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    • 2. 发明公开
    • VERFAHREN UND VORRICHTUNG ZUR ERKENNUNG EINER PARAVASALEN BLUTUNG
    • 方法和设备检测循环血管周围
    • EP2349394A1
    • 2011-08-03
    • EP09765018.8
    • 2009-11-14
    • Fresenius Medical Care Deutschland GmbH
    • KOPPERSCHMIDT, PascalGROSS, MalteSPICKERMANN, Reiner
    • A61M1/36
    • A61B5/02042A61M1/3639A61M1/3653A61M1/3656A61M1/3659A61M1/3661A61M2205/18A61M2205/3331
    • The invention relates to a method and to a device for recognition of paravasal bleeding upon a supplying of blood to a vascular access via a line and/or upon the removal of blood from a vascular access via a line, particularly paravasal bleeding during extra-corporeal blood treatment, such as for hemodialysis, hemofiltration or hemodiafiltration. The invention furthermore relates to a device for extra-corporeal blood treatment, particularly for hemodialysis, hemofiltration or hemodiafiltration, comprising a device for recognition of paravasal bleeding. The method according to the invention and the device according to the invention are based on the change of arterial pressure in the arterial branch (5) or the venous pressure in the venous branch (7) of the extra-corporeal circuit (I) being registered during the extra-corporeal blood treatment. If paravasal bleeding occurs during the blood treatment, it is shown that the positive dynamic pressure on the line leading to the vascular access rises on the venous cannula during the extra-corporeal blood treatment, or the suction pressure on the line leaving the vascular access, such as the arterial cannula during extra-corporeal blood treatment, rises; that is, the suction pressure becomes more negative. The pressure rise begins moderately at first and then becomes increasingly greater. Decisive for the method according to the invention and the device according to the invention, therefore, is that pressure changes that come from a pressure level exhibiting a large difference from the reference value find stronger consideration than those that come from a pressure level that exhibits only a minor difference from the reference value.
    • 6. 发明公开
    • BLUTBEHANDLUNGSVORRICHTUNG
    • EP1615680A1
    • 2006-01-18
    • EP04711604.1
    • 2004-02-17
    • Fresenius Medical Care Deutschland GmbH
    • GROSS, MalteWÜPPER, Andreas
    • A61M1/16
    • A61M1/16A61M1/1607A61M1/1609A61M1/1617A61M2205/3317A61M2205/3324A61M2205/52A61M2230/65B01D61/32
    • The invention relates to a blood purification device comprising a blood purification element (1) that is divided into two chambers by a semi-permeable membrane (2), the first chamber (3) forming part of a dialysate circulation and the second chamber (4) forming part of an extracorporeal blood circulation. The invention enables a simple determination of the blood purification performance of the blood purification element for a second substance, said performance being derived and deviating from a previously determined blood purification performance for a first substance. The inventive haemodialysis device permits the determination of the concentration of the second substance in the blood during haemodialysis by measurements carried out on the dialysate, without the need for intervention in the course of dialysis, which was not possible in previous methods.
    • 本发明涉及一种血液净化装置,包括由半透膜(2)分成两个腔室的血液净化元件(1),第一腔室(3)形成透析液循环的一部分,第二腔室(4 )构成体外血液循环的一部分。 本发明能够简单地确定用于第二物质的血液净化元件的血液净化性能,所述性能是从第一物质的预先确定的血液净化性能中导出和偏离的。 本发明的血液透析装置允许通过在透析液上进行测量来确定血液透析过程中血液中第二物质的浓度,而不需要在透析过程中介入,这在以前的方法中是不可能的。
    • 9. 发明公开
    • DIALYSEMASCHINE, VERFAHREN UND VORRICHTUNG FÜR EINE DIALYSEMASCHINE
    • DIALYSEMASCHINE,VERFAHREN UND VORRICHTUNGFÜREINE DIALYSEMASCHINE
    • EP2421577A1
    • 2012-02-29
    • EP10719908.5
    • 2010-04-21
    • Fresenius Medical Care Deutschland GmbH
    • GROSS, MalteMAIERHOFER, Andreas
    • A61M1/16
    • A61M1/16A61M1/1607A61M1/1609A61M1/1613A61M2202/0498A61M2205/15A61M2205/18A61M2205/502A61M2205/52
    • The present invention relates to a dialysis machine, a method for operating a dialysis machine and a device for using a dialysis machine, wherein parameters for the dialysis treatment are entered, wherein, on the basis of a prescribed model including at least the previously entered parameters for at least one concentration of a dissolved substance, the profile of the change in concentration to be expected as a result of the dialysis treatment and/or the end value to be expected of the concentration of this substance in the vascular circulation of the patient is calculated and evaluated, and at least one signal and/or an indication is output by output means indirectly and/or directly in dependence on the evaluation of the profile of the change in concentration to be expected as a result of the dialysis treatment and the end value to be expected of the concentration of the substance and/or the dialysis treatment or the machine settings for the dialysis treatment is/are indirectly and/or directly influenced.
    • 本发明涉及一种透析机,透析机的操作方法和使用透析机的装置,其中进行透析处理的参数,其中,基于至少包括先前输入的参数的规定模型 对于溶解物质的至少一个浓度,作为透析处理的结果所预期的浓度变化的曲线和/或该物质在患者的血管循环中的浓度的预期值的结果值是 计算和评估,并且至少一个信号和/或指示由输出装置间接地和/或直接地依赖于作为透析治疗和结束所预期的浓度变化的分布的评估来输出 对透析治疗的浓度和/或透析治疗或机器设置的预期值是间接的和/或 直接影响