MODULAR DISPOSABLE BLOOD OXYGENATORS WITH REUSABLE HEAT SOURCE AND OTPIONAL INTEGRATED BLOOD PUMP

Abstract: A blood oxygenator/heat exchanger system (10) includes disposable and durable components, the latter being possible of permanent installation to further reduce costs, inconvenience and risks of use. The system may selectively include a blood pump (136) of axial, centrifugal, or ventricular type, along with an integral venous reservoir (206). By combination, arrangement and cooperation of structural features blood pumping volume is decreased, advantageous blood flow paths are achieved, blood damage is reduced, and durable components are reusable for lowest costs. The oxygenator/heat exchanger (58) nests upon a durable heat source base (24) to be supported thereby, while redundant boundaries are provided between blood and heat transfer media.

Description: MODULAR DISPOSABLE BLOOD OXYGENATORS WITH REUSABLE HEATSOURCEAND OTPIO INTEGRATED BLOOD PUMP BACKGROUND OF THE INVENTION Field Of The Invention The present invention relates to a blood oxygenator a temperature control apparatus. More specifically, the prese invention relates to a blood oxygenator forming a disposab component of a heat exchanger having as its other component durable heat source member. The two components are unitable heat exchange relation. Alternatively, the blood oxygenat may also include any one or all of a blood pump, veno reservoir or auxiliary heat exchange component. Description of the Related Art Extracorporeal blood oxygenation systems are well known f pumping and/or oxygenating a patient' s blood duri cardiovascular surgery or other procedures. The blo oxygenation system replaces or supplements the norm physiological lung function of replacing the carbon dioxide i venous blood with oxygen for the arterial blood system. T blood oxygenator typically includes a venous reservoir, a hea exchanger, a blood pump and a blood oxygenator. The veno reservoir provides a supply of venous blood to be oxygenate the heat exchanger maintains the blood temperature at th "normal thermic" temperature or at a sub-normal temperature depending on the procedure, the blood pump provides bloo transport from the venous reservoir (or other source such a venous blood tubing) to an oxygenator input, through th oxygenator and to the output for return to the patient, and th oxygenator provides a suitable membrane for exchange of carbo dioxide for oxygen. Some prior blood oxygenation systems, such as that describe by Bringham et al.. U.S. Patent No. 4,698,207, integrate several of the major components of the blood oxygenatio system, namely the venous reservoir, the heat exchanger and th oxygenator. Such an integrated system, while permitti placement close to the patient may still require a substanti volume of priming blood or fluid. Of course, the pri oxygenator systems with separate blood pump and connecti conduits required even more priming blood or fluid volum Furthermore, the increase in blood volume within t extracorporeal circuit undesirably increases the volume blood and/or blood products which must be administered transfusion during the procedure. A large priming volu increases the amount of non-physiologic matter with which th blood contacts as the blood travels through the bloo oxygenation system, thereby increasing the potential fo mechanical, chemical and/or immunoreactive damage to the blood Non-blood priming solutions also cause hematocrit dilution. large priming volume increases blood-wetted surface area whic must be treated with antithrombolytic compounds, such a heparin, and also can increase hemolysis (blood damage) . Also a large priming volume ordinarily means a significant volume o blood is not reinfused to a patient at the conclusion of surgical procedure. In the oxygenator, a bundle of hollow oxygenation membran fibers provide the transport mechanism for the oxygen/carbo dioxide exchange. The fibers are formed from gas permeabl membrane material allowing the oxygen to permeate through t the venous blood being pumped past the fiber exteriors whil carbon dioxide permeates in the opposite direction Necessarily, patient blood comes into contact with th oxygenator surfaces, requiring disposal after use. With prior blood oxygenator systems having separat components, for example, separate venous reservoir, blood pump oxygenator, and heat exchanger, a large number of componen parts, and interconnecting conduits must be assembled. Thi multiplicity of components presents a high cost, assembly tim burden, chance for error, plural leakage paths an contamination vectors, and added clutter and complexity in th operating room. Skilled attention must also be paid up disassembly of the system to avoid blood contact, and properly identify and separate durable from disposab components. In view of the above, a need is recognized for a blo oxygenating system utilizing, to the extent desired practicable, a combination of durable and disposable component integrating a disposable blood oxygenator/heat exchanger wit minimum priming volume and blood-wetted surface area, decrease blood damage and opportunity for foreign surface contact an contamination entry, all with a durable heat source component Reuse of the heat source component of the heat exchanger woul provide a safer oxygenator system. Because the oxygenator/hea exchanger component and the heat-source heat exchange component would be separate parts each with their own flui boundary walls, double or redundant boundary wall separatio between blood and heat transfer media (water, perhaps) would b provided by the oxygenator/heat exchanger. Further to the above, a need is recognized to furthe advantageously combine the above-described