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CN203677608U - Device for adopting CRRT machine to perform blood purification united ascites ultra-filtration reinfusion - Google Patents

Device for adopting CRRT machine to perform blood purification united ascites ultra-filtration reinfusion Download PDF

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Publication number
CN203677608U
CN203677608U CN201320844504.2U CN201320844504U CN203677608U CN 203677608 U CN203677608 U CN 203677608U CN 201320844504 U CN201320844504 U CN 201320844504U CN 203677608 U CN203677608 U CN 203677608U
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China
Prior art keywords
blood
lateral line
ascites
hemodialyzer
side pipeline
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Expired - Fee Related
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CN201320844504.2U
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Chinese (zh)
Inventor
孙昊旻
宋浩明
孙国祥
詹婷
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Shanghai Tongji Hospital
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Shanghai Tongji Hospital
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Abstract

The utility model provides a device for adopting a CRRT machine to perform blood purification united ascites ultra-filtration reinfusion. The device comprises a blood side pipeline, an ascites side pipeline, a dialyzate side pipeline and a waste liquid side pipeline, wherein the ascites side pipeline is provided with two ends, one end of the ascites side pipeline is provided with an ascites input port, and the other end of the ascites side pipeline is connected with the blood side pipeline between an artery kettle and a hemodialyzer and sent into the hemodialyzer together with the blood side pipeline. According to the device, two operations including blood purification and ascites ultra-filtration reinfusion can be performed simultaneously, artery blood and ascites are mixed and sent into the hemodialyzer together, and waste liquid is output. Dialyzate can be fed into the blood side pipeline through the dialyzate side pipeline and a dialyzate pump and conveyed back to bodies of patients, and accordingly reinfusion of albumin in the ascites and blood purification are achieved. Compared with an existing CRRT technology, the device can achieve self protein reinfusion, human albumin is saved, clinical dependence on blood products is reduced, and burden on the patients is reduced.

