WO2021036742A1 - Ex vivo organ perfusion apparatus - Google Patents

Ex vivo organ perfusion apparatus Download PDF

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Publication number
WO2021036742A1
WO2021036742A1 PCT/CN2020/107704 CN2020107704W WO2021036742A1 WO 2021036742 A1 WO2021036742 A1 WO 2021036742A1 CN 2020107704 W CN2020107704 W CN 2020107704W WO 2021036742 A1 WO2021036742 A1 WO 2021036742A1
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WIPO (PCT)
Prior art keywords
perfusion
heat exchange
isolated
controller
isolated organ
Prior art date
Application number
PCT/CN2020/107704
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French (fr)
Chinese (zh)
Inventor
陈静瑜
卢艳
卫栋
周鹏
高霏
张勃
刘峰
刘强
杨振坤
林祥华
李伯贵
魏晓磊
钟嘉伟
林冠金
林炎志
Original Assignee
无锡市人民医院
广东顺德工业设计研究院(广东顺德创新设计研究院)
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Publication date
Priority claimed from CN201910792382.9A external-priority patent/CN110463690A/en
Priority claimed from CN201921392796.4U external-priority patent/CN210610817U/en
Application filed by 无锡市人民医院, 广东顺德工业设计研究院(广东顺德创新设计研究院) filed Critical 无锡市人民医院
Publication of WO2021036742A1 publication Critical patent/WO2021036742A1/en

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    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01NPRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
    • A01N1/00Preservation of bodies of humans or animals, or parts thereof
    • A01N1/02Preservation of living parts

Definitions

  • the present invention relates to the technical field of auxiliary medical equipment, in particular to an isolated organ perfusion device.
  • Lung transplantation is the only effective treatment for end-stage lung disease.
  • the main obstacles currently restricting the development of lung transplantation are the shortage of donor lungs, the high mortality of recipients, primary plant failure in the early postoperative period, and chronic rejection.
  • the success or failure of the preservation of the donor lung is directly related to the success and failure of the transplant operation.
  • the traditional method of preservation of isolated organs is low-temperature static preservation.
  • the low-temperature static preservation method reduces the energy consumption of the organ through low temperature, thereby prolonging the preservation time of the organ, and has the advantages of simplicity, safety, and low price.
  • an isolated organ perfusion device By continuously infusing the isolated organ with perfusion fluid, the isolated organ can be preserved for a long time in a normal temperature environment, thereby effectively avoiding the low temperature environment. Problems such as tissue cell damage and organ ischemia have increased the success rate of transplant operations.
  • the isolated organ perfusion device includes: a casing, a perfusion component, a heat exchange component, and a controller; the casing is provided with a device for accommodating the The first inner cavity of the filling assembly and the second inner cavity for accommodating the heat exchange assembly; the filling assembly includes a first power pump, and the output end of the first power pump is used to communicate with the power pump head of the container Connected to provide power to infuse the isolated organs with perfusate; the heat exchange assembly includes a thermostat and a second power pump, the thermostat is used to hold and replace the hot liquid, and the thermostat is provided with a device for heating the The heating element of the heat exchange liquid, the thermostat is connected with the container through a pipeline to form a circulating heat exchange pipeline for heat exchange of the perfusion liquid, and the second power pump is used to exchange heat to the perfusion liquid.
  • the liquid provides circulating power, and the first power pump, the second power pump and the heating element are all electrically connected to the
  • the above-mentioned isolated organ perfusion device has at least the following beneficial effects: firstly, the isolated organ is placed in a container, and the power pump head is connected with the isolated organ pipeline to form a circulating perfusion pipeline, and then the power pump The head is connected with the output end of the first power pump, and then the thermostat is connected with the container pipeline to form a circulating heat exchange pipeline, and then the power is turned on.
  • the controller controls the first power pump and the second power pump to start, and the first power pump
  • the perfusion fluid is driven to circulate in the above-mentioned circulating perfusion pipeline, so as to continuously infuse the isolated organs with the perfusion fluid.
  • the perfusion fluid exchanges heat with the heat exchange fluid in the container, so that the temperature of the perfusion fluid is comparable to that of the isolated organs.
  • the circulation of perfusate is driven by the first power pump, It can effectively remove thrombus, inflammatory factors or other foreign harmful substances in the isolated organs, thereby maintaining the functional blood vessels of the isolated organs, thereby improving such as pulmonary edema, improving the oxygenation capacity of the heart and lungs, etc., and can effectively treat the isolated organs.
  • Carry out repair treatment to reduce the risk of postoperative graft loss effectively improve the utilization rate of donor organs and the success rate of transplantation operations.
  • the perfusion assembly further includes a first temperature detection module, the first temperature detection module is used to detect the temperature of the perfusion liquid, and the first temperature detection module is electrically connected to the controller. connection;
  • a second temperature detection module is provided in the thermostat, the second temperature detection module is used to detect the temperature of the heat exchange fluid, and the second temperature detection module is electrically connected to the controller .
  • the isolated organ is an isolated lung
  • the isolated organ perfusion device further includes a breathing assembly
  • a third inner cavity for accommodating the breathing assembly is also provided in the housing, so
  • the breathing assembly includes a ventilator that is electrically connected to the controller, the ventilator is provided with an air supply interface and a return air interface, the air supply interface, the trachea of the isolated lung, and the The return air interface is connected with pipelines in turn to form a circulating breathing air path.
  • the breathing assembly further includes a first battery for supplying power to the ventilator.
  • the breathing assembly further includes a first operation screen for displaying and inputting respiratory function parameters, and the first operation screen is electrically connected to the controller.
  • the perfusion assembly further includes a flow detection module configured to detect the flow of the perfusion liquid, and the flow detection module is electrically connected to the controller.
  • the perfusion assembly further includes a second operation panel for displaying and inputting perfusion function parameters, and the second operation panel is electrically connected to the controller.
  • the filling assembly further includes a second storage battery for supplying power to the first power pump.
  • it further includes a communication module and a mobile terminal.
  • the communication module is electrically connected to the controller, and the mobile terminal is electrically connected to the communication module.
  • the housing is provided with an opening for the power pump head to be inserted into the first inner cavity, and the housing is also provided with an installation door, the installation door and the The first cavity position corresponds.
  • Figure 1 is a schematic structural diagram of an isolated organ perfusion device according to an embodiment of the present invention.
  • FIG. 2 is a schematic diagram of the internal structure of the isolated organ perfusion device shown in FIG. 1;
  • Fig. 3 is a schematic diagram of the rear side structure of the isolated organ perfusion device shown in Fig. 1;
  • FIG. 4 is a schematic diagram of the connection structure of the heat exchange components in the isolated organ perfusion device shown in FIG. 2;
  • Figure 5 is an exploded view of the mechanical perfusion device for isolated organs in an embodiment of the present invention.
  • Fig. 6 is a schematic structural diagram of a mechanical perfusion device for an isolated organ according to another embodiment of the present invention.
  • Isolated organ perfusion device 11, housing, 111, first cavity, 112, second cavity, 113, third cavity, 114, opening, 115, installation door, 116, operating surface, 117, Respiratory function interface end face, 118, heat exchange function interface end face, 121, first power pump, 122, first temperature detection module, 123, flow detection module, 124, second operation screen, 125, second battery, 131, constant temperature Box, 1311, heating element, 1312, heat exchange fluid inlet, 1313, heat exchange fluid outlet, 1314, second temperature detection module, 1315, drain valve, 132, second power pump, 141, ventilator, 1411, air supply Interface, 1412, return air interface, 1413, oxygen inlet, 1414, air inlet, 142, first operation screen, 15, alarm module, 16, stop button, 17, infusion support rod, 20, container, 21, power Pump head, 30, oxygen source, 40, air source, 50, blood gas analyzer, 60, X-ray filming instrument.
  • FIG. 5 shows the disassembled structure state of the isolated organ mechanical perfusion device in an embodiment.
  • the above-mentioned isolated organ mechanical perfusion device can be used to treat such as isolated lungs and isolated hearts in a normal temperature environment. Plasma isolated organs are preserved for a long time and are also suitable for repairing isolated organs.
  • the equipment includes a container 20 and an isolated organ perfusion device 10.
  • the container 20 is used to house the isolated organ, and the container 20 includes a power pump head 21
  • the power pump head 21 is used to connect with the output end of the first power pump 121 of the isolated organ perfusion device 10, and the thermostat of the isolated organ perfusion device 10 communicates with the container pipeline to form a circulating heat exchange pipeline.
  • the above-mentioned isolated organ mechanical perfusion device can also be connected to an oxygen gas source 30, an air gas source 40, a blood gas analyzer 50, and an X-ray filming instrument 60.