oxygenator/hea exchanger with a blood pump also having durable and disposabl components in unit with the durable and disposable components respectively, of the oxygenator/heat exchanger. Those skille in the pertinent art will quickly recognize the increased eas and convenience of use and decreased costs of manufacture an use associated with such a combination. Importantly, the risk of error in set up, contamination paths, leak paths, an priming volume are all potentially reduced by such combination. Thus, and further to the above, the need i recognized for such a combination also integrating a venou reservoir integrated with the disposable components of th system so that a detached hard or soft reservoir need not b employed. Of course, each such successive step of integratio potentially offers incremental improvement of the advantage outlined above. SUMMARY OF THE INVENTION The present invention provides a blood oxygenator/he exchanger having a disposable oxygenator/heat exchang component and a durable heat-source component cooperab therewith, and which can be permanently connected to a he source, for example, to a hot water supply, if desired. T blood oxygenator/heat exchanger component defines an elongat annular body defining radially inner and radially outer wa surfaces available for heat transfer. An annular oxygenat cavity defined within the oxygenator/heat exchanger compone provides both a desired blood-contact surface area of 0 2 /C permeable gas-exchange membrane and adequate heat transf surface area while requiring a minimal blood-priming volume. According to an alternative embodiment, the presen invention provides a disposable oxygenator/heat exchange component cooperable with a durable heat source componen wherein the disposable and durable components also incorporat respective portions of a rotary blood pump so integrate therewith as to further realize the advantages potential in th present invention. Yet a further alternative embodiment of the presen invention provides a reciprocable ventricular pump providin pulsatile blood flow. By advantageous combination, arrangemen and cooperation of the structural features of the presen invention such a ventricular pump is provided with disposabl and durable portions and with only an inlet check valve (no requiring an outlet check valve) . A gravity impelled downwar columnar flow of blood in the oxygenator/heat exchange communicating with the pump discharge advantageously provide a sufficient negative relative pressure head to effect pum operation without an outlet check valve. Thus, the advantage of decreased blood damage are further realized by the presen invention. Still further, another alternative embodiment of th invention integrates a disposable venous reservoir with disposable oxygenator/heat exchanger and blood pump described above to further realize the advantages potential i the present invention. The durable heat source component i cooperable in like manner with this and the other embodiment disposable components. Finally, by advantageous selection and commonality of th combination, arrangement and cooperation of structural feature employed in the various invention embodiments a modular bloo oxygenator/heat exchanger, blood pump, and venous reservoi system is provided which allows selection of the degree o system integration desired while always allowing use o substantially the same durable heat source component. Becaus of this integrity of system design, each of the alternativ embodiments may also selectively utilize an alternativel durable or disposable auxiliary heat source component in thos circumstances indicating a need for an increased rate of hea exchange with the treated blood. As will be seen, at th expense of only a slight increase in cost and complexity, th heat exchange capacity of the system is substantially double with no change in blood priming volume, blood-wetted surfac area, or any other loss of the significant and plura advantages realized by the present invention. In accordance with the present invention, a reusable bloo oxygenator/heat exchanger for a blood oxygenation syste includes a heat source or thermal supply at a temperatur differential relative to the blood temperature. The hea source component defines a heat exchange surface for contactin a corresponding heat exchange surface on a blood oxygenato component placed in heat exchange contact therewith wherein th heat exchange surfaces are shaped so as to nest together. I one form of the invention, the heat exchange interface i substantially cylindrical in plan view and is slightly conica tapering from bottom to top to allow close contactin engagement between the corresponding outer surface of the hea source component and the inner surface of the blood oxygenat component. Further, the reusable heat source component may form a ba on which the integrated components of the blood oxygenati system may be mounted and supported during a surgic procedure. The heat source component may also form part of stable mounting assembly which may remain permanently connect to the heat exchange medium (heated, ambient, or chilled wate for example) , thereby simplifying the connection of extern supply lines such as blood supply tubes and the like. reusable heat source component which forms an integral ba also forms a more convenient unit which need not disassembled or separately handled after each use. By havi its own base with permanently attached water supply, the he source component does not need to be handled directly during after a procedure, thereby reducing the possibility of wat leakage. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a somewhat schematic perspective view exploded an partially cutaway to depict salient features of a bloo oxygenator/heat exchanger component above a cooperable hea source component according to one embodiment of the presen invention; Fig. 2 is a side-sectional view of an exemplary heat sourc component; Fig. 3 is a side-sectional view of an exemplary bloo oxygenator/heat exchanger component; Fig. 4 is a side-sectional view of a blood oxygenator syste according to an alternative embodiment of the present inventio and having an axial pump; Fig. 5 is a fragmentary side-sectional view of a bloo oxygenator system according to the present invention and havin a centrifugal pump; Fig. 6 is a side-sectional view of an alternative bloo oxygenator system according to the present invention having ventricular pump; Figs. 7, 7A, and 7B in conjunction depict yet anothe alternative blood oxygenator system according to the presen invention and including a blood oxygenator/heat exchanger, hea source, blood pump, integral venous reservoir, and optiona auxiliary heat source component; and Fig. 8 provides a perspective view of an auxiliary hea source component seen in section in Fig. 7. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS In order to introduce the reader to the general concept o the present invention, Fig. 1 schematically depicts a bloo oxygenator system, generally referenced with the numeral 10 In order to support the oxygenator 10, a conventional stand 1 having a vertically extending column 14, only a fragment o which is visible viewing Fig. l, is employed. The oxygenato 10 includes a bracket member 16 removably and 'adjustabl secured to column 14 by means of a thumb screw 18 threadabl engaging the bracket 16, and the inner end of which cinche against the outer surface of column 14. Bracket member 1 includes a laterally extending arm portion 20 defining vertically extending through aperture 22. Received at its lower portion in the aperture 22 an extending vertically upwardly from arm 20 is a durable hea source component, generally referenced with the numeral 24 The heat source component 24 includes an outer wall 26 havin an outer surface 28 which appears generally cylindrical, bu which is actually frustoconical with a slight increase i diameter in the downward direction, viewing Fig. 1. Outer wal 26 includes an integral end wall portion 30 which i conjunction with the wall portion 26 bounds a chamber 3 therein. A closure member 34 completes the boundary of chambe 32 and provides downwardly extending hose nipples 36,3 accessible from the underside of arm 20 whereby an inflow a outflow of heat exchange liquid may flow through the chamb 32, as depicted by arrows 40 and 42. Within the chamber 32, tubular flow guide member 44 includes a helical fin extending radially outwardly toward engagement with wall 2 This fin 46 defines a helically extending liquid flow passa 48 communicating with fluid inflow 40 and extendi circumferentially and upwardly as depicted by flow arrows 5 At an upper end 52 of guide member 44, liquid flows betwe passage 48 and an inner bore 54 of the guide member 44. Withi the guide member 44 a similar helical fin 56 extends radiall inwardly to guide liquid flow helically downwardly to exit vi nipple 38, as depicted by arrow 42. At this point, it is well to point out that while throughou this disclosure the member 24 is referred to as a "heat source component, those skilled in the pertinent art will appreciat that cool or even chilled liquid may be circulated in chambe 32. The direction of heat transfer to or from the hea exchange liquid makes no difference to understanding th present invention. Indeed, those skilled in the art wil appreciate that during some surgical procedures patien hypothermia (by blood cooling) is desired, followed by bloo warming to facilitate return of the patient to normal bod temperature. Fig. 1 also depicts an elongate disposable annular bloo oxygenator/heat exchanger component 58. Component 58 include an inner frustoconical wall 60 defining a downwardly open bor 62. The bore 62 tapers upwardly from its open lower end (no visible in Fig. 1) to define a frustoconical inner surface 6 matching and cooperably engageable with the surface 28 in hea exchange relation therewith when component 58 is supportabl received upon component 24, as depicted by arrow 66. Componen 58 also includes a cylindrical outer wall 68 which i combination with an upper closure member 70 and an annula lower closure member 72 bound an elongate annular chamber 74 Chamber 74 receives an elongate annular membrane oxygenatio module 76. Preferably, module 76 is formed of helically woun single or multiple strand hollow permeable membrane fibers. A is well known to those skilled in the pertinent art, thi fibrous membrane structure facilitates exchange of oxygen fo carbon dioxide in blood. Communicating with the module 76, th component 58 also includes a blood inlet 78, an oxygen inle 80, a blood outlet 82, and an outlet 84 for vitiated oxyge (including C0 2 and moisture) . Importantly, the outlet 84 is a the very bottom of the chamber 74 so that any moisture whic permeates the membrane module 76 is flushed from the oxygenato 10. When the component 58 is received removably upon componen 24, the surfaces 28 and 64 engage one another in heat exchang relation and substantially without an air gap therebetwee because of their matching frustoconical tapers. Thus, the hea source member 24 is insulated from ambient by the oxygenato component 58, and heat transfer between the fluid in chamber 32 and blood in chamber 74 readily occurs through the engage walls 26 and 60. On the other hand, those skilled in the ar will quickly appreciate that the separate walls boundin chambers 32 and 74 provide redundant