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CN118059338B - Membrane oxygenator with efficient filtration - Google Patents

Membrane oxygenator with efficient filtration Download PDF

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Publication number
CN118059338B
CN118059338B CN202410017343.2A CN202410017343A CN118059338B CN 118059338 B CN118059338 B CN 118059338B CN 202410017343 A CN202410017343 A CN 202410017343A CN 118059338 B CN118059338 B CN 118059338B
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space
membrane
filter
housing
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CN118059338A (en
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刘鹏
刘日东
王�华
李正财
熊先明
刘志伟
王颖
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Jiangsu Saiteng Medical Technology Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3666Cardiac or cardiopulmonary bypass, e.g. heart-lung machines

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
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Abstract

The invention provides a membrane oxygenator with high-efficiency filtration, which comprises a shell and an oxygenation temperature changing module, wherein the upper part of the shell is provided with a blood inlet, an air outlet, a water inlet and a water outlet, and the lower part of the shell is provided with a bleeding port, an air inlet and an air outlet; the oxygenation temperature changing module is vertically arranged in the shell and comprises a second filter screen, an oxygen pressure membrane, a first filter screen and a temperature changing membrane which are sequentially stacked from bottom to top, the temperature changing membrane is communicated with the water inlet and the water outlet, the oxygen pressure membrane is communicated with the air inlet and the air outlet, and the aperture of the second filter screen is smaller than that of the first filter screen; blood enters the shell from the blood inlet nozzle, sequentially passes through the temperature changing film, the first filter screen, the oxygen pressing film and the second filter screen from top to bottom, flows out from the bleeding port, and gas in the shell is discharged from bottom to top through the exhaust port. The invention can achieve better filtering effect on the premise of not increasing excessive pressure drop and blood pre-charge.

Description

高效过滤的膜式氧合器High efficiency filtration membrane oxygenator

技术领域Technical Field

本发明涉及医疗器械技术领域,特别是涉及一种高效过滤的膜式氧合器。The invention relates to the technical field of medical devices, in particular to a high-efficiency filtering membrane oxygenator.

背景技术Background Art

临床手术用的体外循环装置,俗称人工肺,又称氧合器。氧合器作为体外血液氧合的装置,在体外循环(CPB)和体外膜肺氧合(ECMO)中发挥着重要作用。在应用过程中,其主要作用为使得贫氧的静脉血转变为富氧的动脉血,替代肺脏功能,以满足术中患者的需要。The extracorporeal circulation device used in clinical surgery is commonly known as an artificial lung, also known as an oxygenator. As a device for extracorporeal blood oxygenation, the oxygenator plays an important role in extracorporeal circulation (CPB) and extracorporeal membrane oxygenation (ECMO). During application, its main function is to convert oxygen-poor venous blood into oxygen-rich arterial blood, replacing the function of the lungs to meet the needs of patients during surgery.

由于引出血液中存在包含气泡及固体颗粒在内的栓子,直接回输人体会引起血管栓塞,因此,体外循环时除采取氧合器对血液进行气体交换维持病患氧供外,还会使用过滤器截留血液中的栓子,过滤器是血液回输至人体的安全屏障。现有技术中有将过滤器与氧合器集成为一体的设计,例如在血液走向为由内向外的氧合器结构中,过滤器为包裹氧合器最外层丝膜的过滤网,在血液走向为由外向内的氧合器结构中,过滤器为包裹氧合器最内层丝膜的过滤网。Since there are emboli including bubbles and solid particles in the drawn blood, direct transfusion back into the human body can cause vascular embolism. Therefore, during extracorporeal circulation, in addition to using an oxygenator to perform gas exchange on the blood to maintain the patient's oxygen supply, a filter is also used to intercept emboli in the blood. The filter is a safety barrier for blood transfusion back into the human body. In the prior art, there is a design that integrates the filter and the oxygenator into one. For example, in an oxygenator structure where the blood flows from the inside to the outside, the filter is a filter mesh that wraps the outermost silk membrane of the oxygenator. In an oxygenator structure where the blood flows from the outside to the inside, the filter is a filter mesh that wraps the innermost silk membrane of the oxygenator.

然而,对于血液从外向内流的氧合器结构,为了符合过滤要求,通常会将氧合器内部空间做大,以安装面积足够大的过滤网,但是这种设计扩大了氧合器体积、增加了血液预充量,不适用于婴幼儿使用的氧合器。对于血液从内向外流的氧合器结构,虽然过滤网面积有所增大,不用刻意扩大氧合器体积,但是由于血液中混杂的气泡及颗粒物大小不等,为了达到过滤要求,通常会将过滤网网孔设计得很小,造成血液通过性不好,血液在流经过滤网时压力损失急剧增大,氧合器的压力损失决定了血泵最大输出能力以及同流量下的转速差异,氧合器本身压力损失越大则需要血泵以更大的转速维持流量,从而加剧了血液破坏,与此同时,血液流速增大使血液与氧压膜丝的接触时间变短,降低氧合效率,而且血液流速提高还会将大气泡冲散成小气泡,小气泡增加则进一步削弱了血液在滤网处的通过性。鉴于以上情况,有必要设计一种预充量小、压力损失小且过滤效果好的氧合器,以满足重症急救场景下的功能需要。However, for the oxygenator structure where blood flows from outside to inside, in order to meet the filtering requirements, the internal space of the oxygenator is usually enlarged to install a filter with a large enough area. However, this design expands the volume of the oxygenator and increases the blood pre-charge volume, and is not suitable for oxygenators used by infants and young children. For the oxygenator structure where blood flows from inside to outside, although the filter area is increased, the volume of the oxygenator does not need to be deliberately enlarged, but due to the different sizes of bubbles and particles mixed in the blood, in order to meet the filtering requirements, the filter mesh is usually designed to be very small, resulting in poor blood permeability. The pressure loss of blood increases sharply when it flows through the filter. The pressure loss of the oxygenator determines the maximum output capacity of the blood pump and the speed difference under the same flow rate. The greater the pressure loss of the oxygenator itself, the blood pump needs to maintain the flow at a higher speed, thereby aggravating blood damage. At the same time, the increase in blood flow rate shortens the contact time between blood and oxygen pressure membrane wire, reducing oxygenation efficiency. In addition, the increase in blood flow rate will also disperse large bubbles into small bubbles. The increase in small bubbles further weakens the permeability of blood at the filter. In view of the above situation, it is necessary to design an oxygenator with small pre-fill volume, small pressure loss and good filtration effect to meet the functional needs in critical emergency scenarios.

发明内容Summary of the invention

针对现有技术存在的不足,本发明的目的在于提供一种高效过滤的膜式氧合器,能够在不增加过多压降、不增加血液预充量或者直接减小血液预充量的前提下,达到较好的过滤效果。In view of the shortcomings of the prior art, the object of the present invention is to provide a high-efficiency filtration membrane oxygenator, which can achieve a better filtration effect without increasing excessive pressure drop, increasing the blood priming volume or directly reducing the blood priming volume.