  • the oxygen gas source 30 is used to supply the isolated organ
  • the breathing component of the perfusion device 10 provides oxygen, and the oxygen gas source 30 is piped to the oxygen inlet 1413 of the breathing component; the air gas source 40 is used to provide air to the breathing component of the isolated organ perfusion device 10, and the air gas source 40 is connected to the breathing component.
  • the air inlet 1414 of the component is connected by pipeline; the blood gas analyzer 50 is connected to the isolated organ perfusion device 10 for data interaction, and the isolated organ perfusion device 10 can analyze the data of the blood gas analyzer 50 to form an isolated organ perfusion process
  • Curve icons of various parameters (ASAT/GOT, ALAT/GPT, GLU, LAC, PH, pO2, pCO2, HCT, NA+, CA+, K+, cl-, HCO3, etc.) to get the repair trend of isolated organs during perfusion
  • a curve chart is formed to measure the quality of the isolated organ perfusion process; during the perfusion process of the isolated organ, the X-ray filmer 60 moves to the top of the isolated organ to take X-ray photos according to the needs of the experiment, and timely monitor and reflect the isolation. Perfusion effect of body organs.
  • an isolated organ perfusion device 10 includes: a housing 11, a perfusion component, a heat exchange component, and a controller (not shown in the drawings);
  • the filling assembly includes a first power pump 121, and the output end of the first power pump 121 is used to communicate with the power pump head 21 of the container 20 Connected to provide power to infuse the isolated organs with perfusate;
  • the heat exchange assembly includes a constant temperature box 131 and a second power pump 132.
  • the constant temperature box 131 is used to hold and replace the hot liquid, and the constant temperature box 131 is provided with a heat exchange liquid for heating
  • the heating element 1311, the thermostat 131 and the container 20 are connected through a pipeline to form a circulating heat exchange pipeline for heat exchange of the perfusion liquid.
  • the second power pump 132 is used to provide circulating power to the heat exchange liquid, and the first power The pump 121, the second power pump 132 and the heating element 1311 are all electrically connected to the controller.
  • the controller controls the first power pump 121 and the second power pump 132 to start, the first power pump 121 drives the perfusion liquid in the above Circulating flow in the circulating perfusion pipeline, so as to achieve continuous perfusion of the perfusion fluid into the isolated organs.
  • the perfusion fluid exchanges heat with the heat exchange fluid in the container 20, so that the temperature of the perfusion fluid is suitable for the isolated organs.
  • the perfusion solution can be prepared by mixing DMEM/F12 medium components, albumin and Ficoll 70 in proportions.
  • the thermostat 131 is provided with a heat exchange liquid inlet 1312 and a heat exchange liquid outlet 1313.
  • the heat exchange liquid outlet 1313, the container 20, and the heat exchange liquid inlet 1312 are connected in sequence to form the above-mentioned circulation exchange. Heat pipe.
  • the heat exchange fluid may be sterile deionized water.
  • the thermostat 131 is also provided with a drain valve 1315. After the isolated organ perfusion operation is completed, the drain valve 1315 can be opened to drain the heat exchange liquid in the thermostat 131 to avoid long-term closed storage. And cause bacteria to grow.
  • the aforementioned heat exchange assembly further includes a compressor (not shown in the figure), the compressor is electrically connected to the controller, and the compressor is in communication with the thermostat 131 to cool inside the thermostat 131.
  • the heating element 1311 does not work to cool the perfusion liquid inside the thermostat 131, so as to provide a low-temperature perfusion liquid for the isolated organs to realize the function of low-temperature perfusion.
  • the perfusion assembly further includes a first temperature detection module 122.
  • the first temperature detection module 122 is used to detect the temperature of the perfusion liquid.
  • the first temperature detection module 122 is electrically connected to the controller. Connection; and/or, a second temperature detection module 1314 is provided in the thermostat 131, the second temperature detection module 1314 is used to detect the temperature of the heat exchange fluid, and the second temperature detection module 1314 is electrically connected to the controller.
  • the first temperature detection module 122 detects the temperature of the perfusion liquid in real time and feeds back the temperature data to the controller.
  • the controller adjusts the heating power of the heating element 1311 so that The perfusion fluid returns to the set temperature to further ensure that the temperature of the perfusion fluid is suitable for the isolated organ;
  • the second temperature detection module 1314 detects the temperature of the heat exchange fluid in real time and feeds back the temperature data to the controller.
  • the controller adjusts the heating power of the heating element 1311 to restore the heat exchange liquid to the set temperature, further ensuring that the temperature of the heat exchange liquid is suitable for the isolated organ;
  • the first temperature detection module 122 and the second temperature detection module 1314 can be installed separately or at the same time, which is not specifically limited here.
  • the isolated organ is an isolated lung
  • the isolated organ perfusion device 10 further includes a breathing assembly
  • the housing 11 is also provided with a third inner cavity for accommodating the breathing assembly 113.
  • the breathing assembly includes a ventilator 141.
  • the ventilator 141 is electrically connected to the controller.
  • the ventilator 141 is provided with an air supply interface 1411 and a return air interface 1412.
  • the air supply interface 1411, the trachea of the isolated lung, and the return air interface 1412 are in turn
  • the pipeline is connected to form a circulating breathing air path.
  • the isolated lung needs to be perfused with perfusate and oxygen supply at the same time.
  • the controller controls the first power pump 121 and the ventilator 141 to start at the same time, and the first power pump 121 is delivering to the isolated lungs.
  • the ventilator 141 is connected with the tracheal tube of the isolated lung to continuously supply oxygen to the isolated lung to keep the isolated lung undergoing recruitment exercise.
  • the ventilator 141 is also provided with an oxygen inlet 1413 and an air inlet 1414.
  • the oxygen inlet 1413 is used to communicate with the above-mentioned oxygen source 30 pipeline, and the air inlet 1414 is used to communicate with
  • the air source 40 is connected to the pipeline, and oxygen and air are mixed in proportion to form a mixed gas and then supplied to the isolated lungs to maintain the isolated lungs for recruitment exercise.
  • the breathing assembly further includes a first storage battery (not marked in the drawings) for supplying power to the ventilator 141, wherein the first storage battery may be a lithium battery or a nickel-cadmium battery. Or nickel-hydrogen battery, in particular, to ensure continuous and stable supply of power, the first storage battery is preferably a lithium battery.
  • the first battery can be used as a power source to supply power to the ventilator 141 to ensure the continuous operation of the ventilator 141, thereby keeping the isolated lungs in recruitment exercise and effectively avoiding the isolated lungs. The occurrence of injury caused by the cessation of respiratory function.
  • the breathing component further includes a first operation screen 142 for displaying and inputting breathing function parameters, and the first operation screen 142 is electrically connected to the controller.
  • the user can input corresponding respiratory function parameters on the first operation screen 142 according to the needs of the experiment, and the controller controls the operation of the ventilator 141 according to the above-mentioned respiratory function parameters, which effectively improves the convenience of operation.
  • the perfusion assembly further includes a flow detection module 123, which is used to detect the flow of the perfusion liquid, and the flow detection module 123 is electrically connected to the controller.
  • the flow detection module 123 detects the flow of the perfusion fluid in real time and feeds the flow data back to the controller.
  • the controller controls the power of the first power pump 121 according to the above flow data to control the flow of the perfusion fluid.
  • the perfusion assembly further includes a second operation screen 124 for displaying and inputting parameters of the perfusion function, and the second operation screen 124 is electrically connected to the controller.
  • the user can input corresponding perfusion function parameters on the second operation screen 124 according to the needs of the experiment, and the controller controls the operation of the first power pump 121 according to the foregoing perfusion function parameters, which effectively improves the convenience of operation.
  • the filling assembly further includes a second storage battery 125 for supplying power to the first power pump 121, wherein the second storage battery 125 may be a lithium battery, a nickel-cadmium battery, or a nickel-hydrogen battery.
  • the second storage battery 125 is preferably a lithium battery.
  • the second battery 125 can be used as a power source to supply power to the first power pump 121 to ensure the continuous operation of the first power pump 121, thereby ensuring continuous perfusion of the isolated organ. Effectively avoid the occurrence of damage to the isolated organs due to the stop of the perfusion function.
  • the isolated organ perfusion device 10 further includes a communication module (not shown in the drawings) and a mobile terminal (not shown in the drawings).
  • the communication module is electrically connected to the controller, and the mobile terminal is electrically connected to the controller.
  • the communication module is electrically connected.
  • the communication module may be an Internet of Things module, including but not limited to WIFI module, GPRS module, 3G module, 4G module, etc.
  • the communication module uploads the relevant data generated during the perfusion of the isolated organ to the database in the cloud server , Transplantation experts can view the above-mentioned data through a mobile terminal to facilitate regular monitoring and evaluation of the condition of the isolated organ, so as to ensure that the function of the isolated organ is effectively preserved for a long time.
