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    VORRICHTUNG ZUR EXTRAKORPORALEN BLUTBEHANDLUNG UND VERFAHREN ZUR VORGABE EINES INITIALEN BEHANDLUNGSMODUS FÜR EINE EXTRAKORPORALE BLUTBEHANDLUNGSVORRICHTUNG
    2.
    发明公开
    VORRICHTUNG ZUR EXTRAKORPORALEN BLUTBEHANDLUNG UND VERFAHREN ZUR VORGABE EINES INITIALEN BEHANDLUNGSMODUS FÜR EINE EXTRAKORPORALE BLUTBEHANDLUNGSVORRICHTUNG 有权
    VORRICHTUNG ZUR EXTRAKORPORALEN BLUTBEHANDLUNG UND VERFAHREN ZUR VORGABE EINES INITIALEN BEHANDLUNGSMODUSFÜREINE EXTRAKORPORALE BLUTBEHANDLUNGSVORRICHTUNG

    公开(公告)号：EP2858694A1

    公开(公告)日：2015-04-15

    申请号：EP13726118.6

    申请日：2013-05-31

    申请人： Fresenius Medical Care Deutschland GmbH ,  Fresenius Medical Care - Ds, s.r.o.

    发明人： JIRKA, Tomás ,  JONAS, Jörg ,  NIER, Volker ,  WEHMEYER, Wolfgang

    IPC分类号： A61M1/16

    CPC分类号： A61M1/3663 ,  A61M1/16 ,  A61M1/1601 ,  A61M1/3403 ,  A61M1/3413 ,  A61M1/342 ,  A61M1/3434 ,  A61M1/3437 ,  A61M1/3441 ,  A61M1/3465 ,  A61M2205/3334 ,  A61M2205/50

    摘要： The invention relates to an apparatus for extracorporeal blood treatment comprising an extracorporeal blood circuit 5A, and to a method for predefining an initial treatment mode in the initial phase of an extracorporeal blood treatment by means of an extracorporeal blood treatment apparatus. The control of the blood treatment apparatus is based on the extremely rapid removal of electrolytes such as potassium or urea in particular during the first phase of hemodiafiltration, which can lead to complications for the patient. According to the invention, the apparatus for extracorporeal blood treatment has a control and computing unit 22, which has means 22A for predefining an initial treatment mode only during the initial phase of the blood treatment. The means 22A for predefining the initial treatment mode are formed in such a way that, within a predefined time interval, substituate is fed to the extracorporeal blood circuit at a predefined substituate rate, wherein dialysis liquid is not transported through the dialysis fluid chamber of the dialyzer, rather only ultrafiltrate is drawn off form the dialysis fluid chamber, and, following expiry of the predefined time interval, dialysis liquid is transported through the dialysis liquid chamber of the dialyzer. An alternative embodiment provides for the transportation of dialysis liquid through the dialysis liquid chamber of the dialyzer during the predefined time interval at a dialysis liquid rate which is lower than the dialysis liquid rate at which the dialysis liquid is transported after the expiry of the predefined time interval.

    摘要翻译： 用于体外血液处理的装置技术领域本发明涉及一种用于体外血液处理的装置，其包括体外血液回路5A，并且涉及一种用于借助于体外血液处理装置在体外血液处理的初始阶段中预定初始治疗模式的方法。 血液处理设备的控制基于特别是在血液透析滤过的第一阶段期间极其迅速地除去诸如钾或尿素的电解质，这可导致患者并发症。 根据本发明，用于体外血液处理的设备具有控制和计算单元22，其具有用于仅在血液处理的初始阶段期间预定义初始治疗模式的装置22A。 用于预定义初始治疗模式的装置22A以这样的方式形成，使得在预定的时间间隔内，代替物以预定的代替物速率被馈送到体外血液回路，其中透析液不被输送通过透析流体室 而是仅从透析液室抽出超滤液，并且在预定的时间间隔结束后，透析液被输送通过透析器的透析液室。 一个替代实施例提供透析液体在预定时间间隔期间以低于透析液体在预定时间终止之后被输送的透析液体速率的透析液体速率运输通过透析器的透析液体腔室 间隔。