The present invention relates to an oxygenator for removing carbon dioxide in blood through a hollow fiber membrane and adding oxygen to the blood, and a method for manufacturing the oxygenator.
A hollow fiber membrane oxygenator using a porous membrane is generally and widely used as an extracorporeal circulation device or an artificial heart-lung machine for assisting circulation in open-heart surgery or the like of heart disease. The membrane oxygenator mainly uses a hollow fiber membrane, and performs gas exchange and heat exchange of blood through the hollow fiber membrane.
In the oxygenator, the hollow fiber membrane is wound around a cylindrical member and accommodated in a cylindrical outer tube. Both ends of the outer tube are filled with a potting material such as a urethane resin in order to seal an internal space that accommodates the hollow fiber membrane (for example, JP2002-035116A).
Regarding the potting material, a liquid potting material (hereinafter also referred to as a sealing material) is poured into a gap between the outer tube and the hollow fiber membrane under the centrifugal action. Thereafter, the liquid sealing material is cured to form a sealing structure. Since the sealing material contracts during a manufacturing process, a groove-shaped anchor structure having protrusions and recesses is provided inside the outer tube in order to prevent separation between the outer tube and the sealing material. After the sealing material flows and then cures in and around the groove-shaped anchor structure, the sealing material and outer tube become interlocked.
However, bubbles that may appear during the flowing of the sealing material are not sufficiently removed due to the anchor structure, and large bubbles may remain in the sealing material near the anchor structure. Such bubbles in the sealing material do not affect sealing performance, but are visible in appearance, and thus may give a user a sense of anxiety.
In view of this, an object of the present invention is to provide an oxygenator capable of preventing bubbles from remaining in a sealing material and a method for manufacturing the oxygenator.
One aspect of the present invention provides an oxygenator including: a hollow fiber module having a plurality of hollow fiber membranes; an outer tube that is cylindrical and that accommodates the hollow fiber module; and a sealing structure that is provided at an end of the outer tube and seals a gap between an outer peripheral portion of the hollow fiber module and an inner peripheral portion of the outer tube, wherein the sealing structure includes an anchor structure that is formed on the outer tube on an inner peripheral side near the end and that has a groove recessed in an axial direction of the outer tube, a cutout portion formed by cutting out the groove of the anchor structure on the inner peripheral side, and a sealing material with which the anchor structure and the gap are filled.
Another aspect provides a method for manufacturing an oxygenator that includes a hollow fiber module having a plurality of hollow fiber membranes, an outer tube that is cylindrical and that accommodates the hollow fiber module, and a sealing structure that is provided at an end of the outer tube and that seals a gap between an outer peripheral portion of the hollow fiber module and an inner peripheral portion of the outer tube, the sealing structure including an anchor structure that is formed on the outer tube on an inner peripheral side near the end and that has a groove recessed in an axial direction of the outer tube, a cutout portion formed by cutting out the groove of the anchor structure on the inner peripheral side, and a sealing material with which the anchor structure and the gap are filled, the method including: accommodating the hollow fiber module into the outer tube; and filling the groove and the gap between the outer tube and the hollow fiber module with the sealing material while applying a centrifugal force in the axial direction of the outer tube.
The oxygenator and the method for manufacturing the oxygenator according to the above aspects can prevent bubbles from remaining in the sealing material.
Preferred embodiments of an oxygenator and a method for manufacturing the oxygenator will be described below in detail with reference to the accompanying drawings.
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In
The core 20, the outer tube 22, the first cover member 24a, and the second cover member 24b form an accommodation space S for accommodating the cylindrical heat exchanger 14 and the cylindrical gas exchanger 16. The accommodation space S functions as a blood flow path 28. Each of the core 20, the outer tube 22, the first cover member 24a, and the second cover member 24b is formed of a hard resin.
The core 20 includes a first core portion 30 constituting one end of the core 20 and a second core portion 32 constituting the other end of the core 20. The first core portion 30 and the second core portion 32 are coupled to each other by a plurality of connecting portions 34.
The first core portion 30 has a blood inflow portion 36 to which a tube (not illustrated) can be connected at one end, and an annular wall 38 extending radially outward from the blood inflow portion 36. The outer end of the wall 38 is provided with a first support portion 40 for supporting the heat exchanger 14, and a first annular protrusion 42 protruding from the first support portion 40 to one side of the outer tube 22 in the axial direction (direction of arrow X1 in
The second core portion 32 is formed in a bottomed cylindrical shape, and includes a cylindrical portion 44 and a closing portion 46 provided at one end (end in the direction of arrow X1) of the cylindrical portion 44. The closing portion 46 is disposed so as to face the wall 38 with a gap therebetween. The gap between the closing portion 46 and the wall 38 functions as a blood introduction path 48 for guiding the blood flowing in through the blood inflow portion 36 into the accommodation space S. The outer surface of the cylindrical portion 44 is provided with a second support portion 50 for supporting the heat exchanger 14, and a second annular protrusion 52 protruding from the second support portion 50 to the other side of the outer tube 22 in the axial direction (direction of arrow X2 in
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The first sealing structure 82a includes a first anchor structure 84a having a groove-shaped recess provided on the inner peripheral side of the outer tube 22, and a first sealing material 86a with which a gap between the outer tube 22 and the gas exchanger 16 is filled. In addition, the second sealing structure 82b includes a second anchor structure 84b having a groove-shaped recess provided on the inner peripheral side of the outer tube 22, and a second sealing material 86b with which a gap between the outer tube 22 and the gas exchanger 16 is filled.
