ES2542999T3 - Optimización del aclaramiento para moléculas unidas a proteínas usando terapia de filtración en cascada - Google Patents
Optimización del aclaramiento para moléculas unidas a proteínas usando terapia de filtración en cascada Download PDFInfo
- Publication number
- ES2542999T3 ES2542999T3 ES08841705.0T ES08841705T ES2542999T3 ES 2542999 T3 ES2542999 T3 ES 2542999T3 ES 08841705 T ES08841705 T ES 08841705T ES 2542999 T3 ES2542999 T3 ES 2542999T3
- Authority
- ES
- Spain
- Prior art keywords
- optimization
- clearance
- protein bound
- cascade filtration
- bound molecules
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/3403—Regulation parameters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3424—Substitution fluid path
- A61M1/3431—Substitution fluid path upstream of the filter
- A61M1/3434—Substitution fluid path upstream of the filter with pre-dilution and post-dilution
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
- A61M1/342—Adding solutions to the blood, e.g. substitution solutions
- A61M1/3424—Substitution fluid path
- A61M1/3437—Substitution fluid path downstream of the filter, e.g. post-dilution with filtrate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1692—Detection of blood traces in dialysate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3663—Flow rate transducers; Flow integrators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3306—Optical measuring means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/70—General characteristics of the apparatus with testing or calibration facilities
- A61M2205/705—Testing of filters for leaks
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
Abstract
Un sistema de filtración sanguínea extracorpóreo (100) para eliminar moléculas no deseadas de un flujo de sangre procedente de un paciente, que comprende: un primer hemofiltro (13) para elevar la hemoconcentración de la sangre en un flujo sanguíneo filtrado; un primer fluido de sustitución (17) para suplementar el flujo sanguíneo filtrado; un segundo hemofiltro (19) para filtrar moléculas no deseadas del flujo sanguíneo suplementado; y un segundo fluido de sustitución (23) para suplementar el flujo de salida procedente del segundo hemofiltro para retorno al paciente.
Description
Claims (1)
-
imagen1
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US98239607P | 2007-10-24 | 2007-10-24 | |
| US982396P | 2007-10-24 | ||
| PCT/US2008/080023 WO2009055287A1 (en) | 2007-10-24 | 2008-10-15 | Optimizing clearance for protein bound molecules using cascade filtration therapy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| ES2542999T3 true ES2542999T3 (es) | 2015-08-13 |
| ES2542999T5 ES2542999T5 (es) | 2024-02-23 |
Family
ID=40427427
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ES08841705T Active ES2542999T5 (es) | 2007-10-24 | 2008-10-15 | Optimización del aclaramiento para moléculas unidas a proteínas usando terapia de filtración en cascada |
Country Status (4)
| Country | Link |
|---|---|
| US (2) | US8535521B2 (es) |
| EP (1) | EP2227268B2 (es) |
| ES (1) | ES2542999T5 (es) |
| WO (1) | WO2009055287A1 (es) |
Families Citing this family (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU2010338448B2 (en) | 2009-12-17 | 2014-01-23 | Gambro Lundia Ab | System and method for monitoring the presence of blood |
| RU2421246C1 (ru) * | 2010-01-12 | 2011-06-20 | Алексей Альбертович Соколов | Способ проведения каскадной плазмофильтрации и устройство для его осуществления |
| DE102010007914A1 (de) * | 2010-02-12 | 2012-12-27 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung und Verfahren zur Überwachung eines Gefäßzugangs für eine extrakorporale Blutbehandlung |
| PL2436406T3 (pl) * | 2010-09-30 | 2014-09-30 | Gambro Lundia Ab | Urządzenie do pozaustrojowego oczyszczania krwi |
| DE102011112221B4 (de) * | 2011-09-02 | 2017-05-24 | Fresenius Medical Care Deutschland Gmbh | Blutbehandlungsvorrichtung |
| CN103830791B (zh) * | 2012-11-27 | 2017-02-22 | 深圳先进技术研究院 | 自动化腹膜透析机 |
| WO2016014987A2 (en) | 2014-07-24 | 2016-01-28 | Thomas Jefferson University | Long-term implantable monitoring system & methods of use |
