EP0944362A4 - System and method for noninvasive hemodynamic measurements in hemodialysis shunts - Google Patents

System and method for noninvasive hemodynamic measurements in hemodialysis shunts

Info

Publication number
EP0944362A4
EP0944362A4 EP97913824A EP97913824A EP0944362A4 EP 0944362 A4 EP0944362 A4 EP 0944362A4 EP 97913824 A EP97913824 A EP 97913824A EP 97913824 A EP97913824 A EP 97913824A EP 0944362 A4 EP0944362 A4 EP 0944362A4
Authority
EP
European Patent Office
Prior art keywords
hemodynamic measurements
noninvasive hemodynamic
hemodialysis shunts
hemodialysis
shunts
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.)
Withdrawn
Application number
EP97913824A
Other languages
German (de)
French (fr)
Other versions
EP0944362A1 (en
Inventor
Robert R Steuer
David R Miller
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.)
In-Line Diagnostics Corp
Original Assignee
In-Line Diagnostics Corp
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 In-Line Diagnostics Corp filed Critical In-Line Diagnostics Corp
Publication of EP0944362A1 publication Critical patent/EP0944362A1/en
Publication of EP0944362A4 publication Critical patent/EP0944362A4/en
Withdrawn legal-status Critical Current

Links

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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14535—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring haematocrit
    • 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
    • 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
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601—Control or regulation
    • 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
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1601—Control or regulation
    • A61M1/1613—Profiling or modelling of patient or predicted treatment evolution or outcome
    • 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
    • A61M1/3607—Regulation parameters
    • A61M1/3609—Physical characteristics of the blood, e.g. haematocrit, urea
    • A61M1/361—Physical characteristics of the blood, e.g. haematocrit, urea before treatment
    • 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
    • A61M1/3607—Regulation parameters
    • A61M1/3609—Physical characteristics of the blood, e.g. haematocrit, urea
    • A61M1/3612—Physical characteristics of the blood, e.g. haematocrit, urea after treatment
    • 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
    • A61M1/3613—Reperfusion, e.g. of the coronary vessels, e.g. retroperfusion
    • 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
    • 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
    • A61M1/3655—Arterio-venous shunts or fistulae
    • 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
    • A61M1/3658—Indicating the amount of purified blood recirculating in the fistula or shunt
    • 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
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • 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
    • A61M1/3643—Priming, rinsing before or after use
    • 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
    • A61M1/3663—Flow rate transducers; Flow integrators
    • 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
    • A61M2205/3306—Optical measuring means
    • 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
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • 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
    • A61M2230/20—Blood composition characteristics
    • A61M2230/207—Blood composition characteristics hematocrit

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Urology & Nephrology (AREA)
  • Emergency Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Fluid Mechanics (AREA)
  • Optics & Photonics (AREA)
  • External Artificial Organs (AREA)
EP97913824A 1996-10-23 1997-10-22 System and method for noninvasive hemodynamic measurements in hemodialysis shunts Withdrawn EP0944362A4 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US2958796P 1996-10-23 1996-10-23
US29587P 1996-10-23
PCT/US1997/019511 WO1998017193A1 (en) 1996-10-23 1997-10-22 System and method for noninvasive hemodynamic measurements in hemodialysis shunts

Publications (2)

Publication Number Publication Date
EP0944362A1 EP0944362A1 (en) 1999-09-29
EP0944362A4 true EP0944362A4 (en) 2001-11-21

Family

ID=21849818

Family Applications (1)

Application Number Title Priority Date Filing Date
EP97913824A Withdrawn EP0944362A4 (en) 1996-10-23 1997-10-22 System and method for noninvasive hemodynamic measurements in hemodialysis shunts

Country Status (6)

Country Link
EP (1) EP0944362A4 (en)
JP (1) JP3622984B2 (en)
KR (1) KR100498628B1 (en)
AU (1) AU5092098A (en)
CA (1) CA2268519A1 (en)
WO (1) WO1998017193A1 (en)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6153109A (en) 1994-09-16 2000-11-28 Transonic Systmes, Inc. Method and apparatus to measure blood flow rate in hemodialysis shunts
US6514419B2 (en) 1994-09-16 2003-02-04 Transonic Systems, Inc. Method to measure blood flow and recirculation in hemodialysis shunts
US6648845B1 (en) * 1998-01-07 2003-11-18 Fresenius Medical Care North America Method and apparatus for determining hemodialysis parameters
US6868739B1 (en) 1999-10-19 2005-03-22 Transonic Systems, Inc. Method and apparatus to measure blood flow by an introduced volume change
DE10259437B3 (en) 2002-12-19 2004-09-16 Fresenius Medical Care Deutschland Gmbh Method and device for determining blood flow in a blood-carrying line
CA2601479A1 (en) * 2005-03-07 2006-09-14 Transonic Systems, Inc. System and method for determining cardiac output
JP4573231B2 (en) * 2006-11-01 2010-11-04 日機装株式会社 Blood purification equipment
JP4573860B2 (en) * 2007-08-22 2010-11-04 日機装株式会社 Blood purification equipment
DE102010015664A1 (en) * 2010-04-20 2011-10-20 Up-Med Gmbh Method and device for determining the fistula flow of a fistula for dialysis treatment
DE102013103335A1 (en) 2013-04-03 2014-10-09 B. Braun Avitum Ag System for detecting a state of a dialyzer device, and sensor device usable therefor
JP6559484B2 (en) * 2015-07-06 2019-08-14 日機装株式会社 Blood purification apparatus and access blood vessel flow rate calculation method using the blood purification apparatus
JP7061509B2 (en) * 2018-04-26 2022-04-28 日機装株式会社 Blood purification device
US11389576B2 (en) * 2018-12-03 2022-07-19 Fresenius Medical Care Holdings, Inc. Determination of patient blood volume at start of a dialysis treatment

