TWI552776B - Blood purification device - Google Patents

Blood purification device Download PDF

Info

Publication number
TWI552776B
TWI552776B TW101129321A TW101129321A TWI552776B TW I552776 B TWI552776 B TW I552776B TW 101129321 A TW101129321 A TW 101129321A TW 101129321 A TW101129321 A TW 101129321A TW I552776 B TWI552776 B TW I552776B
Authority
TW
Taiwan
Prior art keywords
pump
blood
circuit
flow rate
liquid
Prior art date
Application number
TW101129321A
Other languages
Chinese (zh)
Other versions
TW201406415A (en
Inventor
Kumiko Taniguchi
Masayuki Takahashi
Satoshi Tokumitsu
Original Assignee
Kawasumi Lab Inc
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 Kawasumi Lab Inc filed Critical Kawasumi Lab Inc
Priority to TW101129321A priority Critical patent/TWI552776B/en
Publication of TW201406415A publication Critical patent/TW201406415A/en
Application granted granted Critical
Publication of TWI552776B publication Critical patent/TWI552776B/en

Links

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.

習知,作為用以淨化例如急性腎衰竭等之患者之血液的血液淨化療法,一直進行持續血液過濾透析(Continuous Hemodiafiltration:CHDF)等治療法,並開發有多種此種血液淨化療法所使用之血液淨化裝置(例如參照專利文獻1及2) Conventionally, blood purification therapy for purifying blood of patients such as acute renal failure has been subjected to continuous hemodiafiltration (CHDF) treatment, and various blood purification treatments have been developed. Purification device (for example, refer to Patent Documents 1 and 2)

又,亦設計有以淨化急性肝衰竭等之患者之血液為目的之稱為PDF(Plasma Dia-filtration,血漿過濾透析)之新型血液淨化療法,關於該治療法現在正進行研究(例如參照非專利文獻1)。再者,所謂PDF係指使用具有包含既定之篩係數之中空纖維膜的血漿分離器,一面進行單純血漿交換(Plasma Exchange:PE)一面同時於中空纖維膜之外側灌注透析液等。 In addition, a new blood purification therapy called PDF (Plasma Dia-filtration) for the purpose of purifying the blood of patients with acute liver failure and the like is being designed, and the treatment is now being studied (for example, refer to the non-patent Document 1). In addition, the term "PDF" refers to the use of a plasma separator having a hollow fiber membrane having a predetermined sieve coefficient, while permeating a dialysate on the outside of the hollow fiber membrane while performing simple plasma exchange (Plasma Exchange: PE).

[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2001-541號公報 Patent Document 1: Japanese Patent Laid-Open Publication No. 2001-541

專利文獻2:日本專利特開2003-126247號公報 Patent Document 2: Japanese Patent Laid-Open Publication No. 2003-126247

[非專利文獻] [Non-patent literature]

非專利文獻1:吉岡豐一,外13名,「Plasma Dia-filtration(PDF)-Selective plasma filtration with dialysis之多設備之有效性研究」,ICU與CCU集中治療醫學Vol.32增刊號,2008年,p.93-96 Non-Patent Document 1: Yoshioka Fukuoka, 13 outside, "Plasma Dialysis of the effectiveness of Dia-filtration (PDF)-Selective plasma filtration with dialysis, ICU and CCU Centralized Therapeutic Medicine Vol.32 Supplement, 2008, p.93-96

然而,實際進行PDF時,如非專利文1之圖1所記載般,準備包含血液泵、透析液泵、及濾液泵及補液泵共4個泵之血液淨化裝置(以下稱為「習知之血液淨化裝置」)之同時,必須另行準備包含用以將置換液輸送至靜脈側電路內之輸液泵的泵裝置。即,由於必須每次準備2台裝置,因此無法否認裝置準備作業之繁雜。 However, when the PDF is actually performed, as described in FIG. 1 of Non-Patent Document 1, a blood purification device including a blood pump, a dialysate pump, a filtrate pump, and a rehydration pump is prepared (hereinafter referred to as "a well-known blood." At the same time as the purification device"), a pump device including an infusion pump for delivering the replacement fluid to the vein side circuit must be separately prepared. That is, since it is necessary to prepare two devices at a time, it is impossible to deny the complexity of the device preparation work.

又,習知之血液淨化裝置中之各泵與置換液用輸液泵係以分別組入不同裝置,且對泵之流量亦分開進行控制之方式構成。因此,於配合習知之血液淨化裝置所包含之泵(例如血液泵)之流量而設定輸液泵之流量之情況下,當習知之血液淨化裝置所包含之泵之流量產生變動時,必須手動調整輸液泵之流量。假設若持續於裝置旁手動進行輸液泵之流量調整作業,則由於PDF遍及相對長時間(例如1療程(kur)8~9小時)而進行,因此裝置使用者之負擔變得相當大。然而,若不進行輸液泵之流量調整,則存在例如血清蛋白濃度降低等患者血液之恆常性受損之可能性,擔心有結果對患者造成不利之虞。 Further, each of the pump and the replacement fluid infusion pump in the conventional blood purification device is configured to be separately incorporated into a different device, and the flow rate of the pump is also controlled separately. Therefore, when the flow rate of the infusion pump is set in accordance with the flow rate of a pump (for example, a blood pump) included in a conventional blood purification device, when the flow rate of the pump included in the conventional blood purification device changes, the infusion must be manually adjusted. Pump flow. It is assumed that if the flow rate adjustment operation of the infusion pump is manually performed next to the device, since the PDF is performed over a relatively long period of time (for example, 8 to 9 hours for one course of treatment), the burden on the user of the device becomes considerable. However, if the flow rate adjustment of the infusion pump is not performed, there is a possibility that the blood of the patient such as a decrease in serum protein concentration is impaired, and there is a fear that the result is unfavorable to the patient.

因此,本發明係為了解決此種問題而完成者,目的在於提供一種可消除裝置準備作業之繁雜、並可於確保患者之安全性之基礎上減輕裝置使用者之負擔之血液淨化裝置。 Accordingly, the present invention has been made in order to solve such a problem, and an object of the present invention is to provide a blood purification device which can eliminate the cumbersome preparation work of the device and can reduce the burden on the user of the device while ensuring the safety of the patient.

本發明之血液淨化裝置係血液淨化系統中所使用者,該血液淨化系統包含:血液淨化器,其內部被劃分為血液流路與其他流路,並且包含與上述血液流路之一端相通之第1流入部、與上述血液流路之另一端相通之第1流出部、與上述其他流路之一端相通之第2流入部及與上述其他流路之另一端相通之第2流出部;動脈側電路,其連接於上述第1流入部;靜脈側電路,其連接於上述第1流出部;透析液電路,其連接於上述第2流入部;廢液電路,其連接於上述第2流出部,且使來自上述第2流出部之廢液透過;第1電路,其連接於上述靜脈側電路,且使第1液體透過;及第2電路,其連接於上述動脈側電路、上述靜脈側電路或上述第1電路,且使第2液體透過;該血液淨化裝置之特徵在於:包含數個泵及控制該數個泵之驅動之控制部,作為上述數個泵,包含:血液泵,其係用以向上述血液淨化器輸送上述動脈側電路上之血液;透析液泵,其係用以向上述血液淨化器輸送上述透析液電路上之透析液;廢液泵,其係用以將上述廢液電路上之上述廢液送出;第1泵,其係用以向上述靜脈側電路輸送上述第1電路上之上述第1液體;及第2泵,其係用 以向上述動脈側電路、上述靜脈側電路或上述第1電路輸送上述第2電路上之上述第2液體;且上述控制部連動地控制上述第1泵之流量與上述第2泵之流量。 The blood purification device of the present invention is a user in a blood purification system, the blood purification system comprising: a blood purifier, the inside of which is divided into a blood flow path and other flow paths, and includes a first phase communicating with one end of the blood flow path a first inflow portion communicating with the other end of the blood flow path, a second inflow portion communicating with one end of the other flow path, and a second outflow portion communicating with the other end of the other flow path; an artery side a circuit connected to the first inflow portion; a vein side circuit connected to the first outflow portion; a dialysate circuit connected to the second inflow portion; and a waste liquid circuit connected to the second outflow portion And passing the waste liquid from the second outflow portion; the first circuit is connected to the vein side circuit and transmits the first liquid; and the second circuit is connected to the artery side circuit, the vein side circuit or The first circuit transmits the second liquid; the blood purification device includes a plurality of pumps and a control unit that controls driving of the plurality of pumps, and the plurality of pumps includes a blood pump. And a dialysate pump for delivering the dialysate on the dialysate circuit to the blood purifier; and a waste pump for using the above The waste liquid on the waste liquid circuit is sent out; the first pump is configured to transport the first liquid on the first circuit to the vein side circuit; and the second pump is used The second liquid on the second circuit is supplied to the artery side circuit, the vein side circuit, or the first circuit; and the control unit controls the flow rate of the first pump and the flow rate of the second pump in conjunction with each other.

