Abstract:
Venous patient blood flows into an oxygenator blood inlet container which is coaxially disposed above an oxygenating gas inlet container. The oxygenating gas enters the blood inlet container through multiple gas injection apertures in a gas distributing manifold plate disposed between the two containers. The above pair of containers are coaxially secured to the base terminus of a vertically aligned, multiple, small diameter aperture, tubular configuration of an oxygen exchange tubular array, the inlet blood container adjacent the base terminus of the exchange tubular array. The gas manifold plate has multiple apertures typically ranging from 120 to 500 microns in diameter, through which the oxygenating gas bubbles into the venous blood. The two-phase flow of blood and oxygenating gas flows upward through the multiple exchange tubular array, the aperture walls stabilizing the two phases. The large surface to volume ratio of gas to blood phase in the tubular array facilitates the rapid fixation of oxygen by the blood, and release of carbon dioxide into the gas phase exiting from the top terminus of the tubular array. The coaxial combination of the inlet oxygen container, the gas manifold plate, the inlet blood container, and the tubular array provide a flow guide useful in blood oxygenator apparatus.
Abstract:
A slow variable speed drive rotates a pulsator pump and heat exchanger which can circulate pulsed blood flow extra-corporeally at a required blood temperature to a patient. The pump has a cylindrical rotor shell permanently mounted in a closely fitting internally cylindrical stator housing. The rotor has a support shaft which is eccentrically disposed parallel to the internal axis of symmetry of the stator housing and also to the rotor symmetry axis. Thus the rotor shell has its exterior surface also eccentrically disposed parallel to the rotor shaft axis of symmetry, providing controlled laminar flow of admitted blood. Laminar flow pumping means are provided, together with Taylor mixing vortices. Admitted patient blood is pumped as a thin blood film in pulsed laminar flow between the rotor and stator as the rotor exterior surface eccentrically approaches the stator surface, and in pulsed laminar Taylor vortex flow as the rotor surface recedes from the stator surface. The blood is introduced into the pump through a manifolded blood inlet having a longitudinal groove disposed in the inner face of the stator housing, the groove distributing blood to the annular space between the rotor and stator. A second similar blood outlet combination includes a longitudinal groove in the inner stator face, facilitating blood removal from the pump. The manifolded and jacketed stator housing provides heat transfer means for controlling the temperature of treated-blood of the patient.
Abstract:
A slow speed drive rotates a cylindrical exchanger pump which operates as a blood oxygenator, and also operates alternatively as a blood dialyser. The pump has a cylindrical rotor permanently mounted in a closely fitting internally cylindrical stator housing. The rotor has a coaxial shaft which is eccentrically disposed parallel to the internal axis of symmetry of the stator housing. Admitted patient blood is pumped as a thin blood film in laminar flow between the rotor and stator as the rotor exterior surface eccentrically approaches the stator surface, and in eddy flow as the rotor surface recedes from the stator surface. The blood is introduced into the pump through a manifolded blood inlet having a longitudinal groove disposed in the inner face of the stator housing, the groove distributing blood to the annular space between the rotor and stator. A second similar blood outlet combination includes a longitudinal groove in the inner stator face, facilitating blood removal from the pump. The rotor has permanent shallow depth passageways disposed in its exterior surface parallel to the rotor shaft axis of symmetry, providing controlled patterned flow of an admitted secondary fluid. The fluid is secured in the rotor passageways by a thin fluidpermeable membrane tightly adjacently covering the passageways. The secondary fluid can be oxygen gas or a liquid dialysate. When oxygenating gas is used, the exchanger pump is a blood oxygenator. When a liquid dialysate is used, the exchanger pump is a blood dialyser. The manifolded and and jacketed stator housing provides heat transfer means for controlling the temperatures of treated-blood of the patient.
Abstract:
Venous human blood flows into a base distributing manifold of a blood oxygenator, whose operating components are cooperatively vertically coaxially disposed. The blood is distributed into vertically aligned multiple, controlled small diameter oxygen exchange tubes, each exchange tube having a coaxial oxygen injection tube disposed at the exchange tube base. Oxygen gas flows through each injection tube, maintaining two-phase flow of oxygen-blood up through the exchange tubes. After oxygenation and separation of excess oxygen and exchanged carbon dioxide gas in a gas separator, the blood is further defoamed in an external coaxial defoamer bed. The defoamed blood then descends a coaxial annular ring in a spiral flow path over a spiral metal tube heat exchanger which contains temperature controlled circulating heat transfer fluid. The oxygenated defoamed blood is thermoregulated to the necessary temperature, exiting from the oxygenator base blood outlet conduit, returning to the patient''s body.
