CN201418901Y - Porous Brick Filled Stent Reactor for Artificial Liver - Google Patents
Porous Brick Filled Stent Reactor for Artificial Liver Download PDFInfo
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Abstract
本实用新型涉及医疗设备,旨在提供一种人工肝用多孔砖式填充支架型反应器。该反应器包括反应器外壳;反应器外壳内部由两个密布网格的隔离板分为三个舱:自下而上为氧合舱、填充支架舱、免疫阻隔舱。本实用新型采用独特的多孔砖式固定床作为反应器内部主体,通过固定床中互不相通的细长孔柱分割反应器内部成微型独立单元,将反应器内腔化整为零,减小无效腔、死腔、液流阻力,使反应器内部液流均匀。解决支架型反应器缺乏免疫隔离、氧供不充分的问题,又弥补中空纤维型反应器细胞生长空间不足、细胞黏附性差、缺乏三维立体生长环境、易堵塞半透膜的缺陷。兼具氧合、免疫阻隔、三维立体培养功能,综合性能强大,制作工艺简单、成本低、易于放大。
The utility model relates to medical equipment and aims to provide a porous brick-type filled bracket type reactor for an artificial liver. The reactor includes a reactor shell; the interior of the reactor shell is divided into three compartments by two dense grid-covered isolation plates: an oxygenation compartment, a filling bracket compartment, and an immune barrier compartment from bottom to top. The utility model adopts a unique porous brick-type fixed bed as the internal body of the reactor, divides the interior of the reactor into miniature independent units through the slender hole columns in the fixed bed, and divides the inner cavity of the reactor into parts, reducing the The dead space, dead space and liquid flow resistance make the liquid flow inside the reactor uniform. Solve the problems of lack of immune isolation and insufficient oxygen supply in scaffold-type reactors, and make up for the defects of hollow fiber-type reactors, such as insufficient cell growth space, poor cell adhesion, lack of three-dimensional growth environment, and easy to block semipermeable membranes. It has the functions of oxygenation, immune barrier, and three-dimensional culture, with powerful comprehensive performance, simple manufacturing process, low cost, and easy to scale up.
Description
技术领域 technical field
本实用新型涉及一种医疗设备,是一种生物型或混合型人工肝治疗的核心装置——人工肝用多孔砖式填充支架型反应器。The utility model relates to a medical device, which is a core device for the treatment of a biological or hybrid artificial liver-a porous brick-type filling bracket type reactor for artificial liver.
背景技术 Background technique
人工肝支持治疗作为重症肝炎、肝衰竭患者的有效治疗手段之一已被世界公认。它包括非生物型、生物型、混合型人工肝三大类,其中后两类是主要的国际发展方向。生物反应器(即反应器)正是生物型和混合型人工肝治疗的核心装置,既为外源性肝细胞和患者血液或血浆提供物质交换的场所,又为肝细胞提供适宜的生长环境,应用前景广阔。理想的人工肝用生物反应器,应当符合以下基本要求:1、充足的肝细胞生长空间,支持一名肝衰竭患者约需10%的正常肝脏质量,折合肝细胞数约150亿。2、良好的生物相容性,能保证肝细胞的活性和功能。3、中小物质双向传输,大分子物质免疫阻隔。As one of the effective treatment methods for patients with severe hepatitis and liver failure, artificial liver support therapy has been recognized all over the world. It includes three categories of non-biological, biological and hybrid artificial livers, of which the latter two are the main international development directions. Bioreactor (i.e., reactor) is the core device of biological and hybrid artificial liver treatment, which not only provides a place for material exchange between exogenous liver cells and patient blood or plasma, but also provides a suitable growth environment for liver cells. The application prospect is broad. An ideal artificial liver bioreactor should meet the following basic requirements: 1. Sufficient space for the growth of liver cells, supporting a patient with liver failure requires about 10% of the normal liver mass, which is equivalent to about 15 billion liver cells. 2. Good biocompatibility can ensure the activity and function of liver cells. 3. Two-way transmission of small and medium substances, immune barrier of macromolecular substances.
