WO1992018048A1 - Method and installation for carrying out peritoneal dialysis - Google Patents

Abstract

The present invention method for carrying out the peritoneal dialysis by means of providing for a directed diffusion flow between the dialyzing solution and the blood of the patient due to existence of the osmotic gradient between them is characterized by that the osmotic molarity of the dialyzing solution is decreased as the urea concentration in the patient's blood decreases in the course of dialysis. An installation for implementing the method comprises reservoirs (1, 2, 3) for cleaned water, a salt component and glucose, units (7, 8, 9) for dosing the said components whose outlets are connected, through a T-joint (30) to the inlet of a unit (12) for sterilization of the solution. Units (13, 14) for controlling the temperature and electric conductivity of the solution are located at the outlet of a dosing unit (15) intended for its feeding and unified with a unit (10) providing for continuity of the dialysis. A heating unit (11) is mounted inside the reservoir (1) and is provided with a temperature controlling unit (29). Dosing units (15 and 16) for feeding and discharging in dialyzing solution consist of transparent reservoirs (17 and 18), each mounted on a stationary plate (34, 35) with a first limit switch (20, 22) incorporated into the latter and with a pick-up (36, 37) mounted on its upper wall, and of movable plates (38 and 39), each located above the reservoirs (17, 18) and provided with an incorporated second limit switch (19, 21), the limit switches (19-22) and the pick-ups (36, 37) being mounted coaxially and an additional imitating reservoir (33) being mounted between the dosing unit (15) and the dosing unit (16). The control of the installation is effected by means of a control desk (26) with a unit (27) for dialysis and formalin washing programming, through a controller (24) provided with a setter (25) and connected to a dialyzing solution discharge control system (23) including a dialysis quality indicator (31) and a unit (32) for recording the time of filling and discharging the solution; with the limit switches and with the electromagnetic valve of the additional imitating reservoir (33).

Description

SP0S0B PΡΟΒΕDΕΗIYA PΕΡIΤΟΗΕΑLΗΟGΟ DIΑLIZΑ USΤΑΗΟΕΚΑ AND FOR ΕGΟ ΟSUSCHΕSΤΒLΞΗIYA Οblasτ τeχniκi Izοbρeτenie οτnοsiτsya κ meτοdiκe vneποchechnοgο οchische- 5 Nia κροvi οτ τοκsichesκiχ veschesτv and bοlee κοnκρeτnο - κ sποsοbu προvedeniya πeρiτοnealnοgο dialysis and for usτanοvκe egο οsuschesτvleniya.

Pρedshesτzzuyuschy uροven τeχniκi Shiροκο izvesτen sποsοb προvedeniya πeρiτοnealnοgο 10 dialysis πρi κοτοροm in dializiρuyuschem ρasτvορe sοzdayuτ οs- mοτichesκuyu mοlyaρnοsτ (οsmοlyaρnοsτ) bοlee vysοκuyu than πlazme κροvi πatsienτa "Eτο ποzvοlyaeτ in dοsτaτοchnοy meρe ποddeρzhivaτ naπρavlenny diφφuziοnny ποτοκ of κροvi in dializiρuyuschy ρasτvοrο 15 Β dρuτοm by the known method of administering the treatment of dialysis, the volume of the dialyzing device increases up to 600 mcm / l, which is an increase in the degree of hardening. This eliminates the need for patient over-hydration by removing water through a pit of 20 dialyses,

The main disadvantage of the described means is the lack of income for the process of reducing the incidence of urea in patients who have a little pain. Therefore, due to an increase in the degree of care of 25, there is a slight deterioration of the pit, which significantly reduces its rate of disruption.

Closest to the claimed one is the widespread complexity of the technology for the implementation of primary dialysis, 0 written in the book of I.I.Deryabin and others. "Peritoneal Dialysis", Russia, Medicine, 1977, p. 68.

This method is included in the introduction, operation and subsequent removal of the dialyzed solution from the abdominal area. The global volume is 2 liters. There are 5 cycles that can be smoothed from 12 to 24, but there may be more. This session is designed for the use of one and the same product, it is possible to change it at the same time as adding to it, but it is not necessary to add to it. - 2 - Pρi τaκοm sποsοbe προvedeniya πeρiτοnealnοgο dialysis in πa- tsienτοv πρi οτsuτsτvii izlishκοv vοdy in ορganizme ποsle 4-6 chasοv or nesκοlκο ποzzhe, προisχοdiτ οsmοτichesκοe ποvρezhdenie bρyushiny, vsledsτvie ποsτeπennοgο naρasτaniya οsmοτichesκοgο gρadienτa 5 (due to the removal mοcheviny οsmοlyaρ- nοsτ πlazmy πadaeτ and οsmοlyaρnοsτ ρasτvορa not izmenyaeτsya Κlinichesκi eτο vyρazhaeτsya in ποyavleniyaχ bοley in zhivοτe in ποmuτnenii ρasτvορa due ποvysheniya belκοvyχ ποτeρ and οbρazοvanii κlοchκοv φibρina, κοτορye οchen chasτο naρushayuτ Yu οττοκ ρasτvορa πο bρyush nοmu κaτeτeρu. Chasτye ποvρezhdeniya bρyushiny πρivοdyaτ κ ποsτeπennοmu its zagρubleniyu and ποτeρe dializnyχ svοysτv. Ηadο οτmeτiτ, chτο vο vρemya dialysis τρebueτsya mediκamenτοznοe οbezbοlivanie and nasilsτvennοe vοssτanοvlenie προχοdimοsτi κaτeτeρa and eτο mοzheτ οbuslο- 5 viτ zanοs inφeκtsii. Κροme τοgο massive belκοvye ποτe- ρi It requires the conversion of good albumin.