Abstract:
An integral blood oxygenator and blood temperature controller combination concurrently provides blood oxygenation at a precise blood-gas temperature required by a patient. The integral combination operationally insures that the extra-corporeal circulating blood is equilibrated with oxygen gas at a patient''s required blood temperature. Multiple, small diameter aperture, equal length oxygen exchange tubes are adjacently spaced in a patterned, parallel array and secured at the pairs of tube terminus in an opposed pair of tube header plates, forming a blood-gas-energy exchange tube array. The two-phase blood-oxygengas mixture flows upward inside each of the single oxygen exchange tubes, absorbing oxygen and evolving carbon dioxide gas. Precisely temperature controlled water circulates through the gas exchange tube array around the exterior of the oxygen exchange tubes, providing precise blood temperature control during oxygenation process. By equilibrating oxygen consumption and carbon dioxide evolution at a precise blood temperature, undesired gas bubble evolution at higher random blood temperature excursions are minimized, lowering the potentiality of gas bubble evolution and gas embolism.
Abstract:
A BLOOD OXYGENATOR HAS A THIN WALL HEAT EXCHANGER SHELL, HAVING A HIGHLY THERMALLY CONDUCTIVE SHELL WALL COMPOSITION, COAXIALLY ETERIORLY DISPOSED AROUND A BLOOD OXYGEN EXCHANGE TUBULAR ARRAY. THE APEX OF THE SHELL IS TIGHTLY SEALED TO THE TOP TERMINUS OF THE TUBULAR ARRAY AND THE BASE OF THE SHELL IS TIGHTLY SEALED TO AN EXTERIORLY DISPOSED COAXIAL OXYGENATED BLOOD COLLECTOR MANIFOLD. THE INTERIOR FACE OF THE SHELL WALL ADJACENT TO THE TUBULAR ARRAY IS PROVIDED WITH A FLOWING THIN FILM HEAT TRANSFER FLUID FROM A HEAT TRANSFER FLUID CIRCULATORY MEMBER HAVING A FLUID INLET AND MULTIPLE FLUID OUTLETS. THE HEAT TRANSFER FLUID EXCHANGES THERMAL ENERGY WITH THE OXYGENATED BLOOD FLOWING DOWN THE NARROW ANNULAR VOLUME DISPOSED ON THE EXTERIOR OF THE HEAT TRANSFER SHELL.
Abstract:
A blood sucker is connected to the suction side of a peristaltic tube pump, evacuating blood lost by a patient at a surgical site. The air evacuated through the blood sucker when in use can be filtered through a first disposable micropore filter in the sucker, prior to contacting the blood evacuated from the surgical site. The patient blood, clean air and surgical debris are also filtered through a sucker second disposable filter, whose pore apertures are sized to remove the tissue debris from the blood flowing into the sucker. Early removal of tissue debris from patient blood in the blood sucker can slow the initiation of the blood clotting mechanism. The filtered air can decrease the microscopic air contaminants in the filtered blood, which can then be returned to the patient''s circulatory system. An integral plurality of flexible, parallel array blood conductive tubing provide wall stabilized, low turbulence blood flow from the sucker to a cardiotomy reservoir or the like, prior to returning the blood to the patient''s circulation.
Abstract:
Blood flows in extra-corporeal blood circulation into a blood oxygenator. The oxygenating gas enters the blood streams through a means providing oxygenating gas injection, adjacent a means providing blood inlet. The pair of means co-react to provide twophase flow of blood and oxygenating gas bubbles for the two-phase fluid flow guide. The flow guide has a multiplicity of fluid guide, solid walls of equal length, one wall uniformly closely spaced to another wall. The spaced walls are held in a boundary case by wall securing means which provide a uniform base terminus position and a uniform top terminus position for the walls. The boundary case can have a case length at least equal to the fluid guide wall lengths and greater. The fluid guide solid wall can have multiple, uniform cross section flow control channels disposed in the wall, extending normally to the base terminus and the top terminus of the wall. The flow control channels stabilize the upward flow of the two-phase blood and oxygenating gas combination. The flow control channels stabilize the gas bubbleliquid interface flow geometry, and facilitate the rapid fixation of oxygen by the blood and the release of carbon dioxide into the gas phase exiting from the top terminus of the two-phase fluid flow guide.
Abstract:
A surgical blood sucker and peristaltic pump combination discharge a three-phase mixed stream of blood, air and surgical tissue debris into a cardiotomy reservoir through a slot shape blood inlet nozzle tangentially disposed on the wall of the blood reservoir volume. The tissue debris is collected internally in the reservoir on the reservoir base filter face and the face of the conical air filter. The air, under slight pressure in the reservoir, exits from the reservoir through the air filter and a relief valve. The defoamed blood flows from the reservoir through multiple base filter plate exit apertures, into a blood oxygenator.
Abstract:
An open cell, compressed, elastic plastic foam filter medium, having average diameter cell pore openings selected values ranging from 25 to 150 microns, is disposed as a planar volume in a an adjustable disposable filter press. The filter medium is disposed between a pair of rigid filter press plates, which are in turn disposed in the filter press structure. The press can provide an adjustable control means suitable for varying the average diameter of the pore openings, by varying the compression of the filter medium. A flexible, filter press case provide means of assisting blood circulation through the filter medium, and of separating air entrained in the blood in the filter press.