公开(公告)号：US20090306574A1

公开(公告)日：2009-12-10

申请号：US12282568

申请日：2006-12-08

Applicant: Pascal Kopperschmidt

Inventor： Pascal Kopperschmidt

IPC: A61M39/12

CPC classification number: A61M1/3653 ,  A61M1/3655 ,  A61M1/3656 ,  A61M1/3659 ,  A61M5/1418 ,  A61M2205/18 ,  Y10T24/3439 ,  Y10T24/44 ,  Y10T24/44538 ,  Y10T403/22

Abstract: The invention relates to a device and to a method for monitoring access to vessels during extracorporeal blood treatment. The invention forms a loop in the arterial and/or venous line and provides device for fixing a section of the line in a loop. When the line is stressed under tension, the loop contracts and the line finally kinks. The modification of the diameter of the line and the formation of a kink in the line leads to a rise of pressure in the line, which is monitored by a pressure monitoring device. If the pressure exceeds a predetermined threshold value, the aspirating cannula is in danger of slipping out of the vessel access or has partially or completely slipped out, thus allowing the threshold value to be determined for alarms.

Abstract translation: 本发明涉及在体外血液处理期间监测血管通路的装置和方法。 本发明在动脉和/或静脉线中形成环，并提供用于将线的一部分固定在环中的装置。 当线路受到紧张的压力时，环路收缩，线路终于扭结。 线的直径的改变和线中的扭结的形成导致管线中的压力升高，这由压力监测装置监测。 如果压力超过预定的阈值，则抽吸插管有可能从容器进入或从部分或全部滑出，从而允许为报警确定阈值。

公开(公告)号：US20070108128A1

公开(公告)日：2007-05-17

申请号：US10580869

申请日：2004-09-11

Applicant: Pascal Kopperschmidt ,  Malte Gross

Inventor： Pascal Kopperschmidt ,  Malte Gross

IPC: B01D61/32

CPC classification number: A61M1/3441 ,  A61M1/3434 ,  A61M1/3437 ,  A61M1/3609 ,  A61M1/3639 ,  A61M2230/207

Abstract: A method and device that identify impairments of the blood flow in an extra-corporeal blood circuit during extracorporeal treatment of the blood using an extracorporeal haemodialysis device, where the phase angle of at least one harmonic oscillation of an oscillating pressure signal that propagates in the extracorporeal blood circuit is determined. Impairments of the blood flow are detected in the extracorporeal blood circuit based on a characteristic modification of the phase angle of at least one harmonic oscillation of the pressure signal. A temporal modification of the phase angle may be compared with a predefined threshold value and an impairment is detected if the value of the modification of the phase angle is greater than the predefined threshold value. The method and device permit an early identification of a coagulation of the blood that flows through the haemodialysis unit, so that countermeasures can be initiated promptly.

Abstract translation: 一种方法和装置，其使用体外血液透析装置来识别血液体外处理期间体外血液回路中的血流的损伤，其中振荡压力信号的至少一次谐波振荡在体外传播的相位角 确定血液回路。 基于对压力信号的至少一次谐波振荡的相位角的特征修改，在体外血液回路中检测出血流的损伤。 可以将相位角的时间修改与预定义的阈值进行比较，并且如果相位角的修改值大于预定阈值，则检测损伤。 该方法和装置允许早期鉴定血液透析装置中血液的凝结，从而可以及时启动对策。

公开(公告)号：US09452252B2

公开(公告)日：2016-09-27

申请号：US12933466

申请日：2009-03-24

Applicant: Pascal Kopperschmidt

Inventor： Pascal Kopperschmidt

IPC: A61M1/14 ,  A61B5/021 ,  A61M1/36

CPC classification number: A61M1/3656 ,  A61M1/3639 ,  A61M1/3653 ,  A61M2205/15 ,  A61M2205/18 ,  A61M2205/3344 ,  A61M2205/52

Abstract: The invention relates to a method and a device for monitoring a vascular access during an extracorporeal blood treatment. The method and the device according to the invention are based on the monitoring of the difference between the venous pressure measured by a venous pressure sensor and the arterial pressure measured by an arterial pressure sensor (in the extracorporeal blood circuit. According to the method and the device according to the invention, a test function describing disturbances in the extracorporeal blood circuit is determined. Said test function is used to determine a noise-free differential pressure from the measured venous and arterial pressure, said differential pressure being evaluated in an arithmetic and evaluation unit to identify a defective vascular access.

