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    • 1. 发明申请
    • METHODS AND DEVICES FOR MONITORING THE INTEGRITY OR A FLUID CONNECTION
    • 用于监测完整性或流体连接的方法和装置
    • WO2009156174A2
    • 2009-12-30
    • PCT/EP2009/004640
    • 2009-06-26
    • GAMBRO LUNDIA ABHERTZ, ThomasSOLEM, KristianROSLUND, AndersSTERNBY, JanFURMANSKI, MartinOLDE, Bo
    • HERTZ, ThomasSOLEM, KristianROSLUND, AndersSTERNBY, JanFURMANSKI, MartinOLDE, Bo
    • A61M1/36
    • G01M3/2846A61M1/3653A61M1/3656A61M1/3659A61M1/3661G01L27/002G01M3/2815G01N33/49
    • A surveillance device (25) monitors the integrity of a fluid connection (C) between first and second fluid containing systems (S 1, S2) based on at least one time-dependent measurement signal from a pressure sensor (4a-4c) in the first fluid containing system (Sl). The first fluid containing system (Sl) comprises a first pulse generator (3), and the second fluid containing system (S2) comprises a second pulse generator (3 '). The pressure sensor (4a-4c) is arranged to detect first pulses originating from the first pulse generator (3) and second pulses originating from the second pulse generator (3 '). The integrity of the fluid connection (C) is determined based on the presence of second pulses in the measurement signal. The second pulses may be detected by analysing the measurement signal in the time domain and/or by using timing information indicative of the timing of the second pulses in said at least one measurement signal. The analysis may be based on a parameter value that represents a distribution of signal values within a time window of the measurement signal. For example, the parameter value may be calculated as a statistical dispersion measure of the signal values, or may result from a matching of the signal values within the time window to a predicted temporal signal profile of a second pulse. The fluid connection (C) may be established between a human blood system and an extracorporeal blood flow circuit, e.g. for extracorporeal blood treatment.
    • 监视装置(25)基于来自压力传感器(4a-4c)的至少一个与时间有关的测量信号来监视第一和第二流体容纳系统(S1,S2)之间的流体连接(C)的完整性 第一流体容纳系统(S1)。 第一流体容纳系统(S1)包括第一脉冲发生器(3),第二流体容纳系统(S2)包括第二脉冲发生器(3')。 压力传感器(4a-4c)被布置成检测源自第一脉冲发生器(3)的第一脉冲和源自第二脉冲发生器(3')的第二脉冲。 流体连接(C)的完整性基于测量信号中第二个脉冲的存在来确定。 可以通过在时域中分析测量信号和/或通过使用指示所述至少一个测量信号中的第二脉冲的定时的定时信息来检测第二脉冲。 分析可以基于表示测量信号的时间窗内的信号值分布的参数值。 例如,可以将参数值计算为信号值的统计色散测量值,或者可以由时间窗口内的信号值与第二脉冲的预测时间信号曲线的匹配产生。 流体连接(C)可以建立在人体血液系统和体外血流回路之间,例如, 用于体外血液治疗。
    • 2. 发明申请
    • METHOD AND DEVICES FOR MONITORING FLOW CIRCUITS
    • 用于监测流量电路的方法和装置
    • WO2009127683A1
    • 2009-10-22
    • PCT/EP2009/054514
    • 2009-04-16
    • GAMBRO LUNDIA ABFURMANSKI, MartinROSLUND, AndersOLDE, BoSOLEM, Kristian
    • FURMANSKI, MartinROSLUND, AndersOLDE, BoSOLEM, Kristian
    • A61M1/36A61M5/168G01M3/00A61M205/15A61M230/06
    • G01M3/2815A61M1/3639A61M1/3653A61M1/3656A61M1/3659A61M1/3661A61M5/16859A61M2205/15A61M2205/18A61M2230/06
    • A device is provided for monitoring the integrity of a flow circuit in fluid communication with a receptacle. The flow circuit comprises a pumping device for transferring fluid through the flow circuit. The device operates according to a monitoring method in which a pressure signal is received (401) from a pressure sensor, the pressure signal being indicative of fluid pressure in the receptacle or the flow circuit. The pressure signal is then processed (406-407) for detection of a beating signal. The beating signal manifests itself as an amplitude modulation of the pressure signal and is formed by interference between pressure waves generated by a pulse generator associated with the receptacle and pressure waves generated by the pumping device. The integrity of the flow circuit is determined (408-409) based at least partly on the presence or absence of the beating signal. The device and the flow circuit may be part of an apparatus for extracorporeal blood treatment, and the method may be implemented as a computer program product.
