CN102608336A - Disposable transfusion and cross matching experiment combiner - Google Patents
Disposable transfusion and cross matching experiment combiner Download PDFInfo
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- CN102608336A CN102608336A CN2011100217931A CN201110021793A CN102608336A CN 102608336 A CN102608336 A CN 102608336A CN 2011100217931 A CN2011100217931 A CN 2011100217931A CN 201110021793 A CN201110021793 A CN 201110021793A CN 102608336 A CN102608336 A CN 102608336A
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- 238000002474 experimental method Methods 0.000 title claims abstract description 19
- 210000004369 blood Anatomy 0.000 claims abstract description 51
- 239000008280 blood Substances 0.000 claims abstract description 51
- 238000012360 testing method Methods 0.000 claims abstract description 29
- 229920003023 plastic Polymers 0.000 claims abstract description 11
- 239000002985 plastic film Substances 0.000 claims abstract description 4
- 229920001651 Cyanoacrylate Polymers 0.000 claims description 4
- 239000004830 Super Glue Substances 0.000 claims description 4
- 239000000463 material Substances 0.000 abstract 1
- 210000000601 blood cell Anatomy 0.000 description 13
- 210000002966 serum Anatomy 0.000 description 12
- 230000004520 agglutination Effects 0.000 description 9
- 206010018910 Haemolysis Diseases 0.000 description 6
- 239000006285 cell suspension Substances 0.000 description 6
- 230000008588 hemolysis Effects 0.000 description 6
- 239000002775 capsule Substances 0.000 description 4
- 239000004033 plastic Substances 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000011521 glass Substances 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000005070 sampling Methods 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 238000009534 blood test Methods 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 230000037029 cross reaction Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000010137 moulding (plastic) Methods 0.000 description 1
- 239000000376 reactant Substances 0.000 description 1
- 239000006228 supernatant Substances 0.000 description 1
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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
- A61M1/02—Blood transfusion apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/60—General characteristics of the apparatus with identification means
- A61M2205/6009—General characteristics of the apparatus with identification means for matching patient with his treatment, e.g. to improve transfusion security
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Investigating Or Analysing Biological Materials (AREA)
Abstract
本发明涉及医疗实验器材,是一种一次性输血交叉配血实验组合器,它具有透明塑料小试管,在小试管的上口同时对接有两根加样管,且在小试管上部通过小料管叉接有一透明塑料薄膜囊;本发明解决了现有输血交叉配血实验尚无专用器具,采用普通试管操作非常复杂繁琐,且容易出错的问题,本发明主要用于各类医院输血科﹑中心血站﹑临床化验室等为输血的病人作配血交叉实验。
The invention relates to medical experiment equipment, which is a disposable blood transfusion cross-matching experimental combiner, which has a small transparent plastic test tube, and two sample tubes are connected to the upper opening of the small test tube at the same time, and the small material is passed through the upper part of the small test tube. There is a transparent plastic film bag in the cross-connection of the tube; the present invention solves the problem that the existing blood transfusion cross-matching experiment has no special equipment, and the operation using ordinary test tubes is very complicated and cumbersome, and it is easy to make mistakes. The present invention is mainly used in blood transfusion departments of various hospitals. The central blood station, clinical laboratory, etc. conduct cross-matching experiments for blood transfusion patients.