因此,根據本發明之血液淨化裝置,構成為於裝置中組入有上述5個泵,且可由上述第1泵或第2泵發揮作為輸液泵之功能,因此無需特別準備包含輸液泵之泵裝置。 Therefore, the blood purification device according to the present invention is configured such that the above five pumps are incorporated in the device, and the first pump or the second pump can function as an infusion pump. Therefore, it is not necessary to specially prepare a pump device including an infusion pump. .

又,根據本發明之血液淨化裝置,由於控制部連動地控制第1泵之流量與第2泵之流量,因此可自動地進行伴隨第1泵之流量變動的第2泵之流量調整(或伴隨第2泵之流量變動的第1泵之流量調整)。即,不僅無需僅為了流量調整作業而於裝置旁等待,而且由於第1泵及第2泵之流量調整得以準確地進行,因此亦可充分確保患者之安全性。 Further, according to the blood purification apparatus of the present invention, since the control unit controls the flow rate of the first pump and the flow rate of the second pump in conjunction with each other, the flow rate adjustment of the second pump accompanying the flow rate fluctuation of the first pump can be automatically performed (or accompanying The flow rate of the first pump in which the flow rate of the second pump fluctuates). In other words, it is not necessary to wait for the flow rate adjustment operation to wait for the device, and since the flow rate adjustment of the first pump and the second pump can be accurately performed, the safety of the patient can be sufficiently ensured.

因此,本發明之血液淨化裝置成為可消除裝置準備作業之繁雜、並可於確保患者之安全性之基礎上減輕裝置使用者之負擔之血液淨化裝置。 Therefore, the blood purification device of the present invention is a blood purification device which can eliminate the cumbersome preparation work of the device and can reduce the burden on the user of the device while ensuring the safety of the patient.

再者,於該說明書中,所謂「第1液體」係指與患者之血液不同之液體,所謂「第2液體」係指與患者之血液及第1液體均不同之液體。 In this specification, the "first liquid" means a liquid different from the blood of the patient, and the "second liquid" means a liquid different from the blood of the patient and the first liquid.

於本發明之血液淨化裝置中,較佳為上述控制部進而連動地控制上述第1泵及上述第2泵中之至少一個泵之流量與上述廢液泵之流量。 In the blood purification device of the present invention, preferably, the control unit controls the flow rate of at least one of the first pump and the second pump and the flow rate of the waste liquid pump in conjunction with each other.

藉由以此種方式構成,可按照廢液泵之流量變動而自動地 進行第1泵及第2泵之流量調整。 By being configured in this manner, the flow rate of the waste liquid pump can be automatically changed. The flow rate adjustment of the first pump and the second pump is performed.

於本發明之血液淨化裝置中,較佳為上述控制部進而連動地控制上述第1泵及上述第2泵中之至少一個泵之流量與上述血液泵之流量。 In the blood purification device of the present invention, preferably, the control unit controls the flow rate of at least one of the first pump and the second pump and the flow rate of the blood pump in conjunction with each other.

藉由以此種方式構成,可按照血液泵之流量變動而自動地進行第1泵及第2泵之流量調整。 According to this configuration, the flow rate adjustment of the first pump and the second pump can be automatically performed in accordance with the flow rate fluctuation of the blood pump.

於本發明之血液淨化裝置中,較佳為進而包含用以設定輸入各泵之流量之設定輸入部,上述控制部基於上述設定輸入部所輸入之設定值而對各泵之流量進行調整。 Preferably, the blood purification device according to the present invention further includes a setting input unit for setting a flow rate input to each of the pumps, and the control unit adjusts a flow rate of each pump based on a set value input by the setting input unit.

藉由以此種方式構成,例如可於第1泵之流量為固定之狀態下變更第2泵之流量(即第1泵與第2泵之流量比之變更),或可於使所有泵之流量比一致之狀態下變更血液淨化器中流動之血液量等,從而成為可廣泛地與使用者之目的相對應的優異之血液淨化裝置。 According to this configuration, for example, the flow rate of the second pump (that is, the change in the flow ratio between the first pump and the second pump) can be changed while the flow rate of the first pump is fixed, or all the pumps can be made. When the flow rate ratio is the same, the amount of blood flowing through the blood purifier or the like is changed, and the blood purification device is excellent in that it can be widely used for the purpose of the user.

根據本發明之血液淨化裝置,由於第1泵或第2泵可發揮作為輸液泵之功能,因此無需特別準備包含輸液泵之泵裝置。又,由於控制部連動地控制第1泵之流量與第2泵之流量,因此可自動地進行伴隨第1泵之流量變動的第2泵之流量調整(或伴隨第2泵之流量變動的第1泵之流量調整)。其結果為可消除裝置準備作業之繁雜,並可在確保患者之安全性之基礎上減輕裝置使用者之負擔。 According to the blood purification device of the present invention, since the first pump or the second pump can function as an infusion pump, it is not necessary to specially prepare a pump device including the infusion pump. Further, since the control unit controls the flow rate of the first pump and the flow rate of the second pump in conjunction with each other, the flow rate adjustment of the second pump accompanying the flow rate fluctuation of the first pump can be automatically performed (or the flow rate accompanying the flow rate of the second pump) 1 pump flow adjustment). As a result, the complexity of the device preparation work can be eliminated, and the burden on the device user can be reduced on the basis of ensuring the safety of the patient.

以下,基於圖中所示之實施形態說明本發明之血液淨化裝置。 Hereinafter, the blood purification device of the present invention will be described based on the embodiment shown in the drawings.

[實施形態] [Embodiment]

首先,使用圖1~圖3說明用以進行血液淨化之血液淨化系統1之構成。 First, the configuration of the blood purification system 1 for performing blood purification will be described with reference to Figs. 1 to 3 .

圖1係表示包含本發明實施形態之血液淨化裝置80的血液淨化系統1之構成之圖。 Fig. 1 is a view showing the configuration of a blood purification system 1 including a blood purification device 80 according to an embodiment of the present invention.

圖2(a)及圖2(b)係表示血液淨化器10之圖。圖2(a)係血液淨化器10之側視圖,圖2(b)係表示血液淨化器10之內部構造之概念圖。再者,於圖2(b)中,為使發明容易理解,僅模式性地圖示原本於血液淨化器10內配置有數個之選擇性分離膜12中之1個選擇性分離膜12。 2(a) and 2(b) are views showing the blood purifier 10. 2(a) is a side view of the blood purifier 10, and FIG. 2(b) is a conceptual view showing the internal structure of the blood purifier 10. In addition, in FIG. 2(b), in order to make the invention easy to understand, only one of the plurality of selective separation membranes 12, which is originally disposed in the blood purifier 10, is schematically illustrated.

圖3係表示血液淨化裝置80之電性構成之方塊圖。 FIG. 3 is a block diagram showing the electrical configuration of the blood purification device 80.

