CN206492052U - A kind of artery lateral line - Google Patents
A kind of artery lateral line Download PDFInfo
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- CN206492052U CN206492052U CN201621208383.2U CN201621208383U CN206492052U CN 206492052 U CN206492052 U CN 206492052U CN 201621208383 U CN201621208383 U CN 201621208383U CN 206492052 U CN206492052 U CN 206492052U
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- branched pipe
- artery
- lateral line
- pipe
- artery lateral
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Abstract
The utility model is related to a kind of artery lateral line, the tube for connecting artery and vein that artery lateral line is mainly linked in sequence by woven hose and on woven hose, swivel joint, rinse branched pipe II, hemostatic clamp I, thief hatch, rinse branched pipe I, fluid infusion branched pipe, pump line, heparin branched pipe, artery kettle and pipe joint composition, flushing branched pipe II is T-shaped pipe, two horizontal mouths of pipe for rinsing branched pipe II are communicated with artery lateral line, it is 80mm to rinse the distance between branched pipe II and swivel joint, the appearance blood volume for rinsing line segments between branched pipe II and swivel joint is 2 3mL, branched pipe II is rinsed to connect with infusion strap or physiological saline device.When carrying out closed blood back using the artery lateral line, the termination of pumping time is shorter, reduce to a certain extent artery lateral line and and dialyzer intravascular coagulation possibility, while effectively reducing the risk of internal fistula thromboembolism, and the high upper fistula user of pressure is applicable to, the used time is few and blood back is clean.
Description
Technical field
The utility model belongs to medical instruments field, is related to a kind of artery lateral line, and more particularly to a kind of haemodialysis is used
Artery lateral line.
Background technology
Haemodialysis is one of acute or chronic renal failure user's Replacement Therapy, and it is by by internal blood drainage
To external, through one in the dialyzer constituted without several hollow fibres, mass exchange is carried out by disperse convection current, body is removed
Intracellular metabolite waste, maintains electrolyte and acid-base balance, while removing moisture excessive in vivo, finally returns the blood by purification
It is defeated to arrive in user's body.
In whole During Cpb, blood is drawn by the rotation of dialysis machine blood pump by arterial puncture needle, is then passed through successively
Artery lateral line, dialyzer and vein lateral line are crossed, most feeds back into vivo, so goes round and begins again to dialysis through venipuncture needle afterwards
Terminate, whole process is time-consuming 4 hours.
After dialysis terminates, blood must be all fed back into vivo in external whole pipeline and dialyzer, that is, carries out closed
Blood back, step is:1) prepare>200mL physiological saline, branched pipe I is rinsed by infusion strap connection;2) pump speed is turned down, with
CBF is advisable less than or equal to 100mL, presss from both sides the hemostatic clamp I closed on artery lateral line, and the side of branched pipe I transfusion skin is rinsed while opening
Blood is to pump line in liquid stopping clamp on bar, flushing line, the time with<It is advisable within 20-30 seconds;3) pump is closed, is opened on artery lateral line
Hemostatic clamp I, by natural gravity effect feed back artery lateral line in proximal part blood;4) feed back after terminating, be again switched off artery
Hemostatic clamp I on lateral line;5) turn on pump again, continues to feed back blood;6) feed back after terminating, folder closes vein end clip;7) pin is pulled out,
Hemostasis.
The dialysis that clinically generally uses at present with artery lateral line as shown in figure 1, rinse branched pipe I and swivel joint it
Between transfusion pipeline section length be 2.08 meters, hold blood volume be about 30mL or so, during closed blood back, by gravity feed back pump
During the blood of front end, the problem of having more:1) time-consuming for blood back process, needs termination of pumping about 50 seconds or so, there is the risk of potential blood coagulation;
2) remained blood is more in woven hose, and increase patient's loses blood;3) 30mL blood does not pass through in returning step in woven hose
Filter screen, adds tiny thrombus into internal risk, also increases the risk of Fistula obstruction;4) make for a part of upper fistula
User, artery end pressure is high, and this device is difficult big during closed blood back, can only using general blood back mode, and one
As property blood back mode pollution probability greatly increase, it is serious to violate aseptic operation principle.