本公开提供一种高效过滤的膜式氧合器,包括:The present disclosure provides a high-efficiency filtration membrane oxygenator, comprising:

外壳,所述外壳的上部设有进血嘴、排气口、进水口和出水口,所述外壳的下部设有出血口、进气口和出气口;The outer shell has a blood inlet, an air outlet, a water inlet and a water outlet at the upper part, and a blood outlet, an air inlet and an air outlet at the lower part;

氧合变温模组,竖直设于所述外壳中,包括从下至上依次层叠设置的第二过滤网、氧压膜、第一过滤网和变温膜,所述变温膜连通所述进水口与所述出水口,所述氧压膜连通所述进气口与所述出气口,所述第二过滤网的孔径小于所述第一过滤网的孔径;an oxygenation temperature-variable module, vertically arranged in the housing, comprising a second filter, an oxygen pressure membrane, a first filter and a temperature-variable membrane stacked in sequence from bottom to top, the temperature-variable membrane communicating with the water inlet and the water outlet, the oxygen pressure membrane communicating with the air inlet and the air outlet, and the aperture of the second filter being smaller than the aperture of the first filter;

血液从所述进血嘴进入所述外壳内,并自上而下依次穿过所述变温膜、所述第一过滤网、所述氧压膜和所述第二过滤网后从所述出血口流出,所述外壳内的气体自下而上经由所述排气口排出。Blood enters the shell from the blood inlet, passes through the temperature-variable membrane, the first filter, the oxygen pressure membrane and the second filter in sequence from top to bottom, and then flows out from the bleeding port, and the gas in the shell is discharged from bottom to top through the exhaust port.

可选的,所述第一过滤网的孔径为70μm~100μm;所述第二过滤网的孔径不大于40μm。Optionally, the pore size of the first filter is 70 μm to 100 μm; and the pore size of the second filter is not greater than 40 μm.

可选的,所述外壳的顶部设有血液分散结构,所述进血嘴连通所述血液分散结构,所述血液分散结构用于将从所述进血嘴进入的血液分散到所述变温膜的上表面。Optionally, a blood dispersion structure is provided on the top of the shell, and the blood inlet is connected to the blood dispersion structure, and the blood dispersion structure is used to disperse the blood entering from the blood inlet to the upper surface of the temperature variable membrane.

可选的,所述血液分散结构包括缓冲空间和围绕所述缓冲空间设置的多个扰流片,所述缓冲空间位于所述外壳顶部的中间区域,所述进血嘴连通所述缓冲空间,所述扰流片从所述缓冲空间向所述外壳的内侧壁延伸,相邻两个扰流片之间形成引流通道;血液自所述进血嘴进入所述缓冲空间后,沿所述引流通道分散到所述变温膜的上表面。Optionally, the blood dispersion structure includes a buffer space and a plurality of spoilers arranged around the buffer space, the buffer space is located in the middle area of the top of the outer shell, the blood inlet is connected to the buffer space, the spoilers extend from the buffer space to the inner wall of the outer shell, and a drainage channel is formed between two adjacent spoilers; after the blood enters the buffer space from the blood inlet, the blood is dispersed along the drainage channel to the upper surface of the temperature variable membrane.

可选的,所述缓冲空间的横截面为圆形,所述进血嘴与所述缓冲空间相切,所述血液切向进入所述缓冲空间,以在所述缓冲空间内形成螺旋涡流。Optionally, the cross-section of the buffer space is circular, the blood inlet nozzle is tangent to the buffer space, and the blood enters the buffer space tangentially to form a spiral vortex in the buffer space.

可选的,所述排气口设在所述外壳的顶部,所述排气口连通所述缓冲空间。Optionally, the exhaust port is arranged at the top of the shell, and the exhaust port is connected to the buffer space.

可选的,所述排气口高于所述缓冲空间的最高位置。Optionally, the exhaust port is higher than the highest position of the buffer space.

可选的,所述氧合器还包括封堵层、横向隔离层和纵向隔离层,所述封堵层设于所述外壳内侧壁与所述氧合变温模组之间,所述外壳内侧壁与所述封堵层之间具有流通空间,所述横向隔离层和所述纵向隔离层设在所述流通空间内,并且,所述横向隔离层将所述流通空间划分为水路空间和气路空间,所述纵向隔离层将所述水路空间划分为第一水路空间和第二水路空间、将所述气路空间划分为第一气路空间和第二气路空间;Optionally, the oxygenator further comprises a blocking layer, a transverse isolation layer and a longitudinal isolation layer, the blocking layer is arranged between the inner side wall of the shell and the oxygenation temperature-changing module, a circulation space is provided between the inner side wall of the shell and the blocking layer, the transverse isolation layer and the longitudinal isolation layer are arranged in the circulation space, and the transverse isolation layer divides the circulation space into a water channel space and a gas channel space, and the longitudinal isolation layer divides the water channel space into a first water channel space and a second water channel space, and divides the gas channel space into a first gas channel space and a second gas channel space;

所述进水口连通所述第一水路空间,所述出水口连通所述第二水路空间,所述进气口连通所述第一气路空间,所述出气口连通所述第二气路空间;The water inlet is connected to the first water path space, the water outlet is connected to the second water path space, the air inlet is connected to the first air path space, and the air outlet is connected to the second air path space;

所述变温膜的入口穿过所述封堵层与所述第一水路空间连通、出口穿过所述封堵层与所述第二水路空间连通,所述氧压膜的入口穿过所述封堵层与所述第一气路空间连通、出口穿过所述封堵层与所述第二气路空间连通。The inlet of the temperature variable membrane passes through the blocking layer to communicate with the first water path space, and the outlet passes through the blocking layer to communicate with the second water path space. The inlet of the oxygen pressure membrane passes through the blocking layer to communicate with the first air path space, and the outlet passes through the blocking layer to communicate with the second air path space.

可选的,所述外壳包括壳身、设于所述壳身顶部敞口处的上盖和设于所述壳身底部敞口处的下盖,所述进血嘴和所述血液分散结构设于所述上盖,所述出血口设于所述下盖,所述进水口和所述出水口设于所述壳身上靠近所述上盖的一侧,所述进气口和所述出气口设于所述壳身上靠近所述下盖的一侧,所述氧合变温模组设在所述壳身中。Optionally, the outer shell includes a shell body, an upper cover arranged at an opening on the top of the shell body, and a lower cover arranged at an opening on the bottom of the shell body, the blood inlet nozzle and the blood dispersion structure are arranged on the upper cover, the bleeding port is arranged on the lower cover, the water inlet and the water outlet are arranged on a side of the shell body close to the upper cover, the air inlet and the air outlet are arranged on a side of the shell body close to the lower cover, and the oxygenation temperature variable module is arranged in the shell body.

可选的,所述氧合变温模组的横截面为矩形,所述氧合变温模组的高度小于该氧合变温模组的长度和宽度中的最小值。Optionally, the cross-section of the oxygenation temperature-variable module is rectangular, and the height of the oxygenation temperature-variable module is smaller than the minimum value of the length and width of the oxygenation temperature-variable module.

实施上述方案,具有如下有益效果:The implementation of the above scheme has the following beneficial effects:

本公开的氧合器包括从下至上依次层叠设置的第二过滤网、氧压膜、第一过滤网和变温膜,第二过滤网的孔径小于第一过滤网的孔径,血液从进血嘴进入氧合器内,自上而下依次穿过变温膜、第一过滤网、氧压膜和第二过滤网,然后从出血口流出。通过第一过滤网和第二过滤网的设置,增大了氧合器的过滤面积,能够实现更好的过滤效果。并且,由于过滤面积足够大,不需要将第一过滤网和第二过滤网做成褶皱状这种占空间较大的形状,进而不会增加氧合器内部空间的占用,也就不会增加血液预充量。The oxygenator disclosed in the present invention includes a second filter, an oxygen pressure membrane, a first filter and a variable temperature membrane which are stacked in sequence from bottom to top. The aperture of the second filter is smaller than that of the first filter. Blood enters the oxygenator from the blood inlet, passes through the variable temperature membrane, the first filter, the oxygen pressure membrane and the second filter in sequence from top to bottom, and then flows out from the bleeding outlet. By setting the first filter and the second filter, the filtering area of the oxygenator is increased, and a better filtering effect can be achieved. In addition, since the filtering area is large enough, it is not necessary to make the first filter and the second filter into a pleated shape that occupies a large space, thereby not increasing the internal space occupied by the oxygenator, and also not increasing the blood priming amount.

