Device for dialysis and stimulation of a patient and method

• US 9,999,560 B2
• Filed: 08/07/2013
• Issued: 06/19/2018
• Est. Priority Date: 08/22/2007
• Status: Active Grant

• Current Assignee: DJO LLC (Enovis Corp.), Universitã¤T Bern
• Original Assignee: DJO LLC (Enovis Corp.), Universitã¤T Bern
• Inventors: Farese, Stefan, Uehlinger, Dominik, Schonenberger, Klaus, Buhlmann, Felix
• Primary Examiner(s): Wu, Eugene T
• Assistant Examiner(s): Wu, Eugene
• Application Number:
  US13/961,478
• Publication Number:
  US 20130324896A1
• Time in Patent Office: 1,777 Days
• Field of Search: 607 2, 607 3, 607 48, 607 62, 607144, 600386, 600388, 604 28- 30
• CPC Class Codes: A61H 1/008 Apparatus for applying pressure or blows almost perpendicular to the body or limb axis, e.g. chiropractic devices for repositioning vertebrae, correcting deformation
• CPC Class Codes: A61H 9/0078 with intermittent or alternately inflated bladders or cuffs mattresses for preventing bed-sores with alternated pressurized chambers A61G7/05776
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 2205/05 combined with other kinds of therapy
• CPC Class Codes: A61N 1/0452 Specially adapted for transcutaneous muscle stimulation [TMS]
• CPC Class Codes: A61N 1/0484 Garment electrodes worn by the patient
• CPC Class Codes: A61N 1/321 Electromedical belts
• CPC Class Codes: A61N 1/36003 of motor muscles, e.g. for walking assistance
• CPC Class Codes: A61N 1/36031 using physiological parameters for adjustment
• CPC Class Codes: A61N 1/36034 specified by the stimulation parameters

Abstract

A device and method for carrying out dialysis and stimulation of a patient at the same time, in which an inflatable/deflatable cuff applies the stimulation.

Claims

1. A method of treating a patient comprising:

providing a dialysis device and a stimulation device, the stimulation device including an inflatable/deflatable cuff having at least one electrode positioned thereon, the dialysis device linked with the inflatable/deflatable cuff such that the dialysis device can control the inflatable/deflatable cuff and the at least one electrode during a dialysis session;

applying dialysis to the patient with the dialysis device during a dialysis session;

during the dialysis session, applying physical stimulation to the patient via the stimulation device with the inflatable/deflatable cuff, by inflating and/or deflating the inflatable/deflatable cuff;

measuring blood pressure of the patient during the dialysis session with a sensor; and

when the blood pressure of the patient drops during the dialysis session, providing, with the at least one electrode, electrical stimulation to the patient at a certain frequency in an electrical stimulation program to activate the patient'"'"'s muscles to increase the blood pressure of the patient.

2. The method of claim 1, wherein the method further comprises applying continuous passive motion (CPM) stimulation to the patient during dialysis.

3. The method of claim 2, wherein the CPM stimulation is a cycling motion at a frequency of about 0 to about 60 rpm.

4. The method of claim 1, further comprising applying a stimulation to the patient between a first dialysis session and a second dialysis session.

5. The method of claim 4, wherein said stimulation applied between the first and second dialysis sessions comprises at least one of stimulation made by an inflatable/deflatable cuff or continuous passive motion (CPM) stimulation.

6. The method of claim 1, wherein at least two different types of stimulation are used during dialysis.

7. The method of claim 1, wherein the stimulation applied by the inflatable/deflatable cuff is a combination of graduated sequential compression and rapid impulse inflation.

8. A system for carrying out dialysis and stimulation of a patient at the same time, comprising:

a dialysis device;

a sensor configured to measure blood pressure of a patient; and

a stimulating device linked together with the dialysis device such that the dialysis device controls a dialysis session and controls the stimulating device to physically and electrically stimulate the patient during the dialysis session, the stimulating device comprising

an inflatable/deflatable cuff for providing physical stimulation by inflation and deflation of the inflatable/deflatable cuff, and

at least one electrode positioned on the inflatable/deflatable cuff for providing electrical stimulation to the patient during the dialysis session when the blood pressure of the patient drops, the stimulating device configured to provide electrical stimulation to the patient through the at least one electrode, in an electrical stimulation program, to activate the muscles of the patient to increase the blood pressure of the patient.

9. The system of claim 8, wherein the stimulating device is configured to provide electrical stimulation configured to sequentially activate muscles.

10. The system of claim 9, wherein the stimulating device is configured to provide electrical stimulation configured to sequentially activate muscles from an extremity toward a center of the patient'"'"'s body.

11. The system of claim 8, wherein the dialysis device controls the stimulating device to carry out stimulation during dialysis based on one or more measured parameters on the patient selected from the consisting of:

blood flow, urea elimination rate, haematrocrit value, cardiac rhythm, respiration, and oxygen rate.

12. The system of claim 8, wherein the stimulating device is configured to provide electrical stimulation via the at least one electrode at a frequency less than about 20 Hz.

13. The system of claim 8, wherein the stimulating device is configured to provide a TENS stimulation via the at least one electrode with a frequency between about 100 Hz to about 150 Hz.

14. The system of claim 8, wherein the stimulating device is configured to provide electrical stimulation via the at least one electrode at a frequency between about 2 Hz to about 8 Hz for producing distinct muscle twitches.

15. The system of claim 8, wherein the stimulating device is configured to provide electrical stimulation via the at least one electrode at a frequency of about 50 Hz.

16. The system of claim 8, wherein the cuff is shaped to fit a body part.

17. The system of claim 16, wherein the body part is a calf, foot or thigh.

18. The system of claim 8, wherein the cuff has the shape of a garment.

19. The system of claim 8, further comprising a continuous passive motion (CPM) device.

20. The system of claim 8, wherein the stimulation applied by the inflatable/deflatable cuff is a combination of graduated sequential compression and rapid impulse inflation.

21. The system of claim 8, wherein the device further comprises a monitor and a controller for monitoring and controlling the overall process.

22. The system of claim 8, wherein the dialysis device and the stimulating device are removably attached to each other.

23. The system of claim 8, wherein the link is made via wires or a wireless connection.