血液淨化系統1係如圖1、圖2(a)及圖2(b)所示,包含:血液淨化器10;動脈側電路20,其連接於血液淨化器10之第1流入部15;靜脈側電路30,其連接於血液淨化器10之第1流出部16;透析液電路40,其連接於血液淨化器10之第2流入部17;透析液貯存容器42,其可貯存透析液;廢液電路50,其連接於血液淨化器10之第2流出部18,且使來自第2流出部18之廢液透過;第1電路60,其連接於靜脈側電路30,且使作為第1液體之補充液透過;補充液 貯存容器62,其可貯存補充液;第2電路70,其連接於靜脈側電路30,且使作為第2液體之置換液透過;置換液貯存容器72,其可貯存置換液;及血液淨化裝置80。 As shown in FIG. 1, FIG. 2(a) and FIG. 2(b), the blood purification system 1 includes a blood purifier 10, an arterial side circuit 20 connected to the first inflow portion 15 of the blood purifier 10, and a vein. The side circuit 30 is connected to the first outflow portion 16 of the blood purifier 10; the dialysate circuit 40 is connected to the second inflow portion 17 of the blood purifier 10; the dialysate storage container 42 is capable of storing dialysate; The liquid circuit 50 is connected to the second outflow portion 18 of the blood purifier 10 and transmits the waste liquid from the second outflow portion 18; the first circuit 60 is connected to the vein side circuit 30 and serves as the first liquid. Replenishing solution a storage container 62 for storing a replenishing liquid; a second circuit 70 connected to the vein side circuit 30 and transmitting a replacement liquid as a second liquid; a replacement liquid storage container 72 for storing a replacement liquid; and a blood purification device 80.

血液淨化器10係如圖2(a)及圖2(b)所示,包含:筒狀之殼體部11;選擇性分離膜12,其配置於殼體部11之內部;第1流入部15,其設置於殼體部11之一端部;第1流出部16,其設置於殼體部11之另一端部;第2流入部17,其設置於殼體部11之側面之中靠近第1流出部16之位置;第2流出部18,其設置於殼體部11之側面之中靠近第1流入部15之位置。 As shown in Fig. 2 (a) and Fig. 2 (b), the blood purifier 10 includes a cylindrical casing portion 11 and a selective separation membrane 12 disposed inside the casing portion 11 and a first inflow portion. 15 . The first inflow portion 16 is disposed at one end of the housing portion 11 , and the second inflow portion 17 is disposed between the side surfaces of the housing portion 11 . The position of the outflow portion 16 and the second outflow portion 18 are provided at a position close to the first inflow portion 15 of the side surface of the casing portion 11.

選擇性分離膜12例如包含中空纖維膜。雖省略圖示之說明,但於殼體部11之內部,沿殼體部11之長度方向延伸配置有數個選擇性分離膜12。 The selective separation membrane 12 includes, for example, a hollow fiber membrane. Although not shown in the drawings, a plurality of selective separation films 12 are arranged to extend in the longitudinal direction of the casing portion 11 inside the casing portion 11.

血液淨化器10之內部係如圖2(b)所示,藉由選擇性分離膜12而劃分出血液流路13與其他流路14。即,選擇性分離膜12之內側成為血液流路13,選擇性分離膜12之外側成為其他流路14。第1流入部15及第1流出部16連通於血液流路13,第2流入部17及第2流出部18連通於其他流路14。血液淨化器10係以於血液淨化時使血液流路13之流動方向(圖2(b)之黑箭頭方向)與其他流路14之流動方向(圖2(b)之中空箭頭方向)成為反方向之方式(即以成為對向流之方式)構成。 The inside of the blood purifier 10 is divided into a blood flow path 13 and other flow paths 14 by the selective separation membrane 12 as shown in Fig. 2(b). That is, the inside of the selective separation membrane 12 serves as the blood flow path 13, and the outer side of the selective separation membrane 12 becomes the other flow path 14. The first inflow portion 15 and the first outflow portion 16 communicate with the blood flow path 13 , and the second inflow portion 17 and the second outflow portion 18 communicate with the other flow paths 14 . The blood purifier 10 is configured to reverse the flow direction of the blood flow path 13 (the direction of the black arrow in FIG. 2(b)) and the flow direction of the other flow path 14 (the direction of the hollow arrow in FIG. 2(b)) during blood purification. The way of direction (that is, the way to become a counterflow).

作為血液淨化器10,例如可較佳使用EvacureEC-2A(血蛋白之篩係數約為0.3,「Evacure」為川澄化學工業股份有限公司之註冊商標)等。作為血液淨化器,較佳為使用具有血蛋白之篩係數大於0小於1之選擇性分離膜者。 As the blood purifier 10, for example, Evacure EC-2A (having a sieve coefficient of blood protein of about 0.3, "Evacure" is a registered trademark of Chuancheng Chemical Industry Co., Ltd.) or the like can be preferably used. As the blood purifier, it is preferred to use a selective separation membrane having a sieve coefficient of blood protein of more than 0 and less than 1.

如圖1所示,於動脈側電路20之中途設置有氣阱(air trap)22及軋管(rolling tube)部24。再者,雖於圖1中未記載,於動脈側電路20之中途連接有用以將抗凝固劑導入至電路內之抗凝固劑注入線,並且設置有用以感測動脈側電路20內之壓力的壓力感測器。 As shown in FIG. 1, 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, and is provided to sense the pressure in the artery side circuit 20. Pressure sensor.

於靜脈側電路30之中途設置有氣阱32。再者,雖於圖1中未記載,但於靜脈側電路30之中途設置有氣泡感測器,於氣阱32連接有靜脈壓感測器。 A gas trap 32 is provided in the middle of the vein side circuit 30. Further, although not shown in FIG. 1, a bubble sensor is provided in the middle of the vein side circuit 30, and a venous pressure sensor is connected to the air trap 32.

於透析液電路40及廢液電路50之中途,分別設置有軋管部44、54。再者,雖於圖1中未記載,但於廢液電路50之中途設置有用以感測廢液電路50內之壓力的壓力感測器。 The tube portions 44 and 54 are provided in the middle of the dialysate circuit 40 and the waste liquid circuit 50, respectively. Further, although not shown in FIG. 1, a pressure sensor for sensing the pressure in the waste liquid circuit 50 is provided in the middle of the waste liquid circuit 50.

於第1電路60及第2電路70之中途分別設置有軋管部64、74。第1電路60之端部係連接於靜脈側電路30之中自與血液淨化器10之連接部分至氣阱32為止之位置。第2電路70之端部係連接於靜脈側電路30之氣阱32。 The rolling pipe portions 64 and 74 are provided in the middle of the first circuit 60 and the second circuit 70, respectively. The end of the first circuit 60 is connected to the position of the vein side circuit 30 from the connection portion with the blood purifier 10 to the gas trap 32. The end of the second circuit 70 is connected to the gas trap 32 of the vein side circuit 30.

透析液貯存容器42、補充液貯存容器62及置換液貯存容器72係分別裝卸自如且可交換地安裝於透析液電路40、第1電路60及第2電路70之端部。透析液貯存容器42、補充 液貯存容器62及置換液貯存容器72例如為塑膠製貯存袋。作為透析液及補充液,例如可較佳使用SubloodBS(「Sublood」為扶桑藥品工業股份有限公司之註冊商標)等。作為置換液,例如較佳使用新鮮冷凍血漿(fresh frozen plasma:FFP)或5%、20%、25%之血蛋白溶液等。再者,作為透析液、補充液及置換液,當然亦可使用除此處例示者以外者。 The dialysate storage container 42, the replenishing liquid storage container 62, and the replacement liquid storage container 72 are detachably and detachably attached to the end portions of the dialysate circuit 40, the first circuit 60, and the second circuit 70, respectively. Dialysate storage container 42, supplement The liquid storage container 62 and the replacement liquid storage container 72 are, for example, plastic storage bags. As the dialysate and the replenishing solution, for example, SubloodBS ("Sublood" is a registered trademark of Fuso Pharmaceutical Co., Ltd.) or the like can be preferably used. As the replacement liquid, for example, fresh frozen plasma (FFP) or a 5%, 20%, 25% blood protein solution or the like is preferably used. Further, as the dialysate, the replenisher, and the replacement solution, of course, those other than those exemplified herein may be used.

