CN106581792B - Device for realizing flow balance control by using flow balance type peristaltic pump - Google Patents
Device for realizing flow balance control by using flow balance type peristaltic pump Download PDFInfo
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- 210000004369 blood Anatomy 0.000 claims abstract description 60
- 238000000746 purification Methods 0.000 claims abstract description 14
- 230000033001 locomotion Effects 0.000 claims abstract description 4
- 238000000108 ultra-filtration Methods 0.000 claims description 32
- 239000012530 fluid Substances 0.000 claims description 28
- 238000010790 dilution Methods 0.000 claims description 7
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- 238000005516 engineering process Methods 0.000 description 8
- 239000002699 waste material Substances 0.000 description 8
- 230000017531 blood circulation Effects 0.000 description 5
- 238000001631 haemodialysis Methods 0.000 description 5
- 230000000322 hemodialysis Effects 0.000 description 5
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 5
- 230000033228 biological regulation Effects 0.000 description 4
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- 206010029803 Nosocomial infection Diseases 0.000 description 2
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- 239000000463 material Substances 0.000 description 2
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- 230000004087 circulation Effects 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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/247—Positive displacement blood pumps
- A61M60/253—Positive displacement blood pumps including a displacement member directly acting on the blood
- A61M60/268—Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
- A61M60/279—Peristaltic pumps, e.g. roller pumps
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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
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1601—Control or regulation
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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
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1621—Constructional aspects thereof
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/10—Location thereof with respect to the patient's body
- A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
- A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
- A61M60/113—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems in other functional devices, e.g. dialysers or heart-lung machines
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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
- A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
- A61M60/20—Type thereof
- A61M60/247—Positive displacement blood pumps
- A61M60/253—Positive displacement blood pumps including a displacement member directly acting on the blood
- A61M60/268—Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04B—POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
- F04B23/00—Pumping installations or systems
- F04B23/04—Combinations of two or more pumps
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04B—POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
- F04B43/00—Machines, pumps, or pumping installations having flexible working members
- F04B43/12—Machines, pumps, or pumping installations having flexible working members having peristaltic action
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Abstract
本发明涉及一种用于血液净化的流量平衡式蠕动泵,包括基座、上盖、第一泵管、第二泵管、泵头、两个平衡腔体、隔膜;盖在基座上的上盖转动式安装在基座上,基座的内部设有泵头槽,沿着纵向方向设置的泵头置于泵头槽内,上盖上设有用于盖住泵头的泵头盖,第一泵管和第二泵管沿着横向方向放置在基座内,第一泵管的一部分和第二泵管的一部分均压在泵头的圆周侧面上,泵头的两侧设有用于限制第一泵管和第二泵管移动的限位片,平衡腔体内设有将平衡腔体分为第一空腔和第二空腔的隔膜,第一泵管与第一空腔相通,第二泵管与第二空腔相通,两个平衡腔体分居泵头的两边。该平衡式蠕动泵具有流量平衡功能,属于血液净化的技术领域。
The invention relates to a flow-balanced peristaltic pump for blood purification, comprising a base, an upper cover, a first pump tube, a second pump tube, a pump head, two balance cavities and a diaphragm; The upper cover is rotatably installed on the base, the inside of the base is provided with a pump head groove, the pump head arranged along the longitudinal direction is placed in the pump head groove, and the upper cover is provided with a pump head cover for covering the pump head, The first pump tube and the second pump tube are placed in the base along the lateral direction, and a part of the first pump tube and a part of the second pump tube are both pressed on the circumferential side of the pump head, and both sides of the pump head are provided with A limit piece that restricts the movement of the first pump tube and the second pump tube, the balance cavity is provided with a diaphragm that divides the balance cavity into a first cavity and a second cavity, and the first pump tube communicates with the first cavity, The second pump tube communicates with the second cavity, and the two balance cavities are located on two sides of the pump head. The balanced peristaltic pump has a flow balance function and belongs to the technical field of blood purification.
Description
技术领域technical field
本发明涉及血液净化的技术领域,尤其涉及一种用于血液净化的流量平衡式蠕动泵。The present invention relates to the technical field of blood purification, in particular to a flow-balanced peristaltic pump for blood purification.
背景技术Background technique
血液净化技术包括血液透析、滤过、吸附、血浆置换等,以血液透析应用最为普遍。血液净化的一种重要任务是精确清除患者体内多余的水分,称为超滤。在技术上,超滤的实现通过控制两路液体的流量来完成,两路流量的控制分两个部分来实现,即“平衡系统+超滤泵”结构。申请号200610054252.8发明专利记载了一种血液净化用容量平衡及超滤装置;申请号201210403479.4发明专利记载了一种平衡泵,申请号201210403480.7的发明专利记载了一种连续流量平衡装置;它们的一些共同特点是:1,安装于复杂的血液透析设备内部的水路结构中;2,需要庞大复杂的机械和电气部件;3,仅适用于流过透析液而不能流过人体血液;4,管路非一次性使用,每次使用后需要消毒清洗。Blood purification technologies include hemodialysis, filtration, adsorption, plasma exchange, etc., among which hemodialysis is the most common application. An important task of blood purification is the precise removal of excess water from the patient's body, known as ultrafiltration. Technically, the realization of ultrafiltration is accomplished by controlling the flow of two-way liquid, and the control of two-way flow is realized in two parts, that is, the structure of "balanced system + ultrafiltration pump". The patent application No. 200610054252.8 describes a volume balance and ultrafiltration device for blood purification; the patent application No. 201210403479.4 describes a balancing pump, and the patent application No. 201210403480.7 describes a continuous flow balancing device; some of their common The characteristics are: 1. It is installed in the water circuit structure inside the complex hemodialysis equipment; 2. It requires huge and complex mechanical and electrical components; 3. It is only suitable for flowing through the dialysate but not human blood; 4. The pipeline is not One-time use, need to be sterilized and cleaned after each use.
适合流过人体血液、结构简单、可一次性使用的泵体,最普遍的就是滚轮式(或滚子式)蠕动泵,几乎所有血液净化设备中都有使用,但是这些蠕动泵的作用只是提供动力,而不能实现流量平衡,各类连续性血液净化设备(CRRT)就是只使用了普通蠕动泵,其液体平衡控制只能通过电子称或计量袋来实现,电子称方式占用较大空间,使用要求苛刻。The pump body that is suitable for flowing human blood, has a simple structure and can be used for one time, the most common is the roller type (or roller type) peristaltic pump, which is used in almost all blood purification equipment, but the function of these peristaltic pumps is only to provide Power, but can not achieve flow balance, all kinds of continuous blood purification equipment (CRRT) only use ordinary peristaltic pumps, and its liquid balance control can only be achieved through electronic scales or measuring bags, electronic weighing methods take up a lot of space, use demanding.
