JP4339845B2 - 血液透析治療により除去された尿毒素量を測定するための方法及び装置 - Google Patents
血液透析治療により除去された尿毒素量を測定するための方法及び装置 Download PDFInfo
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- JP4339845B2 JP4339845B2 JP2005339350A JP2005339350A JP4339845B2 JP 4339845 B2 JP4339845 B2 JP 4339845B2 JP 2005339350 A JP2005339350 A JP 2005339350A JP 2005339350 A JP2005339350 A JP 2005339350A JP 4339845 B2 JP4339845 B2 JP 4339845B2
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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
- A61M1/14—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
- A61M1/14—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
- A61M1/1619—Sampled collection of used dialysate, i.e. obviating the need for recovery of whole dialysate quantity for post-dialysis analysis
-
- 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
- A61M1/168—Sterilisation or cleaning before or after use
- A61M1/1682—Sterilisation or cleaning before or after use both machine and membrane module, i.e. also the module blood side
-
- 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
- A61M1/168—Sterilisation or cleaning before or after use
- A61M1/1688—Sterilisation or cleaning before or after use with recirculation of the sterilising fluid
-
- 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
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3643—Priming, rinsing before or after use
- A61M1/3644—Mode of operation
- A61M1/3647—Mode of operation with recirculation of the priming solution
-
- 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
- A61M1/168—Sterilisation or cleaning 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
- 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
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S210/00—Liquid purification or separation
- Y10S210/929—Hemoultrafiltrate volume measurement or control processes
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Urology & Nephrology (AREA)
- Hematology (AREA)
- Veterinary Medicine (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Emergency Medicine (AREA)
- Cardiology (AREA)
- External Artificial Organs (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Separation Using Semi-Permeable Membranes (AREA)
- Investigating Or Analysing Biological Materials (AREA)
Description
30…流体バランシングユニット、 40…透析機、
100…再循環ユニット、 110…流体出口遮断弁、
120…試料採取遮断弁、 124…試料回収容器、
150…制御配列
Claims (6)
- 透析装置においてサンプリングユニットを制御するための方法であって、
前記サンプリングユニットは、透析機(40)の下流に位置し、試料採取導管(121)を含み、
試料採取導管(121)は、透析機(40)から透析液が流出する導管(34、35、102)から分岐点(101)で分岐し、
試料採取導管(121)において、弁(120)は相互に連絡しており(interconnect)、第二の弁(110)は、分岐点(101)の下流に位置する導管(102)において相互に連絡しており(interconnect)、両方の弁(110、120)は、所与の特定の間隔で交互に開放/閉鎖され、
試料採取導管(121)は、その末端に第一のプラグ式連結メンバー(122)を有し、これは、試料収集容器(124)上に備えられた第二のプラグ式連結メンバー(123)と連結可能であり、
透析物調製ユニット(20)の上流で透析機(40)へと向かう入口導管(11)は、第三のプラグ式連結メンバー(13)を有し、これは、第一のプラグ式連結メンバー(122)と連結可能であり、
a)透析治療の間に、第一のプラグ式連結メンバー(122)を、第二のプラグ式連結メンバー(123)と連結し、所与の量の使用された透析液を、弁(110)および(120)の所与の制御により採取し、
b)透析治療の前および後に、第一のプラグ式連結メンバー(122)を、第三のプラグ式連結メンバー(13)と連結し、殺菌剤濃縮物を挿入することにより殺菌された再循環サーキットを形成する、方法。 - 弁(110)および(120)が、透析治療の間、該透析治療の全継続期間及び採取されるべき試料の所与の数から計算される所与の試料採取時間間隔を維持するように制御されることを特徴とする、請求項1に記載の方法。
- 弁(110)および(120)が、透析治療の間、該透析治療の間に処理された全透析液体積に対する、収集されるべき所与の全試料体積の比に、試料採取時間間隔をかけることにより計算される所与のサンプリング期間を維持するように制御されることを特徴とする、請求項1に記載の方法。
- 弁(110)および(120)が、透析治療の間、排水期間が、予め定められた継続期間を有するように制御され、サンプリング期間の継続期間が、該排水期間中にスルーフロー測定装置により測定された透析液の量に基いて計算されることを特徴とする、請求項1に記載の方法。
