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TWI860561B - Hemodialysis device - Google Patents

Hemodialysis device Download PDF

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Publication number
TWI860561B
TWI860561B TW111139763A TW111139763A TWI860561B TW I860561 B TWI860561 B TW I860561B TW 111139763 A TW111139763 A TW 111139763A TW 111139763 A TW111139763 A TW 111139763A TW I860561 B TWI860561 B TW I860561B
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TW
Taiwan
Prior art keywords
dialyzer
mode
dialysate
hemodialysis device
controller
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TW111139763A
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Chinese (zh)
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TW202417062A (en
Inventor
楊錦文
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佳世達科技股份有限公司
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Priority to TW111139763A priority Critical patent/TWI860561B/en
Publication of TW202417062A publication Critical patent/TW202417062A/en
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Publication of TWI860561B publication Critical patent/TWI860561B/en

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Abstract

A hemodialysis device includes a dialysis tube, a blood tube, a dialysate tube and a bidirectional controller. The blood tube is connected with the dialysis tube to guide blood into and out of the dialysis tube. The dialysate tube is connected with the dialysis tube to guide dialysate into and out of the dialysis tube for cleaning the blood. The bidirectional controller is disposed between the dialysis tube and the dialysate tube, and adapted to switch the dialysate tube into a dialysis mode or an exhausting mode. The exhausting mode is used to exhaust gaseous matter inside the dialysis tube.

Description

血液透析裝置 Hemodialysis device

本發明係提供一種血液透析裝置,尤指一種提供自動排液功能的血液透析裝置。 The present invention provides a hemodialysis device, in particular a hemodialysis device providing an automatic drainage function.

傳統的洗腎機以透析管作為血液濾清的器具。透析管的血液入口端、血液出口端、透析液入口端、及透析液出口端分別通過相應連通管連結於患者和透析液供給器。當透析療程結束時,需要排出透析管內的殘留液體,減輕整體重量才能降低醫療廢棄物的處理成本。傳統洗腎機係將透析液入口端的連通管拔除,讓空氣可從透析液入口端進入透析管,再啟動幫浦排出透析管內的殘留液體。然而,連通管自透析管的透析液入口端拔除後,殘留液體常會從透析液入口端流出,需要額外清理造成使用上的不便。 Traditional dialysis machines use dialysis tubes as blood filtration equipment. The blood inlet, blood outlet, dialysate inlet, and dialysate outlet of the dialysis tube are connected to the patient and the dialysate supply device through corresponding connecting tubes. When the dialysis treatment is over, the residual liquid in the dialysis tube needs to be discharged. Reducing the overall weight can reduce the cost of medical waste disposal. Traditional dialysis machines remove the connecting tube at the dialysate inlet to allow air to enter the dialysis tube from the dialysate inlet, and then start the pump to discharge the residual liquid in the dialysis tube. However, after the connecting tube is removed from the dialysate inlet of the dialysis tube, the residual liquid often flows out from the dialysate inlet, requiring additional cleaning and causing inconvenience in use.

本發明係提供一種提供自動排液功能的血液透析裝置,以解決上述之問題。 The present invention provides a hemodialysis device with automatic drainage function to solve the above-mentioned problems.

本發明之申請專利範圍係揭露一種血液透析裝置,其包含有一透析器、一血液導管、一流體導管以及一雙向控制器。該血液導管連接於該透析器以將血液輸入與輸出該透析器。該流體導管連接於該透析器,將透析液導入與 導出該透析器以過濾該血液。該雙向控制器,設置在該透析器與該流體導管之間,用來將該透析器切換至一透析模式或一排氣模式,該排氣模式係用於排空該透析器。 The scope of the patent application of the present invention discloses a hemodialysis device, which includes a dialyzer, a blood conduit, a fluid conduit and a two-way controller. The blood conduit is connected to the dialyzer to input and output blood into and out of the dialyzer. The fluid conduit is connected to the dialyzer to input and output dialysate into and out of the dialyzer to filter the blood. The two-way controller is arranged between the dialyzer and the fluid conduit, and is used to switch the dialyzer to a dialysis mode or a venting mode, and the venting mode is used to empty the dialyzer.