Description
(一)技术领域:本发明涉及医疗实验器材,尤其是一种一次性输血交叉配血实验组合器。 (1) Technical field: the present invention relates to medical experiment equipment, especially a kind of disposable blood transfusion cross-matching experimental combiner. the
(二)背景技术:到目前为止,各级医院输血科要做输血交叉配血实验均是根据安全输血的原则,申请 ABO血型和 RH血型相同型的血源(如A型RH阳性患者需输血则必须寻求A型RH阳性的供血者),将输血者和受血者的血球和血清分别进行分离﹑互相交叉让其在试管内反应再观察其溶血凝集现象,判断能否实施安全输血,即进行交叉配血实验。在现有技术中,输血交叉配血实验还尚无专用器具,通常是采用普通试管来进行实验,这种实验如一位病人只输一人份血,则他们应取主﹑次两个试管分别加入:受血者血清+供血者血球(主管):受血者血球+供血者血清(次管)。25~30℃,5~10分钟离心取出肉眼观察有无溶血和凝集现象,再将叉后血液滴入玻片上用显微镜观察有无凝集现象,最后报主﹑次管有无溶血和凝集现象,结论“相符”或“不相符”,来判断可否输入此供血者的血液。 (2) Background technology: So far, blood transfusion departments of hospitals at all levels have done blood transfusion cross-matching experiments based on the principle of safe blood transfusion, applying for blood sources with the same type of ABO blood type and RH blood type (such as type A RH positive patients need blood transfusions) Then you must seek a type A RH-positive blood donor), separate the blood cells and serum of the blood transfusion recipient and the blood recipient, cross each other and let them react in the test tube, then observe the hemolysis and agglutination phenomenon, and judge whether the safe blood transfusion can be implemented, that is, Perform a cross-matching experiment. In the prior art, there is no special equipment for blood transfusion cross-matching experiments, and ordinary test tubes are usually used for experiments. If a patient only transfused blood for one person, they should take the primary and secondary test tubes and add them respectively. : Recipient's serum + blood donor's blood cells (main tube): Recipient's blood cells + blood donor's serum (secondary tube). Centrifuge at 25-30°C for 5-10 minutes and take it out to observe with the naked eye whether there is hemolysis and agglutination, then drop the blood after the fork into a glass slide and observe whether there is agglutination with a microscope, and finally report whether there is hemolysis and agglutination in the primary and secondary tubes, The conclusion is "consistent" or "inconsistent" to judge whether the blood of this blood donor can be transfused. the
如果受血者需要大量输血(两人份以上)供血者血液的情况下,其输血前所做的交叉配血实验就更为复杂。例如二叉一就需要六支试管(因为每位供血者与受血者之间以及每位供血者之间都要进行交叉配血实验),如果受血者需要三叉一时,那要十二支试管,从编号到加样反复多次加受血者之间的血球和血清,反复的隔位加样(仅加样这一任务操作者用加样器给每支试管加血球和血清各一次,则十二支试管要加样24次,而且还要把血球和血清按配对错位的方式加到主管和次管,可见其操作是非常复杂繁琐的),因此需要多位供血液的,此交叉实验全程更为复杂繁琐且易出错。 If the blood recipient needs a large number of blood transfusions (more than two parts) of the donor's blood, the cross-matching test before the blood transfusion is more complicated. For example, two-fork one needs six test tubes (because cross-matching experiments are performed between each blood donor and blood recipient and between each blood donor), and if the blood recipient needs three-fork one, twelve test tubes are needed. Repeatedly add blood cells and serum between blood recipients from numbering to sample addition, and repeatedly add samples at intervals (only for the task of adding samples, the operator uses the sampler to add blood cells and serum to each test tube once, then Twelve test tubes need to be sampled 24 times, and blood cells and serum should be added to the main tube and the secondary tube in a paired and misplaced manner, which shows that the operation is very complicated and cumbersome), so multiple blood suppliers are required. complex and error-prone. the
(三)发明内容:本发明的目的就是要解决现有输血交叉配血实验尚无专用器具,采用普通试管进行实验,操作非常复杂繁琐,且容易出错的问题,提供一种一次性输血交叉配血实验组合器。 (3) Contents of the invention: The purpose of the present invention is to solve the problem that there is no special equipment for the existing blood transfusion cross-matching experiment, and the experiment is carried out with ordinary test tubes, the operation is very complicated and cumbersome, and it is easy to make mistakes. It provides a one-time blood transfusion cross-matching Blood test combiner. the
本发明的具体方案是:设计有有透明塑料小试管,其特征是:在小试管的上口同时对接有两根加样管,且在小试管的上部通过小料管叉接有一透明塑料薄膜囊。 The specific scheme of the present invention is: a small transparent plastic test tube is designed, and it is characterized in that: two sample feeding tubes are docked at the upper opening of the small test tube at the same time, and a transparent plastic film is cross-connected on the upper part of the small test tube through a small feeding tube bag. the