    • 提供了一种用于监测与容器流体连通的流动回路的完整性的装置。 流动回路包括用于通过流动回路传送流体的泵送装置。 该装置根据从压力传感器接收压力信号(401)的监测方法进行操作,压力信号表示容器或流路中的流体压力。 然后对压力信号进行处理(406-407)以检测跳动信号。 跳动信号表现为压力信号的幅度调制,并且由与由插座相关联的脉冲发生器产生的压力波和由泵送装置产生的压力波之间的干扰形成。 至少部分地基于跳动信号的存在或不存在来确定流动电路的完整性(408-409)。 装置和流路可以是用于体外血液处理的装置的一部分,并且该方法可以被实现为计算机程序产品。
    • 5. 发明申请
    • MONITORING A PROPERTY OF THE CARDIOVASCULAR SYSTEM OF A SUBJECT
    • 监测一个主体的心脏血管系统的属性
    • WO2011080189A1
    • 2011-07-07
    • PCT/EP2010/070551
    • 2010-12-22
    • GAMBRO LUNDIA ABOLDE, BoSOLEM, Kristian
    • OLDE, BoSOLEM, Kristian
    • A61B5/0215A61M1/36
    • A61B5/0215A61B5/7203A61B5/725A61B5/7257A61B5/7264A61M1/3639A61M1/3643A61M1/3644A61M1/3646A61M1/3656A61M2205/3331A61M2230/06
    • A device (25) is configured to monitor a cardiovascular property of a subject. The device (25) obtains measurement data from a primary pressure wave sensor (4a-4c) arranged to detect pressure waves in an extracorporeal fluid circuit (20) in fluid communication with the cardiovascular system of the subject. The device has a signal processor (29) configured to generate a time-dependent monitoring signal based on the measurement data, such that the monitoring signal comprises a sequence of heart pulses, wherein each heart pulse represents a pressure wave originating from a heart beat in the subject; determine beat classification data for each heart pulse in the monitoring signal; and calculate, based at least partly on the beat classification data, a parameter value indicative of the cardiovascular property. The beat classification data may distinguish between heart pulses originating from normal heart beats and heart pulses originating from ectopic heart beats. The cardiovascular property may be an arterial status of the cardiovascular system, a degree of calcification in the cardiovascular system, a status of a blood vessel access used for connecting the extracorporeal fluid circuit (20) to the cardiovascular system, a heart rate variability, a heart rate, a heart rate turbulence, an ectopic beat count, or an origin of ectopic beats. The device (25) may be attached to or part of a dialysis machine.