发明内容SUMMARY OF THE INVENTION
针对现有技术中存在的不足之处,本发明的第一目的是:提供一种用于血液净化的流量平衡式蠕动泵,该平衡式蠕动泵具有流量平衡功能,能建立起超滤所需的流量平衡系统。In view of the deficiencies existing in the prior art, the first object of the present invention is to provide a flow-balanced peristaltic pump for blood purification, which has a flow-balanced function and can establish the requirements for ultrafiltration. flow balancing system.
本发明的第二目的是提供一种利用平衡式蠕动泵实现流量平衡控制的装置,该装置可用于透析液流量平衡和血液流量平衡。The second object of the present invention is to provide a device for realizing flow balance control using a balanced peristaltic pump, which can be used for dialysate flow balance and blood flow balance.
本发明的第三目的是提供一种利用平衡式蠕动泵实现流量平衡控制的装置,可实现在血液透析滤过治疗时不需要电子称就能完成液体总量控制的治疗效果。The third object of the present invention is to provide a device for realizing flow balance control by using a balanced peristaltic pump, which can achieve the therapeutic effect of controlling the total amount of liquid without an electronic scale during hemodiafiltration treatment.
为了达到上述目的,本发明采用如下技术方案:In order to achieve the above object, the present invention adopts the following technical solutions:
一种用于血液净化的流量平衡式蠕动泵,包括基座、上盖、第一泵管、第二泵管、泵头、两个平衡腔体;盖在基座上的上盖转动式安装在基座上,基座的内部设有泵头槽,沿着横向方向设置的泵头置于泵头槽内,上盖上设有用于盖住泵头的泵头盖,第一泵管和第二泵管沿着纵向方向放置在基座内,第一泵管的一部分和第二泵管的一部分均压在泵头的圆周侧面上,泵头的两侧设有用于限制第一泵管和第二泵管移动的限位片,两个平衡腔体均设置在第一泵管和第二泵管上,每个平衡腔体内设有将平衡腔体分为第一空腔和第二空腔的隔膜,第一泵管与第一空腔相通,第二泵管与第二空腔相通,两个平衡腔体分居泵头的两边。A flow-balanced peristaltic pump for blood purification, comprising a base, an upper cover, a first pump tube, a second pump tube, a pump head, and two balance cavities; the upper cover covered on the base is rotatably installed On the base, a pump head groove is arranged inside the base, the pump head arranged along the lateral direction is placed in the pump head groove, the upper cover is provided with a pump head cover for covering the pump head, the first pump tube and The second pump tube is placed in the base along the longitudinal direction, and a part of the first pump tube and a part of the second pump tube are both pressed on the circumferential side of the pump head. A limit piece that moves with the second pump tube, two balance chambers are arranged on the first pump tube and the second pump tube, and each balance chamber is provided with a balance chamber that divides the balance chamber into a first cavity and a second For the diaphragm of the cavity, the first pump tube communicates with the first cavity, the second pump tube communicates with the second cavity, and the two balance cavities are located on both sides of the pump head.
进一步的是:泵头内设有4个沿着圆周方向均匀布置的滚轮。当泵头转动时,滚轮按顺序依次滚压泵管,驱动泵管内的液体向前流动,并确保任何时刻都至少有一个滚轮在压住泵管,以防止液体回流。Further, there are 4 rollers evenly arranged in the circumferential direction in the pump head. When the pump head rotates, the rollers roll the pump tube in sequence, drive the liquid in the pump tube to flow forward, and ensure that at least one roller presses the pump tube at any time to prevent the liquid from flowing back.
进一步的是:基座内设有平衡腔体卡槽,平衡腔体置于平衡腔体卡槽内。使得平衡腔体不容易晃动。Further, the base is provided with a balance cavity clamping slot, and the balance cavity is placed in the balance cavity clamping slot. It makes the balance cavity not easy to shake.
进一步的是:基座内设有用于放置第一泵管所在的第一管路和第二泵管所在的第二管路的管路卡槽,管路卡槽的一端与泵头槽相接,管路卡槽的另一端位于基座的端部;上盖上设有与管路卡槽相适应的缺口槽。缺口槽防止上盖盖住基座时,上盖会压迫第一泵管和第二泵管。管路卡槽用于固定第一管路和第二管路,使得第一管路和第二管路不容易晃动。Further: the base is provided with a pipeline slot for placing the first pipeline where the first pump tube is located and the second pipeline where the second pump tube is located, and one end of the pipeline slot is connected to the pump head slot , the other end of the pipeline clamping slot is located at the end of the base; the upper cover is provided with a notch slot which is adapted to the pipeline clamping slot. The notched groove prevents the top cover from compressing the first and second pump tubes when the top cover covers the base. The pipeline clamping groove is used to fix the first pipeline and the second pipeline, so that the first pipeline and the second pipeline are not easy to shake.
进一步的是:上盖上设有定位柱,基座的相应位置上设有定位孔;定位孔处设有位置开关。能保证上盖和基座准确的配合,确保基座和上盖内的部件准确地配合在一起。当上盖的两个定位柱位于基座的两个定位孔内时,才能触发位置开关动作,则能够检测到上盖是否盖合完好,在没有盖合完好的情形下泵头禁止工作。Further, a positioning column is arranged on the upper cover, a positioning hole is arranged at a corresponding position of the base, and a position switch is arranged at the positioning hole. It can ensure that the upper cover and the base are accurately matched, and ensure that the base and the components in the upper cover are accurately matched together. When the two positioning columns of the upper cover are located in the two positioning holes of the base, the position switch action can be triggered, and it can be detected whether the upper cover is fully closed.
进一步的是:上盖上设有锁扣柱,基座上设有锁扣。上盖盖在基座上时,锁扣扣在锁扣柱上,从而将上盖和基座紧固在一起。Further, the upper cover is provided with a lock post, and the base is provided with a lock. When the upper cover is placed on the base, the lock catches on the lock post, so as to fasten the upper cover and the base together.
进一步的是:锁扣包括一体形成的转动杆和弯折杆,转动杆转动式地安装在基座上,弯折杆上设有扣在锁扣柱上的缺口。锁扣柱和锁扣结构简单,使用方便。Further, the lock includes an integrally formed rotating rod and a bending rod, the rotating rod is rotatably mounted on the base, and the bending rod is provided with a notch which is buckled on the locking rod. The lock post and the lock are simple in structure and easy to use.
