DE60225596T2 - Gerät und die dazu gehörende Software zur Bestimmung der Blutströmung bei Dialyse - Google Patents

Gerät und die dazu gehörende Software zur Bestimmung der Blutströmung bei Dialyse Download PDF

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Publication number
DE60225596T2
DE60225596T2 DE60225596T DE60225596T DE60225596T2 DE 60225596 T2 DE60225596 T2 DE 60225596T2 DE 60225596 T DE60225596 T DE 60225596T DE 60225596 T DE60225596 T DE 60225596T DE 60225596 T2 DE60225596 T2 DE 60225596T2
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DE
Germany
Prior art keywords
named
conductivity
concentration
software
dialysis fluid
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.)
Expired - Lifetime
Application number
DE60225596T
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German (de)
English (en)
Other versions
DE60225596D1 (de
Inventor
Bernard Bene
Nicolas Goux
Per Hansson
Thomas Hertz
Olof Jansson
Roland Persson
Jan Sternby
Perry Asbrink
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Gambro Lundia AB
Original Assignee
Gambro Lundia AB
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Gambro Lundia AB filed Critical Gambro Lundia AB
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Publication of DE60225596D1 publication Critical patent/DE60225596D1/de
Publication of DE60225596T2 publication Critical patent/DE60225596T2/de
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • 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
    • A61M1/1617Control or regulation using measurements made during a temporary variation of a characteristic of the fresh dialysis 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
    • 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
    • A61M1/30Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
    • 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
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3653Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3656Monitoring patency or flow at connection sites; Detecting disconnections
    • 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • 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
    • A61M2205/13General characteristics of the apparatus with means for the detection of operative contact with patient, e.g. lip sensor
    • 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
    • A61M2205/15Detection of leaks
    • 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
    • A61M2205/3317Electromagnetic, inductive or dielectric 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
    • A61M2205/3324PH 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
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • 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
    • A61M2230/00Measuring parameters of the user
    • A61M2230/65Impedance, e.g. conductivity, capacity

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Cardiology (AREA)
  • External Artificial Organs (AREA)
DE60225596T 2002-02-08 2002-10-31 Gerät und die dazu gehörende Software zur Bestimmung der Blutströmung bei Dialyse Expired - Lifetime DE60225596T2 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
SE0200370 2002-02-08
SE0200370A SE0200370D0 (sv) 2002-02-08 2002-02-08 Method and apparatus for determining access flow
PCT/IB2002/004537 WO2003066135A1 (en) 2002-02-08 2002-10-31 Method and apparatus for determining access flow

Publications (2)

Publication Number Publication Date
DE60225596D1 DE60225596D1 (de) 2008-04-24
DE60225596T2 true DE60225596T2 (de) 2009-04-23

Family

ID=20286902

Family Applications (1)

Application Number Title Priority Date Filing Date
DE60225596T Expired - Lifetime DE60225596T2 (de) 2002-02-08 2002-10-31 Gerät und die dazu gehörende Software zur Bestimmung der Blutströmung bei Dialyse

Country Status (11)

Country Link
US (2) US20050082226A1 (enExample)
EP (2) EP1938847B1 (enExample)
JP (1) JP4361374B2 (enExample)
KR (1) KR100905984B1 (enExample)
AT (1) ATE388728T1 (enExample)
AU (1) AU2002347414B2 (enExample)
CA (1) CA2474635C (enExample)
DE (1) DE60225596T2 (enExample)
ES (2) ES2490602T3 (enExample)
SE (1) SE0200370D0 (enExample)
WO (1) WO2003066135A1 (enExample)