    • 设备(25)被配置为监测受试者的心血管性质。 装置(25)从主压力波传感器(4a-4c)获得测量数据,所述第一压力波传感器(4a-4c)布置成检测与受试者的心血管系统流体连通的体外流体回路(20)中的压力波。 该装置具有信号处理器(29),其被配置为基于测量数据产生与时间相关的监测信号,使得监测信号包括心脏脉冲序列,其中每个心脏脉搏表示源自心跳的压力波 主题; 确定监测信号中每个心脏脉搏的搏动分类数据; 并且至少部分地基于节拍分类数据计算指示心血管特性的参数值。 节拍分类数据可以区分源自正常心跳的心脏脉搏和源自异位心跳的心脏脉冲。 心血管性质可以是心血管系统的动脉状态,心血管系统中的钙化程度,用于将体外流体回路(20)连接到心血管系统的血管通路的状态,心率变异性, 心率,心率湍流,异位搏动计数或异位搏动的来源。 设备(25)可以附接到透析机或其一部分。
    • 6. 发明申请
    • DETECTING BLOOD PATH DISRUPTION IN EXTRACORPOREAL BLOOD PROCESSING
    • 检测血液中血液中的血液流失
    • WO2012175267A1
    • 2012-12-27
    • PCT/EP2012/059521
    • 2012-05-23
    • GAMBRO LUNDIA ABHOLMER, MattiasOLDE, BoSOLEM, Kristian
    • HOLMER, MattiasOLDE, BoSOLEM, Kristian
    • A61M1/36
    • A61M1/367A61M1/3639A61M1/3653A61M1/3655A61M1/3656A61M1/3659A61M1/3661A61M2205/13A61M2205/3331A61M2205/3351G01N19/00
    • A device (7) monitors a blood path from a blood vessel access (3) of a human subject through an extracorporeal blood processing apparatus and back to the blood vessel access (3). A pumping device (4) in the blood path is operable to pump blood through the blood path from the blood withdrawal device (2') to the blood return device (2"). The monitoring device (7) obtains pressure data from a pressure sensor (6a) arranged upstream of the pumping device (4) in the blood path, and processes the pressure data for detection of a disruption of the blood path downstream of the pumping device (4), e.g. caused by VND (Venous Needle Dislodgement). The disruption is detected by evaluating presence/absence of cross-talk pulses at the pressure sensor (6a), where the cross-talk pulses originate from one or more pulse generators in the extracorporeal blood processing apparatus (80) and have propagated on a propagation path (P2) in a direction downstream of the pumping device (4) through the blood return device (2"), the blood vessel access (3) and the blood withdrawal device (2') to the pressure sensor (6a).
    • 装置(7)通过体外血液处理装置监测来自人体受试者的血管通路(3)的血液通路并返回到血管通路(3)。 血液通道中的抽吸装置(4)可操作用于将血液从血液提取装置(2')泵送到血液返回装置(2“),血液通过血液通道从监测装置(7)获得压力数据 传感器(6a),其布置在血液路径中的泵送装置(4)的上游,并且处理用于检测泵送装置(4)下游的血液路径中断的压力数据,例如由VND(静脉针头移动) 通过评估压力传感器(6a)处的串扰脉冲的存在/不存在来检测中断,其中串扰脉冲源自体外血液处理设备(80)中的一个或多个脉冲发生器,并且在 在泵送装置(4)的下游方向通过血液返回装置(2“),血管通路(3)和血液提取装置(2')到压力传感器(6a)的传播路径(P2)。
    • 7. 发明申请
    • DEVICE AND METHOD FOR MONITORING A FLUID FLOW RATE IN A CARDIOVASCULAR SYSTEM
    • 用于监测心脏血管系统中流体流量的装置和方法
    • WO2011080194A1
    • 2011-07-07
    • PCT/EP2010/070565
    • 2010-12-22
    • GAMBRO LUNDIA ABOLDE, BoSOLEM, Kristian
    • OLDE, BoSOLEM, Kristian
    • A61M1/36
    • A61B5/026A61M1/3639A61M1/3653A61M1/3655A61M1/3656A61M1/3658A61M1/3659A61M1/3661A61M2230/04A61M2230/42
    • A device in an apparatus (200) for extracorporeal blood treatment is configured to monitor a fluid flow rate (Q) of a cardiovascular system of a subject. The apparatus comprises an extracorporeal blood circuit (20) and a connection (C) for connecting the extracorporeal blood circuit (20) to the cardiovascular system. The device comprises an input (28) for obtaining a time- dependent measurement signal (d(n)) from a pressure sensor (4a-4c) in the extracorporeal blood circuit (20). The pressure sensor (4a-4c) is arranged to detect a subject pulse originating from a subject pulse generator (30 in the cardiovascular system of the subject, wherein the system further comprises a signal processor (29) connected to the input (28). The signal processor is configured to process the measurement signal to obtain a pulse profile (e(n)) which is a temporal signal profile of the subject pulse, and to calculate a fluid flow rate (Q) based at least partly on the temporal signal profile.