| DE102016007828A1 (de) * | 2016-06-29 | 2018-01-04 | Fresenius Medical Care Deutschland Gmbh | Steuereinheit zur Bluterkennung in einer Dialysierflüssigkeitsabführleitung einer Blutbehandlungsvorrichtung und Blutbehandlungsvorrichtung |
| JP7144979B2 (ja) | 2018-06-20 | 2022-09-30 | 日機装株式会社 | 血液浄化装置及び血液浄化装置による患者の栄養状態の推定方法 |
| JP7098433B2 (ja) | 2018-06-20 | 2022-07-11 | 日機装株式会社 | 血液浄化装置及び血液浄化装置による血漿流量取得方法 |
| US11419969B2 (en) * | 2019-03-26 | 2022-08-23 | Nuwellis, Inc. | Neonatal and pediatric blood filtration system |
| US12558469B2 (en) * | 2021-08-06 | 2026-02-24 | Fenwal, Inc. | Systems and methods for converting an apheresis fluid processing circuit to single or double needle mode |
| WO2026006648A1 (en) * | 2024-06-26 | 2026-01-02 | Proxima Health, Inc. | Blood purification for removal of microplastics |
| CN120837768A (zh) * | 2025-07-22 | 2025-10-28 | 广州骅骝医疗科技有限公司 | 一种集成多参数监测传感器的智能crrt管路 |
Family Cites Families (47)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE2754894C2 (de) * | 1977-12-09 | 1983-10-13 | Fresenius AG, 6380 Bad Homburg | Vorrichtung zum Bilanzieren einer einem Patienten entnommenen Flüssigkeit mit einer Ersatzflüssigkeit |
| JPS5814223B2 (ja) * | 1979-02-24 | 1983-03-17 | 株式会社メデクス | 透析「ろ」過装置 |
| US4500309A (en) * | 1982-05-07 | 1985-02-19 | The Kansas University Endowment Association | Method for regional anticoagulation during extracorporeal dialysis |
| US4747950A (en) * | 1983-12-16 | 1988-05-31 | Cd Medical, Inc. | Method and apparatus for controlled ultrafiltration during hemodialysis |
| US4661246A (en) * | 1984-10-01 | 1987-04-28 | Ash Medical Systems, Inc. | Dialysis instrument with dialysate side pump for moving body fluids |
| US4908014A (en) * | 1986-03-10 | 1990-03-13 | Kroyer K K K | Extracorporal thermo-therapy device and method for curing diseases |
| US4800016A (en) * | 1986-11-24 | 1989-01-24 | The University Of Michigan | Extracorporeal blood de-heparinization system |
| US5000854A (en) * | 1989-06-14 | 1991-03-19 | The University Of Michigan | Protamine-based filter device for removal of heparin from blood samples |
| US5114580A (en) * | 1989-06-20 | 1992-05-19 | The Board Of Regents Of The University Of Washington | Combined hemofiltration and hemodialysis system |
| US4995268A (en) * | 1989-09-01 | 1991-02-26 | Ash Medical System, Incorporated | Method and apparatus for determining a rate of flow of blood for an extracorporeal blood therapy instrument |
| US5032615A (en) * | 1989-10-31 | 1991-07-16 | The Regents Of The University Of California | Continuous hemodialysis using citrate |
| US5286388A (en) * | 1991-06-20 | 1994-02-15 | Ingram John M | Method for neutralizing heparin in whole blood taken from an extracorporeal circuit |
| US6471872B2 (en) * | 1991-10-11 | 2002-10-29 | Children's Hospital Medical Center | Hemofiltration system and method based on monitored patient parameters |
| SE9201413L (sv) * | 1992-04-30 | 1993-10-31 | Stiftelsen Foer Medicinsk Tekn | Beredning och sätt för aferesframställning av trombocytkoncentrat med väsentligt förlängd hållbarhet |
| US5494590A (en) * | 1992-06-11 | 1996-02-27 | Becton Dickinson | Method of using anticoagulant solution in blood separation |
| DE4230513C1 (de) * | 1992-09-11 | 1994-03-31 | Fresenius Ag | Vorrichtung zur Entfernung von Aluminiumionen aus Blut und Lösung zur Verwendung in der Vorrichtung |
| US5441636A (en) * | 1993-02-12 | 1995-08-15 | Cobe Laboratories, Inc. | Integrated blood treatment fluid module |
| SI9400289A (en) * | 1994-07-13 | 1996-02-29 | Ponikvar Jadranka Buturovic | A method for preventing blood coagulation in a haemodialysis circuit or haemodialysis analogy procedure in the extra-body circuit. |
| US6186146B1 (en) * | 1996-08-30 | 2001-02-13 | Delcath Systems Inc | Cancer treatment method |
| DE19746367C2 (de) * | 1996-11-30 | 1999-08-26 | Fresenius Medical Care De Gmbh | Verfahren zur in-vivo-Bestimmung von Parametern der Hämodialyse und Vorrichtung zur Durchführung des Verfahrens |
| DE19708391C1 (de) * | 1997-03-01 | 1998-10-22 | Fresenius Medical Care De Gmbh | Verfahren und Vorrichtung zur Ultrafiltration bei der Hämodialyse |