  • the isolated organ perfusion device 10 further includes an alarm module 15, and the alarm module 15 is electrically connected to the controller.
  • the controller When the controller recognizes a working abnormality based on the acquired parameter data, it will activate the alarm module 15 to notify the user to take corresponding measures in time to avoid damage to the isolated organs caused by abnormal working for a long time, and further improve the utilization rate of the donor organs And the success rate of transplant surgery.
  • the isolated organ perfusion device 10 is also provided with a stop button 16, which is electrically connected to the controller.
  • the alarm module 15 activates the alarm function
  • the user presses the stop button 16, and the controller That is, the whole machine is controlled to stop working, effectively avoiding the damage of the isolated organ due to the abnormal operation of the isolated organ perfusion device 10, and further improving the utilization rate of the donor organ and the success rate of the transplantation operation.
  • the housing 11 is provided with an opening 114 for the power pump head 21 to be inserted into the first inner cavity 111, and the housing 11 is also provided with a mounting door 115. 115 corresponds to the position of the first inner cavity 111.
  • the installation door 115 is opened, and the power pump head 21 is connected to the first power pump 121 for installation, and the operation is relatively convenient.
  • the third inner cavity 113, the first inner cavity 111 and the second inner cavity 112 are sequentially arranged in the housing 11, and the housing 11 connects the third inner cavity 113, the first inner cavity 111 and One side surface of the second inner cavity 112 is set as the operating surface 116, wherein the first operating screen 142, the second operating screen 124, the stop button 16, the air supply interface 1411 and the return air interface 1412 are all set on the operating surface 116 close to the third
  • the installation door 115 is set at the position corresponding to the operation surface 116 and the first inner cavity 111.
  • the user can only complete the isolation on the operation surface 116.
  • the other side of the housing 11 facing away from the operating surface 116 and the corresponding position of the third inner cavity 113 are set as the respiratory function interface end surface 117, the oxygen inlet 1413 and the air
  • the access ports 1414 are all arranged on the end face 117 of the breathing function interface; furthermore, one side of the housing 11 close to the second cavity is set as the heat exchange function interface end face 118, and the heat exchange liquid inlet 1312 and the heat exchange liquid outlet 1313 are both arranged At the end face 118 of the heat exchange function interface.
  • the setting positions of the operation surface 116, the breathing function interface end surface 117, and the heat exchange function interface end surface 118 on the housing 11 are only one embodiment. In actual applications, the operation surface 116 and the breathing function may also be changed according to different needs.
  • the location of the interface end surface 117 and the heat exchange function interface end surface 118 on the housing 11 is not specifically limited here.
  • the power pump head 21 is detachably connected to the first power pump 121. During the perfusion process, the perfusate does not come into contact with the isolated organ perfusion device 10. After the perfusion operation is completed, the power pump head 21 can be removed from the first power pump 121, and then the container 20 can be discarded for the next step. During the isolated organ perfusion operation, a new container 20 can be replaced, and the power pump head 21 and the first power pump 121 can be installed and connected, so as to avoid the replacement of the whole machine after the isolated organ perfusion is completed, and effectively reduce the use cost.
  • the housing 11 is also provided with an infusion support rod 17, which is used to hang bottled drugs, surgical instruments, etc., to further improve the convenience of use.
  • the infusion support rod 17 can be a telescopic rod to adapt to different height requirements through telescopic adjustment, and further improve the convenience of use.

Abstract

The invention relates to an ex vivo organ perfusion apparatus, said ex vivo organ perfusion apparatus comprising: a housing, a perfusion assembly, a heat exchange assembly, and a controller; the perfusion assembly comprises a first powered pump; the output end of the first powered pump is used for connecting with the powered-pump head of a container to provide power to infuse the ex vivo organ with perfusate; the heat exchange assembly comprises a thermostatic box and a second powered pump; the thermostatic box is used for accommodating a heat exchange liquid; a heating element used for heating the heat exchange liquid is disposed in the thermostatic box; the thermostatic and the container are connected by means of a pipeline to form a circulating heat exchange pipeline used for heat exchange of the perfusate; the second powered pump is used for providing circulating flowing power to the heat exchange liquid; the first powered pump, the second powered pump, and the heating element all are electrically connected to the controller; the described ex vivo organ perfusion apparatus continuously injects perfusate into the ex vivo organ to achieve long-term preservation of the ex vivo organ at room temperature, improving the success rate of transplant surgery.

Description

离体器官灌注装置Isolated organ perfusion device 技术领域Technical field
本发明涉及辅助医疗器械技术领域,特别是涉及一种离体器官灌注装置。The present invention relates to the technical field of auxiliary medical equipment, in particular to an isolated organ perfusion device.
背景技术Background technique
肺移植是治疗终末期肺部疾病的唯一有效治疗方法。当前制约肺移植发展的主要障碍是供肺短缺、受者死亡率高、术后早期原发性植物失功、慢性排斥反应等。供肺的保存成功与否,直接关系着移植手术的成功与失败。Lung transplantation is the only effective treatment for end-stage lung disease. The main obstacles currently restricting the development of lung transplantation are the shortage of donor lungs, the high mortality of recipients, primary plant failure in the early postoperative period, and chronic rejection. The success or failure of the preservation of the donor lung is directly related to the success and failure of the transplant operation.
传统的离体器官保存方法是低温静态保存方法。低温静态保存方法通过低温降低器官能耗,从而延长器官保存时间,具有简便安全、价格低廉等优点。The traditional method of preservation of isolated organs is low-temperature static preservation. The low-temperature static preservation method reduces the energy consumption of the organ through low temperature, thereby prolonging the preservation time of the organ, and has the advantages of simplicity, safety, and low price.
但是,长时间的低温环境,会引起离体器官上组织细胞受到损害、器官缺血等问题,从而降低了移植手术的成功率。However, a long-term low temperature environment can cause damage to tissue cells on the isolated organs, organ ischemia and other problems, thereby reducing the success rate of transplantation operations.
发明内容Summary of the invention
基于此,有必要针对上述技术问题,提供一种离体器官灌注装置,通过持续向离体器官灌注灌注液,以在常温环境下实现离体器官的长时间保存,进而有效避免低温环境所带来的诸如组织细胞受到损害、器官缺血等问题,提升移植手术的成功率。Based on this, it is necessary to address the above technical problems and provide an isolated organ perfusion device. By continuously infusing the isolated organ with perfusion fluid, the isolated organ can be preserved for a long time in a normal temperature environment, thereby effectively avoiding the low temperature environment. Problems such as tissue cell damage and organ ischemia have increased the success rate of transplant operations.
为实现上述目的,本发明提供一种离体器官灌注装置,所述的离体器官灌注装置包括:壳体、灌注组件、换热组件和控制器;所述壳体内设有用于容置所述灌注组件的第一内腔和用于容置所述换热组件的第二内腔;所述灌注组件包括第一动力泵,所述第一动力泵的输出端用于与容器的动力泵头连接,以提 供向离体器官灌注灌注液的动力;所述换热组件包括恒温箱和第二动力泵,所述恒温箱用于容置换热液,所述恒温箱内设有用于加热所述换热液的加热件,所述恒温箱与所述容器通过管路连通形成用于对所述灌注液进行热交换的循环换热管路,所述第二动力泵用于向所述换热液提供循环流动的动力,所述第一动力泵、所述第二动力泵和所述加热件均与所述控制器电性连接。In order to achieve the above objective, the present invention provides an isolated organ perfusion device. The isolated organ perfusion device includes: a casing, a perfusion component, a heat exchange component, and a controller; the casing is provided with a device for accommodating the The first inner cavity of the filling assembly and the second inner cavity for accommodating the heat exchange assembly; the filling assembly includes a first power pump, and the output end of the first power pump is used to communicate with the power pump head of the container Connected to provide power to infuse the isolated organs with perfusate; the heat exchange assembly includes a thermostat and a second power pump, the thermostat is used to hold and replace the hot liquid, and the thermostat is provided with a device for heating the The heating element of the heat exchange liquid, the thermostat is connected with the container through a pipeline to form a circulating heat exchange pipeline for heat exchange of the perfusion liquid, and the second power pump is used to exchange heat to the perfusion liquid. The liquid provides circulating power, and the first power pump, the second power pump and the heating element are all electrically connected to the controller.