血液淨化裝置80係如圖1及圖3所示,包含:血液泵81,其係用以向血液淨化器10輸送動脈側電路20上之血液;透析液泵82,其係用以向血液淨化器10輸送透析液電路40上之透析液;廢液泵83,其係用以將廢液電路50上之廢液送出;第1泵84,其係用以向靜脈側電路30輸送第1電路60上之補充液;第2泵85,其係用以向靜脈側電路30輸送第2電路70上之置換液;電源部86,其係用以供給電力至血液淨化裝置80內之各部分;設定輸入部87,其配置於血液淨化裝置80之框體外表面,並接收來自操作者之輸入;顯示部88,其配置於血液淨化裝置80之框體外表面,並顯示於電路內流動之血液等之溫度資訊或藉由靜脈壓感測器測定之靜脈壓資訊等各種資訊;記憶部89,其記憶使用之血液淨化器之性能資料等;及控制部90,其對血液淨化裝置80內之各部分進行總括控制。 As shown in FIGS. 1 and 3, the blood purification device 80 includes a blood pump 81 for delivering blood on the arterial side circuit 20 to the blood purifier 10, and a dialysate pump 82 for purifying the blood. The device 10 delivers the dialysate on the dialysate circuit 40; the waste pump 83 is configured to deliver the waste liquid on the waste liquid circuit 50; and the first pump 84 is configured to deliver the first circuit to the vein side circuit 30. a replenishing liquid on 60; a second pump 85 for supplying a replacement liquid on the second circuit 70 to the vein side circuit 30; and a power supply unit 86 for supplying electric power to each part in the blood purification device 80; The input unit 87 is disposed on the outer surface of the blood purification device 80 and receives input from an operator. The display unit 88 is disposed on the outer surface of the blood purification device 80 and displays blood flowing in the circuit. Various information such as temperature information or venous pressure information measured by a venous pressure sensor; memory unit 89, performance data of a blood purifier used for memory; and control unit 90 for each of blood purification devices 80 Partially controlled.

再者,於圖1中,自控制部90向各泵81~85延伸之線係 表示信號線。 Furthermore, in FIG. 1, the line extending from the control unit 90 to each of the pumps 81 to 85 is shown. Indicates the signal line.

血液泵81、透析液泵82、廢液泵83、第1泵84及第2泵85係所謂滾軸泵(roller pump)。雖省略圖示之說明,但藉由於血液泵81之輥部與動脈側電路20之軋管部24相接觸之狀態下進行旋轉(抽拉軋管部24),可將動脈側電路20內之液體(血液)向既定之方向送液。關於其他泵82~85之功能亦與血液泵81之情況相同。 The blood pump 81, the dialysate pump 82, the waste liquid pump 83, the first pump 84, and the second pump 85 are so-called roller pumps. Though the description of the illustration is omitted, the roller portion of the blood pump 81 is rotated in contact with the rolling tube portion 24 of the artery side circuit 20 (the drawn tube portion 24), so that the artery side circuit 20 can be placed. The liquid (blood) is supplied in a predetermined direction. The functions of the other pumps 82 to 85 are also the same as those of the blood pump 81.

雖省略圖示之說明,但設定輸入部87係以可輸入各泵之流量、泵彼此之流量連動比率及其他設定值之方式構成。再者,設定輸入部87及顯示部88既可分開構成,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。 Although the illustration is omitted, the setting input unit 87 is configured to be able to input the flow rate of each pump, the flow rate ratio of the pumps, and other set values. Further, the setting input unit 87 and the display unit 88 may be configured separately, or may be, for example, a touch panel type display in which an input portion and a display portion are integrated.

控制部90係如圖3所示,至少包含:泵驅動控制部F1,其對5個泵81~85之驅動進行控制;泵流量調整部F2,其基於輸入至設定輸入部87之設定值對各泵之流量進行調整;第1連動控制部F3,其連動地控制第1泵84及第2泵85之流量與血液泵81之流量;第2連動控制部F4,其連動地控制第1泵84及第2泵85之流量與廢液泵83之流量;及第3連動控制部F5,其連動地控制第1泵84之流量與第2泵85之流量。 As shown in FIG. 3, the control unit 90 includes at least a pump drive control unit F1 that controls the driving of the five pumps 81 to 85, and a pump flow rate adjustment unit F2 that is based on the set value input to the setting input unit 87. The flow rate of each pump is adjusted; the first interlocking control unit F3 controls the flow rates of the first pump 84 and the second pump 85 in conjunction with the flow rate of the blood pump 81, and the second interlocking control unit F4 controls the first pump in conjunction with each other. The flow rate of the 84 and the second pump 85 and the flow rate of the waste pump 83; and the third interlocking control unit F5 control the flow rate of the first pump 84 and the flow rate of the second pump 85 in conjunction with each other.

泵驅動控制部F1讀出記憶部89中所記憶之5個泵81~85之流量資訊,並基於該資訊對各泵81~85之驅動進行控制。即,基於預先於記憶部89中所記憶之各泵81~85之設 定流量,而對各泵81~85之旋轉驅動進行控制。 The pump drive control unit F1 reads the flow rate information of the five pumps 81 to 85 stored in the memory unit 89, and controls the driving of the pumps 81 to 85 based on the information. That is, based on the settings of the pumps 81 to 85 previously stored in the memory unit 89. The flow rate is fixed, and the rotational driving of each of the pumps 81 to 85 is controlled.

設定輸入部87生成關於所輸入之設定值的設定值資訊。泵流量調整部F2接收由設定輸入部87所生成之設定值資訊,並基於該設定值資訊對各泵81~85之流量進行調整。 The setting input unit 87 generates setting value information on the input setting value. The pump flow rate adjustment unit F2 receives the set value information generated by the setting input unit 87, and adjusts the flow rates of the pumps 81 to 85 based on the set value information.

第1連動控制部F3配合血液泵81之流量之調整,連動地控制第1泵84及第2泵85中之至少一個泵之流量。 The first interlocking control unit F3 controls the flow rate of at least one of the first pump 84 and the second pump 85 in conjunction with the adjustment of the flow rate of the blood pump 81.

例如,當因管體之扭結等而產生負壓,藉由設置於動脈側電路20之壓力感測器而感測到動脈側電路20之壓力變動時,將該感測資訊傳送至泵驅動控制部F1。泵驅動控制部F1讀出記憶部89所記憶之流量資訊,並基於該資訊以使血液泵81以更安全之流量進行旋轉之方式對血液泵81之驅動進行控制。為了避免因對血液泵81之流量進行調整而引起放血之血液量與補充/置換之液量的平衡崩潰,而第1連動控制部F3連動地控制第1泵84及第2泵85中之至少一個泵之流量。 For example, when a negative pressure is generated due to kinking of the tubular body or the like, and the pressure fluctuation of the arterial side circuit 20 is sensed by the pressure sensor provided in the arterial side circuit 20, the sensing information is transmitted to the pump drive control. Department F1. The pump drive control unit F1 reads the flow rate information stored in the memory unit 89, and based on the information, controls the drive of the blood pump 81 so that the blood pump 81 rotates at a safer flow rate. The first interlocking control unit F3 controls at least the first pump 84 and the second pump 85 in conjunction with each other in order to prevent the balance between the amount of blood which is caused by the blood flow of the blood pump 81 and the amount of blood to be replenished/replaced from collapsing. The flow of a pump.

又,藉由泵流量調整部F2對血液泵81之流量進行調整時亦同樣地,第1連動控制部F3可連動地控制第1泵84及第2泵85中之至少一個泵之流量。即,僅藉由設定輸入部87而設定血液泵81之流量,藉此使第1泵84及第2泵85之流量亦變更。作為藉由泵流量調整部F2對血液泵81之流量進行調整之實例,例如可列舉觀察患者之狀態而希望改變放血量時等。 When the flow rate of the blood pump 81 is adjusted by the pump flow rate adjusting unit F2, the first interlocking control unit F3 can control the flow rate of at least one of the first pump 84 and the second pump 85 in a coordinated manner. That is, the flow rate of the blood pump 81 is set only by setting the input unit 87, whereby the flow rates of the first pump 84 and the second pump 85 are also changed. An example of adjusting the flow rate of the blood pump 81 by the pump flow rate adjustment unit F2 is, for example, a case where the state of the patient is observed and it is desired to change the amount of blood discharge.

