CN105536086A - Multifunctional ECMO circulating pipeline and method for performing extracorporeal membrane oxygenation by utilizing multifunctional ECMO circulating pipeline - Google Patents
Multifunctional ECMO circulating pipeline and method for performing extracorporeal membrane oxygenation by utilizing multifunctional ECMO circulating pipeline Download PDFInfo
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- CN105536086A CN105536086A CN201610098846.2A CN201610098846A CN105536086A CN 105536086 A CN105536086 A CN 105536086A CN 201610098846 A CN201610098846 A CN 201610098846A CN 105536086 A CN105536086 A CN 105536086A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3607—Regulation parameters
- A61M1/3609—Physical characteristics of the blood, e.g. haematocrit, urea
- A61M1/3612—Physical characteristics of the blood, e.g. haematocrit, urea after treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3659—Cannulae pertaining to extracorporeal circulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/04—Liquids
- A61M2202/0413—Blood
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/12—Blood circulatory system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/20—Blood composition characteristics
- A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Cardiology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a multifunctional ECMO circulating pipeline and a method for performing extracorporeal membrane oxygenation by utilizing the multifunctional ECMO circulating pipeline. The ECMO circulating pipeline comprises an arterial circulating pipeline, a venous circulating pipeline, a blood purification inlet catheter and a blood purification transfusing catheter, wherein blood oxygen sensors are arranged on the arterial circulating pipeline and the venous circulating pipeline, and the blood oxygen sensors are connected with a blood gas detecting device; one-way valves are separately arranged at the ends, near the circulating pipeline, of the blood purification inlet catheter and the blood purification transfusing catheter. According to the ECMO circulating pipeline disclosed by the invention, the oxygen partial pressure of blood can be monitored in real time before and after blood oxygenation, the difficult problem that during an ECMO treatment period, blood collecting on two end pipelines is difficult, and the spraying probability of blood or a flushing fluid is high, can be solved, the oxygen partial pressure of the blood is detected in an nondestructive manner, and patients do not need puncture of major vascular pipelines twice; the blood oxygenation and the hemodialysis can be simultaneously realized by utilizing the ECMO pipeline, so that the pain of people can be reduced, and probable massive haemorrhage and infection can be effectively reduced.
Description
Technical field
The invention belongs to medical instruments field, particularly a kind of multi-functional ECMO circulating line and utilize it to carry out the method for ECMO.
Background technology
ECMO (extracorporealmembraneoxygenation, ECMO) blood circulation forms primarily of membrane lung, centrifugal pump head and pipeline.Membrane lung and centrifugal pump head link together by pipeline, and be connected with blood vessel in body by venous incubation, the venous blood of patient is drained to external through centrifugal pump, through the gas exchange of artificial lung (oxygenator), venous oxygen is made to be combined into arterial blood, be fed back to again in body, for cardiorespiratory failure patient provides stable circulation volume.
Judge the function of oxygenator clinically by the color of blood, the aberration etc. of arteriovenous pipeline after perusal membrane lung oxygenate, what have judgement to be worth most is gather oxygenator two ends blood to carry out blood gas analysis, observes.The two ends pipeline of QUADROXPLS membrane lung is provided with arteriovenous vim and vigour measurement port, and operation adopts syringe to gather blood through external tapping, is washed down by pipeline inner blood afterwards by sterilized water for injection or 0.9% normal saline pulsed.ECMO maintains blood flow 2 ~ 4L/min when running substantially, all has larger impulsive force when leaving and taking blood specimen and injection flushing liquor, and operation is difficult to be controlled, and causes blood or flushing liquor ejection or sterile working's quality difficulty to control the infection caused.