上述离体器官灌注装置与背景技术相比,至少具有以下有益效果:首先将离体器官放置在容器中,并将动力泵头与离体器官管路连通形成循环灌注管路,之后将动力泵头与第一动力泵的输出端连接,再将恒温箱与容器管路连通形成循环换热管路,接着接通电源,控制器控制第一动力泵和第二动力泵启动,第一动力泵驱动灌注液在上述循环灌注管路中循环流动,从而实现持续向离体器官灌注灌注液,同时,灌注液在容器内与换热液进行热交换,以使灌注液的温度与离体器官相适宜,以在常温环境下实现离体器官的长时间保存,进而有效避免低温环境所带来的诸如组织细胞受到损害、器官缺血等问题;同时,通过第一动力泵驱动灌注液循环流动,能够有效去除离体器官中的血栓、炎症因子或其他异物有害物质,进而可维持离体器官的功能血管通畅,从而可改善诸如肺水肿、提高心肺氧合能力等,并可以以对离体器官进行修复治疗,降低术后移植物失功的风险,有效提升供体器官的利用率以及移植手术的成功率。Compared with the background art, the above-mentioned isolated organ perfusion device has at least the following beneficial effects: firstly, the isolated organ is placed in a container, and the power pump head is connected with the isolated organ pipeline to form a circulating perfusion pipeline, and then the power pump The head is connected with the output end of the first power pump, and then the thermostat is connected with the container pipeline to form a circulating heat exchange pipeline, and then the power is turned on. The controller controls the first power pump and the second power pump to start, and the first power pump The perfusion fluid is driven to circulate in the above-mentioned circulating perfusion pipeline, so as to continuously infuse the isolated organs with the perfusion fluid. At the same time, the perfusion fluid exchanges heat with the heat exchange fluid in the container, so that the temperature of the perfusion fluid is comparable to that of the isolated organs. Appropriately, to achieve long-term preservation of isolated organs in a normal temperature environment, thereby effectively avoiding problems such as damage to tissue cells and organ ischemia caused by low-temperature environments; at the same time, the circulation of perfusate is driven by the first power pump, It can effectively remove thrombus, inflammatory factors or other foreign harmful substances in the isolated organs, thereby maintaining the functional blood vessels of the isolated organs, thereby improving such as pulmonary edema, improving the oxygenation capacity of the heart and lungs, etc., and can effectively treat the isolated organs. Carry out repair treatment to reduce the risk of postoperative graft loss, effectively improve the utilization rate of donor organs and the success rate of transplantation operations.
在其中一实施例中,所述灌注组件还包括第一温度检测模块,所述第一温度检测模块用于检测所述灌注液的温度,所述第一温度检测模块与所述控制器电性连接;In one of the embodiments, the perfusion assembly further includes a first temperature detection module, the first temperature detection module is used to detect the temperature of the perfusion liquid, and the first temperature detection module is electrically connected to the controller. connection;
和\或,所述恒温箱内设有第二温度检测模块,所述第二温度检测模块用于检测所述换热液的温度,所述第二温度检测模块与所述控制器电性连接。And/or, a second temperature detection module is provided in the thermostat, the second temperature detection module is used to detect the temperature of the heat exchange fluid, and the second temperature detection module is electrically connected to the controller .
在其中一实施例中,所述离体器官为离体肺脏,所述离体器官灌注装置还 包括呼吸组件,所述壳体内还设有用于容置所述呼吸组件的第三内腔,所述呼吸组件包括呼吸机,所述呼吸机与所述控制器电性连接,所述呼吸机设有供气接口和回气接口,所述供气接口、所述离体肺脏的气管和所述回气接口依次管路连通形成循环呼吸气路。In one of the embodiments, the isolated organ is an isolated lung, the isolated organ perfusion device further includes a breathing assembly, and a third inner cavity for accommodating the breathing assembly is also provided in the housing, so The breathing assembly includes a ventilator that is electrically connected to the controller, the ventilator is provided with an air supply interface and a return air interface, the air supply interface, the trachea of the isolated lung, and the The return air interface is connected with pipelines in turn to form a circulating breathing air path.
在其中一实施例中,所述呼吸组件还包括用于向所述呼吸机供电的第一蓄电池。In one of the embodiments, the breathing assembly further includes a first battery for supplying power to the ventilator.
在其中一实施例中,所述呼吸组件还包括用于显示和输入呼吸功能参数的第一操作屏,所述第一操作屏与所述控制器电性连接。In one of the embodiments, the breathing assembly further includes a first operation screen for displaying and inputting respiratory function parameters, and the first operation screen is electrically connected to the controller.
在其中一实施例中,所述灌注组件还包括流量检测模块,所述流量检测模块用于检测所述灌注液的流量,所述流量检测模块与所述控制器电性连接。In one of the embodiments, the perfusion assembly further includes a flow detection module configured to detect the flow of the perfusion liquid, and the flow detection module is electrically connected to the controller.
在其中一实施例中,所述灌注组件还包括用于显示和输入灌注功能参数的第二操作屏,所述第二操作屏与所述控制器电性连接。In one of the embodiments, the perfusion assembly further includes a second operation panel for displaying and inputting perfusion function parameters, and the second operation panel is electrically connected to the controller.
在其中一实施例中,所述灌注组件还包括用于向所述第一动力泵供电的第二蓄电池。In one of the embodiments, the filling assembly further includes a second storage battery for supplying power to the first power pump.
在其中一实施例中,还包括通讯模块和移动终端,所述通讯模块与所述控制器电性连接,所述移动终端与所述通讯模块电性连接。In one of the embodiments, it further includes a communication module and a mobile terminal. The communication module is electrically connected to the controller, and the mobile terminal is electrically connected to the communication module.
在其中一实施例中,所述壳体上设有用于供所述动力泵头置入所述第一内腔的开口,所述壳体上还设有安装门,所述安装门与所述第一内腔位置对应。In one of the embodiments, the housing is provided with an opening for the power pump head to be inserted into the first inner cavity, and the housing is also provided with an installation door, the installation door and the The first cavity position corresponds.
附图说明Description of the drawings
图1为本发明一实施例中所述的离体器官灌注装置的结构示意图;Figure 1 is a schematic structural diagram of an isolated organ perfusion device according to an embodiment of the present invention;
图2为图1所示的离体器官灌注装置的内部结构示意图;2 is a schematic diagram of the internal structure of the isolated organ perfusion device shown in FIG. 1;
图3为图1所示离体器官灌注装置的后侧结构示意图;Fig. 3 is a schematic diagram of the rear side structure of the isolated organ perfusion device shown in Fig. 1;
图4为图2所示离体器官灌注装置中的换热组件的连接结构示意图;4 is a schematic diagram of the connection structure of the heat exchange components in the isolated organ perfusion device shown in FIG. 2;
图5为本发明一实施例中所述的离体器官机械灌注设备的爆炸图;Figure 5 is an exploded view of the mechanical perfusion device for isolated organs in an embodiment of the present invention;
图6为本发明另一实施例中所述的离体器官机械灌注设备的结构示意图。Fig. 6 is a schematic structural diagram of a mechanical perfusion device for an isolated organ according to another embodiment of the present invention.
10、离体器官灌注装置,11、壳体,111、第一内腔,112、第二内腔,113、第三内腔,114、开口,115、安装门,116、操作面,117、呼吸功能接口端面,118、换热功能接口端面,121、第一动力泵,122、第一温度检测模块,123、流量检测模块,124、第二操作屏,125、第二蓄电池,131、恒温箱,1311、加热件,1312、换热液进口,1313、换热液出口,1314、第二温度检测模块,1315、排水阀,132、第二动力泵,141、呼吸机,1411、供气接口,1412、回气接口,1413、氧气接入口,1414、空气接入口,142、第一操作屏,15、报警模块,16、停止按钮,17、输液支杆,20、容器,21、动力泵头,30、氧气气源,40、空气气源,50、血气分析仪,60、X光拍片仪。10. Isolated organ perfusion device, 11, housing, 111, first cavity, 112, second cavity, 113, third cavity, 114, opening, 115, installation door, 116, operating surface, 117, Respiratory function interface end face, 118, heat exchange function interface end face, 121, first power pump, 122, first temperature detection module, 123, flow detection module, 124, second operation screen, 125, second battery, 131, constant temperature Box, 1311, heating element, 1312, heat exchange fluid inlet, 1313, heat exchange fluid outlet, 1314, second temperature detection module, 1315, drain valve, 132, second power pump, 141, ventilator, 1411, air supply Interface, 1412, return air interface, 1413, oxygen inlet, 1414, air inlet, 142, first operation screen, 15, alarm module, 16, stop button, 17, infusion support rod, 20, container, 21, power Pump head, 30, oxygen source, 40, air source, 50, blood gas analyzer, 60, X-ray filming instrument.
具体实施方式detailed description
为了便于理解本发明,下面将参照相关附图对本发明进行更全面的描述。附图中给出了本发明的较佳实施方式。但是,本发明可以以许多不同的形式来实现,并不限于本文所描述的实施方式。相反地,提供这些实施方式的目的是使对本发明的公开内容理解的更加透彻全面。In order to facilitate the understanding of the present invention, the present invention will be more fully described below with reference to the relevant drawings. The preferred embodiments of the present invention are shown in the drawings. However, the present invention can be implemented in many different forms and is not limited to the embodiments described herein. On the contrary, the purpose of providing these embodiments is to make the disclosure of the present invention more thorough and comprehensive.