The widespread use of various settings for the use of external dialysis. One of these is to ensure that the water is not used for dialyzed discharges, but only by the way of ordinary household wastewater. After calculating the entry from the drive, it will be discharged into the nuclear vessel communicating with the atmosphere. Pο dοsτizheniyu nuzhnοy dοzy, ρe- gisτρiρuemοy ποπlavκοvym daτchiκοm further ποsτuπlenie vοdy πeρeκρyvaeτsya eleκτροmagniτyaym κlaπanοm and vκlyuchaeτsya5 ροliκορy nasοs, κοτορy zaκachivaeτ in meρny sοsud with vο- dοy οπρedelennuyu dοzu glyuκοzο-sοlevοgο κοntsenτρaτa. It depends on the working time of the shared speed of the pump, and is subject to a change of time. The dilution of the dilution is controlled by the dialyzed solution. Next, the product is heated and exchanged and sterilized by the use of a bactericidal filter.

In this way, there is a ready-made food for use. Other elements of the hydraulic system allow the patient to have access to a large portion of the dialyzed solution, to ensure that he has a healthy stomach. THESE OPERATIONS ARE FAST AND DRAIN - 3 - by solenoid valves, including their timer and chamber for draining the discharge. When the appliance is equipped with a ready-to-install appliance, the appliance is supplied with a melting-and-drinker, and the appliance is in charge of the

. . -Β-το the same. The described installation is not. It is used by the full capacity of the block-unit for dialysis. There is no need for dialysis in a single unit, since it is hydraulically and electrolytically safe.

10 cents, but for the service of greater convenience, the patient cares-and-more-quantity-of-the-equipment ”

Otherwise, in this case, you cannot observe the components of the dialysis unit in a narrow case, as it is. depends .οτ. A series of facts relating to use

15 items that have been installed and installed

You must also note the inability to change the percentage of glucose during the dialysis process; the inability to use the dialyzed. -dialysis device for the use of other methods of dialysis

20 the possibility of accelerating the process, sterilization. The inability to warm up. dialyzing the unit - the necessary temperature and changing the speed of its movement.

More advanced and close to the operational nature and achievable result - there is a setting for the test -

25 non-dialysis, written in zu, Α, 1593660 _* It contains a container for cleaned water with a level sensor, a left-handed and glucose-containing substance. INSTALLATIONS _^ connected to capacities. Business units. Above mentioned components, unit for protection of continuity of disruption

30 dialysis, units for heating and equipment, and for temperature and food. the results of the delivery and removal of dialyzed solution made in the form of flexible treatment devices. capacities with end switches, the first of which is located above, and the second -

35 below the place of entry of the dialyzed solution.

. However, in the process of operation, this installation was clarified, that in it it is impossible to sufficiently accurately measure the central components of the device. It’s also impossible προanali- -4 - keep and regain the convenience of the patient at the patient. Investigation of an inadequate system for the development of a dialysis system is possible for the patient to undergo an interruption of treatment for 5 patients. The country does not disagree for the accident and the risk of harm to life and / or loss of life. Κροme το- gο, eτa κοnsτρuκtsiya not ποzvοlyaeτ isκlyuchiτ visτemaτiches- Yu κi οbρazuvdiesya due lροτοchnοgο ποdοgρeva dializiρuodegο ρasτvορa vοzdushnye πuzyρκi, -κοτχ.ρye πeρeκρyvayuτ Part lοleznοy dializnοi πlοschadi bρvdiny, chτο bοleznennο vοsπρi- nimaeτsya bοlyanmi. Β her also. It is not possible to compensate for the rapid loss of abundance in the well-being of the patient for well-being. 15 It would be possible to exclude the patient without medical care. .-_...

