TW202320873A - Automatic heating and pressurizing blood transfusion device including a frame body, a heating unit, a pressurizing unit, a sensing unit, a processing unit, and a blocking unit - Google Patents
Automatic heating and pressurizing blood transfusion device including a frame body, a heating unit, a pressurizing unit, a sensing unit, a processing unit, and a blocking unit Download PDFInfo
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- 210000004369 blood Anatomy 0.000 title claims abstract description 158
- 239000008280 blood Substances 0.000 title claims abstract description 158
- 238000010438 heat treatment Methods 0.000 title claims abstract description 37
- 238000012545 processing Methods 0.000 title claims abstract description 22
- 230000000903 blocking effect Effects 0.000 title claims abstract description 18
- 238000005259 measurement Methods 0.000 claims abstract description 10
- 238000001802 infusion Methods 0.000 claims description 44
- 238000010792 warming Methods 0.000 claims description 17
- 230000002159 abnormal effect Effects 0.000 claims description 7
- 208000007536 Thrombosis Diseases 0.000 claims description 6
- 230000017531 blood circulation Effects 0.000 claims 2
- 238000000034 method Methods 0.000 abstract description 5
- 230000008569 process Effects 0.000 abstract description 5
- 238000010586 diagram Methods 0.000 description 5
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 238000011144 upstream manufacturing Methods 0.000 description 2
- 206010021113 Hypothermia Diseases 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003743 erythrocyte Anatomy 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000002631 hypothermal effect Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
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- 230000008733 trauma Effects 0.000 description 1
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Abstract
Description
本發明是有關於一種輸血裝置,特別是指一種可自動加溫加壓的輸血裝置。The invention relates to a blood transfusion device, in particular to a blood transfusion device that can be automatically heated and pressurized.
輸血是降低疾病發生率和死亡率的重要方式,據估計,全球每年因為疾病或重大創傷大約會進行1億次的輸血。Blood transfusion is an important way to reduce the incidence of disease and mortality. It is estimated that about 100 million blood transfusions are performed every year due to disease or major trauma worldwide.
輸血用的血液一般是在低溫下儲存,於使用前再將低溫儲存的血液回溫至室溫左右使用;此外,為了可有效讓血液可較快速的輸入至患者體內,一般會透過對血袋加壓以迫使血液更快速地進入人體。但是,溫度過高/低,或是壓力過大都會影響輸血品質,例如,直接使用回溫至常溫的血液進行輸血,較容易導致受血病患體溫過低的問題,而溫度過高時(例如溫度大於42℃)也容易令血液中的紅血球細胞膜變得脆弱;而當加壓的壓力大於300mmHg時,則可能容易造成血球破裂。此外,不當的存放環境也可能造成輸血用的血液凝結成血塊,而血塊若輸入至患者體內也會對患者的健康造成影響。The blood used for blood transfusion is generally stored at low temperature, and the blood stored at low temperature is warmed to room temperature before use; in addition, in order to effectively allow the blood to be transfused into the patient's body more quickly, it is generally used through a pair of blood bags Pressurization to force blood into the body more quickly. However, too high/low temperature or too much pressure will affect the quality of blood transfusion. For example, directly using blood that has been warmed to normal temperature for blood transfusion is more likely to cause hypothermia in patients receiving blood, and when the temperature is too high (such as The temperature is greater than 42°C) and it is easy to make the red blood cell membrane in the blood become fragile; and when the pressurized pressure is greater than 300mmHg, it may easily cause blood cell rupture. In addition, improper storage environment may also cause the blood used for blood transfusion to coagulate into blood clots, and if the blood clots are transfused into the patient's body, it will also affect the patient's health.
因此,如何有效控制輸入至患者之血液的壓力及溫度,並監控輸入至患者體內的血液狀況,以維持良好的輸血品質,仍是相關技術領域者持續改善的方向。Therefore, how to effectively control the pressure and temperature of the blood transfused into the patient, and monitor the condition of the blood transfused into the patient's body, so as to maintain a good quality of blood transfusion, is still the direction of continuous improvement for those in the related technical field.
因此,本發明的目的,即在提供一種用於血袋的自動加溫加壓輸血裝置,且該血袋可藉由相應的一輸液管線將該血袋內的血液對外輸出。Therefore, the object of the present invention is to provide an automatic warming and pressurizing blood transfusion device for a blood bag, and the blood bag can output the blood in the blood bag to the outside through a corresponding infusion line.