迄今生物反应器主要有四种类型:中空纤维型、平板单层培养型、灌流床式/支架型和细胞包裹/悬浮型。目前临床应用最多的是中空纤维型反应器,它兼具免疫隔离和氧合的功效,细胞受剪切力小,但存在以下缺点:1、传统的中空纤维反应器细胞生长空间不足、分布不均、细胞黏附性差;2、只能提供二维培养,不能提供三维立体培养;3、半透膜屏障或胶原层会影响物质交换效率;4、细胞生长在纤维表面故易堵塞纤维孔。而平板单层培养型由于体表面积比小、放大困难,细胞包裹/悬浮型由于悬浮细胞的稳定性不佳、包裹细胞的物质交换受影响,近年来研究报道不多。在动物实验和细胞培养方面应用也较多的另一类型反应器,是灌流床式/支架型反应器。它具有以下优点:1、肝细胞与血浆或血液直接接触,有利于物质交换;2、生物支架材料的引入,使得细胞生长空间增大;3、生物支架能为肝细胞提供附着底物及三维立体生长环境;肝细胞作为一种贴壁生长型细胞,必须附着才能存活和维持功能,且三维立体生长环境有利于肝细胞球形体的生成,有利于细胞功能的发挥和长久维持。但它存在以下缺点:1、存在缺乏免疫隔离的安全隐患;2、细胞的氧供不充分;3、整个反应器支架的中心地带及边缘地带易产生无效腔、死腔;4、通过大量支架的阻力大,所需的灌流强度大,导致细胞受剪切力大,难以放大。So far, there are four main types of bioreactors: hollow fiber type, flat monolayer culture type, perfusion bed type/stent type and cell encapsulation/suspension type. At present, the most clinical application is the hollow fiber reactor, which has the functions of immune isolation and oxygenation, and the cells are less sheared, but has the following disadvantages: 1. The traditional hollow fiber reactor has insufficient space for cell growth and uneven distribution. 2. It can only provide two-dimensional culture, but not three-dimensional culture; 3. The semi-permeable membrane barrier or collagen layer will affect the material exchange efficiency; 4. Cells grow on the surface of the fiber and it is easy to block the fiber hole. The plate monolayer culture type has a small body surface area ratio and is difficult to scale up, and the cell-encapsulated/suspension type has poor stability of the suspended cells and the material exchange of the encapsulated cells is affected. There are not many research reports in recent years. Another type of reactor that is also widely used in animal experiments and cell culture is the perfusion bed/stent reactor. It has the following advantages: 1. The direct contact between liver cells and plasma or blood is beneficial to material exchange; 2. The introduction of bio-scaffold materials increases the space for cell growth; 3. Bio-scaffolds can provide hepatocytes with substrates and three-dimensional Three-dimensional growth environment; as a type of adherent growth cells, hepatocytes must attach to survive and maintain their functions, and the three-dimensional growth environment is conducive to the formation of hepatocyte spheroids, which is conducive to the development and long-term maintenance of cell functions. But it has the following disadvantages: 1. There is a potential safety hazard of lack of immune isolation; 2. The oxygen supply of cells is insufficient; 3. The center and edge of the entire reactor support are prone to produce dead space and dead space; 4. Through a large number of supports The resistance is large, and the required perfusion intensity is high, which causes the cells to be subjected to a large shear force and is difficult to amplify.