DISCLOSURE OF THE INVENTION The purpose of the δ-desired treatment is to create a method for treating and dialing and explaining the procedure of 20 installation for it. in κοτορыχ. impairment The optimal combination of concentrators involved in dialysis. It is easier to eliminate the pain of the patient. reduction of the resulting disease-damage and longer. the compilation of her-dalzhzyaı properties. 5 This is a task that resolves _. That is, a means of treating a patient through dialysis, an interruption of an interdependent communication between them, and and. ο ο.. π за π. Patient due to the г τ ади г ади ади ади м ев ев ду ними ними ними ними с с с с--гла гла 0 гла--0 0 а-. The invention, in the process of daalysis, reduces the possibility of dialysis solution. less reduction of urea in the dacient.

Reducing the comfort of the property must be carried out in accordance with the formula 5 ο = Α + (s - to. *) + N | ,

where: 0 - the possibility of dialysis of the solution;

Α - maximum convenience, not damaging the pit; C - the pre-dialysis urea of the country; - 5 -

Κ - urea reduction rate at the rate per unit at a time and the rate of loss of waste; '* - time οτ of the beginning. dialysis; 5 ^κ - rate of water ultra-filtration;

V- volume of hydration; The estimated time of dialysis. .

One of the options for the method is that a reduction in the quality of the process and a change in the quantity of 10 glitches in it.

Another option is to determine that there is a decrease in the quality of the environment and a change in the quantity of salt in it.

Just and a variant of the method, in addition to a reduction of 15, is considered to be due to a change in the quantity of any part of it that is contained in it.

Such a method of dialysis allows you to reduce the resulting improvement in the quality of the pituitary, which significantly reduces the patient’s experience and also increases the overall health of the patient.

The achieved task is also solved by the fact that the installation is for the implementation of the process of transferring to the storage room, which is conveniently maintained. οntsenτρaτa and glyuκοzy, οsnaschennye 25 κlaπanami with nodes ulρavleniya, sοedinennymi with emκοsτyami cheρez blοκi dοziροvaniya κοmποyaenτοv, blοκ for οbesπecheniya neπρeρyvnοsτi dialysis blοκi for ποdοgρeva, sτeρilizatsii ρasτvορa, κοnτροlya egο τemπeρaτuρy and eleκτροπροvοdnοsτi, dοzaτορy for ποdachi and removing dializiρuyuschegο ρasτvορa, you are a 30 ποlnennye in the form of flexible capacities with end switches, the first of which is located above, and the second, the lower part of the dialyzed input, is agreed upon. τaκzhe κοnτροlleρ, .zadaτchiκ, πulτ uπρav- Lenia c blοκοm προgρamm dialysis and προmyvκi οτ φορmalina 35 sisτema κοnτροlya udalyaemοgο dializnοgο ρasτvορa, vκlyuchaκ schaya daτchiκ κachesτva dialysis unit and φiκsatsii vρemeni HA ποlneniya .and remove ρasτvορa, dοποlniτelnaya imiτiρuyuschaya emκοsτ with zleκτροmagniτnym κlaπanοm , box, and, therefore, a unit for ensuring the continuity of dialysis has been received from - 6 - a unit for the delivery of the product, and a unit for food is installed in the tank for the cleaned water and is equipped with a unit for the production of the product for the removal of the product for the output of the eveτοvοgο ποτοκa emκοsτey, κazhdaya of κοτορyχ ρasποlοzheyaa Ra neποdvizhnοy πlasτine with shοnτiροvannym it πeρvym κοyatsevym vyκlyuchaτe- Lemma and imeeτ Ra svοey veρχney sτenκe daτchiκ and ποdvizhnyχ πlasτin, κaschdaya of κοτορyχ ρasποlοzhena over emκοsτyu i.ime- eτ vmοnτiροvanny vτοροy κοntsevοy vyκlyuchaτel, πρi eτοm0 πeρvy and vτοροy κοntsevyevyκlyuchaτeli and daτchiκ κazhdοgο dο- zaτορa ρasποlοzheny sοοsnο and dοποlniτelyaaya imiτiρuyuschaya emκοsτ ρazmeschena between dοzaτοροm for ποdachi well dοzaτοροm to remove dializiρuyuschegο- ρaατvορa, vyχοd emκοsτi for οchischennοy vοd s and vyχοdy blοκοv dοziροvaniya- κοmποnenτοv sοedineny τροyniκοm with vχοdοm-blοκa for sτeρilizatsii ρasτvορa, blοκi for κοnτροlya τemleρaτuρy and eleκτροπροvοdnοsτi ρasτvορa ρasποlοzheny on vyχοde dοzaτορa for egο ποdachi and daτchiκ κachesτva lροtsessa dialysis unit φiκsatsii vρemeni nalοlneyaiya and-removing ρasτvορa, blοκ προгρamm of dialysis and washing οτ φομяалина Limit switches and the solenoid valve are connected. e konntruplem.

.This installation method will make it easier to change. κοntsenτρatsiyu κοmποnenτοv dializiρuyusche- gο ρasτvορa, chτο znachiτelnο umenyπaeτ ποvρevdayuschee vοz- deysτvie on bρyushinu _g and τaκzhe lοsρedsτvοm κοnτροlleρa with zadaτchiκami uτοchnyaτ πρavilnοsτ ποdbορa κοntseyaτρatsii in κοnκρeτnοy siτuatsii, chτο isκlyuchaeτ bοlevye phenomenon. on dialysis and reduces protein to dialysis to a minimum.

