Patent Application
20120167997
The present invention provides a coupling and switching unit, such as for branch lines for connection to ring line systems to transport fluids, such as gas-containing fluids, to end consumers (for example, dialysis units, tapping points of liquid vending machines).
Hygienically questionable states may occur in systems that are exposed to liquids, for example, water. Biofilms may, for example, form on walls of lines. These comprise biocenoses that allow microbial life embedded in a matrix of extracellular polymeric substances. One of the functions of the extracellular polymeric substances is to provide external protection from pH fluctuations, salts, hydraulic loading, toxic heavy metals, antibiotics and immune defense mechanisms. The matrix structure leads to an enormously high resistance of the lifeforms concerned, which for these reasons are sometimes up to thousands of times more resistant to antimicrobial agents than the individual organisms (Gilbert, P., Das, J. and Foley, I. (1997) Biofilm susceptibility to antimicrobials Adv Dent Res 11(1): 160-167; Costerton, J. W. Stuart, P. S. and Bönberg, E. P. (1999) Bacterial biofilms: a common cause of persistent infections, Science 284: 1318-1322).
Studies have shown that a large proportion of infections are caused by such biofilms and that they may have life-threatening effects, for example, in hospitals (Lasa, I., Del Pozo, J. L., Penades, J. R., Leiva, J. (2005) Bacterial biofilms and infection, An. Sist. Sanit. Navar. 28: 163-175). Problematic biofilm bacteria include Pseudomonas aeruginosa, Legionella pneumophila, Acinetobacter, atypical mycobacteria and Serratia. Pseudomonas aeruginosa are attributable to contaminated tap water (Reuter, S., Sigge, A., Reuter, U. et al. (2002) Endemische Übertragungswege von Pseudomonas aeruginosa [endemic means of transmission of Pseudomonas aeruginosa], Hyg Mikrobiol 6: 6-12). Such infections therefore represent a considerable problem, for example, in intensive care units, dialysis centers or surgery departments.
The formation of biofilms is a considerable potential hazard, for example, in the case of dialyses. This is so because certain elements of the water treatment installations of dialysis devices, for example, filters, ion exchangers or membranes, are conducive to the development of such biofilms. Additional factors that are conducive to the breeding of bacteria are, for example, dead spaces in water pipeline systems, low or no rates of flow and the use of bicarbonate concentrate, which is used for preparing the dialyzing fluids.
Among the suitable disinfectants is ozone. This gas has been used, for example, in the food industry, in the treatment of drinking and waste water, and in dental treatment. Corresponding installations for the use of ozone are described, for example, in DE 10061890 A1, DE 1016365 A1, DE 29806719 U1, DE 3225674 A1, DE 202008001211 U1 and EP 0 577 475 A1.
Ozone has found little use in dialysis devices. Brensing et al. Hyg Med 2009, 34, nevertheless describes what advantages are gained by daily ozonizing of the watering systems of dialysis devices. However, no solution in terms of process engineering and equipment is provided. There is therefore a great need for solutions for the use of ozone, for example, in the area of dialysis. This is so because the materials that are usually used for the ring line systems are not thermally stable. Although PVC surfaces are of advantage for delaying the occurrence of biofilms, disinfection by using heat is not suitable for dialysis devices because of the lack of thermal stability. In cases where thermally stable lines are used, the disinfecting processes are very water-intensive and use considerable amounts of energy; over 80° C. is reached in the case of this process by means of heat. A further problem arises in the case of emergency dialyses that have to be carried out within a short time. This is so because disinfection by using heat may require cooling times of 2 to 3 hours before a dialysis can be safely performed.
Methods for connecting dialysis units to extremely pure water systems in which deposits of bacteria are intended to be prevented are described, for example, in DE 19931304 A1, DE 102007045113 A1, U.S. Pat. No. 4,216,185 A, DE 19520916 A1, DE 10262036 A1 and FR 2704150 A1. None of the documents mentioned provides a coupling and switching unit that can be connected to all conventional water-carrying unstable or thermally stable line systems.
An aspect of the present invention is to provide a coupling and switching unit that can be coupled to conventional water-carrying ring line systems for extremely pure water or water of other qualities, so as to also allow the modern methods of gas introduction, for example, disinfection and sanitization by means of ozone and other oxidizing agents of branch lines, even without active end consumers or end units (for example, hemodialysis units, laboratory and medical equipment, filling installations for liquids).
