JP5841064B2 - 血液流量低下の検出 - Google Patents
血液流量低下の検出 Download PDFInfo
- Publication number
- JP5841064B2 JP5841064B2 JP2012547081A JP2012547081A JP5841064B2 JP 5841064 B2 JP5841064 B2 JP 5841064B2 JP 2012547081 A JP2012547081 A JP 2012547081A JP 2012547081 A JP2012547081 A JP 2012547081A JP 5841064 B2 JP5841064 B2 JP 5841064B2
- Authority
- JP
- Japan
- Prior art keywords
- blood
- impedance value
- controller
- blood flow
- dialysis system
- 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 - Fee Related
Links
- 230000017531 blood circulation Effects 0.000 title claims description 89
- 238000001514 detection method Methods 0.000 title claims description 10
- 230000003247 decreasing effect Effects 0.000 title description 9
- 239000008280 blood Substances 0.000 claims description 109
- 210000004369 blood Anatomy 0.000 claims description 109
- 239000012530 fluid Substances 0.000 claims description 72
- 238000000502 dialysis Methods 0.000 claims description 64
- 238000000034 method Methods 0.000 claims description 41
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 37
- 239000011780 sodium chloride Substances 0.000 claims description 36
- 238000004891 communication Methods 0.000 claims description 17
- 230000002829 reductive effect Effects 0.000 claims description 10
- 238000005259 measurement Methods 0.000 claims description 9
- 230000002572 peristaltic effect Effects 0.000 claims description 7
- 230000004044 response Effects 0.000 claims description 6
- 230000003213 activating effect Effects 0.000 claims description 4
- 239000002504 physiological saline solution Substances 0.000 claims description 2
- 230000002745 absorbent Effects 0.000 description 19
- 239000002250 absorbent Substances 0.000 description 19
- 239000000385 dialysis solution Substances 0.000 description 16
- 230000006870 function Effects 0.000 description 14
- 230000009977 dual effect Effects 0.000 description 12
- 239000000243 solution Substances 0.000 description 9
- 208000007536 Thrombosis Diseases 0.000 description 6
- 230000000694 effects Effects 0.000 description 6
- 230000009467 reduction Effects 0.000 description 6
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 5
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 5
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 5
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 5
- 239000011575 calcium Substances 0.000 description 5
- 229910052791 calcium Inorganic materials 0.000 description 5
- 238000001631 haemodialysis Methods 0.000 description 5
- 230000000322 hemodialysis Effects 0.000 description 5
- 229960002897 heparin Drugs 0.000 description 5
- 229920000669 heparin Polymers 0.000 description 5
- 239000011777 magnesium Substances 0.000 description 5
- 229910052749 magnesium Inorganic materials 0.000 description 5
- 239000012528 membrane Substances 0.000 description 5
- 239000011591 potassium Substances 0.000 description 5
- 229910052700 potassium Inorganic materials 0.000 description 5
- 230000000007 visual effect Effects 0.000 description 5
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 4
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 4
- 239000003978 infusion fluid Substances 0.000 description 4
- 239000011734 sodium Substances 0.000 description 4
- 229910052708 sodium Inorganic materials 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- 210000003462 vein Anatomy 0.000 description 4
- 239000003146 anticoagulant agent Substances 0.000 description 3
- 229940127219 anticoagulant drug Drugs 0.000 description 3
- 230000003292 diminished effect Effects 0.000 description 3
- 239000003053 toxin Substances 0.000 description 3
- 231100000765 toxin Toxicity 0.000 description 3
- 108700012359 toxins Proteins 0.000 description 3
- 238000011144 upstream manufacturing Methods 0.000 description 3
- 230000004872 arterial blood pressure Effects 0.000 description 2
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- 238000010586 diagram Methods 0.000 description 2
- 230000037452 priming Effects 0.000 description 2
- 206010018873 Haemoconcentration Diseases 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 230000008321 arterial blood flow Effects 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 238000007485 conventional hemodialysis Methods 0.000 description 1
- 238000013500 data storage Methods 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 210000003608 fece Anatomy 0.000 description 1
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- 230000007246 mechanism Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
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- 230000002441 reversible effect Effects 0.000 description 1