进一步的是:泵头盖上设有盖槽,盖槽的截面形状呈弧形;盖槽所对应的轴线和泵头所对应的轴线在同一直线上。上盖盖在基座上时,在泵头槽和盖槽的共同作用下,泵头只能转动,而不能在横向方向上发生位移,两条泵管内液体所获得的驱动力相等,是第一泵管和第二泵管实现流量平衡的一个重要条件。Further, the pump head cover is provided with a cover groove, and the cross-sectional shape of the cover groove is arc-shaped; the axis corresponding to the cover groove and the axis corresponding to the pump head are on the same straight line. When the upper cover is placed on the base, under the combined action of the pump head groove and the cover groove, the pump head can only rotate, but cannot be displaced in the lateral direction, and the driving force obtained by the liquid in the two pump pipes is equal, which is the first An important condition for achieving flow balance between the first pump tube and the second pump tube.
一种利用蠕动泵实现流量平衡控制的装置,包括平衡式蠕动泵、透析器、置换液袋、第一加压泵、超滤泵、第二加压泵、第一压力监测器和第二压力监测器;蠕动泵的第一泵管的一端通过管道与置换液袋相接,蠕动泵的第一泵管的另一端通过管道与透析器相接,蠕动泵的第二泵管的一端通过管道与透析器相接,蠕动泵的第二泵管的另一端通过管道排出废液;第一加压泵设置在置换液袋和第一泵管之间的管道上,第二加压泵设置在透析器和第二泵管之间的管道上,超滤泵设置在透析器和第二加压泵之间的管道上,第一压力监测器设置在第一加压泵和第一泵管之间的管道上,第二压力监测器设置在第二加压泵和第二泵管之间的管道上。该装置可用于血液透析(HD),平衡式蠕动泵可建立实现超滤所需的透析液或置换液流量平衡系统。A device for realizing flow balance control using a peristaltic pump, comprising a balanced peristaltic pump, a dialyzer, a replacement fluid bag, a first pressurizing pump, an ultrafiltration pump, a second pressurizing pump, a first pressure monitor and a second pressure Monitor; one end of the first pump tube of the peristaltic pump is connected to the replacement fluid bag through the pipeline, the other end of the first pump tube of the peristaltic pump is connected to the dialyzer through the pipeline, and one end of the second pump tube of the peristaltic pump is connected through the pipeline Connected with the dialyzer, the other end of the second pump tube of the peristaltic pump discharges waste liquid through the pipeline; the first pressurized pump is arranged on the pipeline between the replacement fluid bag and the first pump tube, and the second pressurized pump is arranged on the On the pipeline between the dialyzer and the second pump tube, the ultrafiltration pump is set on the pipeline between the dialyzer and the second pressurizing pump, and the first pressure monitor is set between the first pressurizing pump and the first pump tube. The second pressure monitor is arranged on the pipe between the second pressurizing pump and the second pump pipe. The device can be used for hemodialysis (HD), and a balanced peristaltic pump can create a balance system for the flow of dialysate or replacement fluid needed to achieve ultrafiltration.
一种利用蠕动泵实现流量平衡控制的装置,包括平衡式蠕动泵、血液滤过器、置换液袋、前稀释加压泵、第一加压泵、超滤泵、第二加压泵、第一压力监测器和第二压力监测器;蠕动泵的第一泵管的一端通过管道引进血液,蠕动泵的第一泵管的另一端通过管道与血液过滤器相接,蠕动泵的第二泵管的一端通过管道与血液过滤器相接,蠕动泵的第二泵管的另一端通过管道排出血液;第一加压泵设置在用于引进血液的管道上,第二加压泵设置在血液滤过器和第二泵管之间的管道上,第一压力监测器设置在第一加压泵和第一泵管之间的管道上,第二压力监测器设置在第二加压泵和第二泵管之间的管道上;超滤泵的一端连接在第一压力监测器和第一加压泵之间管道上,超滤泵的另一端连接在第一泵管和血液过滤器之间的管道上;置换液袋通过置换液管道连接在血液过滤器和第一泵管之间的管道上,前稀释加压泵设置在置换液管道上。A device for realizing flow balance control by using a peristaltic pump, including a balanced peristaltic pump, a blood filter, a replacement fluid bag, a pre-dilution booster pump, a first booster pump, an ultrafiltration pump, a second booster pump, and a first booster pump. A pressure monitor and a second pressure monitor; one end of the first pump tube of the peristaltic pump introduces blood through the pipeline, the other end of the first pump tube of the peristaltic pump is connected to the blood filter through the pipeline, and the second pump of the peristaltic pump is connected to the blood filter through the pipeline. One end of the tube is connected with the blood filter through the pipeline, and the other end of the second pump tube of the peristaltic pump discharges blood through the pipeline; On the pipe between the filter and the second pump pipe, the first pressure monitor is arranged on the pipe between the first pressurized pump and the first pump pipe, and the second pressure monitor is provided on the second pressurized pump and the first pump pipe. On the pipeline between the second pump tubes; one end of the ultrafiltration pump is connected to the pipeline between the first pressure monitor and the first pressurizing pump, and the other end of the ultrafiltration pump is connected between the first pump tube and the blood filter The replacement fluid bag is connected to the pipeline between the blood filter and the first pump tube through the replacement fluid pipeline, and the pre-dilution and pressure pump is arranged on the replacement fluid pipeline.
总的说来,本发明具有如下优点:In general, the present invention has the following advantages:
1.本发明提供的平衡式蠕动泵可安装于方便操作的设备表面,既可以使用于透析液回路,也可以使用于人体血液回路,同时具有流量平衡功能,使用简便,管路可以一次性使用,不需要清洗。1. The balanced peristaltic pump provided by the present invention can be installed on the surface of the equipment that is easy to operate, and can be used in both the dialysate circuit and the human blood circuit. It has a flow balancing function, is easy to use, and the pipeline can be used at one time. , does not require cleaning.
2.本发明的一个特别之处是采用两条相同的泵管,第一泵管和第二泵管的大小尺寸和材质完全相同;本发明的两路液体经过同一个蠕动泵的滚轮驱动,采用相同的两条泵管,泵管的材质、内径、外径和壁厚相同,从而保证两路液体流速基本相同。2. A special feature of the present invention is to adopt two identical pump tubes, and the size and material of the first pump tube and the second pump tube are exactly the same; the two-way liquid of the present invention is driven by the rollers of the same peristaltic pump, Using the same two pump tubes, the material, inner diameter, outer diameter and wall thickness of the pump tubes are the same, so as to ensure that the liquid flow rates of the two paths are basically the same.