In an embodiment, the present invention provides for a coupling and switching unit for transporting a gas-containing fluid which includes at least one line having at least one coupling device. The at least one line is configured as a feed line for a gas/liquid mixture. A branched-off line is arranged at the end of the at least one line. The branched-off line is configured to direct the liquid/gas mixture towards an outflow. A throttle valve is arranged in the branched-off line. A valve is configured to control a discharge of a main flow of the gas/liquid mixture.
The present invention is described in greater detail below on the basis of embodiments and of the drawings in which:
In the case of use for ozonization, in the ozonizing phase, for example, the coupling and switching unit may be switched on centrally or decentrally, automatically or manually. After the switching-on command, the solenoid valve is activated and makes a certain flow amount of gas-containing, for example, ozone-containing, water enter the outflow. As a result, the feed-line tube of the dialysis machine is disinfected. The difference is that even inactive units (end consumers) and their branch line can be disinfected. The timing control of the branch line systems takes place in coordination with the exposure, for example, ozonization, of the ring line system (outer disinfection). This unit can consequently be integrated in any existing installation without the latter having to be disassembled or modified. It is consequently suitable not only for the present apparatus, but also for installations elsewhere. The installation can, for example, be designed for pressures of 1 to 15 bar, for example, 2 to 10 bar, and, for example, 2 to 6 bar.
The unit according to the present invention can, for example, be suitable for systems that operate at high pressures. For instance, the feed line can, for example, be designed for pressures of 2 to 6 bar. Higher pressures are, however, also possible. Similarly, the unit according to the present invention is suitable for pressureless states (atmospheric pressure).
For measuring and regulating the throughflow, flow meters can, for example, be arranged in the system. These may concern any of the usual systems that are known to a person skilled in the art. Examples include turbine meters or calorimetric meters.
Venturi nozzles may be used in the feed and removal lines. This is advantageous if liquids or gases or other chemicals are to be introduced. The fitting of the Venturi nozzles offers the advantage that re-contamination of the connections during normal operation of the end unit, for example, during hemodialysis, is avoided. However, this is not absolutely necessary for the apparatus according to the present invention, i.e., the system may operate with high flow rates or with low flow rates.
In an embodiment of the present invention, it can, for example, be a compact, potentially mobile and variable transportable coupling and switching unit. This serves for the connecting of a line, for example, a dialysis ring line, to an end consumer, for example, a dialysis unit. The coupling and switching unit has a line which can be coupled to a liquid line, for example, a dialysis ring line. A flow tube can, for example, be integrated in this attachable line of the apparatus according to the present invention. In an embodiment, an introducing unit for the supply of oxidizing agents or disinfectants, which are, for example, gaseous, can be connected. It may, for example, be an ozone generating unit, which in one variant of the present invention can be generated in a special installation.
Arranged downstream of the introducing unit for the oxidizing agent or disinfectant is a line by means of which the connection to the end consumer unit can take place. Arranged in the region of the connecting point for the end consumer is a throttle valve, by means of which the outflow of the liquid volume can be controlled. The valve can, for example, be arranged at the beginning of a branched-off line, which leads to an outflow via which the liquid can flow out of the unit according to the present invention.
The coupling and switching unit according to the present invention also includes a connecting line between the end consumer unit and the outflow. Accordingly, the liquid outflow from the end consumer units can also take place via this line.
The installation according to the present invention has an advantage that, even in the case of an inactive end consumer unit, for example, a hemodialysis unit, a treatment can take place up to the connector to the end consumer. On the other hand, in addition to the throttle valve, which can, for example, be arranged at the beginning of the branched-off line, a second valve, which can be blocked completely, is provided in the branched-off line to the outflow from the active end consumer. The end consumer can operate during the blocking, for example, a hemodialysis can be carried out with the end consumer.
