Apparatus for treating ascites

• US 4,083,786 A
• Filed: 03/10/1976
• Issued: 04/11/1978
• Est. Priority Date: 03/20/1975
• Status: Expired due to Term

• Current Assignee: Asahi Kasei Kogyo Kabushiki Kaisha (Asahi Kasei Corporation)
• Original Assignee: Asahi Kasei Kogyo Kabushiki Kaisha (Asahi Kasei Corporation)
• Inventors: Inagaki, Kenji, Kominami, Naoya, Tsuda, Nobuaki, Imamiya, Tamotsu
• Primary Examiner(s): Hart, Charles N.
• Assistant Examiner(s): Spitz, Robert H.
• Application Number:
  US05/665,700
• Time in Patent Office: 762 Days
• Field of Search: 3/1.7, 128/1 D, 128/214 R, 128/214 F, 128/DIG. 3, 210/22, 210/23 F, 210/257 M, 210/258, 210/321 B, 210/433 M, 417/395, 417/416, 417/326, 417/390
• US Class Current: 210/321.61
• CPC Class Codes: A61M 1/1656 Apparatus for preparing dialysates
• CPC Class Codes: A61M 1/1658 Degasification
• CPC Class Codes: A61M 1/34 Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
• CPC Class Codes: A61M 1/3627 Degassing devices; Buffer reservoirs; Drip chambers; Blood filters
• CPC Class Codes: A61M 2202/0401 Ascitics
• CPC Class Codes: C12M 37/02 Filters

Abstract

An apparatus for treating ascites which is safe and superior in performance and does not cause hemolysis, by removing harmful bacteria or cancer cells contained in ascites, by filtration, concentrating useful proteins, etc. contained therein and returning the resulting concentrate to living body is provided.

Said apparatus comprises an ascites-transporting means, a hemolysis-preventive means connected to said ascites-transporting means, a filter for removing bacteria and cancer cells, containing at least one membrane for filtering the ascites which has passed said hemolysis-preventive means, and a concentrating vessel containing at least one membrane for concentrating the ascites thus filtered.

Claims

1. An apparatus for treating ascites including protein and contaminated with at least one member of the group consisting of blood, cancer cells and bacteria, said apparatus comprising:

(a) an ascites introducing means for carrying ascites from a body into said apparatus;

(b) an ascites transporting means coupled to said introducing means for supplying the force to carry said ascites through said apparatus;

(c) a first filter means for removing bacteria and cancer cells from said ascites, said first filter means including at least one first membrane means for allowing protein to pass therethrough and for blocking the passage of bacteria, cancer cells and other substances of similar size;

(d) a hemolysis preventative means coupled between the output of said transporting means and the input of said first filter means for removing air bubbles from said ascites whereby hemolysis caused by the mixture of air bubbles with the filtered ascites is prevented;

(e) an ascites concentrating means, coupled to the output of said first filter means, said ascites concentrating means including a second membrane means for passing substances of a size different than the size of the substances passed by said first membrane means for blocking the protein in said ascites to thereby form a protein concentrated ascites;

(f) ascites discharging means, coupled to said ascites concentrating means, for receiving said protein concentrated ascites and returning said protein concentrated ascites to the body.

2. An apparatus for treating ascites as set forth in claim 1 wherein said transporting means comprises:

(a) a pump having a variable vessel, the inner volume of which is variable and provided with an inlet and an outlet for a body fluid, said inlet and outlet each having a check valve, and a gas pressure vessel with an opening for introducing and discharging a gas, said variable vessel and said gas pressure vessel each forming independent chambers separated from each other by a partition formed by the variable part of said variable vessel;

(b) a controller means including first and second lead switches for automatically repeating the operations of sending a gas into said gas pressure vessel upon the actuation of said first lead switch when a given amount of the body fluid is fed into said variable vessel and discharging the gas from said pressure vessel upon the actuation of said second lead switch when the amount of the body fluid is reduced to a predetermined amount wherein said first and second lead switches are fixed to a cylinder having a movable rod therein said rod having a magnet fixed thereto, said movable rod being attached to the bottom of said variable part of said variable vessel to displace said variable part when said rod moves.

3. An apparatus according to claim 2, wherein the variable part of the variable vessel contained in said pumping apparatus consists of a silicone resin.

4. An apparatus for treating ascites as set forth in claim 1 wherein said transporting means comprises:

(a) a pump having a variable vessel, the inner volume of which is variable and provided with an inlet and an outlet for a body fluid, said inlet and outlet each having a check valve, and a gas pressure vessel with an opening for introducing and discharging a gas, said variable vessel and said gas pressure vessel each forming independent chambers separated from each other by a partition formed by the variable part of said variable vessel;

(b) a controller means including first and second lead switches for automatically repeating the operations of sending a gas into said gas pressure vessel upon the actuation of said first lead switch when a given amount of the body fluid is fed into said variable vessel and discharging the gas from said pressure vessel upon the actuation of said second lead switch when the amount of the body fluid is reduced to a predetermined amount wherein said first and second lead switches are fixed to a cylinder having a movable rod therein said rod having a magnet fixed thereto, said movable rod being attached to the bottom of said variable part of said variable vessel to displace said variable part when said rod moves; and

(c) a timer means for regulating the time from the completion of the feed of a definite amount of body fluid into said variable vessel to the starting of the next feeding of said body fluid into said variable vessel.

5. An apparatus according to claim 4 wherein the variable part of the variable vessel contained in said pumping apparatus consists of a silicone resin.

6. An apparatus according to claim 1 wherein said hemolysis-preventive means comprises a part for collecting air and a part for controlling the amount of air thus collected.

7. An apparatus according to claim 1 wherein said filter comprises a vessel containing said membrane and provided with an inlet and an exit of ascites having permeated through said membrane and an opening for flushing substances which do not permeate therethrough.

8. An apparatus according to claim 1 wherein said filter comprises a vessel containing a plurality of hollow fiber type membranes and provided with an inlet and an exit of ascites having permeated through said membranes and an opening for flushing substances which do not permeate therethrough, said membranes being fixed in liquid-tight manner onto said vessel at at least one end of said membranes.

9. An apparatus according to claim 8, wherein said membranes consist of cellulose acetate or polyacrylonitrile.

10. An apparatus according to claim 8, wherein said membranes consist of cellulose acetate having a pore size of 0.2 μ

- 0.01 μ

.

11. An apparatus according to claim 8, wherein said liquid-tight fixing is carried out with an adhesive selected from the group consisting of silicone resin, urethane resin and epoxy resin.

12. An apparatus according to claim 1, wherein the membrane contained in said concentrating vessel is hollow fiber consisting of an ultrafilter membrane.

13. An apparatus according to claim 12, wherein said hollow fiber is of a material selected from the group consisting of polyacrylonitrile, cellulose acetate and cuproammonium rayon.

14. An apparatus according to claim 1, wherein a substance capable of adsorbing pyrogenic substance is contained in the circuit of the apparatus.