The present invention relates to a device for cleaning blood, blood substitutes, or solutions for introduction into the human and / or animal blood circuit and for exchanging gases in blood, blood substitutes, or solutions for introduction into the human and / or animal blood circuit, comprising at least one gas-permeable membrane and a carrier, which is coated with substances for adsorptively removing toxins of biological and synthetic chemical origin and metabolites and decomposition products thereof present in blood, blood substitutes, or solutions for introduction into the human and / or animal blood circuit, a use of the stated device and a method for gently and simultaneously removing toxins of biological and synthetic chemical origin and metabolites and decomposition products thereof from blood, blood substitutes, or solutions for introduction into the human and / or animal blood circuit and for enriching the blood, blood substitutes, or solutions for introduction into the human and / or animal blood circuit with oxygen.