摘要:
Methods and apparatuses for salvaging blood from a patient are disclosed. A blood salvaging circuit (140) coupled to a cardiopulmonary bypass circuit (144) includes a hemoconcentrator (152) and a sorbent-containing plasma separator. A combination device (142) for salvaging blood includes a closed plasma chamber (172) containing a plasma chamber solution (176), a hollow fiber plasma-separating membrane (156) for receiving blood and permitting plasma to be transported therethrough into the plasma chamber solution (176) and for refiltering the treated plasma back into the blood salvaging circuit (140), a selective sorbent (180) for contacting the selected solute in the plasma and binding the selected solute and an ultrafiltration membrane (184) for removing water, fluids and low molecular weight components from the plasma.
摘要:
A system and method of achieving both convective and diffusive transport of plasma across a membrane (30) accompanied by the selective removal of plasma components using sorbents (33) followed by reinfusion of the purified plasma in a blood circulation system is achieved by pumping blood through a filter (30) comprising a bundle of ''U'' shaped hollow fibers immersed in a closed plasma chamber (31) containing sorbents (33) in a plasma chamber solution (32). As blood flows through the entry arm (32), due to positive transmembrane pressure difference, plasma filtration into the plasma chamber (31) occurs. However, the transmembrane pressure difference is negative when blood flows out of the exit arm (39) of filter (30) and the direction of filtration reverses causing reverse filtration/reinfusion of plasma from the chamber (31) into the blood in the exit arm (39).
摘要:
Cette invention concerne un cathéter de cardioplégie rétrograde (10) et son procédé d'utilisation. Le cathéter présente deux passages, un passage de perfusion (18) au travers duquel s'écoule la solution cardioplégique et un passage de détection de pression (20) pour contrôler la pression du fluide au point où la solution sort du cathéter. Un ballon légèrement conique à auto-remplissage (22) est fixé à l'extrémité distale du cathéter (10). De même, une pointe arrondie et douce (14) est fixée à l'extrémité distale du cathéter pour empêcher d'endommager les tissus sensibles du sinus coronaire (50). Un stylet (36) ayant une poignée (38) à une extrémité et une courbure prédéterminée à l'autre extrémité permet d'introduire de manière précise et rapide le cathéter de cardioplégie (10) dans le sinus coronaire (50) au travers d'une très petite incision pratiquée dans l'orifice de l'oreillette droite. Après avoir fixé le cathéter, le stylet est enlevé.
摘要:
Methods and apparatuses for salvaging blood from a patient are disclosed. A blood salvaging circuit (140) coupled to a cardiopulmonary bypass circuit (144) includes a hemoconcentrator (152) and a sorbent-containing plasma separator. A combination device (142) for salvaging blood includes a closed plasma chamber (172) containing a plasma chamber solution (176), a hollow fiber plasma-separating membrane (156) for receiving blood and permitting plasma to be transported therethrough into the plasma chamber solution (176) and for refiltering the treated plasma back into the blood salvaging circuit (140), a selective sorbent (180) for contacting the selected solute in the plasma and binding the selected solute and an ultrafiltration membrane (184) for removing water, fluids and low molecular weight components from the plasma.
摘要:
This invention relates to a retrograde cardioplegia catheter (10) and its method of use. The catheter contains two lumens, an infusion lumen (18) through which the cardioplegic solution flows and a pressure sensing lumen (20) for monitoring the fluid pressure at the point where the solution exits the catheter. A slightly tapered, self-filling balloon (22) is secured to the distal end of the catheter (10). Also, located at the distal end of the catheter is a soft, rounded tip (14) to prevent damage to the sensitive intimal tissues of the coronary sinus (50). A stylet (36) having a handle (38) at one end and a predetermined curve at the other end enables the cardioplegia catheter (10) to be inserted quickly and accurately within the coronary sinus (50) through a very small incision made in the right atrium. After the catheter is secured in place, the stylet is withdrawn.