂熱源器130之既定動作溫度,係於輸入部142中未輸入動作溫度之情形時使用的熱源器130之動作溫度之初始設定值。 In addition, the predetermined flow rate value of each of the pumps 120 to 124 is an initial setting value of the flow rates of the pumps 120 to 124 used when the flow rate value is not input to the input unit 142. Further, the predetermined operating temperature of the heat source unit 130 is an initial setting value of the operating temperature of the heat source unit 130 used when the operating temperature is not input to the input unit 142.

主控制部160係藉由中央處理單元(CPU,Central Processing Unit)或搭載有CPU之電路基板而構成。如圖2所示,主控制部160可劃分為至少4個功能塊。作為4個功能塊,至少具備:執 行流量決定部170,其根據輸入至輸入部142中之流量值,而決定各泵120~124之執行流量;泵控制部172,其根據藉由執行流量決定部170所決定之執行流量,而控制各泵120~124之驅動;動作溫度決定部180,其根據藉由執行流量決定部170所決定之循環泵124之執行流量,而決定熱源器130之動作溫度;及熱源器控制部182,其根據藉由動作溫度決定部180所決定之動作溫度,而控制由熱源器130施加於液體之熱量。以下,參照圖4、圖5所示之流程圖,說明藉由主控制部160實施之處理之流程。 The main control unit 160 is configured by a central processing unit (CPU) or a circuit board on which a CPU is mounted. As shown in FIG. 2, the main control unit 160 can be divided into at least four functional blocks. As 4 function blocks, at least: The flow rate determining unit 170 determines the execution flow rate of each of the pumps 120 to 124 based on the flow rate value input to the input unit 142, and the pump control unit 172 executes the flow rate determined by the flow rate determining unit 170. The driving of each of the pumps 120 to 124 is controlled, and the operating temperature determining unit 180 determines the operating temperature of the heat source 130 based on the execution flow rate of the circulation pump 124 determined by the flow rate determining unit 170; and the heat source control unit 182. The heat applied to the liquid by the heat source 130 is controlled based on the operating temperature determined by the operating temperature determining unit 180. Hereinafter, the flow of processing performed by the main control unit 160 will be described with reference to the flowcharts shown in FIGS. 4 and 5.

執行流量決定部170係參照儲存於主控制部160中所具備之記憶裝置(或未圖示之搭載於裝置本體110內之記憶裝置)中之執行流量決定程式,而於輸入部142中輸入有流量值之情形時(步驟S401,是),將輸入至輸入部142中之流量值決定為各泵120~124之執行流量(步驟S402)。 The execution flow rate determining unit 170 refers to the execution flow rate determining program stored in the memory device (or the memory device (not shown) mounted in the device body 110) included in the main control unit 160, and inputs the input flow rate determining program to the input unit 142. In the case of the flow rate value (Yes in step S401), the flow rate value input to the input unit 142 is determined as the execution flow rate of each of the pumps 120 to 124 (step S402).

泵控制部172係參照儲存於主控制部160中所具備之記憶裝置(或未圖示之搭載於裝置本體110內之記憶裝置)中之泵控制程式,而將已決定之執行流量之相關資訊自執行流量決定部170傳送至泵控制部172之後,控制各泵120~124之驅動(步驟S403)。 The pump control unit 172 refers to the pump control program stored in the memory device (or the memory device (not shown) mounted in the device body 110) of the main control unit 160, and the related execution flow information is determined. After the self-executing flow rate determining unit 170 transmits the pump control unit 172, the driving of each of the pumps 120 to 124 is controlled (step S403).

動作溫度決定部180係參照儲存於主控制部160中所具備之記憶裝置(或未圖示之搭載於裝置本體110內之記憶裝置)中之動作溫度決定程式,而決定熱源器130之動作溫度。藉由執行流量決定部170所決定之執行流量之相關資訊亦係自執行流量決定部170被傳送至動作溫度決定部180。因此,動作溫度決定部180根據自執行流量決定部170傳送之循環泵124之執行流量之相關資訊,而決定熱源器130之動作溫度(步驟S501)。 The operating temperature determining unit 180 determines the operating temperature of the heat source 130 by referring to the operating temperature determining program stored in the memory device (or the memory device (not shown) mounted in the device body 110) provided in the main control unit 160. . The information related to the execution flow rate determined by the execution flow rate determining unit 170 is also transmitted from the execution flow rate determining unit 170 to the operating temperature determining unit 180. Therefore, the operating temperature determining unit 180 determines the operating temperature of the heat source 130 based on the information on the execution flow rate of the circulation pump 124 transmitted from the execution flow rate determining unit 170 (step S501).