This type of patient needs row CRRT to treat with renal insufficiency or severe infections, CRRT constantly removes moisture in body and solute by continuous, slow, isotonic mode, remove a large amount of inflammatory mediators and cytokine simultaneously, correct Water-Electrolyte and acid base imbalance, one of most important supporting step of auxiliary treatment becoming serious heart failure and acute respiratory failure.Setting up and maintaining good vascular access is ensure that CRRT treats the precondition of carrying out smoothly, and the pipe position of putting setting up vascular access common is femoral vein, internal jugular vein and subclavian vein.During ECMO Supporting Therapy, the ACT of patient remains higher, and the puncture of any position trunk pipeline is set up and all can be caused massive hemorrhage risk.ECMO treatments period, by the design of pipeline on existing ECMO blood vessel pipeline, so that the treatment completing CRRT according to the state of an illness of patient is the technical barrier that this area needs to solve.
Summary of the invention
The object of the invention is the defect for prior art, a kind of multi-functional ECMO circulating line is provided, and utilizes above-mentioned pipeline to carry out the method for ECMO.
To achieve these goals, the present invention by the following technical solutions: a kind of multi-functional ECMO circulating line, comprising: arterial circulation pipeline, venous circulation pipeline, blood purification enter blood conduit and blood purification blood line; One end that wherein said blood purification enters blood conduit connects arterial circulation pipeline, and the other end enters blood path in order to what connect haemodialysis equipment; One end of described blood purification blood line connects venous circulation pipeline, and the other end is in order to connect the hemorrhage path of haemodialysis equipment; Described arterial circulation pipeline, venous circulation pipeline are respectively arranged with blood oxygen transducer, and described blood oxygen transducer is connected with vim and vigour checkout gear; Described blood purification enters blood conduit and blood purification blood line is respectively arranged with check valve near circulation line one end.
Described arterial circulation pipeline one end is connect the tremulous pulse oxygenator end of oxygenator, and the other end is the arterial cannulation end connecting arterial cannulation, and described blood purification enters blood conduit and blood oxygen transducer and is arranged on position near tremulous pulse oxygenator end.
Described venous circulation pipeline one end is the vein oxygenator end connecting oxygenator, and the other end is the venous cannulation end connecting venous cannulation, and described blood purification blood line and blood oxygen transducer are arranged on the position near vein oxygenator end.
Described blood oxygen transducer is ring-type, be wrapped in arterial circulation pipeline or venous circulation pipeline outer surface, blood oxygen transducer comprises optical signal launch end, optical signal receiving terminal and transport module, described optical signal launch end is for launching infrared light, optical signal receiving terminal is for receiving the infrared light through circulation line, and transport module is used for being that the signal of telecommunication also sends to vim and vigour detection system in real time by the infrared light intensity-conversion that optical signal receiving terminal receives.
Described vim and vigour detection system comprises processing module, storage module and display screen, the signal of telecommunication that wherein said processing module is used for blood oxygen transducer to transmit is converted to the partial pressure of oxygen of blood through process, described storage module is for storing partial pressure of oxygen data, and described display screen is for showing real-time partial pressure of oxygen numerical value.
Described blood purification enters blood conduit and is respectively arranged with the other end of blood purification blood line the block be connected with body.
A kind ofly multi-functional ECMO circulating line is utilized to carry out the method for ECMO, comprise the following steps: the venous cannulation and the arterial cannulation that arterial circulation pipeline, venous circulation pipeline are connected respectively oxygenator and patient, do not needing to carry out CRRT treatment, closedown blood purification enters the check valve on blood conduit and blood purification blood line, carries out blood oxygenate; When needs CRRT treats, open the block that blood purification enters blood conduit and the blood purification blood line other end, be connected on apparatus for purifying blood, and open check valve, blood first carries out blood purification through a blood oxygenate rear section blood at CRRT machine, blood after purification is again transmitted back to oxygenator entrance and carries out blood oxygenate, carries out blood oxygenate and blood purification simultaneously.
