JP4892589B2 - Artificial lung - Google Patents

Description

  The present invention relates to an artificial lung.

  Some conventional artificial lungs have a hollow fiber membrane layer. As this artificial lung, for example, an artificial lung described in Patent Document 1 is known.

  This artificial lung has a housing, a hollow fiber membrane layer (hollow fiber membrane sheet laminate) housed in the housing, a blood inlet and a blood outlet, and a gas inlet and a gas outlet. . When air bubbles are mixed in the blood flowing in from the blood inlet of the artificial lung having such a configuration, the air bubbles are preferably removed by the hollow fiber membrane layer.

  However, the hollow fiber membrane layer has a problem that air bubbles may not be sufficiently removed and may flow out to the blood outlet with blood.

JP 11-47268 A

  An object of the present invention is to provide an artificial lung that can reliably prevent bubbles in blood from flowing out of a blood outflow portion.

Such an object is achieved by the present inventions (1) to (8) below.
(1) a heat exchanger section;
A hollow fiber membrane bundle in which a large number of hollow fiber membranes having a gas exchange function are integrated,
A filter member provided in contact with the outer peripheral portion of the hollow fiber membrane bundle and having a function of capturing bubbles;
A housing that houses the heat exchanger section, the hollow fiber membrane bundle, and the filter member;
A gas inflow portion and a gas outflow portion communicating with each other via the lumen of the hollow fiber membrane;
It has a blood inflow part and a blood outflow part through which blood flows,
The blood flowing in from the blood inflow part is configured to pass through the heat exchanger part, the hollow fiber membrane bundle, and the filter member in this order and be discharged from the blood outflow part. Artificial lung.

(2) The heat exchanger part has a cylindrical shape as a whole,
The artificial lung according to (1), wherein the hollow fiber membrane bundle is provided so as to surround a periphery of the heat exchanger unit.

  (3) The artificial lung according to (1) or (2), wherein the filter member covers substantially the entire outer peripheral portion of the hollow fiber membrane bundle.

  (4) The artificial lung according to any one of (1) to (3), wherein a gap is formed between the filter member and the housing.

(5) The blood inflow portion has an inflow opening that opens on the inner peripheral side of the hollow fiber membrane bundle,
The blood outflow portion has an outflow opening that opens on the outer peripheral side of the hollow fiber membrane bundle,
The artificial lung according to any one of (1) to (4), wherein blood is configured to pass from the inner peripheral side to the outer peripheral side of the hollow fiber membrane bundle.

  (6) The artificial lung according to any one of (1) to (5), wherein the filter member has hydrophilicity.

  (7) The artificial lung according to any one of (1) to (6), wherein the filter member has a mesh shape.

  (8) The artificial lung according to (7), wherein the opening of the filter member is 50 μm or less.

  According to the present invention, air bubbles in the blood can be reliably captured by the filter member provided in the hollow fiber membrane layer, and thus the air bubbles can be reliably prevented from flowing out from the blood outflow portion. it can.

It is a front view which shows the oxygenator of 1st Embodiment of this invention. It is a left view of the oxygenator shown in FIG. It is the sectional view on the AA line of FIG. FIG. 3 is a sectional view taken along line B-B in FIG. 2. It is CC sectional view taken on the line of FIG. It is sectional drawing which shows the oxygenator of 2nd Embodiment (reference example).

Hereinafter, an artificial lung of the present invention will be described in detail based on preferred embodiments shown in the accompanying drawings.
<First Embodiment>
1 is a front view showing an oxygenator according to a first embodiment of the present invention, FIG. 2 is a left side view of the oxygenator shown in FIG. 1, and FIG. 3 is a cross-sectional view taken along line AA in FIG. 4 is a cross-sectional view taken along line BB in FIG. 2, and FIG. 5 is a cross-sectional view taken along line CC in FIG.