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Note that the bottom surface 88a is not limited to be perpendicular to the axial direction of the outer tube 22, and may be inclined with respect to the axial direction of the outer tube 22. In this case, the bottom surface 88a on the inner peripheral side may be inclined toward the inner side of the outer tube 22 as indicated by an imaginary line 88b in
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Next, the operation of the oxygenator 10 configured as described above will be described.
As illustrated in
The heat medium supplied from the heat medium inflow portion 68 is introduced into a lumen of a first hollow fiber membrane 14a of the heat exchanger 14 through a first heat medium flow path 58a. The heat medium exchanges heat with blood when passing through the lumen of the first hollow fiber membrane 14a. The heat medium having passed through the first hollow fiber membrane 14a is collected in a second heat medium flow path 58b and flows out of the oxygenator 10 through a heat medium outflow portion 76.
Oxygen supplied from the gas inflow portion 70 is introduced into the lumen of a second hollow fiber membrane 16a of the gas exchanger 16 through the first gas flow path 60a. Oxygen diffuses to the blood side when passing through the lumen of the second hollow fiber membrane 16a. In addition, carbon dioxide in blood is discharged into the lumen of the second hollow fiber membrane 16a through the second hollow fiber membrane 16a. That is, gas exchange between oxygen and carbon dioxide is performed with blood through the second hollow fiber membrane 16a. Carbon dioxide in the lumen of the second hollow fiber membrane 16a is collected in the second gas flow path 60b and flows out to the outside through a gas outflow portion 78.
The blood introduced from the blood inflow portion 36 is guided to the blood flow path 28 (accommodation space S) through the blood introduction path 48. The blood in the blood flow path 28 passes through clearances of the heat exchanger 14 toward the outside in the radial direction in the accommodation space S. As a result, heat is exchanged between the blood and the heat medium in the lumen of the first hollow fiber membrane 14a.
The heat-exchanged blood flows radially outward in the accommodation space S through the intermediate spacer 18 and passes through the second hollow fiber membrane 16a of the gas exchanger 16. The blood performs gas exchange for absorbing oxygen that has passed through the second hollow fiber membrane 16a and releasing excessive carbon dioxide through the second hollow fiber membrane 16a. The blood subjected to the gas exchange flows in the blood flow path 28 in the circumferential direction, flows out of the oxygenator 10 through the blood outflow port 54, and returns to the human body.
Next, a method for manufacturing the oxygenator 10 will be described.
First, the hollow fiber module 19 is obtained that includes the heat exchanger 14, the intermediate spacer 18, and the gas exchanger 16 which are formed in order from the inner peripheral side as illustrated in
Next, the hollow fiber module 19 and the outer tube 22 are assembled as illustrated in
Next, a sealing step is performed as illustrated in
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In the present embodiment, the second sealing material 86b (see
Finally, the interface of the second sealing material 86b reaches the vicinity of the cutout portions 88 having the smallest centrifugal force in the second anchor structure 84b, and thus, the cutout portions 88 are filled with the second sealing material 86b without leaving bubbles, as illustrated in
Thereafter, in the removal step, the first cap member 92a, the first annular member 96a, the second cap member 92b, and the second annular member 96b are removed from the hollow fiber module 19. Thus, gaps are formed at one end and the other end of the heat exchanger 14 and the gas exchanger 16.
Then, in an attachment step, the first cover member 24a and the second cover member 24b are attached to one end and the other end of the outer tube 22 and the core 20, respectively, and are fixed with the adhesives 64a and 64b. During this process, the protruding end of the first partition wall 62a is inserted into a first gap, and the protruding end of a second partition wall 62b is inserted into a second gap. Thus, the oxygenator 10 is completed.
Examination Example 1 (Comparative Example) and Examination Example 2 (present embodiment) of the oxygenator 10 according to the present embodiment will be described below.
In Examination Example 1 (Comparative Example) illustrated in
On the other hand, in Examination Example 2 (the present embodiment) illustrated in
The oxygenator 10 according to the present embodiment has the following effects.
