BR112015026894B1 - Unidade de controle, máquina de tratamento do sangue para o tratamento extracorpóreo de sangue e método para determinar a pressão em um vaso sanguíneo - Google Patents
Unidade de controle, máquina de tratamento do sangue para o tratamento extracorpóreo de sangue e método para determinar a pressão em um vaso sanguíneo Download PDFInfo
- Publication number
- BR112015026894B1 BR112015026894B1 BR112015026894-3A BR112015026894A BR112015026894B1 BR 112015026894 B1 BR112015026894 B1 BR 112015026894B1 BR 112015026894 A BR112015026894 A BR 112015026894A BR 112015026894 B1 BR112015026894 B1 BR 112015026894B1
- Authority
- BR
- Brazil
- Prior art keywords
- pressure
- blood
- section
- control unit
- blood vessel
- Prior art date
Links
- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 71
- 238000000034 method Methods 0.000 title claims abstract description 27
- 239000008280 blood Substances 0.000 title claims description 160
- 210000004369 blood Anatomy 0.000 title claims description 160
- 238000011282 treatment Methods 0.000 title claims description 52
- 239000012530 fluid Substances 0.000 claims abstract description 72
- 206010003226 Arteriovenous fistula Diseases 0.000 claims abstract description 15
- 230000017531 blood circulation Effects 0.000 claims abstract description 6
- 239000000385 dialysis solution Substances 0.000 claims description 35
- 230000036770 blood supply Effects 0.000 claims description 21
- 230000004087 circulation Effects 0.000 claims description 19
- 238000000108 ultra-filtration Methods 0.000 claims description 19
- 208000031481 Pathologic Constriction Diseases 0.000 claims description 18
- 238000011156 evaluation Methods 0.000 claims description 16
- 238000001631 haemodialysis Methods 0.000 claims description 16
- 230000000322 hemodialysis Effects 0.000 claims description 16
- 230000002706 hydrostatic effect Effects 0.000 claims description 14
- 230000003213 activating effect Effects 0.000 claims description 11
- 208000037804 stenosis Diseases 0.000 claims description 11
- 230000036262 stenosis Effects 0.000 claims description 11
- 230000009471 action Effects 0.000 claims description 10
- 238000002615 hemofiltration Methods 0.000 claims description 10
- 238000010304 firing Methods 0.000 abstract 1
- 206010016717 Fistula Diseases 0.000 description 59
- 230000003890 fistula Effects 0.000 description 59
- 238000005259 measurement Methods 0.000 description 13
- 230000036772 blood pressure Effects 0.000 description 10
- 230000002612 cardiopulmonary effect Effects 0.000 description 9
- 230000002572 peristaltic effect Effects 0.000 description 9
- 238000011144 upstream manufacturing Methods 0.000 description 7
- 239000012528 membrane Substances 0.000 description 6
- 230000002792 vascular Effects 0.000 description 6
- 230000008901 benefit Effects 0.000 description 4
- 230000007774 longterm Effects 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- 238000013461 design Methods 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 238000005086 pumping Methods 0.000 description 3
- 238000000746 purification Methods 0.000 description 3
- 230000002829 reductive effect Effects 0.000 description 3
- 230000002441 reversible effect Effects 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- 230000001133 acceleration Effects 0.000 description 2
- 230000004872 arterial blood pressure Effects 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 230000002308 calcification Effects 0.000 description 2
- 238000004364 calculation method Methods 0.000 description 2
- 238000010790 dilution Methods 0.000 description 2
- 239000012895 dilution Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000009472 formulation Methods 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 230000036962 time dependent Effects 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 238000012935 Averaging Methods 0.000 description 1
- 241001631457 Cannula Species 0.000 description 1
- 229920000544 Gore-Tex Polymers 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 208000023146 Pre-existing disease Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000002238 attenuated effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 238000009563 continuous hemofiltration Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000009795 derivation Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000000502 dialysis Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000012510 hollow fiber Substances 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
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- 238000012544 monitoring process Methods 0.000 description 1
