JP2024527065A - 体外循環回路と患者の循環系の間における流体接続の途絶を特定するための方法及び装置 - Google Patents

体外循環回路と患者の循環系の間における流体接続の途絶を特定するための方法及び装置 Download PDF

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JP2024527065A
JP2024527065A JP2024505059A JP2024505059A JP2024527065A JP 2024527065 A JP2024527065 A JP 2024527065A JP 2024505059 A JP2024505059 A JP 2024505059A JP 2024505059 A JP2024505059 A JP 2024505059A JP 2024527065 A JP2024527065 A JP 2024527065A
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blood
patient
flow
line
contribution
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JP2024527065A5 (cg-RX-API-DMAC10.html
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エム クリヴィツキー，ニコライ
ガリヤノフ，グレゴリー
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トランソニック システムズ インク
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    • 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
    • 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
    • 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
    • A61M1/3659—Cannulae pertaining to extracorporeal circulation
    • A61M1/3661—Cannulae pertaining to extracorporeal circulation for haemodialysis
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/10—Location thereof with respect to the patient's body
    • A61M60/104—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body
    • A61M60/109—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems
    • A61M60/113—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body incorporated within extracorporeal blood circuits or systems in other functional devices, e.g. dialysers or heart-lung machines
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/20—Type thereof
    • A61M60/247—Positive displacement blood pumps
    • A61M60/253—Positive displacement blood pumps including a displacement member directly acting on the blood
    • A61M60/268—Positive displacement blood pumps including a displacement member directly acting on the blood the displacement member being flexible, e.g. membranes, diaphragms or bladders
    • A61M60/279—Peristaltic pumps, e.g. roller pumps
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/30—Medical purposes thereof other than the enhancement of the cardiac output
    • A61M60/36—Medical purposes thereof other than the enhancement of the cardiac output for specific blood treatment; for specific therapy
    • A61M60/37—Haemodialysis, haemofiltration or diafiltration
    • 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
    • A61M60/00—Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance
    • A61M60/50—Details relating to control
    • A61M60/508—Electronic control means, e.g. for feedback regulation
    • A61M60/538—Regulation using real-time blood pump operational parameter data, e.g. motor current
    • A61M60/546—Regulation using real-time blood pump operational parameter data, e.g. motor current of blood flow, e.g. by adapting rotor speed
    • 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
    • A61M2205/18—General characteristics of the apparatus with alarm
    • 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
    • A61M2205/3334—Measuring or controlling the flow rate
    • 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)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Anesthesiology (AREA)
  • Mechanical Engineering (AREA)
  • Urology & Nephrology (AREA)
  • Physics & Mathematics (AREA)
  • Fluid Mechanics (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • External Artificial Organs (AREA)
JP2024505059A 2021-07-28 2022-07-27 体外循環回路と患者の循環系の間における流体接続の途絶を特定するための方法及び装置 Pending JP2024527065A (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US17/387,391 US20230036866A1 (en) 2021-07-28 2021-07-28 Method and apparatus for identifying disruption of a fluid connection between an extracorporeal circuit and a patient circulatory system
US17/387,391 2021-07-28
PCT/US2022/038495 WO2023009606A1 (en) 2021-07-28 2022-07-27 Method and apparatus for identifying disruption of a fluid connection between an extracorporeal circuit and a patient circulatory system

Publications (2)

Publication Number Publication Date
JP2024527065A true JP2024527065A (ja) 2024-07-19
JP2024527065A5 JP2024527065A5 (cg-RX-API-DMAC10.html) 2025-08-21

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JP2024505059A Pending JP2024527065A (ja) 2021-07-28 2022-07-27 体外循環回路と患者の循環系の間における流体接続の途絶を特定するための方法及び装置

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Country Link
US (1) US20230036866A1 (cg-RX-API-DMAC10.html)
EP (1) EP4363000A4 (cg-RX-API-DMAC10.html)
JP (1) JP2024527065A (cg-RX-API-DMAC10.html)
WO (1) WO2023009606A1 (cg-RX-API-DMAC10.html)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006136520A (ja) * 2004-11-12 2006-06-01 Toray Medical Co Ltd 血液体外循環装置における異常検知システム
JP2013515523A (ja) * 2009-12-28 2013-05-09 フレセニウス メディカル ケア ドイチュランド ゲーエムベーハー 体外血液処理の監視装置及び方法
JP2014208312A (ja) * 2007-02-09 2014-11-06 バクスター・インターナショナル・インコーポレイテッドＢａｘｔｅｒ Ｉｎｔｅｒｎａｔｉｏｎａｌ Ｉｎｃｏｒｐ０Ｒａｔｅｄ 音響アクセス切断システムおよび方法
US20160270733A1 (en) * 2013-03-20 2016-09-22 Gambro Lundia Ab Monitoring of cardiac arrest in a patient connected to an extracorporeal blood processing apparatus

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US6514419B2 (en) * 1994-09-16 2003-02-04 Transonic Systems, Inc. Method to measure blood flow and recirculation in hemodialysis shunts
US5928180A (en) * 1997-03-25 1999-07-27 Krivitski; Nikolai M. Method and apparatus for real time monitoring of blood volume in a filter
US7004924B1 (en) * 1998-02-11 2006-02-28 Nxstage Medical, Inc. Methods, systems, and kits for the extracorporeal processing of blood
US8652084B2 (en) * 2007-08-09 2014-02-18 Indiana University Research And Technology Corporation Arteriovenous shunt with integrated surveillance system
US9308307B2 (en) * 2007-09-13 2016-04-12 Fresenius Medical Care Holdings, Inc. Manifold diaphragms
DE102010052070A1 (de) * 2010-11-17 2012-05-24 B. Braun Avitum Ag Verfahren und Vorrichtung zur Anpassung des Substitutionsziels bei der Ultrafiltration von Blut
US10625013B2 (en) * 2016-06-30 2020-04-21 Gambro Lundia Ab Detection of a disruption of a fluid connection between two fluid containing systems
US10744253B2 (en) * 2016-08-10 2020-08-18 Medtronic, Inc. Adaptive peritoneal dialysis intra-session adjustments for overall session optimization
BR112019004444A2 (pt) * 2016-09-08 2019-05-28 Kk Advance sistema de gestão de informação com diferença individual no tratamento de diálise
EP3515531B1 (en) * 2016-09-19 2021-11-03 Henry Ford Health System System of monitoring dislodgement of needles in dialysis patients
DE102018107967A1 (de) * 2018-04-04 2019-10-10 Fresenius Medical Care Deutschland Gmbh Dialysevorrichtung zur Durchführung einer Dialysebehandlung

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006136520A (ja) * 2004-11-12 2006-06-01 Toray Medical Co Ltd 血液体外循環装置における異常検知システム
JP2014208312A (ja) * 2007-02-09 2014-11-06 バクスター・インターナショナル・インコーポレイテッドＢａｘｔｅｒ Ｉｎｔｅｒｎａｔｉｏｎａｌ Ｉｎｃｏｒｐ０Ｒａｔｅｄ 音響アクセス切断システムおよび方法
JP2013515523A (ja) * 2009-12-28 2013-05-09 フレセニウス メディカル ケア ドイチュランド ゲーエムベーハー 体外血液処理の監視装置及び方法
US20160270733A1 (en) * 2013-03-20 2016-09-22 Gambro Lundia Ab Monitoring of cardiac arrest in a patient connected to an extracorporeal blood processing apparatus

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WO2023009606A1 (en) 2023-02-02
EP4363000A4 (en) 2025-02-26
EP4363000A1 (en) 2024-05-08
US20230036866A1 (en) 2023-02-02

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