  The artificial lung 1 has a cylindrical shape (cylindrical shape) in which a large number of hollow fiber membranes 3a for gas exchange (having a gas exchange function) wound around the outer surface of the cylindrical core 5 are integrated. A hollow fiber membrane bundle 3, a housing for housing the cylindrical hollow fiber membrane bundle 3, a gas inflow portion and a gas outflow portion communicating with each other via the inside (lumen) of the hollow fiber membrane 3a, and the hollow fiber membrane 3a A blood inflow portion and a blood outflow portion communicating with the outside and the inside of the housing, and a filter member 6 provided in the cylindrical hollow fiber membrane bundle 3 are provided. The cylindrical hollow fiber membrane bundle 3 has a hollow fiber membrane layer (hollow fiber membrane 3a) that spreads on the outer peripheral surface of the cylindrical core 5 in multiple layers, in other words, in a spiral shape, or in a cylindrical shape. The hollow fiber membrane layer is provided with an intersection 3b where the hollow fiber membrane 3a intersects in the vicinity of the center of the cylindrical core 5 in the longitudinal direction, The portion 3b is a part of the hollow fiber membrane layer so that the other intersection 3b does not directly overlap the intersection 3b or the other intersection 3b does not directly overlap the intersection 3b. Depending on the position. As shown in the figure, the oxygenator 1 includes a housing 2, an oxygenator part accommodated in the housing 2, and a cylindrical heat exchanger part accommodated in the oxygenator part. The lung is an artificial lung with a built-in heat exchange function.

  The artificial lung 1 is an artificial lung part comprising a cylindrical core 5, a cylindrical hollow fiber membrane bundle 3 made up of a large number of gas exchange hollow fiber membranes wound around the outer surface of the cylindrical core 5, and a filter member 6. And a cylindrical heat exchanger part housed in the tubular core 5 and a housing 2 for housing the oxygenator part and the tubular heat exchanger part. The cylindrical core 5 is formed between a groove 51 that forms a blood flow path between the outer surface of the cylindrical core 5 and the inner surface of the cylindrical hollow fiber membrane bundle 3, and between the cylindrical core 5 and the cylindrical heat exchanger section. In addition, a blood circulation opening 52 that communicates between the first blood chamber 11 and the groove 51 is provided.

  The oxygenator 1 has a blood inflow port (blood inflow) communicating with a first blood chamber 11 (inner peripheral side of the cylindrical hollow fiber membrane bundle 3) formed between the cylindrical core 5 and the cylindrical heat exchanger. Portion) 24 and a blood outflow port (blood outflow portion) communicating with the second blood chamber 12 (outer peripheral side of the cylindrical hollow fiber membrane bundle 3) formed between the outer surface of the cylindrical hollow fiber membrane and the inner surface of the housing 2 25.

  Further, the blood inflow port 24 is provided with an inflow opening 40 that opens into the first blood chamber 11. Thereby, the blood from the blood inflow port 24 surely flows into the first blood chamber 11. The blood in the first blood chamber 11 enters the inside 16 of the cylindrical hollow fiber membrane bundle 3 from the inner peripheral portion 15 of the cylindrical hollow fiber membrane bundle 3 through the blood circulation opening 52. Further, the blood that has entered the interior 16 of the cylindrical hollow fiber membrane bundle 3 flows into the second blood chamber 12 via the outer peripheral portion 17 of the cylindrical hollow fiber membrane bundle 3.

  Further, the blood outflow port 25 is provided with an outflow opening 43 that opens into the second blood chamber 12. This ensures that the blood in the second blood chamber 12 flows out to the blood outflow port 25.

  In the artificial lung 1, as shown in FIGS. 3 to 5, from the outside, the cylindrical housing body 21, the second blood chamber 12, the hollow fiber membrane bundle 3, the cylindrical core 5 including the groove 51, the first blood The chamber 11, the cylindrical heat exchanger 31, the cylindrical heat exchanger deformation restricting portions 34 and 35, and the cylindrical heat medium chamber forming member 32 are arranged or formed substantially concentrically in this order. As shown in FIGS. 1 and 3 to 5, the housing 2 includes a cylindrical housing body 21 having a blood outflow port 25, a gas inflow port (gas inflow portion) 26, a heat medium inflow port 28, and a heat medium outflow port 29. A first header 22 having a gas outlet port (gas outlet portion) 27 and a second header 23 having an insertion port for a blood inlet port 24 provided in the cylindrical core 5. The inner surface of the first header 22 is provided with a heat medium chamber forming member connecting portion 22a protruding in a cylindrical shape and a partition portion 22b that bisects the inside of the heat medium chamber forming member connecting portion 22a. In addition, a heat medium chamber forming member connecting portion 23 a protruding in a cylindrical shape is provided on the inner surface of the second header 23. For this reason, as shown in FIG. 4, a cylindrical heat medium chamber forming member 32 to be described later has an opening end side held by the first header 22 and a closed end side held by the second header 23.