此结构设计中,血液自上而下流动,流动性好,即使在变温膜和氧压膜的基础上增加第一过滤网和第二过滤网,其压力损失也不会明显增加。并且第一过滤网的孔径大于第二过滤网的孔径,第一过滤网的阻力小于第二过滤网的阻力,血液先通过第一过滤网后通过第二过滤网,血液通过性不会被明显削弱。此外,通过第一过滤网将较大的气泡及杂质拦截在变温膜侧,能够提高血液通过氧压膜时的通过性,降低第二过滤网的过滤压力,使血液在第二过滤网处的通过性提高。In this structural design, blood flows from top to bottom with good fluidity. Even if the first filter and the second filter are added on the basis of the variable temperature membrane and the oxygen pressure membrane, the pressure loss will not increase significantly. In addition, the aperture of the first filter is larger than the aperture of the second filter, and the resistance of the first filter is smaller than the resistance of the second filter. The blood first passes through the first filter and then the second filter, and the blood permeability will not be significantly weakened. In addition, the first filter intercepts larger bubbles and impurities on the side of the variable temperature membrane, which can improve the permeability of blood when passing through the oxygen pressure membrane, reduce the filtering pressure of the second filter, and improve the permeability of blood at the second filter.

总之,本发明能够在不增加过多压降和血液预充量的前提下,达到较好的过滤效果。本公开的氧合器血液预充量小,尤其适用于对血液预充量敏感的婴幼儿群体。In summary, the present invention can achieve a better filtering effect without increasing the pressure drop and blood priming volume. The oxygenator disclosed in the present invention has a small blood priming volume and is particularly suitable for infants and young children who are sensitive to the blood priming volume.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1是本发明公开的高效过滤的膜式氧合器的结构示意图;FIG1 is a schematic structural diagram of a high-efficiency filtration membrane oxygenator disclosed in the present invention;

图2是本发明公开的高效过滤的膜式氧合器的俯视图;FIG2 is a top view of a high efficiency filtration membrane oxygenator disclosed in the present invention;

图3是本发明公开的高效过滤的膜式氧合器的剖视图;FIG3 is a cross-sectional view of a high-efficiency filtration membrane oxygenator disclosed in the present invention;

图4是本发明公开的高效过滤的膜式氧合器的上盖的结构示意图;FIG4 is a schematic structural diagram of the upper cover of the high-efficiency filtration membrane oxygenator disclosed in the present invention;

图5是本发明公开的高效过滤的膜式氧合器的上盖的结构示意图;FIG5 is a schematic structural diagram of the upper cover of the high-efficiency filtration membrane oxygenator disclosed in the present invention;

图6是本发明公开的高效过滤的膜式氧合器的剖视图;FIG6 is a cross-sectional view of a high-efficiency filtration membrane oxygenator disclosed in the present invention;

图7是本发明公开的高效过滤的膜式氧合器的血路结构示意图;FIG7 is a schematic diagram of the blood circuit structure of the high-efficiency filtration membrane oxygenator disclosed in the present invention;

图8是本发明公开的高效过滤的膜式氧合器的水路结构示意图;FIG8 is a schematic diagram of the water circuit structure of the high-efficiency filtration membrane oxygenator disclosed in the present invention;

图9是本发明公开的高效过滤的膜式氧合器的气路结构示意图。FIG. 9 is a schematic diagram of the gas path structure of the high-efficiency filtration membrane oxygenator disclosed in the present invention.

图中:In the figure:

100外壳,101壳身,102上盖,103下盖,104进血嘴,105出血口,106进水口,107出水口,108进气口,109出气口,110排气口,111第一水路空间,112第二水路空间,113第一气路空间,114第二气路空间,100 housing, 101 housing, 102 upper cover, 103 lower cover, 104 blood inlet, 105 bleeding outlet, 106 water inlet, 107 water outlet, 108 air inlet, 109 air outlet, 110 air outlet, 111 first water path space, 112 second water path space, 113 first air path space, 114 second air path space,

200氧合变温模组,201变温膜,202第一过滤网,203氧压膜,204第二过滤网,205缓冲空间,206扰流片,200 oxygenation temperature-variable module, 201 temperature-variable membrane, 202 first filter, 203 oxygen pressure membrane, 204 second filter, 205 buffer space, 206 spoiler,

300封堵层,301横向隔离层,302纵向隔离层。300 blocking layer, 301 transverse isolation layer, 302 longitudinal isolation layer.

具体实施方式DETAILED DESCRIPTION

为使本发明实施例的目的、技术方案和优点更加清楚,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本发明一部分实施例,而不是全部的实施例。通常在此处附图中描述和示出的本发明实施例的组件可以以各种不同的配置来布置和设计。In order to make the purpose, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Generally, the components of the embodiments of the present invention described and shown in the drawings here can be arranged and designed in various different configurations.

因此,以下对在附图中提供的本发明的实施例的详细描述并非旨在限制要求保护的本发明的范围,而是仅仅表示本发明的选定实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。Therefore, the following detailed description of the embodiments of the present invention provided in the accompanying drawings is not intended to limit the scope of the invention claimed for protection, but merely represents selected embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

应注意到:相似的标号和字母在下面的附图中表示类似项,因此,一旦某一项在一个附图中被定义,则在随后的附图中不需要对其进行进一步定义和解释。It should be noted that similar reference numerals and letters denote similar items in the following drawings, and therefore, once an item is defined in one drawing, further definition and explanation thereof is not required in subsequent drawings.

在本发明的描述中,需要说明的是,术语“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,或者是该发明产品使用时惯常摆放的方位或位置关系,仅是为了便于描述本发明和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本发明的限制。此外,术语“第一”、“第二”、“第三”等仅用于区分描述,而不能理解为指示或暗示相对重要性。在本发明的描述中,除非另有说明,“多个”的含义是两个或两个以上。In the description of the present invention, it should be noted that the terms "upper", "lower", "left", "right", "vertical", "horizontal", "inside", "outside", etc. indicate positions or positional relationships based on the positions or positional relationships shown in the accompanying drawings, or are the positions or positional relationships in which the inventive product is usually placed when in use. They are only for the convenience of describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", "third", etc. are only used to distinguish the description, and cannot be understood as indicating or implying relative importance. In the description of the present invention, unless otherwise specified, "multiple" means two or more.