Abstract translation: 本发明涉及用于在体外血液处理期间监测血管通路的方法和装置。 根据本发明的方法和装置是基于监测由静脉压力传感器测量的静脉压与由动脉压传感器测量的动脉压之间的差异（在体外血液回路中），根据该方法和 根据本发明的装置，确定描述体外血液循环中的紊乱的测试功能，所述测试功能用于根据测得的静脉和动脉压来确定无噪音压差，所述差压在算术和评估中进行评估 识别血管通路有缺陷的单位。

公开(公告)号：US09215985B2

公开(公告)日：2015-12-22

申请号：US14111248

申请日：2012-04-10

Applicant: Malte Gross ,  Pascal Kopperschmidt ,  Andreas Maierhofer ,  Alfred Gagel

Inventor： Malte Gross ,  Pascal Kopperschmidt ,  Andreas Maierhofer ,  Alfred Gagel

IPC: G01N21/00 ,  A61B5/00 ,  A61M1/36 ,  A61B5/145 ,  A61B5/1455 ,  G01N21/64 ,  G01N21/65

CPC classification number: A61B5/0082 ,  A61B5/0071 ,  A61B5/0075 ,  A61B5/14546 ,  A61B5/14557 ,  A61M1/367 ,  G01N21/6486 ,  G01N21/65

Abstract: A method of monitoring a treatment of a patient, preferably for monitoring hemodialysis, hemodiafiltration and/or peritoneal dialysis, that includes the steps of irradiating a sample of a dialysis liquid used in the treatment with irradiation light of at least a first irradiation wavelength, detecting light emitted by the irradiated sample in at least a first detection wavelength, the detection wavelength being different from the first irradiation wavelength, and determining the presence and/or concentration of at least one analyte in the sample on the basis of the detected light.

Abstract translation: 一种监测患者治疗的方法，优选用于监测血液透析，血液透析滤过和/或腹膜透析，其包括以下步骤：用至少第一照射波长的照射光照射用于治疗的透析液样品，检测 由至少第一检测波长的被照射样品发射的光，检测波长不同于第一照射波长，并且基于检测到的光来确定样品中至少一种分析物的存在和/或浓度。

公开(公告)号：US08747663B2

公开(公告)日：2014-06-10

申请号：US11128088

申请日：2005-05-11

Applicant: Pascal Kopperschmidt

Inventor： Pascal Kopperschmidt

IPC: B01D21/24 ,  B01D24/38

CPC classification number: A61M1/342 ,  A61B5/02141 ,  A61B5/7225 ,  A61B5/7257 ,  A61M1/1601 ,  A61M1/3431 ,  A61M1/3434 ,  A61M1/3437 ,  A61M1/3465 ,  A61M1/361 ,  A61M1/3612 ,  A61M1/3639 ,  A61M1/3653 ,  A61M1/3655 ,  A61M1/3658 ,  A61M2205/3355 ,  A61M2205/702 ,  A61M2230/30

Abstract: The invention relates to a process for monitoring the supply of substitution fluid upstream or downstream of a dialyser or filter arranged in an extracorporeal blood stream. One embodiment provides, for the detection of predilution or postdilution, for measuring the pressure in the blood stream downstream of the dialyser or filter, predilution or postdilution being recognized on the basis of the change in pressure following the shutting off and/or starting up of the substituate pump provided for conveying the substitution fluid. Another embodiment provides for recognizing predilution or postdilution on the basis of the comparison of the oscillating pressure signal attributable to the substituate pump to a characteristic reference signal. The characteristic reference signal to which the pressure signal of the substituate pump is compared is preferably the oscillating pressure signal of a blood pump arranged in the blood stream for conveying the blood upstream of the dialyser or filter. In addition, the invention relates to an extracorporeal blood treatment device with a facility for detecting predilution or postdilution, which device operates according to the processes detailed above.

Abstract translation: 本发明涉及一种用于监测布置在体外血流中的透析器或过滤器上游或下游的置换液的供给的方法。 一个实施方案提供了用于检测预稀释或后稀释用于测量透析器或过滤器下游的血流中的压力，根据在关闭和/或启动后的压力变化来识别预稀释或后稀释 提供用于输送替代流体的替代泵。 另一个实施例提供了基于归因于替代泵的振荡压力信号与特征参考信号的比较来识别预稀释或后稀释。 比较替代泵的压力信号的特征参考信号优选是布置在用于输送透析器或过滤器上游的血液的血液中的血液泵的振荡压力信号。 此外，本发明涉及具有检测预稀释或后稀释的设备的体外血液处理装置，该装置根据上述方法进行操作。