The oxygenator will be described.
The artificial lung portion is formed on a cylindrical core 5, a cylindrical hollow fiber membrane bundle 3 composed of a number of hollow fiber membranes wound around the outer surface of the cylindrical core 5, and an outer peripheral portion 17 of the cylindrical hollow fiber membrane bundle 3. And a provided filter member 6.

  As shown in FIGS. 3 to 5, the cylindrical core 5 is a cylindrical body, and at one end thereof, a donut plate-like protrusion 55 extending inward with a predetermined width is formed, and this donut plate-like protrusion is formed. The blood inflow port 24 is formed on the outer surface of the flat portion 55 so as to protrude outward in parallel with the central axis of the cylindrical core 5. On the outer surface of the cylindrical core 5, a large number of grooves 51 that form a blood flow path are formed between the outer surface of the cylindrical core 5 and the inner surface of the cylindrical hollow fiber membrane bundle 3.

  The cylindrical core 5 has a blood circulation opening 52 that communicates the groove 51, the cylindrical core 5, and the first blood chamber 11 formed between the cylindrical heat exchanger portions. As the cylindrical core 5, an outer diameter of about 20 to 100 mm is preferable, and an effective length (the length of a portion of the total length not buried in the partition wall) is preferably about 10 to 730 mm. Specifically, the cylindrical core 5 has a plurality of grooves 51 that are not parallel and continuous except for both end portions, and an annular rib 53 is formed between the grooves 51.

  The groove of the cylindrical core 5 is formed so as to extend over almost the entire portion of the hollow fiber membrane bundle that contributes to gas exchange (effective length, a portion that is not buried in the partition wall). The cylindrical core 5 used here is provided with a flat surface non-grooved portion 54 that is substantially on the extension line of the blood inflow port 24 and extends almost entirely over the groove 51 forming portion of the cylindrical core 5. For this reason, the groove 51 and the rib 53 of the cylindrical core 5 are an annular groove 51 (arc-shaped groove 51) and an annular rib 53 (arc-shaped rib) having a start end and a terminal end. As the cylindrical core 5, a cylindrical hollow fiber formed on the outer surface of the cylindrical core 5 is provided with a flat surface-shaped groove non-forming portion 54 that extends over substantially the entire portion of the cylindrical core 5 where the groove 51 is formed. The shape stability of the film bundle 3 is improved.

  However, the groove non-forming portion 54 is not necessarily provided, and the groove 51 and the rib 53 of the cylindrical core 5 may be an endless complete annular groove 51 and an endless complete annular rib 53.

  Since the cylindrical core 5 includes a large number of grooves 51 over almost the entire length of the hollow fiber membrane bundle 3 (the portion not buried in the partition wall), blood can be dispersed throughout the hollow fiber membrane bundle 3. The entire hollow fiber membrane can be used effectively, and the gas exchange ability is high.

  Furthermore, it is preferable that the peak of the crest (rib 53) formed between the grooves 51 of the cylindrical core 5 is a flat surface. Thus, the shape stability of the cylindrical hollow fiber membrane bundle 3 formed in the outer surface of the cylindrical core 5 improves by making the vertex of the rib 53 into a flat surface.

  Further, the groove 51 has a shape (for example, a trapezoidal cross section) whose cross-sectional shape widens toward the apex of the rib 53. For this reason, since the groove | channel 51 (blood flow path) spreads toward a hollow fiber membrane bundle inner surface, the blood inflow into a hollow fiber membrane bundle is made favorable.

