Apparatus for extracorporeal treatment of blood
AssigneeGambro Lundia AB
InventorDominique Pouchoulin
Life of this patent
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Abstract
An apparatus for extracorporeal treatment of blood (1) comprising a filtration unit (2), a blood withdrawal line (6), a blood return line (7), an effluent fluid line (13), a pre and/or post-dilution fluid line (15, 25) connected to the blood withdrawal line, and a dialysis fluid line. Pumps (17, 18, 21, 22, 27) act on the fluid lines for regulating the flow of fluid. A control unit (10) is configured to periodically calculate a new value for the patient fluid removal rate to be imposed on an ultrafiltration actuator in order to keep a predefined patient fluid removal rate across a reference time interval irrespective of machine down times.
Claims23
1-26. (canceled)
A process of controlling an apparatus for extracorporeal treatment of blood, the apparatus being of the type comprising:
- a filtration unit having a primary chamber and a secondary chamber separated by a semi-permeable membrane;
- a blood withdrawal line connected to an inlet of the primary chamber connected to an outlet of the primary chamber said blood lines being designed to be connected to a patient cardiovascular system;
- a blood pump for controlling the flow of blood through the blood lines;
- an effluent fluid line connected to an outlet of the secondary chamber;
- an ultrafiltration actuator connected to the effluent fluid line and configured to cause a transfer of fluid from the primary (3) to the secondary chamber, wherein the process comprises:
- controlling the ultrafiltration actuator based on a set value for patient fluid removal rate, said set value being a desired value for the rate of fluid removal from the patient,
- determining when the ultrafiltration actuator is operated and/or when the ultrafiltration actuator is not operated,
- executing at check points during patient treatment a control procedure comprising:
- receiving one check information selected in the group of:
- an effective time portion, of said time period preceding a check point, during which said ultrafiltration actuator is operated, a down time portion, of said time period preceding a check point, during which said ultrafiltration actuator is not operated,
- calculating an updated value for said fluid removal rate as a function of said set value for a fluid removal rate and of said check information.
(canceled)
(canceled)
37-41. (canceled)
44-65. (canceled)
A process of controlling an apparatus for extracorporeal treatment of blood, the apparatus being of the type comprising:
- a filtration unit having a primary chamber and a secondary chamber separated by a semi-permeable membrane;
- a blood withdrawal line connected to an inlet of the primary chamber, and a blood return line connected to an outlet of the primary chamber said blood lines being designed to be connected to a patient cardiovascular system;
- a blood pump for controlling the flow of blood through the blood lines;
- an effluent fluid line connected to an outlet of the secondary chamber;
- an ultrafiltration actuator connected to the effluent fluid line and configured to cause a transfer of fluid from the primary to the secondary chamber, wherein the process comprises:
- controlling the ultrafiltration actuator based on a set value for patient fluid removal rate, said set value being a desired value for the rate of fluid removal from the patient,
- executing at check points during patient treatment a control procedure comprising:
- receiving one check information selected in the group of:
- an effective time portion, of a time period preceding a check point, during which said ultrafiltration actuator is operated,
- a down time portion, of a time period preceding a check point, during which said ultrafiltration actuator is not operated;
- calculating an updated value for said fluid removal rate as a function of said set value for a fluid removal rate and of said check information;
- after calculating said updated value, controlling the ultrafiltration actuator after the check point as a function of said updated value for the fluid removal rate.
A process of controlling an apparatus for extracorporeal treatment of blood, the apparatus being of the type comprising:
- a filtration unit having a primary chamber and a secondary chamber separated by a semi-permeable membrane;
- a blood withdrawal line connected to an inlet of the primary chamber, and a blood return line connected to an outlet of the primary chamber said blood lines being designed to be connected to a patient cardiovascular system;
- a blood pump for controlling the flow of blood through the blood lines;
- an effluent fluid line connected to an outlet of the secondary chamber;
- an ultrafiltration actuator connected to the effluent fluid line and configured to cause a transfer of fluid from the primary to the secondary chamber, wherein the process comprises:
- controlling the ultrafiltration actuator based on a set value for patient fluid removal rate, said set value being a desired value for the rate of fluid removal from the patient,
- executing at check points during patient treatment a control procedure comprising:
- receiving one check information selected in the group of:
- a value of fluid removed from the patient over a time period preceding a check point,
- an effective time portion, of a time period preceding a check point, during which said ultrafiltration actuator is operated,
- a down time portion, of a time period preceding a check point, during which said ultrafiltration actuator is not operated;
- determining an effective portion of a time period following the check point, during which it is forecasted that the ultrafiltration actuator will be actually pulling fluid from the primary chamber into the secondary chamber;
- calculating an updated value for said fluid removal rate as a function of:
- said set value for a fluid removal rate,
- said effective portion of the time period following the check point, and
- said check information;
- after calculating said updated value, controlling the ultrafiltration actuator after the check point as a function of said updated value for the fluid removal rate.
Dependencies are inferred from the claim text.