Arterial circulation pipeline, venous circulation pipeline are respectively in order to connect venous cannulation and the arterial cannulation of oxygenator and patient, blood purification enters blood conduit with blood purification blood line in order to be connected the blood inlet end mouth of CRRT machine and hemorrhage port respectively, and blood purification enters blood conduit and blood purification blood line is being respectively arranged with check valve near circulation line one end, enter blood conduit and blood purification blood line for closing blood purification when not connecting CRRT machine.Arterial circulation pipeline, venous circulation pipeline are respectively arranged with blood oxygen transducer, respectively in order to the partial pressure of oxygen in blood before and after Real-Time Monitoring blood oxygenation, and show in real time on the display screen of vim and vigour checkout gear.
When carrying out blood purification treatment while blood oxygenate, open the block that blood purification enters blood conduit and the blood purification blood line other end, be connected on apparatus for purifying blood, and open check valve, blood first carries out blood purification through a blood oxygenate rear section blood at CRRT machine, blood after purification is again transmitted back to oxygenator entrance and carries out blood oxygenate, carries out blood oxygenate and blood purification simultaneously.
When not carrying out blood purification treatment, closedown blood purification enters the check valve on blood conduit and blood purification blood line, and covers the block that blood purification enters blood conduit and the blood purification blood line other end.
ECMO circulating line of the present invention can partial pressure of oxygen before and after Real-Time Monitoring blood oxygenation in blood, solve operating difficulties that ECMO treatments period two ends pipeline takes a blood sample, easily cause a difficult problem for blood or flushing liquor ejection, adopt the partial pressure of oxygen of Non-Destructive Testing blood, and patient does not need the puncture of acceptance twice trunk pipeline, utilize ECMO pipeline to realize blood oxygenation and hemodialysis simultaneously, reduce patient suffering and effectively reduce the massive hemorrhage and infection that may cause.
Accompanying drawing explanation
Accompanying drawing 1 is the structural representation of the multi-functional ECMO circulating line of the present invention.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the present invention is described further.
Fig. 1 is the structural representation of the multi-functional ECMO circulating line of the present invention, comprising: arterial circulation pipeline 1, venous circulation pipeline 2, blood purification enter blood conduit 3 and blood purification blood line 4.
One end that wherein blood purification enters blood conduit connects arterial circulation pipeline, and the other end enters blood path in order to what connect haemodialysis equipment.One end of blood purification blood line connects venous circulation pipeline, and the other end is in order to connect the hemorrhage path of haemodialysis equipment.Blood purification enters blood conduit and blood purification blood line is respectively arranged with check valve 5 near circulation line one end.Blood purification enters blood conduit and is respectively arranged with the other end of blood purification blood line the block 6 be connected with body.
Arterial circulation pipeline, venous circulation pipeline are respectively arranged with blood oxygen transducer 7, and blood oxygen transducer is connected with vim and vigour checkout gear 8.
Arterial circulation pipeline one end is the tremulous pulse oxygenator end connecting oxygenator, and the other end is the arterial cannulation end connecting arterial cannulation, and blood purification enters the position of blood tubes connection near tremulous pulse oxygenator end, and blood oxygen transducer is arranged near tremulous pulse oxygenator port.
Venous circulation pipeline one end is the vein oxygenator end connecting oxygenator, and the other end is the venous cannulation end connecting venous cannulation, and blood purification blood line connects the position near vein oxygenator end, and blood oxygen transducer is arranged near vein oxygenator end.
Blood oxygen transducer is ring-type, and be wrapped in arterial circulation pipeline or venous circulation pipeline outer surface, blood oxygen transducer comprises optical signal launch end, optical signal receiving terminal and transport module.Optical signal launch end is for launching infrared light, and optical signal receiving terminal is for receiving the infrared light through circulation line, and transport module is used for being that the signal of telecommunication also sends to vim and vigour checkout gear in real time by the infrared light intensity-conversion that optical signal receiving terminal receives.