於是,本發明的自動加溫加壓輸血裝置,包含一架體、一加溫單元、一加壓單元、一感測單元、一阻斷單元,及一處理單元。Therefore, the automatic warming and pressurizing blood transfusion device of the present invention includes a frame, a heating unit, a pressurizing unit, a sensing unit, a blocking unit, and a processing unit.
該架體供吊掛至少一血袋。The frame is used for hanging at least one blood bag.
該加溫單元設置於該架體,包括一界定出一加溫空間,並具有與該加溫空間連通且彼此反向的一入口,及一出口的殼體、至少一位於該加溫空間的管路通道,及一加熱器,該管路通道供容設該輸液管線,該加熱器用於加熱位於該管路通道的該輸液管線,且該輸液管線可經由入口及出口穿過該殼體。The heating unit is arranged on the frame body, and includes a housing that defines a heating space, has an inlet that communicates with the heating space and is opposite to each other, and an outlet that is located in the heating space. A pipeline channel, and a heater, the pipeline channel accommodates the infusion line, the heater is used to heat the infusion line located in the pipeline channel, and the infusion line can pass through the casing through the inlet and the outlet.
該加壓單元設置於該架體,可供容設該至少一血袋,具有可對該至少一血袋加壓的一加壓件。The pressurizing unit is arranged on the frame body, can accommodate the at least one blood bag, and has a pressurizing part capable of pressurizing the at least one blood bag.
該感測單元具有一溫度感測元件及一容積感測元件,該溫度感測元件可供感測該輸液管線內之血液的溫度並對應產生一溫度訊號,該容積感測元件可供感測該至少一血袋內的殘餘血液量並產生相應的一容積訊號。The sensing unit has a temperature sensing element and a volume sensing element, the temperature sensing element can sense the temperature of the blood in the infusion line and correspondingly generate a temperature signal, the volume sensing element can sense The residual blood volume in the at least one blood bag generates a corresponding volume signal.
該阻斷單元鄰近該出口設置,具有一可控制該輸液管線的血液輸出流量的夾止件。The blocking unit is disposed adjacent to the outlet, and has a clamping member capable of controlling the blood output flow of the infusion line.
該處理單元與該感測單元、加壓單元及該阻斷單元訊號連接,供接收該溫度訊號及該容積訊號,並據以驅動該加熱器、該加壓件及夾止件作動。The processing unit is signally connected with the sensing unit, the pressurizing unit and the blocking unit for receiving the temperature signal and the volume signal, and driving the heater, the pressurizing part and the clamping part accordingly.
本發明的功效在於:通過該感測單元對血袋的殘餘血液容積及輸液管線內之血液的溫度進行量測監控,再依據量測結果據以調控對該血袋施加的壓力及對血液之加熱溫度,並利用阻斷單元控制該輸液管線的血液輸出流量,令整個輸液過程維持在預定條件,而可穩定維持輸液的品質。The efficacy of the present invention lies in: the residual blood volume of the blood bag and the temperature of the blood in the infusion line are measured and monitored by the sensing unit, and then the pressure applied to the blood bag and the pressure on the blood are adjusted according to the measurement results. Heating the temperature, and using the blocking unit to control the blood output flow of the infusion line, so that the entire infusion process can be maintained at a predetermined condition, and the quality of the infusion can be maintained stably.
有關本發明之相關技術內容、特點與功效,在以下配合參考圖式之實施例的詳細說明中,將可清楚的呈現。此外,要說明的是,本發明圖式僅為表示元件間的結構及/或位置相對關係,與各元件的實際尺寸並不相關。The relevant technical contents, features and effects of the present invention will be clearly presented in the following detailed description of the embodiments with reference to the drawings. In addition, it should be noted that the drawings of the present invention only represent the structure and/or relative positional relationship between components, and are not related to the actual size of each component.