    • 用于体外血液处理的装置(200)中的装置被配置为监测受试者的心血管系统的流体流速(Q)。 该装置包括用于将体外血液回路(20)连接到心血管系统的体外血液回路(20)和连接(C)。 该装置包括用于从体外血液回路(20)中的压力传感器(4a-4c)获得与时间相关的测量信号(d(n))的输入端(28)。 压力传感器(4a-4c)被布置成检测源自对象脉冲发生器(在该对象的心血管系统中的30)的被摄体脉冲,其中系统还包括连接到输入端(28)的信号处理器(29)。 信号处理器被配置为处理测量信号以获得作为对象脉冲的时间信号轮廓的脉冲轮廓(e(n)),并且至少部分地基于时间信号来计算流体流速(Q) 个人资料。
    • 8. 发明申请
    • METHOD AND DEVICE FOR MONITORING THE INTEGRITY OF A CONNECTION SYSTEM
    • 用于监测连接系统完整性的方法和装置
    • WO2011080193A1
    • 2011-07-07
    • PCT/EP2010/070560
    • 2010-12-22
    • GAMBRO LUNDIA ABOLDE, BoSOLEM, Kristian
    • OLDE, BoSOLEM, Kristian
    • A61M1/36
    • G01N19/08A61B5/024A61B2562/0247A61B2562/226A61M1/3639A61M1/3653A61M1/3656A61M1/3659A61M5/16859A61M2205/13A61M2205/15A61M2205/3331A61M2230/04A61M2230/06
    • A device is configured to monitor the integrity of a connection system between first and second fluid containing systems comprising first and second pulse generators. A pressure sensor is arranged in the first fluid containing system to detect first pulses originating from the first pulse generator and second pulses originating from the second pulse generator. The device operates a monitoring method, by generating (42) a time- dependent pressure signal based on measurement data obtained from the pressure sensor such that the pressure signal contains a sequence of apparent pulses. The apparent pulses represent a superposition of the second pulses on the first pulses when the connection system (C) is intact. The device processes (44) the pressure signal to calculate a parameter value based on a pulse feature of at least one of the apparent pulses in the pressure signal. The parameter value represents a disturbance caused by the superposition of the second pulses on the first pulses, and may be given as a measure of statistical dispersion, pulse-to- pulse symmetry, or first pulse similarity. The device determines (45) the integrity of the connection system based at least partly on the parameter value. The first fluid containing system may be an extracorporeal blood circuit, and the second fluid containing system may be a human or animal subject.
    • 设备被配置为监视包括第一和第二脉冲发生器的第一和第二流体容纳系统之间的连接系统的完整性。 压力传感器布置在第一流体容纳系统中以检测源自第一脉冲发生器的第一脉冲和源自第二脉冲发生器的第二脉冲。 该设备通过基于从压力传感器获得的测量数据产生(42)依赖于时间的压力信号来操作监测方法,使得压力信号包含明显脉冲序列。 当连接系统(C)完好时,表观脉冲表示第一脉冲上的第二脉冲的叠加。 装置处理(44)压力信号,以基于压力信号中的表观脉冲中的至少一个的脉冲特征来计算参数值。 参数值表示由第二脉冲叠加在第一脉冲上引起的干扰,并且可以作为统计色散,脉冲对脉冲对称性或第一脉冲相似度的量度给出。 该设备至少部分地基于参数值确定(45)连接系统的完整性。 第一流体容纳系统可以是体外血液回路,并且第二流体容纳系统可以是人或动物受试者。
    • 9. 发明申请
    • METHOD AND DEVICE FOR DETECTING A FAULT CONDITION
    • 用于检测故障条件的方法和装置
    • WO2011080187A1
    • 2011-07-07
    • PCT/EP2010/070549
    • 2010-12-22
    • GAMBRO LUNDIA ABOLDE, BoSOLEM, Kristian
    • OLDE, BoSOLEM, Kristian
    • A61M1/36
    • G01N11/02A61M1/3639A61M1/3653A61M1/3656A61M1/3661A61M5/16859A61M2205/13A61M2205/15A61M2205/3331A61M2230/04
    • A device is configured to detect a fault condition in a fluid connection system between a first (e.g. extracorporeal blood circuit ) and second (e.g. vascular system of a patient) fluid containing systems. The first and second fluid containing systems comprise a first and second pulse generator, respectively. A pressure sensor is arranged in the first fluid containing system to detect pulses originating from the first and second pulse generator. The device operates according to a detection method, by generating a time - dependent monitoring signal based on measurement data obtained from said at least one pressure sensor, such that the monitoring signal at least comprises one or more first pulses; processing (42) the monitoring signal to calculate a parameter value which is indicative of the shape of at least part of a first pulse in the monitoring signal, and evaluating (44) the parameter value for detection of the fault condition.
