WO2016021321A1 - 中空糸膜束、人工肺および中空糸膜束の製造方法 - Google Patents
中空糸膜束、人工肺および中空糸膜束の製造方法 Download PDFInfo
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- WO2016021321A1 WO2016021321A1 PCT/JP2015/068200 JP2015068200W WO2016021321A1 WO 2016021321 A1 WO2016021321 A1 WO 2016021321A1 JP 2015068200 W JP2015068200 W JP 2015068200W WO 2016021321 A1 WO2016021321 A1 WO 2016021321A1
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- Prior art keywords
- fiber membrane
- hollow fiber
- membrane bundle
- hollow
- blood
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- 239000012528 membrane Substances 0.000 title claims abstract description 298
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/14—Macromolecular materials
- A61L27/16—Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1698—Blood oxygenators with or without heat-exchangers
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- A—HUMAN NECESSITIES
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- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3623—Means for actively controlling temperature of blood
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B01D—SEPARATION
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- B01D63/02—Hollow fibre modules
- B01D63/021—Manufacturing thereof
- B01D63/0233—Manufacturing thereof forming the bundle
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- B01D63/02—Hollow fibre modules
- B01D63/04—Hollow fibre modules comprising multiple hollow fibre assemblies
- B01D63/043—Hollow fibre modules comprising multiple hollow fibre assemblies with separate tube sheets
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- D01—NATURAL OR MAN-MADE THREADS OR FIBRES; SPINNING
- D01F—CHEMICAL FEATURES IN THE MANUFACTURE OF ARTIFICIAL FILAMENTS, THREADS, FIBRES, BRISTLES OR RIBBONS; APPARATUS SPECIALLY ADAPTED FOR THE MANUFACTURE OF CARBON FILAMENTS
- D01F6/00—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof
- D01F6/02—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof from homopolymers obtained by reactions only involving carbon-to-carbon unsaturated bonds
- D01F6/04—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof from homopolymers obtained by reactions only involving carbon-to-carbon unsaturated bonds from polyolefins
- D01F6/06—Monocomponent artificial filaments or the like of synthetic polymers; Manufacture thereof from homopolymers obtained by reactions only involving carbon-to-carbon unsaturated bonds from polyolefins from polypropylene
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- A—HUMAN NECESSITIES
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- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2400/00—Materials characterised by their function or physical properties
- A61L2400/12—Nanosized materials, e.g. nanofibres, nanoparticles, nanowires, nanotubes; Nanostructured surfaces
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
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- B—PERFORMING OPERATIONS; TRANSPORTING
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- B01D2319/06—Use of membranes of different materials or properties within one module
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- D10B2321/02—Fibres made from polymers obtained by reactions only involving carbon-to-carbon unsaturated bonds polyolefins
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- D10B2509/00—Medical; Hygiene
Definitions
- the present invention relates to a hollow fiber membrane bundle, an artificial lung, and a method for producing a hollow fiber membrane bundle.
- Patent Document 1 an artificial lung having a hollow fiber membrane bundle composed of a large number of hollow fiber membranes is known (for example, Patent Document 1).
- the hollow fiber membrane bundle described in Patent Document 1 is obtained by arranging a large number of hollow fiber membranes almost in parallel to form weft yarns, which are connected by warp yarns to form a hook shape. Then, such a saddle-shaped hollow fiber sheet can be folded to form a hollow fiber membrane bundle whose outer shape is a prismatic shape or a cylindrical shape.
- gas exchange or heat exchange may be insufficient in a portion where the weft yarn (hollow fiber membrane) and the warp yarn (warp) overlap.
- blood tends to stay in the portion where the weft and warp overlap, and there is a risk of blood clots.
- each hollow fiber membrane is wound around the circumference of a round bar body, for example, around the central axis thereof to form a hollow hollow fiber membrane bundle.
- the inner diameter of the hollow fiber membrane is also reduced, so that the pressure loss of the fluid passing through the hollow fiber membrane increases.
- gas may flow out from the hollow fiber membrane.
- An object of the present invention is to provide a hollow fiber membrane bundle and a hollow fiber membrane that can reduce the blood filling amount while reducing the increase in pressure loss of the fluid in the hollow fiber membrane, thereby reducing the burden on the patient. It is to provide a method for manufacturing a bundle.
- a hollow fiber membrane bundle used for an artificial lung in which hollow fiber membranes having a hollow portion through which a fluid passes are integrated to form a cylindrical shape as a whole,
- the hollow fiber membrane is wound around the central axis of the cylindrical body inclined with respect to the central axis of the cylindrical body,
- the hollow fiber membrane has an inner diameter ⁇ d 1 of 150 ⁇ m or less,
- the inclination angle ⁇ of the hollow fiber membrane with respect to the central axis of the cylindrical body is 60 ° or less
- a hollow fiber membrane bundle wherein a ratio ⁇ D 1 / L between the outer diameter ⁇ D 1 of the cylindrical body and the length L of the cylindrical body is 0.4 or more.
- the outer diameter ⁇ D 1 is 20 mm or more and 200 mm or less
- the said length L is a hollow fiber membrane bundle in any one of said (1) thru
- a method for producing a hollow fiber membrane bundle used for an artificial lung in which hollow fiber membranes having a hollow portion through which a fluid passes are integrated to form a cylindrical body as a whole.
- the hollow fiber membrane having an inner diameter ⁇ d 1 of 150 ⁇ m or less has an inclination angle ⁇ with respect to the central axis of the cylindrical body of 60 ° or less, an outer diameter ⁇ D 1 of the cylindrical body, and a length L of the cylindrical body.
- a method for producing a hollow fiber membrane bundle, comprising winding around the central axis of the cylindrical body so that the ratio ⁇ D 1 / L is 0.4 or more.
- the inclination angle ⁇ of the hollow fiber membrane with respect to the central axis of the cylindrical body is set to 60 ° or less, and the outer diameter ⁇ D 1 of the cylindrical body.
- FIG. 1 is a plan view of an artificial lung to which a hollow fiber membrane bundle of the present invention is applied.
- FIG. 2 is a view of the oxygenator shown in FIG. 1 as viewed from the direction of arrow A.
- 3 is a cross-sectional view taken along line BB in FIG.
- FIG. 4 is a view as seen from the direction of arrow C in FIG.
- FIG. 5 is a sectional view taken along line DD in FIG. 6 is a cross-sectional view taken along line EE in FIG.
- FIG. 7 is a view (a is a perspective view and (b) is a development view) showing a base material that becomes a hollow fiber membrane bundle.
- FIG. 8 is a view showing a hollow fiber membrane bundle production apparatus used when producing the hollow fiber membrane bundle of the present invention.
- FIG. 9 is a schematic configuration diagram viewed from the direction of arrow F in FIG.
- FIG. 10 is a block diagram showing the hollow fiber membrane bundle manufacturing apparatus shown in FIG.
