Method for the in-vivo determination of hemodialysis parameters

• US 5,100,554 A
• Filed: 11/19/1990
• Issued: 03/31/1992
• Est. Priority Date: 11/21/1989
• Status: Expired due to Term

• Current Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Original Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Inventors: Polaschegg, Hans-Dietrich
• Primary Examiner(s): JONES, WILLIAM G
• Application Number:
  US07/615,450
• Time in Patent Office: 498 Days
• Field of Search: 210/647, 210/646, 210/746, 210/96.2, 604/4, 604/5, 604/6
• US Class Current: 210/647
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/1607 before use, i.e. upstream of dialyser
• CPC Class Codes: A61M 1/1609 after use, i.e. downstream of dialyser
• CPC Class Codes: A61M 1/1615 using measurements made at different flow rates
• CPC Class Codes: A61M 1/1617 using measurements made during a temporary variation of a characteristic of the fresh dialysis fluid
• CPC Class Codes: A61M 2202/0498 Urea
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/3317 Electromagnetic, inductive or dielectric measuring means
• CPC Class Codes: A61M 2205/3324 PH measuring means
• CPC Class Codes: A61M 2230/65 Impedance, e.g. conductivity, capacity

Abstract

This invention relates to a method for the in-vivo determination of hemodialysis parameters. To carry out hemodialysis with the greatest efficiency and safety, it is inter alia necessary to know the clearance of the dialyzer. To be able to determine the same in vivo, the invention provides a method in which the electrolyte transfer of the dialysis fluid is measured by means of a measuring device at two different predetermined dialysis fluid ion concentrations and the dialysance is determined on the basis thereof, which dialysance is numerically equal to the clearance.

Claims

1. A method for the in-vivo determination of hemodialysis parameters with a dialyzer using an apparatus for adjusting the ion concentration of the dialysis fluid and a measuring device, comprising measuring the electrolyte transfer of said dialysis fluid by making first and second measurements with said measuring device at two different predetermined dialysis fluid ion concentrations and determining the dialysance by determining the difference between the differences of said dialysis fluid ion concentration at the inlet side and the outlet side of the dialyzer at the time of the first and second measurements, respectively, dividing the result by the difference of said dialysis fluid ion concentration at said inlet side at the time of said first and said second measurements, and multiplying by the dialysis fluid flow.

2. A method according to claim 1, comprising carrying out the two measurements at a short time intervals.

3. A method according to claim 1 or 2 comprising measuring the Na concentration of said dialysis fluid.

4. A method according to claim 1 or 2, comprising measuring the temperature-corrected conductivity of said dialysis fluid.

5. A method according to claim 1, comprising carrying out the measurements by using conductivity sensors.

6. A method according to claim 1, comprising determining the clearance of said dialyzer on the basis of said determined dialysance.

7. A method according to claim 1, comprising determining changes in the aqueous portion of blood by measuring changes in one or both of said clearance and said dialysance.

8. A method according to claim 1, comprising determining changes in the blood volume and comparing said changes with changes in one or both of said clearance and said dialysance, and determining changes in the transportation properties of the membrane on the basis thereof.

9. A method according to claim 1, comprising adjusting said dialysis fluid flow to two different values and determining said dialysance in dependence upon said dialysis fluid flow.