Method and device for monitoring vessel access during extracorporeal blood treatment

• US 6,663,585 B1
• Filed: 05/25/2000
• Issued: 12/16/2003
• Est. Priority Date: 09/06/1997
• Status: Expired due to Term

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Inventors: Ender, Helmuth
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): DEAK, LESLIE R
• Application Number:
  US09/508,069
• Time in Patent Office: 1,300 Days
• Field of Search: 210/646, 210/103, 210/85, 210/87, 604/5.01, 604/5.04, 604/6.01, 604/6.09, 604/67, 604/6.08, 738/610.8
• US Class Current: 604/6.08
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/367 Circuit parts not covered by the preceding subgroups of group A61M1/3621
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 5/16831 Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066

Abstract

A method and device for monitoring vascular access is described. A field coil is placed at a location on an extracorporeal circulation loop connected to the vascular system of a patient, and an induction coil is placed at another different location. A voltage is supplied to the field coil, inducing an electric current in the blood. The current induces a voltage in the induction coil. Monitoring the voltage in the induction coil reveals if vascular access is defective.

Claims

1. A method of monitoring a vascular access during an extracorporeal blood treatment, comprising the steps of:

flowing blood taken from a patient'"'"'s vascular system through an arterial blood line of an extracorporeal blood circulation loop into a blood treatment machine;

flowing blood out of the blood treatment machine back into the patient'"'"'s vascular system through a venous blood line of the extracorporeal blood circulation loop thus forming a conductor loop that includes the patient'"'"'s vascular system;

inducing an electric current flow in a connection of the extracorporeal blood circulation loop with the patient'"'"'s vascular system;

measuring a current flowing in the conductor loop; and

determining the vascular access is defective when a characteristic change in the electric current is detected.

2. The method according to claim 1, further comprising the steps of:

disposing a field coil at a first location in the extracorporeal blood circulation loop;

flowing an alternating current through the field coil;

disposing an induction coil at a second location in the extracorporeal blood circulation loop, the second location being different from the first location; and

monitoring a current induced in the induction coil to detect the disconnected vascular access.

3. The method according to claim 2, wherein the first location in the extracorporeal blood circulation is in one of the arterial and venous blood line, and the second location in the extracorporeal blood circulation is in another of the venous and arterial blood line.

4. The method according to claim 1, further comprising triggering an alarm when the disconnected vascular access is detected.

5. The method according to claim 1, further comprising interrupting the blood flow in the extracorporeal circulation loop when the disconnected vascular access is detected.

6. A device for extracorporeal blood treatment with an extracorporeal circulation loop, having a blood treatment machine, an arterial blood line connectable at one end to a patient'"'"'s vascular system and at another end to an inlet of the blood treatment machine, and a venous blood line connectable at one end to an outlet of the blood treatment machine and at the other end to the vascular system of the patient, and a device for monitoring vascular access, the device for monitoring vascular access comprising:

means for inducing an electric current flow in a connection of the extracorporeal circulation loop with the patient'"'"'s vascular system, said means being disposed at a first location;

means for measuring the induced electric current, disposed at a second location in the extracorporeal circulation loop, said second location being different from the first location; and

an analyzer unit to determine if the vascular access is defective by monitoring a characteristic change in the induced electric current,

wherein the blood treatment machine, the arterial blood line, the venous blood line and the patient'"'"'s vascular system form a closed conductor loop.

7. The device according to claim 6, further comprising an alternating voltage generator connected to a field coil arranged at the first location, and an induction coil disposed at the second location.

8. The device according to claim 7, wherein the analyzer unit has a comparator to compare a voltage induced in the induction coil to a predetermined threshold value, and is adapted to detect the defective vascular access when the induced voltage is lower than the threshold value.

9. The device according to claim 6, wherein the means for inducing a current and the means for measuring the induced current are arranged respectively on the arterial blood line and on the venous blood line.

10. The device according to claim 6, further comprising an alarm generator for triggering an alarm when the disconnected vascular access is detected.

11. The device according to claim 6, further comprising means for interrupting the blood flow in the extracorporeal circulation loop when the disconnected vascular access is detected.