如何综合不同种类反应器的优势,扬长避短,克服缺陷,成为新近国内外研究的热点。近年来,生物支架材料研究有了长足进展,新兴的纳米材料、内部呈三维立体网状连通结构的海藻酸-壳聚糖等天然材料以及半乳糖、肝素等修饰的高分子聚合物材料大量涌现并广泛应用于细胞培养。生物支架材料的长足进展为新型反应器的研制,创造了巨大契机。国际上现有的综合性能较好的反应器,往往结构复杂、制作工艺要求高、成本高。研制综合性能良好、结构和制作工艺简单、成本相对低的新型生物反应器,对于广大的发展中国家和第三世界国家,具有特殊重要的现实意义。How to integrate the advantages of different types of reactors, maximize their strengths and circumvent their weaknesses, and overcome their shortcomings has become a recent research hotspot at home and abroad. In recent years, the research on bio-scaffold materials has made great progress. Emerging nanomaterials, natural materials such as alginic acid-chitosan with a three-dimensional network-like interconnected structure inside, and high-molecular polymer materials modified by galactose and heparin have emerged in large numbers. And widely used in cell culture. The great progress of biological scaffold materials has created a great opportunity for the development of new reactors. The existing reactors with good comprehensive performance in the world often have complex structures, high manufacturing process requirements, and high costs. The development of a new type of bioreactor with good comprehensive performance, simple structure and manufacturing process, and relatively low cost has special and important practical significance for the vast number of developing countries and third world countries.
实用新型内容Utility model content
本实用新型的目的在于克服现有技术中的不足,提供一种兼具氧合、免疫隔离功能,灌流均匀充分,无效腔、死腔改善,制作成本低、实用性强的人工肝用多孔砖式填充支架型反应器。The purpose of the utility model is to overcome the deficiencies in the prior art, and provide a porous brick for artificial liver with functions of oxygenation and immune isolation, uniform and sufficient perfusion, improvement of dead space and dead space, low production cost and strong practicability Filled scaffold type reactor.
本实用新型是通过以下技术方案实现的:The utility model is achieved through the following technical solutions:
提供一种人工肝用多孔砖式填充支架型反应器,包括反应器外壳;所述反应器外壳内部由两个密布网格的隔离板分为三个舱:自下而上为氧合舱、填充支架舱、免疫阻隔舱,氧合舱与填充支架舱之间、填充支架舱与免疫阻隔舱之间设带网格的隔离板;Provide a kind of artificial liver with porous brick-type filled bracket type reactor, including the reactor shell; The interior of the reactor shell is divided into three compartments by two dense grid isolation plates: the oxygenation compartment from bottom to top, Filling the bracket cabin, immune barrier cabin, between the oxygenation cabin and the filled bracket cabin, and between the filled bracket cabin and the immune barrier cabin, there is an isolation plate with a grid;
所述氧合舱内横向布置有透气不透水的中空纤维,舱底部设液体入口;中空纤维内部为气体通路,其两端分别连接气体入口和气体出口;Air-permeable and impermeable hollow fibers are horizontally arranged in the oxygenation cabin, and a liquid inlet is provided at the bottom of the cabin; the inside of the hollow fiber is a gas passage, and its two ends are respectively connected to the gas inlet and the gas outlet;
所述填充支架舱是一个密布着细长孔柱的透明有机玻璃的固定床,固定床孔柱内填充三维多孔隙生物支架小球;固定床的底面和顶面均紧挨隔离板,隔离板上网格的边长小于支架小球直径以防止支架小球漏出;The filled scaffold cabin is a fixed bed of transparent plexiglass densely covered with slender holes, and the fixed bed holes are filled with three-dimensional porous biological scaffold beads; the bottom surface and the top surface of the fixed bed are close to the isolation plate, and the isolation plate The side length of the upper grid is smaller than the diameter of the stent ball to prevent the stent ball from leaking out;
所述免疫阻隔舱由外壳、中空纤维和密封卡口盖三部分组成;免疫阻隔舱的侧壁设液体出口且与中空纤维外部的空间相连,舱底的密封卡口盖与填充支架舱顶部的隔离板相连;中空纤维是纵向布置且具有透水和免疫阻隔作用的中空纤维,其内腔下端开口与填充支架舱连通,上端封闭。The immune barrier compartment is composed of three parts: the shell, the hollow fiber and the sealing bayonet cover; the side wall of the immune barrier compartment is provided with a liquid outlet and is connected with the space outside the hollow fiber; The isolation plates are connected; the hollow fibers are vertically arranged and have the function of water permeability and immune barrier.
