CA2910049C - Control unit and method for determining the pressure in a blood vessel, in particular in an arteriovenous fistula - Google Patents
Control unit and method for determining the pressure in a blood vessel, in particular in an arteriovenous fistula Download PDFInfo
- Publication number
- CA2910049C CA2910049C CA2910049A CA2910049A CA2910049C CA 2910049 C CA2910049 C CA 2910049C CA 2910049 A CA2910049 A CA 2910049A CA 2910049 A CA2910049 A CA 2910049A CA 2910049 C CA2910049 C CA 2910049C
- Authority
- CA
- Canada
- Prior art keywords
- pressure
- blood
- section
- control unit
- blood vessel
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 81
- 206010003226 Arteriovenous fistula Diseases 0.000 title claims abstract description 16
- 238000000034 method Methods 0.000 title claims description 31
- 239000008280 blood Substances 0.000 claims abstract description 176
- 210000004369 blood Anatomy 0.000 claims abstract description 176
- 239000012530 fluid Substances 0.000 claims abstract description 51
- 230000017531 blood circulation Effects 0.000 claims abstract description 27
- 238000011282 treatment Methods 0.000 claims description 51
- 239000000385 dialysis solution Substances 0.000 claims description 37
- 230000036770 blood supply Effects 0.000 claims description 22
- 238000011156 evaluation Methods 0.000 claims description 19
- 238000000108 ultra-filtration Methods 0.000 claims description 19
- 208000031481 Pathologic Constriction Diseases 0.000 claims description 18
- 238000001631 haemodialysis Methods 0.000 claims description 16
- 230000000322 hemodialysis Effects 0.000 claims description 16
- 208000037804 stenosis Diseases 0.000 claims description 16
- 230000036262 stenosis Effects 0.000 claims description 16
- 230000002706 hydrostatic effect Effects 0.000 claims description 14
- 238000002615 hemofiltration Methods 0.000 claims description 10
- 230000004087 circulation Effects 0.000 claims description 9
- 230000002572 peristaltic effect Effects 0.000 claims description 8
- 230000002441 reversible effect Effects 0.000 claims description 5
- 206010016717 Fistula Diseases 0.000 description 59
- 230000003890 fistula Effects 0.000 description 59
- 238000005259 measurement Methods 0.000 description 12
- 230000004872 arterial blood pressure Effects 0.000 description 10
- 230000001960 triggered effect Effects 0.000 description 8
- 230000009471 action Effects 0.000 description 7
- 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
- 238000000746 purification Methods 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- 238000006467 substitution reaction Methods 0.000 description 4
- 238000009795 derivation Methods 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 238000005086 pumping Methods 0.000 description 3
- 230000002829 reductive effect Effects 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- 230000001133 acceleration Effects 0.000 description 2
- 210000001367 artery Anatomy 0.000 description 2
- 230000002308 calcification Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 230000036962 time dependent 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
- 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
- 230000036772 blood pressure Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000010586 diagram 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
- 238000009472 formulation 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
- 230000002452 interceptive effect Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Pathology (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Physics & Mathematics (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 |
|---|---|---|---|
| DE102013007044.9A DE102013007044A1 (de) | 2013-04-24 | 2013-04-24 | Steuereinheit und Verfahren zur Bestimmung eines Drucks in einem Blutgefäß, insbesondere in einer arteriovenösen Fistel |
| DE102013007044.9 | 2013-04-24 | ||
| 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 |
|---|---|
