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CN2616058Y - Continuous perfusion heart preservation device - Google Patents

Continuous perfusion heart preservation device Download PDF

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Publication number
CN2616058Y
CN2616058Y CN 03234330 CN03234330U CN2616058Y CN 2616058 Y CN2616058 Y CN 2616058Y CN 03234330 CN03234330 CN 03234330 CN 03234330 U CN03234330 U CN 03234330U CN 2616058 Y CN2616058 Y CN 2616058Y
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China
Prior art keywords
heart
liquid storing
storing containers
lasting
save set
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Expired - Fee Related
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CN 03234330
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Chinese (zh)
Inventor
杜磊
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN 03234330 priority Critical patent/CN2616058Y/en
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Abstract

一种持续灌注心脏保存装置,包括心脏和保存液存放容器、膜肺、灌注泵、位于心脏和保存液存放容器内的灌注管、进液管、出液管、取样管。进液管的一端与心脏和保存液存放容器连接,另一端与膜肺连接;出液管的一端与膜肺连接,另一端与位于心脏和保存液存放容器内的灌注管连接;取样管的一端与膜肺连接,另一端与心脏和保存液存放容器连接;灌注泵安装在进液管形成的管路中。这样可形成能进行气体交换的封闭式循环系统,使离体心脏(供心)既能从保存液中吸收氧和营养物质,又能维持心肌内环境的稳定,有利于提高离体心脏(供心)的保存效果。

Figure 03234330

A continuous perfusion heart preservation device, comprising a heart and a storage container for a preservation solution, a membrane lung, a perfusion pump, a perfusion tube located in the heart and a storage container for a storage solution, a liquid inlet tube, a liquid outlet tube, and a sampling tube. One end of the liquid inlet pipe is connected to the heart and the storage container of the preservation solution, and the other end is connected to the membrane lung; one end of the liquid outlet pipe is connected to the membrane lung, and the other end is connected to the perfusion tube located in the heart and the storage container of the preservation solution; One end is connected with the membrane lung, and the other end is connected with the heart and the preservation solution storage container; the perfusion pump is installed in the pipeline formed by the liquid inlet tube. In this way, a closed circulatory system capable of gas exchange can be formed, so that the isolated heart (donor heart) can not only absorb oxygen and nutrients from the preservation solution, but also maintain the stability of the inner environment of the myocardium, which is beneficial to improve the isolated heart (donor heart). heart) preservation effect.