在本发明的描述中,还需要说明的是,除非另有明确的规定和限定,术语“设置”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本发明中的具体含义。In the description of the present invention, it is also necessary to explain that, unless otherwise clearly specified and limited, the terms "disposed" and "connected" should be understood in a broad sense, for example, it can be a fixed connection, a detachable connection, or an integral connection; it can be a mechanical connection or an electrical connection. For ordinary technicians in this field, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

在本发明中,除非另有明确的规定和限定,第一特征在第二特征之“上”或之“下”可以包括第一和第二特征直接接触,也可以包括第一和第二特征不是直接接触而是通过它们之间的另外的特征接触。而且,第一特征在第二特征“之上”、“上方”和“上面”包括第一特征在第二特征正上方和斜上方,或仅仅表示第一特征水平高度高于第二特征。第一特征在第二特征“之下”、“下方”和“下面”包括第一特征在第二特征正下方和斜下方,或仅仅表示第一特征水平高度小于第二特征。In the present invention, unless otherwise clearly specified and limited, a first feature being "above" or "below" a second feature may include that the first and second features are in direct contact, or may include that the first and second features are not in direct contact but are in contact through another feature between them. Moreover, a first feature being "above", "above" and "above" a second feature includes that the first feature is directly above and obliquely above the second feature, or simply indicates that the first feature is higher in level than the second feature. A first feature being "below", "below" and "below" a second feature includes that the first feature is directly below and obliquely below the second feature, or simply indicates that the first feature is lower in level than the second feature.

下面详细描述本发明的实施例,实施例的示例在附图中示出,其中自始至终相同或类似的标号表示相同或类似的元件或具有相同或类似功能的元件。下面通过参考附图描述的实施例是示例性的,仅用于解释本发明,而不能理解为对本发明的限制。Embodiments of the present invention are described in detail below, and examples of the embodiments are shown in the accompanying drawings, wherein the same or similar reference numerals throughout represent the same or similar elements or elements having the same or similar functions. The embodiments described below with reference to the accompanying drawings are exemplary and are only used to explain the present invention, and cannot be understood as limiting the present invention.

本实施例提供一种高效过滤的膜式氧合器,包括外壳100和设在所述外壳100内的氧合变温模组200。请参见图1-图6,所述外壳100的上部设有进血嘴104、排气口110、进水口106和出水口107,所述外壳100的下部设有出血口105、进气口108和出气口109。氧合变温模组200竖直设于所述外壳100中,包括从下至上依次层叠设置的第二过滤网204、氧压膜203、第一过滤网202和变温膜201,所述变温膜201连通所述进水口106与所述出水口107,所述氧压膜203连通所述进气口108与所述出气口109,所述第二过滤网204的孔径小于所述第一过滤网202的孔径。使用时,血液从所述进血嘴104进入所述外壳100内,并自上而下依次穿过所述变温膜201、所述第一过滤网202、所述氧压膜203和所述第二过滤网204,然后从所述出血口105流出,所述外壳100内的气体则自下而上经由所述排气口110排出。The present embodiment provides a high-efficiency filtration membrane oxygenator, comprising a housing 100 and an oxygenation temperature-variable module 200 disposed in the housing 100. Referring to Figs. 1 to 6, the upper portion of the housing 100 is provided with a blood inlet 104, an exhaust port 110, a water inlet 106 and a water outlet 107, and the lower portion of the housing 100 is provided with a bleeding port 105, an air inlet 108 and an air outlet 109. The oxygenation temperature-variable module 200 is vertically disposed in the housing 100, and comprises a second filter screen 204, an oxygen pressure membrane 203, a first filter screen 202 and a temperature-variable membrane 201 which are sequentially stacked from bottom to top, the temperature-variable membrane 201 connecting the water inlet 106 and the water outlet 107, the oxygen pressure membrane 203 connecting the air inlet 108 and the air outlet 109, and the aperture of the second filter screen 204 is smaller than the aperture of the first filter screen 202. When in use, blood enters the housing 100 from the blood inlet 104, passes through the temperature variable membrane 201, the first filter 202, the oxygen pressure membrane 203 and the second filter 204 from top to bottom, and then flows out from the bleeding port 105, and the gas in the housing 100 is discharged from bottom to top through the exhaust port 110.

其中,第一过滤网202和第二过滤网204可以为平面结构的过滤网,也可以是褶皱状的过滤网,当然,平面结构的过滤网能够减少空间占用,有利于减少血液预充量,而褶皱状的过滤网则可以增大过滤面积,提升过滤效果,在应用时,可以根据需要择一或者组合使用。Among them, the first filter 202 and the second filter 204 can be a plane filter or a pleated filter. Of course, the plane filter can reduce the space occupied, which is beneficial to reduce the blood pre-filling volume, while the pleated filter can increase the filtration area and improve the filtration effect. When using, you can choose one or use a combination according to your needs.

在一种可能的实现方式中,第一过滤网202的上表面紧贴变温膜201的下表面,第一过滤网202的下表面紧贴氧压膜203的上表面,第二过滤网204的上表面紧贴氧压膜203的下表面,这种设计可减少各层结构之间的空隙,降低对外壳100内部空间的占用,进而减少血液预充量。In one possible implementation, the upper surface of the first filter 202 is in close contact with the lower surface of the temperature variable membrane 201, the lower surface of the first filter 202 is in close contact with the upper surface of the oxygen pressure membrane 203, and the upper surface of the second filter 204 is in close contact with the lower surface of the oxygen pressure membrane 203. This design can reduce the gaps between the layers of the structure, reduce the occupancy of the internal space of the shell 100, and thereby reduce the blood priming volume.

所述外壳100的顶部设有血液分散结构,所述进血嘴104连通所述血液分散结构,所述血液分散结构用于将从所述进血嘴104进入的血液分散到所述变温膜201的上表面。A blood dispersion structure is disposed on the top of the housing 100 , and the blood inlet nozzle 104 is connected to the blood dispersion structure. The blood dispersion structure is used to disperse the blood entering from the blood inlet nozzle 104 to the upper surface of the temperature variable membrane 201 .

在一种可能的实现方式中,所述血液分散结构包括缓冲空间205和围绕所述缓冲空间205设置的多个扰流片206,所述缓冲空间205位于所述外壳100顶部的中间区域,所述进血嘴104连通所述缓冲空间205,所述扰流片206从所述缓冲空间205向所述外壳100的内侧壁延伸,相邻两个扰流片206之间形成引流通道;血液自所述进血嘴104进入所述缓冲空间205后,沿所述引流通道分散到所述变温膜201的上表面。在图4和图5所示的结构中,多个扰流片206围绕缓冲空间205间隔均匀排布,当然,在其他实施例中,扰流片206之间的间隔距离也可以不相等。In a possible implementation, the blood dispersion structure includes a buffer space 205 and a plurality of spoilers 206 arranged around the buffer space 205, the buffer space 205 is located in the middle area of the top of the shell 100, the blood inlet nozzle 104 is connected to the buffer space 205, the spoilers 206 extend from the buffer space 205 to the inner wall of the shell 100, and a drainage channel is formed between two adjacent spoilers 206; after the blood enters the buffer space 205 from the blood inlet nozzle 104, it is dispersed to the upper surface of the temperature variable membrane 201 along the drainage channel. In the structures shown in Figures 4 and 5, a plurality of spoilers 206 are evenly spaced around the buffer space 205. Of course, in other embodiments, the spacing between the spoilers 206 may also be unequal.

在一种可能的实现方式中,所述缓冲空间205的横截面为圆形,所述进血嘴104与所述缓冲空间205相切,所述血液切向进入所述缓冲空间205,以在所述缓冲空间205内形成螺旋涡流。血液切向进入缓冲空间205,可以减缓血液流速下降,有利于血液向缓冲空间205的边缘流动,进而迅速通过扰流片206构建的引流通道分散到变温膜201的上表面。In a possible implementation, the cross section of the buffer space 205 is circular, the blood inlet nozzle 104 is tangent to the buffer space 205, and the blood enters the buffer space 205 tangentially to form a spiral vortex in the buffer space 205. The blood enters the buffer space 205 tangentially, which can slow down the drop in blood flow rate, and is conducive to the blood flowing to the edge of the buffer space 205, and then quickly dispersed to the upper surface of the temperature variable membrane 201 through the drainage channel constructed by the spoiler 206.