| CA2910049A1 CA2910049A1 (en) | 2014-10-30 |
| CA2910049C true CA2910049C (en) | 2023-09-12 |
Family
ID=50549311
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2910049A Active CA2910049C (en) | 2013-04-24 | 2014-04-17 | Control unit and method for determining the pressure in a blood vessel, in particular in an arteriovenous fistula |
Country Status (12)
| Country | Link |
|---|---|
| US (1) | US10105480B2 (enExample) |
| EP (1) | EP2988661B1 (enExample) |
| JP (1) | JP6609241B2 (enExample) |
| KR (1) | KR102195708B1 (enExample) |
| CN (1) | CN105307562B (enExample) |
| AU (1) | AU2014257663B2 (enExample) |
| BR (1) | BR112015026894B1 (enExample) |
| CA (1) | CA2910049C (enExample) |
| DE (1) | DE102013007044A1 (enExample) |
| EA (1) | EA030107B1 (enExample) |
| ES (1) | ES2639795T3 (enExample) |
| WO (1) | WO2014173828A1 (enExample) |
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 |
| WO2007123156A1 (ja) * | 2006-04-19 | 2007-11-01 | Asahi Kasei Kuraray Medical Co., Ltd. | 体外循環回路の圧力センサ |
| ATE550054T1 (de) * | 2007-04-12 | 2012-04-15 | Gambro Lundia Ab | Gerät für die extrakorporale blutbehandlung |
| KR101487425B1 (ko) * | 2007-06-29 | 2015-01-29 | 가부시끼가이샤 제이엠에스 | 혈액 투석 장치 |
| US20090101577A1 (en) * | 2007-09-28 | 2009-04-23 | Fulkerson Barry N | Methods and Systems for Controlling Ultrafiltration Using Central Venous Pressure Measurements |
| US8408040B2 (en) * | 2007-12-06 | 2013-04-02 | Asahi Kasei Medical Co., Ltd. | Method of calibrating pressure measurement unit |
| ES2683237T3 (es) * | 2007-12-22 | 2018-09-25 | Fresenius Medical Care Deutschland Gmbh | Método y dispositivo para determinar la presión de transmembrana en un tratamiento de sangre extracorporal |
| 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 |
| CN102630171B (zh) * | 2009-11-24 | 2016-06-08 | 弗雷塞尼斯医疗保健德国有限责任公司 | 暂时中断体外血液处理的控制设备和血液处理装置 |
| CA2784524C (en) * | 2009-12-17 | 2017-07-04 | Gambro Lundia Ab | Apparatus for extracorporeal blood treatment and method of operation |
| US9632018B2 (en) * | 2009-12-28 | 2017-04-25 | Gambro Lundia Ab | Method and device for monitoring the integrity of a connection system |
| CN103037916A (zh) * | 2010-08-05 | 2013-04-10 | 日机装株式会社 | 血液净化装置及其漏液检查方法 |
| 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 JP JP2016509409A patent/JP6609241B2/ja active Active
- 2014-04-17 EP EP14719281.9A patent/EP2988661B1/de 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 CN CN201480035601.4A patent/CN105307562B/zh active Active
- 2014-04-17 AU AU2014257663A patent/AU2014257663B2/en active Active
- 2014-04-17 CA CA2910049A patent/CA2910049C/en active Active
- 2014-04-17 BR BR112015026894-3A patent/BR112015026894B1/pt active IP Right Grant
- 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
- 2014-04-17 ES ES14719281.9T patent/ES2639795T3/es active Active
Also Published As
| Publication number | Publication date |
|---|---|
| CN105307562A (zh) | 2016-02-03 |
| US10105480B2 (en) | 2018-10-23 |
| AU2014257663B2 (en) | 2019-02-14 |
| BR112015026894A2 (pt) | 2017-07-25 |
| JP2016525898A (ja) | 2016-09-01 |
| KR102195708B1 (ko) | 2020-12-29 |
| CA2910049A1 (en) | 2014-10-30 |
| EP2988661A1 (de) | 2016-03-02 |
| EP2988661B1 (de) | 2017-06-14 |
| EA030107B1 (ru) | 2018-06-29 |
| WO2014173828A1 (de) | 2014-10-30 |
| AU2014257663A1 (en) | 2015-11-12 |
| KR20160008202A (ko) | 2016-01-21 |
| JP6609241B2 (ja) | 2019-11-20 |
| BR112015026894B1 (pt) | 2022-05-31 |
| ES2639795T3 (es) | 2017-10-30 |
| EA201592016A1 (ru) | 2016-03-31 |
| CN105307562B (zh) | 2018-06-22 |
| US20160074571A1 (en) | 2016-03-17 |
| DE102013007044A1 (de) | 2014-10-30 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20190226 |
|
| EEER | Examination request |
Effective date: 20190226 |
|
| EEER | Examination request |
Effective date: 20190226 |
|
| EEER | Examination request |
Effective date: 20190226 |
|
| EEER | Examination request |
Effective date: 20190226 |
|
| EEER | Examination request |
Effective date: 20190226 |