Figure 03234330

Description

Continue the perfused hearts save set
One, technical field
The utility model belongs to isolated heart (for the heart) save set, and particularly a kind of energy continues the save set to isolated heart (for the heart) perfusion preservation liquid.
Two, background technology
At present, heart transplant has become the effective ways of treatment heart disease at final stage, and the preservation effect of isolated heart (for the heart) directly affects the success rate of heart transplant operation.From mankind's heart transplant for the first time existing more than 30 year so far, the design of preserving liquid for the heart is ever-changing, but preserve almost no change of technology for the heart, " high potassium arrest, low temperature static are preserved " is the main method of preserving for the heart always, with the corresponding isolated heart of this method (for the heart) save set be the container of plastic sack and dress ice cube, isolated heart (for the heart) and preservation liquid thereof all are contained in the plastic sack, and the plastic sack that envelope ties places in the container that ice cube is housed.The weak point of said method and save set is: 1, can not provide necessary oxygen of myocardial metabolism and nutriment for isolated heart; 2, can't regulate the interior environment of cardiac muscle work, the acidic metabolite that cardiac muscle cell's anaerobic metabolism generates is piled up, and causes myocardial cell injury; 3, low temperature is preserved the activity of damage enzyme, increases the weight of the energy dyspoiesis; 4, can not monitor the preservation situation that supplies the heart.Therefore use above-mentioned save set, the preservation effect of isolated heart poor (transplanting back cardiac insufficiency incidence height), safe holding time short (4~6 hours).
Three, summary of the invention
The utility model provides a kind of energy to continue the save set that (for the heart) pours into preservation liquid to isolated heart at the deficiency that prior art exists, and to improve the preservation effect of isolated heart (for the heart), satisfies the needs of heart transplant operation.
The technical solution of the utility model is: according to the survival environment and the condition design save set of heart, this save set comprises heart and preservation liquid storing containers, the membrane lung that is provided with air inlet pipe and escape pipe, charge pump, is positioned at intrusion pipe, feed tube, drain pipe, the probe tube of heart and preservation liquid storing containers.One end of feed tube is connected with preservation liquid storing containers with heart, and the other end is connected with membrane lung; One end of drain pipe is connected with membrane lung, the other end be positioned at heart and be connected with the intrusion pipe of preserving the liquid storing containers; One end of probe tube is connected with membrane lung, and the other end is connected with preservation liquid storing containers with heart; Charge pump is installed in the pipeline of feed tube formation.Can form the closed circulatory system that can carry out gas exchange like this, make isolated heart (for the heart) from preserve liquid, absorb oxygen and nutriment, can keep the stable of the interior environment of cardiac muscle again.
For easy to use, prevent to pollute, direct suction heart of the blood of heart donor and the preparation of preservation liquid storing containers are preserved liquid, can be equipped with and get blood vessel, this is got blood vessel and is inserted into heart and preserves on the liquid storing containers, a part is positioned at container, and a part is positioned at outside the container.
For the ease of transporting and make the precipitation that produces in the cyclic process of preservation liquid fall into container bottom, can and preserving heart placement and preservation liquid filter element are set in the liquid storing containers at heart.
Pressure for the ease of monitoring and adjustment preservation liquid can be provided with pressure controller, and this pressure controller is connected with intrusion pipe with charge pump by pipe fitting.
Temperature for the ease of monitoring and adjustment preservation liquid can be provided with temperature monitor, and this temperature monitor is installed in heart and preserves in the liquid storing containers.
Heart and preservation liquid storing containers are combined by body and closure member, and body is made by plastics or glass, and body wall is the sandwich that single layer structure maybe can be installed the temperature adjustment device, and closure member is flexible cover or rigid cover plate.Membrane lung is made up of shell and installation many rows hollow fiber conduit in the enclosure; For the ease of transportation, the shell of membrane lung and heart and the body of preserving the liquid storing containers are the detachable combination that is connected, its combinatorial surface be complementary with the shape of heart with the corresponding combinatorial surface of preservation liquid storing containers body.
The using method of the lasting perfused hearts save set that the utility model provides: at first will preserve pack into heart and preserve the liquid storing containers of liquid, then will from the heart that donor takes out put into above-mentioned storing containers and with intrusion pipe with insert the isolated heart aortic root intrusion pipe is connected and can realizes the lasting preservation liquid that pours into of isolated heart.
The utlity model has following beneficial effect:
1, can continue perfusion to heart and preserve liquid, continue,, satisfy the energy demand of isolated heart (for the heart) when stopping jumping stably for isolated heart provides necessary oxygen of myocardial metabolism and nutriment.
2, keep cardiac muscle cell's homeostasis, create good condition for transplanting the back recovering beat of heart.
3, reduced of the damage of the acidic metabolite of anaerobic metabolism generation to the cardiac muscle cell.
4, isolated heart (for the heart) storage temperature can be adjusted by configuration temperature adjustment device, is not limited to lower temperature, thereby both needn't worries the energy deficiency that the metabolism increase causes, the energy deficiency that can avoid enzymic activity to descend and cause again.
5, can monitor the preservation situation of isolated heart (for the heart) and the situation of change of preserving liquid at any time.
6, preserve liquid and can be recycled, help reducing retain costs.
7, simple to operate, controllability is strong.
8, volume is little, convenient transportation.
Four, description of drawings
Fig. 1 is first kind of structure chart of lasting perfused hearts save set provided by the utility model;
Fig. 2 is second kind of structure chart of lasting perfused hearts save set provided by the utility model;
Fig. 3 is the third structure chart of lasting perfused hearts save set provided by the utility model;