參閱圖1,本發明自動加溫加壓輸血裝置的一實施例適用於一血袋100,該血袋100可藉由一輸液管線102將該血袋100內的血液101對外輸出。Referring to FIG. 1 , an embodiment of the automatic warming and pressurizing blood transfusion device of the present invention is suitable for a
該實施例包含一架體2、一加溫單元3、一加壓單元4、一感測單元5、一處理單元6、一阻斷單元7、顯示單元8,及一電源單元9。This embodiment includes a frame 2 , a
該架體2具有一可移動的底座21、一自該底座21向上延伸且為中空的支撐桿22,及一設置於該支撐桿22遠離該底座21之一端並延伸至位於該支撐桿22的側邊,可供吊掛其它輸液袋(圖未示)的吊掛架23。The frame body 2 has a
配合參閱圖2,該加溫單元3設置於該架體2,包括一殼體31、一容設於該殼體31內的管路通道32,及一供用於加熱該管路通道32的加熱器33。With reference to FIG. 2 , the
詳細的說,該殼體31設置於支撐桿22並介於該底座21與該吊掛架23之間,界定出一加溫空間311,並具有與該加溫空間311連通且彼此反向的一入口312、一出口313,以及一鄰近該出口313並位於該出口313上游的排氣管路出口314。該管路通道32位於該加溫空間311並可供容設該輸液管線102。該輸液管線102的一端與該血袋100連通,另一端自該入口312進入該加溫空間311並容設於該管路通道32,再經由該出口313延伸出該殼體31,此外,該輸液管線102還具有一與該輸液管線102連通並自該排氣管路出口314延伸的排氣管路(圖未示)。該加熱器33可以是加熱線圈、加熱管,或加熱包等,位於該加溫空間311並可包覆至少部分的該管路通道32,以對容設於該管路通道32的該輸液管線102加熱。In detail, the
於一些實施例中,該加熱器33的加熱溫度為控制在介於37~42℃之間。In some embodiments, the heating temperature of the
配合參閱圖3,圖3(a)、(b)為該加壓件42閉合及展開的結構示意圖。該加壓單元4設置於該架體2,並具有可供容設該血袋100,且對該血袋100加壓的一加壓件42。With reference to FIG. 3 , FIG. 3( a ) and ( b ) are structural schematic diagrams of the closing and unfolding of the
詳細的說,該加壓單元4具有一固設於該支撐桿22的殼體41,該殼體41界定出一容置空間,且該殼體41外側具有供吊掛該血袋100之吊掛件411,一設置於該殼體41外側並可供容置該血袋100的加壓件42,及一容設於該容置空間並與該加壓件42連通的充氣幫浦(圖未示),該加壓件42可以是一具有氣囊的充氣加壓帶,透過該充氣幫浦對該加壓件42進行充/放氣,而可透過氣壓的控制而控制對容設於該加壓件42的該血袋100施加的壓力大小。此外,要說明的是,當該血袋100為多個時,該加壓單元4則可具有多個可分別容設該等血袋100並可分別控壓的加壓件42。In detail, the pressurizing
依標準輸血規範:最初15-20分鐘滴速速度約20-40gtt/min,15-20分後,滴速為40-60gtt/min。因此,該加壓單元4可控制在壓力低於300 mmHg。According to standard blood transfusion specifications: the drip rate is about 20-40gtt/min in the first 15-20 minutes, and the drip rate is 40-60gtt/min after 15-20 minutes. Therefore, the pressurizing
於一些實施例中,該加壓單元4可控制在壓力介於100~300 mmHg,並適用於大約每分鐘輸入50 mL以上(建議速度設定20-400滴/分 + 全開直線速度)。In some embodiments, the pressurizing
於一些實施例中,該加壓單元4可控制在壓力為 100-140 mmHg 時,輸血速度為 200-300 滴/分;壓力為 140-180 mmHg 時,輸血速度為 300-400 滴/分;壓力為 180-240 mmHg 時,輸血速度為直線狀態。In some embodiments, the pressurizing
該感測單元5包括一可供感測該輸液管線102內之血液101的溫度並對應產生一溫度訊號的溫度感測元件51、一可供感測該血袋100內的殘餘血液量並產生相應的一容積訊號的容積感測元件52,及一血液感測元件53。該溫度感測元件51可以是例如紅外線溫度感測器,可供感測流經該輸液管線102中之血液101於鄰近該入口312及/或該出口313的溫度並產生該溫度訊號。於本實施例中,該溫度感測元件51是以一設置於鄰近該出口313的紅外線溫度感測器為例說明。該容積感測元件52可以是例如光學感測器,供用於量測該血袋100內之血液101的剩餘量以產生該容積訊號。該血液感測元件53可以是光學感測元件,供量測該輸液管線102內之血液101的狀態,例如該血液感測元件53可用於感測該血液101是否含有空氣或結塊等,並產生一血液量測訊號。The