Families Citing this family (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1604698B1 (en) * 2004-06-08 2018-09-12 Gambro Lundia AB Method for conductivity calculation in a treatment fluid in apparatuses for the blood treatment
WO2007005386A1 (en) * 2005-06-30 2007-01-11 Rox Medical, Inc. Devices, systems, and methods for creation of a peripherally located fistula
US7815809B2 (en) * 2005-12-13 2010-10-19 Gambro Lundia Ab Method for conductivity calculation in a treatment fluid upstream and downstream a filtration unit in apparatuses for the blood treatment
FR2911417B1 (fr) 2007-01-17 2009-02-27 Gambro Lundia Ab Suivi de l'acces vasculaire d'un patient soumis a des seances successives de traitement extracorporel de sang
DE102007004115B4 (de) * 2007-01-26 2010-05-06 Fresenius Medical Care Deutschland Gmbh Dialysemaschine und Verfahren zur Feststellung der Verkalkung einer Dialysemaschine
GB2449471B (en) * 2007-05-23 2011-01-12 Laerdal Medical As Cardiopulmonary bypass device
DE102007056475A1 (de) * 2007-11-22 2009-06-04 Fresenius Medical Care Deutschland Gmbh Verfahren und Vorrichtung zum Bestimmen der Rezirkulation in einer Fistel oder der kardiopulmonalen Rezirkulation sowie Blutbehandlungsvorrichtung mit einer Vorrichtung zur Bestimmung der Fistelrezirkulation oder des kardiopulmonalen Rezirkulationsanteils
EP2268337B1 (en) 2008-04-15 2018-10-03 Gambro Lundia AB Blood treatment apparatus
US20100051552A1 (en) * 2008-08-28 2010-03-04 Baxter International Inc. In-line sensors for dialysis applications
CN102740902B (zh) 2009-12-28 2015-04-22 甘布罗伦迪亚股份公司 用于监测心血管系统中的流体流速的装置和方法
DE102010032980A1 (de) 2010-07-31 2012-02-02 Fresenius Medical Care Deutschland Gmbh Vorrichtung und Verfahren zur Erkennung der Richtung der Flüssigkeitsströmung durch einen Dialysator
CN103619372A (zh) 2011-03-23 2014-03-05 纳科斯达格医药股份有限公司 腹膜透析系统、装置和方法
US9861733B2 (en) 2012-03-23 2018-01-09 Nxstage Medical Inc. Peritoneal dialysis systems, devices, and methods
DE102014011250A1 (de) * 2014-08-01 2016-02-04 Fresenius Medical Care Deutschland Gmbh Vorrichtung zur Erkennung der Richtung der Flüssigkeitsströmung durch einen Dialysator
US20160356874A1 (en) * 2015-06-02 2016-12-08 Fresenius Medical Care Holdings, Inc. Sensor Calibration for Dialysis Systems
US10617809B2 (en) 2015-12-29 2020-04-14 Fresenius Medical Care Holdings, Inc. Electrical sensor for fluids
US10406269B2 (en) 2015-12-29 2019-09-10 Fresenius Medical Care Holdings, Inc. Electrical sensor for fluids
WO2018001994A1 (en) * 2016-06-30 2018-01-04 Gambro Lundia Ab Connection test for blood treatment machines i
WO2018001996A1 (en) * 2016-06-30 2018-01-04 Gambro Lundia Ab Connection test for blood treatment machines ii
EP3565616B1 (en) * 2016-10-03 2025-11-19 Gambro Lundia AB Measuring access flow rate by use of blood treatment machine
DE102017109127A1 (de) * 2017-04-27 2018-10-31 B. Braun Avitum Ag Verfahren und Vorrichtung zur intermittierenden, pulsierenden Proportionierung einer Dialysierflüssigkeitsmischung
WO2018237375A1 (en) 2017-06-24 2018-12-27 Nxstage Medical, Inc. Peritoneal dialysis fluid preparation and/or treatment devices methods and systems
JP7038358B2 (ja) * 2017-09-14 2022-03-18 株式会社アルチザンラボ 血液浄化装置
EP3758771B1 (en) 2018-02-28 2025-10-01 NxStage Medical, Inc. Fluid preparation methods
EP4017384A1 (en) 2019-08-22 2022-06-29 Edwards Lifesciences Corporation Puncture needles
CR20220218A (es) 2019-11-14 2022-08-22 Edwards Lifesciences Corp Colocación transcatéter de implante médico
DE102023108353A1 (de) 2023-03-31 2024-10-02 B.Braun Avitum Ag Verfahren und System zur Betriebsüberwachung eines medizinischen Geräts zur extrakorporalen Blutbehandlung

Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5312550B1 (en) 1992-04-27 1996-04-23 Robert L Hester Method for detecting undesired dialysis recirculation
EP0835669A3 (en) 1992-09-30 1998-09-09 COBE Laboratories, Inc. Differential recirculation monitor
GB2276566A (en) 1993-03-24 1994-10-05 Saitekku Kabushiki Kaisha Haemodialyser unit
FR2713937B1 (fr) * 1993-12-17 1996-05-31 Hospal Ind Procédé de détermination d'un paramètre significatif du progrès d'un traitement extracorporel de sang.
US5685989A (en) * 1994-09-16 1997-11-11 Transonic Systems, Inc. Method and apparatus to measure blood flow and recirculation in hemodialysis shunts
US5453576A (en) 1994-10-24 1995-09-26 Transonic Systems Inc. Cardiovascular measurements by sound velocity dilution
US6648845B1 (en) 1998-01-07 2003-11-18 Fresenius Medical Care North America Method and apparatus for determining hemodialysis parameters
US5894011A (en) 1998-06-24 1999-04-13 Prosl; Frank R. Flow reversing device for hemodialysis
US6726647B1 (en) * 1998-10-23 2004-04-27 Gambro Ab Method and device for measuring access flow
WO2000024440A1 (en) * 1998-10-23 2000-05-04 Gambro Ab Method and device for measuring access flow

Also Published As

Publication number Publication date
KR20040093713A (ko) 2004-11-08
EP1471957A1 (en) 2004-11-03
JP2005516688A (ja) 2005-06-09
JP4361374B2 (ja) 2009-11-11
EP1938847A2 (en) 2008-07-02
EP1938847B1 (en) 2014-06-11
AU2002347414A1 (en) 2003-09-02
ATE388728T1 (de) 2008-03-15
CA2474635A1 (en) 2003-08-14
AU2002347414B2 (en) 2008-12-04
EP1471957B1 (en) 2008-03-12
US20130338560A1 (en) 2013-12-19
SE0200370D0 (sv) 2002-02-08
KR100905984B1 (ko) 2009-07-06
CA2474635C (en) 2011-03-08
ES2303862T3 (es) 2008-09-01
AU2002347414A2 (en) 2003-09-02
US20050082226A1 (en) 2005-04-21
EP1938847A3 (en) 2011-05-18
WO2003066135A1 (en) 2003-08-14
DE60225596D1 (de) 2008-04-24
ES2490602T3 (es) 2014-09-04

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