3.本发明的另一特别之处是与两条泵管相连的左右两个平衡腔体,液体流速既取决于泵头的转速,也跟泵管左右两边的压力有很大关系,而平衡腔体中间由弹性软隔膜分隔,两侧为对称的结构,分别连接一路泵管,隔膜有较好的弹性能够前后移动,隔膜用来保持液体进入蠕动泵前以及液体流出蠕动泵后,能相互传递压力,保持两路液体压力相等,当一侧压力高于另一侧时,弹性软隔膜会向低压侧移动,最终隔膜两侧压力相等;泵头转动时两路液体同时流动。3. Another special feature of the present invention is the left and right balance chambers connected with the two pump tubes. The liquid flow rate depends not only on the rotational speed of the pump head, but also has a great relationship with the pressure on the left and right sides of the pump tube. The middle of the cavity is separated by an elastic soft diaphragm, and the two sides are symmetrical structures, which are connected to a pump tube respectively. The diaphragm has good elasticity and can move back and forth. Transfer pressure to keep the pressure of the two liquids equal. When the pressure on one side is higher than the other side, the elastic soft diaphragm will move to the low pressure side, and finally the pressures on both sides of the diaphragm are equal; when the pump head rotates, the two liquids flow at the same time.
4.一种利用蠕动泵实现流量平衡控制的装置,因为平衡腔体内隔膜的压力调节并非无限可调,由于隔膜的实际尺寸限制其调节范围有限,所以压力监测器检测到压力过低时,加压泵可以适当提高液体的流量,以确保平衡腔体内的隔膜始终处于靠近中间而非极限的位置。4. A device for realizing flow balance control by using a peristaltic pump, because the pressure adjustment of the diaphragm in the balance chamber is not infinitely adjustable, and the actual size of the diaphragm limits its adjustment range is limited, so when the pressure monitor detects that the pressure is too low, add The pressure pump can appropriately increase the flow of the liquid to ensure that the diaphragm in the balance chamber is always near the middle and not the limit.
5.本发明的第一管路和第二管路可简单地安装在基座上,整个蠕动泵可安装于方便操作的设备表面,既可以使用于透析液回路,也可以使用于人体血液回路,同时具有流量平衡功能,使用简便,管路可以一次性使用,不需要清洗。5. The first pipeline and the second pipeline of the present invention can be simply installed on the base, and the entire peristaltic pump can be installed on the surface of the equipment that is easy to operate, which can be used in both the dialysate circuit and the human blood circuit. , At the same time, it has the function of flow balance, which is easy to use, and the pipeline can be used once without cleaning.
附图说明Description of drawings
图1是本发明蠕动泵的结构示意图。Fig. 1 is the structural representation of the peristaltic pump of the present invention.
图2是泵头盖盖在泵头上的结构示意图。Figure 2 is a schematic diagram of the structure of the pump head cover on the pump head.
图3是第一管路和第二管路的结构示意图。FIG. 3 is a schematic structural diagram of the first pipeline and the second pipeline.
图4是本发明装置的原理示意图。FIG. 4 is a schematic diagram of the principle of the device of the present invention.
图5是本发明实现血液流量平衡控制的装置的原理示意图。FIG. 5 is a schematic diagram of the principle of the device for realizing the balance control of blood flow according to the present invention.
其中,1为基座,2为上盖,3为泵头,4为泵头盖,5为盖槽,6为泵头的滚轮,7为限位片,8为进端平衡腔体卡槽,9为出端平衡腔体卡槽,10为管路卡槽,11为转轴,12为缺口槽,13为锁扣柱,14为锁扣,15为定位孔,16为定位柱,17为第一位置开关,18为第二位置开关,19为进端平衡腔体,20为出端平衡腔体,21为隔膜,22为进端平衡腔体的第一空腔,23为出端平衡腔体的第一空腔,24为进端平衡腔体的第二空腔,25为出端平衡腔体的第二空腔,26为第一管路,27为第二管路,28为第一泵管,29为第二泵管,30为泵头槽,31为泵头转轴,32为置换液袋,33为透析器,34为第一加压泵,35为第二加压泵,36为第一压力监测器,37为第二压力监测器,38为超滤泵,39为血液滤过器,40为前稀释加压泵,41为置换液管道,42为引进管道。Among them, 1 is the base, 2 is the upper cover, 3 is the pump head, 4 is the pump head cover, 5 is the cover groove, 6 is the roller of the pump head, 7 is the limit piece, and 8 is the inlet balance cavity card slot , 9 is the outlet balance cavity slot, 10 is the pipeline slot, 11 is the shaft, 12 is the notch slot, 13 is the lock post, 14 is the lock, 15 is the positioning hole, 16 is the positioning column, 17 is the The first position switch, 18 is the second position switch, 19 is the balance chamber at the inlet end, 20 is the balance chamber at the outlet end, 21 is the diaphragm, 22 is the first cavity of the balance chamber at the inlet end, and 23 is the balance at the outlet end The first cavity of the cavity, 24 is the second cavity of the inlet balance cavity, 25 is the second cavity of the outlet balance cavity, 26 is the first pipeline, 27 is the second pipeline, 28 is the second cavity The first pump tube, 29 is the second pump tube, 30 is the pump head groove, 31 is the pump head shaft, 32 is the replacement fluid bag, 33 is the dialyzer, 34 is the first pressurizing pump, and 35 is the second pressurizing pump , 36 is the first pressure monitor, 37 is the second pressure monitor, 38 is the ultrafiltration pump, 39 is the hemofilter, 40 is the pre-dilution booster pump, 41 is the replacement fluid pipeline, and 42 is the introduction pipeline.
具体实施方式Detailed ways
下面将结合附图和具体实施方式来对本发明做进一步详细的说明。The present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments.
为叙述方便,现对下文所说的方位规定如下:液体流动的方向为纵向方向,即第一泵管和第二泵管铺设的方向,纵向方向即是指左右方向;泵头铺设的方向为横向方向,横向方向即是指前后方向。For the convenience of description, the following directions are specified as follows: the direction of liquid flow is the longitudinal direction, that is, the direction in which the first pump pipe and the second pump pipe are laid, and the longitudinal direction refers to the left and right direction; the direction of the pump head is The horizontal direction refers to the front-to-rear direction.
