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    • 31. 发明申请
    • DETECTING PRESSURE PULSES IN A BLOOD PROCESSING APPARATUS
    • 检测血液加压装置中的压力脉冲
    • WO2014095524A1
    • 2014-06-26
    • PCT/EP2013/076233
    • 2013-12-11
    • GAMBRO LUNDIA AB
    • STERNBY, JanHOLMER, MattiasOLDE, BoSOLEM, KristianWALLENBORG, AndersHANSSON, Per
    • A61M1/36A61B5/00
    • A61M1/14A61B5/7217A61M1/1605A61M1/1613A61M1/3639A61M1/3653A61M1/3656A61M1/3659A61M1/3661A61M2205/13A61M2205/15A61M2205/3303A61M2205/3331A61M2205/3344A61M2205/50A61M2230/04
    • A monitoring device (7) operates on a pressure signal from a blood processing apparatus, e.g. a dialysis machine, which has an extracorporeal blood circuit connected to a vascular system of a subject for pumping blood through a dialyzer, and a treatment fluid supply system for pumping a treatment fluid through the dialyzer. The monitoring device (7) has a first input block (50) for obtaining a first pressure signal (y) from a first pressure sensor (6a) in the extracorporeal blood circuit, and a second input block (51) for obtaining a second pressure signal (w) from a second pressure sensor (6b) in the treatment fluid supply system. An emulation block (56) generates, as a function of the second pressure signal (w), an emulated first pressure signal (y) which emulates a concurrent signal response of the first pressure sensor (6a), and a filtering block (53) generates a filtered signal (y) as a function of the first pressure signal (y) and the emulated first pressure signal (y), so as to suppress, in the filtered signal (}y) compared to the first pressure signal (y), signal interferences originating from the treatment fluid supply system (lb). A pulse detection block (54) processes the filtered signal (y f ) for detection of subject pulses originating from the subject.
    • 监测装置(7)对来自血液处理装置的压力信号进行操作。 透析机具有连接到受试者的血管系统的体外血液回路,用于通过透析器泵血,以及用于通过透析器泵送治疗流体的治疗液供给系统。 监测装置(7)具有用于从体外血液回路中的第一压力传感器(6a)获得第一压力信号(y)的第一输入块(50)和用于获得第二压力 来自处理液供给系统中的第二压力传感器(6b)的信号(w)。 仿真块(56)根据第二压力信号(w)产生仿真第一压力传感器(6a)的并行信号响应的模拟第一压力信号(y)和滤波块(53), 根据第一压力信号(y)和仿真的第一压力信号(y)产生滤波信号(y),以便抑制与第一压力信号(y)相比的滤波信号(y) 来自治疗液供应系统(1b)的信号干扰。 脉冲检测块(54)处理用于检测从被摄体发出的被摄体脉冲的滤波信号(yf)。
    • 35. 发明公开
    • APPARATUS AND METHOD FOR PREDICTION OF RAPID SYMPTOMATIC BLOOD PRESSURE DECREASE
    • 用于预测快速症状性血压下降的装置和方法
    • EP2519277A1
    • 2012-11-07
    • EP10796397.7
    • 2010-12-22
    • Gambro Lundia AB
    • OLDE, BoSOLEM, Kristian
    • A61M1/36A61B5/0215
    • A61B5/0215A61M1/3639
    • A monitoring device (29) is included in a medical system to implement a method for prediction of a rapid symptomatic drop in a subject's blood pressure, e.g. during a medical treatment such as dialysis. To this aim, a pulse shape parameter (p
      PS ) with respect to a pulse generator of the subject is registered by means of a pressure sensor (4a, 4b, 4c) arranged in an extracorporeal blood flow circuit coupled to a cardiovascular system of the subject (P). The pressure sensor (4a, 4b, 4c) is adapted to detect pressure variations in blood vessels of the subject (P). It is investigated, during measurement period, whether or not one or more of the pulse shape parameters fulfil a decision criterion. An output signal (α) is generated if the decision criterion is found to be fulfilled, to indicate a predicted rapid symptomatic blood pressure decrease in the subject (P). The decision criterion may operate on pulse magnitude measures calculated for the received pulse shape parameters (p
      PS ), or statistical dispersion measures calculated based on the thus-calculated pulse magnitude measures.
    • 监视设备(29)被包括在医疗系统中以实施用于预测对象的血压的快速症状下降的方法,例如, 在透析等医疗过程中。 为了这个目的,借助布置在体外血流回路中的压力传感器(4a,4b,4c)来记录关于受试者的脉冲发生器的脉搏形状参数(p PS),该体外血流回路耦合到心血管系统的心血管系统 主题(P)。 压力传感器(4a,4b,4c)适于检测对象(P)的血管中的压力变化。 在测量期间研究一个或多个脉冲形状参数是否满足判定标准。 如果发现判定标准被满足,则产生输出信号(α),以指示对象(P)中的预测的快速症状性血压降低。 判定标准可以对针对接收到的脉冲形状参数(p PS)计算的脉搏幅度度量或基于如此计算的脉搏幅度度量计算的统计色散度量进行操作。