sealing separation betwee the heat exchange fluid and blood. That is, the liquid-tigh integrity of the heat source component may be verified before surgery, if desired, by pressurizing the chamber 32 without oxygenator 58 in place. Leak-free operation of component 24 is easily verified visually, prior to setting the oxygenator component 58 in place (arrow 66) . However, even if a leak of the heat source component were to develop during surgery, blood contamination from this source is not likely because of wall 60 further separating the heat exchange medium from blood. Oxygenator 58 requires a relatively small blood priming volume, and the priming and interconnecting volumes of a separate heat exchanger are entirely eliminated. Following surgery, the component 58 is discarded while heat source component 24 reusable. Turning now to Figs. 2 and 3 in conjunction, cross-section detailed views of an embodiment of this invention similar that schematically depicted in Fig. 1 are provided. Featur of Figs. 2 and 3 analogous in structure or function to tho depicted and described by reference to Fig. 1 are referenc with the same numeral used earlier and having a prime add thereto. Viewing Fig. 2, it will be seen that durable heat sour component 24* includes a closure member 34' which takes t form of a base 86 having a flange portion 88 engageable wi the arm 20' and a lower portion 90 extending downwardly throu the aperture 22' to define threaded inlet and outlet ports 9 94, respectively. Flange 88 is secured to arm 20' fasteners, not visible in Fig. 2. The base 86 defines stepped vertically extending through bore 96, including annular upwardly disposed recess 98. Sealingly disposed in t bore 96 is an elongate annular cup-like member 100 whi outwardly defines the heat source component 24' with wall 2 and heat exchange surface 28'. However, the cup-like memb 100 also includes a radially inner elongate annular wall 1 defining a central bore 104 aligned with and forming continuation of a smaller-diameter bore portion 106 of bore 9 An annular end portion 30* spans radially between walls 26' a 102 to close the upper end of the cup-like member 10 Disposed in the recess 98 and extending upwardly in the chamb 32' between the walls 26' and 104 is an annular flow gui member 44' . The annular outer space between flow guide 44• a wall 26' communicates with inlet port 92, while the inn annular space between guide 44' and wall 102 communicates v a passage 108 with outlet port 94. Base member 96 al includes an inwardly extending locating collar 110 a associated retention groove 112 on bore 96, the importance which will be further explained. Turning now to Fig. 3, a disposable blood oxygenato component 58' cooperable with heat source component 24* i supported and heat exchanging relationship is depicted. Th oxygenator component 58' includes an upper closure member 70 which is somewhat cup-shaped and defines a central blood inle 78' . The blood inlet 78• defines a central descending passag 114 leading to a circular distribution chamber 116 define between the member 70' and the upper surface 118 of a closur member 120. Closure member 120 at a circumferential periphera edge portion 122 thereof sealingly cooperates with an annula rim part 124 of wall 60' which defines an annular recess 12 for receiving the edge portion 122. Chamber 116 leads to circumferential plurality of transfer ports 128 defined by wal 60* and opening radially outwardly therethrough from chambe 116 to chamber 74' and membrane module 76'. Outer wall 68' defines a spigot 130 opening to and sealingly cooperating wit outlet 82' . Preferably outlet 82• also includes a bloo sampling port 132 and a blood temperature probe fitting 134. Importantly, those skilled in the pertinent art wil recognize that the total priming volume of oxygenator 58', essentially the total volume of chamber 116, and outlet 82', along with membrane module 76', is only very little more tha the essential volume of the membrane module 76' itself. I other words, the disposable oxygenator/heat exchanger modul 58' by its favorable combination, arrangement and cooperatio of features provides a small priming volume, and the primin volume of a separate heat exchanger and interconnecting tubin is entirely eliminated. Also, the oxygenator 58' provides a advantageous gravitational downward flow of blood from inlet 78' and particularly from ports 128 through the module 76' and to outlet 82'. As will be seen, this blood flow arrangement has additional potential advantages which may be realized. Now that the reader is familiar with a foundation of the invention, subsequent drawing figures and description will employ like reference numerals for analogous structure witho the use of primes. Viewing Fig. 4, it will be seen that an alternati embodiment of the invention includes a disposab oxygenator/heat exchanger component 58 with a rotary pump 13 Pump 136 includes a pump rotor portion 138 journaled in chamb 116 and including an impeller 140 and a deflector disk 1 delivering blood flow to the transfer ports 128. The closu member 120 includes a neck 144 extending downwardly into t bore 104 of heat source component 24 and sealingly journali a pump shaft 146 therein. Shaft 146 drivingly carries pu rotor portion 138. At its lower end, the shaft 146 define one-half 148 of a dog coupling, referenced with numeral 150. In order to drive the pump 136, the heat source component 2 now includes a bearing carrier sleeve 152 received in bores 96 104 captively between the collar 110 and the other one-half 15 of the coupling 150. Bore 96 also carries a bearing 15 retained by snap ring 158 in retention groove 112. Bearing 15 cooperates with a bearing 160 