作为一种改进,所述氧合舱和填充支架舱相互连接为一个整体,免疫阻隔舱为独立构件。As an improvement, the oxygenation compartment and the filling bracket compartment are connected to each other as a whole, and the immune barrier compartment is an independent component.
作为一种改进,所述支架小球的直径为2mm,固定床孔柱的直径为3mm,仅允许三维多孔隙生物支架小球单排置入。As an improvement, the diameter of the stent balls is 2mm, and the diameter of the fixed bed hole column is 3mm, which only allows the three-dimensional porous bioscaffold balls to be placed in a single row.
作为一种改进,所述填充的支架小球是以下的任意一种:海藻酸-壳聚糖支架小球、聚乙烯树脂支架小球、聚氨酯泡沫支架小球或聚己内酯支架小球,支架小球内部呈三维网状连通结构。As an improvement, the filled scaffold balls are any of the following: alginate-chitosan scaffold pellets, polyethylene resin scaffold pellets, polyurethane foam scaffold pellets or polycaprolactone scaffold pellets, The inside of the stent balls has a three-dimensional network-like interconnected structure.
作为一种改进,所述填充支架舱的底面与隔离板固定式连接,其顶面的隔离板与免疫阻隔舱的密封卡口盖相连。As an improvement, the bottom surface of the filling bracket compartment is fixedly connected to the isolation plate, and the isolation plate on the top surface is connected to the sealed bayonet cover of the immune barrier compartment.
作为一种改进,所述反应器的外壳是透明长方体外壳。As an improvement, the shell of the reactor is a transparent cuboid shell.
作为一种改进,所述氧合舱的中空纤维是透气不透水的聚丙烯中空纤维,或者涂布硅橡胶的聚砜中空纤维;所述免疫阻隔舱的中空纤维是孔径0.2μm、分子截留量为50~100kD的聚砜中空纤维或聚醚砜中空纤维。As an improvement, the hollow fibers of the oxygenation chamber are air-permeable and impermeable polypropylene hollow fibers, or polysulfone hollow fibers coated with silicone rubber; It is a 50-100kD polysulfone hollow fiber or polyethersulfone hollow fiber.
本实用新型的有益效果:The beneficial effects of the utility model:
传统的灌流床式/支架型反应器内部通常为一液流相通的整体,存在容易形成无效腔、死腔、液流不均匀、液流阻力大等问题。本实用新型的填充支架型反应器,采用独特的多孔砖式固定床作为反应器内部主体,目的在于通过固定床中互不相通的细长孔柱分割反应器内部成微型独立单元,将反应器内腔化整为零,从而减小了无效腔、死腔,减小了液流阻力,使反应器内部液流均匀。同时,本实用新型利用填充支架和中空纤维的巧妙组合,既解决了支架型反应器缺乏免疫隔离、氧供不充分的问题,又弥补了中空纤维型反应器细胞生长空间不足,细胞黏附性差,缺乏三维立体生长环境,易堵塞半透膜的缺陷。本实用新型兼具氧合、免疫阻隔、三维立体培养等功能,综合性能强大,而制作工艺简单、成本低、易于放大。The interior of the traditional perfusion bed/stent reactor is usually a whole connected by liquid flow, and there are problems such as easy formation of dead space, dead space, uneven liquid flow, and large liquid flow resistance. The utility model's filled bracket type reactor adopts a unique porous brick fixed bed as the internal body of the reactor. The inner cavity is divided into zero parts, thereby reducing the dead space and dead space, reducing the liquid flow resistance, and making the liquid flow inside the reactor uniform. At the same time, the utility model utilizes the ingenious combination of filling brackets and hollow fibers, which not only solves the problems of lack of immune isolation and insufficient oxygen supply in the bracket type reactor, but also makes up for the lack of cell growth space and poor cell adhesion of the hollow fiber type reactor. The lack of a three-dimensional growth environment makes it easy to block the defects of the semi-permeable membrane. The utility model has the functions of oxygenation, immune barrier, three-dimensional culture and the like, and has strong comprehensive performance, simple manufacturing process, low cost and easy enlargement.