- FIG. 11A is a graph showing the relationship between the winding speed and the elapsed time when the hollow fiber membrane is wound in a state where the rotational speed of the winding section and the rotational speed of the feeding section are respectively constant.
- (B) is a graph which shows the relationship between the correction amount of the rotational speed of a drawing
- FIG. 12 is a flowchart for explaining a control program of the hollow fiber membrane bundle manufacturing apparatus.
- FIG. 12 is a flowchart for explaining a control program of the hollow fiber membrane bundle manufacturing apparatus.
- FIG. 13 is a schematic configuration diagram showing a hollow fiber membrane bundle manufacturing apparatus (second embodiment) used when manufacturing the hollow fiber membrane bundle of the present invention.
- FIG. 14 is a schematic configuration diagram showing a hollow fiber membrane bundle manufacturing apparatus (third embodiment) used when manufacturing the hollow fiber membrane bundle of the present invention.
- FIG. 1 is a plan view of an artificial lung to which a hollow fiber membrane bundle of the present invention is applied.
- FIG. 2 is a view of the oxygenator shown in FIG. 1 as viewed from the direction of arrow A.
- 3 is a cross-sectional view taken along line BB in FIG.
- FIG. 4 is a view as seen from the direction of arrow C in FIG.
- FIG. 7 is a view (a is a perspective view and (b) is a development view) showing a base material that becomes a hollow fiber membrane bundle.
- FIG. 1 is a plan view of an artificial lung to which a hollow fiber membrane bundle of the present invention is applied.
- FIG. 2 is a view of the oxygenator shown in FIG. 1 as viewed from the direction of arrow A.
- 3 is a cross-sectional view taken along line BB in FIG.
- FIG. 8 is a view showing a hollow fiber membrane bundle production apparatus used when producing the hollow fiber membrane bundle of the present invention.
- FIG. 9 is a schematic configuration diagram viewed from the direction of arrow F in FIG.
- FIG. 10 is a block diagram showing the hollow fiber membrane bundle manufacturing apparatus shown in FIG.
- FIG. 11A is a graph showing the relationship between the winding speed and the elapsed time when the hollow fiber membrane is wound in a state where the rotational speed of the winding section and the rotational speed of the feeding section are respectively constant.
- (B) is a graph which shows the relationship between the correction amount of the rotational speed of a drawing
- FIG. 12 is a flowchart for explaining a control program of the hollow fiber membrane bundle manufacturing apparatus.
- FIGS. 1, 3, 4, and 8 the left side is referred to as “left” or “left (one)”, and the right side is referred to as “right” or “right (the other)”.
- 1 to 6 the inside of the oxygenator will be described as “blood inflow side” or “upstream side”, and the outside will be described as “blood outflow side” or “downstream side”.
- FIG. 9 the same applies to FIGS. 13 and 14
- the X axis, the Y axis, and the Z axis are illustrated as three axes orthogonal to each other.
- the artificial lung 10 shown in FIGS. 1 to 5 has a substantially cylindrical shape as a whole.
- the oxygenator 10 is provided on the inner side, and a heat exchanger 10B that exchanges heat with blood, and an oxygenator that is provided on the outer periphery of the heat exchanger 10B and serves as a gas exchanger that exchanges gas with blood.
- It is an artificial lung with a heat exchanger provided with 10A.
- the artificial lung 10 is used by being installed in a blood extracorporeal circuit, for example.
- the oxygenator 10 has a housing 2A, and an oxygenator 10A and a heat exchanger 10B are accommodated in the housing 2A.
- the housing 2A includes a cylindrical housing body 21A, a dish-shaped first lid 22A that seals the left end opening of the cylindrical housing body 21A, and a dish-shaped first lid that seals the right end opening of the cylindrical housing body 21A. 2 lids 23A.
- the cylindrical housing body 21A, the first lid body 22A, and the second lid body 23A are made of a resin material.
- the first lid body 22A and the second lid body 23A are fixed to the cylindrical housing body 21A by a method such as fusion or bonding with an adhesive.
- a tubular blood outlet port 28 is formed on the outer peripheral portion of the cylindrical housing body 21A.
- the blood outflow port 28 protrudes in a substantially tangential direction of the outer peripheral surface of the cylindrical housing body 21A (see FIG. 5).
- a tubular purge port 205 is formed to protrude from the outer peripheral portion of the cylindrical housing body 21A.
- the purge port 205 is formed on the outer peripheral portion of the cylindrical housing main body 21A so that the central axis thereof intersects the central axis of the cylindrical housing main body 21A.
- a tubular gas outflow port 27 protrudes from the first lid 22A. Moreover, the blood inflow port 201 protrudes from the end surface of the first lid 22A so that the central axis is decentered with respect to the center of the first lid 22A.
- the gas outflow port 27 is formed on the outer periphery of the first lid 22A so that the central axis thereof intersects the center of the first lid 22A (see FIG. 2).
- the gas inflow port 26 is formed at the edge of the end surface of the second lid 23A.
- the heat medium inflow port 202 and the heat medium outflow port 203 are each formed at substantially the center of the end surface of the second lid 23A.
- the center lines of the heat medium inflow port 202 and the heat medium outflow port 203 are slightly inclined with respect to the center line of the second lid body 23A.
- the entire shape of the housing 2A does not necessarily have a complete columnar shape, and may be, for example, a partially missing shape or a shape with a deformed portion added.
- a cylindrical lung 10 ⁇ / b> A is housed inside the housing 2 ⁇ / b> A along the inner peripheral surface thereof.
- the artificial lung portion 10A includes a cylindrical hollow fiber membrane bundle 3A and a filter member 41A as bubble removing means 4A provided on the outer peripheral side of the hollow fiber membrane bundle 3A.
- the hollow fiber membrane bundle 3A and the filter member 41A are arranged in the order of the hollow fiber membrane bundle 3A and the filter member 41A from the blood inflow side.
- a heat exchanging portion 10B having a cylindrical shape along the inner peripheral surface is installed inside the artificial lung portion 10A.
- the heat exchange unit 10B has a hollow fiber membrane bundle 3B.
- each of the hollow fiber membrane bundles 3A and 3B is composed of a large number of hollow fiber membranes 31, and these hollow fiber membranes 31 are integrated and laminated in a layered manner.
- the number of stacked layers is not particularly limited, but for example, 3 to 40 layers are preferable.
- Each hollow fiber membrane 31 of the hollow fiber membrane bundle 3A has a gas exchange function.
- each hollow fiber membrane 31 of the hollow fiber membrane bundle 3B has a function of performing heat exchange.
- the hollow fiber membranes 31 of the hollow fiber membrane bundle 3A, and relatively thin is used, the inner diameter .phi.d 1 of the hollow fiber membrane 31 is 150 ⁇ m or less.
- the inner diameter (maximum inner diameter) ⁇ d 1 is preferably 90 ⁇ m to 150 ⁇ m, and more preferably 100 ⁇ m to 130 ⁇ m.