| US5928180A (en) * | 1997-03-25 | 1999-07-27 | Krivitski; Nikolai M. | Method and apparatus for real time monitoring of blood volume in a filter |
| US5906744A (en) * | 1997-04-30 | 1999-05-25 | Becton Dickinson And Company | Tube for preparing a plasma specimen for diagnostic assays and method of making thereof |
| US5817046A (en) * | 1997-07-14 | 1998-10-06 | Delcath Systems, Inc. | Apparatus and method for isolated pelvic perfusion |
| US5919163A (en) * | 1997-07-14 | 1999-07-06 | Delcath Systems, Inc. | Catheter with slidable balloon |
| SE510286C2 (sv) * | 1997-09-22 | 1999-05-10 | Gambro Med Tech Ab | Förfarande och anordning för övervakning av infusionspump i en hemo- eller hemodiafiltreringsmaskin |
| US6295990B1 (en) * | 1998-02-03 | 2001-10-02 | Salient Interventional Systems, Inc. | Methods and systems for treating ischemia |
| ES2324506T3 (es) * | 1998-07-31 | 2009-08-07 | Nephros, Inc. | Dispositivo para hemodiafiltracion eficaz. |
| US6575927B1 (en) * | 1998-09-25 | 2003-06-10 | The Regents Of The University Of Michigan | System and method for determining blood flow rate in a vessel |
| US6610206B1 (en) * | 1998-10-20 | 2003-08-26 | Advanced Renal Technologies | Buffered compositions for dialysis |
| US7670491B2 (en) * | 1998-10-20 | 2010-03-02 | Advanced Renal Technologies | Buffered compositions for dialysis |
| EP1171178B1 (en) * | 1999-04-23 | 2006-11-22 | RenaMed Biologics, Inc. | Extracorporeal circuit |
| US6406631B1 (en) * | 1999-07-30 | 2002-06-18 | Nephros, Inc. | Two stage diafiltration method and apparatus |
| CA2396853A1 (en) * | 2000-01-11 | 2001-07-19 | Nephros, Inc. | Thermally enhanced dialysis/diafiltration system |
| US7067060B2 (en) * | 2000-01-11 | 2006-06-27 | Nephros, Inc. | Ionic enhanced dialysis/diafiltration system |
| WO2001089513A1 (en) * | 2000-05-24 | 2001-11-29 | Uab Research Foundation | Use of citrate-containing dialysate for renal dialysis treatment |
| EP1175917B2 (en) * | 2000-07-07 | 2016-08-31 | Fresenius Medical Care Deutschland GmbH | Hemodialysis apparatus |
| US6585675B1 (en) * | 2000-11-02 | 2003-07-01 | Chf Solutions, Inc. | Method and apparatus for blood withdrawal and infusion using a pressure controller |
| DE60120761T3 (de) * | 2000-12-11 | 2010-02-18 | Nephros, Inc. | Hämodiafiltration/hämofiltrations-patronen |
| CA2431431C (en) * | 2000-12-20 | 2010-03-16 | Nephros, Inc. | Multistage hemodiafiltration/hemofiltration method and apparatus |
| US6746407B2 (en) | 2000-12-29 | 2004-06-08 | Hema Metrics, Inc. | Method of measuring transcutaneous access blood flow |
| US20030031590A1 (en) * | 2001-08-10 | 2003-02-13 | Han Chul Park | Apparatus for measuring amount of hemodialysis |
| US7351218B2 (en) * | 2002-12-20 | 2008-04-01 | Gambro Lundia Ab | Device and process for extracorporeal treatment by citrate anticoagulant |
| US7029456B2 (en) * | 2003-10-15 | 2006-04-18 | Baxter International Inc. | Medical fluid therapy flow balancing and synchronization system |
| ITMO20040085A1 (it) * | 2004-04-20 | 2004-07-20 | Gambro Lundia Ab | Dispositivo di infusione per fluidi medicali. |
| DE102004054747A1 (de) † | 2004-11-12 | 2006-05-24 | Fresenius Medical Care Deutschland Gmbh | Verfahren und Vorrichtung zur Abreicherung wenigstens einer Komponente eines fluiden Mediums |
| US8372025B2 (en) * | 2005-09-22 | 2013-02-12 | Baxter International Inc. | Automation and optimization of CRRT treatment using regional citrate anticoagulation |
-
2008
- 2008-10-15 EP EP08841705.0A patent/EP2227268B2/en active Active
- 2008-10-15 ES ES08841705T patent/ES2542999T5/es active Active
- 2008-10-15 WO PCT/US2008/080023 patent/WO2009055287A1/en not_active Ceased
- 2008-10-15 US US12/252,219 patent/US8535521B2/en active Active
-
2013
- 2013-08-05 US US13/959,087 patent/US8795218B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| EP2227268B2 (en) | 2023-08-23 |
| US8535521B2 (en) | 2013-09-17 |
| US20130313194A1 (en) | 2013-11-28 |
| WO2009055287A1 (en) | 2009-04-30 |
| ES2542999T5 (es) | 2024-02-23 |
| EP2227268B1 (en) | 2015-05-27 |
| EP2227268A1 (en) | 2010-09-15 |
| US8795218B2 (en) | 2014-08-05 |
| US20090152200A1 (en) | 2009-06-18 |
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