第2連動控制部F4配合廢液泵83之流量之調整,連動地控制第1泵84及第2泵85中之至少一個泵之流量。 The second interlocking control unit F4 controls the flow rate of at least one of the first pump 84 and the second pump 85 in conjunction with the adjustment of the flow rate of the waste liquid pump 83.

例如,當血液淨化器產生堵塞,藉由設置於廢液電路50之壓力感測器而感測到廢液電路50之壓力變動時,將該感測資訊傳送至泵驅動控制部F1。泵驅動控制部F1讀出記憶部89中所記憶之流量資訊,並基於該資訊,以使廢液泵83以適當流量進行旋轉之方式對廢液泵83之驅動進行控制。為了避免因調整廢液泵83之流量而引起廢液量與補充/置換之液量的平衡崩潰,而第2連動控制部F4連動地控制第1泵84及第2泵85之流量。 For example, when the blood purifier is clogged, the pressure change of the waste liquid circuit 50 is sensed by the pressure sensor provided in the waste liquid circuit 50, and the sensed information is transmitted to the pump drive control portion F1. The pump drive control unit F1 reads the flow rate information stored in the storage unit 89, and based on the information, controls the drive of the waste liquid pump 83 so that the waste liquid pump 83 rotates at an appropriate flow rate. The second interlocking control unit F4 controls the flow rates of the first pump 84 and the second pump 85 in conjunction with each other in order to prevent the balance between the amount of the waste liquid and the amount of the liquid to be replenished/replaced from being collapsed by adjusting the flow rate of the waste liquid pump 83.

又,藉由泵流量調整部F2而調整廢液泵83之流量時亦同樣地,第2連動控制部F4可連動地控制第1泵84及第2泵85中之至少一個泵之流量。即,僅藉由設定輸入部87而設定廢液泵83之流量,藉此使第1泵84及第2泵85之流量亦變更。作為藉由泵流量調整部F2調整廢液泵83之流量之實例,例如可列舉因患者之血壓降低等病況之變化而希望改變除水量時等。 When the flow rate of the waste liquid pump 83 is adjusted by the pump flow rate adjusting unit F2, the second interlocking control unit F4 can control the flow rate of at least one of the first pump 84 and the second pump 85 in a coordinated manner. That is, the flow rate of the waste liquid pump 83 is set only by the setting input unit 87, whereby the flow rates of the first pump 84 and the second pump 85 are also changed. As an example of adjusting the flow rate of the waste liquid pump 83 by the pump flow rate adjustment unit F2, for example, it is desirable to change the amount of water removal due to a change in the condition such as a decrease in blood pressure of the patient.

第3連動控制部F5配合泵流量調整部F2調整第1泵84及第2泵85中之一個泵之流量,而連動地控制另一個泵之流量。 The third interlocking control unit F5 adjusts the flow rate of one of the first pump 84 and the second pump 85 in cooperation with the pump flow rate adjusting unit F2, and controls the flow rate of the other pump in conjunction with each other.

根據如以上之方式構成之實施形態之血液淨化裝置80,構成為於裝置中組入有上述5個泵81~85,可由第2泵85 發揮作為輸液泵之功能,因此無需特別準備包含輸液泵之泵裝置。 According to the blood purification apparatus 80 of the embodiment configured as described above, the five pumps 81 to 85 are incorporated in the apparatus, and the second pump 85 can be incorporated. As a function of the infusion pump, there is no need to specially prepare a pump device including an infusion pump.

又,根據實施形態之血液淨化裝置80,由於控制部90包含第3連動控制部F5,該第3連動控制部F5連動地控制第1泵84之流量與第2泵85之流量,因此可自動地進行伴隨第1泵84之流量變動的第2泵85之流量調整(或伴隨第2泵85之流量變動的第1泵84之流量調整)。即,不僅無需僅為了進行流量調整作業而於裝置旁等待,而且由於第1泵84及第2泵85之流量調整得以準確地進行,因此亦可充分確保患者之安全性。 Further, according to the blood purification device 80 of the embodiment, the control unit 90 includes the third interlocking control unit F5, and the third interlocking control unit F5 controls the flow rate of the first pump 84 and the flow rate of the second pump 85 in conjunction with each other, thereby automatically The flow rate adjustment of the second pump 85 accompanying the flow rate fluctuation of the first pump 84 (or the flow rate adjustment of the first pump 84 accompanying the flow rate fluctuation of the second pump 85) is performed. In other words, it is not necessary to wait for the flow rate adjustment operation to wait for the device, and since the flow rate adjustment of the first pump 84 and the second pump 85 is accurately performed, the safety of the patient can be sufficiently ensured.

因此,實施形態之血液淨化裝置80成為可消除裝置準備作業之繁雜、並可於確保患者安全性之基礎上減輕裝置使用者之負擔的血液淨化裝置。 Therefore, the blood purification device 80 of the embodiment is a blood purification device that can eliminate the cumbersome preparation work of the device and can reduce the burden on the user of the device while ensuring the safety of the patient.

於實施形態之血液淨化裝置80中,由於控制部90進而包含上述第1及第2連動控制部F3、F4,因此可按照血液泵81或廢液泵83之流量變動而自動地進行第1泵84及第2泵85之流量調整。 In the blood purification device 80 of the embodiment, the control unit 90 further includes the first and second interlocking control units F3 and F4, so that the first pump can be automatically performed in accordance with the flow rate fluctuation of the blood pump 81 or the waste liquid pump 83. 84 and the second pump 85 flow adjustment.

於實施形態之血液淨化裝置80中,由於控制部90進而包含上述泵流量調整部F2,因此例如可於第1泵84之流量為固定之狀態下變更第2泵85之流量(即第1泵84與第2泵85之流量比之變更),或可於使所有泵81~85之流量比一致之狀態下變更於血液淨化器10中流動之血液量等,從而 成為可廣泛地與使用者之目的相對應的優異之血液淨化裝置。 In the blood purification device 80 of the embodiment, the control unit 90 further includes the pump flow rate adjustment unit F2. Therefore, for example, the flow rate of the second pump 85 can be changed while the flow rate of the first pump 84 is fixed (that is, the first pump) The ratio of the flow rate of 84 to the second pump 85 is changed, or the amount of blood flowing through the blood purifier 10 can be changed in a state where the flow ratios of all the pumps 81 to 85 are matched, thereby It is an excellent blood purification device that can be widely used in accordance with the purpose of the user.

此處,將上述本發明之血液淨化裝置之實施形態之特徵分別歸納列舉為以下i項~iv項。 Here, the characteristics of the embodiment of the blood purification apparatus of the present invention described above are summarized as the following items i to iv.