  The blood inflow port 24 is provided on one end side of the cylindrical core 5, and the blood circulation opening 52 is formed in a region facing the region where the center line of the blood inflow port 24 is extended. . By doing in this way, the blood circulation form in the 1st blood chamber 11 formed between the cylindrical core 5 and the cylindrical heat exchanger part becomes easy, and a heat exchange efficiency becomes high. Specifically, as shown in FIG. 5, the cylindrical core 5 has a groove non-forming portion 54 that is substantially on the extension line of the blood inflow port 24 described above and extends almost entirely in the groove forming portion of the cylindrical core 5. Prepare. The non-grooved portion 54 is a thin portion that is made possible by not forming a groove, whereby the blood guiding portion 56 located substantially on the extension line of the blood inflow port 24 is formed inside the cylindrical core 5. Is formed. The blood guiding portion 56 has a larger inner diameter than other groove forming portions. By providing such a blood guiding portion 56, blood can be reliably introduced into the entire axial direction of the first blood chamber 11 formed between the cylindrical core and the cylindrical heat exchanger portion.

  A blood circulation opening 52 is formed in a region (position) facing the non-groove forming portion 54 (blood guiding portion 56). In the cylindrical core 5, the blood circulation opening 52 includes a plurality of blood circulation openings 52 communicating with each of the plurality of annular grooves 51. That is, the opening 52 is formed by deleting the groove 51 portion of the cylindrical core 5 at a position facing the groove non-forming portion 54 (blood guiding portion). For this reason, the rib 53 exists between the adjacent openings 52.

  As shown in FIG. 4, the hollow fiber membrane bundle 3 is wound around the outer surface of the cylindrical core 5. As shown in FIG. 1, the hollow fiber membranes 3 a forming the hollow fiber membrane bundle 3 are sequentially wound around the cylindrical core 5, so that the hollow fiber membrane layers spreading on the outer peripheral surface of the cylindrical core 5 overlap each other in multiple layers. In other words, it is in a state where it overlaps in a spiral shape or is wound in a reel shape with a cylindrical core as a core.

  After the hollow fiber membrane 3 is wound around the cylindrical core 5, both ends of the hollow fiber membrane bundle 3 are fixed to the cylindrical housing body 21 by the partition walls 8 and 9, and both ends of the hollow fiber membrane bundle 3 are cut. Both ends of the cylindrical core 5 around which the hollow fiber membrane bundle 3 is wound around the outer surface are liquid-tightly fixed to both ends of the cylindrical housing main body 21 by the partition walls 8 and 9, and the cylindrical hollow fiber membrane outer surface and the cylindrical housing are fixed. A second blood chamber 12 that is an annular space (cylindrical space) is formed between the inner surfaces of the main body 21.

  A blood outflow port 25 formed on the side surface of the cylindrical housing body 21 communicates with the second blood chamber 12. The partition walls 8 and 9 are made of a potting agent such as polyurethane or silicone rubber.

  Further, the hollow fiber membrane layer includes an intersection 3b where the hollow fiber membrane 3a intersects in the vicinity of the center in the longitudinal direction of the cylindrical core 5, and the intersection (crosswind portion) 3b is positioned depending on the portion of the hollow fiber membrane layer. Are different. Thus, by changing the position of the crossing portion, as shown in FIG. 1, the crossing portions in the overlapping layers do not overlap, and a short circuit of blood due to the overlapping of the crossing portions can be prevented. For example, the intersecting portion is formed continuously by alternately intersecting 2 to 6 hollow fiber membranes wound substantially in parallel.

  A porous gas exchange membrane is used as the hollow fiber membrane. The porous hollow fiber membrane has an inner diameter of 100 to 1000 μm, a wall thickness of 5 to 200 μm, preferably 10 to 100 μm, a porosity of 20 to 80%, preferably 30 to 60%, and a pore diameter of 0.01 to The thing of 5 micrometers, Preferably 0.01-1 micrometer can be used preferably.