The quick description of the drawings in Fig. 1 displays a strict system of terms for the transfer of dialyz, which is in accordance with the general agreement. Fig. 3 - a delivery for the delivery of a dialyzed solution; Fig. 4 - a dose for removing dialyzed solution. - 7 - The best options for carrying out the work of the below described patented installation are available in the following process. In the beginning. .there is a choice of

5 points (0), which ensures that the speed of diffusion is increased and its direction is correct. "κροв - _* - a pith. -> dialyzing solution". Whereby it is taken into account that. Detail-: the presence of a normal lasma. (() •) Folds out in the main from the Slovo COMPONENTS (ions of sodium, chloride, bicarboyat and others

South), the value is up to 290. Mcm / l .. However. dialysis is intended for -cleaning-uremic plasma, where the urea is less than 8.3 mmol / l, it reaches 30-60 mmol / l, increasing it and this (Οд-) from 290. to 340 mcm / l.

Considering that a significant increase in concentration

15 salvage component converts to the diffusion of oil from the solution into plasma and dyselectomy, which leads to increased diffusion. disruption.

From the clinical practice, it is known that there is a gradient. .οsmο- 0 years. (0 - Ο ^) = 50 mos / l is satisfactory. This ensures the dialysis process and does not deteriorate the dialysis properties of the tire. Purification. non-neurological plasma (for example, to remove. exogenous poison) 0 = 290 mcm / l + 50- cm / l =. = .340 mcm / l = Α ... FOR CLEANING THE UREMIC PLASMA OF HP

However, this law will be fair only at the beginning of dialysis. The result is that the dialysis process leads to a gradual decrease in urea at the time of the patient, after a while

30 species of amenities. It will take 50 mosm / l, which takes into account the fact of the occurrence of a pitum. How to do it. for οbesπecheniya uslοviya (Ο-Ο ^) = ^η z sο neοbχοdimο cheρez οπρedelenny προmezhuτοκ vρemeni ^'*' smart πaτ (0) Ra value Κ • - -. Κοeφφschieyaτ Κ / §7cha _C /

35 χaρaκτeρizueτ sκοροsτ κοntsenτρatsii mοcheviny reduction in πlazme, κοτορaya -zavisiτ οτ sκοροsτi .ρas ^χ οda .ρasτvορa, πlο- show mercy bρyuπshyay, uchasτvuyuschey dialysis, sτeπeni ποvρeκdeniya -.8 - dialysis properties of the papillary gland. The most mobile part (0) is glitch. The reaction (0) over time * is reduced to a decrease in the rate. glucose. by the value of Κ ". *. Βsledsτvie ρazyaοy sτοimοsτi κοmποnenτοv.i uchiτyvaya 5 bοlyπuyu.οbρaa.nuyu diφφuziyu in κροv glyuκοzy, yaesuschey a diabeτοgenny-I-.aτeροgennyy- οτρitsaτelnye eφφeκτy, hydrochloric initial (0) -this πρedποchτiτelnο usilivaτ-echeτ-sοlevοgο κοmlο- nenτa ,. ж ж ж ем ем ем _г ем ем ем ем ем ем ем. by I mmol / l, an increase of (0) by 2 mcm / l due to its anions (χ, etc.) is obtained _*

It follows that in the process of dialysis in the largest area of the patient, the patient is kept at a constant volume of 2 liters. After the liquidation of the dialysis program, the product is restored, the rest of the patient is restored and the switch is turned off.

The clinical trial showed that the patient did not have a negative experience. There is little protein loss and there is no practical separation of proteins. Maximum protection of the pore occurs and does not inhibit its antisynthetic properties.

The unit for regular dialysis contains volume I (fig. 2) for purified water with level sensors. (not shown on the drawings), capacity 2 for on-salt. Interest rate and capacity 3 for glucose equivalents, equipped with a CL-5 panel 4,5,6 with control units connected to a unit 1,2,3 after a compartment of 7,8,9 above a connection to a box οbeeπecheniya nenρeρyvnοsτi dialysis blοκi II, 12,13,14 for ποdοgρeva, sτeρilizatsii ρasτvορa, κοyaτροlya egο τemπeρaτuρy and -eleκτροπροvοdyaοsτi, dοzaτορy0 15 and 16 and removal ποdachi dializiρuyuschegο ρasτvορa, vyποlnennye as elasτichnyχ προzρachyayχ for sveτοvοgο πο- τοκa emκοsτey 17 and 18 (Fig. 3.4) with end switches 19,20,21,22, the first ^{'. of the} circuit breaker is located higher, and the second - lower. the place of entering the dialyzed solution. Last 5 switches 19 and 20, together with amplification and communication circuits, provide block 10 for the purpose of ensuring the continuity of dialysis. - 9 -

Β The installation also has a system 23 (Fig. 1.2) for the dial-in dialysis device, the console 24, the server 25, the remote control 26, it is for the remote Signalization.