本發明利用雙向控制器切換血液透析裝置的透析模式與排氣模式;血液透析裝置可利用控制電路讀取透析器之透析療程的執行與否,自動且即時地將雙向控制器切換為透析模式或排氣模式,以配合透析療程的當前模式提供乾淨的透析液進入透析器、或是提供空氣以排出透析器的殘餘透析液。相比於先前技術,本發明的血液透析裝置不須手動拔除透析液輸入管即可自動執行透析液清除流程,可以避免透析液從透析液輸入管的接口處流出而造成額外的清潔負擔。 The present invention uses a bidirectional controller to switch the dialysis mode and exhaust mode of the hemodialysis device; the hemodialysis device can use the control circuit to read whether the dialyzer is performing a dialysis treatment, and automatically and instantly switch the bidirectional controller to the dialysis mode or exhaust mode to provide clean dialysate to enter the dialyzer or provide air to exhaust the residual dialysate from the dialyzer in accordance with the current mode of the dialysis treatment. Compared with the prior art, the hemodialysis device of the present invention can automatically perform the dialysate removal process without manually removing the dialysate inlet tube, which can avoid the dialysate flowing out of the interface of the dialysate inlet tube and causing additional cleaning burden.

10:血液透析裝置 10:Hemodialysis device

12:透析液供給裝置 12: Dialysis fluid supply device

14:顯示螢幕 14: Display screen

16:透析器 16: Dialyzer

161:流體輸入端 161: Fluid input port

162:流體輸出端 162: Fluid output port

163:血液輸入端 163: Blood inlet port

164:血液輸出端 164: Blood output port

18:輸入用血液導管 18: Blood catheter for infusion

20:輸出用血液導管 20: Blood catheter for blood transfusion

22:輸入用流體導管 22: Fluid input conduit

24:輸出用流體導管 24: Fluid conduit for output

26:雙向控制器 26: Bidirectional controller

261:透析液端 261: Dialysate end

262:空氣端 262: Air terminal

28:過濾器 28:Filter

30:控制電路 30: Control circuit

32:防水層 32: Waterproof layer

第1圖為本發明實施例之血液透析裝置之應用示意圖。 Figure 1 is a schematic diagram of the application of the hemodialysis device of the embodiment of the present invention.

第2圖為本發明實施例之血液透析裝置之功能示意圖。 Figure 2 is a functional diagram of the hemodialysis device of an embodiment of the present invention.

請參閱第1圖與第2圖,第1圖為本發明實施例之血液透析裝置10之應用示意圖,第2圖為本發明實施例之血液透析裝置10之功能示意圖。血液透析裝置10可配置於透析液供給裝置12與顯示螢幕14。透析液供給裝置12係儲存透析液,並可選擇性具有其它的生理偵測設備。顯示螢幕14電連接透析液供給裝置12,提供操作介面供使用者輸入控制指令。透析液供給裝置12可依據控制指令提供或停止供應透析液給血液透析裝置10。 Please refer to Figure 1 and Figure 2. Figure 1 is an application diagram of the hemodialysis device 10 of the embodiment of the present invention, and Figure 2 is a functional diagram of the hemodialysis device 10 of the embodiment of the present invention. The hemodialysis device 10 can be configured with a dialysate supply device 12 and a display screen 14. The dialysate supply device 12 stores dialysate and can optionally have other physiological detection equipment. The display screen 14 is electrically connected to the dialysate supply device 12 and provides an operating interface for the user to input control instructions. The dialysate supply device 12 can provide or stop supplying dialysate to the hemodialysis device 10 according to the control instruction.

