WO2022029139A8 - Steuerung für eine extrakorporale kreislaufunterstützung - Google Patents

Steuerung für eine extrakorporale kreislaufunterstützung Download PDF

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Publication number
WO2022029139A8
WO2022029139A8 PCT/EP2021/071695 EP2021071695W WO2022029139A8 WO 2022029139 A8 WO2022029139 A8 WO 2022029139A8 EP 2021071695 W EP2021071695 W EP 2021071695W WO 2022029139 A8 WO2022029139 A8 WO 2022029139A8
Authority
WO
WIPO (PCT)
Prior art keywords
loop
closed
open
control unit
circulatory support
Prior art date
Application number
PCT/EP2021/071695
Other languages
English (en)
French (fr)
Other versions
WO2022029139A1 (de
Inventor
Matthias Heinke
Johannes Hörth
Steffen Eschinger
Ivo Simundic
Original Assignee
Xenios Ag
Hochschule Offenburg
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 Xenios Ag, Hochschule Offenburg filed Critical Xenios Ag
Priority to CN202180057177.3A priority Critical patent/CN116096455A/zh
Priority to US18/007,438 priority patent/US20230420123A1/en
Priority to EP21758625.4A priority patent/EP4188225A1/de
Priority to JP2023507687A priority patent/JP2023538263A/ja
Publication of WO2022029139A1 publication Critical patent/WO2022029139A1/de
Publication of WO2022029139A8 publication Critical patent/WO2022029139A8/de

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • 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
    • A61M1/3666—Cardiac or cardiopulmonary bypass, e.g. heart-lung machines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/369—Electroencephalography [EEG]
    • 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
    • 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
    • A61M60/117—Extracorporeal pumps, i.e. the blood being pumped outside the patient's body for assisting the heart, e.g. transcutaneous or external ventricular assist devices
    • 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
    • A61M60/205—Non-positive displacement blood pumps
    • A61M60/216—Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
    • 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
    • A61M60/515—Regulation using real-time patient data
    • 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
    • A61M60/562—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow
    • A61M60/569—Electronic control means, e.g. for feedback regulation for making blood flow pulsatile in blood pumps that do not intrinsically create pulsatile flow synchronous with the native heart beat
    • 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
    • A61M60/585—User interfaces

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Mechanical Engineering (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Business, Economics & Management (AREA)
  • Primary Health Care (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Psychiatry (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Psychology (AREA)
  • Epidemiology (AREA)
  • General Business, Economics & Management (AREA)
  • Pulmonology (AREA)
  • Human Computer Interaction (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • External Artificial Organs (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

Die vorliegende Erfindung betrifft Steuer- und Regeleinheiten für eine extrakorporale Kreislaufunterstützung sowie Systeme, umfassend eine solche Steuer- und Regeleinheit und entsprechende Verfahren. Entsprechend wird eine Steuer- und Regeleinheit Steuer- und Regeleinheit (10) für eine extrakorporale Kreislaufunterstützung vorgeschlagen, welche dazu eingerichtet ist eine Messung eines EKG-Signals (12) eines unterstützten Patienten über einen vorgegebenen Zeitraum zu empfangen, wobei das EKG-Signal (12) für jeden Zeitpunkt innerhalb eines Herzzyklus mehrere Datenpunkte umfasst. Die Steuer- und Regeleinheit (10) umfasst eine Auswerteeinheit (100), welche dazu eingerichtet ist, die Datenpunkte für mindestens einen Zeitpunkt räumlich und/oder zeitlich auszuwerten und aus den ausgewerteten Datenpunkten mindestens eine Amplitudenänderung (14) innerhalb des Herzzyklus zu bestimmen. Die Steuer- und Regeleinheit (10) ist weiterhin dazu eingerichtet, ein Steuer- und/oder Regelsignal (16) für die extrakorporale Kreislaufunterstützung an einem vorgegebenen Zeitpunkt nach der mindestens einen Amplitudenänderung (14) auszugeben.
PCT/EP2021/071695 2020-08-03 2021-08-03 Steuerung für eine extrakorporale kreislaufunterstützung WO2022029139A1 (de)

Priority Applications (4)