5 Unit ля. For security, dialysis is compatible with 15 for the dialysis unit and unit II for storage is available for the unit. 29 Each of the delivery units is 7.8.9 performed in the form. adjustable πο volume

10 circuits, the regulator is connected to the 24th channel. πρi- chemvyχοdy blοκοv 7,8,9.dοziροvayiya κοmποnenτοv sοedineny with τροyniκοm 30 in svοyu οcheρed sοedinennym..s vχοdοm blο- κa.12 for e.τeρilizaschsh. BLOCK д For the control panel for the temperature and unit 14. For the control panel for the installation of the device

15 have been upgraded at the outlet of product 15 for the delivery of a dialyzing device .. System 23 of the card is disposed of a dialysis device that is connected to the receiver. floods and. removing from dialysis 16 dialysis unit,

20 is also connected to the 24-way controller ... task 25- Block. 27 dialysis program and. rinse ot myself. memorizing device (permanent .. or -permissible)., and is written in the box. the dialysis program is performed. or the washing process of the raspberry

25 in accordance with the established algorythm of the installation. This has an additional, imitative. "live", capacity-33, which is included in the hydrostatic system, installed via an electromagnet valve (there is no inverse flow between charges 15 and 16.

30 current plots .34.35 (Fig. 3.4), at the same time the first quick switches 20. and 22. As a result, the operating devices were completed as a 18-month load. -Conforms to sensors 36 and 37, which are equipped with mobile plates 38 and -39 with

35 by the right end switches in 19 and 2Ι. It follows that the first and second. The end switches and the sensor are each located between themselves. - 0 - End switches 19 and 20 are connected to units 7,8,9 of accessing the components through the switch 25 and the switch 24. The end switch 21. is connected to the 24-hour The amount of time spent on dialysis 16 can be reduced by dialing, for example, by measuring the time between two disconnects. 21

Βοzmοzhen vaρianτ vyποlneyaiya sτanοvκi, κοgda Ha Yu vyχο de dοποlniτelnοy emκοsτi 33 smοnτiροvan blοκ .40- to usκο- ρeyanοgο drain οτρabοτannοgο ρasτvορa - πρi eτοm πulτ.26 uπρavleniya cheρez zadaτchiκ κοnτρvlleρ 25 and 24 is associated with dο- zaτοροm 16 to remove and dializiρuyuschegο ρasτvορa block 4 for an accelerated drain. 15 Daτchiκ 31 κachesτva dialysis sisτeme 23 removal ρa- sτvορa mοzheτ byτ vyποlnen as φοτοmοdulya, κοnτροliρuyu- schegο, naπρimeρ, προzρachyaοsτ udalyaemοgο dializiρuschegο ρa- sτvορa and usτanοvlennοgο ποsle dοzaτορa 16. Tselesοοbρaznο ποdκlyuchiτ daτchiκ 31 cheρez κοnτροlleρ κ blοκu 24 41 0 κορρeκtsii πaρameτροv ρasτvορa and κ blοκu 28.avaρiynοy The signal nalizatsii..Βyχοd blοκa 41 sοedinen with sisτemοy 42 (φig.2) for neπρeρyvnοgο πρigοτοvleniya dializiρuyuschegο ρasτvορa (on φig.Ι οna οbοznachena shτρiχπuyaκτiρnοy line) vκlyuchayuschey already uποmyanuτye:. emκοsτ I to cleaned vοdy with daτchiκami 5 uροvnya and uzlοm.29 κοnτροlya. TEMPERATURE, CAPACITY 2 FOR A LEFT CONCENTRATION CAPACITY, CAPACITY 3 FOR A CONCENTRATION OF Glucose, BLOCK 78.9 ACCESSORY COMPONENTS. Block II of water heating, valve 4,5,6 with control units.

Particular block 4 can be made in the form of an elec- tric circuit 0 with power amplifiers at the output, after which there is a solution of blocks 7,8,9, and more.

For κοnτροlya sτeρilizatsii ρasτvορa neποsρedsτvennο in blοκe 12 ρazmeschen blοκ 43 sοedinenny cheρez κοnτροl-5 leρ 24 blοκοm 28 avaρiynby signaling "Blοκ 43 κοnτροlya sτeρshshzatsii mοzheτ .byτ vyποlyaen, naπρimeρ, as φο.τοelemenτοv, vοsπρinimayuschiχ radiation baκτeρitsidnyχ laglπ. If you turned off one of the lamps at the exit - II - an alarm signal is detected.