該處理單元6可以整合於該加溫單元4或加壓單元4中,與該加溫單元3、該加壓單元4及該感測單元5訊號連接,供接收該溫度訊號及該容積訊號,並可依據該溫度訊號及該容積訊號的計算結果據以驅動該加熱器33與該加壓件42作動,而得以令輸出至人體(圖未示)的血液101可以預定的溫度及流量輸出。本實施例是將該處理單元6整合於該加壓單元4為例,然實際實施時並不以此為限。The
詳細的說,該處理單元6可接收該溫度感測元件51量測鄰近該入口312及該出口313的溫度得到的溫度訊號得到該入口312及該出口313的溫差,並透過該溫差計算後調整該加壓件42的壓力,以控制該輸液管線102的血液101流經該殼體31的時間(即控制加熱時間),從而讓該輸液管線102的血液101流至該出口313時的溫度可達到一預設值,其中,該預設值介於37℃-42℃。此外,該處理單元6還可透過接收該血液101於該出口313的溫度並據以調整該加熱器33的作動,以維持自該加溫單元3輸出之血液101溫度的一致性。In detail, the
該阻斷單元7鄰近該出口313設置,與該加壓單元4、該感測元件5及該處理單元6訊號連接,該處理單元6可接收該感測元件5的感測訊號,並依據該感測訊號驅動該阻斷單元7以控制該輸液管線102的血液輸出流量,及/或同時停止該加壓單元4作動。The
詳細的說,參閱圖4,該阻斷單元7可以是一分別設置於該輸液管線102兩側的夾止件71,可與該加壓單元4配合以控制該血液101的流速。In detail, referring to FIG. 4 , the
當該處理單元6於接收該溫度感測元件51量測鄰近該出口313之溫度超出該預設值時,即可驅動該夾止件71夾止該輸液管線102,以阻斷該輸液管線102中之血液101流動並停止加壓及/或加熱。其中,該預設值如前所述是該血液101可維持品質的溫度範圍區間,例如,37℃-42℃。When the
此外,該處理單元6還可接收該血液感測元件53量測得到的血液量測訊號。當該血液101中含有空氣或是血塊時,該血液量測訊號顯示為異常,此時,該處理單元6會驅動該阻斷單元7阻斷該輸液管線102內之血液101流動並同時經由該處理單元6停止該加壓件42對該血袋100加壓。並可再進一步透過位於該夾止件71上游與該輸液管線102連通的排氣管路將氣體或血塊排出,並於排除異常狀況後,續行運作。In addition, the
該顯示單元8與該感測單元5及該處理單元6訊號連接,可用以顯示該感測單元5的數值或其它可閱讀資訊,並可透過一輸入單元(圖未示)讓使用者可自行輸入輸血時所需的壓力或溫度,或是選擇內建的溫度、壓力程式模式,以對該次輸血進行控制及監控。此外,該顯示單元8還可同時具有一警示器(圖未示),當量測得到的溫度訊號或血液量測訊號超出該預設值或異常時,該警示器可產生一警示信號,以提醒相關人員。其中,該警示信號可以是聲音,及/或文字或圖案。The
該電源單元9包括一分別與需電元件電連接的電池組91、一與該電池組91連接的電源線92及一與該電源線92連接的插頭93。其中,該電池組91可容設於該加壓單元4的殼體41,該電源線92的一端與該電池連接,另一端可自該支撐桿22內延伸,再透過一開口(圖未示)穿出該支撐桿22。此外,於該支撐桿22內的該電源線92可透過一設置於該殼體31內可伸縮的捲線器94而被收納於該支撐桿22,可避免該電源線92外露,以減少線路凌亂。The power supply unit 9 includes a
使用本發明該自動加溫加壓輸血裝置進行輸血時,可利用該顯示單元8設定輸血所需的相關控制參數後即可進行輸血。並於輸血過程透過該溫度感測元件51量測得到的容積感測訊號控制該加壓件41對該血袋100加壓,而可讓血液101於輸血過程中以預定流量輸出;此外,於輸血過程中可利用該加溫單元3對通過該管路通道32的血液101加熱,讓輸出的血液101具有預定溫度。更可進一步透過該溫度感測元件51量測該血液101於鄰近該殼體31入口312及出口313的溫度,利用該入口312及出口313的溫差結果據以調整該血液101的流速,而可更精確的控制該血液101的輸出溫度。此外,透過該溫度感測單元51及該血液感測元件53的量測輔助,當該血液感測元件53量測到該血液101有異常狀況時,例如該血液101溫度過高、過低,或血液101中含有空氣、血塊等,還可透過該阻斷單元7,阻斷該輸液管線102內之血液101流動以即時停止異常輸血,從而可提升輸血品質及輸血過程管控,故確實可達成本發明的目的。When the automatic warming and pressurizing blood transfusion device of the present invention is used for blood transfusion, the
惟以上所述者,僅為本發明的實施例而已,當不能以此限定本發明實施的範圍,凡是依本發明申請專利範圍及專利說明書內容所作的簡單的等效變化與修飾,皆仍屬本發明專利涵蓋的範圍內。But the above-mentioned ones are only embodiments of the present invention, and should not limit the scope of the present invention. All simple equivalent changes and modifications made according to the patent scope of the present invention and the content of the patent specification are still within the scope of the present invention. Within the scope covered by the patent of the present invention.