在一种可能的实现方式中,进血嘴104倾斜设置在外壳100顶部,具体而言,进血嘴104从外壳100顶部沿着氧合器的高度方向向远离外壳100的一侧倾斜,如此,血液从进血嘴104流向缓冲空间205时,会在重力作用下自然向下俯冲,更利于在缓冲空间205中形成螺旋涡流,使血液迅速分散到变温膜201的上表面。In a possible implementation, the blood inlet nozzle 104 is tilted at the top of the shell 100. Specifically, the blood inlet nozzle 104 is tilted from the top of the shell 100 along the height direction of the oxygenator toward the side away from the shell 100. In this way, when the blood flows from the blood inlet nozzle 104 to the buffer space 205, it will naturally dive downward under the action of gravity, which is more conducive to forming a spiral vortex in the buffer space 205, so that the blood is quickly dispersed to the upper surface of the temperature variable membrane 201.

所述排气口110设在所述外壳100的顶部,排气口110连通所述缓冲空间205。其中,排气口110高于所述缓冲空间205的最高位置,以确保缓冲空间205内的血液不会从排气口110溢出。血液注入过程中,质量较大的血液自上而下流动,将外壳100内的空气挤到外壳100的上部,进而从排气口110排出。第一过滤网202和第二过滤网204拦截的气泡也是自下向上运动,然后汇入缓冲空间205,从排气口110排出。本实施例的氧合器中,出血口105设置在氧合器底部,排气口110设在氧合器顶部,血液流向与气泡流向相反,可以减少血液压力损失,质量较轻的气泡上浮,有利于分离血液中的气泡,气泡祛除效果好。The exhaust port 110 is arranged at the top of the housing 100, and the exhaust port 110 is connected to the buffer space 205. The exhaust port 110 is higher than the highest position of the buffer space 205 to ensure that the blood in the buffer space 205 will not overflow from the exhaust port 110. During the blood injection process, the blood with a larger mass flows from top to bottom, squeezes the air in the housing 100 to the upper part of the housing 100, and then is discharged from the exhaust port 110. The bubbles intercepted by the first filter 202 and the second filter 204 also move from bottom to top, then merge into the buffer space 205, and are discharged from the exhaust port 110. In the oxygenator of this embodiment, the bleeding port 105 is arranged at the bottom of the oxygenator, and the exhaust port 110 is arranged at the top of the oxygenator. The blood flow direction is opposite to the bubble flow direction, which can reduce the blood pressure loss. The lighter bubbles float up, which is conducive to separating the bubbles in the blood, and the bubble removal effect is good.

在图3和图4所示的结构中,缓冲空间205由外壳100的顶部向上拱起形成,排气口110与缓冲空间205的中间区域连通。当然,排气口110也可以偏离缓冲空间205的中间区域设置。In the structures shown in Figures 3 and 4, the buffer space 205 is formed by the top of the housing 100 being arched upward, and the exhaust port 110 is connected to the middle area of the buffer space 205. Of course, the exhaust port 110 can also be arranged away from the middle area of the buffer space 205.

请参见图3和图6,所述氧合器还包括封堵层300、横向隔离层301和纵向隔离层302,所述封堵层300设于所述外壳100内侧壁与所述氧合变温模组200之间,所述外壳100内侧壁与所述封堵层300之间具有流通空间,所述横向隔离层301和所述纵向隔离层302设在所述流通空间内,并且,所述横向隔离层301将所述流通空间划分为水路空间和气路空间,所述纵向隔离层302将所述水路空间划分为第一水路空间111和第二水路空间112、将所述气路空间划分为第一气路空间113和第二气路空间114。所述进水口106连通所述第一水路空间111,所述出水口107连通所述第二水路空间112,所述进气口108连通所述第一气路空间113,所述出气口109连通所述第二气路空间114。所述变温膜201的入口穿过所述封堵层300与所述第一水路空间111连通、出口穿过所述封堵层300与所述第二水路空间112连通,所述氧压膜203的入口穿过所述封堵层300与所述第一气路空间113连通、出口穿过所述封堵层300与所述第二气路空间114连通。Please refer to Figures 3 and 6. The oxygenator further includes a blocking layer 300, a transverse isolation layer 301, and a longitudinal isolation layer 302. The blocking layer 300 is disposed between the inner wall of the housing 100 and the oxygenation temperature-variable module 200. There is a circulation space between the inner wall of the housing 100 and the blocking layer 300. The transverse isolation layer 301 and the longitudinal isolation layer 302 are disposed in the circulation space. In addition, the transverse isolation layer 301 divides the circulation space into a waterway space and an airway space. The longitudinal isolation layer 302 divides the waterway space into a first waterway space 111 and a second waterway space 112, and divides the airway space into a first airway space 113 and a second airway space 114. The water inlet 106 is connected to the first waterway space 111, the water outlet 107 is connected to the second waterway space 112, the air inlet 108 is connected to the first airway space 113, and the air outlet 109 is connected to the second airway space 114. The inlet of the temperature variable membrane 201 passes through the blocking layer 300 to communicate with the first water path space 111, and the outlet passes through the blocking layer 300 to communicate with the second water path space 112; the inlet of the oxygen pressure membrane 203 passes through the blocking layer 300 to communicate with the first air path space 113, and the outlet passes through the blocking layer 300 to communicate with the second air path space 114.

所述变温膜201包括自上而下层叠设置的变温层,每层变温层包括并排设置的多根变温膜201丝,相邻两层变温层中的变温膜201丝相互交错,以形成在纵向上贯通变温膜201的第一过流通孔。所述氧压膜203包括自上而下层叠设置的氧压层,每层氧压层包括并排设置的多根氧压膜203丝,相邻两层氧压层中的氧压膜203丝相互交错,以形成在纵向上贯通氧压膜203的第二过流通孔。血液注入氧合器后,先在血液分散结构的引导作用下均匀分散在变温膜201的上表面,然后依次穿过变温膜201、第一过滤网202、氧压膜203和第二过滤网204,从底部的出血口105流出,如图7所示。The temperature-variable membrane 201 includes temperature-variable layers stacked from top to bottom, each temperature-variable layer includes a plurality of temperature-variable membrane 201 filaments arranged side by side, and the temperature-variable membrane 201 filaments in two adjacent temperature-variable layers are interlaced to form a first flow hole that passes through the temperature-variable membrane 201 in the longitudinal direction. The oxygen pressure membrane 203 includes oxygen pressure layers stacked from top to bottom, each oxygen pressure layer includes a plurality of oxygen pressure membrane 203 filaments arranged side by side, and the oxygen pressure membrane 203 filaments in two adjacent oxygen pressure layers are interlaced to form a second flow hole that passes through the oxygen pressure membrane 203 in the longitudinal direction. After the blood is injected into the oxygenator, it is first uniformly dispersed on the upper surface of the temperature-variable membrane 201 under the guidance of the blood dispersion structure, and then passes through the temperature-variable membrane 201, the first filter 202, the oxygen pressure membrane 203 and the second filter 204 in sequence, and flows out from the bleeding port 105 at the bottom, as shown in FIG7 .