血液透析裝置10可包含透析器16、輸入用血液導管18、輸出用血液導管20、輸入用流體導管22、輸出用流體導管24、雙向控制器26以及過濾器28。透析器16可具有流體輸入端161、流體輸出端162、血液輸入端163與血液輸出端164。輸入用血液導管18係經由血液輸入端163連通透析器16,輸出用血液導管20則經由血液輸出端164連通透析器16。輸入用流體導管22係經由流體輸入端161連通透析器16,輸出用流體導管24則經由流體輸出端162連通透析器16。輸入用血液導管18與輸入用流體導管22將血液和透析液分別導入透析器16,經由淨化處理後的血液係通過輸出用血液導管20排出透析器16,透析後的廢棄透析液則通過輸出用流體導管24排出透析器16。 The hemodialysis device 10 may include a dialyzer 16, an inlet blood conduit 18, an outlet blood conduit 20, an inlet fluid conduit 22, an outlet fluid conduit 24, a two-way controller 26, and a filter 28. The dialyzer 16 may have a fluid inlet port 161, a fluid outlet port 162, a blood inlet port 163, and a blood outlet port 164. The inlet blood conduit 18 is connected to the dialyzer 16 via the blood inlet port 163, and the outlet blood conduit 20 is connected to the dialyzer 16 via the blood outlet port 164. The inlet fluid conduit 22 is connected to the dialyzer 16 via the fluid inlet port 161, and the outlet fluid conduit 24 is connected to the dialyzer 16 via the fluid outlet port 162. The blood inlet tube 18 and the fluid inlet tube 22 respectively introduce blood and dialysate into the dialyzer 16. The purified blood is discharged from the dialyzer 16 through the blood outlet tube 20, and the waste dialysate after dialysis is discharged from the dialyzer 16 through the fluid outlet tube 24.

雙向控制器26可為電磁閥,連接於透析器16與輸入用流體導管22。血液透析裝置10可進一步包含控制電路30,其係電連接雙向控制器26以讀取透析器16的透析療程係處於執行模式或關閉模式,從而判斷要將雙向控制器26切換至透析模式或排氣模式。雙向控制器26可具有透析液端261與空氣端262,分別連通於輸入用流體導管22和過濾器28。過濾器28可過濾進入雙向控制器26的空氣以維持透析器16在無菌狀態或低菌狀態。通常來說,過濾器28可具有防水層32,用來防止透析液流出雙向控制器26的空氣端262,然實際應用不限於此。 The two-way controller 26 may be an electromagnetic valve connected to the dialyzer 16 and the input fluid conduit 22. The hemodialysis device 10 may further include a control circuit 30, which is electrically connected to the two-way controller 26 to read whether the dialyzer 16 is in the execution mode or the shutdown mode, thereby determining whether to switch the two-way controller 26 to the dialysis mode or the exhaust mode. The two-way controller 26 may have a dialysate end 261 and an air end 262, which are respectively connected to the input fluid conduit 22 and the filter 28. The filter 28 can filter the air entering the two-way controller 26 to maintain the dialyzer 16 in a sterile state or a low-bacteria state. Generally speaking, the filter 28 may have a waterproof layer 32 to prevent the dialysate from flowing out of the air end 262 of the two-way controller 26, but the actual application is not limited to this.

透析器16的透析療程處於執行模式時,雙向控制器26會引導透析液經由輸入用流體導管22進入透析器16,再經由輸出用流體導管24離開透析器16;血液通過輸入用血液導管18進入透析器16,配合透析液濾除血液中的毒素,經由淨化處理後的血液再通過輸出用血液導管20流回人體;此時雙向控制器26處於透析模式(未導通模式),開啟透析液端261且關閉空氣端262。透析器16的透 析療程處於關閉模式時,透析液與血液都不再進入透析器16,此時雙向控制器26處於排氣模式(導通模式),關閉透析液端261且開啟空氣端262,引導空氣進入透析器16,用於排出透析器16內殘餘的透析液以排空透析器16。 When the dialyzer 16 is in the execution mode for the dialysis treatment, the two-way controller 26 guides the dialysate to enter the dialyzer 16 through the input fluid conduit 22 and then leave the dialyzer 16 through the output fluid conduit 24; blood enters the dialyzer 16 through the input blood conduit 18, and the dialysate is used to filter toxins in the blood, and the purified blood then flows back to the human body through the output blood conduit 20; at this time, the two-way controller 26 is in the dialysis mode (non-conduction mode), the dialysate end 261 is opened and the air end 262 is closed. When the dialyzer 16 is in the off mode, the dialysate and blood no longer enter the dialyzer 16. At this time, the bidirectional controller 26 is in the exhaust mode (on mode), closing the dialysate end 261 and opening the air end 262 to guide air into the dialyzer 16 to discharge the remaining dialysate in the dialyzer 16 to empty the dialyzer 16.