  Moreover, as a material used for the porous membrane, a hydrophobic polymer material such as polypropylene, polyethylene, polysulfone, polyacrylonitrile, polytetrafluoroethylene, and cellulose acetate is used. Polyolefin resins are preferable, and polypropylene is particularly preferable, and a resin in which micropores are formed on the wall by a stretching method or a solid-liquid phase separation method is more preferable.

  The outer diameter (overall shape) of the hollow fiber membrane bundle 3 is preferably 30 to 162 mm, and the thickness of the hollow fiber membrane bundle 3 is preferably 3 mm to 28 mm.

  As shown in FIG. 3 (FIG. 4), a filter member 6 is provided on the outer peripheral portion 17 of the cylindrical hollow fiber membrane bundle 3.

  The filter member 6 has a function of capturing bubbles in the blood flowing into the artificial lung 1 (tubular hollow fiber membrane bundle 3).

  The filter member 6 has a cylindrical shape as in the cylindrical hollow fiber membrane bundle 3. The filter member 6 having such a shape is provided such that an inner peripheral portion (inner peripheral surface) 61 thereof is in contact with an outer peripheral portion (outer peripheral surface) 17 of the cylindrical hollow fiber membrane bundle 3.

  The filter member 6 is provided so as to cover almost the entire outer peripheral portion 17 of the cylindrical hollow fiber membrane bundle 3.

  By providing the filter member 6 in this way, the area of the filter member 6 (inner peripheral part 61) can be increased, and air bubbles can be captured more reliably. Further, since the area of the filter member 6 is large, even if clogging (for example, blood clots, etc.) occurs in a part of the filter member 6, it is possible to prevent (suppress) the blood flow from being hindered. it can.

  As shown in FIG. 3, a second blood chamber 12 (gap) is formed between the filter member 6 and the housing 2. Accordingly, the filter member 6 is prevented from coming into contact with the inner peripheral surface of the housing 2, and blood that has flowed out from the outer peripheral portion 62 of the filter member 6 can pass through the second blood chamber 12. The port 25 can be reliably reached (inflow).

  Moreover, it is preferable that the filter member 6 has hydrophilicity. That is, it is preferable that the filter member 6 itself is made of a material having hydrophilicity, or the surface thereof is subjected to hydrophilic treatment (for example, plasma treatment). This not only facilitates the removal of bubbles during priming, but also makes it more difficult for the bubbles to pass when blood containing the bubbles passes through, effectively preventing the bubbles from flowing out of the filter member 6. Can be suppressed.

  Moreover, it does not specifically limit as a constituent material of the filter member 6, For example, what makes a mesh shape (screen filter) is preferable. Thereby, while being able to capture | acquire a bubble more reliably, the blood can pass easily.

  Moreover, the opening of the filter member 6 is not specifically limited, For example, it is preferable that it is 50 micrometers or less, and it is more preferable that it is 20-45 micrometers. Thereby, bubbles can be captured more reliably.

  With the filter member 6 having the above-described configuration, it is possible to reliably capture air bubbles in the blood flowing from the first blood chamber 11 into the cylindrical hollow fiber membrane bundle 3. It is possible to reliably prevent the liquid from flowing out.

  Further, the air bubbles captured by the filter member 6 enter (inflow) a large number of holes formed on the outer surface of the hollow fiber membrane 3a (tubular hollow fiber membrane bundle 3), and thus the hollow fiber membrane The gas is discharged (outflowed) from the gas outflow port 27 through the lumen 3a. Thereby, the time for priming the bubbles can be shortened, and the bubbles can be prevented from staying in the cylindrical hollow fiber membrane bundle 3 (artificial lung 1).

  Further, the filter member 6 is not limited to be provided so as to cover almost the entire outer peripheral portion 17 of the cylindrical hollow fiber membrane bundle 3. It may be provided so as to cover the part.

  As shown in FIGS. 3 to 5, a heat exchanger section, which will be described later, is housed inside the cylindrical core 5 of the oxygenator section formed as described above.