Description

Adopt CRRT machine to carry out the device of blood purification associating ascites ultra-filter back transfusion
Technical field
This utility model relates to a kind of continuous kidney and substitutes the device for the treatment of, and relates in particular to a kind of CRRT machine that can adopt for carrying out the improved device of blood purification associating ascites ultra-filter back transfusion.
Background technology
Kidney alternative medicine (continuous renal replacement therapy continuously, CRRT) be defined as: continuously, slowly remove a kind of blood purification treatment technology of water and solute by extracorporeal blood treatment mode, to substitute renal function.
Be specially, continuously, slowly remove a kind of blood purification treatment technology of water and solute by extracorporeal blood treatment mode, to substitute renal function.Compare normal blood dialysis, CRRT has extended the blood purification treatment time and has reduced the therapeutic efficiency of unit interval, makes in blood solute concentration and volume change drop to the impact of body minimum, adopts the filter of high-permeability, good biocompatibility simultaneously; For patient with severe symptoms's treatment provides extremely important homeostasis balance.
In the time adopting the technology such as CRRT hemodialysis and hemofiltration or method to treat, because CRRT treatment target mostly is critical patient, its hemodynamics is often unstable, as long in treatment time, the sickness rate of complication will increase accordingly, makes to process more difficult.Complication kind is as hypotension, low potassium or hyperpotassemia, hypocalcemia, acid base imbalance, infection and mechanical factor related complication.In addition, because the anticoagulant application total amounts such as treatment time is long, heparin are larger, therefore easily hemorrhage; But as lower in blood flow, packed cell volume is higher or anticoagulant underdosage, easily occurs blood coagulation.As longer in treatment time, can cause the loss such as vitamin, trace element and aminoacid, should suitably supplement.
Wherein aseptic displacement liquid is one of selection of commonly using: the principle of aseptic displacement liquid for when liquid composition, regulating as required sodium and base composition outside electrolyte ingredient approaches human body cell.The conventional bicarbonate of base and lactate.Multiple organ dysfunction syndrome and sepsis companion's lactic acidosis or merging hepatic insufficiency person, should not use lactate, therefore, mostly uses in recent years bicarbonate to make buffer base displacement liquid.
Utility model content
Device described in the utility model can effectively combine blood purification and two kinds of treatments of ascites back transfusion, i.e. the treatment of blood purification associating ascites ultra-filter back transfusion.
This utility model provides a kind of CRRT of employing machine to carry out the device of blood purification associating ascites ultra-filter back transfusion, comprising:
Blood lateral line, described blood lateral line is provided with two ends, and wherein one end is provided with arterial blood input port, the other end is provided with venous blood delivery outlet; Between described arterial blood input port and venous blood delivery outlet, be connected successively blood pump, tremulous pulse kettle, hemodialyzer, venous chambers by blood lateral line;
Ascites lateral line, described ascites lateral line is provided with two ends, and wherein one end is provided with ascites input port, and the other end is connected with the blood lateral line between tremulous pulse kettle and hemodialyzer, and sends into together in hemodialyzer; Described hemodialyzer is provided with dialysis solution input port, waste liquid delivery outlet;
Dialysis fluid side pipeline, described dialysis fluid side pipeline is provided with two ends, and wherein one end connects dialyzate bag, and the other end is connected with the dialysis solution input port of hemodialyzer, between dialyzate bag and dialysis solution input port, is provided with dialysis liquid pump; Waste liquid lateral line, described waste liquid lateral line is provided with two ends, and wherein one end connects the waste liquid delivery outlet of hemodialyzer, and the other end is connected with waste fluid bag, between waste liquid delivery outlet and waste fluid bag, is provided with waste drains pump; Described waste liquid lateral line is sent into the waste liquid in blood lateral line in waste fluid bag after waste liquid delivery outlet, waste drains pump;
Wherein, between described dialyzate bag and waste fluid bag, be provided with balance, for the running of the Weight control hemodialyzer by measuring dialyzate bag and waste fluid bag.
In above-mentioned device, between the arterial blood input port connecting by blood lateral line and blood pump, be also provided with arterial pressure sensor.
In above-mentioned device, between the venous chambers connecting by blood lateral line and hemodialyzer, be provided with filter before pressure transducer.
In above-mentioned device, one end of described ascites lateral line is specially in the blood lateral line between access tremulous pulse kettle and the front pressure transducer of filter, and together after filtering front pressure transducer, sends in hemodialyzer.
In above-mentioned device, between the hemodialyzer connecting by blood lateral line and venous chambers, be also provided with venous pressure sensor.
In above-mentioned device, between the described venous chambers connecting by blood lateral line and venous blood delivery outlet, be also connected successively blood bubble sensor, folder valve.
In above-mentioned device, the dialysis solution in described dialyzate bag, through dialysis liquid pump, dialysis solution input port, is sent in blood lateral line by dialysis fluid side pipeline.
In above-mentioned device, the waste liquid in described blood lateral line enters in waste liquid lateral line through waste liquid delivery outlet, then sends in waste fluid bag through waste drains pump.
By hemodialysis, it carries out ultrafiltration and concentration to ascites, can be by the ascites of extracting out after the filtration through ascites ultra-filter back transfusion system, harmful substance can be filtered out completely, to the materials such as the useful albumin of human body be fed back in human body simultaneously, Most patients without supplementary albumin, has been saved the albuminous a large amount of expenses of supplementing after this treatment.
Device described in the utility model can carry out blood purification and two kinds of operations of ascites ultra-filter back transfusion simultaneously, by outer order pump, the arterial blood of extracting out from patient's arterial end and the ascites of extracting out from patient's abdominal part are mixed and together send into hemodialyzer, output waste liquid; Also can, by dialysis solution by dialysis lateral line, through dialysis liquid pump, send in blood lateral line, then input in patient's venous blood by hemodialyzer, realized albuminous feedback and the purification for blood in ascites.
Device described in the utility model can be realized autologous protein compared to existing CRRT technology and feed back, and saves when human albumin uses and has reduced the clinical dependence to blood product, has reduced patient's burden.