Fig. 4 is the 4th a kind of structure chart of lasting perfused hearts save set provided by the utility model;
Fig. 5 is the 5th a kind of structure chart of lasting perfused hearts save set provided by the utility model;
Fig. 6 is a kind of structure chart of membrane lung;
Fig. 7 is that heart is placed and a kind of structure chart of preserving the liquid filter element;
Fig. 8 is the A-A cutaway view of Fig. 7.
Among the figure, 1-heart and preservation liquid storing containers, 2-flexible cover, 3-intrusion pipe, 4-probe tube, 5-drain pipe, 6-membrane lung, 7-connecting elements, 8-air inlet pipe, 9-escape pipe, 10-charge pump, 11-feed tube, the placement of 12-heart are got blood vessel, 14-pressure controller, 15-cover plate, 16-temperature monitor, 17-shell, 18-hollow fiber conduit, 19-flexible pad, 20-screen pack with preservation liquid filter element, 13-.
Five, embodiment
Embodiment 1:
The structure of the lasting perfused hearts save set in the present embodiment as shown in Figure 1, comprise heart and preserve liquid storing containers 1, be provided with air inlet pipe 8 and escape pipe 9 membrane lung 6, charge pump 10, be inserted into heart and preserve getting blood vessel 13, be positioned at heart and preserve the intrusion pipe 3 of liquid storing containers 1 on the liquid storing containers 1, the heart that is installed in heart and preserves liquid storing containers 1 bottom is placed and preservation liquid filter element 12, feed tube 11, drain pipe 5, probe tube 4.Feed tube 11 is a silicone rubber tube, and the one end is connected with preservation liquid storing containers 1 with heart, and the other end is connected with membrane lung 6; Drain pipe 5 is a silicone rubber tube, and the one end is connected with membrane lung 6, the other end be positioned at heart and be connected with the intrusion pipe 3 of preserving the liquid storing containers; Probe tube 4 is a silicone rubber tube, and the one end is connected with membrane lung 6, and the other end is connected with preservation liquid storing containers 1 with heart; Charge pump 10 is the adjustable rotor micropump of flow, is installed in the pipeline of feed tube 11 formation.Heart and preserve the shape of liquid storing containers 1 and structure as shown in Figure 1, the flexible cover 2 that single layer structure rigid body of being made by transparent plastic and plastic film are made combines, body be shaped as elliptical cylinder, the combinatorial surface of itself and membrane lung is the plane.The structure of membrane lung 6 is made up of shell 17 and installation many rows hollow fiber conduit 18 in the enclosure as shown in Figure 6; The shell 17 of membrane lung 6 is the column that cambered surface and plane form, and as shown in Figure 1, shell 17 is the plane with the combinatorial surface of the body of heart and preservation liquid storing containers 1, and the connected mode of combination is bonding, and connecting elements 7 is the adhesive stickers that are provided with on the combinatorial surface.Be installed in heart and place and preserve the plate body that liquid filter element 12 is shape and storing containers body coupling with the heart of preserving liquid storing containers 1 bottom, its upper strata be the deformable flexible pad (for example, foam-rubber cushion) 19, its lower floor is a screen pack 20, as Fig. 7, shown in Figure 8.
Embodiment 2:
The structure of the lasting perfused hearts save set in the present embodiment as shown in Figure 2, difference from Example 1 is: 1, have additional pressure controller 14, this pressure controller is connected with intrusion pipe 3 with charge pump 10 by pipe fitting.2, the shape of heart and preservation liquid storing containers 1 and structure as shown in Figure 2, the single layer structure rigid body of being made by transparent plastic and the rigid cover plate 15 of plastic production combine, body be shaped as dovetail groove, the combinatorial surface of itself and membrane lung is the inclined-plane.3, the shell 17 of membrane lung 6 is the prism that inclined-plane and plane form, and as shown in Figure 2, shell 17 is the inclined-plane with the combinatorial surface of the body of heart and preservation liquid storing containers 1, and the connected mode of combination is for articulating, and connecting elements 7 is hook and the hanging sleeves that are provided with on the combinatorial surface.
Embodiment 3:
The structure of the lasting perfused hearts save set in the present embodiment as shown in Figure 3, difference from Example 1 is: 1, set up temperature monitor 16, this temperature monitor is installed in heart and preserves in the liquid storing containers 1.2, the shape of heart and preservation liquid storing containers 1 and structure are combined by the single layer structure rigid body of transparent plastic making and the flexible cover 2 of plastic film making as shown in Figure 3, and body is a rectangular channel.3, the shell 17 of membrane lung 6 is a cube, as shown in Figure 3.
Embodiment 4:
The structure of the lasting perfused hearts save set in the present embodiment as shown in Figure 4, difference from Example 1 is: 1, the shape of heart and preservation liquid storing containers 1 and structure are as shown in Figure 4, the sandwich rigid body of the installed temperature adjustment device of being made by transparent plastic and the flexible cover 2 that plastic film is made combine, body is a cylinder, and the combinatorial surface of itself and membrane lung is an arc surface.2, the shell 17 of membrane lung 6 is an arc column, and as shown in Figure 4, shell 17 is an arc surface with the combinatorial surface of the body of heart and preservation liquid storing containers 1, and the connected mode of combination is for articulating, and connecting elements 7 is hook and the hanging sleeves that are provided with on the combinatorial surface.
Embodiment 5:
The structure of the lasting perfused hearts save set in the present embodiment as shown in Figure 5, difference from Example 1 is: 1, have additional pressure controller 14, this pressure controller is connected with intrusion pipe 3 with charge pump 10 by pipe fitting.2, set up temperature monitor 16, this temperature monitor is installed in heart and preserves in the liquid storing containers 1.3, the shape of heart and preservation liquid storing containers 1 and structure are as shown in Figure 5, the sandwich rigid body of the installed temperature adjustment device of being made by transparent plastic and the flexible cover 2 that plastic film is made combine, body is a cylinder, and the combinatorial surface of itself and membrane lung is an arc surface.4, the shell 17 of membrane lung 6 is an arc column, and as shown in Figure 5, shell 17 is an arc surface with the combinatorial surface of the body of heart and preservation liquid storing containers 1, and the connected mode of combination is for articulating, and connecting elements 7 is hook and the hanging sleeves that are provided with on the combinatorial surface.