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- 238000012360 testing method Methods 0.000 description 1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3656—Monitoring patency or flow at connection sites; Detecting disconnections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
- A61B5/02158—Measuring pressure in heart or blood vessels by means inserted into the body provided with two or more sensor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
- A61B5/6866—Extracorporeal blood circuits, e.g. dialysis circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
- A61B5/02152—Measuring pressure in heart or blood vessels by means inserted into the body specially adapted for venous pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3303—Using a biosensor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3341—Pressure; Flow stabilising pressure or flow to avoid excessive variation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3344—Measuring or controlling pressure at the body treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3358—Measuring barometric pressure, e.g. for compensation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/04—Heartbeat characteristics, e.g. ECG, blood pressure modulation
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Biophysics (AREA)
- Physics & Mathematics (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Hematology (AREA)
- Physiology (AREA)
- Anesthesiology (AREA)
- External Artificial Organs (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE102013007044.9 | 2013-04-24 | ||
| DE102013007044.9A DE102013007044A1 (de) | 2013-04-24 | 2013-04-24 | Steuereinheit und Verfahren zur Bestimmung eines Drucks in einem Blutgefäß, insbesondere in einer arteriovenösen Fistel |
| PCT/EP2014/057952 WO2014173828A1 (de) | 2013-04-24 | 2014-04-17 | Steuereinheit und verfahren zur bestimmung eines drucks in einem blutgefäss, insbesondere in einer arteriovenösen fistel |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| BR112015026894A2 BR112015026894A2 (pt) | 2017-07-25 |
| BR112015026894B1 true BR112015026894B1 (pt) | 2022-05-31 |
Family
ID=50549311
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| BR112015026894-3A BR112015026894B1 (pt) | 2013-04-24 | 2014-04-17 | Unidade de controle, máquina de tratamento do sangue para o tratamento extracorpóreo de sangue e método para determinar a pressão em um vaso sanguíneo |
Country Status (12)
| Country | Link |
|---|---|
| US (1) | US10105480B2 (https=) |
| EP (1) | EP2988661B1 (https=) |
| JP (1) | JP6609241B2 (https=) |
| KR (1) | KR102195708B1 (https=) |
| CN (1) | CN105307562B (https=) |
| AU (1) | AU2014257663B2 (https=) |
| BR (1) | BR112015026894B1 (https=) |
| CA (1) | CA2910049C (https=) |
| DE (1) | DE102013007044A1 (https=) |
| EA (1) | EA030107B1 (https=) |
| ES (1) | ES2639795T3 (https=) |
| WO (1) | WO2014173828A1 (https=) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11420037B2 (en) * | 2017-08-04 | 2022-08-23 | Fresenius Medical Care Holdings, Inc. | Infusion methods for extracoporeal systems |
| US10515534B1 (en) | 2018-06-19 | 2019-12-24 | Fresenius Medical Care Holdings, Inc. | Blood treatment machine with blood pressure measurement notification |
Family Cites Families (26)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4342218A (en) * | 1980-01-16 | 1982-08-03 | Forrest Fox | Method and apparatus for zeroing and calibrating an invasive blood pressure monitoring system |
| JP2762594B2 (ja) * | 1989-07-28 | 1998-06-04 | 横河電機株式会社 | 人工透析装置 |
| DE4024434A1 (de) * | 1990-08-01 | 1992-02-13 | Fresenius Ag | Vorrichtung zur ultrafiltrationskontrolle bzw. ultrafiltrationsregelung bei blutreinigungsverfahren |
| FR2672218B1 (fr) * | 1991-02-06 | 1998-04-24 | Hospal Ind | Dispositif et procede de mise a niveau d'un liquide dans une chambre d'un circuit extracorporel de sang. |
| DE19901078C1 (de) * | 1999-01-14 | 2000-02-17 | Polaschegg Hans Dietrich | Verfahren und Vorrichtung zur Erkennung von Stenosen bei der extrakorporalen Blutbehandlung |
| DE19917197C1 (de) * | 1999-04-16 | 2000-07-27 | Fresenius Medical Care De Gmbh | Verfahren und Vorrichtung zur Ermittlung des Blutflusses in einem Gefäßzugang |
| JP4101512B2 (ja) * | 2001-12-28 | 2008-06-18 | 日機装株式会社 | 透析装置 |
| DE102004023080B4 (de) * | 2004-05-11 | 2009-01-15 | Fresenius Medical Care Deutschland Gmbh | Verfahren und Vorrichtung zur Überwachung der Zufuhr von Substitutionsflüssigkeit während einer extrakorporalen Blutbehandlung |
| JP2006130063A (ja) * | 2004-11-05 | 2006-05-25 | Nipro Corp | 血液浄化装置 |
| RU2391045C1 (ru) * | 2006-04-19 | 2010-06-10 | Асахи Касеи Курарей Медикал Ко., Лтд. | Датчик давления для экстракорпорального контура циркуляции |
| US8388567B2 (en) * | 2007-04-12 | 2013-03-05 | Gambro Lundia Ab | Apparatus for extracorporeal blood treatment |
| US8287480B2 (en) * | 2007-06-29 | 2012-10-16 | Jms Co., Ltd. | Hemodialysis apparatus |