In the apparatus according to the present invention, it can accordingly be possible to carry a liquid flow from a line, such as a dialysis ring line in the case of carrying out dialyses, to a connection of an end consumer, a hemodialysis unit in the case of carrying out a dialysis. Via a valve, a possibly throttled liquid flow can be carried via a branched-off line to an outflow. The branched-off line may, however, also be blocked by means of a further valve. Furthermore, the unit according to the present invention also allows an outflow of the liquid from the end consumer to take place through a further connecting line by means of the coupling and switching unit according to the present invention.
The unit according to the present invention can, for example, be used wherever gas/liquid systems, such as gas-water systems, are intended to be used, for example, when lengthy standstill times of the liquid flows are to be avoided. This involves systems that use oxidizing agents, for example, gaseous oxidizing agents (for example, ozone). However, other oxidizing disinfectants also come into consideration, such as, for example, sodium hypochlorite, calcium hypochlorite, chlorine, electrolytically prepared chlorine compounds, chlorodioxide solutions, hydrogen peroxide and solutions based on peracetic acid.
The unit according to the present invention can, for example, be suitable for the use of installations in which disinfections and sanitizations are intended to be carried out. Consequently, the unit according to the present invention can be used for the disinfection of dialysis systems. In addition, it can also be used in other areas of medical and laboratory technology and drinking water preparation as well as the conservation of liquids. Use in beverage and beverage vending machines as well as fish and livestock husbandry is likewise conceivable. Further application areas are, for example, hot water, heating and air conditioning technology as well as process and waste-water treatment. The unit according to the present invention offers the advantage here that it can be connected to conventional systems and it is not necessary to invest in a new installation.
An installation that can be used has an inner fluid circulation (inner disinfection) with a device for supplying oxidizing agents and an outer fluid circulation (outer disinfection), which is designed in such a way that it can be operated either separately from the inner circulation or connected to it. The introduction of the oxidizing agent can be achieved with the apparatus according to the present invention. The arrangement of the throttle valve with the branching-off line for the gas/liquid mixture provides the effect that the disinfection and sanitization of the branch line can be carried out even in the case of an inactive end consumer, for example, a hemodialysis unit.
In an embodiment of the present invention, a connection can, for example, be established between the ring line systems of the extremely pure water and the dialysis units. This allows conventional and existing ring and branch line systems also to be provided with ozone technology in the sense of cold disinfection.
However, use in combination with an oxidizing-agent generating installation, such as an installation for generating ozone, can occur according to the present invention. Such an installation can be used in dialysis devices.
However, the coupling and switching unit according to the present invention can also be designed such that it includes a connecting device for the disinfection of suitable containers, various water-related components (for example filters) and end consumers, for example, by means of gaseous oxidizing agents (for example ozone).
In principle, the ozone may be produced from oxygen with the addition of energy by means of so-called silent electrical discharges. The ozone formation takes place here by recombination of an oxygen molecule with an oxygen atom. A splitting of an oxygen molecule by electrical energy must therefore take place. This is achieved in a gas space between two electrodes that are separated by a dielectric. Alternating current and a high-voltage field are applied to the electrodes. The ozone generating units in the form of glass or ceramic tubes are usually positioned in high-grade steel tubes, so that an annular discharge gap that is as narrow as possible is produced. A corresponding number of these ozone generating modules may then be used for the production of amounts of ozone of a few grams/hour up to many kilograms/hour. Either oxygen or air is used as the operating gas.
It is similarly also possible, by using UV light, to generate ozone from the operating gas (oxygen or air), i.e., the electrical splitting of oxygen may also be performed by radiant energy. UV lamps with radiation wavelengths of approximately 185 nm can, for example, be used therefor. At this wavelength, molecular oxygen absorbs energy and is split into atoms. The recombination of the atoms then leads to the ozone molecule. The UV-ozone generators usually consist of an irradiating reactor with a built-in lamp, past which the oxygen-containing operating gas flows and is converted into ozone. These units can, for example, be used for small amounts of ozone of a few grams/hour.
An alternative is production from liquid that contains oxygen, for example, from water. The ozone is here produced by using energy, for example, electrical energy. This involves generating ozone from the oxygen of the water molecule by means of electrolytic water splitting. In a flow cell there are special electrodes (for example, an anode with a solid electrolyte and a cathode), which are flowed around by the water. A DC voltage source generates the required electrolysis current, which leads to the ozone gas generation at the anode. The process concerned can be used primarily for small amounts of ozone of a few grams/hour.