熱源器控制部182係參照儲存於主控制部160中所具備之記憶裝置(或未圖示之搭載於裝置本體110內之記憶裝置)中之熱源器控制程式,而控制由熱源器130施加於液體之熱量。藉由動作溫度決定部180所決定之動作溫度之相關資訊自動作溫度決定部180被傳送至熱源器控制部182之後,熱源器控制部182控制由熱源器130施加於液體之熱量(步驟S502)。 The heat source controller 182 controls the heat source control program stored in the memory device (or the memory device (not shown) mounted in the device body 110), and is controlled by the heat source 130. The heat of the liquid. After the information about the operating temperature determined by the operating temperature determining unit 180 is automatically transmitted to the heat source control unit 182, the heat source control unit 182 controls the heat applied to the liquid by the heat source 130 (step S502). .

於藉由動作溫度決定部180所決定之動作溫度高於既定動作溫度之情形時,熱源器控制部182以使自熱源器130對循環迴路60施加之每單位時間之熱量變得更大之方式而設定動作溫度,且控制熱源器130所施加之熱量。相反,於藉由動作溫度決定部180所決定之動作溫度低於既定動作溫度之情形時,熱源器控制部182以使自熱源器130對循環迴路60施加之每單位時間之熱量變得更小之方式設定動作溫度,且控制熱源器130所施加之熱量。 When the operating temperature determined by the operating temperature determining unit 180 is higher than the predetermined operating temperature, the heat source control unit 182 increases the amount of heat per unit time applied from the heat source 130 to the circulation circuit 60. The operating temperature is set and the heat applied by the heat source 130 is controlled. On the other hand, when the operating temperature determined by the operating temperature determining unit 180 is lower than the predetermined operating temperature, the heat source control unit 182 makes the heat per unit time applied from the heat source 130 to the circulation circuit 60 smaller. The method sets the operating temperature and controls the amount of heat applied by the heat source 130.

再者,於藉由動作溫度決定部180決定動作溫度之前之階段,以成為輸入至輸入部142中之動作溫度之方式,藉由熱源器控制部182而控制熱源器130所施加之熱量。 Furthermore, the heat applied by the heat source unit 130 is controlled by the heat source controller 182 so as to be the operating temperature input to the input unit 142 by the operating temperature determining unit 180 before the operating temperature is determined.

於控制熱源器130之熱量時,例如可控制流動於熱源器130內之電流值之大小,亦可控制熱源器130之通電時間或其循環之長度。 When controlling the heat of the heat source 130, for example, the magnitude of the current flowing in the heat source 130 can be controlled, and the energization time of the heat source 130 or the length of the cycle thereof can also be controlled.

動作溫度決定部180除參照根據藉由執行流量決定部170所決定之循環泵124之執行流量而決定熱源器130之動作溫度的「動作溫度決定程式」外,參照暫時變更熱源器130之可變動範圍之上限值或下限值之「溫度範圍變更程式」,實施以下說明之處理。 The operating temperature determining unit 180 refers to the "operating temperature determining program" that determines the operating temperature of the heat source 130 based on the execution flow rate of the circulation pump 124 determined by the execution flow rate determining unit 170, and refers to the change of the heat source 130 that is temporarily changed. The "temperature range change program" of the upper limit value or the lower limit value of the range is processed as described below.