| US20090101577A1 (en) * | 2007-09-28 | 2009-04-23 | Fulkerson Barry N | Methods and Systems for Controlling Ultrafiltration Using Central Venous Pressure Measurements |
| ATE541598T1 (de) * | 2007-12-06 | 2012-02-15 | Asahi Kasei Kuraray Medical Co | Kalibrationsverfahren für ein druckmessgerät |
| EP3034110B1 (de) * | 2007-12-22 | 2018-05-09 | Fresenius Medical Care Deutschland GmbH | Verfahren und vorrichtung zur bestimmung des transmembrandrucks bei einer extrakorporalen blutbehandlung |
| DE102008015832B4 (de) * | 2008-03-27 | 2013-08-22 | Fresenius Medical Care Deutschland Gmbh | Verfahren und Vorrichtung zur Überwachung eines Gefäßzugangs sowie extrakorporale Blutbehandlungsvorrichtung mit einer Vorrichtung zur Überwachung eines Gefäßzugangs |
| JP5276906B2 (ja) * | 2008-06-16 | 2013-08-28 | 日機装株式会社 | 血液浄化装置 |
| DE102008059379B4 (de) * | 2008-11-27 | 2010-12-09 | Hickstein, Heiko, Dr.-med. | Vorrichtung und Verfahren zur invasiven Blutdruckmessung im Gefäßzugang |
| JP5230379B2 (ja) * | 2008-11-28 | 2013-07-10 | 旭化成メディカル株式会社 | ドリップチャンバの液面調整方法とその液面調整機構 |
| DE102008061122A1 (de) | 2008-12-09 | 2010-06-17 | Fresenius Medical Care Deutschland Gmbh | Verfahren und Vorrichtung zum Ermitteln und/oder Überwachen eines körperlichen Zustandes, insbesondere einer kardiovaskulären Größe, eines Patienten basierend auf einer Amplitude eines Drucksignals |
| US9713670B2 (en) * | 2009-11-24 | 2017-07-25 | Fresenius Medical Care Deutschland Gmbh | Method for temporarily interrupting an extracorporeal blood treatment, control device and blood treatment apparatus |
| WO2011080071A1 (en) * | 2009-12-17 | 2011-07-07 | Gambro Lundia Ab | Apparatus for extracorporeal blood treatment and method of operation |
| WO2011080193A1 (en) * | 2009-12-28 | 2011-07-07 | Gambro Lundia Ab | Method and device for monitoring the integrity of a connection system |
| WO2012017959A1 (ja) * | 2010-08-05 | 2012-02-09 | 日機装株式会社 | 血液浄化装置及びその液漏れ検査方法 |
| DE102011108784A1 (de) * | 2011-07-29 | 2013-01-31 | Fresenius Medical Care Deutschland Gmbh | Verfahren sowie Vorrichtungen zum Überprüfen wenigstens einer Funktion einer medizinischen Funktionseinrichtung |
| US9081382B2 (en) * | 2013-03-15 | 2015-07-14 | Fresenius Medical Care Holdings, Inc. | Autonomous vehicle comprising extracorporeal blood treatment machine |
-
2013
- 2013-04-24 DE DE102013007044.9A patent/DE102013007044A1/de not_active Withdrawn
-
2014
- 2014-04-17 BR BR112015026894-3A patent/BR112015026894B1/pt active IP Right Grant
- 2014-04-17 JP JP2016509409A patent/JP6609241B2/ja active Active
- 2014-04-17 US US14/786,687 patent/US10105480B2/en active Active
- 2014-04-17 KR KR1020157033479A patent/KR102195708B1/ko active Active
- 2014-04-17 CA CA2910049A patent/CA2910049C/en active Active
- 2014-04-17 CN CN201480035601.4A patent/CN105307562B/zh active Active
- 2014-04-17 EP EP14719281.9A patent/EP2988661B1/de active Active
- 2014-04-17 ES ES14719281.9T patent/ES2639795T3/es active Active
- 2014-04-17 AU AU2014257663A patent/AU2014257663B2/en active Active
- 2014-04-17 EA EA201592016A patent/EA030107B1/ru not_active IP Right Cessation
- 2014-04-17 WO PCT/EP2014/057952 patent/WO2014173828A1/de not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP2988661A1 (de) | 2016-03-02 |
| AU2014257663B2 (en) | 2019-02-14 |
| JP6609241B2 (ja) | 2019-11-20 |
| BR112015026894A2 (pt) | 2017-07-25 |
| CN105307562B (zh) | 2018-06-22 |
| EA030107B1 (ru) | 2018-06-29 |
| JP2016525898A (ja) | 2016-09-01 |
| CA2910049A1 (en) | 2014-10-30 |
| CN105307562A (zh) | 2016-02-03 |
| EA201592016A1 (ru) | 2016-03-31 |
| KR20160008202A (ko) | 2016-01-21 |
| US20160074571A1 (en) | 2016-03-17 |
| CA2910049C (en) | 2023-09-12 |
| WO2014173828A1 (de) | 2014-10-30 |
| KR102195708B1 (ko) | 2020-12-29 |
| US10105480B2 (en) | 2018-10-23 |
| EP2988661B1 (de) | 2017-06-14 |
| ES2639795T3 (es) | 2017-10-30 |
| DE102013007044A1 (de) | 2014-10-30 |
| AU2014257663A1 (en) | 2015-11-12 |
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| Date | Code | Title | Description |
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| B06F | Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette] | ||
| B06U | Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette] | ||
| B350 | Update of information on the portal [chapter 15.35 patent gazette] | ||
| B09A | Decision: intention to grant [chapter 9.1 patent gazette] | ||
| B09W | Correction of the decision to grant [chapter 9.1.4 patent gazette] |
Free format text: RETIFIQUE-SE, POR INCORRECOES NO QUADRO 1 |
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| B16A | Patent or certificate of addition of invention granted [chapter 16.1 patent gazette] |
Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 17/04/2014, OBSERVADAS AS CONDICOES LEGAIS |