- 弁(110)および(120)が、透析治療の間、使用された透析液の所与の体積が、該排水期間中にスルーフロー測定装置により測定されたときに、排水期間が終了し、サンプリング期間が開始するように制御されることを特徴とする、請求項1に記載の方法。
- 前記測定装置が、バランス室を包含し、弁(110)および(120)が、透析治療の間、前記弁の交互の切替えが、所与の数のバランス室の行程(stroke)が行われたとき行われるように制御される、請求項5に記載の方法。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE4440556A DE4440556A1 (de) | 1994-11-12 | 1994-11-12 | Einrichtung und Verfahren zur Bestimmung der Menge an entfernten Urämietoxinen bei einer Hämodialysebehandlung |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP29458295A Division JP3776488B2 (ja) | 1994-11-12 | 1995-11-13 | 血液透析治療により除去された尿毒素量を測定するための装置 |
Publications (2)
Publication Number | Publication Date |
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JP2006102527A JP2006102527A (ja) | 2006-04-20 |
JP4339845B2 true JP4339845B2 (ja) | 2009-10-07 |
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ID=6533227
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
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JP29458295A Expired - Lifetime JP3776488B2 (ja) | 1994-11-12 | 1995-11-13 | 血液透析治療により除去された尿毒素量を測定するための装置 |
JP2005339350A Expired - Lifetime JP4339845B2 (ja) | 1994-11-12 | 2005-11-24 | 血液透析治療により除去された尿毒素量を測定するための方法及び装置 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
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JP29458295A Expired - Lifetime JP3776488B2 (ja) | 1994-11-12 | 1995-11-13 | 血液透析治療により除去された尿毒素量を測定するための装置 |
Country Status (5)
Country | Link |
---|---|
US (1) | US5725773A (ja) |
EP (2) | EP0711569B1 (ja) |
JP (2) | JP3776488B2 (ja) |
DE (3) | DE4440556A1 (ja) |
ES (2) | ES2197043T3 (ja) |
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CA2124809C (en) * | 1992-10-13 | 2004-01-27 | Prakash Keshaviah | Hemodialysis monitoring system for hemodialysis machines |
SE9300728L (sv) * | 1993-03-05 | 1994-02-28 | Gambro Ab | Sätt att mäta effekten av en dialysbehandling |
US5409612A (en) * | 1993-07-16 | 1995-04-25 | Cobe Laboratories, Inc. | Method and apparatus for cleaning a dialysate circuit downstream of a dialyzer |
US5308315A (en) * | 1993-07-27 | 1994-05-03 | Raja N. Khuri | Method for determining the adequacy of dialysis |
-
1994
- 1994-11-12 DE DE4440556A patent/DE4440556A1/de not_active Withdrawn
-
1995
- 1995-11-03 EP EP95117313A patent/EP0711569B1/de not_active Expired - Lifetime
- 1995-11-03 ES ES00119042T patent/ES2197043T3/es not_active Expired - Lifetime
- 1995-11-03 DE DE59510189T patent/DE59510189D1/de not_active Expired - Lifetime
- 1995-11-03 ES ES95117313T patent/ES2172548T3/es not_active Expired - Lifetime
- 1995-11-03 EP EP00119042A patent/EP1053759B1/de not_active Expired - Lifetime
- 1995-11-03 DE DE59510652T patent/DE59510652D1/de not_active Expired - Lifetime
- 1995-11-09 US US08/555,526 patent/US5725773A/en not_active Expired - Lifetime
- 1995-11-13 JP JP29458295A patent/JP3776488B2/ja not_active Expired - Lifetime
-
2005
- 2005-11-24 JP JP2005339350A patent/JP4339845B2/ja not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
EP0711569A1 (de) | 1996-05-15 |
JP3776488B2 (ja) | 2006-05-17 |
DE4440556A1 (de) | 1996-05-15 |
ES2172548T3 (es) | 2002-10-01 |
ES2197043T3 (es) | 2004-01-01 |
US5725773A (en) | 1998-03-10 |
DE59510189D1 (de) | 2002-06-06 |
DE59510652D1 (de) | 2003-05-22 |
EP1053759A2 (de) | 2000-11-22 |
JP2006102527A (ja) | 2006-04-20 |
EP1053759A3 (de) | 2000-12-13 |
JPH08229118A (ja) | 1996-09-10 |
EP0711569B1 (de) | 2002-05-02 |
EP1053759B1 (de) | 2003-04-16 |
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