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0416808A1 (en) * 1989-09-01 1991-03-13 Ash Medical System, Incorporated System for determining a rate of flow of liquid through a conduit
EP0532432A1 (en) * 1991-09-10 1993-03-17 Hospal Industrie Artificial kidney
US5312550A (en) * 1992-04-27 1994-05-17 Hester Robert L Method for detecting undesired dialysis recirculation
US5453576A (en) * 1994-10-24 1995-09-26 Transonic Systems Inc. Cardiovascular measurements by sound velocity dilution
EP0693297A1 (en) * 1994-07-18 1996-01-24 BELLCO S.p.A. Dialysis apparatus
WO1996008305A1 (en) * 1994-09-16 1996-03-21 Transonic Systems, Inc. Blood flow measurement method in hemodialysis shunts
US5510717A (en) * 1992-09-30 1996-04-23 Cobe Laboratories, Inc. Differential conductivity recirculation monitor

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56104646A (en) * 1980-01-25 1981-08-20 Minolta Camera Kk Optical analyzer for forming ratio of element contained in organism
US5372136A (en) 1990-10-06 1994-12-13 Noninvasive Medical Technology Corporation System and method for noninvasive hematocrit monitoring
US5351686A (en) 1990-10-06 1994-10-04 In-Line Diagnostics Corporation Disposable extracorporeal conduit for blood constituent monitoring
WO1994009351A1 (en) * 1992-10-13 1994-04-28 Baxter International Inc. Fluid sampling module
DE69330804T2 (en) * 1992-10-13 2002-07-18 Baxter International Inc., Deerfield Hemodialysis monitoring system for dialysis machines
US5507723A (en) * 1994-05-24 1996-04-16 Baxter International, Inc. Method and system for optimizing dialysis clearance

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0416808A1 (en) * 1989-09-01 1991-03-13 Ash Medical System, Incorporated System for determining a rate of flow of liquid through a conduit
EP0532432A1 (en) * 1991-09-10 1993-03-17 Hospal Industrie Artificial kidney
US5312550A (en) * 1992-04-27 1994-05-17 Hester Robert L Method for detecting undesired dialysis recirculation
US5312550B1 (en) * 1992-04-27 1996-04-23 Robert L Hester Method for detecting undesired dialysis recirculation
US5510717A (en) * 1992-09-30 1996-04-23 Cobe Laboratories, Inc. Differential conductivity recirculation monitor
EP0693297A1 (en) * 1994-07-18 1996-01-24 BELLCO S.p.A. Dialysis apparatus
WO1996008305A1 (en) * 1994-09-16 1996-03-21 Transonic Systems, Inc. Blood flow measurement method in hemodialysis shunts
US5453576A (en) * 1994-10-24 1995-09-26 Transonic Systems Inc. Cardiovascular measurements by sound velocity dilution

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
DEPNER T A ET AL: "CLINICAL MEASUREMENT OF BLOOD FLOW IN HEMODIALYSIS ACCESS FISTULAE AND GRAFTS BY ULTRASOUND DILUTION", ASAIO JOURNAL,US,J.B.LIPPINCOTT CO.,HAGERSTOWN,MD, vol. 41, no. 3, 1 July 1995 (1995-07-01), pages 745 - 749, XP000542960, ISSN: 1058-2916 *
DEPNER T A ET AL: "HEMODIALYSIS ACCESS RECIRCULATION MEASURED BY ULTRASOUND DILUTION", ASAIO JOURNAL,US,J.B.LIPPINCOTT CO.,HAGERSTOWN,MD, vol. 41, no. 3, 1 July 1995 (1995-07-01), pages 749 - 753, XP000542961, ISSN: 1058-2916 *
SHERMAN R A ET AL: "RATE-RELATED RECIRCULATION: THE EFFECT OF ALTERING BLOOD FLOW ON DIALYZER RECIRCULATION", AMERICAN JOURNAL OF KIDNEY DISEASES, vol. 17, no. 2, 1991, pages 170 - 173, XP000949035 *

Also Published As

Publication number Publication date
KR20000052728A (en) 2000-08-25
JP3622984B2 (en) 2005-02-23
JP2001506873A (en) 2001-05-29
WO1998017193A1 (en) 1998-04-30
CA2268519A1 (en) 1998-04-30
KR100498628B1 (en) 2005-07-01
EP0944362A1 (en) 1999-09-29
AU5092098A (en) 1998-05-15

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