血液穿过变温膜201时通过与变温膜201丝接触进行热交换,提升血液温度。其中,血液穿过变温膜201时的流向包括沿第一过流通道向下流动以及沿着变温膜201丝横向流动;血液沿第一过流通道纵向流动时,血液受到的阻力小,流动快,血液受到的破坏也小;血液会沿变温膜201丝横向流动时,血液与变温膜201丝的接触时间长,热交换效果好。与穿过变温膜201时类似,血液穿过氧压膜203时的流向也包括沿第二过流通道向下流动以及沿着氧压膜203丝横向流动,沿第二过流通道向下流动时血液流速较快,且血液破坏性小,沿氧压膜203丝横向流动,血液与氧压膜203丝的接触时间长,氧合效果好。值得注意的时,由于变温膜201和氧压膜203的层叠交错式结构设计已经能够取得较好的热交换和氧合效果,从而不必通过增加氧压膜203和变温膜201的厚度来提升热交换和氧合性能,能够减少变温膜201和氧压膜203的空间占用,进而减少血液预充。When the blood passes through the variable temperature membrane 201, it exchanges heat with the wires of the variable temperature membrane 201 to increase the blood temperature. Among them, the flow direction of the blood when passing through the variable temperature membrane 201 includes flowing downward along the first flow channel and flowing horizontally along the wires of the variable temperature membrane 201; when the blood flows longitudinally along the first flow channel, the blood is subject to small resistance, flows fast, and is less damaged; when the blood flows horizontally along the wires of the variable temperature membrane 201, the contact time between the blood and the wires of the variable temperature membrane 201 is long, and the heat exchange effect is good. Similar to when passing through the variable temperature membrane 201, the flow direction of the blood when passing through the oxygen pressure membrane 203 also includes flowing downward along the second flow channel and flowing horizontally along the wires of the oxygen pressure membrane 203. When flowing downward along the second flow channel, the blood flow rate is faster and the blood is less destructive. When flowing horizontally along the wires of the oxygen pressure membrane 203, the blood is in contact with the wires of the oxygen pressure membrane 203 for a long time, and the oxygenation effect is good. It is worth noting that, since the stacked and staggered structural design of the variable temperature membrane 201 and the oxygen pressure membrane 203 can achieve better heat exchange and oxygenation effects, there is no need to increase the thickness of the oxygen pressure membrane 203 and the variable temperature membrane 201 to improve the heat exchange and oxygenation performance, which can reduce the space occupied by the variable temperature membrane 201 and the oxygen pressure membrane 203, thereby reducing blood pre-filling.

在一种可能的实现方式中,所述第一过滤网202的孔径为70μm~100μm,用于拦截血液中直径较大的颗粒物及气泡。所述第二过滤网204的孔径不大于40μm,例如可以为38μm,第二过滤网204用于拦截血液中直径较小的颗粒物及气泡。本实施例通过设置第一过滤网202和第二过滤网204,实现对血液的两级过滤,血液穿过变温膜201和氧压膜203时,先滤除直径较大的颗粒物及气泡,仅允许血液及包含其中的直径较小的颗粒物及气泡到达氧压膜203,颗粒物及气泡的减少使血液与氧压膜203的接触更好,能够提升氧合效果;血液中颗粒物及气泡的减少还降低了第二过滤网204的过滤压力,能够提高第二过滤网204的过滤效果。In a possible implementation, the aperture of the first filter 202 is 70 μm to 100 μm, and is used to intercept particles and bubbles with larger diameters in the blood. The aperture of the second filter 204 is not greater than 40 μm, for example, it can be 38 μm, and the second filter 204 is used to intercept particles and bubbles with smaller diameters in the blood. In this embodiment, by setting the first filter 202 and the second filter 204, two-stage filtration of blood is achieved. When the blood passes through the variable temperature membrane 201 and the oxygen pressure membrane 203, particles and bubbles with larger diameters are first filtered out, and only blood and particles and bubbles with smaller diameters contained therein are allowed to reach the oxygen pressure membrane 203. The reduction of particles and bubbles makes the contact between blood and the oxygen pressure membrane 203 better, which can improve the oxygenation effect; the reduction of particles and bubbles in the blood also reduces the filtration pressure of the second filter 204, which can improve the filtration effect of the second filter 204.

在一种可能的实现方式中,请参见图1-图3,所述外壳100包括壳身101、设于所述壳身101顶部敞口处的上盖102和设于所述壳身101底部敞口处的下盖103,所述进血嘴104和所述血液分散结构设于所述上盖102,所述出血口105设于所述下盖103,所述进水口106和所述出水口107设于所述壳身101上靠近所述上盖102的一侧,所述进气口108和所述出气口109设于所述壳身101上靠近所述下盖103的一侧,所述氧合变温模组200设在所述壳身101中。In a possible implementation, please refer to Figures 1 to 3, the shell 100 includes a shell body 101, an upper cover 102 arranged at the top opening of the shell body 101, and a lower cover 103 arranged at the bottom opening of the shell body 101, the blood inlet nozzle 104 and the blood dispersion structure are arranged on the upper cover 102, the bleeding port 105 is arranged on the lower cover 103, the water inlet 106 and the water outlet 107 are arranged on one side of the shell body 101 close to the upper cover 102, the air inlet 108 and the air outlet 109 are arranged on one side of the shell body 101 close to the lower cover 103, and the oxygenation temperature variable module 200 is arranged in the shell body 101.

在一种可能的实现方式中,所述氧合变温模组200的横截面为矩形,例如长方形或者正方形。所述氧合变温模组200的高度小于该氧合变温模组200的长度和宽度中的最小值,此结构设计能够在确保血液充分氧合的前提下减少血液在氧合变温膜201组中的压力损失。In a possible implementation, the cross section of the oxygenation temperature-variable module 200 is rectangular, such as a rectangle or a square. The height of the oxygenation temperature-variable module 200 is less than the minimum value of the length and width of the oxygenation temperature-variable module 200. This structural design can reduce the pressure loss of blood in the oxygenation temperature-variable membrane 201 group while ensuring sufficient oxygenation of the blood.

请参见图7-图9,变温膜201丝连通第一水路空间111与第二水路空间112,进水口106连通第一水路空间111,出水口107连通第二水路空间112,加热介质依次通过进水口106、第一水路空间111、变温膜201丝、第二水路空间112和出水口107,血液流经变温膜201丝时,血液与变温膜201丝中的加热介质进行热交换,使血液升温。氧压膜203丝连通第一气路空间113与第二气路空间114,进气口108连通第一气路空间113,出气口109连通第二气路空间114,氧气依次通过进气口108、第一气路空间113、氧压膜203丝、第二气路空间114和出气口109,血液流经氧压膜203丝时,血液中的二氧化碳与氧压膜203丝携带的氧气进行交换,从而将贫氧血变成富氧血,氧压膜203丝中的二氧化碳则从出气口109排出。Please refer to Figures 7 to 9. The temperature-variable membrane 201 connects the first water channel space 111 and the second water channel space 112, the water inlet 106 connects the first water channel space 111, and the water outlet 107 connects the second water channel space 112. The heating medium passes through the water inlet 106, the first water channel space 111, the temperature-variable membrane 201, the second water channel space 112 and the water outlet 107 in sequence. When the blood flows through the temperature-variable membrane 201, the blood exchanges heat with the heating medium in the temperature-variable membrane 201 to increase the temperature of the blood. The oxygen pressure membrane 203 connects the first gas path space 113 and the second gas path space 114, the air inlet 108 connects the first gas path space 113, and the air outlet 109 connects the second gas path space 114. Oxygen passes through the air inlet 108, the first gas path space 113, the oxygen pressure membrane 203, the second gas path space 114 and the air outlet 109 in sequence. When blood flows through the oxygen pressure membrane 203, the carbon dioxide in the blood is exchanged with the oxygen carried by the oxygen pressure membrane 203, thereby turning the oxygen-poor blood into oxygen-rich blood, and the carbon dioxide in the oxygen pressure membrane 203 is discharged from the air outlet 109.