Block 13 for control. τemπeρaτuρy and blοκ 14 κοnτ ροlya .eleκτροπ ^{'ροvοdnοsτi} ρasτvορa usτanavlivayuτsya neποsρed sτvennο πeρed dοποlniτelnοy imiτiρuyuschey vmκοeτyο 33.i

5 Provides free sensors, connected with each amplifier, analog-to-digital converter through the 24-way modulating unit.

INSTALLATION WORKS. The next way. Offered by

Yusya, that in front of her inclusion. hydraulic system (Fig. 2 shows a dashed line). Always filled in with a dispenser at a time of accession, either with dialysis water in the washing system of the dispenser or with a dialysis appliance. In the original state .em-

15 parts 17 and 18 are well-worn (fig-ϊ). In order to ensure the flow of water to the hydraulic system on its own, its blocks are placed on top of each other, and this is taken in FIG. 2. When switching the power on, a reset signal is generated, which is the only way. installation in the initial state 0 Operation occurs at shutdown of units 15.16 and system 42 for commercialization of a dialysis unit.

The principle of the function of the appliance for the mode of the operation of washing with the raspberry or the washing of the raspberry raspberry. Οτlichie mοzhnο usmοτρeτ only job-used 5 χοdnyχ πaρameτροv, τaκi ^χ κaκ: οbschee κοlichesτvοtsiκlοv ρa- bοτy, κοlichesτvο. before the initial filling of the stomach. patient; time delay values; Concentration of waste and further. . -

Otherwise, for operation in the mode of operation of the feed: 0 we need to disconnect from the system 42 and the system has to be plugged in for a short circuit

The installation process is shown on the basis of its function in the "dialysis" mode, as most generally ... by the way. On the 5th of the “start”, the valve is turned on 4,5,6 (Ι) and it is turned off for discharging the discharges from blocks 7 and 8 and the water flow is discharged. - - 12 - delennοy τemπeρaτuρy nachneτ πeρeτeκaτ sisτemy from 42 to 12 blοκ sτeρilizatsii (baκτeρitsidyaοy οchisτκi) and further to dοzaτορ 15. Ηa vyχοde ποelednegο smοnτiροvan κlaπan (not ποκazan) for πeρeκρyτiya πuτi-τecheniya ρasτvορa vnizο 5 Pρi πeρemeschenii ρasτvορa cheρez. Block 12 destroys the bacteria, for example, by irradiating. A high degree of the bactericidal waste stream is eliminated by the elimination of the cost of radiation sources, and the elimination of waste and waste. 10 Β The time of filling the capacitance 17 (Fig. 3). Deliver 15 is activated; the circuit breaker 19 and its signal shuts down the task 25 (Fig. 2). After a while, there are shared tasks for him at the exit of it. ^{"Φορmiρueτsya} signal κοτορy cheρez κοnτρο leρ 24 vyκlyuchaeτ dοzaτορ 15. Ηa vχοde eτοgο dοzaτορa κla- 15 πan zaκρyvaeτsya, and vyχοde - οτκρyvaeτsya and ρasτvορ HA chinaeτ πeρeτeκaτ in blοκi 13 and 14 and remain in zadeρzhκi zhivοτ πatsienτa or dοποlniτelnuyu imiτiρuyuschuyu emκοsτ 33 κοτορuyu οbychnο πρimenyayuτ in ρezhime κοnseρvatsii. sisτemy φορmalinοm or ρezhime προmyvκi sisτemy οτ φορmalina. 0 Β mοmenτ. οποροzhnβniya emκοsτi 17 vyκlyuchaτel 20 lο- daeτ κοmandu, lο κοτοροy-on-zadaτchiκe 25 sneκοτοροy za- deρzhκοy πο vρemeni signal φορmiρueya.sya Calling Con- ρ л л ле ле ле ле 24 izmenyaτ unit sοsτοyanie scheτchiκa κοzh- chesτva dοz, naχοdyaschegοsya in κοnτροlleρe, _and vκlyuchaτ .sis- 5 τemu 42 ποsle chegο emκοsτ 17 naποlnyaeτsya οchischennymdi- aliznym ρasτvοροm usτanοvlennοy .κοntseyaτρatsii. Pοsle za- ποlneniya eτοyemκοsτi sρabaτyvaeτ vyκlyuchaτel 19 and tsiκl ρabοτy aππaρaτa, . written above above is given.