- the inner diameter ⁇ d 1 is larger than 150 ⁇ m, it is difficult to make the outer diameter ⁇ d 2 of the hollow fiber membrane 31 sufficiently small.
- the inner diameter ⁇ d 1 is smaller than the lower limit value, there is a risk of increasing the pressure loss when the gas G is caused to flow through the flow path 32 that is the hollow portion of the hollow fiber membrane 31.
- the outer diameter (maximum outer diameter) ⁇ d 2 of the hollow fiber membrane 31 is preferably 120 ⁇ m to 220 ⁇ m, and more preferably 150 ⁇ m to 200 ⁇ m. If the outer diameter .phi.d 2 exceeds the above upper limit, the gap between the hollow fiber membranes 31 adjacent increases, the filling amount of blood B flowing down the gap increases. On the other hand, when the outer diameter ⁇ d 2 is less than the lower limit, it is difficult to sufficiently increase the inner diameter ⁇ d 1 .
- the ratio ⁇ d 1 / ⁇ d 2 of the inner diameter .phi.d 1 and the outer diameter .phi.d 2 is preferably 0.50 to 0.85 and more preferably from 0.60 to 0.75.
- the hollow fiber membrane 31 of such a hollow fiber membrane bundle 3A is composed of a porous gas exchange membrane.
- the pore diameter of the hollow fiber membrane 31 is preferably 0.01 ⁇ m to 5 ⁇ m, and more preferably 0.01 ⁇ m to 1 ⁇ m.
- the hollow fiber membrane 31 is made of a hydrophobic polymer material such as polypropylene, polyethylene, polysulfone, polyacrylonitrile, polytetrafluoroethylene, or cellulose acetate. Polyolefin resins are preferred, and polypropylene is particularly preferred.
- the micropores of the hollow fiber membrane 31 can be formed by, for example, a stretching method or a solid-liquid phase separation method.
- hollow fiber membrane 31 of the hollow fiber membrane bundle 3B one having an inner diameter of 50 ⁇ m to 700 ⁇ m and an outer diameter of about 100 ⁇ m to 1000 ⁇ m can be used.
- the hollow fiber membrane bundles 3A and 3B are fixed to the inner surface of the cylindrical housing main body 21A at one end by partition walls 8 and 9, respectively.
- the partition walls 8 and 9 are made of, for example, a potting material such as polyurethane or silicone rubber, an adhesive, or the like.
- the hollow fiber membrane bundle 3 ⁇ / b> B has an inner peripheral portion engaged with an uneven portion 244 formed on the outer peripheral portion of the first cylindrical member 241.
- the hollow fiber membrane bundle 3B is securely fixed to the cylindrical housing main body 21A, and therefore the positional deviation of the hollow fiber membrane bundle 3B occurs during use of the artificial lung 10. It can be surely prevented.
- grooved part 244 functions also as a flow path for circulating the blood B to the whole hollow fiber membrane bundle 3B.
- a blood flow in which blood B flows from the upper side to the lower side in FIG. 6 is outside the hollow fiber membranes 31 between the partition walls 8 and 9 in the housing 2A, that is, in the gaps between the hollow fiber membranes 31.
- a path 33 is formed.
- a blood inflow side space 24A communicating with the blood inflow port 201 is formed as a blood inflow portion of the blood B flowing in from the blood inflow port 201 (see FIGS. 3 and 5). .
- the blood inflow side space 24A includes a first cylindrical member 241 having a cylindrical shape, and a plate piece 242 that is disposed inside the first cylindrical member 241 and is opposed to a part of the inner peripheral portion thereof. It is a defined space.
- the blood B that has flowed into the blood inflow side space 24 ⁇ / b> A can flow down over the entire blood flow path 33 through the plurality of side holes 243 formed in the first cylindrical member 241.
- a second cylindrical member 245 disposed concentrically with the first cylindrical member 241 is disposed inside the first cylindrical member 241.
- the heat medium H such as water flowing from the heat medium inflow port 202 flows through each hollow fiber membrane 31 of the hollow fiber membrane bundle 3 ⁇ / b> B on the outer peripheral side of the first cylindrical member 241. It passes through the path (hollow part) 32 and the inside of the second cylindrical member 245 in this order, and is discharged from the heat medium outlet port 203.
- heat exchange heat exchange (heating or cooling) is performed between the blood flow path 33 and the blood B in contact with the hollow fiber membrane 31. Done.
- a filter member 41A having a function of capturing bubbles present in the blood B flowing through the blood flow path 33 is disposed.
- the filter member 41A is configured by a substantially rectangular sheet-like member (hereinafter also simply referred to as “sheet”), and is formed by winding the sheet along the outer periphery of the hollow fiber membrane bundle 3A. Both ends of the filter member 41A are also fixed by partition walls 8 and 9, respectively, thereby being fixed to the housing 2A (see FIG. 3).
- the filter member 41A preferably has an inner peripheral surface provided in contact with the outer peripheral surface of the hollow fiber membrane bundle 3A and covers almost the entire outer peripheral surface.
- the filter member 41A can capture the air bubbles (see FIG. 6). Further, the air bubbles captured by the filter member 41A are pushed into the hollow fiber membranes 31 in the vicinity of the filter member 41A by the blood flow and are removed from the blood flow path 33 as a result.
- a cylindrical gap is formed between the outer peripheral surface of the filter member 41A and the inner peripheral surface of the cylindrical housing body 21A, and this gap forms a blood outflow side space 25A.
- the blood outflow portion is constituted by the blood outflow side space 25A and the blood outflow port 28 communicating with the blood outflow side space 25A. Since the blood outflow part has the blood outflow side space 25A, a space where the blood B that has passed through the filter member 41A flows toward the blood outflow port 28 is secured, and the blood B can be discharged smoothly.
- an annular rib 291 is formed to protrude inside the first lid 22 ⁇ / b> A.
- a first chamber 221a is defined by the first lid 22A, the rib 291 and the partition wall 8.
- the first chamber 221a is a gas outflow chamber from which the gas G flows out.
- the left end opening of each hollow fiber membrane 31 of the hollow fiber membrane bundle 3A opens to and communicates with the first chamber 221a.
- a gas outflow portion is configured by the gas outflow port 27 and the first chamber 221a.
- an annular rib 292 is formed so as to protrude inside the second lid body 23A.
- a second chamber 231 a is defined by the second lid body 23 ⁇ / b> A, the rib 292, and the partition wall 9.
- the second chamber 231a is a gas inflow chamber into which the gas G flows.
- the right end opening of each hollow fiber membrane 31 of the hollow fiber membrane bundle 3A opens to and communicates with the second chamber 231a.
- a gas inflow portion is constituted by the gas inflow port 26 and the second chamber 231a.
- the blood flow in the oxygenator 10 of this embodiment will be described.