雙向控制器26的未導通模式係在未收到控制指令時持續執行透析療程,常保透析液端261之開啟和空氣端262之關閉。若要關閉透析療程,雙向控制器26需收到控制指令才能處於導通模式,進而關閉透析液端261且開啟空氣端262。如此一來,本發明的血液透析裝置10可防止在意外停電時非預期性地將雙向控制器26從透析模式切換到排氣模式,避免使用者受到傷害。 The non-conduction mode of the bidirectional controller 26 is to continue the dialysis treatment when no control command is received, and the dialysate end 261 is always open and the air end 262 is always closed. If the dialysis treatment is to be closed, the bidirectional controller 26 must receive a control command to be in the conduction mode, and then close the dialysate end 261 and open the air end 262. In this way, the hemodialysis device 10 of the present invention can prevent the bidirectional controller 26 from unexpectedly switching from the dialysis mode to the exhaust mode in the event of an unexpected power outage, thereby preventing the user from being injured.

換言之,雙向控制器26係可設置在輸入用流體導管22和透析器16的流體輸入端161之間,以電磁閥自動控制透析液與空氣交替進入透析器16的順序。雙向控制器26可以提供操作開關,讓使用者手動操作以自由選擇要切換到透析模式或排氣模式。或者,血液透析裝置10還可以利用控制電路30讀取透析器16的透析療程的當前模式,再根據透析療程的當前模式判斷要如何切換雙向控制器26到透析模式或排氣模式。舉例來說,若控制電路30判斷透析療程從執行模式切換到關閉模式,其輸出的輸出指令會控制雙向控制器26自動切換到排氣模式,導通空氣端262及關閉透析液端261,引導空氣流入透析器16以排出透析液;若控制電路30判斷透析療程從關閉模式切換到執行模式,其輸出的輸出指令則控制雙向控制器26自動切換到透析模式,導通透析液端261及關閉空氣端262,避免空氣進入。 In other words, the bidirectional controller 26 can be disposed between the input fluid conduit 22 and the fluid input end 161 of the dialyzer 16, and the electromagnetic valve can automatically control the order in which the dialysate and the air alternately enter the dialyzer 16. The bidirectional controller 26 can provide an operating switch, allowing the user to manually operate to freely choose to switch to the dialysis mode or the exhaust mode. Alternatively, the hemodialysis device 10 can also use the control circuit 30 to read the current mode of the dialysis treatment of the dialyzer 16, and then determine how to switch the bidirectional controller 26 to the dialysis mode or the exhaust mode according to the current mode of the dialysis treatment. For example, if the control circuit 30 determines that the dialysis treatment is switched from the execution mode to the shutdown mode, the output command outputted by the control circuit 30 will control the bidirectional controller 26 to automatically switch to the exhaust mode, connect the air terminal 262 and close the dialysate terminal 261, and guide the air to flow into the dialyzer 16 to discharge the dialysate; if the control circuit 30 determines that the dialysis treatment is switched from the shutdown mode to the execution mode, the output command outputted by the control circuit 30 will control the bidirectional controller 26 to automatically switch to the dialysis mode, connect the dialysate terminal 261 and close the air terminal 262 to prevent air from entering.