即,該溫度範圍變更程式係在藉由動作溫度決定部180 所決定之動作溫度表現為例如高於預先作為動作溫度而容許之可變動範圍的值之情形時,執行溫度範圍變更程式而進行處理,藉此暫時變更熱源器130之可變動範圍之上限值。此時變更後之上限值係高於原來之上限值、且係藉由動作溫度決定部180所決定之動作溫度以上之值。如此,動作溫度決定部180於變更後之可變動範圍內決定由熱源器130施加於液體之熱量。 That is, the temperature range changing program is determined by the operating temperature determining unit 180. When the determined operating temperature is expressed by, for example, a value higher than the allowable variable range as the operating temperature, the temperature range changing program is executed and the processing is performed to temporarily change the upper limit of the variable range of the heat source 130. . At this time, the upper limit value after the change is higher than the original upper limit value, and is a value equal to or higher than the operating temperature determined by the operating temperature determining unit 180. In this manner, the operating temperature determining unit 180 determines the amount of heat applied to the liquid by the heat source unit 130 within the variable range after the change.

再者,藉由執行溫度範圍變更程式而變更之上限值例如係以如下方式而設定:藉由將血液淨化裝置100之電源斷開(OFF)而重置為原來之上限值。 Further, by changing the upper limit value by executing the temperature range changing program, for example, it is set such that the power of the blood purification device 100 is turned off (OFF) to be reset to the original upper limit value.

根據以上述方式構成之第1實施形態之血液淨化裝置100,其具備上述之動作溫度決定部180及熱源器控制部182,故而即便已實施使循環泵124之執行流量變動的控制,亦可根據該變動後之執行流量而控制由熱源器130施加之熱量。即,即便循環泵124之執行流量有所變動亦可將血液等調整為理想之溫度,作為結果,可充分地取得預期之治療效果。 According to the blood purification apparatus 100 of the first embodiment configured as described above, the operation temperature determining unit 180 and the heat source control unit 182 are provided, and therefore, even if the control for changing the flow rate of the circulation pump 124 is performed, The changed flow rate is executed to control the amount of heat applied by the heat source 130. That is, even if the flow rate of the circulation pump 124 is changed, blood or the like can be adjusted to a desired temperature, and as a result, the desired therapeutic effect can be sufficiently obtained.

但是,在熱源器中,考慮到安全性,存在有以使動作溫度不超過既定之範圍之方式而預先設定作為動作溫度而容許之可變動範圍者。此種熱源器於作為動作溫度可設定之溫度範圍上存在限制,故而例如於根據運算處理部之比較運算之結果而欲將動作溫度設定為可變動範圍以外之值之情形時,無法響應其要求,作為結果,可設想無法將熱源器之動作溫度設定為理想之溫度之情況。 However, in the heat source device, in consideration of safety, there is a variable range that is allowed to be set as the operating temperature in advance so that the operating temperature does not exceed a predetermined range. Such a heat source device has a limitation in a temperature range that can be set as the operating temperature. Therefore, for example, when the operating temperature is to be set to a value other than the variable range based on the result of the comparison calculation by the arithmetic processing unit, the heat source device cannot respond to the request. As a result, it is conceivable that the operating temperature of the heat source cannot be set to a desired temperature.

相對於此,根據第1實施形態之血液淨化裝置100,熱源器控制部182可執行上述溫度範圍變更程式,而暫時變更可變動範圍之上限值或下限值。因此,即便使用已預先設定動作溫度之可變動範圍之熱源器 130,亦可將熱源器130之動作溫度設定為理想之溫度。 In contrast, according to the blood purification device 100 of the first embodiment, the heat source control unit 182 can temporarily change the upper limit value or the lower limit value of the variable range by executing the temperature range change program. Therefore, even if a heat source having a variable range of the operating temperature is set in advance 130. The operating temperature of the heat source 130 can also be set to a desired temperature.

於第1實施形態之血液淨化裝置100中,熱源器130係加溫器,故而於進行加溫式再循環法等以使用加溫器為必要條件的血液淨化療法之情形時,尤其適宜使用。 In the blood purification device 100 of the first embodiment, since the heat source device 130 is a warmer, it is particularly preferably used in the case of performing a blood purification therapy using a warmer such as a warming type recirculation method.

[第2實施形態] [Second Embodiment]

圖3係表示第2實施形態之血液淨化裝置200之電性構成之方塊圖。 Fig. 3 is a block diagram showing an electrical configuration of the blood purification device 200 of the second embodiment.