[i]一種血液淨化裝置80,其係血液淨化系統1中所使用者,該血液淨化系統1包含:血液淨化器10,其內部被劃分為血液流路13與其他流路14,並且包含與血液流路13之一端相通之第1流入部15、與血液流路13之另一端相通之第1流出部16、與其他流路14之一端相通之第2流入部17、及與其他流路14之另一端相通之第2流出部18;動脈側電路20,其連接於第1流入部15;靜脈側電路30,其連接於第1流出部16;透析液電路40,其連接於第2流入部17;廢液電路50,其連接於第2流出部18,且使來自第2流出部18之廢液透過;第1電路60,其連接於靜脈側電路30,且使第1液體透過;及第2電路70,其連接於動脈側電路20、靜脈側電路30或第1電路60,且使第2液體透過;該血液淨化裝置80之特徵在於:包含數個泵及對該數個泵之驅動進行控制之控制部90,作為數個泵,包含:血液泵81,其係用以向血液淨化器10輸送動脈側電路20上之血液;透析液泵82,其係用以向血液淨化器10輸送透析液電路40上之透析液;廢液泵83,其係用以將廢液電路50上之廢液送出;第1泵84,其係用 以向靜脈側電路30輸送第1電路60上之第1液體;及第2泵85,其係用以向動脈側電路20、靜脈側電路30或第1電路60輸送第2電路70上之第2液體;且控制部90連動地控制第1泵84之流量與第2泵85之流量。 [i] A blood purification device 80, which is a user of the blood purification system 1, which includes a blood purifier 10, the inside of which is divided into a blood flow path 13 and other flow paths 14, and includes and a first inflow portion 15 through which one end of the blood flow path 13 communicates, a first outflow portion 16 that communicates with the other end of the blood flow path 13, a second inflow portion 17 that communicates with one end of the other flow path 14, and other flow paths The second outflow portion 18 communicated with the other end of the 14; the artery side circuit 20 is connected to the first inflow portion 15; the vein side circuit 30 is connected to the first outflow portion 16; and the dialysate circuit 40 is connected to the second portion The inflow portion 17; the waste liquid circuit 50 is connected to the second outflow portion 18, and transmits the waste liquid from the second outflow portion 18; the first circuit 60 is connected to the vein side circuit 30, and transmits the first liquid. And a second circuit 70 connected to the artery side circuit 20, the vein side circuit 30, or the first circuit 60, and transmitting the second liquid; the blood purification device 80 is characterized by including a plurality of pumps and the plurality of pumps The control unit 90 for controlling the driving of the pump includes, as a plurality of pumps, a blood pump 81, which is used The blood on the arterial side circuit 20 is delivered to the blood purifier 10; the dialysate pump 82 is used to deliver the dialysate on the dialysate circuit 40 to the blood purifier 10; the waste liquid pump 83 is used to waste The waste liquid on the liquid circuit 50 is sent out; the first pump 84 is used The first liquid on the first circuit 60 is sent to the vein side circuit 30; and the second pump 85 is used to transport the second circuit 70 to the artery side circuit 20, the vein side circuit 30, or the first circuit 60. 2 liquid; and the control unit 90 controls the flow rate of the first pump 84 and the flow rate of the second pump 85 in conjunction with each other.

[ii]如上述[i]之血液淨化裝置80,其中控制部90進而連動地控制第1泵84及第2泵85中之至少一個泵之流量與廢液泵83之流量。 [ii] The blood purification device 80 of the above [i], wherein the control unit 90 further controls the flow rate of at least one of the first pump 84 and the second pump 85 and the flow rate of the waste liquid pump 83 in conjunction with each other.

[iii]如上述[i]或[ii]之血液淨化裝置80,其中控制部90進而連動地控制第1泵84及第2泵85中之至少一個泵之流量與血液泵81之流量。 [iii] The blood purification device 80 of the above [i] or [ii], wherein the control unit 90 further controls the flow rate of at least one of the first pump 84 and the second pump 85 and the flow rate of the blood pump 81 in conjunction with each other.

[iv]如上述[i]至[iii]中任一項之血液淨化裝置80,其中進而包含用以設定輸入各泵81~85之流量之設定輸入部87,控制部90基於設定輸入部87中所輸入之設定值,對各泵81~85之流量進行調整。 [IV] The blood purification device 80 according to any one of the above [i] to [iii], further comprising a setting input unit 87 for setting a flow rate input to each of the pumps 81 to 85, and the control unit 90 is based on the setting input unit 87. The set value input in the medium is adjusted for the flow rate of each of the pumps 81 to 85.

以上,基於上述實施形態說明了本發明之血液淨化裝置,但本發明並不限定於上述實施形態,於不脫離其主旨之範圍內能以各種態樣進行實施,例如亦可進行如下變形。 The blood purification device of the present invention has been described above based on the above-described embodiments. However, the present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the spirit and scope of the invention.

(1)於上述實施形態中,例示並說明了第2電路70連接於靜脈側電路30之中途(氣阱32)之情況,但本發明並不限定於此。第2電路既可連接於自第1電路60之端部(與靜脈側電路30之連接部分)起至軋管部64(第1泵84之配設位置) 為止中之任一位置,亦可連接於動脈側電路20中之任一位置。 (1) In the above embodiment, the case where the second circuit 70 is connected to the middle of the vein side circuit 30 (the gas trap 32) is exemplified and described, but the present invention is not limited thereto. The second circuit can be connected to the end portion of the first circuit 60 (the portion connected to the vein side circuit 30) to the rolling tube portion 64 (the arrangement position of the first pump 84) Any of the positions of the arterial side circuit 20 may be connected to any of the positions.

(2)於上述實施形態中,作為血液淨化器,例示並說明了具有包含中空纖維膜之選擇性分離膜之血液淨化器,但本發明並不限定於此。例如於包含平板膜(使平板狀膜積層數層而成者)或管狀膜等中空纖維膜以外之選擇性分離膜之血液淨化器中亦可應用本發明。 (2) In the above embodiment, a blood purifier having a selective separation membrane including a hollow fiber membrane is exemplified and described as a blood purifier, but the present invention is not limited thereto. For example, the present invention can also be applied to a blood purifier including a flat membrane (a laminate of a plurality of flat membranes) or a selective separation membrane other than a hollow fiber membrane such as a tubular membrane.

(3)於上述實施形態中,例示並說明了透析液貯存容器42與補充液貯存容器62分開之情況,但本發明並不限定於此,只要透析液貯存容器之內容物與補充液貯存容器之內容物相同,可將兩者一體化進行使用。 (3) In the above embodiment, the case where the dialysate storage container 42 and the replenishing liquid storage container 62 are separated is exemplified and described, but the present invention is not limited thereto as long as the contents of the dialysate storage container and the replenishing liquid storage container are provided. The contents are the same, and the two can be integrated.

(4)於上述實施形態中,例示並說明了控制部90包含泵驅動控制部F1、泵流量調整部F2及第1~第3連動控制部F3~F5之情況,但本發明並不限定於此,除該等以外,例如亦可包含第4連動控制部,該第4連動控制部連動地控制第1泵84及第2泵85之流量與透析液泵82之流量。於該情況下,可按照透析液泵之流量變動自動地進行第1泵及第2泵之流量調整。 (4) In the above embodiment, the case where the control unit 90 includes the pump drive control unit F1, the pump flow rate adjustment unit F2, and the first to third interlocking control units F3 to F5 is exemplified and described, but the present invention is not limited thereto. In addition to this, for example, the fourth interlocking control unit may be included, and the fourth interlocking control unit controls the flow rates of the first pump 84 and the second pump 85 and the flow rate of the dialysate pump 82 in conjunction with each other. In this case, the flow rate adjustment of the first pump and the second pump can be automatically performed in accordance with the flow rate fluctuation of the dialysate pump.

(5)於上述實施形態中,作為各泵81~85,例示並說明了使用所謂滾軸泵之情況,但本發明並不限定於此,例如亦可使用注射泵等眾所周知之其他送液手段。 (5) In the above-described embodiment, the case where the so-called roller pump is used is exemplified and described as the respective pumps 81 to 85. However, the present invention is not limited thereto, and other well-known liquid supply means such as a syringe pump may be used. .

(6)於上述實施形態中,亦能以如下方式構成:於血液淨 化裝置進而設置有感測貯存容器之液量之降低的容器狀態感測部(例如重量計或超音波感測器等),基於藉由該容器狀態感測部獲得之感測資訊,使液量降低之貯存容器之泵之驅動變慢。於該情況下,例如當感測到補充液貯存容器62或置換液貯存容器72之液量減少時,可基於該感測資訊使泵(一個泵)對於液量降低之貯存容器之驅動變慢,並且可使另一個泵之驅動變慢。藉此,即便貯存容器之液量減少亦可使貯存容器不會變空。 (6) In the above embodiment, it can also be configured as follows: The device is further provided with a container state sensing portion (for example, a weight meter or an ultrasonic sensor or the like) that senses a decrease in the amount of the storage container, and based on the sensing information obtained by the container state sensing portion, the liquid is made The pump of the reduced storage container is slow to drive. In this case, for example, when the amount of liquid in which the replenishing liquid storage container 62 or the replacement liquid storage container 72 is sensed is reduced, the pump (one pump) can be driven to slow down the storage of the liquid storage container based on the sensing information. And can drive the drive of another pump slower. Thereby, even if the amount of liquid in the storage container is reduced, the storage container can be made empty.