需要说明的是,当元件被称为“固定于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。相反,当元件被称作“直接在”另一元件“上”时,不存在中间元件。本发明中所述“第 一”、“第二”不代表具体的数量及顺序,仅仅是用于名称的区分。It should be noted that when an element is referred to as being "fixed to" another element, it can be directly on the other element or a central element may also be present. When an element is considered to be "connected" to another element, it can be directly connected to the other element or an intermediate element may be present at the same time. In contrast, when an element is referred to as being "directly on" another element, there are no intervening elements. The "first" and "second" in the present invention do not represent a specific number or order, but are only used to distinguish names.
请参阅图5,图5示出了一实施例中的离体器官机械灌注设备的分拆结构状态,上述离体器官机械灌注设备可适用于在常温环境中对诸如离体肺脏、离体心脏等离体器官进行长时间保存,同时也适用于对离体器官进行修复,该设备包括容器20和离体器官灌注装置10,容器20用于容置离体器官,容器20包括动力泵头21,动力泵头21用于与离体器官灌注装置10的第一动力泵121的输出端连接,离体器官灌注装置10的恒温箱与容器管路连通形成循环换热管路。Please refer to FIG. 5, which shows the disassembled structure state of the isolated organ mechanical perfusion device in an embodiment. The above-mentioned isolated organ mechanical perfusion device can be used to treat such as isolated lungs and isolated hearts in a normal temperature environment. Plasma isolated organs are preserved for a long time and are also suitable for repairing isolated organs. The equipment includes a container 20 and an isolated organ perfusion device 10. The container 20 is used to house the isolated organ, and the container 20 includes a power pump head 21 The power pump head 21 is used to connect with the output end of the first power pump 121 of the isolated organ perfusion device 10, and the thermostat of the isolated organ perfusion device 10 communicates with the container pipeline to form a circulating heat exchange pipeline.
请参阅图6,上述离体器官机械灌注设备还可外接氧气气源30、空气气源40、血气分析仪50和X光拍片仪60等器件,其中,氧气气源30用于向离体器官灌注装置10的呼吸组件提供氧气,氧气气源30与呼吸组件的氧气接入口1413管路连接;空气气源40用于向离体器官灌注装置10的呼吸组件提供空气,空气气源40与呼吸组件的空气接入口1414管路连接;血气分析仪50通过与离体器官灌注装置10连接进行数据交互,离体器官灌注装置10可以通过分析血气分析仪50的数据,形成离体器官灌注过程中各参数的曲线图标(ASAT/GOT、ALAT/GPT、GLU、LAC、PH、pO2、pCO2、HCT、NA+、CA+、K+、cl-、HCO3等),从中得到离体器官在灌注中的修复趋势曲线图,形成衡量离体器官灌注过程的质量情况;X光拍片仪60在离体器官灌注的过程中,根据实验的需要,移动到离体器官的正上方进行X光照片,及时监测反映离体器官的灌注效果。Please refer to Figure 6, the above-mentioned isolated organ mechanical perfusion device can also be connected to an oxygen gas source 30, an air gas source 40, a blood gas analyzer 50, and an X-ray filming instrument 60. Among them, the oxygen gas source 30 is used to supply the isolated organ The breathing component of the perfusion device 10 provides oxygen, and the oxygen gas source 30 is piped to the oxygen inlet 1413 of the breathing component; the air gas source 40 is used to provide air to the breathing component of the isolated organ perfusion device 10, and the air gas source 40 is connected to the breathing component. The air inlet 1414 of the component is connected by pipeline; the blood gas analyzer 50 is connected to the isolated organ perfusion device 10 for data interaction, and the isolated organ perfusion device 10 can analyze the data of the blood gas analyzer 50 to form an isolated organ perfusion process Curve icons of various parameters (ASAT/GOT, ALAT/GPT, GLU, LAC, PH, pO2, pCO2, HCT, NA+, CA+, K+, cl-, HCO3, etc.) to get the repair trend of isolated organs during perfusion A curve chart is formed to measure the quality of the isolated organ perfusion process; during the perfusion process of the isolated organ, the X-ray filmer 60 moves to the top of the isolated organ to take X-ray photos according to the needs of the experiment, and timely monitor and reflect the isolation. Perfusion effect of body organs.
如图1至3所示,一种离体器官灌注装置10,包括:壳体11、灌注组件、换热组件和控制器(附图中并未示出);壳体11内设有用于容置灌注组件的第一内腔111和用于容置换热组件的第二内腔112;灌注组件包括第一动力泵121,第一动力泵121的输出端用于与容器20的动力泵头21连接,以提供向离体器官灌注灌注液的动力;换热组件包括恒温箱131和第二动力泵132,恒温箱131 用于容置换热液,恒温箱131内设有用于加热换热液的加热件1311,恒温箱131与容器20通过管路连通形成用于对灌注液进行热交换的循环换热管路,第二动力泵132用于向换热液提供循环流动的动力,第一动力泵121、第二动力泵132和加热件1311均与控制器电性连接。As shown in Figures 1 to 3, an isolated organ perfusion device 10 includes: a housing 11, a perfusion component, a heat exchange component, and a controller (not shown in the drawings); The first inner cavity 111 of the filling assembly and the second inner cavity 112 for the replacement heat assembly; the filling assembly includes a first power pump 121, and the output end of the first power pump 121 is used to communicate with the power pump head 21 of the container 20 Connected to provide power to infuse the isolated organs with perfusate; the heat exchange assembly includes a constant temperature box 131 and a second power pump 132. The constant temperature box 131 is used to hold and replace the hot liquid, and the constant temperature box 131 is provided with a heat exchange liquid for heating The heating element 1311, the thermostat 131 and the container 20 are connected through a pipeline to form a circulating heat exchange pipeline for heat exchange of the perfusion liquid. The second power pump 132 is used to provide circulating power to the heat exchange liquid, and the first power The pump 121, the second power pump 132 and the heating element 1311 are all electrically connected to the controller.
在应用中,首先将离体器官放置在容器20中,并将动力泵头21与离体器官管路连通形成循环灌注管路,之后将动力泵头21与第一动力泵121的输出端连接,再将恒温箱131与容器20管路连通形成循环换热管路,接着接通电源,控制器控制第一动力泵121和第二动力泵132启动,第一动力泵121驱动灌注液在上述循环灌注管路中循环流动,从而实现持续向离体器官灌注灌注液,同时,灌注液在容器20内与换热液进行热交换,以使灌注液的温度与离体器官相适宜,以在常温环境下实现离体器官的长时间保存,进而有效避免低温环境所带来的诸如组织细胞受到损害、器官缺血等问题;同时,通过第一动力泵121驱动灌注液循环流动,能够有效去除离体器官中的血栓、炎症因子或其他异物有害物质,进而可维持离体器官的功能血管通畅,从而可改善诸如肺水肿、提高心肺氧合能力等,并可以以对离体器官进行修复治疗,降低术后移植物失功的风险,有效提升供体器官的利用率以及移植手术的成功率。In application, first place the isolated organ in the container 20, connect the power pump head 21 with the isolated organ pipeline to form a circulating perfusion pipeline, and then connect the power pump head 21 with the output end of the first power pump 121 , And then connect the thermostat 131 with the container 20 pipeline to form a circulating heat exchange pipeline, and then turn on the power, the controller controls the first power pump 121 and the second power pump 132 to start, the first power pump 121 drives the perfusion liquid in the above Circulating flow in the circulating perfusion pipeline, so as to achieve continuous perfusion of the perfusion fluid into the isolated organs. At the same time, the perfusion fluid exchanges heat with the heat exchange fluid in the container 20, so that the temperature of the perfusion fluid is suitable for the isolated organs. Long-term preservation of isolated organs under normal temperature environment can effectively avoid problems such as damage to tissue cells and organ ischemia caused by low temperature environment. At the same time, the circulation of perfusion fluid is driven by the first power pump 121, which can effectively remove Thrombus, inflammatory factors or other harmful foreign substances in the isolated organs can maintain the function of the isolated organs to keep the blood vessels unobstructed, thereby improving pulmonary edema, improving the oxygenation capacity of the heart and lungs, etc., and can repair and treat the isolated organ , Reduce the risk of postoperative graft loss, effectively improve the utilization rate of donor organs and the success rate of transplantation operations.
具体地,灌注液可由DMEM/F12培养基成分、白蛋白和聚蔗糖70按比例混合而成。Specifically, the perfusion solution can be prepared by mixing DMEM/F12 medium components, albumin and Ficoll 70 in proportions.