100:血袋 101:血液 102:輸液管線 2:架體 21:底座 22:支撐桿 23:吊掛架 3:加溫單元 31:殼體 311:加溫空間 312:入口 313:出口 314:排氣管路出口 32:管路通道 33:加熱器 4:加壓單元 41:殼體 411:吊掛件 42:加壓件 5:感測單元 51:溫度感測元件 52:容積感測元件 53:血液感測元件 6:處理單元 7:阻斷單元 71:夾止件 8:顯示單元 9:電源單元 91:電池組 92:電源線 93:插頭 94:捲線器 100: blood bag 101: blood 102: Infusion pipeline 2: frame body 21: base 22: support rod 23: hanger 3: Heating unit 31: shell 311: heating space 312: entrance 313: export 314: exhaust pipe outlet 32: pipeline channel 33: heater 4: Pressurization unit 41: shell 411: hanger 42:Pressure parts 5: Sensing unit 51: Temperature sensing element 52: volume sensing element 53: Blood sensing element 6: Processing unit 7: Blocking unit 71: clamp stop 8: Display unit 9: Power supply unit 91: battery pack 92: Power cord 93: plug 94: cord reel
本發明的其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是一示意圖,說明本發明自動加溫加壓輸血裝置的該實施例; 圖2是一示意圖,說明該實施例的加溫單元; 圖3是一示意圖,說明該實施例的加壓件;及 圖4是一示意圖,說明該實施例的夾止件。Other features and functions of the present invention will be clearly presented in the implementation manner with reference to the drawings, wherein: Fig. 1 is a schematic diagram illustrating the embodiment of the automatic warming and pressurizing blood transfusion device of the present invention; Fig. 2 is a schematic diagram , illustrating the heating unit of this embodiment; FIG. 3 is a schematic diagram illustrating the pressing member of this embodiment; and FIG. 4 is a schematic diagram illustrating the clamping member of this embodiment.
100:血袋 100: blood bag
102:輸液管線 102: Infusion pipeline
2:架體 2: frame body
21:底座 21: base
22:支撐桿 22: support rod
23:吊掛架 23: hanger
3:加溫單元 3: Heating unit
31:殼體 31: Shell
312:入口 312: entrance
313:出口 313: export
314:排氣管路出口 314: exhaust pipe outlet
4:加壓單元 4: Pressurization unit
41:殼體 41: Shell
411:吊掛件 411: hanger
42:加壓件 42:Pressure parts
6:處理單元 6: Processing unit
8:顯示單元 8: Display unit
9:電源單元 9: Power supply unit
91:電池組 91: battery pack
92:電源線 92: Power cord
93:插頭 93: plug
94:捲線器 94: cord reel
Claims (9)
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| US5879329A (en) * | 1997-01-22 | 1999-03-09 | Radiant Medical, Inc. | Infusion systems and methods for introducing fluids into the body within a desired temperature range |
| US20160022895A1 (en) * | 2013-01-15 | 2016-01-28 | Takatori Corporation | Stock solution concentrating device, stock solution treatment device, and circulation-type treatment device |
| TWM594467U (en) * | 2019-12-02 | 2020-05-01 | 長庚學校財團法人長庚科技大學 | Automatic blood transfusion heating and pressurizing device |
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