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Zero trouble challenge for blood purification -Development of new double lumen catheter-

Research Project

Project/Area Number 17K13023
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Biomedical engineering/Biomaterial science and engineering
Research InstitutionNiigata University of Health and Welfare

Principal Investigator

Takahashi Yoshimitsu  新潟医療福祉大学, 医療技術学部, 講師 (20632805)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords血液浄化用カテーテル / 血液透析 / 血管壁吸引 / ブタ静脈血管 / カテーテル / 圧力連動制御機能 / ブタ静脈 / 血液透析療法 / ダブルルーメンカテーテル / トラブルの可視化
Outline of Final Research Achievements

Vascular access hemodialysis catheters (catheters) are mainly used for rapidly and safely hemodialysis therapy. But we often encounter that the dialysis should be stopped by suction towards the vessel wall of the vascular access hemodialysis catheters. We established an ex vivo evaluation system for quantifying the efficiency of catheters as it is difficult to evaluate at clinical level. Venous blood vessels of pigs were connected to the system, and pig blood was circulated. We inserted a catheters in the blood vessel and the blood flow quantity (Qb) was set in 100 - 300mL/min. Suction towards the vessel wall occurred at Qb100 - 300mL/min in end hole type of catheters. On the other hand, using side hole type of catheters, suction towards the vessel wall occurred at 20%.

Academic Significance and Societal Importance of the Research Achievements

本研究成果により、治療中におけるカテーテルの血管壁吸引を軽減できるカテーテルについての構造が明らかになった。これは、カテーテルの血管壁吸引を可能な限り低減するための効果が得られる。仮に血管壁吸引が起きたとしても、医療者の手技により容易に改善することができるため、治療中の患者の治療効率を最大点提供できる。また、トラブル対応を最小限にすることができるため、医療者のトラブル対応に要する時間が軽減される。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (22 results)

All 2020 2019 2018 2017

All Journal Article (5 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 5 results,  Open Access: 2 results) Presentation (16 results) (of which Int'l Joint Research: 4 results) Book (1 results)

  • [Journal Article] 透析関連のBCP対策2019

    • Author(s)
      髙橋良光
    • Journal Title

      病院設備会誌

      Volume: 61 Pages: 63-67

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Suction towards a vessel wall by hemodialysis catheters the establishment of a new experimental extracorporeal circulation system using pig veins2018

    • Author(s)
      Yoshimitsu Takahashi, Junichiro J. Kazama, Suguru Yamamoto, Takashi Oite and Ichiei Narita
    • Journal Title

      Renal Replacement Therapy

      Volume: 4 Pages: 1-6

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] バスキュラーアクセスカテーテルの脱血孔構造の違いが血管壁吸引状態にあたえる影響2018

    • Author(s)
      髙橋良光,山本卓,風間順一郎,成田一衛,追手巍
    • Journal Title

      日本急性血液浄化学会誌

      Volume: 9 Pages: 111-115

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Suction towards a vessel wall by hemodialysis catheters -the establishment of a new experimental extracorporeal circulation system using pig veins-2018

    • Author(s)
      Yoshimitsu Takahashi, Junichiro J. Kazama, Suguru Yamamoto, Takashi Oite and Ichiei Narita
    • Journal Title

      Renal Replacement Therapy

      Volume: 4 Issue: 1 Pages: 1-6

    • DOI

      10.1186/s41100-018-0161-z

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 持続的血液浄化療法時の血液浄化用カテーテルによるへばりつき現象の改善方法の検討2017

    • Author(s)
      長谷川瑞帆,小田雄基,髙橋良光
    • Journal Title

      埼玉県臨床工学技士会会誌(春号)

      Volume: 34 Pages: 24-26

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Hemodialysis catheter suction toward the vessel wall during continuous renal replacement therapy can be prevented using a hand technique.2020

    • Author(s)
      Yoshimitsu Takahashi
    • Organizer
      AKI & CRRT
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] ミャンマー国における臨床工学技士の期待~血液浄化領域~2019