具体地,请结合图1和图4,恒温箱131设有换热液进口1312和换热液出口1313,换热液出口1313、容器20、换热液进口1312依次管路连通形成上述循环换热管路。Specifically, referring to Figures 1 and 4, the thermostat 131 is provided with a heat exchange liquid inlet 1312 and a heat exchange liquid outlet 1313. The heat exchange liquid outlet 1313, the container 20, and the heat exchange liquid inlet 1312 are connected in sequence to form the above-mentioned circulation exchange. Heat pipe.
具体地,换热液可选为无菌去离子水。Specifically, the heat exchange fluid may be sterile deionized water.
具体地,请继续参阅图4,恒温箱131还设有排水阀1315,在完成离体器 官灌注操作后可打开排水阀1315将恒温箱131中的换热液向外排出,避免长时间封闭保存而造成细菌滋生。Specifically, please continue to refer to FIG. 4, the thermostat 131 is also provided with a drain valve 1315. After the isolated organ perfusion operation is completed, the drain valve 1315 can be opened to drain the heat exchange liquid in the thermostat 131 to avoid long-term closed storage. And cause bacteria to grow.
具体地,上述换热组件还包括压缩机(图中并未示出),压缩机与控制器电性连接,压缩机与恒温箱131连通,以在恒温箱131内部制冷,在压缩机工作时,加热件1311不工作,以冷却恒温箱131内部的灌注液,从而为离体器官提供低温灌注液,实现低温灌注功能。Specifically, the aforementioned heat exchange assembly further includes a compressor (not shown in the figure), the compressor is electrically connected to the controller, and the compressor is in communication with the thermostat 131 to cool inside the thermostat 131. When the compressor is working , The heating element 1311 does not work to cool the perfusion liquid inside the thermostat 131, so as to provide a low-temperature perfusion liquid for the isolated organs to realize the function of low-temperature perfusion.
在一实施例中,请结合图2和图4,灌注组件还包括第一温度检测模块122,第一温度检测模块122用于检测灌注液的温度,第一温度检测模块122与控制器电性连接;和\或,恒温箱131内设有第二温度检测模块1314,第二温度检测模块1314用于检测换热液的温度,第二温度检测模块1314与控制器电性连接。第一温度检测模块122实时对灌注液的温度进行检测并将温度数据反馈给控制器,当检测到灌注液的温度与设定温度出现偏差时,控制器调节加热件1311的加热功率,以使灌注液回复到设定温度,进一步保证灌注液的温度与离体器官相适宜;第二温度检测模块1314实时对换热液的温度进行检测并将温度数据反馈给控制器,当检测到换热液的温度与设定温度出现偏差时,控制器调节加热件1311的加热功率,以使换热液回复到设定温度,进一步地保证换热液的温度与离体器官相适宜;其中,第一温度检测模块122和第二温度检测模块1314可单独设置,也可同时设置,在此不作具体限定。In one embodiment, referring to FIGS. 2 and 4, the perfusion assembly further includes a first temperature detection module 122. The first temperature detection module 122 is used to detect the temperature of the perfusion liquid. The first temperature detection module 122 is electrically connected to the controller. Connection; and/or, a second temperature detection module 1314 is provided in the thermostat 131, the second temperature detection module 1314 is used to detect the temperature of the heat exchange fluid, and the second temperature detection module 1314 is electrically connected to the controller. The first temperature detection module 122 detects the temperature of the perfusion liquid in real time and feeds back the temperature data to the controller. When it detects that the temperature of the perfusion liquid deviates from the set temperature, the controller adjusts the heating power of the heating element 1311 so that The perfusion fluid returns to the set temperature to further ensure that the temperature of the perfusion fluid is suitable for the isolated organ; the second temperature detection module 1314 detects the temperature of the heat exchange fluid in real time and feeds back the temperature data to the controller. When the heat exchange is detected When the temperature of the liquid deviates from the set temperature, the controller adjusts the heating power of the heating element 1311 to restore the heat exchange liquid to the set temperature, further ensuring that the temperature of the heat exchange liquid is suitable for the isolated organ; The first temperature detection module 122 and the second temperature detection module 1314 can be installed separately or at the same time, which is not specifically limited here.
在一实施例中,请结合图1和图2,离体器官为离体肺脏,离体器官灌注装置10还包括呼吸组件,壳体11内还设有用于容置呼吸组件的第三内腔113,呼吸组件包括呼吸机141,呼吸机141与控制器电性连接,呼吸机141设有供气接口1411和回气接口1412,供气接口1411、离体肺脏的气管和回气接口1412依次管路连通形成循环呼吸气路。离体肺脏在保存时既需要灌注灌注液,同时也 需要氧气供给,在接通电源后,控制器同时控制第一动力泵121和呼吸机141启动,第一动力泵121在向离体肺脏输送灌注液的同时,通过将呼吸机141与离体肺脏的气管管路连通,为离体肺脏持续供给氧气,以保持离体肺脏进行复张运动。In one embodiment, referring to Figures 1 and 2, the isolated organ is an isolated lung, the isolated organ perfusion device 10 further includes a breathing assembly, and the housing 11 is also provided with a third inner cavity for accommodating the breathing assembly 113. The breathing assembly includes a ventilator 141. The ventilator 141 is electrically connected to the controller. The ventilator 141 is provided with an air supply interface 1411 and a return air interface 1412. The air supply interface 1411, the trachea of the isolated lung, and the return air interface 1412 are in turn The pipeline is connected to form a circulating breathing air path. The isolated lung needs to be perfused with perfusate and oxygen supply at the same time. After the power is turned on, the controller controls the first power pump 121 and the ventilator 141 to start at the same time, and the first power pump 121 is delivering to the isolated lungs. While infusing the fluid, the ventilator 141 is connected with the tracheal tube of the isolated lung to continuously supply oxygen to the isolated lung to keep the isolated lung undergoing recruitment exercise.
具体地,请结合图3和图6,呼吸机141还设有氧气接入口1413和空气接入口1414,氧气接入口1413用于与上述氧气气源30管路连通,空气接入口1414用于与空气气源40管路连通,氧气和空气经比例混合形成混合气体后供给离体肺脏,以保持离体肺脏进行复张运动。Specifically, referring to Figures 3 and 6, the ventilator 141 is also provided with an oxygen inlet 1413 and an air inlet 1414. The oxygen inlet 1413 is used to communicate with the above-mentioned oxygen source 30 pipeline, and the air inlet 1414 is used to communicate with The air source 40 is connected to the pipeline, and oxygen and air are mixed in proportion to form a mixed gas and then supplied to the isolated lungs to maintain the isolated lungs for recruitment exercise.
在一实施例中,请继续参阅图2,呼吸组件还包括用于向呼吸机141供电的第一蓄电池(附图中并未标识),其中,第一蓄电池可选为锂电池、镉镍电池或氢镍电池,特别地,为保证电源能持续稳定地提供,第一蓄电池优选为锂电池。在停电的情况下或在离体器官转运过程中,第一蓄电池可作为电源向呼吸机141供电,以保证呼吸机141持续运转,从而使离体肺脏保持进行复张运动,有效避免离体肺脏因呼吸功能停止而造成损伤的情况发生。In one embodiment, please continue to refer to FIG. 2. The breathing assembly further includes a first storage battery (not marked in the drawings) for supplying power to the ventilator 141, wherein the first storage battery may be a lithium battery or a nickel-cadmium battery. Or nickel-hydrogen battery, in particular, to ensure continuous and stable supply of power, the first storage battery is preferably a lithium battery. In the event of a power failure or during the transfer of isolated organs, the first battery can be used as a power source to supply power to the ventilator 141 to ensure the continuous operation of the ventilator 141, thereby keeping the isolated lungs in recruitment exercise and effectively avoiding the isolated lungs. The occurrence of injury caused by the cessation of respiratory function.
在一实施例中,请继续参阅图1,呼吸组件还包括用于显示和输入呼吸功能参数的第一操作屏142,第一操作屏142与控制器电性连接。使用者可根据实验需要在第一操作屏142上输入相应的呼吸功能参数,控制器根据上述呼吸功能参数控制呼吸机141工作,有效提高操作便捷性。In one embodiment, please continue to refer to FIG. 1, the breathing component further includes a first operation screen 142 for displaying and inputting breathing function parameters, and the first operation screen 142 is electrically connected to the controller. The user can input corresponding respiratory function parameters on the first operation screen 142 according to the needs of the experiment, and the controller controls the operation of the ventilator 141 according to the above-mentioned respiratory function parameters, which effectively improves the convenience of operation.
