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    • 41. 发明申请
    • MONITORING OF CARDIAC ARREST IN A PATIENT CONNECTED TO AN EXTRACORPOREAL BLOOD PROCESSING APPARATUS
    • 监测与病毒血液加工装置连接的患者的心脏病
    • WO2014147028A1
    • 2014-09-25
    • PCT/EP2014/055309
    • 2014-03-17
    • GAMBRO LUNDIA AB
    • HANSSON, PerOLDE, BoSOLEM, KristianSTERNBY, Jan
    • A61B5/0215A61M1/36
    • A61B5/6866A61B5/02125A61B5/0215A61B5/02158A61B5/4836A61B5/7246A61B5/7282A61B5/746A61M1/3639A61M1/3653A61M1/3656A61M1/3659A61M1/3661A61M1/369A61M2230/04
    • A monitoring device (7) operates an input block (30) to acquire a pressure signal from a pressure sensor (6a-6c) in an apparatus for extracorporeal blood processing connected to the vascular system of the subject. A processing block (34) repeatedly processes the pressure signal for generation of a time-sequence of parameter values indicative of pressure pulsations originating from heartbeats in the subject, and an evaluation block (35) evaluates the parameter values for detection of cardiac arrest and, if cardiac arrest is detected, generates a dedicated alarm signal. To reduce the risk for false positives without increasing the risk for false negatives, the monitoring device (7) may acquire and process more than one pressure signal, and/or perform an initial viability check before the monitoring is initiated to ensure that pressure pulsations originating from heartbeats are detectable in the pressure signal(s), and/or separate the monitoring of the pressure signal(s) into a detection phase performed during regular operation of a blood pump in the apparatus, and a verification phase performed during a temporary shutdown of the blood pump.
    • 监视装置(7)操作输入块(30)以从连接到对象的血管系统的用于体外血液处理的装置中的压力传感器(6a-6c)获取压力信号。 处理块(34)重复地处理压力信号以产生指示受试者心跳的压力脉动的参数值的时间序列,并且评估块(35)评估用于检测心跳骤停的参数值, 如果检测到心跳停止,则产生专用报警信号。 为了降低假阳性风险,而不增加假阴性的风险,监测装置(7)可以在开始监测之前获取并处理多于一个压力信号和/或执行初始生存力检查,以确保起始的压力脉动 在压力信号中可以检测到心跳,和/或将压力信号的监测分离成在装置中的血泵的常规操作期间执行的检测阶段,以及在临时关闭期间执行的验证阶段 的血泵。