Vim and vigour checkout gear comprises processing module, storage module and display screen 9, the signal of telecommunication that wherein processing module is used for blood oxygen transducer to transmit is converted to the partial pressure of oxygen of blood through process, storage module is for storing partial pressure of oxygen data, and display screen is for showing real-time partial pressure of oxygen numerical value.
Arterial circulation pipeline, venous circulation pipeline are respectively in order to connect venous cannulation and the arterial cannulation of oxygenator and patient, blood purification enters blood conduit with blood purification blood line in order to be connected the blood inlet end mouth of CRRT machine and hemorrhage port respectively, and blood purification enters blood conduit and blood purification blood line is being respectively arranged with check valve near circulation line one end, enter blood conduit and blood purification blood line for closing blood purification when not connecting CRRT machine.Arterial circulation pipeline, venous circulation pipeline are respectively arranged with blood oxygen transducer, respectively in order to the partial pressure of oxygen in blood before and after Real-Time Monitoring blood oxygenation, and show in real time on the display screen of vim and vigour checkout gear.
When carrying out blood purification treatment while blood oxygenate, open the block that blood purification enters blood conduit and the blood purification blood line other end, be connected on apparatus for purifying blood, and open check valve, blood first carries out blood purification through a blood oxygenate rear section blood at CRRT machine, blood after purification is again transmitted back to oxygenator entrance and carries out blood oxygenate, carries out blood oxygenate and blood purification simultaneously.
When not carrying out blood purification treatment, closedown blood purification enters the check valve on blood conduit and blood purification blood line, and covers the block that blood purification enters blood conduit and the blood purification blood line other end.
The above is only preferred embodiment of the present invention, not does any type of restriction to the present invention.Every above embodiment is done according to techniques and methods essence of the present invention any simple modification, equivalent variations and modification, all still belong in the scope of techniques and methods scheme of the present invention.
Claims (7)
1. a multi-functional ECMO circulating line, is characterized in that comprising: arterial circulation pipeline, venous circulation pipeline, blood purification enter blood conduit and blood purification blood line; One end that wherein said blood purification enters blood conduit connects arterial circulation pipeline, and the other end enters blood path in order to what connect haemodialysis equipment; One end of described blood purification blood line connects venous circulation pipeline, and the other end is in order to connect the hemorrhage path of haemodialysis equipment; Described arterial circulation pipeline, venous circulation pipeline are respectively arranged with blood oxygen transducer, and described blood oxygen transducer is connected with vim and vigour checkout gear; Described blood purification enters blood conduit and blood purification blood line is respectively arranged with check valve near circulation line one end.
2. multi-functional ECMO circulating line according to claim 1, it is characterized in that: described arterial circulation pipeline one end is the tremulous pulse oxygenator end connecting oxygenator, the other end is connect the arterial cannulation end of arterial cannulation, and blood purification enters blood conduit and blood oxygen transducer and is arranged on position near tremulous pulse oxygenator end.
3. multi-functional ECMO circulating line according to claim 1, it is characterized in that: described venous circulation pipeline one end is the vein oxygenator end connecting oxygenator, the other end is the venous cannulation end connecting venous cannulation, and blood purification blood line and blood oxygen transducer are arranged on the position near vein oxygenator end.
4. multi-functional ECMO circulating line according to claim 1, it is characterized in that: described blood oxygen transducer is ring-type, be wrapped in arterial circulation pipeline or venous circulation pipeline outer surface, blood oxygen transducer comprises optical signal launch end, optical signal receiving terminal and transport module, described optical signal launch end is for launching infrared light, optical signal receiving terminal is for receiving the infrared light through circulation line, and transport module is used for being that the signal of telecommunication also sends to vim and vigour checkout gear in real time by the infrared light intensity-conversion that optical signal receiving terminal receives.
5. multi-functional ECMO circulating line according to claim 4, it is characterized in that: described vim and vigour checkout gear comprises processing module, storage module and display screen, the signal of telecommunication that wherein said processing module is used for blood oxygen transducer to transmit is converted to the partial pressure of oxygen of blood through process, described storage module is for storing partial pressure of oxygen data, and described display screen is for showing real-time partial pressure of oxygen numerical value.