再者,上述容器狀態感測部亦可與血液淨化裝置分開配設於血液淨化系統內。 Furthermore, the container state sensing unit may be disposed in the blood purification system separately from the blood purification device.

(7)於上述實施形態中,亦能以如下方式構成:於血液淨化裝置中設置有:壓力感測部,其測定電路內既定位置之壓力;及膜間壓力差計算部,其基於壓力感測部之測定資訊而計算出血液淨化器之膜間壓力差(TMP,Trans Membrane Pressure);當計算出之膜間壓力差超過既定值時,使第1泵84及第2泵85之驅動變慢。由於膜間壓力差超過既定值之情況暗示存在血液淨化器之選擇性分離膜因蛋白質等而產生堵塞之可能性,因此若例如於補充液貯存容器62或置換液貯存容器72中之任一方預先填充發揮消除堵塞效果之液體,則當膜間壓力差超過既定值時,可將發揮此種消除堵塞效果之液體輸送至電路內,從而可消除選擇性分離膜之堵塞。 (7) In the above embodiment, the blood purification device may be configured such that: a pressure sensing unit that measures a pressure at a predetermined position in the circuit; and an inter-membrane pressure difference calculation unit that is based on the pressure feeling The pressure difference between the membranes of the blood purifier (TMP, Trans Membrane Pressure) is calculated by measuring the measurement information of the measuring unit; when the calculated pressure difference between the membranes exceeds a predetermined value, the driving of the first pump 84 and the second pump 85 is changed. slow. The case where the pressure difference between the membranes exceeds a predetermined value implies that there is a possibility that the selective separation membrane of the blood purifier is clogged by protein or the like, and therefore, for example, either one of the replenishing liquid storage container 62 or the replacement liquid storage container 72 is advanced. When the liquid which is used to eliminate the clogging effect is filled, when the pressure difference between the membranes exceeds a predetermined value, the liquid which exhibits the clogging-eliminating effect can be transported into the circuit, thereby eliminating the clogging of the selective separation membrane.

再者,上述壓力感測部及膜間壓力差計算部亦可與血液淨化裝置分開配設於血液淨化系統內。 Further, the pressure sensing unit and the inter-membrane pressure difference calculating unit may be disposed in the blood purification system separately from the blood purification device.

(8)於上述實施形態中,亦能以如下方式構成:於血液淨化裝置中設置有:經過時間測定部,其測定自來自貯存容器之送液開始時到現在為止之時間;及送液時間設定部,其設定自開始送液到送液停止為止之時間(送液時間);當測定之經過時間超過送液時間時使第1泵84及第2泵85之流量降低或停止。或者,亦能以如下方式構成:於血液淨化裝置中設置有:實際量測定部,其測定自來自貯存容器之送液開始時到現在為止之送液量(實際量);及基準量設定部,其設定自開始送液到送液停止為止之送液量(基準量);當測定之實際量超過基準量時使第1泵84及第2泵85之流量降低或停止。於該情況下,可按照經過時間或送液量對來自補充液貯存容器62或置換液貯存容器72之送液量進行調整。 (8) In the above embodiment, the blood purification device may be configured to include an elapsed time measuring unit that measures the time from the start of the liquid supply from the storage container to the present; and the liquid feeding time The setting unit sets the time from the start of the liquid supply to the stop of the liquid supply (the liquid supply time), and reduces or stops the flow rate of the first pump 84 and the second pump 85 when the elapsed time of the measurement exceeds the liquid supply time. Alternatively, the blood purification device may be configured to: an actual amount measuring unit that measures a liquid supply amount (actual amount) from the start of liquid supply from the storage container to the present; and a reference amount setting unit The liquid supply amount (reference amount) from the start of liquid supply to the stop of liquid supply is set, and when the actual amount measured exceeds the reference amount, the flow rates of the first pump 84 and the second pump 85 are lowered or stopped. In this case, the liquid supply amount from the replenishing liquid storage container 62 or the replacement liquid storage container 72 can be adjusted in accordance with the elapsed time or the liquid supply amount.

再者,上述經過時間測定部及送液時間設定部或實際量測定部及基準量設定部亦可與血液淨化裝置分開配設於血液淨化系統內。 Further, the elapsed time measuring unit, the liquid feeding time setting unit, the actual amount measuring unit, and the reference amount setting unit may be disposed separately from the blood purification device in the blood purification system.

詳細地且參照特定之實施形態說明了本發明,但對熟悉本技藝者而言明顯可知可不脫離本發明之精神與範圍地施加各種變更與修正。本申請案係基於2011年8月9日申請之日本專利申請(日本專利特願2011-173806)者,其內容作為參照併入此處。 The present invention has been described in detail with reference to the preferred embodiments of the invention. The present application is based on Japanese Patent Application No. 2011-173806, filed on Jan.

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

10‧‧‧血液淨化器 10‧‧‧ Blood Purifier

11‧‧‧殼體部 11‧‧‧Shell Department

12‧‧‧選擇性分離膜 12‧‧‧Selective separation membrane

13‧‧‧血液流路 13‧‧‧Blood flow

14‧‧‧其他流路 14‧‧‧Other flow paths

15‧‧‧第1流入部 15‧‧‧1st inflow

16‧‧‧第1流出部 16‧‧‧1st outflow

17‧‧‧第2流入部 17‧‧‧2nd inflow

18‧‧‧第2流出部 18‧‧‧2nd outflow

20‧‧‧動脈側電路 20‧‧‧Arterial side circuit

22、32‧‧‧氣阱 22, 32‧‧‧ gas trap

24、44、54、64、74‧‧‧軋管部 24, 44, 54, 64, 74‧ ‧ rolling department

30‧‧‧靜脈側電路 30‧‧‧Vental side circuit

40‧‧‧透析液電路 40‧‧‧ dialysate circuit

42‧‧‧透析液貯存容器 42‧‧‧ dialysate storage container

50‧‧‧廢液電路 50‧‧‧ Waste circuit

60‧‧‧第1電路 60‧‧‧1st circuit

62‧‧‧補充液貯存容器 62‧‧‧Replenishing liquid storage container

70‧‧‧第2電路 70‧‧‧2nd circuit

72‧‧‧置換液貯存容器 72‧‧‧Replacement fluid storage container

80‧‧‧血液淨化裝置 80‧‧‧ blood purification device

81‧‧‧血液泵 81‧‧‧ blood pump

82‧‧‧透析液泵 82‧‧‧ dialysate pump

83‧‧‧廢液泵 83‧‧‧Waste pump

84‧‧‧第1泵 84‧‧‧First pump

85‧‧‧第2泵 85‧‧‧2nd pump

86‧‧‧電源部 86‧‧‧Power Supply Department

87‧‧‧設定輸入部 87‧‧‧Setting input section

88‧‧‧顯示部 88‧‧‧Display Department

89‧‧‧記憶部 89‧‧‧Memory Department

90‧‧‧控制部 90‧‧‧Control Department

F1‧‧‧泵驅動控制部 F1‧‧‧Pump Drive Control Department

F2‧‧‧泵流量調整部 F2‧‧‧Pump Flow Adjustment Department

F3‧‧‧第1連動控制部 F3‧‧‧1st linkage control department

F4‧‧‧第2連動控制部 F4‧‧‧2nd linkage control department

F5‧‧‧第3連動控制部 F5‧‧‧3rd linkage control department

圖1係表示包含本發明實施形態之血液淨化裝置80的血液淨化系統1之構成之圖。 Fig. 1 is a view showing the configuration of a blood purification system 1 including a blood purification device 80 according to an embodiment of the present invention.

