ADAPTIVE SYSTEM FOR BLOOD FLUID REMOVAL
First Claim
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1. A method carried out by a blood fluid removal system, comprising:
- initiating a blood fluid removal session with initial system parameters;
acquiring a first set of data regarding one or more patient physiological parameters;
storing the first data set in a most effective to date data set memory;
associating the initial system parameters in an increased effectiveness lookup table with the first data set;
adjusting at least one parameter of the blood fluid removal session to arrive at adjusted system parameters;
acquiring a second set of data regarding the one or more patient physiological parameters after the at least one parameter of the blood fluid removal session has been adjusted; and
if at least one value of the second data set is closer to the target value than a corresponding at least one value of the first data set;
replacing the first data set in the most effective to date data set memory with the second data set;
storing in the increased effectiveness lookup table data regarding the second data set; and
associating data regarding the adjusted system parameters with the second data set.
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Abstract
Methods for monitoring patient parameters and blood fluid removal system parameters include identifying those system parameters that result in improved patient parameters or in worsened patient parameters. By comparing the patient'"'"'s past responses to system parameters or changes in system parameters, a blood fluid removal system may be able to avoid future use of parameters that may harm the patient and may be able to learn which parameters are likely to be most effective in treating the patient in a blood fluid removal session.
123 Citations
20 Claims
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1. A method carried out by a blood fluid removal system, comprising:
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initiating a blood fluid removal session with initial system parameters; acquiring a first set of data regarding one or more patient physiological parameters; storing the first data set in a most effective to date data set memory; associating the initial system parameters in an increased effectiveness lookup table with the first data set; adjusting at least one parameter of the blood fluid removal session to arrive at adjusted system parameters; acquiring a second set of data regarding the one or more patient physiological parameters after the at least one parameter of the blood fluid removal session has been adjusted; and if at least one value of the second data set is closer to the target value than a corresponding at least one value of the first data set;
replacing the first data set in the most effective to date data set memory with the second data set;
storing in the increased effectiveness lookup table data regarding the second data set; and
associating data regarding the adjusted system parameters with the second data set. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A blood fluid removal system comprising:
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a blood fluid removal medium configured to remove blood from a patient, wherein blood enters the medium, fluid is removed from the blood, and blood exits the medium; one or more control elements configured to control (i) the rate at which the medium removed fluid from the blood or (ii) the concentration of electrolytes or pH in the blood that exits the medium; one or more sensors configured monitor one or more physiological parameter of the patient; and control electronics comprising memory and a processor, wherein the control electronics are in operable communication with the one or more sensors and are operably coupled to the one or more control elements, wherein the control electronics are configured to (i) initiate a blood fluid removal session with initial system parameters;
(ii) acquire a first set of data regarding one or more patient physiological parameters;
(iii) store the first data set in a most effective to date data set memory;
(iv) associate the initial system parameters in an increased effectiveness lookup table with the first data set;
(v) adjust at least one parameter of the blood fluid removal session to arrive at adjusted system parameters;
(vi) acquire a second set of data regarding the one or more patient physiological parameters after the at least one parameter of the blood fluid removal session has been adjusted; and
(vii) if at least one value of the second data set is closer to the target value than a corresponding at least one value of the first data set;
replace the first data set in the most effective to date data set memory with the second data set;
store in the increased effectiveness lookup table data regarding the second data set; and
associate data regarding the adjusted system parameters with the second data set.
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14. A computer-readable medium comprising instructions that, when executed by a blood fluid removal device, cause the device to
initiate a blood fluid removal session with initial system parameters; -
acquire a first set of data regarding one or more patient physiological parameters; store the first data set in a most effective to date data set memory; associate the initial system parameters in an increased effectiveness lookup table with the first data set; adjust at least one parameter of the blood fluid removal session to arrive at adjusted system parameters; acquire a second set of data regarding the one or more patient physiological parameters after the at least one parameter of the blood fluid removal session has been adjusted; and if a at least one value of the second data set is closer to the target value than a corresponding at least one value of the first data set;
replace the first data set in the most effective to date data set memory with the second data set;
store in the increased effectiveness lookup table data regarding the second data set; and
associate data regarding the adjusted system parameters with the second data set.
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15. A method carried out by a blood fluid removal system, comprising:
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collecting first data regarding a patient, the data including one or more of a physiological parameter and time since last blood fluid removal session; collecting second data regarding system parameters employed in blood fluid removal sessions of the patient; determining, based on the first and second collected data, whether at least one physiological parameter of the patient improved as a result of the system parameters employed; determining whether a value of current patient data is within a predetermined range of a corresponding value of first collected data; and employing the system parameters that resulted in improvement, if such parameters are determined to exist and if the current patient data is determined to be within the predetermined range. - View Dependent Claims (16, 17, 18)
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19. A blood fluid removal system comprising:
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a blood fluid removal medium configured to remove blood from a patient, wherein blood enters the medium, fluid is removed from the blood, and blood exits the medium; one or more control elements configured to control (i) the rate at which the medium removed fluid from the blood or (ii) the concentration of electrolytes or pH in the blood that exits the medium; one or more sensors configured monitor one or more physiological parameter of the patient; an input configured to allow entry of data regarding patient or system parameters; and control electronics comprising memory and a processor, wherein the control electronics are in operable communication with the one or more sensors and are operably coupled to the one or more control elements and the input, wherein the control electronics are configured to; collect first data regarding a patient, the data including one or more of a physiological parameter and time since last blood fluid removal session; collect second data regarding system parameters employed in blood fluid removal sessions of the patient; determine, based on the first and second collected data, whether at least one physiological parameter of the patient improved as a result of the system parameters employed; determine whether a value of current patient data is within a predetermined range of a corresponding value of first collected data; and employ the system parameters that resulted in improvement, if such parameters are determined to exist and if the current patient data is determined to be within the predetermined range.
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20. A computer-readable medium comprising instructions that, when executed by a blood fluid removal device, cause the device to
collect first data regarding a patient, the data including one or more of a physiological parameter and time since last blood fluid removal session; -
collect second data regarding system parameters employed in blood fluid removal sessions of the patient; determine, based on the first and second collected data, whether at least one physiological parameter of the patient improved as a result of the system parameters employed; determine whether a value of current patient data is within a predetermined range of a corresponding value of first collected data; and employ the system parameters that resulted in improvement, if such parameters are determined to exist and if the current patient data is determined to be within the predetermined range.
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Specification