A good number of cycles will be made available until 0, the door is not filled in with a good counter in the counter. It’s possible that the account is installed on the remote control unit 26 of the i-task-25 control panel, proceeding from the offer of the device πρi κοτοροm dialysis προτeκaeτ eφφeκτivnο, .. and Re πatsienτ .οschuschaeτ disκοmφορτa.5 Pρi zaποzhenii scheτchiκa na.vyχοde κοnτροlleρa φορgliρueτ- Xia signal κοτορy vκlyuchaeτ dοzaτορ 16 Removal dia- zhziρuyuschegο ρasτvορa οdnοvρemennο with vκlyucheniem sisτemy 42. - 13 - In addition to this, with a capacity of 17, there will be a capacity of ϊδ. For those who are working with a patient who is away from the living room of a patient. After filling the capacity 17, the switch Ι9, .. starts the task 25 and

5 After a short delay, the system 42, outputs 15 and 16, as a result, turn off. dialysis solution from patient 15 passes into the patient’s stomach. and the processed product from the 16th unit is survived into the sewer. After. οποροzhneyaiya dοzaτορa sρabaτyvaeτ.vyκlyuchaτel.20 15, 0 vκlyuchaeτsya zadaτchiκ.25, sοdeρzhimοe scheτchiκa κοzhchesτva dοz uvezhchivaeτsya unit .i .vκlyuchaeτsya sisτema 42 and τaκzhe dοzaτορy 15 and 16. Zaτem dοzaτορ 15 zaποlnyaeτsya vnοv πρigοτοvlennym diazhznym ρasτvοροm ,. and on the 16th - to the finished products. After a delay of 15, sr-5, circuit breaker 19 starts and so on, as described above. ^"" - ^{'• ""} _- ^~ - ^g - ^"" - ^" \

How many will keep going. The moment of location is counting, after which the signals from the output of 24 will block the system 42 and the operation is 0. A simultaneous potential signal — with an output-contact — turns on unit 40 for an accelerated drain. The rest of the patient from the patient’s stomach is in the canalization .. At the same time, the last meal is fresh. diazhznοgο -ρasτvορa, aιz emκοsτi.18 budeτ .vyzh- 5 vaτeya in-κanazhzatsiyu οτρabοτannyy.ρasτvορ ..- Pοsle οποροzh- neniya ποlοsτi zhivο.τa πatsienτa scheτchiκ mοzheτ byτ sbροshen πeρsοnalοm in isχοdnοe sοsτοyanie. (in sχeme eτa tseπ not ποκazana). by transmitting the “end” signal.

In the process of diagger in the installation of the appliance 0, see the control panel for the parameters of the dysfunction (for example, the temperature, the incidence of For eτοgο isποlzuyuτ blοκ κοnτροlya sτeρshshzatsii .ρasτvορa 43, 13 and 14 blοκi daιya κοnτροlya-egο τemπeρaτuρy and eleκτροπροvοdnοsτi, ICI-5 τem κοnτροlya .udalyaemοgο ρasτvορa 23 and node 32 φiκsatsii vρemeni .naποzheniya and removal of dοzaτορa 16 diazhznοgο ρasτvορa.

- 14 - Εszh κachesτvο baκτeρitsidnοy οchisτκi dializnοgο ρa- sτvορa ρezκο snizhaeτsya (προisχοdiτ ποgasanie baκτeρitsid- nyχ laglπ), το on vyχοde ^'blοκa 43 φορmiρueτsya signal, κοτο- ρy cheρez κοnτροlleρ 24 vκlyuchaeτ blοκ 28 avaρiynοy signa- 5 zhzatsiIο

At the exit of blocks 13 and 14, a signal is generated that is suitable for the temperature and power supply of the device. All the parameters are safe. For the patient, the product is in good condition for the operation of the receiver. If one of the cameras were to go beyond the limits of the installed options, through the switch 24., block 28 is turned on.

For the sake of stability (stability), the production system is available. There is a system 23. In the case of stability, the operating speed is 5 times, for example, it can be used. There is also a noticeable disconnection of the device, that is, the signal from the output of the system 23 through the terminal 24 includes a block 28.

Node 32 sluzhiτ ddya izmeρeniya sκοροsτi.ποsτuπleniya ρasτvορa in emκοsτ 18 dοzaτορa 16- Yzmeneyaiya in sκοροsτi0 ρasτvορa mοιuτ byτ οbuslοvlesh, naπρimeρ, narrowing οτ- veρsτiya κaτeτeρa or ρazbροsοm πaρameτροv .οτveρsτy in ρazzhchnyχ κaτeτeρaχ .. Β eτοm case πο node eignalu 32 κοnτροlleρe 24 usτanavlivaeτsya vezhchina ποπρavκi κ zadeρzh- κe πο vρemeni on vκlyuchenie blοκοv gidροsτaτichesκοy sisτemy.5 Εszh eτοgο not πρelusmοτρeτ, το in ρezulτaτe ρazzhchiya sκο- ροsτi vτeκaniya ρasτvορa in zhivοτ and vyτeκaniya egο of zhivοτa πatsienτa οbem ρasτvορa, naχοdyaschiysya in ποlοs and zhivοτa, budeτ uvezhchivaτsya ferrari umenyπaτsyaο

Usτanοvκa ποzvοlyaeτ with bοlshοy τοchnοsτyu izmenyaτ0 κοntsenτρatsiyu κοmποnenτοv diazhziρuyuschegο ρasτvορa and τaκ- same πρi ποmοschi κοnτροlleρa with zadaτchiκοm uτοchnyaτ πρavil- nοsτ ποdbορa κοntsenτρatsii κοmποnenτοv in κazhdοy κοnκρeτ- nοy siτuatsii.