圖2(a)及(b)係表示血液淨化器10之圖,圖2(a)係血液淨化器10之側視圖,圖2(b)係表示血液淨化器10之內部構造之概念圖。 2(a) and 2(b) are views showing the blood purifier 10, Fig. 2(a) is a side view of the blood purifier 10, and Fig. 2(b) is a conceptual view showing the internal structure of the blood purifier 10.

圖3係表示血液淨化裝置80之電性構成之方塊圖。 FIG. 3 is a block diagram showing the electrical configuration of the blood purification device 80.

80‧‧‧血液淨化裝置 80‧‧‧ blood purification device

81‧‧‧血液泵 81‧‧‧ blood pump

82‧‧‧透析液泵 82‧‧‧ dialysate pump

83‧‧‧廢液泵 83‧‧‧Waste pump

84‧‧‧第1泵 84‧‧‧First pump

85‧‧‧第2泵 85‧‧‧2nd pump

86‧‧‧電源部 86‧‧‧Power Supply Department

87‧‧‧設定輸入部 87‧‧‧Setting input section

88‧‧‧顯示部 88‧‧‧Display Department

89‧‧‧記憶部 89‧‧‧Memory Department

90‧‧‧控制部 90‧‧‧Control Department

F1‧‧‧泵驅動控制部 F1‧‧‧Pump Drive Control Department

F2‧‧‧泵流量調整部 F2‧‧‧Pump Flow Adjustment Department

F3‧‧‧第1連動控制部 F3‧‧‧1st linkage control department

F4‧‧‧第2連動控制部 F4‧‧‧2nd linkage control department

F5‧‧‧第3連動控制部 F5‧‧‧3rd linkage control department

Claims (2)

一種血液淨化裝置,其係於血液淨化系統中所使用者,該血液淨化系統包含:血液淨化器,其內部被劃分為血液流路與其他流路,並且包含與上述血液流路之一端相通之第1流入部、與上述血液流路之另一端相通之第1流出部、與上述其他流路之一端相通之第2流入部及與上述其他流路之另一端相通之第2流出部;動脈側電路,其連接於上述第1流入部;靜脈側電路,其連接於上述第1流出部;透析液電路,其連接於上述第2流入部;廢液電路,其連接於上述第2流出部,並使來自上述第2流出部之廢液透過;第1電路,其連接於上述靜脈側電路,並使第1液體透過;及第2電路,其連接於上述動脈側電路、上述靜脈側電路或上述第1電路,並使第2液體透過;該血液淨化裝置之特徵在於:包含數個泵及對該數個泵之驅動進行控制之控制部,作為上述數個泵,包含:血液泵,其係用以向上述血液淨化器輸送上述動脈側電路上之血液;透析液泵,其係用以向上述血液淨化器輸送上述透析液電 路上之透析液;廢液泵,其係用以將上述廢液電路上之上述廢液送出;第1泵,其係用以向上述靜脈側電路輸送上述第1電路上之上述第1液體;及第2泵,其係用以向上述動脈側電路、上述靜脈側電路或上述第1電路輸送上述第2電路上之上述第2液體;且上述控制部連動地控制上述第1泵之流量與上述第2泵之流量,並且上述控制部進而連動地控制上述第1泵及上述第2泵之流量兩者、和上述血液泵之流量與上述廢液泵之流量的至少一者。 A blood purification device for use in a blood purification system, the blood purification system comprising: a blood purifier, the inside of which is divided into a blood flow path and other flow paths, and includes a communication with one end of the blood flow path a first inflow portion, a first outflow portion that communicates with the other end of the blood flow path, a second inflow portion that communicates with one end of the other flow path, and a second outflow portion that communicates with the other end of the other flow path; an artery a side circuit connected to the first inflow portion; a vein side circuit connected to the first outflow portion; a dialysate circuit connected to the second inflow portion; and a waste liquid circuit connected to the second outflow portion And passing the waste liquid from the second outflow portion; the first circuit is connected to the vein side circuit to transmit the first liquid; and the second circuit is connected to the artery side circuit and the vein side circuit Or the first circuit transmits the second liquid; the blood purification device includes a plurality of pumps and a control unit that controls driving of the plurality of pumps, and the plurality of pumps includes: Pump, which is based on for delivering the aforementioned arterial blood circuit to said blood purifier; dialysate pump that the dialysate line for delivering power to the blood purifiers a dialysate on the road; a waste liquid pump for sending the waste liquid on the waste liquid circuit; and a first pump for conveying the first liquid on the first circuit to the vein side circuit; And a second pump for transporting the second liquid on the second circuit to the artery side circuit, the vein side circuit, or the first circuit; and the control unit controls the flow rate of the first pump in conjunction with each other The flow rate of the second pump is further controlled by the control unit to control at least one of the flow rates of the first pump and the second pump and the flow rate of the blood pump and the flow rate of the waste liquid pump. 如申請專利範圍第1項之血液淨化裝置,其中,進而包含用以設定輸入各泵之流量之設定輸入部,且上述控制部係基於上述設定輸入部所輸入之設定值而對各泵之流量進行調整。 The blood purification device according to claim 1, further comprising: a setting input unit for setting a flow rate input to each of the pumps, wherein the control unit is configured to flow the respective pumps based on the set value input by the setting input unit. Make adjustments.
TW101129321A 2012-08-14 2012-08-14 Blood purification device TWI552776B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
TW101129321A TWI552776B (en) 2012-08-14 2012-08-14 Blood purification device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
TW101129321A TWI552776B (en) 2012-08-14 2012-08-14 Blood purification device

Publications (2)

Publication Number Publication Date
TW201406415A TW201406415A (en) 2014-02-16
TWI552776B true TWI552776B (en) 2016-10-11

Family

ID=50550264

Family Applications (1)

Application Number Title Priority Date Filing Date
TW101129321A TWI552776B (en) 2012-08-14 2012-08-14 Blood purification device

Country Status (1)

Country Link
TW (1) TWI552776B (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102017122804A1 (en) * 2017-09-29 2019-04-04 Fresenius Medical Care Deutschland Gmbh Medical pump drive, pump and blood treatment device
CN111068134A (en) * 2019-12-31 2020-04-28 周红卫 Blood purifier without dialysate

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110168614A1 (en) * 2008-09-09 2011-07-14 Gambro Lundia Ab Device and procedure for extracorporeal blood treatment

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20110168614A1 (en) * 2008-09-09 2011-07-14 Gambro Lundia Ab Device and procedure for extracorporeal blood treatment

Also Published As

Publication number Publication date
TW201406415A (en) 2014-02-16

Similar Documents

Publication Publication Date Title
JP6002136B2 (en) Blood purification equipment
US11439736B2 (en) Dialysis system with online dialysis fluid generation
US11931492B2 (en) Balanced flow dialysis machine
TW503097B (en) Method and apparatus for monitoring and controlling peritoneal dialysis therapy
US11020517B2 (en) Treatment solution delivery in an extracorporeal blood treatment apparatus
EP3031483B1 (en) Sensing and storage system for fluid balance
EP2988797B1 (en) System and method for preparation of a medical fluid
EP2459269B1 (en) Modular hemofiltration apparatus for carrying out neonatal and pediatric crrt
BR112021003168A2 (en) methods for preparing a tubing set and a dialyzer, for testing for leaks, for preparing a tubing set, for improving the durability and operation of one or more displacement pumps, and for providing dialysis therapy, dialysis system, and accessory bomb burn
JP6022846B2 (en) Blood purification apparatus and blood purification system
US10328193B2 (en) Extracorporeal blood treatment apparatus with multiple treatment solution reservoirs
TWI552776B (en) Blood purification device
JP2004049350A (en) Peritoneal dialysis apparatus and peritoneal dialysis method
EP2641625B1 (en) Extracorporeal blood treatment apparatus with multiple treatment solution reservoirs
US20230057779A1 (en) Method and devices for determining a time point for measuring pressure measurements
US20230128863A1 (en) Inline heater for a peritoneal dialysis system

Legal Events

Date Code Title Description
MM4A Annulment or lapse of patent due to non-payment of fees