Claims (10)

1, a kind of lasting perfused hearts save set, comprise heart and preserve liquid storing containers (1), it is characterized in that also comprising the membrane lung (6) that is provided with air inlet pipe (8) and escape pipe (9), charge pump (10), be positioned at the intrusion pipe (3) of heart and preservation liquid storing containers (1), feed tube (11), drain pipe (5), probe tube (4), one end of feed tube (11) is connected with preservation liquid storing containers (1) with heart, the other end is connected with membrane lung (6), one end of drain pipe (5) is connected with membrane lung (6), the other end be positioned at heart and be connected with the intrusion pipe (3) of preserving the liquid storing containers, one end of probe tube (4) is connected with membrane lung (6), the other end is connected with preservation liquid storing containers (1) with heart, and charge pump (10) is installed in the pipeline of feed tube (11) formation.
2, lasting perfused hearts save set according to claim 1 is characterized in that also being equipped with and gets blood vessel (13), and this is got blood vessel and is inserted on heart and the preservation liquid storing containers (1), and a part is positioned at container, and a part is positioned at outside the container.
3, lasting perfused hearts save set according to claim 1 and 2 is characterized in that heart and preserves being provided with the heart placement in the liquid storing containers (1) and preserving liquid filter element (12).
4, lasting perfused hearts save set according to claim 1 and 2 is characterized in that also being provided with pressure controller (14), and this pressure controller is connected with intrusion pipe (3) with charge pump (10) by pipe fitting.
5, lasting perfused hearts save set according to claim 3 is characterized in that also being provided with pressure controller (14), and this pressure controller is connected with intrusion pipe (3) with charge pump (10) by pipe fitting.
6, lasting perfused hearts save set according to claim 1 and 2 is characterized in that also being provided with temperature monitor (16), and this temperature monitor is installed in heart and preserves in the liquid storing containers (1).
7, lasting perfused hearts save set according to claim 5 is characterized in that also being provided with temperature monitor (16), and this temperature monitor is installed in heart and preserves in the liquid storing containers (1).
8, lasting perfused hearts save set according to claim 7, it is characterized in that heart and preserve liquid storing containers (1) combining by body and closure member, body is made by plastics or glass, body wall is the sandwich that single layer structure maybe can be installed the temperature adjustment device, and closure member is flexible cover (2) or rigid cover plate (15).
9, lasting perfused hearts save set according to claim 8, it is characterized in that membrane lung (6) is made up of shell (17) and many rows hollow fiber conduit (18) of installing in the enclosure, shell (17) is the detachable combination that is connected with heart with the body of preserving liquid storing containers (1), and its combinatorial surface is complementary with the shape of the corresponding combinatorial surface of heart and preservation liquid storing containers (1) body.
10, lasting perfused hearts save set according to claim 9 is characterized in that the shell (17) of membrane lung and the connected mode of heart with the body of preserving liquid storing containers (1) are bonding or articulate.
CN 03234330 2003-05-12 2003-05-12 Continuous perfusion heart preservation device Expired - Fee Related CN2616058Y (en)

