IT1252601B - Apparecchiatura e metodo di dialisi automatica - Google Patents
Apparecchiatura e metodo di dialisi automaticaInfo
- Publication number
- IT1252601B IT1252601B ITTO910527A ITTO910527A IT1252601B IT 1252601 B IT1252601 B IT 1252601B IT TO910527 A ITTO910527 A IT TO910527A IT TO910527 A ITTO910527 A IT TO910527A IT 1252601 B IT1252601 B IT 1252601B
- Authority
- IT
- Italy
- Prior art keywords
- quantities
- patient
- operator
- dialysis
- machine
- Prior art date
Links
- 238000000502 dialysis Methods 0.000 title abstract 5
- 238000000034 method Methods 0.000 title 1
- 230000003044 adaptive effect Effects 0.000 abstract 1
- 238000013178 mathematical model Methods 0.000 abstract 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
- A61M1/14—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
- A61M1/1603—Regulation parameters
- A61M1/1605—Physical characteristics of the dialysate fluid
- A61M1/1607—Physical characteristics of the dialysate fluid before use, i.e. upstream of dialyser
-
- 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
- A61M1/1603—Regulation parameters
- A61M1/1605—Physical characteristics of the dialysate fluid
- A61M1/1609—Physical characteristics of the dialysate fluid after use, i.e. downstream of dialyser
-
- 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
- A61M1/1603—Regulation parameters
- A61M1/1611—Weight of the patient
-
- 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
-
- G—PHYSICS
- G05—CONTROLLING; REGULATING
- G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
- G05B13/00—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion
- G05B13/02—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion electric
- G05B13/04—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion electric involving the use of models or simulators
- G05B13/042—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion electric involving the use of models or simulators in which a parameter or coefficient is automatically adjusted to optimise the performance
-
- 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
- A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Urology & Nephrology (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Anesthesiology (AREA)
- Emergency Medicine (AREA)
- Cardiology (AREA)
- Artificial Intelligence (AREA)
- Computer Vision & Pattern Recognition (AREA)
- Evolutionary Computation (AREA)
- Medical Informatics (AREA)
- Software Systems (AREA)
- Physics & Mathematics (AREA)
- General Physics & Mathematics (AREA)
- Automation & Control Theory (AREA)
- External Artificial Organs (AREA)
Abstract
Viene descritto un sistema (1) di dialisi automatica comprendente un'unità di dialisi (11) ricevente in ingresso grandezze macchina (U) programmabili, un gruppo di sensori (12) per la misura delle grandezze paziente (Y) che si vogliono controllare, un'unità di controllo (13) di tipo adattativo che fa assumere a tali grandezze paziente andamenti desiderati (YD) prefissati. Gli andamenti desiderati sono definiti dall'operatore all'inizio della seduta e sono modificabili durante la stessa attraverso un'interfaccia sistema-operatore (14) che fornisce all'operatore la completa supervisione del sistema. L'unità di controllo (13) si basa su un modello matematico dell'insieme paziente-unità dialisi (5) i cui ingressi sono le grandezze macchina (U) e le cui uscite sono le grandezze paziente (Y) ed è costituita da uno stimatore (31) che stima i parametri (K) di tale modello e da un controllore (32) che determina il vettore (U) delle grandezze macchina da inviare all'unità di dialisi (11) a partire dalle grandezze paziente desiderate (YD), dalle grandezze paziente effettive (Y) e dai parametri paziente calcolati (K).Figura 2.
