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    • 1. 发明申请
    • METHOD FOR EXTRACORPOREAL LUNG SUPPORT
    • 用于体外肺支持的方法
    • WO2017084683A1
    • 2017-05-26
    • PCT/EP2015/002331
    • 2015-11-20
    • HEPA WASH GMBH
    • KREYMANN, BernhardHÜSSTEGE, Christoph
    • A61M1/16A61M1/32A61M1/36
    • A61M1/1698A61M1/1676A61M1/1696A61M1/32A61M1/369A61M2202/0208A61M2202/0225A61M2202/03A61M2202/0476A61M2230/202A61M2230/205A61M2230/208
    • The present invention generally relates to a process suitable for extracorporeal lung support. The process comprises contacting blood with a dialysis liquid separated by a semipermeable membrane. Oxygen is introduced into blood and/or into the dialysis liquid prior to contacting blood and dialysis liquid being separated by the semipermeable membrane. The process is versatile and allows for blood oxygenation as well as removal of at least one undesired substance occurring in the blood, selected from carbon dioxide, bicarbonate and hydrogen cations, from blood. Thereby, the present invention takes advantage of the Haldane effect in the extracorporeal contacting step. The undesired substance can be efficiently transported across a semipermeable membrane to the dialysis liquid. In contrast to extracorporeal carbon dioxide removal methods of the prior art (ECCO 2 R), the present invention employs a versatile dialysis liquid that allows to adjust the pH and buffering capacity of the dialysis liquid, to add fluids to the dialysis liquid and/or to the blood and to remove substances from the blood in the extracorporeal circuit, depending on the conditions and needs. The present invention also provides regeneration and recycling of the dialysis liquid, and thus for its repeated use. The present invention is suitable for treating human or animal subjects suffering from lung failure or lung disorders.
    • 本发明总体上涉及适用于体外肺部支持的方法。 该方法包括使血液与通过半透膜分离的透析液接触。 在血液和透析液被半透膜分离之前,将氧气引入血液和/或透析液中。 该过程是通用的并且允许血液氧合以及从血液中去除血液中存在的至少一种不需要的物质,所述物质选自二氧化碳,碳酸氢盐和氢阳离子。 由此,本发明利用了体外接触步骤中的霍尔丹效应。 不需要的物质可以有效地通过半透膜传送到透析液。 与现有技术(ECCO 2R)的体外二氧化碳去除方法相反,本发明采用多功能透析液,其允许调节透析液的pH和缓冲能力,以添加流体 透析液和/或血液,并根据条件和需要从体外回路中的血液中去除物质。 本发明还提供了透析液的再生和再循环,并因此用于其重复使用。 本发明适用于治疗患有肺衰竭或肺病的人或动物受试者。
    • 2. 发明申请
    • CARTRIDGE AND APPARATUS FOR PERFORMING ADSORPTION DIALYSIS
    • 用于执行吸附分析的盒子和装置
    • WO2016190794A3
    • 2016-12-29
    • PCT/SE2016000026
    • 2016-05-27
    • TRIOMED AB
    • WALLENÅS ANDERSMEINANDER NINAMALMBORG CARINLANDHOLM STEFANBENGTSSON HANS
    • A61M1/28A61J1/00A61M1/16B01J20/22
    • B01J20/22A61M1/1696A61M1/288A61M2202/0498A61M2205/15A61M2205/3331A61M2205/50
    • A cartridge to be used for adsorption dialysis. A container having flexible walls are arranged to provide an inner space enclosing adsorption powder, comprising activated carbon, a phosphate adsorbent and a potassium ion adsorbent and other adsorbents. A sufficient amount of activated carbon is provided for adsorption of urea by the activated carbon. The cartridge forms a vacuum-packed transportation cartridge by generating a sub-pressure in the inner space, whereby the powder particles are immobilized and the cartridge becomes stiff. Before use, the cartridge is primed by introducing a liquid into the inner space, which introduction takes place at a low pressure. During use, dialysis solution is circulated through the cartridge, which is still exposed to a sub-pressure, whereby the flexible walls are sucked against the powder material. A peritoneal dialysis circuit comprises a filter, in which a primary circuit is formed with the filter and the peritoneal cavity and a secondary circuit is formed with the filter and the adsorbent cartridge.