綜上所述,本發明利用雙向控制器切換血液透析裝置的透析模式與排氣模式;血液透析裝置可利用控制電路讀取透析器之透析療程的執行與否, 自動且即時地將雙向控制器切換為透析模式或排氣模式,以配合透析療程的當前模式提供乾淨的透析液進入透析器、或是提供空氣以排出透析器的殘餘透析液。相比於先前技術,本發明的血液透析裝置不須手動拔除透析液輸入管即可自動執行透析液清除流程,可以避免透析液從透析液輸入管的接口處流出而造成額外的清潔負擔。 In summary, the present invention uses a bidirectional controller to switch the dialysis mode and exhaust mode of the hemodialysis device; the hemodialysis device can use the control circuit to read whether the dialyzer is performing a dialysis treatment, and automatically and instantly switch the bidirectional controller to the dialysis mode or exhaust mode to provide clean dialysate to enter the dialyzer or provide air to exhaust the residual dialysate from the dialyzer in accordance with the current mode of the dialysis treatment. Compared with the prior art, the hemodialysis device of the present invention can automatically perform the dialysate removal process without manually removing the dialysate inlet tube, which can avoid the dialysate flowing out of the interface of the dialysate inlet tube and causing additional cleaning burden.

以上所述僅為本發明之較佳實施例,凡依本發明申請專利範圍所做之均等變化與修飾,皆應屬本發明之涵蓋範圍。 The above is only the preferred embodiment of the present invention. All equivalent changes and modifications made according to the scope of the patent application of the present invention shall fall within the scope of the present invention.

10:血液透析裝置 10:Hemodialysis device

16:透析器 16: Dialyzer

161:流體輸入端 161: Fluid input port

162:流體輸出端 162: Fluid output port

163:血液輸入端 163: Blood inlet port

164:血液輸出端 164: Blood output port

18:輸入用血液導管 18: Blood catheter for infusion

20:輸出用血液導管 20: Blood catheter for blood transfusion

22:輸入用流體導管 22: Fluid input conduit

24:輸出用流體導管 24: Fluid conduit for output

26:雙向控制器 26: Bidirectional controller

261:透析液端 261: Dialysate end

262:空氣端 262: Air terminal

28:過濾器 28:Filter

30:控制電路 30: Control circuit

32:防水層 32: Waterproof layer

Claims (10)