一种用于血液净化的流量平衡式蠕动泵,包括基座、上盖、第一泵管、第二泵管、泵头,两个平衡腔体。盖在基座上的上盖转动式安装在基座上,上盖通过转轴转动式地安装在基座上,上盖和基座的打开方式是翻转式的,结构简单,打开方式方便。基座的内部设有泵头槽,沿着纵向方向设置的泵头置于泵头槽内,可在基座内部的中间位置挖设弧形槽(泵头槽),弧形槽的大小和形状与泵头相适应,使得泵头能在弧形槽内转动;泵头内设有滚轮和泵头转轴,泵头内的滚轮做圆周运动,从而驱动泵管内的液体流动;泵头设置有4个滚轮,当泵头转动时,滚轮按顺序依次滚压泵管,驱动泵管内的液体向前流动,并确保任何时刻都至少有一个滚轮在压住泵管,以防止液体回流。泵头属于现有的成熟的技术。上盖上设有用于盖住泵头的泵头盖,泵头盖上设有盖槽,盖槽的截面形状呈弧形,上盖盖在基座上时,在泵头槽和盖槽的共同作用下,泵头只能转动,而不能在横向方向上发生位移,从而保证蠕动泵的正常工作,是第一泵管和第二泵管实现流量平衡的一个重要条件。第一泵管和第二泵管沿着纵向方向放置在基座内,第一泵管和第二泵管相互平行,第一泵管的一部分和第二泵管的一部分均压在泵头的圆周侧面上,即先将泵头放置在泵头槽内,然后再铺设第一泵管和第二泵管,泵头应该具有足够的长度,保证第一泵管的一部分和第二泵管的一部分均贴着泵头的圆周侧面。泵头的两侧(横向方向的两侧)设有用于限制第一泵管和第二泵管移动的限位片,即限位片有两个,一个限位片位于泵头的后边,另一个限位片位于泵头的前边,限位片可保证第一泵管和第二泵管不会滑出泵头,是保证泵头始终能驱动液体流动的重要条件。两个平衡腔体均设置在第一泵管和第二泵管上,平衡腔体内设有将平衡腔体分为第一空腔和第二空腔的隔膜,第一泵管与第一空腔相通,第二泵管与第二空腔相通,两个平衡腔体分居泵头的两边,即一个平衡腔体位于泵头的左侧,另一个平衡腔体位于泵头的右侧。两个平衡腔体分别为进端平衡腔体和出端平衡腔体,进端平衡腔体内区分为第一空腔和第二空腔,出端平衡腔体内也区分第一空腔和第二空腔。进端平衡腔体的第一空腔、第一泵管、出端平衡腔体的第一空腔及其相应的管道构成第一管路;进端平衡腔体的第二空腔、第二泵管、出端平衡腔体的第二空腔及其相应的管道构成第二管路。A flow-balanced peristaltic pump for blood purification, comprising a base, an upper cover, a first pump tube, a second pump tube, a pump head, and two balance cavities. The upper cover covering the base is rotatably installed on the base, the upper cover is rotatably installed on the base through a rotating shaft, and the opening method of the upper cover and the base is flip type, the structure is simple, and the opening method is convenient. There is a pump head groove inside the base, and the pump head arranged along the longitudinal direction is placed in the pump head groove, and an arc groove (pump head groove) can be dug in the middle position inside the base. The shape is adapted to the pump head, so that the pump head can rotate in the arc groove; the pump head is provided with a roller and a pump head rotating shaft, and the roller in the pump head makes a circular motion to drive the liquid flow in the pump tube; the pump head is provided with 4 rollers, when the pump head rotates, the rollers roll the pump tube in sequence, drive the liquid in the pump tube to flow forward, and ensure that at least one roller presses the pump tube at any time to prevent the liquid from flowing back. The pump head belongs to the existing mature technology. The upper cover is provided with a pump head cover for covering the pump head, the pump head cover is provided with a cover groove, and the cross-sectional shape of the cover groove is arc-shaped. Under the combined action, the pump head can only rotate, but cannot be displaced in the lateral direction, so as to ensure the normal operation of the peristaltic pump, which is an important condition for the first pump tube and the second pump tube to achieve flow balance. The first pump tube and the second pump tube are placed in the base along the longitudinal direction, the first pump tube and the second pump tube are parallel to each other, and a part of the first pump tube and a part of the second pump tube are both pressed against the pump head. On the side of the circumference, that is, first place the pump head in the pump head groove, and then lay the first pump pipe and the second pump pipe. The pump head should have sufficient length to ensure that part of the first pump pipe and the second pump pipe Part of it is against the circumferential side of the pump head. Both sides of the pump head (both sides in the lateral direction) are provided with limit pieces for restricting the movement of the first pump tube and the second pump tube, that is, there are two limit pieces, one limit piece is located behind the pump head, and the other limit piece is located at the back of the pump head. A limit piece is located at the front of the pump head. The limit piece can ensure that the first pump tube and the second pump tube will not slide out of the pump head, which is an important condition to ensure that the pump head can always drive the liquid flow. The two balance chambers are both arranged on the first pump tube and the second pump tube. The balance chamber is provided with a diaphragm that divides the balance chamber into a first cavity and a second cavity. The first pump tube is connected to the first cavity. The cavities are communicated, the second pump tube communicates with the second cavity, and the two balance chambers are located on two sides of the pump head, that is, one balance chamber is located on the left side of the pump head, and the other balance chamber is located on the right side of the pump head. The two balancing cavities are the inlet balancing cavity and the outlet balancing cavity respectively. The inlet balancing cavity is divided into a first cavity and a second cavity, and the outlet balancing cavity is also divided into a first cavity and a second cavity. cavity. The first cavity, the first pump tube of the inlet balance cavity, the first cavity of the outlet balance cavity and their corresponding pipes constitute the first pipeline; the second cavity and the second cavity of the inlet balance cavity The pump tube, the second cavity of the balance cavity at the outlet end and their corresponding pipelines constitute the second pipeline.
基座内设有平衡腔体卡槽,平衡腔体置于平衡腔体卡槽内。平衡腔体卡槽有进端平衡腔体卡槽和出端平衡腔体卡槽,进端平衡腔体和出端平衡腔体放在相应的平衡腔体卡槽内。使得平衡腔体不容易晃动。A balance cavity card slot is arranged in the base, and the balance chamber body is placed in the balance cavity card slot. The balance cavity card slot includes an inlet end balance chamber body card slot and an outlet end balance chamber body card slot, and the inlet end balance chamber body and the outlet end balance chamber body are placed in the corresponding balance chamber body card slots. It makes the balance cavity not easy to shake.
基座内设有用于放置第一管路和第二管路的管路卡槽,管路卡槽的一端与泵头槽相接,管路卡槽的另一端位于基座的端部;管路卡槽有两段,一段管路卡槽位于泵头的左边,另一段管路卡槽位于泵头的右边;进端平衡腔体卡槽位于左边的管路卡槽上,出端平衡腔体卡槽位于右边的管路卡槽上。使得第一泵管和第二泵管不会晃动,保证液体的顺利流通。上盖上设有与管路卡槽相适应的缺口槽,防止上盖盖住基座时,上盖会压迫第一管路和第二管路。The base is provided with a pipeline slot for placing the first pipeline and the second pipeline, one end of the pipeline slot is connected to the pump head slot, and the other end of the pipeline slot is located at the end of the base; There are two sections of road card slot, one pipeline slot is located on the left side of the pump head, and the other pipeline slot is located on the right side of the pump head; the inlet balance cavity slot is located on the left pipeline slot, and the outlet balance cavity is located on the left pipeline slot. The body clip is located on the right pipeline clip. The first pump tube and the second pump tube will not be shaken, and the smooth circulation of the liquid is ensured. The upper cover is provided with a notch slot which is adapted to the pipeline clamping slot, so as to prevent the upper cover from pressing the first pipeline and the second pipeline when the upper cover covers the base.