at the top of sleeve 152 t journal a shaft 162. Shaft 162 carries at its upper end th coupling part 154, and at its lower end drivingly connects wit a coupling 164 and drive motor 166. Operation of motor 16 rotates shaft 162, and via coupling 150 and shaft 146, drive pump 136. In addition to the pump 136, the oxygenator 58 als includes a pressure relief valve 168 opening from chamber 74 t vent gas-side pressure to atmosphere should this pressur exceed a desired level. Those skilled in the pertinent art will recognize that th embodiment of Fig. 4 advantageously achieves integration of blood oxygenation/heat exchanger having durable and disposabl components with a blood pump and pump drive also having durabl and disposable components in unit with the like components o the oxygenator/heat exchanger. Virtually no increase of bloo priming volume is presented by the embodiment of Fig. 4 ove that of Figs. 2 and 3. In fact, the priming volume for th system is decreased compared to use of a separate blood pum and interconnecting tubes. After a surgical procedure, th oxygenator component 58 including pump 136 is discarded. Hea source component 24, with pump drive 150-166 is reusable. Fig. 5 depicts a fragmentary view of an alternativ embodiment wherein pump 136 includes a pump rotor 138 o centrifugal type. In other respects, the oxygenator/hea exchanger component and heat source component 24 with pum drive 150-166 is the same as that depicted in Fig. 4. In fact an oxygenator/heat exchanger according to either Figs. 4 or may be interchangeably used with the same heat source componen 24 and pump drive 150-166. However, the centrifugal pump 13 of Fig. 5 may offer advantages in lower hemolysis or othe blood damage. Yet another alternative embodiment of the invention i depicted by Fig. 6. As shown in Fig. 6, the blood pump 136 ma include a ventricular rolling diaphragm member 168. Th diaphragm 168 bounds the lower side of chamber 116, and i sealingly secured to a closure member 120 at mutual margina edge portions 170, 172 of each. A central portion 174 o diaphragm 168 is supported on a disk-like member 17 reciprocable therewith. In order to drive the disk member 17 and central portion 174 vertically in reciprocation, th oxygenator/heat exchanger component 58 includes a neck 14 extending vertically into bore 104 of heat source component 24. Neck 144 reciprocally carries a central push rod 178 drivingl coupling at its upper end with disk 176. Rod 178 terminates at lower end surface 180, and carries a spring seat collar 182. A compression spring 184 extends between collar 182 and the lower end surface 186 of neck 144 to yieldably urge the rod 178, disk 176 and diaphragm 168 downwardly. In place of the rotary pump drive components depicted and described with reference to Figs. 4 and 5, the embodiment of Fig. 6 includes a push rod carrier 188 captively and reciprocally carrying a push rod 190. The carrier 188 engages collar 110 in bore 104 and is prevented from upward movement a bushing 192 and snap ring 194, the latter engaging a groo 196 in the carrier 188. A compression coil spring 198 exten between the carrier 188 and a respective spring seat collar 2 to yieldably urge the push rod 190 downwardly into engageme with a rotational cam 202. Cam 202 is selectively rotation by a drive motor, not shown. Thus, when the cam 202 rotated, push rod 190 is reciprocated. Proper operation of t pump drive may be verified visually without oxygenat component 58 in place on heat source component 28. When the oxygenator component 28 is in place on the he source component 58, as seen viewing Fig. 6, push rod 17 engages at surface 180 with push rod 190 to reciproca therewith. Thus, diaphragm 168 is reciprocated to expand a contract chamber 116. Expansion of chamber 116 draws bloo therein past a flapper-type unidirectional valve 204 dispose between inlet 78 and chamber 116. On the other hand, whe chamber 116 contracts blood therein is pushed into chamber 7 via ports 128. Because the chamber 74 with membrane module 7 therein extends downwardly below pump 136, the descendin column of liquid blood therein provides sufficient negativ relative pressure that an outlet check valve is not required Subsequent expansion of chamber 116 draws liquid in past valv 204 rather than drawing back significant liquid volume fro chamber 74 via ports 128. Thus, hemolysis and other bloo damage is further decreased by ventricular pump 136 because i requires no outlet check valve. Still further. Figs. 7, 7A and 7B depict another alternativ embodiment of the invention wherein a disposable bloo oxygenator/heat exchanger component is cooperable with the b now familiar durable heat source component, and includes blood pump similar to that depicted and described by referenc to Fig. 4. However, the disposable component also includes rigid integral venous reservoir so arranged and cooperatin with the blood pump that an outlet of the venous reservoir i the inlet to the blood pump. Also, Fig. 7 depicts an auxilia heat source component in operative cooperation with t oxygenator/heat exchanger to substantially double the hea transfer capacity (heating or cooling) between the hea exchange medium and the blood being treated. Turning now to Fig. 7A, a rigid venous reservoir 206 i depicted. This reservoir 206 includes a reservoir chamber 20 receiving patient blood via inlet 210 for flow down a channe 212. Subsequently, the blood is passed through th conventional materials and passageways to be received i chamber 208. From chamber 208, the reservoir defines a centra outlet opening 214, which also defines the inlet to blood pum 136. In fact, the pump rotor 138 of pump 136 may exten upwardly into the chamber 