Brief description of the drawings
Fig. 1 is the flowage structure schematic diagram of the device described in this utility model embodiment 1;
Fig. 2 is the flowage structure schematic diagram of the device described in this utility model embodiment 2;
Accompanying drawing identifier declaration: 101-arterial blood input port; 102-ascites input port; 103-venous blood delivery outlet; 1-blood pump; 11-arterial pressure sensor; 2-tremulous pulse kettle; 3-hemodialyzer; Pressure transducer before 31-filter; 4-venous chambers; 41-venous pressure sensor; 42-blood bubble sensor; 43-presss from both sides valve; 6-waste drains pump; 61-waste liquid delivery outlet; 62-waste fluid bag; The 7-liquid pump of dialysing; 71-dialysis solution input port; 72-dialyzate bag; 8-balance claims.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, this utility model is described further, but not as limiting to the invention.
embodiment 1
Employing CRRT machine described in this utility model embodiment 1 carries out the device of blood purification associating ascites ultra-filter back transfusion, is combined by four kinds of lateral lines.Comprise blood lateral line, ascites lateral line, dialysis fluid side pipeline and waste liquid lateral line.
Wherein, as shown in fig. 1, blood lateral line comprises two ends, and wherein one end is provided with arterial blood input port 101, the other end is provided with venous blood delivery outlet 103.Between arterial blood input port 101 and venous blood delivery outlet 103, be connected successively blood pump 1, tremulous pulse kettle 2, hemodialyzer 3, venous chambers 4 by blood lateral line;
Ascites side pipe comprises two ends, and wherein one end is provided with ascites input port 102, and the other end is connected with the blood lateral line between tremulous pulse kettle 2 and hemodialyzer 3, and sends into together in hemodialyzer 3; Hemodialyzer 3 is provided with dialysis solution input port 71, waste liquid delivery outlet 61;
Dialysis fluid side pipeline also comprises two ends, and wherein one end connects dialyzate bag 72, and the other end is connected with the dialysis solution input port 71 of hemodialyzer 72, is provided with dialysis liquid pump 7 between dialyzate bag 71 and dialysis solution input port 71; Dialysis solution in described dialyzate bag 72, through dialysis liquid pump 7, dialysis solution input port 71, is sent in blood lateral line by dialysis fluid side pipeline;
Waste liquid lateral line comprises two ends, and wherein one end connects the waste liquid delivery outlet 61 of hemodialyzer 3, and the other end is connected with waste fluid bag 62, between waste liquid delivery outlet 62 and waste fluid bag 62, is provided with waste drains pump 6; Waste liquid in described blood lateral line enters in waste liquid lateral line through waste liquid delivery outlet 61, then sends in waste fluid bag 62 through waste drains pump 6;
Wherein, between described dialyzate bag 72 and waste fluid bag 62, be provided with balance 8, for the running of the Weight control hemodialyzer by measuring dialyzate bag 72 and waste fluid bag 62.
Device described in the present embodiment can be by changing extraction to blood and defeated back into line operate manually or automatically.Can realize autologous protein compared to existing CRRT technology and feed back, when saving human albumin, reduce the clinical dependence to blood product, reduce patient's burden.
embodiment 2
The device that employing CRRT machine described in this utility model embodiment 2 carries out blood purification associating ascites ultra-filter back transfusion is the same with the embodiment of the present invention 1, is also to be combined by four kinds of lateral lines.Comprise blood lateral line, ascites lateral line, dialysis fluid side pipeline and waste liquid lateral line.
As shown in Figure 2, it is specially:
Blood lateral line comprises two ends, and wherein one end is provided with arterial blood input port 101, the other end is provided with venous blood delivery outlet 103.Between arterial blood input port 101 and venous blood delivery outlet 103, be connected successively arterial pressure sensor 11, blood pump 1, tremulous pulse kettle 2, the front pressure transducer 31 of filter, hemodialyzer 3, venous pressure sensor 41, venous chambers 4, blood bubble sensor 42, folder valve 43 by blood lateral line;
Ascites side pipe comprises two ends, and wherein one end is provided with ascites input port 102, and the other end is connected with the blood lateral line between tremulous pulse kettle 2 and hemodialyzer 3, and sends into together in hemodialyzer 3;
Wherein, described hemodialyzer 3 is provided with dialysis solution input port 71, waste liquid delivery outlet 61;
Dialysis fluid side pipeline also comprises two ends, and wherein one end connects dialyzate bag 72, and the other end is connected with the dialysis solution input port 71 of hemodialyzer 72, is provided with dialysis liquid pump 7 between dialyzate bag 71 and dialysis solution input port 71; Dialysis solution in described dialyzate bag 72, through dialysis liquid pump 7, dialysis solution input port 71, is sent in blood lateral line by dialysis fluid side pipeline;
Waste liquid lateral line comprises two ends, and wherein one end connects the waste liquid delivery outlet 61 of hemodialyzer 3, and the other end is connected with waste fluid bag 62, between waste liquid delivery outlet 62 and waste fluid bag 62, is provided with waste drains pump 6; Waste liquid in described blood lateral line enters in waste liquid lateral line through waste liquid delivery outlet 61, then sends in waste fluid bag 62 through waste drains pump 6;
Wherein, between described dialyzate bag 72 and waste fluid bag 62, be provided with balance 8, for the running of the Weight control hemodialyzer by measuring dialyzate bag 72 and waste fluid bag 62.
Described, before arterial pressure sensor 11, filter, pressure transducer 31, blood bubble sensor 42, venous pressure sensor 41 are for the situation of the purge cases of blood lateral line blood and the operation of each parts is collected, to can realize automation mechanized operation.
application Example
Employing CRRT machine described in the utility model carries out the device of blood purification associating ascites ultra-filter back transfusion for the patient's of the disease Complicated With Ascites such as chronic nephritis, nephrotic syndrome, liver cirrhosis blood purification and ascites ultra-filter back transfusion, the ultrafiltration and concentration that in carrying out blood purification, it is carried out to ascites feeds back, both carry out not only can removing a large amount of ascites simultaneously and keep blood pressure, and small molecular toxin is fully known and is conducive to reduce peripheral neuropathy.Arrange because fully ascites volume the process calculating of assess patient can realize this treatment in the parameter of equipment.
Above specific embodiment of the utility model be have been described in detail, but it is as example, this utility model is not restricted to specific embodiment described above.To those skilled in the art, any equivalent modifications that this practicality is carried out and alternative also all among category of the present utility model.Therefore,, not departing from equalization conversion and the amendment done under spirit and scope of the present utility model, all should be encompassed in scope of the present utility model.

