Apparatus for detecting moisture for an apparatus for monitoring the access to a patient, in particular for monitoring the vascular access during extracorporeal blood treatment

• US 8,454,550 B2
• Filed: 02/11/2010
• Issued: 06/04/2013
• Est. Priority Date: 02/14/2009
• Status: Active Grant

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Inventors: Koenig, Christoph, Wuepper, Andreas, Heide, Alexander, Klewinghaus, Juergen, Schroers, Alexander
• Primary Examiner(s): Zalukaeva, Tatyana
• Assistant Examiner(s): Bailey, Jordan B
• Application Number:
  US13/201,593
• Publication Number:
  US 20120029410A1
• Time in Patent Office: 1,209 Days
• Field of Search: 604/6.16, 604/264
• US Class Current: 604/6.16
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation

Abstract

An apparatus is disclosed for detecting moisture, which is intended for the use in an apparatus for monitoring an access to a patient for a device by means of which a fluid is conducted to and/or removed from a patient via a hose line, in particular for monitoring the vascular access during an extracorporeal blood treatment, wherein blood of a patient is removed from the patient via an arterial hose line, which has an arterial puncture cannula, and is conducted back to the patient via a venous hose line, which has a venous puncture cannula. The apparatus for detecting moisture is designed as a pad which is made of a flexible material and is to be applied onto the patient'"'"'s skin and which comprises an upper side facing away from the patient'"'"'s skin and a lower side facing the patient'"'"'s skin. The pad comprises an opening for the passage of fluid, in particular blood, and a moisture sensor having contact elements for the connection of the same. The moisture sensor is capable of detecting blood flowing through the opening to the surface of the pad. The apparatus according to the invention is characterized in that the lower side of the pad is impervious to fluid.

Claims

1. A device for detecting moisture for use with a device for monitoring an access to a patient for an apparatus with which a fluid can be at least one of (a) fed to a patient and (b) carried away from a patient via a hose line, the device for detecting moisture comprising:

a cover made of a flexible material and configured to be placed onto the patient'"'"'s skin, the cover including

an upper side configured to face away from the patient'"'"'s skin when the cover is placed onto the patient'"'"'s skin and

an underside configured to face the patient'"'"'s skin when the cover is placed onto the patient'"'"'s skin, and

a cutout configured to allow passage there through of a cannula for the patient access and a moisture sensor with contact elements for connecting the moisture sensor, Wherein the cover is impermeable to liquid at the underside, and permeable to liquid at the upper side.

2. The device for detecting moisture according to claim 1, wherein the device for detecting moisture is configured to be operated in connection with a device for monitoring the vascular access in an extracorporeal blood treatment, in which a patient'"'"'s blood is carried away from the patient via an arterial hose line which has an arterial cannula, and is fed back to the patient via a venous hose line which has a venous puncture cannula.

3. The device for detecting moisture according to claim 1, wherein the cover is permeable to air and water vapor at the underside.

4. The device for detecting moisture according to claim 1, wherein the cover is a pad with two longitudinal sides and two narrow sides.

5. The device for detecting moisture according to claim 1, wherein the cutout in the cover is a substantially circular or oval cutout.

6. The device for detecting moisture according to claim 1, wherein the cover comprises a first predetermined rupture line, which extends from the cutout in the cover to an edge of the cover.

7. The device for detecting moisture according to claim 1, wherein the cover comprises a flexible carrier material, wherein at least one strip conductor made of a flexible material and at least two contact elements for connecting the at least one strip conductor are applied on an upper side of the carrier material.

8. The device for detecting moisture according to claim 6, wherein the cover comprises a second predetermined rupture line, the second predetermined rupture line dividing the cover into two sections, the moisture sensor being disposed in one of the two sections of the cover.

9. The device for detecting moisture according to claim 8, wherein the carrier material is a nonwoven fabric.

10. The device for detecting moisture according to claim 9, wherein the nonwoven fabric has a thickness of 50 to 500 μ

m, preferably 100 to 200 μ

m, in particular 150 μ

m.