    • Author(s)
      髙橋良光
    • Organizer
      第8回新潟県臨床工学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 各種カテーテルによって起因するへばりつき現象は血管の湾曲により改善するか2019

    • Author(s)
      出牛雅也
    • Organizer
      第18回群馬県臨床工学技士会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 血液透析用穿刺針の挿入部位の構造の違いが静脈血管に与える影響2019

    • Author(s)
      髙橋良光
    • Organizer
      第23回日本アクセス研究会
    • Related Report
      2019 Annual Research Report
  • [Presentation] The design of vascular access hemodialysis catheters reduces suction towards a vessel wall2019

    • Author(s)
      Yoshimitsu Takahashi
    • Organizer
      AKI & CRRT
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 血液浄化用カテーテルの脱血孔構造の改良はへばりつき現象の発生頻度に影響を与える2018

    • Author(s)
      齋藤姫歌
    • Organizer
      第7回新潟県臨床工学会
    • Related Report
      2018 Research-status Report
  • [Presentation] ブタ静脈血管を用いた穿刺シミュレータシステムの構築と超音波診断装置による評価2018

    • Author(s)
      髙橋良光
    • Organizer
      第28回日本臨床工学会
    • Related Report
      2018 Research-status Report
  • [Presentation] ブタ静脈血管を用いた穿刺シミュレータの構築と超音波診断装置による評価2018

    • Author(s)
      髙橋良光
    • Organizer
      第63回日本透析医学会
    • Related Report
      2018 Research-status Report
  • [Presentation] ブタ静脈血管を用いた穿刺シミュレータの構築と超音波診断装置による評価2018

    • Author(s)
      髙橋良光
    • Organizer
      第45回東北腎不全研究会
    • Related Report
      2018 Research-status Report
  • [Presentation] Pressure-interlocking control system reduces vascular access hemodialysis catheter suction toward vessel walls2018

    • Author(s)
      Yoshimitsu Takahashi, Suguru Yamamoto, Junichiro J. Kazama, Ichiei Narita and Takashi Oite
    • Organizer
      AKI & CRRT 2018
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Pressure-interlocking control system reduces vascular access hemodialysis catheter suction toward vessel walls2018

    • Author(s)
      Yoshimitsu Takahashi, Suguru Yamamoto, Junichiro J. Kazama, Ichiei Narita and Takashi Oite
    • Organizer
      Japanese Society of Nephrology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 血液浄化用カテーテルの脱血孔構造の改良はへばりつき現象の発生頻度に影響を与える2018

    • Author(s)
      齋藤姫歌,髙橋良光
    • Organizer
      第7回新潟県臨床工学会
    • Related Report
      2017 Research-status Report
  • [Presentation] ブタ静脈血管を用いた穿刺シミュレータの構築と超音波診断装置による評価2018

    • Author(s)
      髙橋良光,山本卓,成田一衛,追手巍
    • Organizer
      第63回日本透析医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] バスキュラーアクセスのin vitro実験方法と臨床への応用2017

    • Author(s)
      髙橋良光,山本卓,風間順一郎,成田一衛,追手巍
    • Organizer
      第28回日本急性血液浄化学会
    • Related Report
      2017 Research-status Report
  • [Presentation] サイドホール付き血液浄化用カテーテルの血管壁吸引の改善効果の比較2017

    • Author(s)
      髙橋良光,山本卓,藤井豊,成田一衛,追手巍
    • Organizer
      第62回日本透析医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] バスキュラーアクセスカテーテルの脱血孔構造の違いが血管壁吸引状態の改善効果にあたえる影響2017

    • Author(s)
      髙橋良光,山本卓,風間順一郎,成田一衛,追手巍
    • Organizer
      第28回日本急性血液浄化学会
    • Related Report
      2017 Research-status Report
  • [Book] 臨床工学技士と災害対策 臨床工学技士から見たBCPの考え方-透析関連を中心に-2019

    • Author(s)
      髙橋良光
    • Total Pages
      6
    • Publisher
      Clinical Engineering
    • Related Report
      2019 Annual Research Report

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Published: 2017-04-28   Modified: 2021-02-19  

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