Method and device for monitoring an extracorporeal blood circuit

• US 9,878,086 B2
• Filed: 07/11/2007
• Issued: 01/30/2018
• Est. Priority Date: 07/14/2006
• 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: Kleinekofort, Wolfgang
• Primary Examiner(s): Zimbouski, Ariana
• Application Number:
  US12/373,818
• Publication Number:
  US 20090292236A1
• Time in Patent Office: 3,856 Days
• Field of Search: 604 401, 604 65
• CPC Class Codes: A61M 1/3639 Blood pressure control, pressure transducers specially adapted therefor
• 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 1/3661 for haemodialysis

Abstract

To monitor an extracorporeal blood circuit during extracorporeal blood treatment, the arterial pressure and venous pressure in the arterial branch and venous branch of the extracorporeal circuit are measured by pressure sensors, and the sum P_s and the difference ΔP of the arterial pressure and/or venous pressure measured at the same time are calculated. A possible error state is indicated when the sum P_s and/or difference ΔP lie outside predetermined limit value windows A and B. To reduce the susceptibility to error, a check is preferably also made to ascertain whether the two above conditions are satisfied for n successive measurements.

Claims

1. A device for detecting an error state in extracorporeal blood treatment, comprising:

an extracorporeal blood circuit comprising an arterial blood conduit connected to an inlet of a blood treatment device and to an arterial attachment for a vascular access, and a venous blood conduit connected to an outlet of the blood treatment device and to a venous attachment for the vascular access;

an arterial pressure sensor for measuring the pressure in the arterial blood conduit;

a venous pressure sensor for measuring the pressure in the venous blood conduit;

a monitoring means comprising a computing unit and a memory unit, the computing unit being configured for receiving pressure values measured by the arterial pressure sensor and venous pressure sensor, wherein the pressure values are transmitted to the computing unit via data links, and wherein the computing unit is programmed to calculate both a sum (P_s) of the values of arterial pressure and venous pressure measured at time t_n, and a difference (Δ

P) of the values of the arterial pressure and venous pressure measured at time t_n, the memory unit being connected to the computing unit via a data link and having stored therein a predetermined limit value window A and a predetermined limit value window B, the monitoring means being programmed to continuously compare both the sum P_s at time t_n to the predetermined limit value window A, and the difference Δ

P at time t_n to the predetermined limit value window B throughout the duration of the extracorporeal blood treatment, to evaluate P_s and Δ

P at a number of times, and wherein a first alarm condition is determined to be present if both P_s and Δ

P lie outside the respective predetermined limit value windows; and

an alarm unit connected to the computing unit via a control line, wherein the alarm unit comprises an acoustic emitter, an optical emitter, or both, and emits an alarm if an error state is detected, wherein the error state is detected if a first alarm condition is present a predetermined number of times.

2. The device of claim 1, wherein the respective predetermined limit value windows each have a fixed upper limit value and a fixed lower limit value;

and

the monitoring means further being programmed to compare P_s to the upper limit value and the lower limit value of the predetermined limit value window A, and being programmed to compare Δ

P to the upper limit value and the lower limit value of the predetermined limit value window B.

3. The device of claim 1, wherein the monitoring means is programmed to evaluate P_s and Δ

P at a predetermined number of consecutive times (n), and detect an error state if the first alarm condition is present for n consecutive times.

4. The device of claim 3, further comprising at least one of a stoppable blood pump arranged in the extracorporeal blood circuit and a closable safety valve arranged in the extracorporeal blood circuit for interrupting the blood flow in the extracorporeal blood circuit if the error state is detected.

5. The device of claim 3, further comprising a stoppable blood pump arranged in the extracorporeal blood circuit and a closable safety valve arranged in the extracorporeal blood circuit for interrupting the blood flow in the extracorporeal blood circuit if the error state is detected, wherein the alarm unit is configured to send an alarm signal to stop the blood pump and close the safety valve if the error state is detected.