In summary, the problem of current dialysis artery lateral line is present how is solved relatively low, safe there is provided a kind of risk
The higher haemodialysis of coefficient turns into current urgent problem to be solved with artery lateral line.
Utility model content
The purpose of this utility model is to overcome the problem of existing dialysis artery lateral line safety coefficient is low, risk is higher,
A kind of safe and reliable, easy to use artery lateral line is provided.
To reach above-mentioned purpose, the technical solution adopted in the utility model is:
A kind of artery lateral line, the sound that the artery lateral line is mainly linked in sequence by woven hose and on woven hose
Arteries and veins connecting tube, swivel joint, flushing branched pipe II, hemostatic clamp I, thief hatch, flushing branched pipe I, fluid infusion branched pipe, pump line, liver
Plain branched pipe, artery kettle and pipe joint composition;
The flushing branched pipe II is T-shaped pipe, and two horizontal mouths of pipe for rinsing branched pipe II are communicated with artery lateral line;Institute
It is 80mm to state the distance between flushing branched pipe II and swivel joint, rinses the appearance of line segments between branched pipe II and swivel joint
Blood volume is 2-3mL, relative to common artery lateral line, and the blood flow volume through screen pack is not reduced to 2-3mL, tiny blood by 30mL
Bolt is greatly reduced into internal risk, while also reducing the risk of internal fistula thromboembolism.
It is used as preferred technical scheme:
A kind of artery lateral line as described above, the front end connection arterial puncture needle of the tube for connecting artery and vein is described dynamic
There is hemostatic clamp II on arteries and veins puncture needle.
A kind of artery lateral line as described above, the flushing branched pipe I is provided with liquid stopping clamp, the flushing branched pipe I
Connected with infusion strap, when flushing branched pipe I is connected with infusion strap, artery lateral line is used for haemodialysis.
A kind of artery lateral line as described above, the flushing branched pipe II is provided with liquid stopping clamp, the flushing branched pipe
II connects with infusion strap, when flushing branched pipe II is connected with infusion strap, after artery lateral line terminates for haemodialysis
Closed blood back.
A kind of artery lateral line as described above, the length of the line segments of the flushing branched pipe II connected with infusion strap is
60mm。
A kind of artery lateral line as described above, the caliber of the line segments of the flushing branched pipe II connected with infusion strap is
3-4mm。
A kind of artery lateral line as described above, the flushing branched pipe II is connected with physiological saline device, by physiology
Salt solution rinses the pusher of branched pipe II by the connection of physiological saline device and is injected back into defeated proximal part blood, can be achieved high for pressure
The closed blood back of upper fistula user, overcomes common artery lateral line and is not suitable for upper fistula user's closed blood back
Shortcoming, while the artery lateral line has the advantages that the used time is few and blood back is clean.
A kind of artery lateral line as described above, the capacity of the physiological saline device is 10-20mL, physiological saline note
The capacity of emitter can be suitably adjusted according to whether clean blood back in blood samples of patients blood viscosity situation and pipeline is.
A kind of artery lateral line as described above, the artery lateral line is during closed blood back, and the termination of pumping time is
3-5 seconds, much smaller than the termination of pumping time 50s of common dialysis artery lateral line, reduce artery lateral line i.e. dialyzer intravascular coagulation
Possibility.
A kind of artery lateral line as described above, for same patient, the artery lateral line is in closed blood back process
In, the reduction of physiological saline usage amount is obvious, for need it is strict control the uremic patient of water for, it is easier to receive,
Compliance is also greatly improved.
A kind of artery lateral line as described above, in the case where causing blood coagulation without other reasons, the artery lateral line
During closed blood back, blood residuals amount alleviates the mistake of user in blood dialysis close to 0mL in woven hose
Blood, is conducive to user's healthy.