Priority Applications (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ITTO910527A IT1252601B (it) | 1991-07-05 | 1991-07-05 | Apparecchiatura e metodo di dialisi automatica |
| PCT/EP1992/001498 WO1993000938A1 (en) | 1991-07-05 | 1992-07-03 | Method and means for dialysis |
| CA002089380A CA2089380A1 (en) | 1991-07-05 | 1992-07-03 | Method and means for dialysis |
| JP5501954A JPH06500946A (ja) | 1991-07-05 | 1992-07-03 | 透析方法及び透析手段 |
| ES92915292T ES2084366T3 (es) | 1991-07-05 | 1992-07-03 | Metodo y medios para dialisis. |
| DE69207367T DE69207367T2 (de) | 1991-07-05 | 1992-07-03 | Verfahren und vorrichtung zur dialyse |
| EP92915292A EP0547210B1 (en) | 1991-07-05 | 1992-07-03 | Method and means for dialysis |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ITTO910527A IT1252601B (it) | 1991-07-05 | 1991-07-05 | Apparecchiatura e metodo di dialisi automatica |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| ITTO910527A0 ITTO910527A0 (it) | 1991-07-05 |
| ITTO910527A1 ITTO910527A1 (it) | 1993-01-05 |
| IT1252601B true IT1252601B (it) | 1995-06-19 |
Family
ID=11409472
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ITTO910527A IT1252601B (it) | 1991-07-05 | 1991-07-05 | Apparecchiatura e metodo di dialisi automatica |
Country Status (7)
| Country | Link |
|---|---|
| EP (1) | EP0547210B1 (it) |
| JP (1) | JPH06500946A (it) |
| CA (1) | CA2089380A1 (it) |
| DE (1) | DE69207367T2 (it) |
| ES (1) | ES2084366T3 (it) |
| IT (1) | IT1252601B (it) |
| WO (1) | WO1993000938A1 (it) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP2711036A1 (en) | 2012-09-21 | 2014-03-26 | Gambro Lundia AB | An apparatus and a control method for extracorporeal bood treatment |
| US8684959B2 (en) | 2008-07-09 | 2014-04-01 | Gambro Lundia Ab | Extracorporeal blood treatment apparatus |
Families Citing this family (19)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5324422A (en) * | 1993-03-03 | 1994-06-28 | Baxter International Inc. | User interface for automated peritoneal dialysis systems |
| US5350357A (en) * | 1993-03-03 | 1994-09-27 | Deka Products Limited Partnership | Peritoneal dialysis systems employing a liquid distribution and pumping cassette that emulates gravity flow |
| US5438510A (en) * | 1993-03-03 | 1995-08-01 | Deka Products Limited Partnership | User interface and monitoring functions for automated peritoneal dialysis systems |
| US5431626A (en) * | 1993-03-03 | 1995-07-11 | Deka Products Limited Partnership | Liquid pumping mechanisms for peritoneal dialysis systems employing fluid pressure |
| IT1279572B1 (it) * | 1995-05-30 | 1997-12-16 | Hospal Dasco Spa | Metodo e apparecchio per il lavaggio di un filtro per dialisi. |
| IT1276468B1 (it) * | 1995-07-04 | 1997-10-31 | Hospal Dasco Spa | Metodo e apparecchiatura di dialisi automatica |
| IT1288767B1 (it) | 1996-10-18 | 1998-09-24 | Hospal Dasco Spa | Metodo di determinazione del valore del ricircolo di una sospensione sottoposta a trattamento. |
| DE19823570A1 (de) * | 1998-05-27 | 1999-12-02 | Kfh Kuratorium Fuer Dialyse Un | Verfahren und Vorrichtung zum Austausch von Flüssigkeiten und/oder gelöster Substanzen insbesondere bei einer Dialysebehandlung |
| US6691040B2 (en) | 1999-12-02 | 2004-02-10 | Hospal Ag | Method for determining a parameter indicative of the progress of an extracorporeal blood treatment |
| FR2801794B1 (fr) * | 1999-12-02 | 2002-01-11 | Hospal Ag | Procede de determination d'un parametre significatif du progres d'un traitement extracorporel de sang |
| US7153286B2 (en) | 2002-05-24 | 2006-12-26 | Baxter International Inc. | Automated dialysis system |