208, if desired, in order to assis introduction of blood therefrom into the pump. Fig. 7B depicts the lower portion of the oxygenator/hea exchanger, many features, components and operation of whic will by now be familiar to the reader. However, the system 1 of Figs. 7 also includes an auxiliary heat source devic generally referenced with the numeral 216 and which will b better understood by reference to Figures 7B and perspectiv view Figure 8. The auxiliary heat source component 21 includes a pair of clam-shell halves 218, 220 which ar substantially identical c-shaped parts, each defining a hing feature 222 at one edge. Part 220 is simply inverted wit respect to part 218 so that the hinge features 22 interdigitate and are hingably connected by a hinge pin 226 Thus, the reader will understand that structural features an functions described with respect to one of the parts 218, 22 are duplicated in the other of these parts. Viewing Figures 7B and 8, it is seen that th oxygenator/heat exchanger component includes an outer wall 6 having cylindrical inner and outer surfaces 228, 230 respectively. Of course surface 228 is vertically traversed b a flow of blood in oxygenator chamber 74 during operation o the system 10. The auxiliary heat source component 216 defin an radially inner heat transfer wall 232 with inner cylindric surface 234 matching the cylindrical curvature of and engagi surface 230 in heat transfer relation. Viewing particular Figure 8, it is seen that each of the parts 218, 220 defines portion of wall 232 with surface 234. In fact, each of t parts 218, 220 is hollow to define a chamber 236 f circulation of heat transfer fluid. In order to introduce a extract the heat transfer fluid to and from the chamber 236 the parts 218, 220 each define a pair of hose nipples (two o which are visible in Figure 7b) to which a respective branc 238 of a pair of Y-shaped hoses 240 connects. The trunk 242 o the hoses 238 is connected via suitable valves (not shown) an T-connections to a respective one of the inlet or outlet port 92, 94 of base 86. Thus, the auxiliary heat source, componen 216 may remain permanently plumbed with heat source componen 24 and its use, when indicated, requires simply its placemen around the oxygenator/heat exchanger component 58, and th opening of the water supply and return valves. Of course, the auxiliary heat source component 216 may als be used with the oxygenator/heat exchanger component 58 bu without heat source component 24 by providing suitabl alternative support for oxygenator 58, should such a use b desired. In order to guide the fluid flow in chamber 236, each hea source component 218, 220 includes a plurality of cooperatin arcuate fins 244 which are alternately adjacent and spaced fro the ends of the chambers 236. Thus, fluid circulation in th chambers 236 follows a serpentine flow path 246, from bottom t top as depicted by arrows 248. Those skilled in the pertinent art will recognize that th present invention provides a modular selectively-configure blood oxygenator/heat exchanger component which is disposabl and which is cooperable in heat transfer with a separat durable heat source component to be supported thereon. Th heat source component may be permanently plumbed in a operating room for convenience and to reduce clutter Selectively, the oxygenator/heat exchanger component ma include a blood pump driven by a durable pump drive carrie with the heat source, may include a venous reservoir, and ma cooperate in heat transfer relation with an optional auxiliar heat source component also permanently plumbed, if desired The prospective advantages of reduced blood priming volume redundant separation of blood and heat transfer media, reduce time burden and chance of error in set up, decreased risk o blood contact, decreased retained blood volume after surgery low cost disposability of blood-contacted components, reduce blood-contacted surface area, decreased blood damage an foreign surface contact which could cause immunoreactiv response, and selection of blood pump configuration whil retaining an advantageous and short blood flow path in th apparatus with retention of the advantage of reduced primin volume, are all realized by the present invention. 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Claims: IN THE CLAIMS: 1. A blood oxygenator/heat exchange apparatus comprisin a chambered blood oxygenator component having a boundary wal bounding said chamber and defining blood inlet and outlet port and oxygenating gas inlet and outlet ports for respective flo of blood and oxygenating gas through said chamber, mean disposed in said chamber for effecting oxygen take up by bloo flowing through said chamber, said boundary wall also definin a heat transfer surface exposed externally of said chamber an said blood flow traversing said boundary wall inwardly of sai heat transfer surface; a separate heat source componen defining an outer wall surface conformal to said heat transfe surface and engageable therewith in heat transfer relation said heat source component and said oxygenator/heat exchange component being cooperable to engage said outer wall surfac and said heat transfer surface in heat transfer relatio thereby to effect heat transfer between said heat sourc component and blood within said chamber via said boundary wall whereby said oxygenator/heat exchanger component is als separable from said heat source component. 2. The invention of Claim 1 wherein said heat sourc component defines a cavity therein bounded by an outer wall said outer wall defining inlet and outlet ports for flow o fluid heat transfer media through said cavity and also definin said outer wall surface, each of said outer wall and sai boundary wall sealingly separating said heat transfer medi from said blood, whereby redundant separation of said hea transfer media from said blood is provided by said bloo oxygenator/heat exchanger. 