- 239000012487 rinsing solution Substances 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
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- 230000008320 venous blood flow Effects 0.000 description 1
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
- 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
-
- 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
- A61M1/36—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
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Cardiology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/650,745 US8529491B2 (en) | 2009-12-31 | 2009-12-31 | Detecting blood flow degradation |
| US12/650,745 | 2009-12-31 | ||
| PCT/US2010/057581 WO2011081740A1 (en) | 2009-12-31 | 2010-11-22 | Detecting blood flow degradation |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2013516225A JP2013516225A (ja) | 2013-05-13 |
| JP2013516225A5 JP2013516225A5 (enExample) | 2014-01-16 |
| JP5841064B2 true JP5841064B2 (ja) | 2016-01-06 |
Family
ID=43618316
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2012547081A Expired - Fee Related JP5841064B2 (ja) | 2009-12-31 | 2010-11-22 | 血液流量低下の検出 |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US8529491B2 (enExample) |
| EP (2) | EP2519275B1 (enExample) |
| JP (1) | JP5841064B2 (enExample) |
| AU (1) | AU2010337269B2 (enExample) |
| CA (1) | CA2785806C (enExample) |
| WO (1) | WO2011081740A1 (enExample) |
Families Citing this family (44)
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| US8152751B2 (en) | 2007-02-09 | 2012-04-10 | Baxter International Inc. | Acoustic access disconnection systems and methods |
| DE102008035742B3 (de) * | 2008-07-04 | 2010-01-14 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung zur Peritonealdialyse |
| US8753515B2 (en) | 2009-12-05 | 2014-06-17 | Home Dialysis Plus, Ltd. | Dialysis system with ultrafiltration control |
| US8501009B2 (en) | 2010-06-07 | 2013-08-06 | State Of Oregon Acting By And Through The State Board Of Higher Education On Behalf Of Oregon State University | Fluid purification system |
| US8784668B2 (en) * | 2010-10-12 | 2014-07-22 | Fresenius Medical Care Holdings, Inc. | Systems and methods for compensation of compliant behavior in regenerative dialysis systems |
| EP3165245B1 (en) | 2011-08-02 | 2019-02-20 | Medtronic, Inc. | Hemodialysis system having a flow path with a controlled compliant volume |
| WO2013025844A2 (en) | 2011-08-16 | 2013-02-21 | Medtronic, Inc. | Modular hemodialysis system |
| CN103957960B (zh) | 2011-10-07 | 2016-04-13 | 霍姆透析普拉斯有限公司 | 用于透析系统的热交换流体净化 |
| US8992777B2 (en) | 2011-11-18 | 2015-03-31 | Fresenius Medical Care Holdings, Inc. | Systems and methods for providing notifications in dialysis systems |
| US9165112B2 (en) | 2012-02-03 | 2015-10-20 | Fresenius Medical Care Holdings, Inc. | Systems and methods for displaying objects at a medical treatment apparatus display screen |
| ES2534477T5 (es) † | 2012-05-09 | 2018-07-20 | D_Med Consulting Ag | Procedimiento para la cebadura de un dispositivo de hemodiálisis |
| AU2013201556B2 (en) | 2012-07-13 | 2014-06-05 | Gambro Lundia Ab | Filtering of pressure signals for suppression of periodic pulses |
| US10905816B2 (en) | 2012-12-10 | 2021-02-02 | Medtronic, Inc. | Sodium management system for hemodialysis |
| US10543052B2 (en) | 2013-02-01 | 2020-01-28 | Medtronic, Inc. | Portable dialysis cabinet |
| US9623164B2 (en) | 2013-02-01 | 2017-04-18 | Medtronic, Inc. | Systems and methods for multifunctional volumetric fluid control |
| US10850016B2 (en) | 2013-02-01 | 2020-12-01 | Medtronic, Inc. | Modular fluid therapy system having jumpered flow paths and systems and methods for cleaning and disinfection |
| US10010663B2 (en) | 2013-02-01 | 2018-07-03 | Medtronic, Inc. | Fluid circuit for delivery of renal replacement therapies |
| US9827361B2 (en) | 2013-02-02 | 2017-11-28 | Medtronic, Inc. | pH buffer measurement system for hemodialysis systems |
| DE102013213390A1 (de) * | 2013-07-09 | 2015-01-15 | Rwth Aachen | Verfahren und Vorrichtung zur Detektion eines Ansaugens einer Entnahmekanüle |
| EP3838308A1 (en) | 2014-04-29 | 2021-06-23 | Outset Medical, Inc. | Dialysis system and methods |
| US10016550B2 (en) | 2014-09-12 | 2018-07-10 | Easydial, Inc. | Portable hemodialysis assembly with ammonia sensor |
| US10980929B2 (en) | 2014-09-12 | 2021-04-20 | Diality Inc. | Hemodialysis system with ultrafiltration controller |
| CN104383619B (zh) * | 2014-12-03 | 2016-08-24 | 佟博弘 | 透析液流量智能调节装置与方法、透析机 |
| US9713665B2 (en) | 2014-12-10 | 2017-07-25 | Medtronic, Inc. | Degassing system for dialysis |