Claims (8)

1. adopt CRRT machine to carry out a device for blood purification associating ascites ultra-filter back transfusion, it is characterized in that, specifically comprise:
Blood lateral line, described blood lateral line is provided with two ends, and wherein one end is provided with arterial blood input port, the other end is provided with venous blood delivery outlet; Between described arterial blood input port and venous blood delivery outlet, be connected successively blood pump, tremulous pulse kettle, hemodialyzer, venous chambers by blood lateral line;
Ascites lateral line, described ascites lateral line is provided with two ends, and wherein one end is provided with ascites input port, and the other end is connected with the blood lateral line between tremulous pulse kettle and hemodialyzer, and sends into together in hemodialyzer; Described hemodialyzer is provided with dialysis solution input port, waste liquid delivery outlet;
Dialysis fluid side pipeline, described dialysis fluid side pipeline is provided with two ends, and wherein one end connects dialyzate bag, and the other end is connected with the dialysis solution input port of hemodialyzer, between dialyzate bag and dialysis solution input port, is provided with dialysis liquid pump; Waste liquid lateral line, described waste liquid lateral line is provided with two ends, and wherein one end connects the waste liquid delivery outlet of hemodialyzer, and the other end is connected with waste fluid bag, between waste liquid delivery outlet and waste fluid bag, is provided with waste drains pump;
Wherein, between described dialyzate bag and waste fluid bag, be provided with balance, for the running of the Weight control hemodialyzer by measuring dialyzate bag and waste fluid bag.
2. device according to claim 1, is characterized in that, between the arterial blood input port connecting by blood lateral line and blood pump, is also provided with arterial pressure sensor.
3. device according to claim 1, is characterized in that, between the venous chambers connecting by blood lateral line and hemodialyzer, be provided with filter before pressure transducer.
4. device according to claim 3, is characterized in that, in the blood lateral line between one end of described ascites lateral line access tremulous pulse kettle and the front pressure transducer of filter, and together after filtering front pressure transducer, sends in hemodialyzer.
5. device according to claim 1, is characterized in that, is also provided with venous pressure sensor between the hemodialyzer connecting by blood lateral line and venous chambers.
6. device according to claim 1, is characterized in that, is also being connected successively blood bubble sensor, folder valve between the venous chambers connecting by blood lateral line and venous blood delivery outlet.
7. device according to claim 1, is characterized in that, the dialysis solution in described dialyzate bag, through dialysis liquid pump, dialysis solution input port, is sent in blood lateral line by dialysis fluid side pipeline.
8. device according to claim 1, is characterized in that, the waste liquid in described blood lateral line enters in waste liquid lateral line through waste liquid delivery outlet, then sends in waste fluid bag through waste drains pump.
CN201320844504.2U 2013-12-19 2013-12-19 Device for adopting CRRT machine to perform blood purification united ascites ultra-filtration reinfusion Expired - Fee Related CN203677608U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104984426A (en) * 2015-07-07 2015-10-21 陈国军 Novel CRRT return pipe
CN105727382A (en) * 2016-01-28 2016-07-06 龚德华 Continuous type CRRT machine capacity balancing device with two circuit breaking devices
CN109789262A (en) * 2016-09-20 2019-05-21 费森尤斯医疗护理德国有限责任公司 Therapeutic equipment for removing method, control and the regulating device of blood from extracorporeal blood circuit after the haemodialysis phase completes and for executing this method

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104984426A (en) * 2015-07-07 2015-10-21 陈国军 Novel CRRT return pipe
CN105727382A (en) * 2016-01-28 2016-07-06 龚德华 Continuous type CRRT machine capacity balancing device with two circuit breaking devices
CN109789262A (en) * 2016-09-20 2019-05-21 费森尤斯医疗护理德国有限责任公司 Therapeutic equipment for removing method, control and the regulating device of blood from extracorporeal blood circuit after the haemodialysis phase completes and for executing this method
US11116883B2 (en) 2016-09-20 2021-09-14 Fresenius Medical Care Deutschland Gmbh Method for removing blood from an extracorporeal blood circuit after completing a blood treatment session, control and regulating unit and treatment apparatus for executing the method
CN109789262B (en) * 2016-09-20 2022-03-15 费森尤斯医疗护理德国有限责任公司 Device for removing blood from an extracorporeal blood circuit after completion of a blood treatment session

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20140702

Termination date: 20181219

CF01 Termination of patent right due to non-payment of annual fee