    • 用于吸附透析的药筒。 布置具有柔性壁的容器,以提供封闭吸附粉末的内部空间,其包括活性炭,磷酸盐吸附剂和钾离子吸附剂以及其它吸附剂。 提供足够量的活性炭用于通过活性炭吸附尿素。 筒体通过在内部空间中产生副压力而形成真空包装的输送筒,由此粉末颗粒被固定并且盒变硬。 在使用之前,通过将液体引入内部空间来引导盒,该介质在低压下进行。 在使用期间,透析溶液循环通过筒,其仍然暴露于次压力,由此柔性壁被吸入粉末材料。 腹膜透析电路包括过滤器,其中初级回路由过滤器和腹膜腔形成,次级回路由过滤器和吸附剂药筒形成。
    • 5. 发明申请
    • CARTRIDGE, METHOD AND APPARATUS FOR PERFORMING ADSORPTION DIALYSIS
    • 用于执行吸附透析的盒,方法和装置
    • WO2016190794A2
    • 2016-12-01
    • PCT/SE2016/000026
    • 2016-05-27
    • TRIOMED AB
    • WALLENÅS, AndersMEINANDER, NinaMALMBORG, CarinLANDHOLM, StefanBENGTSSON, Hans
    • A61M1/28A61J1/00A61M1/16B01J20/22
    • A61M1/288A61M1/1696A61M1/287A61M2202/0498A61M2205/15A61M2205/3331A61M2205/50B01J20/22
    • A cartridge to be used for adsorption dialysis. A container having flexible walls are arranged to provide an inner space enclosing adsorption powder, comprising activated carbon, a phosphate adsorbent and a potassium ion adsorbent and other adsorbents. A sufficient amount of activated carbon is provided for adsorption of urea by the activated carbon. The cartridge forms a vacuum-packed transportation cartridge by generating a sub-pressure in the inner space, whereby the powder particles are immobilized and the cartridge becomes stiff. Before use, the cartridge is primed by introducing a liquid into the inner space, which introduction takes place at a low pressure. During use, dialysis solution is circulated through the cartridge, which is still exposed to a sub-pressure, whereby the flexible walls are sucked against the powder material. A peritoneal dialysis circuit comprises a filter, in which a primary circuit is formed with the filter and the peritoneal cavity and a secondary circuit is formed with the filter and the adsorbent cartridge.
    • 用于吸附透析的药筒。 布置具有柔性壁的容器,以提供封闭吸附粉末的内部空间,其包括活性炭,磷酸盐吸附剂和钾离子吸附剂以及其它吸附剂。 提供足够量的活性炭用于通过活性炭吸附尿素。 筒体通过在内部空间中产生副压力而形成真空包装的输送筒,由此粉末颗粒被固定并且盒变硬。 在使用之前,通过将液体引入内部空间来引导盒,该介质在低压下进行。 在使用期间,透析溶液循环通过筒,其仍然暴露于次压力,由此柔性壁被吸入粉末材料。 腹膜透析电路包括过滤器,其中初级回路由过滤器和腹膜腔形成,次级回路由过滤器和吸附剂药筒形成。
    • 10. 发明申请
    • METHOD FOR TREATING DIALYSATE, DIALYSIS SYSTEM, AND METHOD FOR PRE-EVALUATING DIALYSIS PATIENTS FOR TREATMENT WITH SAME
    • 用于治疗DIALYSATE的方法,DIALYSIS系统以及用于预测用于治疗的DIALYSIS患者的方法
    • WO2015184033A2
    • 2015-12-03
    • PCT/US2015/032778
    • 2015-05-28
    • FRESENIUS MEDICAL CARE HOLDINGS, INC.
    • MERCHANT, Stephen
    • A61M1/16
    • A61M1/14A61M1/1666A61M1/1696A61M2205/3334A61M2209/06G06F19/00G16H10/60
    • A method for treating dialysate solutions used in dialysis wherein dialysate is treated in an early part of a dialysis treatment session by external infusion of bicarbonate solution into the dialysate circuit to eliminate the need for bicarbonate requirements in concentrates used for preparation of precursor dialysate (priming) solutions and/or for a solid bicarbonate layer in a sorbent cartridge. Dialysate is treated in a latter part of a dialysis treatment session by introduction of sterile dilution water to reduce sodium concentration in the dialysate. The method provides a more efficient and reduced use of dialysate fluids, electrolytes, sorbent cartridge materials, equipment scale, or any combinations of these, while maintaining purity standards and applicable physiological ranges for bicarbonate, sodium, and other dialysate solution components over the course of a dialysis treatment session.
    • 用于治疗透析中使用的透析液的方法,其中在透析治疗期的早期部分通过将碳酸氢盐溶液外部输入到透析液回路中来处理透析液,以消除用于制备前体透析液(起泡)的浓缩物中碳酸氢盐需求, 溶液和/或用于吸附剂盒中的固体碳酸氢盐层。 通过引入无菌稀释水以减少透析液中的钠浓度,在透析治疗期的后期部分处理透析液。 该方法提供了更有效和更少的使用透析液,电解质,吸附剂盒材料,设备规模或这些的任何组合,同时保持了碳酸氢盐,钠和其它透析液组分在过程中的纯度标准和适用的生理范围 透析治疗会议。