| US10098993B2 (en) | 2014-12-10 | 2018-10-16 | Medtronic, Inc. | Sensing and storage system for fluid balance |
| US9895479B2 (en) | 2014-12-10 | 2018-02-20 | Medtronic, Inc. | Water management system for use in dialysis |
| US10874787B2 (en) | 2014-12-10 | 2020-12-29 | Medtronic, Inc. | Degassing system for dialysis |
| JP2016174752A (ja) * | 2015-03-20 | 2016-10-06 | ソニー株式会社 | 血液状態監視装置、血液状態を監視する方法、血液状態監視システム、及び血液状態改善用プログラム |
| US10413654B2 (en) * | 2015-12-22 | 2019-09-17 | Baxter International Inc. | Access disconnection system and method using signal metrics |
| US11458233B2 (en) | 2016-06-13 | 2022-10-04 | Henry Ford Health System | Method for detecting intravascular volume depletion during a hemodialysis session |
| ES2908601T3 (es) | 2016-08-19 | 2022-05-03 | Outset Medical Inc | Sistema y métodos de diálisis peritoneal |
| US10272187B2 (en) | 2017-02-22 | 2019-04-30 | Fresenius Medical Care Holdings, Inc. | System and methods for dialyzer flow rates estimation using measured dialyzer pressures |
| US11278654B2 (en) | 2017-12-07 | 2022-03-22 | Medtronic, Inc. | Pneumatic manifold for a dialysis system |
| US11033667B2 (en) | 2018-02-02 | 2021-06-15 | Medtronic, Inc. | Sorbent manifold for a dialysis system |
| US11110215B2 (en) | 2018-02-23 | 2021-09-07 | Medtronic, Inc. | Degasser and vent manifolds for dialysis |
| JP2021533881A (ja) | 2018-08-23 | 2021-12-09 | アウトセット・メディカル・インコーポレイテッドOutset Medical, Inc. | 透析システム及び方法 |
| BR112021021836A2 (pt) | 2019-04-30 | 2022-01-04 | Outset Medical Inc | Métodos para calcular a pressão arterial, para criar dialisato em um sistema de diálise, para medir a porcentagem de rejeição em um sistema de diálise, para coletar e analisar plasma sanguíneo, para remover gás de um circuito extracorpóreo de um sistema de diálise, para inferir uma pressão de linha em um circuito extracorpóreo de um sistema de diálise, para prover terapia de diálise extracorpórea e intracorpórea, para montar um conjunto de tubos de paciente no estilo cartucho em uma máquina de diálise e para preparar uma máquina de diálise para terapia de diálise, câmaras de fluxo e de remoção de ar, sistema de diálise, subsistema de dispensação de dialisato, filtro de micróbio/endotoxina de uso único, dialisador, dispositivo para medir pressão de um sistema de diálise, e, conjunto de tubos de sangue |
| US12128165B2 (en) | 2020-04-27 | 2024-10-29 | Mozarc Medical Us Llc | Dual stage degasser |
| EP3991764B1 (en) | 2020-10-27 | 2024-03-06 | Bellco S.r.l. | Flowmeter for proportioning water in dialysis system |
| US12318528B2 (en) | 2020-10-30 | 2025-06-03 | Mozarc Medical Us Llc | Variable orifice fistula graft |
| EP3991770B1 (en) | 2020-10-30 | 2024-10-30 | Bellco S.r.l. | Dialysis cassette with pump features |
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| EP4329643A4 (en) | 2021-04-27 | 2025-03-12 | Contego Medical, Inc. | Thrombus aspiration system and methods for controlling blood loss |
| DE102022133981A1 (de) | 2022-12-12 | 2024-06-13 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung, System und Verfahren zur Erkennung von Blutgerinnseln |
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| CA2681912C (en) * | 2007-02-27 | 2015-09-29 | Deka Products Limited Partnership | Hemodialysis systems and methods |
| US8100834B2 (en) * | 2007-02-27 | 2012-01-24 | J&M Shuler, Inc. | Method and system for monitoring oxygenation levels of a compartment for detecting conditions of a compartment syndrome |
| EP2142235B1 (en) * | 2007-04-12 | 2012-03-21 | Gambro Lundia AB | Apparatus for extracorporeal blood treatment |
| US8512553B2 (en) * | 2007-07-05 | 2013-08-20 | Baxter International Inc. | Extracorporeal dialysis ready peritoneal dialysis machine |
| AU2008357106B2 (en) * | 2008-05-26 | 2013-02-07 | Gambro Lundia Ab | A hemodialysis or hemo(dia)filtration apparatus and a method for controlling a hemodialysis or hemo(dia)filtration apparatus |
| DE102008035742B3 (de) * | 2008-07-04 | 2010-01-14 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung zur Peritonealdialyse |
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| CA2785806C (en) | 2017-10-10 |
| EP2529771A2 (en) | 2012-12-05 |
| US20110160637A1 (en) | 2011-06-30 |
| JP2013516225A (ja) | 2013-05-13 |
| CA2785806A1 (en) | 2011-07-07 |
| EP2519275A1 (en) | 2012-11-07 |
| EP2529771B1 (en) | 2020-01-01 |
| AU2010337269A1 (en) | 2012-07-05 |
| AU2010337269B2 (en) | 2014-08-28 |
| WO2011081740A1 (en) | 2011-07-07 |
| EP2519275B1 (en) | 2020-03-04 |
| US8529491B2 (en) | 2013-09-10 |
| EP2529771A3 (en) | 2013-02-20 |
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