11. The device for detecting moisture according to claim 9, wherein the nonwoven fabric has a thickness of 100 to 200 μ

m.

12. The device for detecting moisture according to claim 11, wherein the nonwoven fabric has a thickness of 150 μ

m.

13. The device for detecting moisture according to claim 7, wherein the at least one strip conductor is printed on the carrier material.

14. The device for detecting moisture according to claim 7, wherein the at least one strip conductor has a layer thickness of 10 to 150 μ

m, preferably 50 to 100 μ

m.

15. The device for detecting moisture according to claim 7, wherein the at least one strip conductor has a layer thickness of 50 to 100 μ

m.

16. The device for detecting moisture according to claim 7, wherein the at least one strip conductor is made from a conductive flexible material which is screen-printed on the upper side of the carrier material.

17. The device for detecting moisture according to claim 7, wherein the at least one strip conductor comprises a first strip conductor leading to a terminating resistor and a second strip conductor leading away from the terminating resistor, ends of the first and second strip conductor being connected electrically to the contact elements applied on the carrier material.

18. The device for detecting moisture according to claim 17, wherein the at least one strip conductor further comprises a third strip conductor leading to a second terminating resistor and a fourth strip conductor leading away from the second terminating resistor, ends of the third and fourth strip conductors being electrically connected to the contact elements applied on the carrier material.

19. The device for detecting moisture according to claim 17, wherein the first or second terminating resistor is printed on the carrier material.

20. The device for detecting moisture according to claim 7, wherein the at least one strip conductor forms at least one conductor loop at least partially surrounding the cutout in the cover.

21. The device for detecting moisture according to claim 1, wherein the cover further includes an adhesive layer at the underside of the cover, so that the cover is adhesively fixable to the patient'"'"'s skin.

22. The device for detecting moisture according to claim 21, wherein the adhesive layer is impermeable to liquid.

23. The device for detecting moisture according to claim 21, wherein the adhesive layer extends only over a section of the underside of the cover, so that another section of the underside of the cover is free from the adhesive layer.

24. The device for detecting moisture according to claim 23, wherein the section of the cover free from the adhesive layer is the region of the cover on which the contact elements for the at least one strip conductor are disposed.

25. A device for monitoring an access to a patient for an apparatus with which a fluid is fed to the patient or carried away from the patient via a hose line, the device for monitoring an access comprising:

a device for detecting moisture according to claim 1.

26. The device for monitoring an access to a patient according to claim 25, wherein the device is configured to monitor a vascular access of an extracorporeal blood treatment apparatus in which a patient'"'"'s blood is carried away from the patient via an arterial hose line which has an arterial cannula and is fed back to the patient via a venous hose line which has a venous puncture cannula.

27. The device for monitoring an access to a patient according to claim 25, further comprising:

an evaluation unit connectable to the moisture sensor of the device for detecting moisture.

28. The device for monitoring an access to a patient according to claim 27, further comprising:

a connection cable for producing a connection between the moisture sensor and the evaluation unit, wherein the connection cable includes a connection part with spring-loaded contacts which are electrically connectable to contact elements of the moisture sensor.

29. The device for monitoring an access to a patient according to claim 27, wherein the evaluation unit comprises a unit for determining the resistance or the capacitance between the contact elements of the moisture sensor.

30. The device for monitoring an access to a patient according to claim 25, further comprising:

a transmitting unit connected to the evaluation unit; and

a receiving unit spatially separated from the transmitting unit.

31. A blood treatment apparatus with an extracorporeal blood circuit, the blood treatment apparatus comprising:

an arterial hose line with an arterial cannula and

a venous hose line with a venous cannula, and

the device for monitoring an access according to claim 25, the device for monitoring an access being configured to monitor at least one of (a) an arterial vascular access and (b) a venous vascular access.

32. The blood treatment apparatus according to claim 31, further comprising:

a control unit, wherein the device for monitoring an access cooperates with the control unit of the blood treatment apparatus in such a way that at least one of (a) a control signal for triggering an alarm and (b) an intervention into the machine control is generated if moisture is detected by the device for detecting moisture.