    • 设备被配置为检测流体连接系统中的第一(例如体外血液回路)和第二(例如患者的血管系统)流体容纳系统之间的故障状况。 第一和第二流体容纳系统分别包括第一和第二脉冲发生器。 压力传感器布置在第一流体容纳系统中以检测源自第一和第二脉冲发生器的脉冲。 该装置根据检测方法通过基于从所述至少一个压力传感器获得的测量数据产生与时间相关的监视信号,使得监视信号至少包括一个或多个第一脉冲; 处理(42)监视信号以计算指示监视信号中的第一脉冲的至少一部分的形状的参数值,并评估(44)用于检测故障状况的参数值。
    • 10. 发明申请
    • FILTERING OF A TIME-DEPENDENT PRESSURE SIGNAL
    • 时间依赖压力信号的滤波
    • WO2013000777A1
    • 2013-01-03
    • PCT/EP2012/061765
    • 2012-06-20
    • GAMBRO LUNDIA ABOLDE, BoSOLEM, KristianHOLMER, MattiasSTERNBY, Jan
    • OLDE, BoSOLEM, KristianHOLMER, MattiasSTERNBY, Jan
    • A61B5/021A61M1/36
    • A61M1/3607A61B5/02108A61B5/6866A61B5/7217A61M1/34A61M1/3403A61M1/3621A61M1/3653A61M1/3656A61M1/3659A61M2205/3331A61M2205/3368A61M2205/50B01D61/30B01D61/32G01L19/00
    • A device removes first pulses in a pressure signal of a pressure sensor which is arranged in a fluid containing system to detect the first pulses, which originate from a first pulse generator, and second pulses, which originate from a second pulse generator. The first pulse generator is known to operate in a sequence of pulse cycles, each pulse cycle resulting in at least one first pulse. The device repetitively obtains a current data sample, calculates corresponding a reference value and subtracts the reference value from the current data sample. The reference value is calculated as a function of other data sample(s) in the same pressure signal. These data sample(s) may be either cycle-synchronized so as to have a corresponding location in one or more other pulse cycles (e.g. in a preceding pulse cycle) as the current data sample, or be located in proximity to the current data sample. The fluid containing system may include an extracorporeal blood flow circuit, e.g. as part of a dialysis machine, and a cardiovascular system of a human patient.
    • 装置去除压力传感器的压力信号中的第一脉冲,该压力传感器布置在流体容纳系统中,以检测源自第一脉冲发生器的第一脉冲和来自第二脉冲发生器的第二脉冲。 已知第一脉冲发生器以脉冲周期的顺序操作,每个脉冲周期产生至少一个第一脉冲。 设备重复获取当前数据样本,计算相应的参考值,并从当前数据样本中减去参考值。 参考值根据相同压力信号中其他数据采样的函数计算。 这些数据样本可以是周期同步的,以便在一个或多个其它脉冲周期(例如,在先前的脉冲周期中)具有相应位置作为当前数据样本,或者位于当前数据样本附近 。 流体容纳系统可以包括体外血流回路,例如, 作为透析机的一部分,以及人类患者的心血管系统。