附图说明 Description of drawings
图1为人工肝用多孔砖式填充支架型反应器纵向截面结构示意图;Fig. 1 is a schematic diagram of the vertical cross-sectional structure of a porous brick-type filled scaffold type reactor for artificial liver;
图2为人工肝用多孔砖式填充支架型反应器的氧合舱的横向截面结构示意图;Fig. 2 is the transverse cross-sectional structure schematic diagram of the oxygenation chamber of the porous brick type filled support type reactor for artificial liver;
图3为人工肝用多孔砖式填充支架型反应器的填充支架舱的横向截面结构示意图;3 is a schematic diagram of a transverse cross-sectional structure of a filled scaffold compartment of a porous brick type filled scaffold type reactor for artificial liver;
图4为人工肝用多孔砖式填充支架型反应器的免疫阻隔舱的横向截面结构示意图;Figure 4 is a schematic diagram of the transverse cross-sectional structure of the immune barrier compartment of the porous brick-type filled scaffold-type reactor for the artificial liver;
图5为生物人工肝支持系统应用示意图。Fig. 5 is a schematic diagram of the application of the bioartificial liver support system.
附图标记:多孔砖式固定床1、支架小球2、中空纤维3、中空纤维4、隔离板5、密封卡口盖6、反应器外壳7、液体入口8、液体出口9、气体入口10、气体出口11、患者或实验动物12、血浆分离器13、体外循环池14。Reference signs: porous brick fixed
具体实施方式 Detailed ways
本实施例的人工肝用多孔砖式填充支架型反应器,包括长方体透明有机玻璃的反应器外壳7,反应器外壳7内由两个密布网格的隔离板5分为三个舱,自下而上为,氧合舱、填充支架舱、免疫阻隔舱。氧合舱和填充支架舱为一整体,免疫阻隔舱为独立构件,通过密封卡口盖6与前述整体相连。The artificial liver porous brick type filled bracket type reactor of the present embodiment comprises a cuboid transparent
氧合舱内横向布置有透气不透水的中空纤维3,舱底部设液体入口8。中空纤维3的内部为气体通路,两端分别连接气体入口10和气体出口11。氧合舱的中空纤维3是透气不透水的聚丙烯中空纤维,或者涂布硅橡胶的聚砜中空纤维。Air-permeable and impermeable
填充支架舱的主体是独特的多孔砖式固定床1,即密布着细长孔柱的透明有机玻璃固定床,多孔砖式固定床1孔柱内填充有三维多孔隙生物支架小球2。支架小球2的直径2mm。多孔砖式固定床1孔柱的直径略大于支架小球2的直径,为3mm,仅允许单排支架小球2置入。支架小球2的材质可以是天然材料,如海藻酸-壳聚糖支架,也可以是高分子化合物,如聚乙烯树脂、聚氨酯泡沫、聚己内酯,支架小球2的内部呈三维网状连通结构,肝细胞在其外表及内部呈三维立体生长。The main body of the filled scaffold cabin is a unique porous brick fixed
多孔砖式固定床1的底面和顶面均紧挨隔离板5,隔离板5上网格的边长小于支架小球2的直径,以防止支架小球2漏出。底面的隔离板5是固定的,顶面的隔离板5则与密封卡口盖6相连,能打开以装入或倒出支架小球2。The bottom surface and the top surface of the porous brick fixed
免疫阻隔舱由外壳、具有免疫阻隔作用的中空纤维4、密封卡口盖6三部分组成。中空纤维4为纵向布置且具有透水和免疫阻隔作用,中空纤维4的内腔下端开口与填充支架舱连通,上端封闭。舱侧壁设液体出口9,与中空纤维4外部的空间相连。免疫阻隔舱的中空纤维4是孔径0.2μm、分子截留量为50~100kD的聚砜中空纤维或聚醚砜中空纤维。The immune barrier compartment is composed of a shell, a