上盖上设有定位柱,基座的相应位置上设有定位孔。定位柱和定位孔均有两个,两个定位孔位于基座前端的左右两边,定位孔处设有位置开关。左边定位孔处的位置开关为第一位置开关,右边定位孔处的位置开关为第二位置开关。当上盖的两个定位柱位于基座的两个定位孔内时,才能触发位置开关动作,则能够检测到上盖是否盖合完好,在没有盖合完好的情形下泵头禁止工作;关于上盖没有盖完好,触发位置开关动作,则控制泵头禁止工作,这种控制的技术属于现有成熟的技术,这种控制技术也不是本发明的重点。The upper cover is provided with positioning posts, and the corresponding positions of the base are provided with positioning holes. There are two positioning columns and two positioning holes, the two positioning holes are located on the left and right sides of the front end of the base, and a position switch is arranged at the positioning holes. The position switch at the left positioning hole is the first position switch, and the position switch at the right positioning hole is the second position switch. When the two positioning columns of the upper cover are located in the two positioning holes of the base, the position switch action can be triggered, and it can be detected whether the upper cover is fully closed. If the cover is not fully closed, the pump head cannot work; about If the upper cover is not intact and the position switch is activated, the control pump head will be prohibited from working. This control technology belongs to the existing mature technology, and this control technology is not the focus of the present invention.
上盖上设有锁扣柱,基座上设有锁扣。上盖盖在基座上时,锁扣扣在锁扣柱上,从而将上盖和基座紧固在一起。锁扣包括一体形成的转动杆和弯折杆,转动杆转动式地安装在基座上,弯折杆上设有扣在锁扣柱上的缺口。锁扣柱和锁扣结构简单,使用方便。The upper cover is provided with a lock post, and the base is provided with a lock. When the upper cover is placed on the base, the lock catches on the lock post, so as to fasten the upper cover and the base together. The locking buckle includes an integrally formed rotating rod and a bending rod, the rotating rod is rotatably mounted on the base, and the bending rod is provided with a notch which is buckled on the locking rod. The lock post and the lock are simple in structure and easy to use.
本发明实现流量平衡的原理主要是:两路血液液体分别流入第一泵管和第二泵管,由于两路液体都经过相同的结构,使得两路血液在第一泵管和第二泵管内的流量实现平衡。The principle of the present invention to achieve flow balance is mainly: two paths of blood liquid flow into the first pump tube and the second pump tube respectively, and since the two paths of liquid pass through the same structure, the two paths of blood flow in the first pump tube and the second pump tube. flow balance.
本发明具有以下优点:1,可安装于血液净化设备的表面而便于操作(传统平衡技术是安装在设备内部,固定结构)。2,结构简单(传统平衡腔需要两个容器,两个隔膜,四个腔体,8个电磁阀),使用方便(普通蠕动泵滚轮和外壳结构和间距固定,安装泵管需要塞进去并用手转动泵头,容易夹手;本发明采用翻盖安转,合盖锁扣即可)。3,既可以使用于透析液回路,也可以使用于人体血液回路(传统平衡技术因重复使用、不同患者使用可能产生交叉感染而不可用于流动血液的平衡)。4,具有三重流量平衡功能(一是两管同泵;二是两路同压力;三是第一加压泵和第二加压泵联动)。5,泵管可以一次性使用,不需要每次使用后消毒清洗(传统平衡技术是固定的内部管道系统,重复使用,需要每次清洗消毒,不同患者可能产生交叉感染)。The invention has the following advantages: 1. It can be installed on the surface of the blood purification equipment for easy operation (traditional balancing technology is installed inside the equipment, with a fixed structure). 2. Simple structure (traditional balance chamber requires two containers, two diaphragms, four cavities, and 8 solenoid valves), easy to use (ordinary peristaltic pump rollers and shells have a fixed structure and spacing, and the installation of the pump tube needs to be plugged in and used Rotating the pump head by hand is easy to pinch the hand; the present invention adopts the flip cover to rotate, and the cover lock can be closed). 3. It can be used in both the dialysate circuit and the human blood circuit (traditional balancing technology cannot be used for the balancing of flowing blood due to repeated use and cross-infection caused by the use of different patients). 4. It has triple flow balancing function (one is two pipes with the same pump; two is the same pressure in two channels; three is the linkage between the first booster pump and the second booster pump). 5. The pump tube can be used for one-time use and does not need to be disinfected and cleaned after each use (traditional balancing technology is a fixed internal pipeline system, repeated use requires each cleaning and disinfection, and cross-infection may occur in different patients).
下面介绍本发明蠕动泵的一种应用例子:A kind of application example of peristaltic pump of the present invention is introduced below:
一种利用蠕动泵实现流量平衡控制的装置,包括透析器、置换液袋、第一加压泵、超滤泵、第二加压泵;蠕动泵的第一泵管的一端通过管道与置换液袋相接,蠕动泵的第一泵管的另一端通过管道与透析器相接,蠕动泵的第二泵管的一端通过管道与透析器相接,蠕动泵的第二泵管的另一端通过管道排出废液,第一加压泵设置在置换液袋和第一泵管之间的管道上,第二加压泵设置在透析器和第二泵管之间的管道上,超滤泵设置在透析器和第二加压泵之间的管道上。该装置还包括第一压力监测器和第二压力监测器,第一压力监测器设置在第一加压泵和第一泵管之间的管道上,第二压力监测器设置在第二加压泵和第二泵管之间的管道上。本装置可用于实现透析液或置换液的流量平衡控制。A device for realizing flow balance control by using a peristaltic pump, comprising a dialyzer, a replacement fluid bag, a first pressurizing pump, an ultrafiltration pump, and a second pressurizing pump; The bag is connected, the other end of the first pump tube of the peristaltic pump is connected to the dialyzer through the pipeline, one end of the second pump tube of the peristaltic pump is connected to the dialyzer through the pipeline, and the other end of the second pump tube of the peristaltic pump is connected to the dialyzer through the pipeline. The waste liquid is discharged from the pipeline, the first pressurizing pump is set on the pipeline between the replacement fluid bag and the first pump tube, the second pressurizing pump is set on the pipeline between the dialyzer and the second pump tube, and the ultrafiltration pump is set On the tubing between the dialyzer and the second pressurized pump. The device also includes a first pressure monitor and a second pressure monitor, the first pressure monitor is set on the pipeline between the first pressurizing pump and the first pump pipe, and the second pressure monitor is set on the second pressurizing pump on the pipe between the pump and the second pump tube. The device can be used to realize flow balance control of dialysate or replacement fluid.
