DE102012111375A1 - Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung - Google Patents

Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung Download PDF

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DE102012111375A1
DE102012111375A1 DE102012111375.0A DE102012111375A DE102012111375A1 DE 102012111375 A1 DE102012111375 A1 DE 102012111375A1 DE 102012111375 A DE102012111375 A DE 102012111375A DE 102012111375 A1 DE102012111375 A1 DE 102012111375A1
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Germany
Prior art keywords
measured
calculated
pressure
absorbance
blood
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Withdrawn
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DE102012111375.0A
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German (de)
English (en)
Inventor
Jörn Ahrens
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B Braun Avitum AG
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B Braun Avitum AG
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Priority to DE102012111375.0A priority Critical patent/DE102012111375A1/de
Priority to EP13194271.6A priority patent/EP2735323B1/de
Publication of DE102012111375A1 publication Critical patent/DE102012111375A1/de
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601Control or regulation
    • A61M1/1603Regulation parameters
    • A61M1/1605Physical characteristics of the dialysate fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601Control or regulation
    • A61M1/1603Regulation parameters
    • A61M1/1605Physical characteristics of the dialysate fluid
    • A61M1/1609Physical characteristics of the dialysate fluid after use, i.e. downstream of dialyser
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601Control or regulation
    • A61M1/1613Profiling or modelling of patient or predicted treatment evolution or outcome
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3403Regulation parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3403Regulation parameters
    • A61M1/3406Physical characteristics of the filtrate, e.g. urea
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01DSEPARATION
    • B01D61/00Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/14Ultrafiltration; Microfiltration
    • B01D61/22Controlling or regulating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/04Liquids
    • A61M2202/0496Urine
    • A61M2202/0498Urea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3306Optical measuring means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3306Optical measuring means
    • A61M2205/3313Optical measuring means used specific wavelengths
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3344Measuring or controlling pressure at the body treatment site
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/70General characteristics of the apparatus with testing or calibration facilities
    • A61M2205/707Testing of filters for clogging

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Urology & Nephrology (AREA)
  • Hematology (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Emergency Medicine (AREA)
  • Water Supply & Treatment (AREA)
  • Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • External Artificial Organs (AREA)
DE102012111375.0A 2012-11-23 2012-11-23 Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung Withdrawn DE102012111375A1 (de)

Priority Applications (2)

Application Number Priority Date Filing Date Title
DE102012111375.0A DE102012111375A1 (de) 2012-11-23 2012-11-23 Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung
EP13194271.6A EP2735323B1 (de) 2012-11-23 2013-11-25 Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE102012111375.0A DE102012111375A1 (de) 2012-11-23 2012-11-23 Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung

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Publication Number Publication Date
DE102012111375A1 true DE102012111375A1 (de) 2014-06-12

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DE102012111375.0A Withdrawn DE102012111375A1 (de) 2012-11-23 2012-11-23 Verfahren und Vorrichtung zur Erkennung einer verminderten Dialyseleistung verursacht durch Verklottung

Country Status (2)

Country Link
EP (1) EP2735323B1 (zh-TW)
DE (1) DE102012111375A1 (zh-TW)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016057982A1 (en) 2014-10-10 2016-04-14 Nxstage Medical, Inc. Flow balancing devices, methods, and systems
EP4052737A1 (en) 2016-07-18 2022-09-07 NxStage Medical Inc. Flow balancing devices, methods, and systems
WO2018045102A1 (en) 2016-08-30 2018-03-08 Nxstage Medical, Inc. Parameter monitoring in medical treatment systems
CA3138773A1 (en) 2019-05-23 2020-11-26 Nxstage Medical, Inc. Flow synchronization devices, methods and systems
DE102024103227A1 (de) * 2024-02-06 2025-08-07 B.Braun Avitum Ag Extrakorporale Blutbehandlungsmaschine, computerimplementiertes Steuerverfahren für diese, sowie Computerprogramm

Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2934190A1 (de) * 1979-08-23 1981-03-19 Müller, Gerhard, Prof. Dr.-Ing., 7080 Aalen Verfahren und vorrichtung zur molekuelspektroskopie, insbesondere zur bestimmung von stoffwechselprodukten
US5431811A (en) * 1992-05-19 1995-07-11 Hospal Ag Artificial kidney with device for filtering dialysis liquid
WO1998019592A1 (en) * 1996-11-01 1998-05-14 Rio Grande Medical Technologies, Inc. Dialysis monitoring method and apparatus
EP1083948B1 (en) * 1998-06-04 2004-03-31 Althin Medical Ab Method for determining waste products in the dialysis liquid in dialysis treatment
DE10355042B3 (de) * 2003-11-25 2005-06-23 Fresenius Medical Care Deutschland Gmbh Verfahren und Vorrichtung zum Erkennen von Störungen des Blutflusses in einem extrakorporalen Blutkreislauf
US20050230313A1 (en) * 2000-11-02 2005-10-20 Chf Solutions Inc. Method and apparatus for blood withdrawal and infusion using a pressure controller
US7013703B2 (en) * 2001-03-20 2006-03-21 Therox, Inc. System and method of evaluating or calibrating a bubble detector
US20060157408A1 (en) * 2003-02-19 2006-07-20 Yasuhiro Kuroda Method for detecting filter clogging by using pressure information, apparatus for monitoring filter clogging and bed-side system
DE102005013418A1 (de) * 2005-03-23 2006-09-28 B. Braun Medizintechnologie Gmbh Blutbehandlungsgerät mit Alarmvorrichtung
EP2005982A1 (en) * 2007-06-20 2008-12-24 B. Braun Avitum AG Method for determining the reduction ratio or the Kt/V value of a kidney substitution treatment and apparatus for the realisation of the method
US20100237011A1 (en) * 2009-03-20 2010-09-23 Edward Allan Ross Blood treatment systems and related methods
DE102009018649A1 (de) * 2009-04-23 2010-10-28 Fresenius Medical Care Deutschland Gmbh Dialysemaschine, Verfahren und Vorrichtung für eine Dialysemaschine
DE102010034626A1 (de) * 2010-08-17 2012-02-23 B. Braun Avitum Ag Vorrichtung zur extrakorporalen Blutbehandlung
DE102010048771A1 (de) * 2010-10-14 2012-05-16 B. Braun Avitum Ag Verfahren und Vorrichtung zur Messung und Behebung von Systemänderungen in einer Vorrichtung zur Behandlung von Blut
DE102011018262A1 (de) * 2011-04-15 2012-10-18 B. Braun Avitum Ag Verfahren und Vorrichtung zur Anpassung der mittelmolekularen Reinigungsleistung durch Einstellung des Substitutionsflusses

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2723002B1 (fr) * 1994-07-26 1996-09-06 Hospal Ind Dispositif et procede pour preparer un liquide de traitement par filtration
JP4276834B2 (ja) * 2000-12-27 2009-06-10 コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ 生体情報及び血液処理装置情報管理システム
AU2003239745A1 (en) * 2002-06-27 2004-01-19 Koninklijke Philips Electronics N.V. Method for calculating filter clogging factor and bed-side system

Patent Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2934190A1 (de) * 1979-08-23 1981-03-19 Müller, Gerhard, Prof. Dr.-Ing., 7080 Aalen Verfahren und vorrichtung zur molekuelspektroskopie, insbesondere zur bestimmung von stoffwechselprodukten
US5431811A (en) * 1992-05-19 1995-07-11 Hospal Ag Artificial kidney with device for filtering dialysis liquid
WO1998019592A1 (en) * 1996-11-01 1998-05-14 Rio Grande Medical Technologies, Inc. Dialysis monitoring method and apparatus
EP1083948B1 (en) * 1998-06-04 2004-03-31 Althin Medical Ab Method for determining waste products in the dialysis liquid in dialysis treatment
US20050230313A1 (en) * 2000-11-02 2005-10-20 Chf Solutions Inc. Method and apparatus for blood withdrawal and infusion using a pressure controller
US7013703B2 (en) * 2001-03-20 2006-03-21 Therox, Inc. System and method of evaluating or calibrating a bubble detector
US20060157408A1 (en) * 2003-02-19 2006-07-20 Yasuhiro Kuroda Method for detecting filter clogging by using pressure information, apparatus for monitoring filter clogging and bed-side system
DE10355042B3 (de) * 2003-11-25 2005-06-23 Fresenius Medical Care Deutschland Gmbh Verfahren und Vorrichtung zum Erkennen von Störungen des Blutflusses in einem extrakorporalen Blutkreislauf
DE102005013418A1 (de) * 2005-03-23 2006-09-28 B. Braun Medizintechnologie Gmbh Blutbehandlungsgerät mit Alarmvorrichtung
EP2005982A1 (en) * 2007-06-20 2008-12-24 B. Braun Avitum AG Method for determining the reduction ratio or the Kt/V value of a kidney substitution treatment and apparatus for the realisation of the method
US20100237011A1 (en) * 2009-03-20 2010-09-23 Edward Allan Ross Blood treatment systems and related methods
DE102009018649A1 (de) * 2009-04-23 2010-10-28 Fresenius Medical Care Deutschland Gmbh Dialysemaschine, Verfahren und Vorrichtung für eine Dialysemaschine
DE102010034626A1 (de) * 2010-08-17 2012-02-23 B. Braun Avitum Ag Vorrichtung zur extrakorporalen Blutbehandlung
DE102010048771A1 (de) * 2010-10-14 2012-05-16 B. Braun Avitum Ag Verfahren und Vorrichtung zur Messung und Behebung von Systemänderungen in einer Vorrichtung zur Behandlung von Blut
DE102011018262A1 (de) * 2011-04-15 2012-10-18 B. Braun Avitum Ag Verfahren und Vorrichtung zur Anpassung der mittelmolekularen Reinigungsleistung durch Einstellung des Substitutionsflusses

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EP2735323A1 (de) 2014-05-28

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