再者,於圖3中,對於與圖2相同之構件標註相同之符號,省略詳細的說明。 In FIG. 3, the same members as those in FIG. 2 are denoted by the same reference numerals, and detailed description thereof will be omitted.

第2實施形態之血液淨化裝置200基本上具有與第1實施形態之血液淨化裝置100相同之構成,但圖3所示之執行流量決定部270之功能與第1實施形態之血液淨化裝置100不同。 The blood purification device 200 of the second embodiment basically has the same configuration as the blood purification device 100 of the first embodiment, but the function of the execution flow rate determining unit 270 shown in Fig. 3 is different from that of the blood purification device 100 of the first embodiment. .

作為執行流量決定部270參照之程式,準備有於輸入部142中未輸入各泵120~124之流量值之情形(圖4之步驟S401,否)時自記憶於記憶部146中之既定值資訊中讀出各泵120~124之既定流量值的讀出程式(步驟S404)、及將已讀出之既定流量值決定為各泵120~124之執行流量的執行流量決定程式(步驟S405)。 As a program to be executed by the execution flow rate determining unit 270, when the flow rate values of the pumps 120 to 124 are not input to the input unit 142 (NO in step S401 of FIG. 4), the predetermined value information stored in the memory unit 146 is stored. The reading program for reading the predetermined flow rate values of the pumps 120 to 124 is read (step S404), and the executed flow rate determining program for determining the predetermined flow rate value to be read is determined as the execution flow rate of each of the pumps 120 to 124 (step S405).

如此,第2實施形態之血液淨化裝置200與第1實施形態之血液淨化裝置100之不同之處在於執行流量決定部所執行之處理,但與第1實施形態之血液淨化裝置100之情形同樣地,具備動作溫度決定部180及熱源器控制部182,故而即便循環泵124之執行流量有所變動亦可將血液等調整為理想之溫度,作為結果,可充分地取得預期之治療效果。 The blood purification device 200 of the second embodiment differs from the blood purification device 100 of the first embodiment in that the blood flow determining device 100 performs the processing executed by the flow rate determining unit. However, the blood purification device 100 of the first embodiment is similar to the blood purification device 100 of the first embodiment. Since the operating temperature determining unit 180 and the heat source control unit 182 are provided, blood or the like can be adjusted to a desired temperature even if the flow rate of the circulation pump 124 is changed, and as a result, the desired therapeutic effect can be sufficiently obtained.

第2實施形態之血液淨化裝置200除執行流量決定部所 執行之處理不同之方面以外,具有與第1實施形態之血液淨化裝置100相同之構成,故而仍然具有第1實施形態之血液淨化裝置100具有之效果中的相應之效果。 The blood purification device 200 of the second embodiment is executed by the flow rate determining unit. The blood purification apparatus 100 of the first embodiment has the same configuration as the blood purification apparatus 100 of the first embodiment, and has the corresponding effects of the effects of the blood purification apparatus 100 of the first embodiment.

以上,根據上述實施形態對本發明之血液淨化裝置進行了說明,但本發明並非限定於上述實施形態,可於不脫離其要旨之範圍內於各種態樣下實施,例如亦可為如下之變形。 Although the blood purification device of the present invention has been described above based on the above-described embodiments, the present invention is not limited to the above-described embodiments, and various modifications may be made without departing from the scope of the invention. For example, the following modifications may be made.

(1)於上述實施形態中,關於用以實施加溫式再循環法之血液淨化系統,已例示以調整循環迴路內之液體溫度之方式配置有熱源器之情形進行了說明,但本發明並非限定於此。例如,於用以實施雙重過濾血漿分離交換法(Double Filtration Plasmapheresis:DFPP)之血液淨化系統中,即便為調整體外循環迴路之一部分溫度之情形,亦可應用本發明。同樣地,於用以向人體內送液之送液系統中,即便為對其一部分迴路進行加溫或冷卻之情形,亦可應用本發明。 (1) In the above-described embodiment, the blood purification system for performing the warming type recirculation method has been described as exemplifying that the heat source is disposed so as to adjust the temperature of the liquid in the circulation circuit. However, the present invention is not Limited to this. For example, in a blood purification system for performing Double Filtration Plasmapheresis (DFPP), the present invention can be applied even in the case of adjusting the temperature of a part of the extracorporeal circuit. Similarly, in the liquid feeding system for supplying liquid to the human body, the present invention can be applied even in the case where a part of the circuit is heated or cooled.