本发明中所述两根加样管与小试管是成形一体或采用螺纹结构对接或强力胶对接。其中采用螺纹结构对接或强力胶对接具有较好的工艺性。 In the present invention, the two sample adding tubes and the small test tube are integrally formed or connected by thread structure or superglue. Among them, the use of threaded structure butt joints or superglue butt joints has better manufacturability. the
为了在操作中方便快速区别两根加样管,本发明中所述两根加样管设计为一长一短。 In order to conveniently and quickly distinguish the two sample tubes during operation, the two sample tubes in the present invention are designed as one long and one short. the
还可以将所述两根加样管的头部截面形状设计为两种不同的形状。 It is also possible to design the cross-sectional shapes of the heads of the two sample feeding tubes into two different shapes. the
从制造工艺角度考虑,本发明中所述两根加样管的头部截面形状一根为圆形,另一根为正方形;或一根为椭圆形,另一根为正方形;或一根为圆形,另一根为长方形。 From the perspective of manufacturing technology, one of the head cross-sectional shapes of the two sample feeding tubes described in the present invention is circular and the other is square; or one is oval and the other is square; or one is One is round and the other is rectangular. the
本发明结构简单,制造成本低,一次性使用,安全可靠,应用本发明进行输血交叉配血实验,方便﹑快捷,不易出错;并且由于本发明设计有透明塑料簿膜囊,可直接使用显微镜进行 观察每个交叉反应,有无细小凝集等不良反应,省掉了每支玻试管转玻片的往返取样时间或被感染的可能性。 The present invention has simple structure, low manufacturing cost, one-time use, safety and reliability, and the application of the present invention to carry out blood transfusion cross-matching experiment is convenient, fast and less prone to error; and because the present invention is designed with a transparent plastic film capsule, it can be directly performed by microscope Observe each cross-reaction, whether there are adverse reactions such as small agglutination, which saves the round-trip sampling time for each glass test tube to slide or the possibility of infection. the
(四)附图说明: (4) Description of the drawings:
图1是本发明的结构示意图; Fig. 1 is a structural representation of the present invention;
图2是采用本发明进行一叉一实验的结合使用状态图; Fig. 2 is a combined use state diagram of carrying out one-fork-one experiment by adopting the present invention;
图3是采用本发明进行二叉一实验的结合使用状态图。 Fig. 3 is a combined use state diagram of the binary-one experiment carried out by the present invention.
图中:1-加样管,2-加样管,3-簿膜囊,4-小料管,5-小试管。 Among the figure: 1-sample feeding tube, 2-sample feeding tube, 3-film capsule, 4-small feed tube, 5-small test tube. the
(五)具体实施方式: (5) Specific implementation methods:
参见图1,本发明采用透明塑料成型的小试管5,在小试管5上口对接有两根加样管1和2,其中加样管1的头部截面为正方形,加样管2的头部截面为圆形,以示区别;两根加样管1和2的头部还可以制成两种互不相同的其他截面形状,如圆形和长方形,长方形和正方形,椭圆形和正方形,六角形和长方形等各种配合。还可以将两根加样管制成一长一短以示区别。当然两根加样管制成截面相同,长短一致也是可行的,操作时适当小心即可,或在加样管上做出不同标记也是较好的方法。本发明中小试管5的上部还设计成型有一小料管4通往外部,小料管4外端粘接有一个小塑料透明簿膜囊3,即构成本发明。
Referring to Fig. 1, the present invention adopts the
本发明中的两根加样管1和2可以与小试管5一次成型,还可以分别成型后采用螺纹结构对接,或强力胶对接一体。
The two
本发明的使用说明如下: The instructions for use of the present invention are as follows:
1.一叉一实验(受血者只需一位供血者血液时): 1. One-fork-one experiment (when the recipient only needs blood from one donor):
取一次性输血交叉配血实验组合器两只,将两只组合器的四根加样管按图2分两组交叉排列,并用皮筋两两组合一起,其中两圆形头加样管为加血球悬液管,两方形头加样管为加血清管;其中一小试管为主管,另一小试管为次管;然后在主管中加入受血者血清和供血者血球悬液,在次管中加受血者血球悬液和供血者血清。再进行以下操作: Take two disposable blood transfusion cross-matching experimental combiners, arrange the four sample tubes of the two combiners in two groups according to Figure 2, and combine them in pairs with rubber bands. Blood cell suspension tube, the two square-head sample tubes are serum tubes; one of the small test tubes is the main tube, and the other small test tube is the secondary tube; then add the recipient's serum and blood cell suspension into the primary tube, and add the blood cell suspension in the secondary tube Add blood recipient's blood cell suspension and blood donor serum. Then do the following:
(1)、把以上两塑管内交叉物混匀放入25℃温箱反应5~10分钟; (1) Mix the above two plastic tubes and place them in an incubator at 25°C for 5-10 minutes;
(2)、取出低速离心2分钟,取出分别观察上清液,有无溶血,凝集现象; (2) Take out and centrifuge at low speed for 2 minutes, take out and observe the supernatant, whether there is hemolysis or agglutination;
(3)、若无溶血,无凝集现象,则将塑管反应物摇匀轻推入反应囊中。以显微镜观察,有无细小凝集现象; (3) If there is no hemolysis and no agglutination, shake the plastic tube reactant and gently push it into the reaction capsule. Observe with a microscope to see if there is any fine agglutination;
(4)、以上均无溶血,无凝集现象,结论“符合”报告;否则出“不符合”报告。 (4) There is no hemolysis or agglutination in the above, and the conclusion is reported as "conforming"; otherwise, a report of "not conforming" will be issued.