一種血液透析裝置,其包含有:一透析器;一血液導管,連接於該透析器以將血液輸入與輸出該透析器;一流體導管,連接於該透析器,將透析液導入與導出該透析器以過濾該血液;以及一雙向控制器,連接於該透析器與該流體導管,用來切換至一透析模式或一排氣模式,該排氣模式係用於排空該透析器,該雙向控制器係為一電磁閥,用來分析一輸出指令以自動切換至該透析模式或該排氣模式。 A hemodialysis device comprises: a dialyzer; a blood conduit connected to the dialyzer to input and output blood into and out of the dialyzer; a fluid conduit connected to the dialyzer to input and output dialysate into and out of the dialyzer to filter the blood; and a two-way controller connected to the dialyzer and the fluid conduit to switch to a dialysis mode or a gas exhaust mode, wherein the gas exhaust mode is used to empty the dialyzer. The two-way controller is an electromagnetic valve, which is used to analyze an output instruction to automatically switch to the dialysis mode or the gas exhaust mode. 如請求項1所述之血液透析裝置,其中該雙向控制器在該透析模式引導該透析液經由該流體導管進入與離開該透析器,該雙向控制器在該排氣模式則引導空氣經由該流體導管進入該透析器以排出殘餘的該透析液。 A hemodialysis device as described in claim 1, wherein the bidirectional controller guides the dialysate through the fluid conduit to enter and leave the dialyzer in the dialysis mode, and the bidirectional controller guides air through the fluid conduit to enter the dialyzer in the exhaust mode to exhaust the remaining dialysate. 如請求項1所述之血液透析裝置,其中該雙向控制器具有一透析液端和一空氣端,該雙向控制器係根據該透析器之一透析療程之執行與否開啟該透析液端或該空氣端。 A hemodialysis device as described in claim 1, wherein the bidirectional controller has a dialysate end and an air end, and the bidirectional controller opens the dialysate end or the air end according to whether a dialysis treatment of the dialyzer is being performed. 如請求項1所述之血液透析裝置,其中該血液透析裝置另包含一控制電路,電連接該電磁閥,用來讀取該透析器之一透析療程處於一執行模式或一關閉模式以提供該輸出指令。 A hemodialysis device as described in claim 1, wherein the hemodialysis device further comprises a control circuit electrically connected to the solenoid valve for reading whether a dialysis treatment of the dialyzer is in an execution mode or a shutdown mode to provide the output instruction. 如請求項1所述之血液透析裝置,其中該透析器具有一流體輸入 端,該雙向控制器連接該流體導管和該透析器之該流體輸入端。 A hemodialysis device as described in claim 1, wherein the dialyzer has a fluid input end, and the bidirectional controller connects the fluid conduit and the fluid input end of the dialyzer. 如請求項4所述之血液透析裝置,其中該透析療程從該執行模式切換為該關閉模式時,該排氣模式係關閉該雙向控制器之一透析液端且開啟該雙向控制器之一空氣端。 A hemodialysis device as described in claim 4, wherein when the dialysis treatment is switched from the execution mode to the shutdown mode, the exhaust mode is to close one of the dialysate ends of the two-way controller and open one of the air ends of the two-way controller. 如請求項6所述之血液透析裝置,其中該透析療程從該關閉模式切換為該執行模式時,該透析模式係關閉該空氣端且開啟該透析液端。 A hemodialysis device as described in claim 6, wherein when the dialysis treatment is switched from the closed mode to the running mode, the dialysis mode closes the air end and opens the dialysate end. 如請求項1所述之血液透析裝置,其中該雙向控制器之一未導通模式係開啟該雙向控制器之一透析液端且關閉該雙向控制器之一空氣端,該雙向控制器之一導通模式另關閉該透析液端且開啟該空氣端。 A hemodialysis device as described in claim 1, wherein a non-conduction mode of the bidirectional controller opens a dialysate end of the bidirectional controller and closes an air end of the bidirectional controller, and a conduction mode of the bidirectional controller closes the dialysate end and opens the air end. 如請求項1所述之血液透析裝置,另包含有:一過濾器,設置在該雙向控制器之一空氣端,用來過濾進入該雙向控制器的空氣以維持該透析器之一無菌狀態或一低菌狀態。 The hemodialysis device as described in claim 1 further comprises: a filter, disposed at an air end of the two-way controller, for filtering the air entering the two-way controller to maintain a sterile state or a low-bacteria state of the dialyzer. 如請求項9所述之血液透析裝置,其中該過濾器具有一防水層,用來防止該透析液流出該空氣端。 A hemodialysis device as described in claim 9, wherein the filter has a waterproof layer to prevent the dialysate from flowing out of the air end.
TW111139763A 2022-10-20 2022-10-20 Hemodialysis device TWI860561B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4269708A (en) * 1978-05-03 1981-05-26 Vittorio Bonomini Hemodialysis and/or ultrafiltration apparatus
TWI230080B (en) * 2001-12-18 2005-04-01 Jms Co Ltd Automatic hemodialyzer and priming method using such automatic hemodialyzer
CN101232910A (en) * 2005-07-01 2008-07-30 甘布罗伦迪亚股份公司 Apparatus and method for testing filters
CN103732270A (en) * 2011-08-17 2014-04-16 日机装株式会社 Blood purification device
CN110891628A (en) * 2017-06-22 2020-03-17 尼普洛株式会社 Blood purification device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4269708A (en) * 1978-05-03 1981-05-26 Vittorio Bonomini Hemodialysis and/or ultrafiltration apparatus
TWI230080B (en) * 2001-12-18 2005-04-01 Jms Co Ltd Automatic hemodialyzer and priming method using such automatic hemodialyzer
CN101232910A (en) * 2005-07-01 2008-07-30 甘布罗伦迪亚股份公司 Apparatus and method for testing filters
CN103732270A (en) * 2011-08-17 2014-04-16 日机装株式会社 Blood purification device
CN110891628A (en) * 2017-06-22 2020-03-17 尼普洛株式会社 Blood purification device

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