本实施例能够在不增加过多压降和血液预充量的前提下,达到较好的过滤效果,具体分析如下:This embodiment can achieve a better filtering effect without increasing the pressure drop and blood priming volume. The specific analysis is as follows:

第一、氧合器包括从下至上依次层叠设置的第二过滤网204、氧压膜203、第一过滤网202和变温膜201,第二过滤网204的孔径小于第一过滤网202的孔径,血液从进血嘴104进入氧合器内,自上而下依次穿过变温膜201、第一过滤网202、氧压膜203和第二过滤网204,然后从出血口105流出。通过第一过滤网202和第二过滤网204的设置,增大了氧合器的过滤面积,能够实现更好的过滤效果。First, the oxygenator includes a second filter 204, an oxygen pressure membrane 203, a first filter 202, and a temperature-variable membrane 201 which are stacked in sequence from bottom to top. The aperture of the second filter 204 is smaller than that of the first filter 202. Blood enters the oxygenator from the blood inlet 104, passes through the temperature-variable membrane 201, the first filter 202, the oxygen pressure membrane 203, and the second filter 204 in sequence from top to bottom, and then flows out from the bleeding port 105. The arrangement of the first filter 202 and the second filter 204 increases the filtering area of the oxygenator, and can achieve a better filtering effect.

第二、由于第一过滤网202和第二过滤网204的设置使氧合器过滤面积足够大,不需要将第一过滤网202和第二过滤网204做成褶皱状这种占空间较大的形状,进而不会增加氧合器内部空间的占用,也就不会增加血液预充量。Second, since the first filter 202 and the second filter 204 are provided so that the filtration area of the oxygenator is large enough, there is no need to make the first filter 202 and the second filter 204 into a pleated shape that occupies a large space, thereby not increasing the internal space of the oxygenator and not increasing the blood priming volume.

第三、此结构设计中,血液自上而下流动,血液流动性好,即使在变温膜201和氧压膜203的基础上增加第一过滤网202和第二过滤网204,其压力损失也不会增加很多。并且第一过滤网202的孔径大于第二过滤网204的孔径,第一过滤网202的阻力小于第二过滤网204的阻力,血液先通过第一过滤网202后通过第二过滤网204,血液通过性不会被明显削弱。此外,通过第一过滤网202将较大的气泡及杂质拦截在变温膜201侧,能够提高血液通过氧压膜203时的通过性,降低第二过滤网204的过滤压力。Third, in this structural design, blood flows from top to bottom, and the blood fluidity is good. Even if the first filter 202 and the second filter 204 are added on the basis of the variable temperature membrane 201 and the oxygen pressure membrane 203, the pressure loss will not increase much. In addition, the aperture of the first filter 202 is larger than the aperture of the second filter 204, and the resistance of the first filter 202 is smaller than the resistance of the second filter 204. The blood first passes through the first filter 202 and then passes through the second filter 204, and the blood permeability will not be significantly weakened. In addition, the first filter 202 intercepts larger bubbles and impurities on the side of the variable temperature membrane 201, which can improve the permeability of blood when passing through the oxygen pressure membrane 203 and reduce the filtering pressure of the second filter 204.

注意,上述仅为本发明的较佳实施例及所运用技术原理。本领域技术人员会理解,本发明不限于这里的特定实施例,对本领域技术人员来说能够进行各种明显的变化、重新调整和替代而不会脱离本发明的保护范围。因此,虽然通过以上实施例对本发明进行了较为详细的说明,但是本发明不仅仅限于以上实施例,在不脱离本发明构思的情况下,还可以包括更多其他等效实施例,而本发明的范围由所附的权利要求范围决定。Note that the above are only preferred embodiments of the present invention and the technical principles used. Those skilled in the art will understand that the present invention is not limited to the specific embodiments herein, and that various obvious changes, readjustments and substitutions can be made by those skilled in the art without departing from the scope of protection of the present invention. Therefore, although the present invention has been described in more detail through the above embodiments, the present invention is not limited to the above embodiments, and may include more other equivalent embodiments without departing from the concept of the present invention, and the scope of the present invention is determined by the scope of the appended claims.

Claims (10)