- the blood B that has flowed in from the blood inflow port 201 sequentially passes through the blood inflow side space 24A and the side hole 243, and flows into the heat exchange unit 10B.
- the blood B flows through the blood flow path 33 in the downstream direction, and contacts the surface of each hollow fiber membrane 31 of the heat exchange unit 10B to exchange heat (warming or cooling). .
- the blood B thus heat-exchanged flows into the artificial lung 10A.
- the blood B flows further in the downstream direction through the blood channel 33.
- the gas (gas containing oxygen) supplied from the gas inflow port 26 is distributed from the second chamber 231a to the flow channels 32 of the hollow fiber membranes 31 of the oxygenator 10A and flows through the flow channels 32. Thereafter, the gas is accumulated in the first chamber 221 a and discharged from the gas outflow port 27.
- the blood B flowing through the blood flow path 33 contacts the surface of each hollow fiber membrane 31 of the oxygenator 10A, and is exchanged with the gas G flowing through the flow path 32, that is, oxygenated and decarboxylated.
- the hollow fiber membrane bundle 3A is composed of a large number of hollow fiber membranes 31.
- the hollow fiber membrane bundle 3A is obtained from a base material 3 ′ obtained by winding the hollow fiber membrane 31 many times around the central axis O along the central axis O direction of the first cylindrical member 241 (cylindrical body). (See FIG. 7A).
- the hollow fiber membrane 31 starts to be wound from the left starting point 311 in the direction of the central axis O and moves to the right side. On the right side, the hollow fiber membrane 31 is folded at a folding point 312. Thereafter, the hollow fiber membrane 31 returns to the left side again and reaches the end point 313.
- the hollow fiber membrane 31 is wound in the order of arrows i ⁇ ii ⁇ iii ⁇ iv ⁇ v ⁇ vi ⁇ vii in FIG.
- the hollow fiber membrane 31 is wound at a predetermined number of turns N.
- N 1.5
- the hollow fiber membrane 31 makes 1.5 rounds around the central axis O during one reciprocation. This is called “0.75 wind”.
- the hollow fiber membrane 31 is fixed at both ends of the first cylindrical member 241 by a fixing thread 11 described later. Thereby, the said winding can be performed many times and base material 3 'can be obtained. Moreover, the hollow fiber membrane bundle 3A can be obtained by cutting both ends of the base material 3 'together with the fixing yarn 11.
- the hollow fiber membrane 31 having a relatively small inner diameter ⁇ d 1 and outer diameter ⁇ d 2 is used.
- the outer diameter ⁇ d 2 of the hollow fiber membrane 31 is relatively small, the blood filling amount can be reduced.
- the inner diameter ⁇ d 1 is relatively small, the pressure loss of the gas G generally tends to increase.
- the inclination angle with respect to the central axis O (the winding angle) theta and 60 ° or less (see FIG. 7 (b)), and an outer diameter [phi] D 1 of the hollow fiber membrane bundle 3A, the hollow fiber membrane bundle 3A length
- the ratio ⁇ D 1 / L to the thickness L was set to 0.4 or more (see FIGS. 3 and 5).
- the inclination angle ⁇ is preferably 30 ° or more and 60 ° or less, and more preferably 40 ° or more and 50 ° or less.
- the inclination angle ⁇ is less than the lower limit, it is necessary to more firmly fix the hollow fiber membrane 31 with the fixing yarn 11 at the end of the hollow fiber membrane bundle 3A, and it becomes difficult to manufacture the base material 3 ′. there is a possibility.
- the inclination angle ⁇ exceeds the upper limit, the total length of the hollow fiber membrane 31 becomes excessively long regardless of the ratio ⁇ D 1 / L, and the pressure loss of the gas G may increase.
- the ratio ⁇ D 1 / L is preferably 0.4 or more and 2.5 or less, and more preferably 0.8 or more and 1.6 or less.
- the ratio ⁇ D 1 / L is below the lower limit, the entire length of the hollow fiber membrane 31 becomes excessively long even in the range of the inclination angle ⁇ .
- the ratio ⁇ D 1 / L exceeds the upper limit, the number of winds described above becomes excessively small, and it is difficult to wind the hollow fiber membrane.
- the entire length of the hollow fiber membrane 31 can be secured without excess or deficiency.
- the outer diameter (maximum outer diameter) ⁇ D 1 of the hollow fiber membrane bundle 3A is preferably 20 mm or more and 200 mm or less, and more preferably 40 mm or more and 150 mm or less.
- Inside diameter (maximum inner diameter) [phi] D 2 of the hollow fiber membrane bundle 3A is preferably at 10mm or more 150mm or less, more preferably 20mm or more than 100mm.
- the length L is preferably 30 mm or more and 250 mm or less, and more preferably 50 mm or more and 200 mm or less.
- the winding speed slightly decreases when folded at the end (FIG. 11 ( a)).
- the tension of the hollow fiber membrane slightly changes.
- the shape of the micropores may change.
- the original excellent gas exchange function of the hollow fiber membrane bundle 3A may not be sufficiently exhibited.
- the winding device 60 executes the manufacturing method of the hollow fiber membrane bundle of the present invention, and includes a cylindrical core rotating means (winding portion) 601 and a winder device (feeding-out). Part) 602, a fixing device 600, a roller group 90, and a control unit (tension adjusting mechanism) 100 that controls driving thereof.
- the cylindrical core rotating means 601 includes a motor 603, a motor shaft 604, and a core attachment member 605 fixed to the motor shaft 604.
- the first cylindrical member 241 that is a part of the housing 2 ⁇ / b> A of the oxygenator 10 is attached to the core attachment member 605 and rotated by the motor 603.
- the motor 603 is electrically connected to the control unit 100, and driving is controlled by the control unit 100.
- the winder device 602 includes a main body 606 provided with a storage portion that stores the hollow fiber membrane 31 therein, and a discharge unit that discharges the hollow fiber membrane 31 and moves in the axial direction of the main body 606 (left and right direction in FIG. 8) 705. Further, the main body 606 is fixed to a linear table 608 and a ball nut member 704 that move on the linear rail 607. The ball nut member 704 is movable in parallel with the axial direction of the main body 606 by rotating the ball screw shaft 609 by driving the motor 703. The motor 703 can rotate forward and backward, and the drive is controlled by the control unit 100.
- the fixing device 600 includes a main body 706 including a storage unit that stores a fixing thread (linear body) 11 that fixes the hollow fiber membrane 31 wound around the first cylindrical member 241, and the first cylindrical member 241. And a discharge portion 707 that discharges the fixing yarn 11 toward both end portions.
- a fixing thread 11 linear body
- the fixing yarn 11 discharged from the discharge portion 707 is wound around the hollow fiber membrane 31 on the rotating first cylindrical member 241. Is fixed.
- the fixing thread 11 provided for the fixing is cut from the fixing device 600 by a cutter (not shown).