新鲜的透析液从置换液袋流出,然后流向第一泵管(透析液依次经过进端平衡腔体的第一空腔、第一泵管、出端平衡腔体的第一空腔),透析液从第一泵管流出后,然后流向透析器,再从透析器的另一端流出(此时流出的透析液已经成为废液),废液再流向第二泵管(废液依次经过进端平衡腔体的第二空腔、第二泵管、出端平衡腔体的第二空腔),废液流出第二泵管后,通过管道排出废液。The fresh dialysate flows out from the replacement fluid bag, and then flows to the first pump tube (the dialysate sequentially passes through the first cavity of the balance chamber at the inlet end, the first pump tube, and the first cavity of the balance chamber at the outlet end), and the dialysate is dialyzed. After the liquid flows out from the first pump tube, it flows to the dialyzer, and then flows out from the other end of the dialyzer (the dialysate flowing out has become waste liquid at this time), and the waste liquid flows to the second pump tube (the waste liquid passes through the inlet end in turn The second cavity of the balance cavity, the second pump tube, and the second cavity of the balance cavity at the outlet end), after the waste liquid flows out of the second pump tube, the waste liquid is discharged through the pipeline.
第一压力监测器可以监测进端平衡腔体的第一空腔内液体的压力,第二压力监测器可以监测进端平衡腔体的第二空腔内液体的压力;第一加压泵可以调节第一管路内的流量,实现调速加压,同样,第二加压泵可以调节第二管路内的流量,实现调速加压。当进端平衡腔体的第一空腔和进端平衡腔体的第二空腔内的压力差过大时,超出了平衡腔体隔膜调节压力的能力时,第一加压泵和第二加压泵可根据情况,分别调节第一泵管和第二泵管内的流量,确保进端平衡腔体的第一空腔和第二空腔内的压力平衡,进而实现第一泵管和第二泵管流量的平衡。该平衡式蠕动泵可以实现第一泵管和第二泵管内流量的平衡,使得透析液进入蠕动泵的流量和废液排出蠕动泵的流量是一致的。当患者体内有多余的水分时,患者多余的水分只能从超滤泵处排出,因此,在平衡式蠕动泵建立了此平衡体系的基础上,超滤泵泵出液体的容量就精确地等于患者需要超滤的总量。The first pressure monitor can monitor the pressure of the liquid in the first cavity of the inlet balance cavity, the second pressure monitor can monitor the pressure of the liquid in the second cavity of the inlet balance cavity; the first pressurizing pump can The flow in the first pipeline is adjusted to realize speed regulation and pressure, and similarly, the second pressure pump can adjust the flow in the second pipeline to achieve speed regulation and pressure. When the pressure difference between the first cavity of the inlet balance cavity and the second cavity of the inlet balance cavity is too large, which exceeds the ability of the balance cavity diaphragm to adjust the pressure, the first pressure pump and the second The booster pump can adjust the flow rate in the first pump tube and the second pump tube respectively according to the situation to ensure the pressure balance in the first cavity and the second cavity of the inlet balance cavity, and then realize the first pump tube and the second pump tube. The balance of the flow of the two pump tubes. The balanced peristaltic pump can realize the balance of the flow in the first pump tube and the second pump tube, so that the flow of the dialysate entering the peristaltic pump is consistent with the flow of the waste liquid discharged from the peristaltic pump. When there is excess water in the patient's body, the excess water in the patient can only be discharged from the ultrafiltration pump. Therefore, on the basis of this balanced system established by the balanced peristaltic pump, the volume of the liquid pumped by the ultrafiltration pump is exactly equal to The total amount of ultrafiltration required by the patient.
透析器主要利用半透膜的原理,将患者的血液与透析液同时引进透析器,血液与透析液在透析膜的两侧呈反方向流动,借助膜两侧的溶质梯度、渗透梯度和水压梯度,以达到清除毒素和体内滞留过多的水分,同时补充体内所需的物质。The dialyzer mainly uses the principle of semi-permeable membrane to introduce the patient's blood and dialysate into the dialyzer at the same time. The blood and dialysate flow in opposite directions on both sides of the dialysis membrane. Gradient to achieve the removal of toxins and excess water retention in the body, while replenishing the substances needed in the body.
下面介绍本发明平衡式蠕动泵用于血液流量平衡的应用例子:The following introduces the application example of the balanced peristaltic pump of the present invention for blood flow balance:
为介绍方便对其中的一些管道进行了命名,本应用例子中有一条用于引进血液的管道,称为引进管道;有一条用于引入置换液的管道,称为置换液管道。一种利用蠕动泵实现流量平衡控制的装置,包括平衡式蠕动泵、血液滤过器、置换液袋、前稀释加压泵、第一加压泵、超滤泵、第二加压泵、第一压力监测器和第二压力监测器。蠕动泵的第一泵管的一端通过管道引进血液,蠕动泵的第一泵管的另一端通过管道与血液过滤器相接,蠕动泵的第二泵管的一端通过管道与血液过滤器相接,蠕动泵的第二泵管的另一端通过管道排出血液。第一加压泵设置在用于引进血液的管道(即引进管道)上,第二加压泵设置在血液滤过器和第二泵管之间的管道上。第一压力监测器设置在第一加压泵和第一泵管之间的管道上,即第一压力监测器设置在引进管道上,第一压力监测器应靠近进端平衡腔体的第一空腔。第二压力监测器设置在第二加压泵和第二泵管之间的管道上,第二压力监测器应靠近进端平衡腔体的第二空腔。超滤泵的一端连接在第一压力监测器和第一加压泵之间管道(引进管道)上,超滤泵的另一端连接在第一泵管和血液过滤器之间的管道上;置换液袋通过置换液管道连接在血液过滤器和第一泵管之间的管道上,前稀释加压泵设置在置换液管道上。Some of the pipelines are named for the convenience of introduction. In this application example, there is a pipeline for introducing blood, which is called the introduction pipeline; there is a pipeline for introducing replacement fluid, which is called the replacement fluid pipeline. A device for realizing flow balance control by using a peristaltic pump, including a balanced peristaltic pump, a blood filter, a replacement fluid bag, a pre-dilution booster pump, a first booster pump, an ultrafiltration pump, a second booster pump, and a first booster pump. A pressure monitor and a second pressure monitor. One end of the first pump tube of the peristaltic pump introduces blood through the pipeline, the other end of the first pump tube of the peristaltic pump is connected to the blood filter through the pipeline, and one end of the second pump tube of the peristaltic pump is connected to the blood filter through the pipeline. , the other end of the second pump tube of the peristaltic pump discharges blood through the tube. The first pressurizing pump is provided on the pipe for introducing blood (ie, the introduction pipe), and the second pressurizing pump is provided on the pipe between the hemofilter and the second pump tube. The first pressure monitor is set on the pipeline between the first pressurizing pump and the first pump pipe, that is, the first pressure monitor is set on the introduction pipeline, and the first pressure monitor should be close to the first part of the inlet balance cavity. cavity. The second pressure monitor is arranged on the pipeline between the second pressurizing pump and the second pump pipe, and the second pressure monitor should be close to the second cavity of the inlet balance cavity. One end of the ultrafiltration pump is connected to the pipeline (introduction pipeline) between the first pressure monitor and the first pressurizing pump, and the other end of the ultrafiltration pump is connected to the pipeline between the first pump tube and the blood filter; replacement The liquid bag is connected to the pipeline between the blood filter and the first pump tube through the replacement fluid pipeline, and the pre-dilution and pressure pump is arranged on the replacement fluid pipeline.