Beneficial effect:
1) arterial side pipeline structure of the present utility model is simple, easy to use;
2) artery lateral line of the present utility model is applicable to the high upper fistula user of pressure, and the used time is few and blood back is dry
Only;
3) artery lateral line of the present utility model termination of pumping time during closed blood back is shorter, drops to a certain extent
Low artery lateral line and and dialyzer intravascular coagulation possibility;
4) artery lateral line of the present utility model is during closed blood back, and blood residuals amount is close in woven hose
0mL, is conducive to user healthy;
5) common dialysis is substituted using artery lateral line of the present utility model and uses artery lateral line, not the blood through screen pack
Liquid is reduced to 2-3mL by original 30mL, and tiny thrombus is greatly reduced into internal risk, while also reducing internal fistula thrombus
The risk of embolism.
Brief description of the drawings
Fig. 1 is the schematic diagram of common dialysis artery lateral line;
Fig. 2 is the schematic diagram of the utility model artery lateral line;
Fig. 3 is schematic diagram when artery lateral line is dialysed;
Schematic diagram when Fig. 4 is arterial side pipeline sealing formula blood back.
Wherein, 1- tube for connecting artery and vein, 2- swivel joints, 3- hemostatic clamps I, 4- thief hatch, 5- rinses branched pipe I, and 6- is mended
Liquid branched pipe, 7- heparin branched pipes, 8- pump lines, 9- artery kettles, 10- pipe joints, 11- infusion straps, 12- rinses branched pipe
Ⅱ。
Embodiment
With reference to embodiment, the utility model is expanded on further.It should be understood that these embodiments are merely to illustrate
The utility model rather than limitation scope of the present utility model.In addition, it is to be understood that reading in the utility model instruction
After appearance, those skilled in the art can make various changes or modifications to the utility model, and these equivalent form of values equally fall within this
Apply for appended claims limited range.
A kind of artery lateral line is as shown in Fig. 2 artery lateral line is mainly linked in sequence by woven hose and on woven hose
Tube for connecting artery and vein 1, swivel joint 2, rinse branched pipe II 12, hemostatic clamp I 3, thief hatch 4, rinse branched pipe I 5, fluid infusion point
Branch pipe 6, pump line 8, heparin branched pipe 7, artery kettle 9 and pipe joint 10 are constituted;The front end connection artery of tube for connecting artery and vein 1 is worn
There is hemostatic clamp II on pricker, arterial puncture needle;Rinse branched pipe II 12 and be provided with liquid stopping clamp, flushing branched pipe II 12 is T-shaped pipe,
Two horizontal mouths of pipe for rinsing branched pipe II 12 are communicated with artery lateral line;Rinse between branched pipe II 12 and swivel joint 2
Distance is 80mm, and the appearance blood volume for rinsing line segments between branched pipe II 12 and swivel joint 2 is 2-3mL.
Schematic diagram when being dialysed using artery lateral line by branched pipe I 5 is rinsed with infusion strap 11 as shown in figure 3, connect
Logical, dialysis operation can be carried out by then opening the liquid stopping clamp rinsed on branched pipe I 5;
Schematic diagram when carrying out closed blood back using artery lateral line will be as shown in figure 4, branched pipe II 12 and transfusion will be rinsed
Leather strap 11 is connected, wherein the length of the line segments of the flushing branched pipe II 12 connected with infusion strap 11 is 60mm, with transfusion skin
The caliber of the line segments for the flushing branched pipe II 12 that bar 11 is connected is 4mm;
The concrete operations for carrying out closed blood back using artery lateral line are as follows:
1) prepare the physiological saline more than 200mL, branched pipe II 12 is rinsed by the connection of infusion strap 11;
2) turn pump speed down, be advisable with CBF less than or equal to 100mL, press from both sides the hemostatic clamp II closed on arterial puncture needle, simultaneously
Blood is to pump line 8 in the liquid stopping clamp that opening is rinsed on branched pipe II 12, flushing line, and the time is 25 seconds;
3) pump is closed, opening on arterial puncture needle has hemostatic clamp II, the nearly heart in artery lateral line is fed back by natural gravity effect
Hold blood, 5 seconds used times;
4) feed back after terminating, be again switched off the hemostatic clamp II on arterial puncture needle;
5) turn on pump again, continues to feed back blood;
6) feed back after terminating, folder closes vein end clip;
7) pin is pulled out, is stopped blooding.