1.一种高效过滤的膜式氧合器,其特征在于,包括:1. A high-efficiency filtration membrane oxygenator, characterized in that it comprises: 外壳(100),所述外壳(100)的上部设有进血嘴(104)、排气口(110)、进水口(106)和出水口(107),所述外壳(100)的下部设有出血口(105)、进气口(108)和出气口(109);A housing (100), wherein the upper portion of the housing (100) is provided with a blood inlet nozzle (104), an air outlet (110), a water inlet (106) and a water outlet (107), and the lower portion of the housing (100) is provided with a blood outlet (105), an air inlet (108) and an air outlet (109); 氧合变温模组(200),竖直设于所述外壳(100)中,包括从下至上依次层叠设置的第二过滤网(204)、氧压膜(203)、第一过滤网(202)和变温膜(201),所述变温膜(201)连通所述进水口(106)与所述出水口(107),所述氧压膜(203)连通所述进气口(108)与所述出气口(109),所述第二过滤网(204)的孔径小于所述第一过滤网(202)的孔径;an oxygenation temperature-variable module (200) vertically arranged in the housing (100), comprising a second filter (204), an oxygen pressure membrane (203), a first filter (202) and a temperature-variable membrane (201) stacked in sequence from bottom to top, the temperature-variable membrane (201) connecting the water inlet (106) and the water outlet (107), the oxygen pressure membrane (203) connecting the air inlet (108) and the air outlet (109), and the aperture of the second filter (204) is smaller than the aperture of the first filter (202); 所述第一过滤网(202)的上表面紧贴所述变温膜(201)的下表面,所述第一过滤网(202)的下表面紧贴所述氧压膜(203)的上表面,所述第二过滤网(204)的上表面紧贴所述氧压膜(203)的下表面;The upper surface of the first filter (202) is in close contact with the lower surface of the temperature-variable membrane (201), the lower surface of the first filter (202) is in close contact with the upper surface of the oxygen pressure membrane (203), and the upper surface of the second filter (204) is in close contact with the lower surface of the oxygen pressure membrane (203); 血液从所述进血嘴(104)进入所述外壳(100)内,并自上而下依次穿过所述变温膜(201)、所述第一过滤网(202)、所述氧压膜(203)和所述第二过滤网(204)后从所述出血口(105)流出,所述外壳(100)内的气体自下而上经由所述排气口(110)排出。Blood enters the housing (100) from the blood inlet (104), passes through the temperature-variable membrane (201), the first filter (202), the oxygen pressure membrane (203) and the second filter (204) in sequence from top to bottom, and then flows out from the bleeding port (105), and the gas in the housing (100) is discharged from bottom to top through the exhaust port (110). 2.根据权利要求1所述的氧合器,其特征在于,2. The oxygenator according to claim 1, characterized in that 所述第一过滤网(202)的孔径为70μm~100μm;所述第二过滤网(204)的孔径不大于40μm。The pore size of the first filter screen (202) is 70 μm to 100 μm; the pore size of the second filter screen (204) is not greater than 40 μm. 3.根据权利要求1所述的氧合器,其特征在于,3. The oxygenator according to claim 1, characterized in that 所述外壳(100)的顶部设有血液分散结构,所述进血嘴(104)连通所述血液分散结构,所述血液分散结构用于将从所述进血嘴(104)进入的血液分散到所述变温膜(201)的上表面。A blood dispersion structure is provided on the top of the housing (100), and the blood inlet nozzle (104) is connected to the blood dispersion structure. The blood dispersion structure is used to disperse the blood entering from the blood inlet nozzle (104) to the upper surface of the temperature variable membrane (201). 4.根据权利要求3所述的氧合器,其特征在于,4. The oxygenator according to claim 3, characterized in that 所述血液分散结构包括缓冲空间(205)和围绕所述缓冲空间(205)设置的多个扰流片(206),所述缓冲空间(205)位于所述外壳(100)顶部的中间区域,所述进血嘴(104)连通所述缓冲空间(205),所述扰流片(206)从所述缓冲空间(205)向所述外壳(100)的内侧壁延伸,相邻两个扰流片(206)之间形成引流通道;血液自所述进血嘴(104)进入所述缓冲空间(205)后,沿所述引流通道分散到所述变温膜(201)的上表面。The blood dispersion structure comprises a buffer space (205) and a plurality of spoilers (206) arranged around the buffer space (205); the buffer space (205) is located in the middle area of the top of the shell (100); the blood inlet nozzle (104) is connected to the buffer space (205); the spoilers (206) extend from the buffer space (205) to the inner wall of the shell (100); and a drainage channel is formed between two adjacent spoilers (206); after the blood enters the buffer space (205) from the blood inlet nozzle (104), the blood is dispersed along the drainage channel to the upper surface of the temperature variable membrane (201). 5.根据权利要求4所述的氧合器,其特征在于,5. The oxygenator according to claim 4, characterized in that 所述缓冲空间(205)的横截面为圆形,所述进血嘴(104)与所述缓冲空间(205)相切,所述血液切向进入所述缓冲空间(205),以在所述缓冲空间(205)内形成螺旋涡流。The cross section of the buffer space (205) is circular, the blood inlet nozzle (104) is tangent to the buffer space (205), and the blood enters the buffer space (205) tangentially to form a spiral vortex in the buffer space (205). 6.根据权利要求4所述的氧合器,其特征在于,6. The oxygenator according to claim 4, characterized in that 所述排气口(110)设在所述外壳(100)的顶部,所述排气口(110)连通所述缓冲空间(205)。The exhaust port (110) is disposed at the top of the housing (100), and the exhaust port (110) is connected to the buffer space (205). 7.根据权利要求6所述的氧合器,其特征在于,7. The oxygenator according to claim 6, characterized in that 所述排气口(110)高于所述缓冲空间(205)的最高位置。The exhaust port (110) is higher than the highest position of the buffer space (205). 8.根据权利要求4所述的氧合器,其特征在于,8. The oxygenator according to claim 4, characterized in that 所述氧合器还包括封堵层(300)、横向隔离层(301)和纵向隔离层(302),所述封堵层(300)设于所述外壳(100)内侧壁与所述氧合变温模组(200)之间,所述外壳(100)内侧壁与所述封堵层(300)之间具有流通空间,所述横向隔离层(301)和所述纵向隔离层(302)设在所述流通空间内,并且,所述横向隔离层(301)将所述流通空间划分为水路空间和气路空间,所述纵向隔离层(302)将所述水路空间划分为第一水路空间(111)和第二水路空间(112)、将所述气路空间划分为第一气路空间(113)和第二气路空间(114);The oxygenator further comprises a blocking layer (300), a transverse isolation layer (301) and a longitudinal isolation layer (302); the blocking layer (300) is arranged between the inner wall of the housing (100) and the oxygenation temperature-variable module (200); a circulation space is provided between the inner wall of the housing (100) and the blocking layer (300); the transverse isolation layer (301) and the longitudinal isolation layer (302) are arranged in the circulation space; and the transverse isolation layer (301) divides the circulation space into a water channel space and a gas channel space; the longitudinal isolation layer (302) divides the water channel space into a first water channel space (111) and a second water channel space (112), and divides the gas channel space into a first gas channel space (113) and a second gas channel space (114); 所述进水口(106)连通所述第一水路空间(111),所述出水口(107)连通所述第二水路空间(112),所述进气口(108)连通所述第一气路空间(113),所述出气口(109)连通所述第二气路空间(114);The water inlet (106) is connected to the first water path space (111), the water outlet (107) is connected to the second water path space (112), the air inlet (108) is connected to the first air path space (113), and the air outlet (109) is connected to the second air path space (114); 所述变温膜(201)的入口穿过所述封堵层(300)与所述第一水路空间(111)连通、出口穿过所述封堵层(300)与所述第二水路空间(112)连通,所述氧压膜(203)的入口穿过所述封堵层(300)与所述第一气路空间(113)连通、出口穿过所述封堵层(300)与所述第二气路空间(114)连通。The inlet of the temperature-variable membrane (201) passes through the sealing layer (300) to communicate with the first water path space (111), and the outlet passes through the sealing layer (300) to communicate with the second water path space (112); the inlet of the oxygen pressure membrane (203) passes through the sealing layer (300) to communicate with the first air path space (113), and the outlet passes through the sealing layer (300) to communicate with the second air path space (114). 9.根据权利要求4所述的氧合器,其特征在于,9. The oxygenator according to claim 4, characterized in that 所述外壳(100)包括壳身(101)、设于所述壳身(101)顶部敞口处的上盖(102)和设于所述壳身(101)底部敞口处的下盖(103),所述进血嘴(104)和所述血液分散结构设于所述上盖(102),所述出血口(105)设于所述下盖(103),所述进水口(106)和所述出水口(107)设于所述壳身(101)上靠近所述上盖(102)的一侧,所述进气口(108)和所述出气口(109)设于所述壳身(101)上靠近所述下盖(103)的一侧,所述氧合变温模组(200)设在所述壳身(101)中。The housing (100) comprises a housing (101), an upper cover (102) arranged at an open top of the housing (101), and a lower cover (103) arranged at an open bottom of the housing (101); the blood inlet (104) and the blood dispersion structure are arranged on the upper cover (102); the blood outlet (105) is arranged on the lower cover (103); the water inlet (106) and the water outlet (107) are arranged on a side of the housing (101) close to the upper cover (102); the air inlet (108) and the air outlet (109) are arranged on a side of the housing (101) close to the lower cover (103); and the oxygenation temperature variable module (200) is arranged in the housing (101). 10.根据权利要求4所述的氧合器,其特征在于,10. The oxygenator according to claim 4, characterized in that 所述氧合变温模组(200)的横截面为矩形,所述氧合变温模组(200)的高度小于该氧合变温模组(200)的长度和宽度中的最小值。The cross section of the oxygenation temperature-variable module (200) is rectangular, and the height of the oxygenation temperature-variable module (200) is less than the minimum value of the length and width of the oxygenation temperature-variable module (200).
CN202410017343.2A 2024-01-05 2024-01-05 Membrane oxygenator with efficient filtration Active CN118059338B (en)

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