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 PDF

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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
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Prior art keywords
optimization
clearance
protein bound
cascade filtration
bound molecules
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ES08841705.0T
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ES2542999T5 (es
Inventor
Jean-Michel Lannoy
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Nikkiso Co Ltd
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Nikkiso Co Ltd
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3403Regulation parameters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/342Adding solutions to the blood, e.g. substitution solutions
    • A61M1/3424Substitution fluid path
    • A61M1/3431Substitution fluid path upstream of the filter
    • A61M1/3434Substitution fluid path upstream of the filter with pre-dilution and post-dilution
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/342Adding solutions to the blood, e.g. substitution solutions
    • A61M1/3424Substitution fluid path
    • A61M1/3437Substitution fluid path downstream of the filter, e.g. post-dilution with filtrate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1692Detection of blood traces in dialysate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621Extra-corporeal blood circuits
    • A61M1/3663Flow rate transducers; Flow integrators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3306Optical measuring means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/70General characteristics of the apparatus with testing or calibration facilities
    • A61M2205/705Testing 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

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Claims (1)

  1. imagen1
ES08841705T 2007-10-24 2008-10-15 Optimización del aclaramiento para moléculas unidas a proteínas usando terapia de filtración en cascada Active ES2542999T5 (es)

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)

* Cited by examiner, † Cited by third party
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)

* Cited by examiner, † Cited by third party
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

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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