在一实施例中,请结合图2,灌注组件还包括流量检测模块123,流量检测模块123用于检测灌注液的流量,流量检测模块123与控制器电性连接。流量检测模块123实时检测灌注液流量并将流量数据反馈给控制器,控制器根据上述流量数据控制第一动力泵121的功率,以控制灌注液的流量。In one embodiment, referring to FIG. 2, the perfusion assembly further includes a flow detection module 123, which is used to detect the flow of the perfusion liquid, and the flow detection module 123 is electrically connected to the controller. The flow detection module 123 detects the flow of the perfusion fluid in real time and feeds the flow data back to the controller. The controller controls the power of the first power pump 121 according to the above flow data to control the flow of the perfusion fluid.
在一实施例中,请结合图1,灌注组件还包括用于显示和输入灌注功能参数 的第二操作屏124,第二操作屏124与控制器电性连接。使用者可根据实验需要在第二操作屏124上输入相应的灌注功能参数,控制器根据上述灌注功能参数控制第一动力泵121工作,有效提高操作便捷性。In one embodiment, referring to Fig. 1, the perfusion assembly further includes a second operation screen 124 for displaying and inputting parameters of the perfusion function, and the second operation screen 124 is electrically connected to the controller. The user can input corresponding perfusion function parameters on the second operation screen 124 according to the needs of the experiment, and the controller controls the operation of the first power pump 121 according to the foregoing perfusion function parameters, which effectively improves the convenience of operation.
在一实施例中,请结合图2,灌注组件还包括用于向第一动力泵121供电的第二蓄电池125,其中,第二蓄电池125可选为锂电池、镉镍电池或氢镍电池,特别地,为保证电源能持续稳定地提供,第二蓄电池125优选为锂电池。在停电的情况下或在离体器官转运过程中,第二蓄电池125可作为电源向第一动力泵121供电,以保证第一动力泵121持续运转,从而保证持续向离体器官灌注灌注液,有效避免离体器官因灌注功能停止而造成损伤的情况发生。In one embodiment, referring to FIG. 2, the filling assembly further includes a second storage battery 125 for supplying power to the first power pump 121, wherein the second storage battery 125 may be a lithium battery, a nickel-cadmium battery, or a nickel-hydrogen battery. In particular, in order to ensure the continuous and stable supply of power, the second storage battery 125 is preferably a lithium battery. In the event of a power failure or during the transfer of the isolated organ, the second battery 125 can be used as a power source to supply power to the first power pump 121 to ensure the continuous operation of the first power pump 121, thereby ensuring continuous perfusion of the isolated organ. Effectively avoid the occurrence of damage to the isolated organs due to the stop of the perfusion function.
在一实施例中,离体器官灌注装置10还包括通讯模块(附图中并未示出)和移动终端(附图中并未示出),通讯模块与控制器电性连接,移动终端与通讯模块电性连接。其中,通讯模块可为物联网模块,可以包括但不限于WIFI模块、GPRS模块、3G模块、4G模块等,通讯模块将离体器官灌注过程中所产生的相关数据上传到云服务器中的数据库中,移植专家可通过移动终端查看上述数据,以方便对离体器官定期监护及评估离体器官状况,从而保证离体器官能得到长时间有效保存。In one embodiment, the isolated organ perfusion device 10 further includes a communication module (not shown in the drawings) and a mobile terminal (not shown in the drawings). The communication module is electrically connected to the controller, and the mobile terminal is electrically connected to the controller. The communication module is electrically connected. Among them, the communication module may be an Internet of Things module, including but not limited to WIFI module, GPRS module, 3G module, 4G module, etc. The communication module uploads the relevant data generated during the perfusion of the isolated organ to the database in the cloud server , Transplantation experts can view the above-mentioned data through a mobile terminal to facilitate regular monitoring and evaluation of the condition of the isolated organ, so as to ensure that the function of the isolated organ is effectively preserved for a long time.
具体地,请结合图2,离体器官灌注装置10还包括报警模块15,报警模块15与控制器电性连接。当控制器根据所获取的参数数据识别到工作异常时,会启动报警模块15,以通知使用者及时采取相应措施,避免长时间工作异常而造成离体器官损伤,进一步提升供体器官的利用率以及移植手术的成功率。Specifically, referring to FIG. 2, the isolated organ perfusion device 10 further includes an alarm module 15, and the alarm module 15 is electrically connected to the controller. When the controller recognizes a working abnormality based on the acquired parameter data, it will activate the alarm module 15 to notify the user to take corresponding measures in time to avoid damage to the isolated organs caused by abnormal working for a long time, and further improve the utilization rate of the donor organs And the success rate of transplant surgery.
进一步地,请结合图1,离体器官灌注装置10还设有停止按钮16,停止按钮16与控制器电性连接,当报警模块15启动报警功能后,使用者按下停止按钮16,控制器即控制整机停止工作,有效避免因离体器官灌注装置10工作异常 而造成离体器官损伤的情况发生,更进一步地提升供体器官的利用率以及移植手术的成功率。Further, referring to Figure 1, the isolated organ perfusion device 10 is also provided with a stop button 16, which is electrically connected to the controller. When the alarm module 15 activates the alarm function, the user presses the stop button 16, and the controller That is, the whole machine is controlled to stop working, effectively avoiding the damage of the isolated organ due to the abnormal operation of the isolated organ perfusion device 10, and further improving the utilization rate of the donor organ and the success rate of the transplantation operation.
在一实施例中,请结合图1和图2,壳体11上设有用于供动力泵头21置入第一内腔111的开口114,壳体11上还设有安装门115,安装门115与第一内腔111位置对应。在安装时,将动力泵头21从开口114穿入第一内腔111后,打开安装门115,将动力泵头21与第一动力泵121连接安装即可,操作比较便捷。In one embodiment, please refer to Figures 1 and 2, the housing 11 is provided with an opening 114 for the power pump head 21 to be inserted into the first inner cavity 111, and the housing 11 is also provided with a mounting door 115. 115 corresponds to the position of the first inner cavity 111. During installation, after the power pump head 21 is penetrated into the first inner cavity 111 from the opening 114, the installation door 115 is opened, and the power pump head 21 is connected to the first power pump 121 for installation, and the operation is relatively convenient.
具体地,请结合1至3,第三内腔113、第一内腔111和第二内腔112依次设置在壳体11内,壳体11连接第三内腔113、第一内腔111和第二内腔112的一侧面设置为操作面116,其中,第一操作屏142、第二操作屏124、停止按钮16、供气接口1411和回气接口1412均设置在操作面116靠近第三内腔113的位置上,安装门115设置在操作面116与第一内腔111对应的位置上,离体器官灌注装置10在使用过程中,使用者可仅在操作面116上完成对离体器官灌注装置10的各种控制操作,非常方便;另外,壳体11背向操作面116的另一侧面与第三内腔113的对应位置设置为呼吸功能接口端面117,氧气接入口1413和空气接入口1414均设置在该呼吸功能接口端面117上;再者,壳体11靠近第二腔体的一侧面设置为换热功能接口端面118,换热液进口1312和换热液出口1313均设置在换热功能接口端面118。上述操作面116、呼吸功能接口端面117和换热功能接口端面118在壳体11上的设置位置仅为其中一实施例,在实际应用中也可根据不同需要,改变上述操作面116、呼吸功能接口端面117和换热功能接口端面118在壳体11上的设置位置,在此不作具体限定。Specifically, please combine 1 to 3. The third inner cavity 113, the first inner cavity 111 and the second inner cavity 112 are sequentially arranged in the housing 11, and the housing 11 connects the third inner cavity 113, the first inner cavity 111 and One side surface of the second inner cavity 112 is set as the operating surface 116, wherein the first operating screen 142, the second operating screen 124, the stop button 16, the air supply interface 1411 and the return air interface 1412 are all set on the operating surface 116 close to the third In the position of the inner cavity 113, the installation door 115 is set at the position corresponding to the operation surface 116 and the first inner cavity 111. During the use of the isolated organ perfusion device 10, the user can only complete the isolation on the operation surface 116. Various control operations of the organ perfusion device 10 are very convenient; in addition, the other side of the housing 11 facing away from the operating surface 116 and the corresponding position of the third inner cavity 113 are set as the respiratory function interface end surface 117, the oxygen inlet 1413 and the air The access ports 1414 are all arranged on the end face 117 of the breathing function interface; furthermore, one side of the housing 11 close to the second cavity is set as the heat exchange function interface end face 118, and the heat exchange liquid inlet 1312 and the heat exchange liquid outlet 1313 are both arranged At the end face 118 of the heat exchange function interface. The setting positions of the operation surface 116, the breathing function interface end surface 117, and the heat exchange function interface end surface 118 on the housing 11 are only one embodiment. In actual applications, the operation surface 116 and the breathing function may also be changed according to different needs. The location of the interface end surface 117 and the heat exchange function interface end surface 118 on the housing 11 is not specifically limited here.