3. The invention of Claim 1 wherein said heat sourc component is supported upon a base, said blood oxygenator/hea exchanger component being supported on said heat sourc component. 4. The invention of Claim 3 wherein said heat sourc component defines an upwardly extending housing portio outwardly bounded by said outer wall, said oxygenator/hea exchanger component defining an upwardly opening cavit inwardly bounded by said boundary wall, said oxygenator/hea exchanger component being receivable upon said heat sourc component to be supported thereby and to engage said boundar wall surface in heat transfer relation with said outer wal surface. 5. The invention of Claim 4 wherein said upwardl extending housing portion is slightly frustoconical increasin in diameter in a downward direction, said cavity being also o frustoconical shape matching said housing portion to engag said boundary wall surface and said outer wall surface in hea exchange relation when said oxygenator/heat exchanger componen is received in supported relation upon said heat sourc component. 6. The invention of Claim 5 wherein said chamber is annula to extend vertically, said boundary wall defining a radiall inner wall of said chamber and a radially outer wall of sai cavity, whereby said annular cavity circumscribes said hea source component. 7. The invention of Claim 6 wherein said blood inlet por communicates with said annular chamber near the upper exten thereof while said blood outlet port communicates from a lowe extent of said chamber, blood flowing from said inlet to sai outlet forming a descending liquid column flowing at leas partially by gravity assistance. 8. The invention of Claim 7 wherein said oxygenator/hea exchanger component further includes a central chamber dispose above said heat source component and communicating blood fro said blood inlet port to said chamber, means disposed in sa central chamber for pumping blood from said inlet through sai chamber. 9. The invention of Claim 8 wherein said blood pumpi means includes an axial-flow rotary pump. 10. The invention of Claim 8 wherein said blood pumpi means includes a centrifugal-flow rotary pump. 11. The invention of Claim 8 wherein said blood pumpin means includes a reciprocable member bounding said centra chamber to vary the volume thereof in response to reciprocatio of said member. 12. The invention of Claim 8 wherein said heat sourc component defines a vertical central passage aligned with sai central chamber, and pump drive means disposed in said centra passage for driving cooperation with said blood pump means. 13. The invention of Claim 12 wherein said pump drive mean includes a rotational drive shaft drivingly cooperable wit said pump means, and said drive shaft being driven by a moto disposed below said heat source component. 14. The invention of Claim 12 wherein said pump drive mean includes a vertically reciprocable drive shaft, and mean associated with said heat source component for reciprocatin said reciprocable drive shaft. 15. The invention of Claim 1 wherein said boundary wall o said oxygenator/heat exchanger component also defines an oute heat transfer surface circumscribing said chamber, an auxiliar heat source component defining a heat exchange surfac conformal with said outer heat transfer surface and engageabl therewith in heat exchange relation to transfer heat betwee blood within said chamber and said auxiliary heat sourc component. 16. The invention of Claim 15 wherein said auxiliary hea source component is of clam-shell construction having a pair o parts hingedly connected and closing cooperatively about sai oxygenator/heat exchanger component. 17. A chambered disposable blood oxygenator/ heat exchange component, said component comprising: a blood boundary wal bounding said chamber and including concentric elongat vertically extending radially inner and radially outer boundar wall portions radially spaced apart to bound said chamber i annular configuration therebetween, upper and lower radiall extending boundary wall portions cooperating with said inne and outer wall positions to bound said chamber, said boundar wall defining blood inlet and outlet ports and oxygenating ga inlet and outlet ports for respective flow of blood an oxygenating gas through said chamber, said radially inner wal portion including a heat transfer surface portion bounding slightly frustoconical cavity open downwardly and tapering wit decreasing diameter in an upward direction, and means fo effecting oxygen uptake by blood flowing in said chamber, whereby said oxygenator/heat exchanger is supportable upon heat source component receivable into said cavity to engage heat exchange surface thereof with said heat transfer surface. 18. The invention of Claim 17 wherein said oxygenator/hea exchanger component also includes means for pumping bloo through said chamber. 19. The invention of Claim 18 wherein said blood pumpin means in selected from the group including axial-flow, centrifugal-flow, and variable-volume ventricular pumps. 20. The invention of Claim 19 also including disposabl pump drive apparatus drivingly cooperable with durable pu drive apparatus carried by said heat source component. 21. The invention of Claim 19 further including integra structure defining a venous reservoir communicating at a outlet thereof with said blood pumping means. 