An oxygenator 10 according to the present embodiment includes: a hollow fiber module 19 having a plurality of hollow fiber membranes (for example, first hollow fiber membrane 14a and second hollow fiber membrane 16a); an outer tube 22 that is cylindrical and that accommodates the hollow fiber module 19; and a sealing structure (for example, first sealing structure 82a or second sealing structure 82b) that is provided at an end of the outer tube 22 and seals a gap between an outer peripheral portion of the hollow fiber module 19 and an inner peripheral portion of the outer tube 22, wherein the sealing structure includes an anchor structure (for example, first anchor structure 84a or second anchor structure 84b) that is formed on the outer tube 22 on an inner peripheral side near the end and that has a groove recessed in an axial direction of the outer tube 22, a cutout portion 88 formed by cutting out the groove of the anchor structure on the inner peripheral side, and a sealing material 86 (potting material) with which the anchor structure and the gap are filled.
With the above configuration, air in the anchor structure can be released through the cutout portion 88, which can reduce bubbles remaining in the sealing material 86.
In the oxygenator 10 described above, the cutout portion 88 may include a plurality of the cutout portions 88 which may be provided at positions facing each other in the circumferential direction of the anchor structure. With this configuration, when a centrifugal force is applied in the axial direction of the outer tube 22, air can be removed in a plurality of directions due to the pair of cutout portions 88 being disposed at positions where the centrifugal force is substantially equal.
In the oxygenator 10 described above, the groove of the anchor structure may be formed in the outer tube 22 on the inner peripheral side, and the cutout portion 88 may be formed by cutting out the groove on the inner peripheral side. With this configuration, the anchor structure is formed on the inner peripheral side of the outer tube 22, whereby separation of the sealing material 86 can be prevented, and bubbles remaining in the anchor structure can be reduced.
In the oxygenator 10 described above, the cutout portion 88 may be provided at a position where a centrifugal force is the smallest when the centrifugal force is applied in the axial direction of the outer tube 22. With this configuration, the cutout portion 88 is disposed at a last region of the anchor structure where the interface of the sealing material 86 reaches, whereby air pushed out by the interface of the sealing material 86 is smoothly discharged through the cutout portion 88.
The present embodiment provides a method for manufacturing an oxygenator 10 that includes a hollow fiber module 19 having a hollow fiber membrane that is wound, an outer tube 22 that is cylindrical and that accommodates the hollow fiber module 19, and a sealing structure that seals a gap between an outer peripheral portion of the hollow fiber module 19 and an inner peripheral portion of the outer tube 22, the sealing structure including an anchor structure that is formed at the end of the outer tube 22 and that has a groove formed over an entire circumference, a cutout portion 88 formed by cutting out a part of the groove of the anchor structure in a circumferential direction, and a sealing material 86 with which the anchor structure and the gap are filled, the method including: accommodating the hollow fiber module 19 into the outer tube 22; and filling the anchor structure and the gap between the outer tube 22 and the hollow fiber module 19 with the sealing material 86 while applying a centrifugal force in the axial direction of the outer tube 22.
According to the above method for manufacturing the oxygenator 10, air in the groove of the anchor structure is discharged through the cutout portion 88, whereby bubbles remaining in the sealing material 86 can be reduced.
In the method for manufacturing the oxygenator 10, during the filling, the sealing material 86 may be introduced with the cutout portion 88 being provided at a region where the centrifugal force is the smallest. With this method, the cutout portion 88 is disposed at the last region where the interface of the sealing material 86 reaches, whereby air pushed out by the interface of the sealing material 86 is smoothly discharged through the cutout portion 88.
In the method for manufacturing the oxygenator 10, during the filling, the sealing material 86 may be introduced from a region where the centrifugal force acting on the sealing material 86 is the largest. According to this method, the interface of the sealing material 86 advances from the region where the centrifugal force is the largest toward the region where the centrifugal force is the smallest, whereby air in the anchor structure can be smoothly discharged from the cutout portion 88.
As illustrated in
The first anchor structure 84a and the second anchor structure 84b meander such that the regions where the cutout portions 88 are formed are located closest to the rotation center when the centrifugal force is applied, regardless of how the outer tube 22A is disposed. Therefore, during the process of introducing the first sealing material 86a or the second sealing material 86b, the cutout portions 88 are always disposed in the region having the smallest centrifugal force regardless of the orientation of the outer tube 22A in the circumferential direction. Accordingly, the same effects as those of the outer tube 22 of the first embodiment (see
While the present invention has been described above with reference to preferred embodiments, it is obvious that the present invention is not limited to the above embodiments, and that various modifications are possible without departing from the gist of the present invention.
Number | Date | Country | Kind |
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2021-017499 | Feb 2021 | JP | national |
This application is a continuation of PCT Application No. PCT/JP2022/003554, filed Jan. 31, 2022, based on and claiming priority to Japanese Application No. JP2021-017499, filed Feb. 5, 2021, both of which are incorporated herein by reference in their entirety.
Number | Date | Country | |
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Parent | PCT/JP2022/003554 | Jan 2022 | US |
Child | 18220467 | US |