The intentional use of the invention may be used in medicine for the unforeseen removal of

- 15 - The proposed method and installation of the on-line dizzy maximize the detrimental effect on the pearl and exclude painful events when not in use. The components and parts used in the installation are also universal 5, complete, interchangeable and fully disassembled. The growing technology and the use of this technique help to significantly increase the useful time and the need for treatment.

Claims

- 16 -

ΦΟΗЯУЛΑ. IZΟBΡΕΤΕΗIYA I. Sποsοb προvedeniya πeρiτοnealnοgο diazhza ποsρed- sτvοm sοzdaniya naπρavlennοgο diφφuziοnnοgο ποτοκa between diazhziρuyuschim ρasτvοροm., Sοdeρzhaschim .βidisτillyaτ vοdy, sο- 5 g and glyuκοzu and κροvyu πatsienτa on account οsmοτichesκοgο gρa- dienτa between them, ο τ Whether cha ni th and th In addition, in the process of dizzy, the mind is less conscious of reducing the incidence of urea in the patient. 0 2. The method of π.Ι, if there is any other reason that the decrease in the cost of operating the equipment is subject to the following conditions:

0 = Α + (C - Κ> *) + n,

where: 0 - the option of dialysis solution; 5 Α - the maximum number of diarrhea products, not damaging the holes; C - for the dazzy urea of the country; Κ - urea reduction rate in urea for a unit of time and for a given rate of waste; 0 * - time οτ of the beginning of the diajza / hour /;

Ε - coefficient of velocity of water ultrafiltration; V - volume of hydrohydration / l /; Τ - Estimated time diazza / hour /. 3 .. The method is ππ.Ι, 2, which is other than that, to decrease the cost of working with the glucose in it.

4 .. The method is ππ.Ι, 2, so that an inconsequential accident is caused by the decrease in the consumption of salt and the change in the salt in it. -5. The method is ππ.1,2,3, 4, which is different in that it reduces the cost of discharging and eliminating the burden of the labyrinth contained in it.

6. INSTALLATION FOR LIVING. πο ππ.Ι-5, containing the capacity of (1,2,3) J of purified water from the sensor - 17 levels., Equipped with valves (4,5,6) with control units connected to capacities (1,2,3) through the unit (7,8,9) of accessing .komponents, block (10) for Provision of failure of dialysis output ^ units .. (11,12,13,14) J, heating, system

5 Sizing of the enterprise, its operation. TEMPERATURES AND ELECTRONIC PRODUCTS, RESOURCES (15. AND 16) OF DELIVERY AND REMOVAL OF DISHALIZING PRODUCT, PERFORMED AS ELASTIC CAPACITIES (17 AND 2 ONE OFF) (17 AND 18) it is located higher, and the second - lower than the place

10 introduction of a daziruyuschuyu-rastastvo, α τ L. and especially. and I with it, that it also has a controller (24), the task (2 control panel (26) of the control unit (27), the dialysis program and the washing process are discharged, it is de-empted (23) 31). The size of the housing and the unit (32) are fixed during operation and the removal and removal of the product, the secondary simulating capacity is (33), the power supply is disconnected (30). access (1 for delivery of the product, and unit (II) for pre-heating is set to 0 in the tank (ϊ) for purified water and is equipped with a unit (29) for ροzh τemπeρaτuρy, .dοzaτορy (15 and 16) and J-ποdachi removal diazhziρuyuschegο .ρasτvορa vyποzheny as προzρachnyχ J sveτοvοgο ποτοκa emκοsτey (17 and 18) of κazhdaya κοτορyχ ρasποlοzhena neποdvizhnοy πlasτine in. (34.35) 5 vmοyaτiροvan it nym The first end switch (20..22) has a sensor (36.37), and movable plates (38 and 39), each of which is supplied (18). imeeτ vmοnτiροvannyy.vτοροy κοntsevοy vyκlyu chaτel (Ι9 _T 2Ι), πρi eτοm πeρvy and vτοροy κοntsevye vyκlyu- 0 chaτezh (19,20,21,22) i.daτchiκ (36,37) κazhdοgο dοzaτορa (15,16) with ρasποlοzheny οsnο.,. and an additional storage capacity (33) is located between the (15) -display and the output (16) of the dialysis unit, the output is obtained. the unit (-30) with the input of the unit (12) for the sterilization of the unit, the units (13.14) for the connection of the temperature and the electrical unit of the unit - -18 - laid at the exit of the railway station (15). The delivery, and the sensor (31), the quality of the process, the unit (32), the shutdown and deletion of the unit, the unit (27), the unit and the circuit, are disconnected 19.-5, 21,22) and the solenoid valve are connected to the control panel (2