使用方式如下:The usage is as follows:
患者或实验动物12的血液引出体外后,首先经血浆分离器13分离为细胞成份和血浆成份。其中血浆成份进入体外循环池14,然后从反应器氧合舱底部的液体入口8自下而上进入氧合舱。氧气与二氧化碳混合气体由气体入口10进入氧合舱的中空纤维3的内腔,至对侧的气体出口11流出。血浆穿越氧合舱中空纤维的外腔,起到氧合的效果。然后通过隔离板5的网格进入填充支架舱,均匀穿过填充的多孔隙支架小球2,与小球上的肝细胞(肝细胞为预先接种和培养)充分接触后,经过填充支架舱顶部的隔离板5的网格,进入免疫阻隔舱的中空纤维4的内腔。血浆中大分子免疫物质被阻隔,中小分子物质从中空纤维4的纤维孔溢出到外腔,再由液体出口9流出反应器返回循环池14。经过多次循环后,再与血液中的细胞成份一起回输体内。After the blood of the patient or
肝细胞可选用原代人、猪肝细胞或肝细胞系等,简述接种和培养步骤如下:Hepatocytes can be selected from primary human, porcine hepatocytes or hepatocyte lines, etc. The inoculation and culture steps are briefly described as follows:
1、打开反应器密封卡口盖6,往多孔砖式固定床1的细长孔柱中倒入多孔隙生物支架小球2,盖上密封卡口盖6,把免疫阻隔舱与氧合舱、填充支架舱连成一整体。1. Open the sealed
2、反应器,包括其内部的多孔隙生物支架小球2一起灭菌。2. The reactor, including the porous
3、用培养液配制成合适浓度的肝细胞悬液。3. Prepare the hepatocyte suspension with appropriate concentration with the culture medium.
4、从氧合舱底部的液体入口8将肝细胞悬液注入反应器内,至细胞悬液中液体成分从免疫阻隔舱侧壁的液体出口9溢出为止。肝细胞黏附于多孔隙生物支架小球2,约24小时后贴附牢固。4. Inject the liver cell suspension into the reactor from the
5、从免疫阻隔舱侧壁的液体出口9灌入新鲜培养基,经过填充支架舱和氧合舱,自液体入口8流出,冲去未贴壁的肝细胞。5. Fresh culture medium is poured into the
6、将该反应器与体外循环池14等按图5虚线框内所示,连成肝细胞培养循环通路,新鲜的培养基分别从液体入口8和液体出口9流入和流出反应器,为肝细胞提供养分并带走代谢产物。6. The reactor and the
7、培养合适时间后,可以按图5连接组合成生物型人工肝支持系统。7. After culturing for a suitable time, they can be connected and combined according to Figure 5 to form a biological artificial liver support system.
本实用新型中的人工肝用多孔砖式填充支架型反应器的规模可根据实际应用放大或缩小。The scale of the porous brick type filled bracket type reactor for artificial liver in the utility model can be enlarged or reduced according to actual application.
最后,还需要注意的是,以上公布的仅是本实用新型的具体实施例。本领域的普通技术人员能从本实用新型公开的内容直接导出或联想到的所有变形,均应认为是本实用新型的保护范围。Finally, it should be noted that what is disclosed above are only specific embodiments of the present invention. All deformations that a person skilled in the art can derive or associate directly from the content disclosed in the utility model shall be considered as the protection scope of the utility model.
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