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Application Number Priority Date Filing Date Title
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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102301993A (en) * 2011-07-07 2012-01-04 中国人民解放军南京军区福州总医院 Pancreas oxygenated preserving and conveying device and use method thereof
CN106998676A (en) * 2014-12-12 2017-08-01 D·弗里德 Apparatus and method for organ perfusion
CN112806351A (en) * 2019-12-19 2021-05-18 居天医疗科技(深圳)有限公司 Organ perfusion device, organ transportation system and perfusate
CN114651810A (en) * 2022-04-25 2022-06-24 中国科学院水生生物研究所 A kind of preservation device of biological immersion specimen
CN116406659A (en) * 2018-11-19 2023-07-11 株式会社斯库林集团 Organ preservation device and organ preservation method
US11844345B2 (en) 2005-06-28 2023-12-19 Transmedics, Inc. Systems, methods, compositions and solutions for perfusing an organ
US11856944B2 (en) 2011-04-14 2024-01-02 Transmedics, Inc. Organ care solution for ex-vivo machine perfusion of donor lungs
US11903381B2 (en) 2014-06-02 2024-02-20 Transmedics, Inc. Ex vivo organ care system
US11917991B2 (en) 2007-03-20 2024-03-05 Transmedics, Inc. Systems for monitoring and applying electrical currents in an organ perfusion system
US12010987B2 (en) 2004-10-07 2024-06-18 Transmedics, Inc. Systems and methods for ex-vivo organ care and for using lactate as an indication of donor organ status
US12127554B2 (en) 2016-05-30 2024-10-29 Transmedics, Inc. Apparatus and method for ex vivo lung ventilation with a varying exterior pressure
US12137683B2 (en) 2004-10-07 2024-11-12 Transmedics, Inc. Systems and methods for ex-vivo organ care
US12185718B2 (en) 2015-09-09 2025-01-07 Transmedics, Inc. Aortic cannula for ex vivo organ care system
US12317888B2 (en) 2008-01-31 2025-06-03 Transmedics, Inc Systems and methods for ex vivo lung care

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12396454B2 (en) 2004-10-07 2025-08-26 Transmedics, Inc. Systems and methods for ex-vivo organ care and for using lactate as an indication of donor organ status
US12010987B2 (en) 2004-10-07 2024-06-18 Transmedics, Inc. Systems and methods for ex-vivo organ care and for using lactate as an indication of donor organ status
US12137683B2 (en) 2004-10-07 2024-11-12 Transmedics, Inc. Systems and methods for ex-vivo organ care
US11844345B2 (en) 2005-06-28 2023-12-19 Transmedics, Inc. Systems, methods, compositions and solutions for perfusing an organ
US11917991B2 (en) 2007-03-20 2024-03-05 Transmedics, Inc. Systems for monitoring and applying electrical currents in an organ perfusion system
US12207649B2 (en) 2007-03-20 2025-01-28 Transmedics, Inc. Systems for monitoring and applying electrical currents in an organ perfusion system
US12317888B2 (en) 2008-01-31 2025-06-03 Transmedics, Inc Systems and methods for ex vivo lung care
US11856944B2 (en) 2011-04-14 2024-01-02 Transmedics, Inc. Organ care solution for ex-vivo machine perfusion of donor lungs
CN102301993B (en) * 2011-07-07 2013-04-17 中国人民解放军南京军区福州总医院 Pancreas oxygenated preserving and conveying device and use method thereof
CN102301993A (en) * 2011-07-07 2012-01-04 中国人民解放军南京军区福州总医院 Pancreas oxygenated preserving and conveying device and use method thereof
US11944088B2 (en) 2014-06-02 2024-04-02 Transmedics, Inc. Ex vivo organ care system
US11903381B2 (en) 2014-06-02 2024-02-20 Transmedics, Inc. Ex vivo organ care system
US11963526B2 (en) 2014-12-12 2024-04-23 Transmedics, Inc. Apparatus and method for organ perfusion
CN106998676B (en) * 2014-12-12 2021-10-26 体沃索股份有限公司 Apparatus and method for organ perfusion
CN106998676A (en) * 2014-12-12 2017-08-01 D·弗里德 Apparatus and method for organ perfusion
US12185718B2 (en) 2015-09-09 2025-01-07 Transmedics, Inc. Aortic cannula for ex vivo organ care system
US12127554B2 (en) 2016-05-30 2024-10-29 Transmedics, Inc. Apparatus and method for ex vivo lung ventilation with a varying exterior pressure
CN116406659A (en) * 2018-11-19 2023-07-11 株式会社斯库林集团 Organ preservation device and organ preservation method
CN112806351B (en) * 2019-12-19 2022-08-12 居天医疗科技(深圳)有限公司 Organ perfusion device, organ transport system and perfusate
CN112806351A (en) * 2019-12-19 2021-05-18 居天医疗科技(深圳)有限公司 Organ perfusion device, organ transportation system and perfusate
CN114651810A (en) * 2022-04-25 2022-06-24 中国科学院水生生物研究所 A kind of preservation device of biological immersion specimen

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