- the hollow fiber membrane 31 discharged and delivered from the discharge unit 705 is wound around the first cylindrical member 241 that rotates by the operation of the motor 603.
- the winding of the hollow fiber membrane 31 is started from one end of the first cylindrical member 241 and when the hollow fiber membrane 31 is wound to the other end, it is folded.
- the hollow fiber membrane 31 can be wound toward one end.
- a base material of the hollow fiber membrane bundle 3A having a cylindrical shape can be obtained.
- the base material of the hollow fiber membrane bundle 3A is used as the hollow fiber membrane bundle 3A by cutting the portion where the hollow fiber membrane 31 is fixed by the fixing yarns 11 at both ends.
- the roller group 90 is movable in the Z-axis direction with three fixed rollers 91, 92, 93 provided between the cylindrical core rotating means 601 and the winder device 602. And a movable roller (detection unit) 94.
- the fixed roller 91 is provided on the + Z axis side of the winder device 602.
- the fixed roller 92 is provided on the ⁇ X axis side of the fixed roller 91.
- the fixed roller 93 is provided on the ⁇ X axis side of the fixed roller 92.
- the hollow fiber membrane 31 is wound around fixed rollers 91, 92, 93.
- the movable roller 94 is positioned between the fixed rollers 92 and 93 and on the ⁇ Z axis side of the fixed rollers 92 and 93. Both ends of the movable roller 94 are free ends, and are supported by the hollow fiber membrane 31 between the fixed rollers 92 and 93. For this reason, in the winding device 60, the movable roller 94 is in a state in which a tension T is applied to the hollow fiber membrane 31 by its own weight.
- the tension T is such a magnitude that the hollow fiber membrane bundle 3A obtained by winding the hollow fiber membrane 31 can sufficiently exhibit its original function (hereinafter also referred to as “appropriate size”). ).
- the tension T can be adjusted, for example, by adjusting the weight of the movable roller 94 or by urging the movable roller 94 to the + Z-axis side or the ⁇ Z-axis side with an urging member or the like.
- the movable roller 94 is movable in the Z-axis direction according to the magnitude relationship of the tension T.
- the tension T becomes larger than the illustrated configuration, the hollow fiber membrane 31 moves to the + Z axis side (in the direction of arrow G in FIG. 9).
- the tension T becomes smaller than the illustrated configuration, the hollow fiber membrane 31 moves to the ⁇ Z axis side (in the direction of arrow H in FIG. 9).
- the movable roller 94 is provided with a position detector 941 that is electrically connected to the controller 100 and detects a position (height).
- the control unit 100 can detect the position of the movable roller 94 based on the signal from the position detection unit 941 and calculate the magnitude of the tension T of the hollow fiber membrane 31 according to the position.
- a hollow fiber membrane bundle 3 ⁇ / b> A wound with an appropriate tension is obtained by preliminarily applying an appropriate magnitude of tension T to the hollow fiber membrane 31 and winding the hollow fiber membrane 31 in that state. Can be obtained.
- an upper limit value Tmax and a lower limit value Tmin are set as an allowable range of the tension T having an appropriate magnitude. If the lower limit value T min ⁇ the tension T ⁇ the upper limit value T max is satisfied, the tension T is determined to be an appropriate magnitude.
- control unit 100 is electrically connected to the motor 603 of the cylindrical core rotating means 601, the motor 703 of the winder device 602, and the position detection unit 941 of the movable roller 94. It has a function to control the operation.
- the control unit 100 includes a CPU (Central Processing Unit) 101 and a storage unit 102.
- CPU Central Processing Unit
- the CPU 101 executes various processing programs.
- the storage unit 102 includes, for example, an EEPROM (Electrically Erasable Programmable Read-Only Memory) which is a kind of nonvolatile semiconductor memory, and can store various programs.
- EEPROM Electrically Erasable Programmable Read-Only Memory
- FIG. 11A is a graph showing the relationship between the elapsed time t from the start of winding and the winding speed v of the hollow fiber membrane 31.
- “Winding speed v” refers to the length of the hollow fiber membrane 31 actually wound up per unit time.
- This graph with the rotation speed V b of the rotational speed V a and the motor 703 of the motor 603 fixed respectively, is obtained by measuring in advance experimentally.
- a hollow fiber membrane having an inner diameter ⁇ d 1 of 150 ⁇ m is set such that the inclination angle (twill angle) ⁇ with respect to the central axis O is 45 ° and the ratio ⁇ D 1 / L is 1.0. It is a graph at the time of manufacturing by winding.
- the storage unit 102 stores a calibration curve for canceling the change in the winding speed v based on the relationship between the winding speed v and the elapsed time t shown in FIG.
- This calibration curve is stored as an arithmetic expression or a table, for example.
- FIG. 11B is a graph in which this calibration curve is represented by the correction amount U of the rotational speed Vb of the motor 703 on the vertical axis and the elapsed time t on the horizontal axis.
- the correction amount U of the rotation speed V b is the elapsed time t 1 ⁇ t 2, with a decrease in the winding speed v
- the linear graph shown in FIG. 11 (a) It is changing like a mountain that is reversed.
- the hollow fiber membrane 31 is wound around the fixed rollers 91, 92, 93 and the movable roller 94 from the winder device 602, and the motor 603 and the motor 703 are rotated with the tip fixed to the first cylindrical member 241 (step). S101). Thereby, winding of the hollow fiber membrane 31 is started.
- the rotation speed V a of the motor 603 is the speed V a1
- the rotation speed V b of the motor 703 is the speed V b1 .
- the rotational speed V a of the motor 603, regardless of the elapsed time t, is constant.
- the hollow fiber membrane 31 is wound so that the inclination angle (twill angle) ⁇ with respect to the central axis O is 45 ° and the ratio ⁇ D 1 / L is 1.0.
- step S102 the tension T of the hollow fiber membrane 31 between the cylindrical core rotating means 601 and the winder device 602 is detected based on the signal from the position detecting unit 941 of the movable roller 94.
- the timer is operated to measure the elapsed time t from the start of winding (step S103).
- step S115 When the winding of the hollow fiber membrane 31 is determined not to be completed in step S115, to change the rotational speed V b of the motor 703 to V b1 performed (step S116) winding, the flow returns to step S103.
- step S115 The above control is repeated until it is determined in step S115 that the winding of the hollow fiber membrane 31 is completed.
- the rotational speed Vb of the motor 703 is adjusted based on the calibration curve of the elapsed time t and the winding speed v. Thereby, it can wind, maintaining the tension
- the tension T is detected while the lower limit value T min ⁇ tension T ⁇ the upper limit value T max is adjusted.
- the winding can be performed while the tension T of the hollow fiber membrane 31 is effectively effectively maintained at an appropriate magnitude.
- the obtained hollow fiber membrane bundle 3A can surely exhibit an excellent original gas exchange function.