Application Number Priority Date Filing Date Title
CN202180057177.3A CN116096455A (zh) 2020-08-03 2021-08-03 用于体外循环支持的控制装置
US18/007,438 US20230420123A1 (en) 2020-08-03 2021-08-03 Control for an extracorporeal circulatory support
EP21758625.4A EP4188225A1 (de) 2020-08-03 2021-08-03 Steuerung für eine extrakorporale kreislaufunterstützung
JP2023507687A JP2023538263A (ja) 2020-08-03 2021-08-03 体外循環補助のための制御

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102020004698.3A DE102020004698A1 (de) 2020-08-03 2020-08-03 Steuerung für eine extrakorporale Kreislaufunterstützung
DE102020004698.3 2020-08-03

Publications (2)

Publication Number Publication Date
WO2022029139A1 WO2022029139A1 (de) 2022-02-10
WO2022029139A8 true WO2022029139A8 (de) 2023-02-23

Family

ID=77447862

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2021/071695 WO2022029139A1 (de) 2020-08-03 2021-08-03 Steuerung für eine extrakorporale kreislaufunterstützung

Country Status (6)

Country Link
US (1) US20230420123A1 (de)
EP (1) EP4188225A1 (de)
JP (1) JP2023538263A (de)
CN (1) CN116096455A (de)
DE (1) DE102020004698A1 (de)
WO (1) WO2022029139A1 (de)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102021005828A1 (de) 2021-11-24 2023-05-25 Hochschule für Technik, Wirtschaft und Medien Offenburg Vorrichtung und Verfahren zum Überwachen und Optimieren einer zeitlichen Triggerstabilität
DE102022003277A1 (de) * 2022-09-06 2024-03-07 Hochschule für Technik, Wirtschaft und Medien, Körperschaft des Öffentlichen Rechts Steuerung für eine extrakorporale Kreislaufunterstützung bei Herzstimulation
CN116304779B (zh) * 2023-05-25 2023-09-01 济宁市健达医疗器械科技有限公司 一种体外循环温度智能测定系统

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3430624A (en) * 1966-09-07 1969-03-04 United Aircraft Corp Delay time computer for heart pump system
AU618531B2 (en) * 1987-05-29 1992-01-02 Retroperfusion Systems, Inc. Retroperfusion and retroinfusion control apparatus, system and method
US7215993B2 (en) * 2002-08-06 2007-05-08 Cardiac Pacemakers, Inc. Cardiac rhythm management systems and methods for detecting or validating cardiac beats in the presence of noise
CA2476473C (en) 2002-02-21 2013-02-19 Design Mentor, Inc. Fluid pump
US20080249456A1 (en) * 2007-03-27 2008-10-09 Syuuji Inamori Pulsation-type auxiliary circulation system, pulsatile flow generation control device, and pulsatile flow generation control method
DE102010024965A1 (de) 2010-06-24 2011-12-29 Siemens Aktiengesellschaft Verfahren zur Bestimmung eines charakteristischen Verlaufs einer R-Zacke in einem EKG-Signal, Computerprogrammprodukt und elektronisch lesbarer Datenträger zur Durchführung des Verfahrens
KR101426591B1 (ko) * 2012-03-13 2014-08-06 연세대학교 산학협력단 생체 신호의 노이즈 제거 장치 및 방법
US9320447B2 (en) 2014-02-07 2016-04-26 Biosense Webster (Israel) Ltd. Dynamic cancellation of MRI sequencing noise appearing in an ECG signal
US10433749B2 (en) * 2016-08-10 2019-10-08 Biosense Webster (Israel) Ltd. Identifying ECG signals having the same morphology
CA3078519A1 (en) 2017-10-06 2019-04-11 Mayo Foundation For Medical Education And Research Ecg-based cardiac ejection-fraction screening
CN110037690A (zh) * 2019-04-22 2019-07-23 上海数创医疗科技有限公司 基于改进卷积神经网络的r波定位方法和装置

Also Published As

Publication number Publication date
JP2023538263A (ja) 2023-09-07
CN116096455A (zh) 2023-05-09
DE102020004698A1 (de) 2022-02-03
WO2022029139A1 (de) 2022-02-10
US20230420123A1 (en) 2023-12-28
EP4188225A1 (de) 2023-06-07

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