Blood purification apparatus

• US 6,423,022 B1
• Filed: 05/13/1999
• Issued: 07/23/2002
• Est. Priority Date: 05/14/1998
• Status: Expired due to Term

• Current Assignee: B Braun Melsungen AG (B. Braun Holding GmbH & Co. KG)
• Original Assignee: B Braun Melsungen AG (B. Braun Holding GmbH & Co. KG)
• Inventors: Korth, Steffen, Mueller, Friedrich A., Rath, Dieter, Roeher, Otfried
• Primary Examiner(s): Evanisko, George R.
• Assistant Examiner(s): Bianco, Patricia
• Application Number:
  US09/310,994
• Time in Patent Office: 1,167 Days
• Field of Search: 604/65-67, 604/4-6, 604/4.01, 604/5-1-, 604/6.09, 604/6.1, 604/6.11, 604/6.16, 604/28, 210/645-47, 210/650-51, 210/739, 210/741, 210/85, 210/87-90, 210/97, 210/98, 210/96-- 9, 210/134, 210/138, 210/143, 210/257--25, 210/258-59, 210/321.6, 210/805, 210/321-1-3, 210/321.75, 210/416.1, 210/929, 210/433.1, 210/434, 422/44, 422/48, 714/699, 714/819, 706/1, 706/3, 706/4, 706/8, 706/52, 706/55, 706/900, 706/924, 705/3
• US Class Current: 604/5.01
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/3623 Means for actively controlling temperature of blood
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/30 Blood pressure A61M2230/04 takes precedence
• CPC Class Codes: G05B 13/0275 using fuzzy logic only
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y10S 706/924 Medical

Abstract

The ultrafiltration rate of a blood purification apparatus is controlled by a fuzzy control device in dependence on the patient'"'"'s (16) blood pressure measured by a blood pressure monitor (24). For this purpose the blood pressure (P), a short-term blood pressure trend value (TRK) and a long-term blood pressure trend value (TRL) are fed as input variables for the fuzzy controller to the control device (23). The ultrafiltration rate (UFR) is determined by the volumetric ultrafiltration pump (36). According to the patient'"'"'s (16) blood pressure situation a prestored profile of the ultrafiltration rate is modified. This avoids the necessity of an additional infusion to prevent too strong a blood pressure decrease.

Claims

1. A blood purification apparatus comprising ultrafiltration means (11) for purifying blood, first means (15) for conducting blood from a patient to said ultrafiltration means (11), second means (27) for conducting blood from said ultrafiltration means (11) to the patient, means (23) for controlling the rate of blood flow through said first and second blood conducting means (15, 27), means (24) directly located at the patient'"'"'s body for measuring patient blood pressure (P), means (25 or 26) for determining at least one blood pressure trend value (TRK or TRL), and said controlling means (23) including fuzzy controller means (31) responsive to said measured blood pressure (P) and said at least one blood pressure trend value (TRK or TRL) for automatically affecting patient blood pressure stabilization.

2. The blood purification apparatus as defined in claim 1 including means (17) in fluid communication with said first blood conducting means (15) and responsive to the output of said fuzzy controller means (31) for affecting patient blood pressure stabilization.

3. The blood purification apparatus as defined in claim 2 including means (22) for generating an ultrafiltration volume (UFV) of said ultrafiltration means (11);

and said controlling means (23) includes analyzing means (30) responsive to said measured blood pressure (P), said at least one blood pressure trend value (TRK or TRL), and the generated ultrafiltration volume (UFV) for generating an ultrafiltration profile dependent upon variable ultrafiltration volume (UFV).

4. The blood purification apparatus as defined in claim 2 including means (22) for generating an ultrafiltration volume (UFV) of said ultrafiltration means (11);

and said controlling means (23) includes analyzing means (30) responsive to said measured blood pressure (P), said at least one blood pressure trend value (TRK or TRL), and the generated ultrafiltration volume (UFV) for generating a time dependent ultrafiltration profile dependent upon variable ultra filtration volume (UFV).

5. The blood purification apparatus as defined in claim 2 wherein said controlling means (23) includes analyzing means (30) responsive to said measured blood pressure (P) and said at least one blood pressure trend value (TRK or TRL) for generating an ultrafiltration profile dependent upon a physiological input variable.

6. The blood purification apparatus as defined in claim 1 including pump means (17) in fluid communication with said first blood conducting means (15) and responsive to the output of said fuzzy controller means (31) for affecting patient blood pressure stabilization by controlling the blood flow rate through said first blood conducting means (15).

7. The blood purification apparatus as defined in claim 1 including means (22) for generating an ultrafiltration volume (UFV) of said ultrafiltration means (11);

and said controlling means (23) includes analyzing means (30) responsive to said measured blood pressure (P), said at least one blood pressure trend value (TRK or TRL), and the generated ultrafiltration volume (UFV) for generating an ultrafiltration profile dependent upon variable ultrafiltration volume (UFV).

8. The blood purification apparatus as defined in claim 7 wherein said fuzzy controller means (31) combines inputs (P, TRK, TRL, UFV) thereto to form semantic domains arranged in one condition scale for each domain and determining for each condition of a condition scale a membership value (Cges).

9. The blood purification apparatus as defined in claim 8 including evaluation means (32) for carrying out a domain-specific weighing of said membership values (Cges) and performing a semantic evaluation for each domain.

10. The blood purificiation apparatus as defined in claim 9 including second and third fuzzy controllers (33, 34) for forming a domain-specific control variable from the membership values (Cges) of the domain and semantic evaluation.

11. The blood purification apparatus as defined in claim 10 including accumulator means (35) for aggregating the domain-specific control variables of several domains into one control variable for controlling the operation of said ultrafiltration means (11).

12. The blood purification apparatus as defined in claim 1 including means (22) for generating an ultrafiltration volume (UFV) of said ultrafiltration means (11);

and said controlling means (23) includes analyzing means (30) responsive to said measured blood pressure (P), said at least one blood pressure trend value (TRK or TRL), and the generated ultrafiltration volume (UFV) for generating a time dependent ultrafiltration profile dependent upon variable ultrafiltration volume (UFV).

13. The blood purification apparatus as defined in claim 1 wherein said controlling means (23) includes analyzing means (30) responsive to said measured blood pressure (P) and said at least one blood pressure trend value (TRK or TRL) for generating an ultrafiltration profile dependent upon a physiological input variable.