Next, a heat exchanger part is demonstrated.
An annular first blood chamber 11 is formed between the cylindrical core 5 and the cylindrical heat exchanger portion, and the blood inflow port 24 communicates with the blood chamber 11. As shown in FIGS. 3 to 5, the cylindrical heat exchanger section includes a cylindrical heat exchanger 31, a cylindrical heat medium chamber forming member 32 housed in the heat exchanger 31, and a cylindrical heat exchange. Two cylindrical heat exchange body deformation restricting portions 34 and 35 inserted between the body 31 and the cylindrical heat medium chamber forming member 32 are provided.

  As the cylindrical heat exchanger 31, a so-called bellows heat exchanger is used. As shown in FIG. 4, the bellows type heat exchanger 31 (bellows tube) includes a bellows forming portion having a large number of hollow annular protrusions formed substantially parallel to the central side surface, and formed at both ends thereof. And a cylindrical portion substantially equal to the inner diameter. One of the cylindrical portions of the heat exchange body 31 is sandwiched between the inner surface of the end portion on the blood inlet port 24 side of the hollow cylindrical core 5 and the second header 23, and the other cylindrical portion of the heat exchange body 31 is a hollow cylindrical shape. A ring-shaped heat exchanger fixing member 48 inserted into one end of the core 5, a cylindrical heat exchanger fixing member 49 inserted between the ring-shaped heat exchanger fixing member 48 and the first header 22, It is sandwiched between the first headers 22.

  The bellows type heat exchange element 31 is formed in a so-called fine bellows shape from a metal such as stainless steel or aluminum or a resin material such as polyethylene or polycarbonate. Metals such as stainless steel and aluminum are preferred in terms of strength and heat exchange efficiency. In particular, it is composed of a bellows tube having a wave shape in which irregularities substantially perpendicular to the axial direction (center axis) of the cylindrical heat exchanger 31 are repeated.

  As shown in FIG. 3 to FIG. 5, the cylindrical heat medium chamber forming member 32 is a cylindrical body having one end (first header 22 side) opened, and the inside thereof has an inflow side heat medium chamber 41 and an outflow side heat. A partition wall 32a that is divided into the medium chambers 42, a first opening 33a that communicates with the inflow-side heat medium chamber 41 and extends in the axial direction, and a second opening 33b that communicates with the inflow-side heat medium chamber 42 and extends in the axial direction. And projections 36a and 36b that extend in the axial direction and are formed on the side surfaces of the first opening 33a and the second opening 33b that are offset from each other by about 90 degrees. The protrusion 36 a restricts the movement of the heat exchanger deformation restricting portion 34 by entering a groove extending in the axial direction formed in the center of the inner surface of the heat exchanger deforming restricting portion 34. Similarly, the protrusion 36b restricts the movement of the heat exchange body deformation restricting portion 35 by entering a groove extending in the axial direction formed at the center of the inner surface of the heat exchange body deformation restricting portion 35.

  When the open end side of the cylindrical heat medium chamber forming member 32 is fitted to the heat medium chamber forming member connecting portion 22a of the first header 22, the cylindrical heat medium chamber forming member 32 is shown in FIG. A partition portion 22b that bisects the inside of the cylindrical connection portion 22a is in close contact with one surface (lower surface in the present embodiment) of the distal end portion of the partition wall 32a. Thereby, the inflow side heat medium chamber 41 in the cylindrical heat medium chamber forming member 32 communicates with the heat medium inflow port 28, and the outflow side heat medium chamber 42 communicates with the heat medium outflow port 29.

  In addition, the two heat exchange element deformation restricting portions 34 and 35 include notches extending in the axial direction at respective end portions to be attached, and the two restricting portions 34 and 35 are attached to each other. As shown in FIG. 5, a medium inflow side passage 37 and a medium outflow side passage 38 are formed. Moreover, you may form the two heat exchange body deformation | transformation control parts 34 and 35 integrally.