(2)於上述實施形態中,作為熱源器,已例示藉由將循環迴路之一部分由加溫板夾入而加溫之類型的乾式加溫器進行了說明,但本發明並非限定於此。例如,可為藉由對俯視時被挖成S字狀等之加溫用溝部中嵌入循環迴路之一部分而進行加溫之類型的乾式加溫器,亦可為藉由於具有加溫用加熱器之水槽內將循環迴路之一部分以線圈狀配置而進行加溫之類型的濕式加溫器。又,於上述實施形態中,已例示熱源器為加溫器之情形進行了說明,但本發明並非限定於此,亦可為冷卻器。該情形時,於進行血漿冷卻過濾法等以使用冷卻器為必要條件之血液淨化療法時,較為適宜。即便於使用加溫器或冷卻器中之任一者作為熱源器之情形時,熱源器控制部之功能仍然為控制於熱源器及液體間傳導之熱量。 (2) In the above embodiment, the heat source has been described as a dry type warmer in which one part of the circulation circuit is heated by sandwiching the heating plate, but the present invention is not limited thereto. For example, it may be a type of dry warmer that is heated by inserting one of the circulation loops into the heating groove portion that is dug into an S-shape or the like in a plan view, or may be a heater for heating In the water tank, a type of wet warmer in which a part of the circulation circuit is arranged in a coil shape and heated. Further, in the above embodiment, the case where the heat source device is a warmer has been described. However, the present invention is not limited thereto, and may be a cooler. In this case, it is preferable to perform a blood purification therapy such as a plasma cooling filtration method or the like using a cooler. That is, when it is convenient to use any one of the warmer or the cooler as the heat source, the function of the heat source control unit is still to control the heat conducted between the heat source and the liquid.

(3)於上述實施形態中,作為各泵,已例示使用所謂輥泵之情形進行了說明,但本發明並非限定於此,例如亦可使用注射泵等公知之其他送液手段。 (3) In the above-described embodiment, the case where the so-called roller pump is used has been described as an example of the pump. However, the present invention is not limited thereto, and other known liquid supply means such as a syringe pump may be used.

在此,將上述本發明之血液淨化裝置之實施形態之特徵分別簡單地匯總列舉於以下[1]~[6]中。 Here, the characteristics of the embodiment of the blood purification apparatus of the present invention described above are simply summarized and summarized in the following [1] to [6].

[1]一種血液淨化裝置(100),其具備:裝置本體(110),其於體外循環迴路上裝卸自如;至少1個泵(120、122、124),其係用以向上述體外循環迴路內輸送液體;熱源器(130),其對流動於上述體外循環迴路內之液體進行加溫或冷卻;及主控制部(160),其執行各種控制;且上述主控制部(160)具備:執行流量決定部(170),其決定上述泵之執行流量;泵控制部(172),其根據藉由上述執行流量決定部(170)而決定之上述泵之執行流量,而控制上述泵之驅動;動作溫度決定部(180),其根據藉由上述執行流量決定部(170)所決定之上述泵之執行流量,而決定上述熱源器(130)之動作溫度;及熱源器控制部(182),其根據藉由上述動作溫度決定部(180)所決定之上述熱源器(130)之動作溫度,而控制於上述熱源器(130)及上述液體間傳導之熱量。 [1] A blood purification device (100) comprising: a device body (110) detachably attached to an extracorporeal circuit; at least one pump (120, 122, 124) for use in the extracorporeal circuit The liquid is transported internally; the heat source (130) warms or cools the liquid flowing in the extracorporeal circuit; and the main control unit (160) performs various controls; and the main control unit (160) has: The execution flow rate determining unit (170) determines the execution flow rate of the pump, and the pump control unit (172) controls the driving of the pump based on the execution flow rate of the pump determined by the execution flow rate determining unit (170). The operating temperature determining unit (180) determines the operating temperature of the heat source (130) based on the execution flow rate of the pump determined by the execution flow rate determining unit (170); and the heat source control unit (182) The heat conducted between the heat source (130) and the liquid is controlled based on the operating temperature of the heat source (130) determined by the operating temperature determining unit (180).