- the lower limit value T min and the upper limit value T max are set as appropriate magnitudes of the tension T of the hollow fiber membrane 31, but the lower limit value T min is the value of the actual tension T. It is preferable to set it slightly higher than the appropriate lower limit value, and it is preferable to set the upper limit value Tmax slightly lower than the actual upper limit value of the tension T. As a result, the hollow fiber membrane 31 can be wound while maintaining the tension T at an appropriate magnitude more reliably.
- FIG. 13 is a schematic configuration diagram showing a hollow fiber membrane bundle manufacturing apparatus (second embodiment) used when manufacturing the hollow fiber membrane bundle of the present invention.
- the hollow fiber membrane bundle and the second embodiment of the manufacturing method of the hollow fiber membrane bundle according to the present invention will be described with reference to the drawings. However, the difference from the above-described embodiment will be mainly described and the same matters will be described. Will not be described.
- the present embodiment is the same as the first embodiment except that an engaging portion is provided.
- a tension adjusting roller (engaging portion) 95 as a tension adjusting mechanism is provided between the cylindrical core rotating means 601 and the fixed roller 93.
- the tension adjusting roller 95 is provided with a roller main body 951 that comes into contact with the hollow fiber membrane 31 and a biasing portion 952 that biases the roller main body 951 in the X-axis direction.
- the urging portion 952 is constituted by, for example, a coil spring, and the hollow fiber membrane 31 is wound around in a tension state in which the urging portion 952 is pulled more than a natural state. For this reason, the hollow fiber membrane 31 is pulled toward the ⁇ X axis side by the roller body 951.
- the hollow fiber membrane 31 moves the roller body 951 to the + X-axis side (position indicated by the roller body 951a in the figure) against the urging force of the urging portion 952.
- the hollow fiber membrane 31 between the fixed roller 93 and the cylindrical core rotating means 601 approaches a linear shape as compared with the state indicated by the solid line in the figure, and can suppress or prevent the tension T from increasing. .
- Such a tension adjusting roller 95 can prevent or suppress the tension of the hollow fiber membrane 31 from changing more reliably than in the first embodiment.
- FIG. 14 is a schematic configuration diagram showing a hollow fiber membrane bundle manufacturing apparatus (third embodiment) used when manufacturing the hollow fiber membrane bundle of the present invention.
- This embodiment is the same as the first embodiment except that the position of the cylindrical core rotating means is different.
- the cylindrical core rotating means 601 is located on the ⁇ Z axis side with respect to the position in each of the above embodiments. For this reason, the length L1 of the hollow fiber membrane 31 between the fixed roller 93 and the cylindrical core rotating means 601 is the hollow fiber membrane between the fixed roller 93 and the cylindrical core rotating means 601 in the first embodiment. It is longer than 31 length.
- the length L1 is preferably 500 mm to 5000 mm, and more preferably 1000 mm to 3000 mm.
- the length L1 is preferably 10 to 200 times the outer diameter of the first cylindrical member 241 and more preferably 15 to 150 times.
- the hollow fiber membrane bundle and the manufacturing method of the hollow fiber membrane bundle of the present invention have been described with respect to the illustrated embodiment.
- the present invention is not limited to this, and the manufacturing method of the hollow fiber membrane bundle is arbitrary. These steps may be added.
- each part which comprises a hollow fiber membrane bundle can be substituted with the thing of the arbitrary structures which can exhibit the same function.
- arbitrary components may be added.
- hollow fiber membrane bundle and the method for producing the hollow fiber membrane bundle of the present invention may be a combination of any two or more configurations (features) of the above embodiments.
- the oxygenator and the heat exchanger are arranged inside and the oxygenator is arranged outside.
- the present invention is not limited to this, and the oxygenator is arranged inside.
- the heat exchange part may be arranged outside. In this case, blood flows down from the outside toward the inside.
- the tension of the wound hollow fiber membrane is adjusted by keeping the rotation speed of the winding part constant and adjusting the rotation speed of the feeding part.
- the present invention is not limited to this, and the rotation speed of the feeding section may be constant and the rotation speed of the winding section may be adjusted. Moreover, you may adjust the rotational speed of both a winding-up part and a delivery part.
- the engaging portion (contact portion) is configured to be movable by the urging portion.
- the present invention is not limited to this, and the urging portion is omitted and the control portion is omitted.
- the engaging portion may be configured to be movable by the control.
- whether or not the winding of the hollow fiber membrane has been completed may be determined at any time or may be performed at regular intervals. Further, when it is determined that the winding of the hollow fiber membrane is completed, the winding may be stopped immediately, or the winding may be stopped after winding to the end of the first cylindrical member.
- the urging unit may be provided in the detection unit.
- the detection unit can exhibit the same function as the engagement unit.
- the tension adjusting mechanism is preferably configured to move in different directions when having a plurality of engaging portions. Thereby, it can prevent that the tension
- the urging portion is configured by a coil spring.
- the present invention is not limited to this, and any member having an urging force such as a leaf spring or a disc spring may be used.
- the urging portion functions as a tension spring in which the hollow fiber membrane is wound in a tension state in which the urging portion is tensioned more than in a natural state, but the present invention is not limited to this.
- the hollow fiber membrane may be wound around in a compressed state compressed more than a natural state.
- the coil spring functions as a pressing spring.
- Example 1 Production of oxygenator for heart-lung machine (Example 1) A heart-lung machine oxygenator as shown in FIGS. 1 to 5 was prepared.
- the housing is made of polycarbonate.
- the inner dimension of the housing was ⁇ 90 ⁇ 80 mm.
- the hollow fiber membrane is made of polypropylene. Further, the inner diameter ⁇ d 1 of the hollow fiber membrane, the inclination angle ⁇ , the ratio ⁇ d 1 / L, the outer diameter ⁇ D 1 of the hollow fiber membrane bundle, the length L of the hollow fiber membrane bundle, the outer diameter ⁇ d 2 of the hollow fiber membrane, the hollow fiber
- the inner diameter ⁇ D 2 of the membrane bundle was as shown in Table 1.
- Example 2 Hollow fiber membrane inner diameter ⁇ d 1 , inclination angle ⁇ , ratio ⁇ d 1 / L, hollow fiber membrane bundle outer diameter ⁇ d 1 , hollow fiber membrane bundle length L, hollow fiber membrane outer diameter ⁇ d 2 , hollow fiber membrane bundle the the internal diameter [phi] D 2 except that the ones shown in Table 1, in the same manner as in example 1 to obtain a heart-lung machine for artificial lung of example 2.
- Example 3 Hollow fiber membrane inner diameter ⁇ d 1 , inclination angle ⁇ , ratio ⁇ d 1 / L, hollow fiber membrane bundle outer diameter ⁇ D 1 , hollow fiber membrane bundle length L, hollow fiber membrane outer diameter ⁇ d 2 , hollow fiber membrane bundle the the internal diameter [phi] D 2 except that the ones shown in Table 1, in the same manner as in example 1 to obtain a heart-lung machine for oxygenating part of example 3.