  The flow of the heat medium in the heat exchanger part of the artificial lung 1 of this embodiment will be described with reference to FIGS. The heat medium that has flowed into the artificial lung from the heat medium inflow port 28 passes through the first header 22 and flows into the inflow side heat medium chamber 41. Then, it passes through the medium inflow side passage 37 formed by the inflow chamber side opening 33a of the cylindrical heat medium chamber forming member 32 and the contact portion of the heat exchange body deformation regulating portions 34 and 35, and the heat exchange body 31 and It flows between the heat exchange body deformation restricting portions 34 and 35. At this time, the heat exchanger 31 is heated or cooled by the heat medium.

  The heat medium passes through the medium outflow side passage 38 formed by the abutting portions of the heat exchanger deformation restricting portions 34 and 35 and the outflow chamber side opening 33b of the cylindrical heat medium chamber forming member 32, thereby forming the cylinder. It flows out into the outflow side heat medium chamber 42 in the cylindrical heat medium chamber forming member 32. Then, it passes through the inside of the first header 22 and flows out from the heat medium outflow port 29.

Next, the blood flow in the artificial lung 1 will be described.
In this artificial lung 1, blood that flows in (circulates) from the blood inflow port 24 is in the blood guiding portion 56 that constitutes a part of the first blood chamber 11 between the cylindrical core 5 and the cylindrical heat exchanger portion. , Flows between the cylindrical core 5 and the cylindrical heat exchanger, and then flows out of the cylindrical core 5 through the opening 52 formed at a position facing the first blood guiding portion 56.

  After the blood flowing out from the cylindrical core 5 flows into the plurality of grooves 51 formed on the outer surface of the cylindrical core 5 located between the inner surface (inner peripheral portion 15) of the hollow fiber membrane bundle 3 and the cylindrical core 5. And flows between the hollow fiber membrane bundles 3. In the artificial lung 1, a number of grooves 51 are formed so as to extend over almost the entire portion of the hollow fiber membrane bundle 3 that contributes to gas exchange (effective length, a portion that is not buried in the partition wall). The entire bundle 3 can be dispersed, the entire hollow fiber membrane can be used effectively, and the gas exchange ability is high.

  Then, after the blood contacts the hollow fiber membrane and gas exchange is performed, the blood flows into the second blood chamber 12 formed between the cylindrical housing body 21 and the outer surface of the hollow fiber membrane (the outer surface of the hollow fiber membrane bundle 3). To do. At this time, bubbles in the blood are captured by the filter member 6 as described above, and finally enter the lumen of the hollow fiber membrane 3a.

  The blood that has flowed into the second blood chamber 12 flows out (circulates) from the blood outflow port 25. Further, the oxygen-containing gas flowing in from the gas inflow port 26 passes through the first header 22, flows into the hollow fiber membrane from the partition wall end face, passes through the second header 23, and flows out from the gas outflow port 27. .

  In addition, as a material for forming the members excluding the heat exchanger 31 such as the cylindrical housing body 21, the cylindrical core 5, the first and second headers 22 and 23, polyolefin (for example, polyethylene, polypropylene), ester resin (For example, polyethylene terephthalate), styrene resin (for example, polystyrene, MS resin, MBS resin), polycarbonate, and the like can be used.

  The blood contact surface of the artificial lung 1 is preferably an antithrombotic surface. An antithrombotic surface can be formed by coating an antithrombotic material on the surface and further fixing. As the antithrombotic material, heparin, urokinase, HEMA-St-HEMA copolymer, poly-HEMA and the like can be used.

Second Embodiment
FIG. 6 is a cross-sectional view showing an oxygenator according to the second embodiment (reference example).

  Hereinafter, the second embodiment of the oxygenator will be described with reference to this figure, but the description will focus on the differences from the above-described embodiment, and the description of the same matters will be omitted.

  This embodiment is the same as the first embodiment except that the installation location of the filter member is different.

  As shown in FIG. 6, the filter member 6 is provided midway in the thickness (thickness) direction (radial direction) of the cylindrical hollow fiber membrane bundle 3. That is, the filter member 6 is provided between the outer layer (outer layer 18) and the inner layer (inner layer 19) of the cylindrical hollow fiber membrane bundle 3.