[2]如上述[1]之血液淨化裝置,其係血液淨化裝置(100),其進而具備輸入部(142),該輸入部(142)可輸入用以設定上述泵之執行流量之流量值, 上述執行流量決定部(170)係根據輸入至上述輸入部(142)中之流量值,而決定上述泵之執行流量。 [2] The blood purification device according to [1] above, wherein the blood purification device (100) further includes an input unit (142) that can input a flow value for setting an execution flow rate of the pump. , The execution flow rate determining unit (170) determines the execution flow rate of the pump based on the flow rate value input to the input unit (142).

[3]如上述[1]之血液淨化裝置,其係血液淨化裝置(200),其進而具備記憶部(146),該記憶部(146)係記憶上述泵之執行流量之相關資訊,上述執行流量決定部(270)係根據記憶於上述記憶部(146)中之上述執行流量之相關資訊,而決定上述泵之執行流量。 [3] The blood purification device according to [1] above, wherein the blood purification device (200) further includes a storage unit (146) that memorizes information on an execution flow rate of the pump, and the execution is performed. The flow rate determining unit (270) determines the execution flow rate of the pump based on the information on the execution flow rate stored in the storage unit (146).

[4]如上述[1]至[3]中任一項之血液淨化裝置,其係血液淨化裝置(100),其中,於上述熱源器(130)上,預先設定有作為動作溫度而容許之可變動範圍,上述動作溫度決定部(180)係於根據上述泵之執行流量而導出之上述熱源器(130)之動作溫度自預先設定之上述可變動範圍偏離時,暫時變更該可變動範圍之上限值或下限值,且於變更後之上述可變動範圍內決定上述熱源器之動作溫度。 [4] The blood purification device according to any one of the above [1] to [3] wherein the heat source device (130) is preliminarily set as the operating temperature. In the variable range, the operating temperature determining unit (180) temporarily changes the variable range when the operating temperature of the heat source (130) derived from the pump flow rate is deviated from the preset variable range The upper limit value or the lower limit value is determined within the above-described variable range after the change, and the operating temperature of the heat source device is determined.

[5]如上述[1]至[4]中任一項之血液淨化裝置,其係血液淨化裝置(100),其中,上述熱源器(130)係加溫器。 [5] The blood purification device according to any one of the above [1] to [4] wherein the heat source device (130) is a warmer.

[6]如上述[1]至[4]中任一項之血液淨化裝置,其中,上述熱源器係冷卻器。 [6] The blood purification device according to any one of the above [1] to [4] wherein the heat source is a cooler.

以上參照特定之實施態樣對本發明進行了詳細說明,但對本領域技術人員而言很明顯的,可不脫離本發明之精神與範圍而進行各種變更或修正。 The present invention has been described in detail with reference to the specific embodiments thereof. It is obvious to those skilled in the art that various changes or modifications may be made without departing from the spirit and scope of the invention.

本申請案係基於2012年3月7日申請之日本專利申請(特願2012-050416),且將其內容以參照之形式併入本文中。 The present application is based on Japanese Patent Application No. 2012-050416, filed on Jan.

(產業上之可利用性) (industrial availability)

根據本發明,即便泵之執行流量有所變動亦可將血液等調整為理想之溫度,作為結果,於可充分地取得預期之治療效果方面奏效,故而於血液淨化裝置之領域內較為有用。 According to the present invention, blood or the like can be adjusted to a desired temperature even if the flow rate of the pump is changed. As a result, it is effective in sufficiently obtaining the desired therapeutic effect, and thus it is useful in the field of blood purification devices.