进一步地,动力泵头21与第一动力泵121可拆卸地连接。在灌注过程中,灌注液与离体器官灌注装置10不发生接触,在完成灌注操作后,可将动力泵头 21从第一动力泵121中拆出,然后将容器20弃置,在进行下一离体器官灌注操作时,更换新的容器20,并将动力泵头21与第一动力泵121安装连接即可,从而避免每次离体器官灌注完成后整机更换,有效降低使用成本。Further, the power pump head 21 is detachably connected to the first power pump 121. During the perfusion process, the perfusate does not come into contact with the isolated organ perfusion device 10. After the perfusion operation is completed, the power pump head 21 can be removed from the first power pump 121, and then the container 20 can be discarded for the next step. During the isolated organ perfusion operation, a new container 20 can be replaced, and the power pump head 21 and the first power pump 121 can be installed and connected, so as to avoid the replacement of the whole machine after the isolated organ perfusion is completed, and effectively reduce the use cost.
进一步地,请结合图2和图3,壳体11上还设有输液支杆17,输液支杆17用于吊挂瓶装药物、手术器械等,进一步提高使用便捷性。特别地,输液支杆17可选用伸缩杆,以通过伸缩调节适应不同的高度需求,更进一步地提高使用便捷性。Furthermore, referring to Figs. 2 and 3, the housing 11 is also provided with an infusion support rod 17, which is used to hang bottled drugs, surgical instruments, etc., to further improve the convenience of use. In particular, the infusion support rod 17 can be a telescopic rod to adapt to different height requirements through telescopic adjustment, and further improve the convenience of use.
以上实施例的各技术特征可以进行任意的组合,为使描述简洁,未对上述实施例中的各个技术特征所有可能的组合都进行描述,然而,只要这些技术特征的组合不存在矛盾,都应当认为是本说明书记载的范围。The technical features of the above embodiments can be combined arbitrarily. In order to make the description concise, all possible combinations of the technical features in the above embodiments are not described. However, as long as there is no contradiction in the combination of these technical features, they should be It is considered as the range described in this specification.
以上实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above examples only express a few implementations of the present invention, and the descriptions are more specific and detailed, but they should not be interpreted as limiting the scope of the invention patent. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can be made, and these all fall within the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention should be subject to the appended claims.

Claims (10)

  1. 一种离体器官灌注装置,其特征在于,所述的离体器官灌注装置包括:壳体、灌注组件、换热组件和控制器;所述壳体内设有用于容置所述灌注组件的第一内腔和用于容置所述换热组件的第二内腔;所述灌注组件包括第一动力泵,所述第一动力泵的输出端用于与容器的动力泵头连接,以提供向离体器官灌注灌注液的动力;所述换热组件包括恒温箱和第二动力泵,所述恒温箱用于容置换热液,所述恒温箱内设有用于加热所述换热液的加热件,所述恒温箱与所述容器通过管路连通形成用于对所述灌注液进行热交换的循环换热管路,所述第二动力泵用于向所述换热液提供循环流动的动力,所述第一动力泵、所述第二动力泵和所述加热件均与所述控制器电性连接。An isolated organ perfusion device, characterized in that the isolated organ perfusion device comprises: a casing, a perfusion component, a heat exchange component, and a controller; the casing is provided with a second device for accommodating the perfusion component An inner cavity and a second inner cavity for accommodating the heat exchange assembly; the filling assembly includes a first power pump, and the output end of the first power pump is used to connect with the power pump head of the container to provide The power to infuse the perfusion fluid into the isolated organs; the heat exchange assembly includes a thermostat and a second power pump, the thermostat is used to hold and replace the hot liquid, and the thermostat is provided with a heat exchange liquid for heating the heat exchange liquid. A heating element, the thermostat is connected with the container through a pipeline to form a circulating heat exchange pipeline for heat exchange of the perfusion liquid, and the second power pump is used to provide a circulating flow for the heat exchange liquid The first power pump, the second power pump and the heating element are all electrically connected to the controller.
  2. 根据权利要求1所述的一种离体器官灌注装置,其特征在于,所述灌注组件还包括第一温度检测模块,所述第一温度检测模块用于检测所述灌注液的温度,所述第一温度检测模块与所述控制器电性连接;An isolated organ perfusion device according to claim 1, wherein the perfusion assembly further comprises a first temperature detection module, and the first temperature detection module is used to detect the temperature of the perfusion fluid, and the The first temperature detection module is electrically connected to the controller;
    和\或,所述恒温箱内设有第二温度检测模块,所述第二温度检测模块用于检测所述换热液的温度,所述第二温度检测模块与所述控制器电性连接。And/or, a second temperature detection module is provided in the thermostat, the second temperature detection module is used to detect the temperature of the heat exchange fluid, and the second temperature detection module is electrically connected to the controller .
  3. 根据权利要求1所述的一种离体器官灌注装置,其特征在于,所述离体器官为离体肺脏,所述离体器官灌注装置还包括呼吸组件,所述壳体内还设有用于容置所述呼吸组件的第三内腔,所述呼吸组件包括呼吸机,所述呼吸机与所述控制器电性连接,所述呼吸机设有供气接口和回气接口,所述供气接口、所述离体肺脏的气管和所述回气接口依次管路连通形成循环呼吸气路。The isolated organ perfusion device according to claim 1, wherein the isolated organ is an isolated lung, the isolated organ perfusion device further comprises a breathing assembly, and the housing is also provided with The third inner cavity of the breathing assembly is arranged, the breathing assembly includes a ventilator, the ventilator is electrically connected to the controller, the ventilator is provided with an air supply interface and a return air interface, and the air supply The interface, the trachea of the isolated lung, and the return air interface are sequentially connected by pipelines to form a circulatory breathing air path.
  4. 根据权利要求3所述的一种离体器官灌注装置,其特征在于,所述呼吸组件还包括用于向所述呼吸机供电的第一蓄电池。The isolated organ perfusion device according to claim 3, wherein the breathing assembly further comprises a first storage battery for supplying power to the ventilator.
  5. 根据权利要求4所述的一种离体器官灌注装置,其特征在于,所述呼吸组件还包括用于显示和输入呼吸功能参数的第一操作屏,所述第一操作屏与所 述控制器电性连接。An isolated organ perfusion device according to claim 4, wherein the breathing assembly further comprises a first operation screen for displaying and inputting respiratory function parameters, and the first operation screen and the controller Electrical connection.
  6. 根据权利要求1-5任一项所述的一种离体器官灌注装置,其特征在于,所述灌注组件还包括流量检测模块,所述流量检测模块用于检测所述灌注液的流量,所述流量检测模块与所述控制器电性连接。The isolated organ perfusion device according to any one of claims 1-5, wherein the perfusion assembly further comprises a flow detection module, and the flow detection module is used to detect the flow of the perfusion fluid, so The flow detection module is electrically connected to the controller.
  7. 根据权利要求1-5任一项所述的一种离体器官灌注装置,其特征在于,所述灌注组件还包括用于显示和输入灌注功能参数的第二操作屏,所述第二操作屏与所述控制器电性连接。The isolated organ perfusion device according to any one of claims 1-5, wherein the perfusion assembly further comprises a second operation screen for displaying and inputting perfusion function parameters, and the second operation screen It is electrically connected with the controller.
  8. 根据权利要求1-5任一项所述的一种离体器官灌注装置,其特征在于,所述灌注组件还包括用于向所述第一动力泵供电的第二蓄电池。An isolated organ perfusion device according to any one of claims 1-5, wherein the perfusion assembly further comprises a second storage battery for supplying power to the first power pump.
  9. 根据权利要求1-5任一项所述的一种离体器官灌注装置,其特征在于,还包括通讯模块和移动终端,所述通讯模块与所述控制器电性连接,所述移动终端与所述通讯模块电性连接。An isolated organ perfusion device according to any one of claims 1-5, further comprising a communication module and a mobile terminal, the communication module is electrically connected to the controller, and the mobile terminal is electrically connected to the The communication module is electrically connected.
  10. 根据权利要求1-5任一项所述的一种离体器官灌注装置,其特征在于,所述壳体上设有用于供所述动力泵头置入所述第一内腔的开口,所述壳体上还设有安装门,所述安装门与所述第一内腔位置对应。An isolated organ perfusion device according to any one of claims 1-5, wherein the housing is provided with an opening for placing the power pump head into the first inner cavity, and An installation door is also provided on the housing, and the installation door corresponds to the position of the first inner cavity.
PCT/CN2020/107704 2019-08-26 2020-08-07 Ex vivo organ perfusion apparatus WO2021036742A1 (en)

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CN201910792382.9A CN110463690A (en) 2019-08-26 2019-08-26 Isolated organ device for casting
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