JP2014518688A - 腎疾患患者の流量のモニタリング - Google Patents
腎疾患患者の流量のモニタリング Download PDFInfo
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- JP2014518688A JP2014518688A JP2014508434A JP2014508434A JP2014518688A JP 2014518688 A JP2014518688 A JP 2014518688A JP 2014508434 A JP2014508434 A JP 2014508434A JP 2014508434 A JP2014508434 A JP 2014508434A JP 2014518688 A JP2014518688 A JP 2014518688A
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- fluid
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Abstract
【選択図】図9
Description
本出願は、米国仮出願第61/48,539号、2011年4月29日出願の米国仮出願第61/489,544号、2011年4月29日出願の米国仮出願第61/480,541号、2011年4月29日出願の米国仮出願第61/480,535号、2011年4月29日出願の米国仮出願第61/480,532号、2011年4月29日出願の米国仮出願第61/480,530号、2011年4月29日出願の米国仮出願第61/480,528号に優先権を主張する、2012年3月20日出願の米国実用特許出願第13/424,467号に優先権を主張し、該出願のすべては、その全体を参照することにより、本明細書に提示した開示と矛盾しない程度まで本明細書に組み込まれる。
Claims (22)
- 埋め込み可能なセンサの使用であって、
埋め込み可能なセンサ装置を介して、患者の流量の指標を監視することと、
監視された流量の指標に基づいて血液流体除去期間のための最初の流量除去処方を設定することと、を含む、使用。 - 前記埋め込み可能なセンサ装置からの流量指標に関するデータを流体除去装置に送信することをさらに含む、請求項1に記載の埋め込み可能なセンサの使用。
- 前記最初の流量除去処方を設定することは、前記埋め込み可能なセンサから受信したデータに基づいて前記流体除去装置によって前記流量処方を算出することを含む、請求項2に記載の埋め込み可能なセンサの使用。
- 前記流量の指標が、組織液量の指標または血液流量の指標である、請求項1に記載の埋め込み可能なセンサの使用。
- 前記流量の指標が、組織インピーダンスまたは血液ヘマトクリットである、請求項1に記載の埋め込み可能なセンサの使用。
- 前記流量の指標が組織インピーダンスである、請求項1に記載の埋め込み可能なセンサの使用。
- 前記流量の指標が所定閾値を超えるかどうかを判定することと、前記流量の指標が、前記閾値を超えていると判定された場合、患者に警告を提示することと、をさらに含む、請求項1に記載の埋め込み可能なセンサの使用。
- 前記流量の指標を監視することは、組織液量の指標を監視することを含み、前記使用は血液流量の指標を監視することをさらに含み、および前記監視された流量の指標に基づいて血液流体除去期間のための最初の流量除去処方を設定することは、監視された組織液量の指標対監視された血液流量の指標の比に基づいて最初の流量除去処方を設定することを含む、請求項1に記載の埋め込み可能なセンサの使用。
- 前記流量の指標を監視することは、血液流量の指標を監視することを含み、前記使用は組織液量の指標を監視することをさらに含み、および前記血液流体除去期間のための最初の流量除去処方を設定することは、監視された組織液量の指標対監視された血液流量の指標の比に基づいて前記最初の流量除去処方を設定することを含む、請求項1に記載の埋め込み可能なセンサの使用。
- システムであって、
流量の指標を監視するよう構成されたセンサと、
血液流体除去装置であって、
(i)患者からの血液を受け入れるための入口部と、
(ii)前記患者からの血液を戻すための第1の出口部と、
(iii)前記入口部と前記第1の出口部との間に存在する、前記血液から体液を除去するための媒体と、
(iv)体液速度除去コントローラと、
(v)除去した体液を流すための第2の出口部と、
前記体液速度除去コントローラおよび前記センサに連結した電子機器を備えた血液流体除去装置と、を備え、前記電子機器は前記センサから受信したデータに基づいて最初の体液速度除去処方を設定し、前記設定した最初の体液速度除去処方に基づいて前記体液速度除去コントローラを制御するよう構成されている、システム。 - 前記センサが埋め込み可能である、請求項10に記載のシステム。
- 前記センサが装着可能である、請求項10に記載のシステム。
- 前記電子機器はコンピュータ可読媒体を含み、該コンピュータ可読媒体は実施されたとき、前記センサから受信したデータに基づいて前記電子機器に最初の体液速度除去処方を算出させ、次いで前記体液速度除去コントローラに前記最初の体液速度除去処方に従って作動するよう命令する、請求項10に記載のシステム。
- 前記センサおよび前記流体除去装置が埋め込み可能である、請求項10に記載のシステム。
- 前記センサおよび前記流体除去装置が装着可能である、請求項10に記載のシステム。
- 前記制御電子機器が、前記血液流体除去装置のハウジング内に配置される、請求項10に記載のシステム。
- 埋め込み可能なセンサによって実行される使用であって、
慢性腎疾患の患者において流量の指標を監視することであって、該監視することは、埋め込み可能なセンサ装置によって少なくとも一部実行される、監視することと、
監視された流量の指標が所定閾値を超えるかどうかを判定することと、
前記監視された指標が閾値を超えていると判定された場合、患者に知覚可能な合図を提示することと、を含む、使用。 - システムであって、
(i)患者の組織のインピーダンスを監視するよう構成された埋め込み可能なセンサ装置であって、
第1の電極と、
第2の電極と、
第1と第2の電極の間の電流の流れのインピーダンスを監視するため、これらの2つの電極に機能的に連結された電子機器と、
監視されたインピーダンスに関するデータを送信するよう構成された第1の通信回路を備えた、埋め込み可能なセンサ装置と、
(ii)患者から体液を除去するための流体除去装置であって、該装置は、
患者からの血液を受け入れるための入口部と、
前記血液から体液を除去するための媒体であって、該媒体は前記入口部と連通している媒体と、
患者に血液を戻すため前記媒体と連通している出口部と、
体液が媒体から除去される速度を制御するよう構成されている、前記入口部、前記出口部、または媒体と連通している流量コントローラを備えた患者から体液を除去するための流体除去装置と、
(iii)前記インピーダンスに関するデータを前記埋め込み可能装置からワイヤレスで受信するよう構成された第2の通信回路と、
(iv)前記第2の通信回路および前記流量コントローラと通信する電子機器であって、該電子機器は流体除去期間の開始以前に受信したインピーダンスデータに基づいて該流体除去期間のための最初の流体除去処方を設定し、流体除去の速度に関して、前記受信したインピーダンスデータに基づいて前記流量コントローラを制御するよう構成される電子機器とを備えた、システム。 - 前記流体除去装置20の前記電子機器は、流体除去期間中に受信したインピーダンスデータに基づいて、該流体除去期間中の最初の流体除去速度またはプロファイルを変更するよう構成される、請求項18に記載のシステム。
- 前記流体除去装置が埋め込み可能であり、前記センサ装置の第1の通信回路と、前記流体除去装置の第2の通信回路が同一の回路である、請求項18に記載のシステム。
- 前記制御電子機器が前記血液流体除去装置のハウジング内に配置される、請求項18に記載のシステム。
- センサ装置であって、
流量の指標に関して感知データを取得するように構成される検出回路および構成要素と、
前記取得した感知データを前記検出回路から受信して、前記取得した感知データに基づいて流量除去処方を算出するよう構成された制御電子機器と、を備えた、センサ装置。
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