22. The invention of Claim 17 wherein said oxygenator/hea exchanger component also includes a radially outer cylindrica heat transfer surface portion also defined by said boundar wall, whereby said radially outer heat transfer surface portio is engageable by an auxiliary heat source component having heat exchange surface engageable therewith. 23. A blood oxygenator/heat exchanger comprising chambered housing component inwardly bounding a bloo oxygenation chamber and outwardly defining a recess bounded b a heat transfer wall having a heat transfer surface; said hea transfer wall inwardly being traversed by a flow of blood i heat transfer relation therewith; a heat source componen receivable into and generally conformal with said recess, sai heat source component defining an outwardly disposed hea exchange surface engageable with said heat transfer surface. 24. The invention of Claim 23 wherein said recess in o frustoconical shape tapering inwardly with decreasing diameter said heat transfer component outwardly being of frustoconica shape matching said recess. 25. The invention of Claim 24 wherein said heat transfe component is carried upon and extends upwardly from a base said oxygenator/heat exchanger component being receivable upo said heat transfer component for support thereby. 26. The invention of Claim 23 wherein said oxygenator/hea exchanger also includes a blood pump, said oxygenator/hea exchanger component and said heat source componen cooperatively defining separable drive means for driving sai pump. 27. The invention of Claim 26 wherein said pump drive mean includes said heat source component defining a passag therethrough, a pump drive shaft received and movable in sai passage to drive said pump. 28. The invention of Claim 27 wherein said oxygenator/hea exchanger component defines a closed recess end, said bloo pump being disposed at said closed recess end in alignment wit said heat source component and said through passage thereof. 29. The invention of Claim 26 wherein said oxygenator/hea source component defines a neck portion extending into sai through passage, said pump drive means including said nec portion movably carrying a first pump drive shaft captivel retained with said oxygenator/heat exchanger component, an said pump drive means also including a second pump drive shaf captively retained by said heat source component and drivingl but separably cooperable with said first drive shaft to powe said pump. 30. The invention of Claim 23 wherein said bloo oxygenator/heat exchanger further includes a venous reservoi defining a part of said chamber and disposed upwardly of sai blood oxygenator chamber thereof. 31. The invention of Claim 23 also including a second hea source component receivable about said blood oxygenator/hea exchanger component. 32. A blood oxygenation system, comprising: a membrane blood oxygenator defining in part a blo boundary heat exchange surface for containing the blood withi the blood oxygenator; a heat exchanger defining a heat exchange surface i removable contact with the blood boundary surface, wherein th blood in the blood oxygenator makes no contact with the hea exchanger. 33. A method for oxygenating blood, the method comprisin the steps of: supporting a heat source component defining a heat exchang surface on a support such that the heat source componen extends at least partly upwardly; placing a blood oxygenator/heat exchanger unit over the hea source component such that the latter supports the bloo oxygenator unit; defining a blood boundary wall of said oxygenator/hea exchanger unit which on one side defines a blood boundary hea transfer surface and outwardly exposes an outer heat transfe surface, engaging said heat exchange surface and said oute heat transfer surface in heat transfer relation; passing a heat exchange medium through the heat sourc component; and passing blood through the blood oxygenator unit and alon said blood boundary heat transfer surface such that blood make no contact with the heat source component. 34. The method of Claim 33 further including the step o defining with said outer heat transfer surface a frustoconica recess, and bounding with said heat exchange surface frustoconical shape receivable into said recess in hea exchange supporting relationship with said bloo oxygenator/heat exchanger component. 35. The method of Claim 33 further comprising the step o passing blood into the oxygenator unit from a pump locate adjacent the top of the blood oxygenator unit. 36. The method of Claim 35 further comprising the step o driving a blood pump with a blood pump motor through a driv shaft passing through an interior portion of the heat sourc component. 37. The method of Claim 35 further including passing bloo from an upper venous reservoir integral with said bloo oxygenator unit downwardly therethrough. 38. The method of Claim 33 further including the step o transferring heat between blood in the oxygenator unit and separate heat source component circumscribing said oxygenato component. 39. The method of Claim 38 further including the steps o defining with said outer heat transfer surface a right circula cylindrical shape, and defining said separate heat sourc component with a radially inwardly disposed heat exchang surface engageable with said heat transfer surface. 40. The method of Claim 39 wherein said transferring ste includes defining said separate heat source component t include a pair of C-shaped portions each defining a radiall inwardly disposed part of said radially inwardly disposed hea exchange surface, and closing said pair of C-shaped portion around said oxygenator/heat exchanger unit to engage said hea exchange surface with said outer heat surface.

Inventors: RAIBLE DONALD, RAIBLE, DONALD
Applicants: BAXTER INT, BAXTER INTERNATIONAL INC.
Application year: 1993
Main classification: A61M1
IPC codes: A61M1, B01D63