- Example 4 Hollow fiber membrane inner diameter ⁇ d 1 , inclination angle ⁇ , ratio ⁇ d 1 / L, hollow fiber membrane bundle outer diameter ⁇ D 1 , hollow fiber membrane bundle length L, hollow fiber membrane outer diameter ⁇ d 2 , hollow fiber membrane bundle the the internal diameter [phi] D 2 except that the ones shown in Table 1, in the same manner as in example 1 to obtain a heart-lung machine for oxygenating part of example 3.
- the oxygen transfer ability here is the oxygen transfer amount (mL / min) when the amount of blood flowed for 1 minute is 7 L, and the gas amount flowed for 1 minute for the pressure loss of the gas G is 7 L.
- the pressure loss (mmH 2 O) is shown.
- the maximum flow rate during actual use of the artificial lung is assumed.
- Evaluation criteria 1 A Very superior to the existing oxygenator for cardiopulmonary bypass. ⁇ : It is superior to the existing oxygenator for cardiopulmonary bypass. X: Equivalent to or inferior to the existing oxygenator for cardiopulmonary bypass.
- the oxygenator for the heart-lung machine of Examples 2 and 3 among Examples 1 to 4 is very suitable for actual use, and then the oxygenator for the heart-lung machine of Examples 1 and 4 is used. The result was that the lung was suitable for actual use.
- the inner diameter of the hollow fiber membrane is set to 150 ⁇ m or less
- the inclination angle ⁇ is set to 60 ° or less
- the hollow fiber membrane bundle of the present invention is a hollow fiber membrane bundle that is used for an artificial lung and is a hollow fiber membrane bundle in which hollow fiber membranes having hollow portions through which a fluid passes are integrated to form a cylindrical shape as a whole.
- film is inclined with respect to the central axis of the cylindrical body is wound about the central axis of the cylindrical body, the inner diameter .phi.d 1 of the hollow fiber membrane is at 150 ⁇ m or less, wherein said hollow fiber membrane
- the inclination angle ⁇ with respect to the central axis of the cylindrical body is 60 ° or less, and the ratio ⁇ D 1 / L between the outer diameter ⁇ D 1 of the cylindrical body and the length L of the cylindrical body is 0.4 or more. It is characterized by. Therefore, while reducing the increase in pressure loss of the fluid in the hollow fiber membrane, the blood filling amount can also be reduced, and the burden on the patient can be reduced.
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Abstract
Description
(1) 人工肺に用いられ、流体が通過する中空部を有する中空糸膜が集積されて全体形状が円筒体の形状をなす中空糸膜束であって、
前記中空糸膜は、前記円筒体の中心軸に対して傾斜して前記円筒体の中心軸回りに巻回されており、
前記中空糸膜の内径φd1は、150μm以下であり、
前記中空糸膜の前記円筒体の中心軸に対する傾斜角度θは、60°以下であり、
前記円筒体の外径φD1と、前記円筒体の長さLとの比φD1/Lは、0.4以上であることを特徴とする中空糸膜束。
前記長さLは、30mm以上250mm以下である上記(1)ないし(4)のいずれかに記載の中空糸膜束。
(8) 上記(1)ないし(7)のいずれかに記載の中空糸膜束を有することを特徴とする人工肺。
内径φd1が150μm以下の前記中空糸膜を、前記円筒体の中心軸に対する傾斜角度θが60°以下で、かつ、前記円筒体の外径φD1と、前記円筒体の長さLとの比φD1/Lが0.4以上になるように、前記円筒体の中心軸回りに巻回することを特徴とする中空糸膜束の製造方法。
図1は、本発明の中空糸膜束を適用した人工肺の平面図である。図2は、図1に示す人工肺を矢印A方向から見た図である。図3は、図2中のB-B線断面図である。図4は、図2中の矢印C方向から見た図である。図5は、図1中のD-D線断面図である。図6は、図5中のE-E線断面図である。図7は、中空糸膜束となる母材を示す図((a)が斜視図、(b)が展開図)である。図8は、本発明の中空糸膜束を製造する際に用いる中空糸膜束製造装置を示す図である。図9は、図8中の矢印F方向から見た概略構成図である。図10は、図8に示す中空糸膜束製造装置を示すブロック図である。図11は、(a)が、巻き取り部の回転速度と繰り出し部の回転速度とをそれぞれ一定の状態で中空糸膜を巻回した場合の、巻き取り速度と経過時間との関係を示すグラフ、(b)が、繰り出し部の回転速度の補正量と経過時間との関係を示すグラフである。図12は、中空糸膜束製造装置の制御プログラムを説明するためのフローチャートである。
図1~図5に示す人工肺10は、全体形状がほぼ円柱状をなしている。この人工肺10は、内側に設けられ、血液に対し熱交換を行う熱交換部10Bと、熱交換部10Bの外周側に設けられ、血液に対しガス交換を行うガス交換部としての人工肺部10Aと備える熱交換器付き人工肺である。人工肺10は、例えば血液体外循環回路中に設置して用いられる。
また、血液流入ポート201は、その中心軸が第1の蓋体22Aの中心に対し偏心するように、第1の蓋体22Aの端面から突出している。
この人工肺10では、血液流入ポート201から流入した血液Bは、血液流入側空間24A、側孔243を順に通過して、熱交換部10Bに流れ込む。熱交換部10Bでは、血液Bは、血液流路33を下流方向に向かって流れつつ、熱交換部10Bの各中空糸膜31の表面と接触して熱交換(加温または冷却)がなされる。このようにして熱交換がなされた血液Bは、人工肺部10Aに流入する。