  Further, the outer peripheral portion 62 and the inner peripheral portion 61 of the filter member 6 are in contact with the outer layer 18 and the inner layer 19, respectively. That is, the filter member 6 is sandwiched between the outer layer 18 and the inner layer 19.

  With the filter member 6 installed in this manner, it is possible to reliably capture bubbles in the blood flowing from the first blood chamber 11 into the cylindrical hollow fiber membrane bundle 3. It is possible to reliably prevent the liquid from flowing out.

  In addition, the filter member 6 is not limited to being provided in the middle of the cylindrical hollow fiber membrane bundle 3, and for example, a plurality of filter members 6 may be provided.

  Although the illustrated embodiment of the oxygenator of the present invention has been described above, the present invention is not limited to this, and each component constituting the oxygenator has an arbitrary configuration that can exhibit the same function. Can be substituted. Moreover, arbitrary components may be added.

DESCRIPTION OF SYMBOLS 1 Artificial lung 2 Housing 3 Cylindrical hollow fiber membrane bundle 3a Hollow fiber membrane 3b Crossing part 5 Cylindrical core 6 Filter member 8, 9 Separator 11 1st blood chamber 12 2nd blood chamber 15 Inner peripheral part 16 Inner 17 Outer part Portion 18 Outer layer 19 Inner layer 21 Tubular housing body 22 First header 22a Heat medium chamber forming member connecting portion 22b Partition portion 23 Second header 23a Heat medium chamber forming member connecting portion 24 Blood inflow port 25 Blood outflow port 26 Gas inflow Port 27 Gas outflow port 28 Heat medium inflow port 29 Heat medium outflow port 31 Cylindrical heat exchanger 32 Cylindrical heat medium chamber forming member 32a Partition wall 33a First opening 33b Second opening 34, 35 Cylindrical heat exchanger Deformation restricting portion 36a, 36b Protrusion 37 Medium inflow side passage 38 Medium outflow side passage 40 Inflow opening 41 Inflow side heat medium chamber 42 Flow Side heat medium chamber 43 Outflow opening 48 Ring-shaped heat exchanger fixing member 49 Cylindrical heat exchanger fixing member 51 Groove 52 Blood flow opening 53 Annular rib 54 Groove non-forming part 55 Donut plate-like protrusion 56 Blood guidance Part 61 Inner periphery 62 Outer periphery

Claims (8)

A heat exchanger section;
A hollow fiber membrane bundle in which a large number of hollow fiber membranes having a gas exchange function are integrated,
A filter member provided in contact with the outer peripheral portion of the hollow fiber membrane bundle and having a function of capturing bubbles;
A housing that houses the heat exchanger section, the hollow fiber membrane bundle, and the filter member;
A gas inflow portion and a gas outflow portion communicating with each other via the lumen of the hollow fiber membrane;
It has a blood inflow part and a blood outflow part through which blood flows,
The blood flowing in from the blood inflow part is configured to pass through the heat exchanger part, the hollow fiber membrane bundle, and the filter member in this order and be discharged from the blood outflow part. Artificial lung. The heat exchanger part has a cylindrical shape as a whole,
The artificial lung according to claim 1, wherein the hollow fiber membrane bundle is provided so as to surround the periphery of the heat exchanger section.   The oxygenator according to claim 1 or 2, wherein the filter member covers substantially the entire outer peripheral portion of the hollow fiber membrane bundle.   The artificial lung according to any one of claims 1 to 3, wherein a gap is formed between the filter member and the housing. The blood inflow portion has an inflow opening that opens on the inner peripheral side of the hollow fiber membrane bundle,
The blood outflow portion has an outflow opening that opens on the outer peripheral side of the hollow fiber membrane bundle,
The artificial lung according to any one of claims 1 to 4, wherein blood is passed through from the inner peripheral side to the outer peripheral side of the hollow fiber membrane bundle.   The artificial lung according to any one of claims 1 to 5, wherein the filter member has hydrophilicity.   The artificial lung according to claim 1, wherein the filter member has a mesh shape.   The artificial lung according to claim 7, wherein the opening of the filter member is 50 μm or less.

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