该装置可实现血液流量平衡的控制,可用于血液透析滤过(HDF),平衡式蠕动泵可建立血液平衡系统,实现置换液平衡和所需的超滤控制,而不需要电子称。The device can realize the control of blood flow balance and can be used for hemodiafiltration (HDF), and the balanced peristaltic pump can establish a blood balance system, realize the balance of replacement fluid and the required ultrafiltration control, without the need for electronic scales.
患者的动脉端血液通过引进管道连接在蠕动泵的第一泵管上,第一加压泵抽吸使血液到达进端平衡腔体的第一空腔,之后流经第一泵管和出端平衡腔体的第一空腔,然后与从置换液袋流出的置换液汇合(置换液通过置换液管汇入),一起进入血液滤过器;经血液滤过器滤过后的血液由第二加压泵泵入进端平衡腔体的第二空腔,之后流经第二泵管和出端平衡腔体的第二空腔,再回到患者静脉端。由于平衡式蠕动泵的平衡作用,确保了患者流出和流入的血液总量平衡,从置换液袋汇入管道内的置换液总量,就会等于血液滤过器滤过液的总量;在建立此平衡体系的基础上,如果患者需要适当超滤,则在第一加压泵之后由超滤泵泵入一定的血液,由超滤泵泵入的血液没有经过蠕动泵,是绕过平衡式蠕动泵,即绕过第一管路,直接到达出端平衡腔体的第一空腔和血液滤过器之间的管道,那么超滤泵流过血液的容量就精确地等于患者需要超滤的总量。The blood of the patient's arterial end is connected to the first pump tube of the peristaltic pump through the introduction tube, and the first pressurizing pump sucks the blood to the first cavity of the balance chamber at the inlet end, and then flows through the first pump tube and the outlet end The first cavity of the balancing chamber is then merged with the replacement fluid flowing out of the replacement fluid bag (the replacement fluid is fed through the replacement fluid tube), and enters the hemofilter together; the blood filtered by the hemofilter is filtered by the second The pressurizing pump pumps into the second cavity of the balance chamber at the inlet end, then flows through the second pump tube and the second cavity of the balance chamber at the outlet end, and returns to the patient's vein end. Due to the balancing effect of the balanced peristaltic pump, the total amount of blood flowing out and inflowing from the patient is guaranteed to be balanced. On the basis of establishing this balance system, if the patient needs proper ultrafiltration, a certain amount of blood will be pumped by the ultrafiltration pump after the first pressurized pump. Type peristaltic pump, that is, bypassing the first pipeline and directly reaching the pipeline between the first cavity of the balance chamber at the outlet and the hemofilter, then the volume of blood flowing through the ultrafiltration pump is exactly equal to the patient's need for ultrafiltration. total amount of filtration.
第一压力监测器可以监测进端平衡腔体的第一空腔内液体的压力,第二压力监测器可以监测进端平衡腔体的第二空腔内液体的压力;第一加压泵可以调节第一管路内的流量,实现调速加压,同样,第二加压泵可以调节第二管路内的流量,实现调速加压。当进端平衡腔体的第一空腔和第二空腔内的压力差过大时,超出了平衡腔隔膜调节压力的能力时,第一加压泵和第二加压泵可根据情况,分别调节第一泵管和第二泵管内的流量,确保进端平衡腔体的第一空腔和第二空腔内的压力平衡,进而实现第一泵管和第二泵管流量的平衡。该蠕动泵可以实现第一泵管和第二泵管内流量的平衡,使得患者血液从体内流出并进入蠕动泵的总量和经过血液滤过器滤过后,排出蠕动泵并返回到体内的总量是一致的。当患者体内有多余的水分时,可由超滤泵实现超滤,由于从第一加压泵之后经超滤泵泵入了一定的血液,从患者体内流出血液的总量将多于流入的总量,从而实现超滤,并且超滤泵流过的血液的容量就精确地等于患者需要超滤的总量。The first pressure monitor can monitor the pressure of the liquid in the first cavity of the inlet balance cavity, the second pressure monitor can monitor the pressure of the liquid in the second cavity of the inlet balance cavity; the first pressurizing pump can The flow in the first pipeline is adjusted to realize speed regulation and pressure, and similarly, the second pressure pump can adjust the flow in the second pipeline to achieve speed regulation and pressure. When the pressure difference between the first cavity and the second cavity of the balance cavity at the inlet end is too large and exceeds the ability of the balance cavity diaphragm to adjust the pressure, the first booster pump and the second booster pump can adjust the pressure according to the situation. The flow in the first pump tube and the second pump tube is adjusted respectively to ensure the pressure balance in the first cavity and the second cavity of the inlet balance cavity, thereby realizing the flow balance of the first pump tube and the second pump tube. The peristaltic pump can achieve the balance of the flow in the first pump tube and the second pump tube, so that the total amount of the patient's blood flowing out of the body and entering the peristaltic pump and the total amount of the patient's blood flowing out of the peristaltic pump and returning to the body after being filtered by the hemofilter is consistent. When there is excess water in the patient's body, ultrafiltration can be achieved by the ultrafiltration pump. Since a certain amount of blood is pumped into the ultrafiltration pump after the first pressurized pump, the total amount of blood flowing out of the patient's body will be more than the total amount flowing in. The volume of blood flowed by the ultrafiltration pump is precisely equal to the total amount of ultrafiltration required by the patient.
上述实施例为本发明较佳的实施方式,但本发明的实施方式并不受上述实施例的限制,其他的任何未背离本发明的精神实质与原理下所作的改变、修饰、替代、组合、简化,均应为等效的置换方式,都包含在本发明的保护范围之内。The above-mentioned embodiments are preferred embodiments of the present invention, but the embodiments of the present invention are not limited by the above-mentioned embodiments, and any other changes, modifications, substitutions, combinations, The simplification should be equivalent replacement manners, which are all included in the protection scope of the present invention.
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