| DE60204883T3 (de) | 2002-09-05 | 2013-10-24 | Gambro Lundia Ab | Steuerung für eine Blutbehandlungsvorrichtung |
| US7152469B2 (en) | 2004-01-13 | 2006-12-26 | Baxter International Inc. | Fluid flow sensor, method and system |
| DE102008010531A1 (de) | 2008-02-22 | 2009-08-27 | Fresenius Medical Care Deutschland Gmbh | Verfahren zum Betreiben einer Blutbehandlungsvorrichtung, sowie Blutvolumenmonitor und Blutbehandlungsvorrichtung zum Ausführen des Verfahrens |
| US9514283B2 (en) | 2008-07-09 | 2016-12-06 | Baxter International Inc. | Dialysis system having inventory management including online dextrose mixing |
| US8062513B2 (en) | 2008-07-09 | 2011-11-22 | Baxter International Inc. | Dialysis system and machine having therapy prescription recall |
| EP2618864B2 (en) | 2010-09-20 | 2019-11-13 | Gambro Lundia AB | Obtaining control settings for a dialysis machine |
| WO2012163738A1 (en) * | 2011-05-27 | 2012-12-06 | Gambro Lundia Ab | Monitoring stenosis formation in an arteriovenous access |
| DE102014012423A1 (de) * | 2014-08-20 | 2016-02-25 | Fresenius Medical Care Deutschland Gmbh | Dialysemaschine mit der Fähigkeit zur Bestimmung einer prädialytischen Eigenschaft im Blut eines Dialysepatienten |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2366023A1 (fr) * | 1976-07-30 | 1978-04-28 | Inst Nat Sante Rech Med | Procede et appareil de reglage des conditions d'hemodialyse |
| AU518734B2 (en) * | 1977-06-10 | 1981-10-15 | Cordis Dow Corporation | Automated dialysis process |
| US4718891A (en) * | 1984-05-03 | 1988-01-12 | Henry Ford Hospital | Automated hemodialysis control based upon patient blood pressure and heart rate |
| IT1219379B (it) * | 1988-06-15 | 1990-05-11 | Hospal Dasco Spa | Metodo e apparecchiatura per la previsione degli effetti collaterali che si manifestano in un paziente durante un trattamento di dialisi |
-
1991
- 1991-07-05 IT ITTO910527A patent/IT1252601B/it active IP Right Grant
-
1992
- 1992-07-03 JP JP5501954A patent/JPH06500946A/ja active Pending
- 1992-07-03 DE DE69207367T patent/DE69207367T2/de not_active Revoked
- 1992-07-03 ES ES92915292T patent/ES2084366T3/es not_active Expired - Lifetime
- 1992-07-03 EP EP92915292A patent/EP0547210B1/en not_active Revoked
- 1992-07-03 CA CA002089380A patent/CA2089380A1/en not_active Abandoned
- 1992-07-03 WO PCT/EP1992/001498 patent/WO1993000938A1/en not_active Ceased
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8684959B2 (en) | 2008-07-09 | 2014-04-01 | Gambro Lundia Ab | Extracorporeal blood treatment apparatus |
| EP2711036A1 (en) | 2012-09-21 | 2014-03-26 | Gambro Lundia AB | An apparatus and a control method for extracorporeal bood treatment |
| WO2014045224A1 (en) | 2012-09-21 | 2014-03-27 | Gambro Lundia Ab | An apparatus and a method for extracorporeal blood treatment |
| US10130744B2 (en) | 2012-09-21 | 2018-11-20 | Gambro Lundia Ab | Apparatus and a method for extracorporeal blood treatment |
| US11020518B2 (en) | 2012-09-21 | 2021-06-01 | Gambro Lundia Ab | Apparatus and a method for extracorporeal blood treatment |
Also Published As
| Publication number | Publication date |
|---|---|
| DE69207367D1 (de) | 1996-02-15 |
| ES2084366T3 (es) | 1996-05-01 |
| ITTO910527A1 (it) | 1993-01-05 |
| EP0547210A1 (en) | 1993-06-23 |
| ITTO910527A0 (it) | 1991-07-05 |
| WO1993000938A1 (en) | 1993-01-21 |
| EP0547210B1 (en) | 1996-01-03 |
| JPH06500946A (ja) | 1994-01-27 |
| CA2089380A1 (en) | 1993-01-06 |
| DE69207367T2 (de) | 1996-08-01 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 0001 | Granted | ||
| TA | Fee payment date (situation as of event date), data collected since 19931001 |
Effective date: 19970729 |