For the high upper fistula patient of pressure, infusion strap 11 is connected with flushing branched pipe II 12 and is changed to capacity for 20mL
Physiological saline device with rinse branched pipe II 12 connect, preparation 15mL physiological saline, pushed away by physiological saline device
Note proximal part blood in recirculation line arterial side.
During closed blood back, termination of pumping time of artery lateral line is 5s, and physiological saline consumption is to rinse to pipeline
The blood that is inside invisible to the naked eye is preferred, and blood residuals amount is almost 0 in woven hose.
Claims (9)
1. a kind of artery lateral line, it is characterized in that:The artery lateral line mainly sequentially connects by woven hose and on woven hose
The tube for connecting artery and vein that connects, swivel joint, rinse branched pipe II, hemostatic clamp I, thief hatch, rinse branched pipe I, fluid infusion branched pipe,
Pump line, heparin branched pipe, artery kettle and pipe joint composition;
The flushing branched pipe II is T-shaped pipe, and two horizontal mouths of pipe for rinsing branched pipe II are communicated with artery lateral line;The punching
It is 80mm to wash the distance between branched pipe II and swivel joint, rinses the appearance blood volume of line segments between branched pipe II and swivel joint
For 2-3mL.
2. a kind of artery lateral line according to claim 1, it is characterised in that the front end connection of the tube for connecting artery and vein
There is hemostatic clamp II on arterial puncture needle, the arterial puncture needle.
3. a kind of artery lateral line according to claim 1, it is characterised in that the flushing branched pipe I is provided with only liquid
Folder, the flushing branched pipe I is connected with infusion strap.
4. a kind of artery lateral line according to claim 1, it is characterised in that the flushing branched pipe II is provided with only liquid
Folder, the flushing branched pipe II is connected with infusion strap.
5. a kind of artery lateral line according to claim 4, it is characterised in that the flushing branched pipe connected with infusion strap
The length of II line segments is 60mm.
6. a kind of artery lateral line according to claim 5, it is characterised in that the flushing branched pipe connected with infusion strap
The caliber of II line segments is 3-4mm.
7. a kind of artery lateral line according to claim 1, it is characterised in that the flushing branched pipe II and physiological saline
Syringe is connected.
8. a kind of artery lateral line according to claim 7, it is characterised in that the capacity of the physiological saline device is
10-20mL。
9. a kind of artery lateral line according to any one of claim 1~8, it is characterised in that the artery lateral line exists
During closed blood back, the termination of pumping time is 3-5 seconds.
Priority Applications (1)
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CN201621208383.2U CN206492052U (en) | 2016-11-09 | 2016-11-09 | A kind of artery lateral line |
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CN201621208383.2U CN206492052U (en) | 2016-11-09 | 2016-11-09 | A kind of artery lateral line |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109464715A (en) * | 2018-12-26 | 2019-03-15 | 贝恩医疗设备(广州)有限公司 | A kind of extracorporeal circulation pipeline for arterial blood dialysis |
-
2016
- 2016-11-09 CN CN201621208383.2U patent/CN206492052U/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109464715A (en) * | 2018-12-26 | 2019-03-15 | 贝恩医疗设备(广州)有限公司 | A kind of extracorporeal circulation pipeline for arterial blood dialysis |
CN109464715B (en) * | 2018-12-26 | 2024-01-05 | 贝恩医疗设备(广州)有限公司 | Extracorporeal circulation pipeline for arterial hemodialysis |
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