前述したように、中空糸膜束3Aは、多数本の中空糸膜31で構成されたものである。また、中空糸膜束3Aは、中空糸膜31を第1の円筒部材241(円筒体)の中心軸O方向に沿って中心軸O回りに多数回巻回してなる母材3’から得られるものである(図7(a)参照)。
まず、中空糸膜束3Aの製造方法に用いる中空糸膜束製造装置について説明する。
記憶部102は、例えば不揮発性半導体メモリーの一種であるEEPROM(Electrically Erasable Programmable Read-Only Memory)等を有し、各種プログラム等を記憶することができる。
ステップS104において、未だ経過時間t=t1となっていないと判断した場合には、張力T≧Tminであるか否かを判断する(ステップS105)。ステップS105において、張力T≧Tminであると判断した場合には、次に、張力T≦Tmaxであるか否かを判断する(ステップS106)。ステップS106において、張力T≦Tmaxであると判断した場合、張力Tが適切な大きさであるため、再度、ステップS104に戻る。
上記ステップS105~S108は、経過時間t=t1になるまで繰り返される。
図13は、本発明の中空糸膜束を製造する際に用いる中空糸膜束製造装置(第2実施形態)を示す概略構成図である。
本実施形態は、係合部が設けられていること以外は前記第1実施形態と同様である。
図14は、本発明の中空糸膜束を製造する際に用いる中空糸膜束製造装置(第3実施形態)を示す概略構成図である。
(実施例1)
図1~図5に示すような人工心肺用人工肺部を作製した。この人工心肺用人工肺部では、ハウジングは、ポリカーボネートで構成されている。ハウジングの内寸は、φ90×80mmであった。
中空糸膜の内径φd1、傾斜角度θ、比φd1/L、中空糸膜束の外径φd1、中空糸膜束の長さL、中空糸膜の外径φd2、中空糸膜束の内径φD2を表1に示すとおりのものとした以外は、前記実施例1と同様にして、実施例2の人工心肺用人工肺部を得た。
中空糸膜の内径φd1、傾斜角度θ、比φd1/L、中空糸膜束の外径φD1、中空糸膜束の長さL、中空糸膜の外径φd2、中空糸膜束の内径φD2を表1に示すとおりのものとした以外は、前記実施例1と同様にして、実施例3の人工心肺用人工肺部を得た。
中空糸膜の内径φd1、傾斜角度θ、比φd1/L、中空糸膜束の外径φD1、中空糸膜束の長さL、中空糸膜の外径φd2、中空糸膜束の内径φD2を表1に示すとおりのものとした以外は、前記実施例1と同様にして、実施例3の人工心肺用人工肺部を得た。
中空糸膜の内径φd1、傾斜角度θ、比φd1/L、中空糸膜束の外径φD1、中空糸膜束の長さL、中空糸膜の外径φd2、中空糸膜束の内径φD2を表1に示すとおりにすること以外は、前記実施例1と同様にして、比較例1の人工心肺用人工肺部を得た。
中空糸膜の内径φd1、傾斜角度θ、比φd1/L、中空糸膜束の外径φD1、中空糸膜束の長さL、中空糸膜の外径φd2、中空糸膜束の内径φD2を表1に示すとおりにすること以外は、前記実施例1と同様にして、比較例2の人工心肺用人工肺部を得た。
模擬的使用状態で、実施例1~3および比較例1、2の人工心肺用人工肺部について、ISO7199(2009)の規定に基づいた酸素移動能と、人工心肺用人工肺部中に充填された血液の充填量(最大)と、中空糸膜束中でのガスGの圧力損失(最大)とを測定した。
◎ :現存する人工心肺用人工肺部よりも非常に優れている。
○ :現存する人工心肺用人工肺部よりも優れている。
× :現存する人工心肺用人工肺部と同等か、または、それよりも劣る。
これらの評価結果1を表1に示す。
10A 人工肺部
10B 熱交換部
2A ハウジング
21A 円筒状ハウジング本体
22A 第1の蓋体
221a 第1の部屋
23A 第2の蓋体
231a 第2の部屋
24A 血液流入側空間
241 第1の円筒部材
242 板片
243 側孔
244 凹凸部
245 第2の円筒部材
25A 血液流出側空間
26 ガス流入ポート
27 ガス流出ポート
28 血液流出ポート
291 リブ
292 リブ
3A、3B 中空糸膜束
3’ 母材
4A 気泡除去手段
8 隔壁
9 隔壁
11 固定用糸
31 中空糸膜
311 始点
312 折り返し点
313 終点
32 流路
33 血液流路
41A フィルタ部材
60 巻回装置
90 ローラ群
91 固定ローラ
92 固定ローラ
93 固定ローラ
94 可動ローラ
941 位置検出部
95 張力調節ローラ
951 ローラ本体
951a ローラ本体
951b ローラ本体
952 付勢部
100 制御部
101 CPU
102 記憶部
201 血液流入ポート
202 熱媒体流入ポート
203 熱媒体流出ポート
205 パージポート
600 固定装置
601 筒状コア回転手段
602 ワインダ装置
603 モータ
604 モータシャフト
605 コア取付部材
606 本体部
607 リニアレール
608 リニアテーブル
609 ボールネジシャフト
703 モータ
704 ボールナット部材
705 吐出部
706 本体部
707 吐出部
B 血液
G ガス
H 熱媒体
O 中心軸
S101、S102、S103、S104、S105、S106、S107、S108、S109、S110、S111、S112、S113、S114、S115、S116 ステップ
T 張力
Tmax 上限値
Tmin 下限値
U 補正量
Va 回転速度
Vb 回転速度
Vb1 速度
t、t1、t2 経過時間
v 巻き取り速度
φD1 外径
φD2 内径
φd1 内径
φd2 外径
L 長さ
L1 長さ
Claims (9)
- 人工肺に用いられ、流体が通過する中空部を有する中空糸膜が集積されて全体形状が円筒体の形状をなす中空糸膜束であって、
前記中空糸膜は、前記円筒体の中心軸に対して傾斜して前記円筒体の中心軸回りに巻回されており、
前記中空糸膜の内径φd1は、150μm以下であり、
前記中空糸膜の前記円筒体の中心軸に対する傾斜角度θは、60°以下であり、
前記円筒体の外径φD1と、前記円筒体の長さLとの比φD1/Lは、0.4以上であることを特徴とする中空糸膜束。 - 前記内径φd1は、90μm以上150μm以下である請求項1に記載の中空糸膜束。
- 前記傾斜角度θは、30°以上60°以下である請求項1または2に記載の中空糸膜束。
- 前記比φD1/Lは、0.4以上2.5以下である請求項1ないし3のいずれか1項に記載の中空糸膜束。
- 前記外径φD1は、20mm以上200mm以下であり、
前記長さLは、30mm以上250mm以下である請求項1ないし4のいずれか1項に記載の中空糸膜束。 - 前記中空糸膜の外径φd2は、120μm以上220μm以下である請求項1ないし4のいずれか1項に記載の中空糸膜束。
- 前記円筒体の内径φD2は、10mm以上150mm以下である請求項1ないし6のいずれか1項に記載の中空糸膜束。
- 請求項1ないし7のいずれか1項に記載の中空糸膜束を有することを特徴とする人工肺。
- 人工肺に用いられ、流体が通過する中空部を有する中空糸膜が集積されて全体形状が円筒体の形状をなす中空糸膜束を製造する方法であって、
内径φd1が150μm以下の前記中空糸膜を、前記円筒体の中心軸に対する傾斜角度θが60°以下で、かつ、前記円筒体の外径φD1と、前記円筒体の長さLとの比φD1/Lが0.4以上になるように、前記円筒体の中心軸回りに巻回することを特徴とする中空糸膜束の製造方法。
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JP2001178818A (ja) * | 1999-12-27 | 2001-07-03 | Terumo Corp | 中空糸膜型人工肺 |
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CN109195645B (zh) * | 2016-08-31 | 2021-12-21 | 泰尔茂株式会社 | 换热器、人工肺及换热器的制造方法 |
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CN106573096A (zh) | 2017-04-19 |
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CN106573096B (zh) | 2022-05-24 |
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