For disinfection, the generated or added oxidizing agent is introduced, for example, in gaseous form, into a fluid circulation, for example, by means of a (Venturi) injector. For example, in the form of a liquid/gas mixture, the oxidizing agent is kept in circulation by means of a circulating pump until a predetermined concentration is kept constant over an adjustable time. The ozone/water mixture can, for example, be passed over a static mixer.
Amperometric sensors can, for example, be used as a standard method for measuring the ozone dissolved in the water. These units have a measuring head with a corresponding electrode/electrolyte system which is either open or covered by a membrane. The measuring system is brought into contact with the water to be measured by a flow cell. Ozone reacts on the working electrode (cathode) and generates a current proportional to the concentration. The current signal is converted by means of a measuring transducer into a unit of concentration (for example milligrams/liters). Regular calibration is of advantage as compared with photometric measuring methods (for example indigo trisulfonate).
If required, the destruction of the ozone may be performed, i.e., the exhaust air can be removed, or optionally returned, via an ozone destroyer, for example, a carbon cartridge. The ozone dissolved in the water can be degraded again into oxygen by irradiation with UV light. For this, the water is passed through a UV reactor with a quartz tube and irradiated medium with UV light, for example, of a wavelength of 254 nm. At this wavelength, the ozone molecule has an absorption maximum and decomposes into oxygen.
Alternatively, the ozone can be degraded both in water and in the gas phase by heterogeneous catalysis on active carbon or mixed oxide granules. Both materials are used in cartridges or reactors.
The coupling and switching device described has advantages over the prior art. As a compact central unit, it can be adapted for any installation and can be used for cold disinfection of the extremely pure water system. The coupling and switching device makes it possible for complete disinfection and sanitization of the ring line systems and the branch lines to be performed without any dead space without active end consumers. The disinfection is effective and inexpensive, since no ring line or transfer module conversion is necessary, and there are virtually no, or only low, consequent costs in comparison with hot disinfection. Furthermore, biofilm formation is completely or largely prevented, and no chemical residues remain. The ozone breaks down into non-toxic oxygen. On the other hand, even very small ozone concentrations are microbiologically very effective.
The present invention is explained in more detail below on the basis of
In the apparatus shown, a pressure of 2 to 6 bar prevails in the ring line 36 and at the beginning 30 of the line 30a. The connection 40 can also be used to perform the branch line perfusion of a number of inactive end consumers 35 (for example, hemodialysis units) by means of a coupling and switching unit (cf
In the case of the inner disinfection, the ozone concentration of at least 30 ppb in the working vessel 17 is kept constant for about 10 to 15 minutes. Once the disinfection in the inner circulation has been completed, the outer circulation 3 can be attached. This involves the complete dialysis ring lines 13 and 12, and the end consumer(s) 15a attached by means of the branch line(s) 15.
Once a parameterizable ozone concentration has been reached, at least 30 ppb, the adjustable reaction time begins. The ozone concentration in the outer circulation 3 and in the inner circulation 1 is at the same time measured and recorded by means of the ozone measuring device 5.
After completion of the disinfection, the system is flushed out with the permeate of the reverse osmosis via the channel valve V3 (9a). At the same time, the ozone concentration in the return of the ring line 12 is measured. After an adjustable flushing time in which the line is flushed out with a multiple of its content and the ozone concentration in the return 12 of the ring is less than 10 ppb, the flushing is completed and the installation is released again for dialysis.
In the case of an emergency dialysis, the disinfection is interrupted and the installation is flushed as described.
The present invention is not limited to embodiments described herein; reference should be had to the appended claims.
| Number | Date | Country | Kind |
|---|---|---|---|
| 10 2009 026 375.6 | Aug 2009 | DE | national |
This application is a U.S. National Phase application under 35 U.S.C. §371 of International Application No. PCT/EP2010/061907, filed on Aug. 16, 2010 and which claims benefit to German Patent Application No. 10 2009 026 375.6, filed on Aug. 14, 2009. The International Application was published in German on Feb. 17, 2011 as WO 2011/018528 A1 under PCT Article 21(2).
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP10/61907 | 8/16/2010 | WO | 00 | 2/13/2012 |
