DEVICE FOR DIALYSIS AND STIMULATION OF A PATIENT AND METHOD

• US 20110208097A1
• Filed: 08/22/2008
• Published: 08/25/2011
• Est. Priority Date: 08/22/2007
• Status: Active Grant

• Current Assignee: Dominik Uehlinger, Felix Buhlmann, Klaus Schonenberger, Stefan Farese
• Original Assignee: Dominik Uehlinger, Felix Buhlmann, Klaus Schonenberger, Stefan Farese
• Inventors: Buhlmann, Felix, Schonenberger, Klaus, Uehlinger, Dominik, Farese, Stefan
• Granted Patent: US 8,965,517 B2
• Time in Patent Office: Days
• US Class Current: 601/23
• CPC Class Codes: A61H 1/008 Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
• CPC Class Codes: A61H 9/0078 with intermittent or alternately inflated bladders or cuffs mattresses for preventing bed-sores with alternated pressurized chambers A61G7/05776
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 2205/05 combined with other kinds of therapy
• CPC Class Codes: A61N 1/0452 Specially adapted for transcutaneous muscle stimulation [TMS]
• CPC Class Codes: A61N 1/0484 Garment electrodes worn by the patient
• CPC Class Codes: A61N 1/321 Electromedical belts
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36031 using physiological parameters for adjustment
• CPC Class Codes: A61N 1/36034 specified by the stimulation parameters

Abstract

A device and method for carrying out a dialysis of a patient and a stimulation of said patient at the same time either during dialysis sessions, or between dialysis sessions or both.

Claims

1. A device for carrying out therapeutic stimulation of a patient during dialysis of the patient, the device comprising at least a dialysis device and a therapeutic stimulating device.

2. A device as defined in claim 1, wherein said therapeutic stimulating device is an electrical stimulator.

3. A device as defined in claim 1, wherein said therapeutic stimulating device is a continuous passive motion (CPM) device.

4. A device as defined in claim 1, wherein said therapeutic stimulating device is an inflatable/deflatable cuff.

5. A device as defined in claim 1, wherein the therapeutic stimulating device comprises at least two of an electrical stimulator, a continuous passive motion (CPM) device, and an inflatable/deflatable cuff.

6. A device as defined in claim 2, wherein the electrical stimulator comprises at least one electrode electrically active zones as electrodes and/or sensors.

7. A device as defined in claim 4, wherein the cuff is an inflatable/deflatable cuff.

8. A device as defined in claim 4, wherein the cuff has the shape of a garment.

9. A device as defined in claim 4, wherein the cuff comprises at least one electrode.

10. A device as defined in claim 4, wherein the cuff comprises openings for at least one electrode.

11. A device as defined in claim 1, wherein the dialysis device and the therapeutic stimulating device are linked to each other for controlling and monitoring an overall process through controlling and monitoring means.

12. A device as defined in claim 11, wherein the link is made via wires or a wireless connection.

13. A device as defined in claim 1, wherein the dialysis device and the therapeutic stimulation device are removably attached to each other as independent modules.

14. A device as defined in claim 11, wherein said controlling and monitoring means further allow for controlling and monitoring the stimulation carried out during dialysis of the patient.

29. A device as defined in claim 2, wherein the electrical stimulator generates a stimulation frequency less than 20 Hz.

30. A device as defined in claim 2, wherein the electrical stimulator generates a stimulation frequency between 20 Hz and 100 Hz.

31. A device as defined in claim 2, wherein the electrical stimulator generates a TENS electrical stimulation frequency between 100 Hz and 150 Hz.

32. A device as defined in claim 2, wherein the dialysis device and the electrical stimulator combine to form a single body comprising:

a plurality of electrical stimulation wires connected to the electrical stimulator;

a plurality of electrodes connected to the electrical stimulation wires;

input and output dialysis lines connected to the dialysis device;

a shielding means between the electrical stimulator and the dialysis device for preventing electrical interference between the electrical stimulator and the dialysis device; and

a monitoring and controlling unit for monitoring and controlling the single body comprising programming and memory means.

33. A device as defined in claim 32, wherein the electrical stimulator is a constant current generator.

34. A device as defined in claim 32, wherein the single body includes at least one sensor configured to:

monitor stimulation of a patient; and

feed back values to the single body to control dialysis.

35. A device as defined in claim 34, wherein the at least one sensor comprises at least one blood pressure sensor.

36. A device as defined in claim 34, wherein the control is based, at least in part, on measured parameters of the patient.

37. A device as defined in claim 32, wherein the shielding means comprises a separation between the dialysis device and the electrical stimulation.

38. A device as defined in claim 1, further comprising at least one sensor configured to:

monitor stimulation of a patient; and

feed back values to the dialysis device to control dialysis.

15. A method of treating a patient comprising:

applying dialysis to the patient; and

during dialysis, applying therapeutic stimulation to the patient.

16. A method as defined in claim 15, wherein the stimulation is an electrical stimulation of the patient.

17. A method as defined in claim 15, wherein the stimulation provides continuous passive motion (CPM) stimulation.

18. A method as defined in claim 15, wherein the stimulation is made via an inflatable/deflatable cuff.

19. A method as defined in claim 16, wherein the stimulation frequency is low.

20. A method as defined in claim 19, wherein the stimulation frequency is between about 2 Hz to about 150 Hz.

21. A method as defined in claim 17, wherein the CPM stimulation is a cycling motion at a frequency of about 0 to about 60 rpm.

22. A method as defined in claim 15, wherein at least two different types of stimulations are used during dialysis.

23. A method as defined in claim 15, wherein a stimulation is applied also between first and second dialysis sessions.

24. A method as defined in claim 23, wherein said stimulation applied between the first and second dialysis sessions comprises at least one of electrical stimulation, continuous passive motion (CPM) stimulation, and stimulation made by an inflatable/deflatable cuff.

39. A method as defined in claim 16, wherein the electrical stimulation of the patient comprises electrical stimulation of at least one muscle of the patient.

25. A method of treatment treating a patient comprising at least the following steps:

applying dialysis to a patient;

applying a therapeutic stimulation to the patient;

monitoring the stimulation of the patient with at least one sensor; and

feeding back values to control dialysis.

26. A method as defined in claim 25, wherein the stimulation applied to the patient is at least one of electrical stimulation, continuous passive motion (CPM) stimulation, and stimulation made by an inflatable/deflatable cuff.

28. A method as defined in claim 25, wherein the monitoring the stimulation is carried out between first and second dialysis sessions for compliance monitoring.

40. A method as defined in claim 25, wherein the stimulation is applied between first and second dialysis sessions.

41. A method as defined in claim 25, wherein the stimulation is applied during a dialysis session

27. (canceled)