100‧‧‧血液淨化裝置 100‧‧‧ blood purification device

110‧‧‧裝置本體 110‧‧‧ device body

120‧‧‧血液泵 120‧‧‧ blood pump

122‧‧‧血漿泵 122‧‧‧plasma pump

124‧‧‧循環泵 124‧‧‧Circulating pump

130‧‧‧熱源器 130‧‧‧heat source

140‧‧‧電源部 140‧‧‧Power Supply Department

142‧‧‧輸入部 142‧‧‧ Input Department

144‧‧‧顯示部 144‧‧‧Display Department

146‧‧‧記憶部 146‧‧‧Memory Department

160‧‧‧主控制部 160‧‧‧Main Control Department

170‧‧‧執行流量決定部 170‧‧‧Execution Flow Determination Department

172‧‧‧泵控制部 172‧‧‧Pump Control Department

180‧‧‧動作溫度決定部 180‧‧‧Action Temperature Decision Department

182‧‧‧熱源器控制部 182‧‧‧Hot source control department

Claims (5)

一種血液淨化裝置,其具備有:裝置本體,其可將體外循環迴路裝卸自如;至少1個泵,其用以將液體送至上述體外循環迴路內;熱源器,其對流動於上述體外循環迴路內之液體進行加溫或冷卻;及主控制部,其執行各種控制;且上述主控制部具備有:執行流量決定部,其決定上述泵之執行流量;泵控制部,其依照藉由上述執行流量決定部所決定的上述泵之執行流量,來控制上述泵之驅動;動作溫度決定部,其根據藉由上述執行流量決定部所決定的上述泵之執行流量,來決定上述熱源器之動作溫度;及熱源器控制部,其依照藉由上述動作溫度決定部所決定的上述熱源器之動作溫度,來控制於上述熱源器及上述液體間傳導之熱量;且於上述熱源器上,預先設定有作為動作溫度所容許之可變動範圍,上述動作溫度決定部係於根據上述泵之執行流量所導出之上述熱源器之動作溫度,自預先設定之上述可變動範圍偏離時,暫時變更該可變動範圍之上限值或下限值,且於變更後之上述可變動範圍內決定上述熱源器之動作溫度。 A blood purification device comprising: a device body for detachably attaching an extracorporeal circuit; at least one pump for delivering a liquid to the extracorporeal circuit; and a heat source for flowing to the extracorporeal circuit The liquid inside is heated or cooled; and the main control unit performs various controls; and the main control unit includes: an execution flow rate determining unit that determines an execution flow rate of the pump; and a pump control unit that performs the above The operation rate of the pump determined by the flow rate determining unit controls the driving of the pump, and the operating temperature determining unit determines the operating temperature of the heat source based on the execution flow rate of the pump determined by the execution flow rate determining unit. And a heat source control unit that controls heat conducted between the heat source and the liquid in accordance with an operating temperature of the heat source determined by the operating temperature determining unit; and the heat source is preset in advance The operating temperature determining unit is derived from the execution flow rate of the pump as the allowable range of the operating temperature When the operating temperature of the heat source device deviates from the preset variable range, the upper limit value or the lower limit value of the variable range is temporarily changed, and the operation of the heat source device is determined within the variable range after the change. temperature. 如申請專利範圍第1項之血液淨化裝置,其中,進一步具備有輸入部,該輸入部可輸入用以設定上述泵之執行流量的流量值, 上述執行流量決定部係根據被輸入至上述輸入部之流量值,來決定上述泵之執行流量。 The blood purification device according to claim 1, further comprising an input unit that can input a flow rate value for setting an execution flow rate of the pump, The execution flow rate determining unit determines the execution flow rate of the pump based on the flow rate value input to the input unit. 如申請專利範圍第1項之血液淨化裝置,其中,進一步具備有記憶部,該記憶部係記憶上述泵之執行流量之相關資訊,上述執行流量決定部係根據被記憶於上述記憶部之上述執行流量之相關資訊,來決定上述泵之執行流量。 The blood purification device according to claim 1, further comprising: a memory unit that stores information on an execution flow rate of the pump, wherein the execution flow rate determining unit performs the above-described execution in the memory unit Information about the flow rate to determine the flow rate of the above pump. 如申請專利範圍第1至3項中任一項之血液淨化裝置,其中,上述熱源器係加溫器。 The blood purification device according to any one of claims 1 to 3, wherein the heat source is a warmer. 如申請專利範圍第1至3項中任一項之血液淨化裝置,其中,上述熱源器係冷卻器。 The blood purification device according to any one of claims 1 to 3, wherein the heat source is a cooler.
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