6. multi-functional ECMO circulating line according to claim 1, is characterized in that: described blood purification enters blood conduit and is respectively arranged with the other end of blood purification blood line the block be connected with body.
7. the method utilizing the arbitrary described multi-functional ECMO circulating line of claim 1 to 6 to carry out ECMO, it is characterized in that comprising the following steps: the venous cannulation and the arterial cannulation that arterial circulation pipeline, venous circulation pipeline are connected respectively oxygenator and patient, do not needing to carry out CRRT treatment, closedown blood purification enters the check valve on blood conduit and blood purification blood line, carries out blood oxygenate; When needs CRRT treats, open the block that blood purification enters blood conduit and the blood purification blood line other end, be connected on apparatus for purifying blood, and open check valve, blood first carries out blood purification through a blood oxygenate rear section blood at CRRT machine, blood after purification is again transmitted back to oxygenator entrance and carries out blood oxygenate, carries out blood oxygenate and blood purification simultaneously.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610098846.2A CN105536086A (en) | 2016-02-23 | 2016-02-23 | Multifunctional ECMO circulating pipeline and method for performing extracorporeal membrane oxygenation by utilizing multifunctional ECMO circulating pipeline |
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| CN201610098846.2A CN105536086A (en) | 2016-02-23 | 2016-02-23 | Multifunctional ECMO circulating pipeline and method for performing extracorporeal membrane oxygenation by utilizing multifunctional ECMO circulating pipeline |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2021031433A1 (en) * | 2019-08-19 | 2021-02-25 | 江苏赛腾医疗科技有限公司 | Extracorporeal membrane oxygenation system |
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| CN2124712U (en) * | 1992-06-25 | 1992-12-16 | 吕顺荣 | External membrane oxygenator |
| WO1993006775A1 (en) * | 1991-10-03 | 1993-04-15 | Medtronic, Inc. | Method and apparatus for determining oxygen saturation |
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| CN102886082A (en) * | 2012-09-20 | 2013-01-23 | 上海市杨浦区市东医院 | Active in-vitro lung auxiliary system |
| CN205460109U (en) * | 2016-02-23 | 2016-08-17 | 南京医科大学第一附属医院 | Multi -functional ECMO circulating line |
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2016
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Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3881483A (en) * | 1972-09-12 | 1975-05-06 | Rhone Poulenc Sa | Extracorporeal blood circuit |
| US5055198A (en) * | 1990-03-07 | 1991-10-08 | Shettigar U Ramakrishna | Autologous blood recovery membrane system and method |
| WO1993006775A1 (en) * | 1991-10-03 | 1993-04-15 | Medtronic, Inc. | Method and apparatus for determining oxygen saturation |
| CN2124712U (en) * | 1992-06-25 | 1992-12-16 | 吕顺荣 | External membrane oxygenator |
| US20010010802A1 (en) * | 1998-08-28 | 2001-08-02 | Yehuda Tamari | Soft shell venous reservoir |
| CN201091703Y (en) * | 2007-07-06 | 2008-07-30 | 段大为 | Switching pipeline between extracorporeal membrane oxygenation and cardiopulmonary bypass |
| US20090048554A1 (en) * | 2007-08-15 | 2009-02-19 | Nogueira Sanches Osvaldo | Extracorporeal circulation system |
| CN201743989U (en) * | 2009-12-30 | 2011-02-16 | 赵成秀 | Ultrafiltration device during extracorporeal membrane oxygenation |
| CN202270211U (en) * | 2011-09-28 | 2012-06-13 | 虞文魁 | Integral device of extracorporeal membrane oxygenation oxygenator and hemofiltration machine |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2021031433A1 (en) * | 2019-08-19 | 2021-02-25 | 江苏赛腾医疗科技有限公司 | Extracorporeal membrane oxygenation system |
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