2.二叉一实验(受血者需两位供血者血液时): 2. Binary one experiment (when the recipient needs blood from two donors):
取一次性输血交叉配血实验组合器9只,将9只组合器的18根加样管按图3分六组交叉排列,并用皮筋分组组合。并做A、B、C和A'、B'、C'编号。然后向A号三根加样管灌入受血者血球悬液,向B号三根加样管灌入第一位供血者血球悬液,向C号三根加样管灌入第二位供血者血球悬液;再向A'号三根加样管灌入受血者血液,向B'号三根加样管灌入第一位供血者的血清,向C'号三根加样管灌入第二位供血者的血清。后续操作及给出报告同一叉一实验。 Take 9 disposable blood transfusion cross-matching experimental combiners, arrange the 18 sample tubes of the 9 combiners in six groups according to Figure 3, and group them with rubber bands. And do A, B, C and A', B', C' numbers. Then pour the recipient's blood cell suspension into the three sample tubes of A, pour the first donor's blood cell suspension into the three sample tubes of B, and pour the second donor's blood cells into the three sample tubes of C Then pour the recipient's blood into the three sample tubes of A', pour the serum of the first blood donor into the three tubes of B', and pour the serum of the second donor into the three tubes of C'. Blood donor serum. Subsequent operations and reports are the same as for an experiment.
the
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CN201110021793.1A CN102608336B (en) | 2011-01-19 | 2011-01-19 | Disposable transfusion and cross matching experiment combiner |
CN2011800434378A CN103299194A (en) | 2011-01-19 | 2011-12-12 | Blood matching unit and combiner for disposable blood transfusion and cross matching experiment |
PCT/CN2011/002082 WO2012097494A1 (en) | 2011-01-19 | 2011-12-12 | Blood matching unit and combiner for disposable blood transfusion and cross matching experiment |
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CN201110021793.1A CN102608336B (en) | 2011-01-19 | 2011-01-19 | Disposable transfusion and cross matching experiment combiner |
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CN102608336A true CN102608336A (en) | 2012-07-25 |
CN102608336B CN102608336B (en) | 2014-12-24 |
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CN2011800434378A Pending CN103299194A (en) | 2011-01-19 | 2011-12-12 | Blood matching unit and combiner for disposable blood transfusion and cross matching experiment |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104614538A (en) * | 2015-02-13 | 2015-05-13 | 刘大基 | Multifunctional disposable transfusion and cross blood-matching test combiner |
CN109283037A (en) * | 2018-09-03 | 2019-01-29 | 万峰春 | A kind of crossmatch verifying attachment |
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CN108593942B (en) * | 2018-04-17 | 2020-09-08 | 杭州电子科技大学 | A method of cross-matching |
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- 2011-01-19 CN CN201110021793.1A patent/CN102608336B/en not_active Expired - Fee Related
- 2011-12-12 WO PCT/CN2011/002082 patent/WO2012097494A1/en active Application Filing
- 2011-12-12 CN CN2011800434378A patent/CN103299194A/en active Pending
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Also Published As
Publication number | Publication date |
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WO2012097494A1 (en) | 2012-07-26 |
CN102608336B (en) | 2014-12-24 |
CN103299194A (en) | 2013-09-11 |
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