公开(公告)号：US20120318739A1

公开(公告)日：2012-12-20

申请号：US13512133

申请日：2010-11-16

Applicant: Pascal Kopperschmidt ,  Alfred Gagel

Inventor： Pascal Kopperschmidt ,  Alfred Gagel

IPC: A61M1/16 ,  B01D61/32

CPC classification number: A61M1/342 ,  A61M1/16 ,  A61M1/1601 ,  A61M1/1603 ,  A61M1/1613 ,  A61M1/34 ,  A61M1/3403 ,  A61M1/341 ,  A61M1/3413 ,  A61M1/3431 ,  A61M1/3434 ,  A61M1/3437 ,  A61M1/3635 ,  A61M2205/3334 ,  B01D61/243 ,  B01D61/28 ,  B01D61/32 ,  B01D2311/14 ,  B01D2311/16

Abstract: The present invention relates to a method for regulating supply of substituate in an extracorporeal blood treatment with an extracorporeal blood treatment apparatus comprising a dialyzer divided by a semipermeable membrane into a blood chamber and a dialyzing fluid chamber and a device for supplying substituate. Moreover, the present invention relates to an extracorporeal blood treatment apparatus having a device for regulating supply of substituate. Regulation of supply of substituate in the extracorporeal blood treatment takes place as a function of the rheological loading of the dialyzer. To regulate supply of substituate during extracorporeal blood treatment, rheological loading of the dialyzer is determined from transmembrane pressure on the dialyzer and flow resistance of the dialyzer and substituate rate is increased or reduced according to the loading. The selection of dialyzer parameters or blood parameters is therefore no longer necessary and the distinction between pre-dilution and post-dilution is also made obsolete.

Abstract translation: 本发明涉及一种用体外血液处理装置调节供体取代物的方法，所述体外血液处理装置包括由半透膜分隔成血液室的透析器和透析液室以及用于供给取代基的装置。 此外，本发明涉及具有用于调节供体的装置的体外血液处理装置。 对体外血液治疗中取代基的供应调节作为透析器流变负荷的函数。 为了调节体外血液处理中取代基的供应，透析器的流变学载量由透析器上的跨膜压力和透析器的流动阻力确定，并且根据负载增加或降低取代率。 因此，不再需要选择透析器参数或血液参数，并且预稀释和稀释后的区别也被淘汰。

公开(公告)号：US20100168640A1

公开(公告)日：2010-07-01

申请号：US12086593

申请日：2007-03-06

Applicant: Pascal Kopperschmidt ,  Joachim Noack

Inventor： Pascal Kopperschmidt ,  Joachim Noack

IPC: A61M1/16

CPC classification number: A61M1/3643 ,  A61M1/1682 ,  A61M1/3644 ,  A61M1/3646 ,  A61M1/365 ,  A61M1/3652

Abstract: The invention relates to a method and a hemodialysis machine for at least partial emptying of an extracorporeal blood circulation after the blood of a patient in the extracorporeal blood circulation has been returned to the patient with the help of an infusion liquid which displaces the blood and after the patient has been separated from the extracorporeal blood circulation. The object of the invention is to empty at least the blood chamber of a hemodialyzer (1) that is subdivided by a semipermeable membrane (2) into a blood chamber (3) and a dialysis fluid chamber (4) without additionally connecting the arterial blood line (5) and the venous blood line (7) of the extracorporeal blood circulation to one another. To do so, the arterial blood line (5) is actively or passively aerated at a first point (50) and/or the venous blood line (7) is actively or passively aerated at a second point (40) and the liquid is emptied through the semipermeable membrane (2) into the dialysis fluid chamber (4) and a dialysis fluid discharge line (21) leaving this chamber. The inventive method can take place here through a control program that runs automatically in the control unit (30) of a hemodialysis machine without requiring special operating steps by the operating person after activation of the program.

Abstract translation: 本发明涉及一种方法和血液透析机，用于在体外血液循环中的患者的血液已经借助置换血液的输注液体返回给患者之后至少部分排空体外血液循环，并且之后 病人已经与体外血液循环分离。 本发明的目的是至少将由半透膜（2）细分的血液透析器（1）的血液室排空到血液室（3）和透析液室（4）中，而不需要额外连接动脉血 线（5）和体外血液循环的静脉血液线（7）。 为此，动脉血液管线（5）在第一点（50）处被主动地或被动地通气，和/或静脉血液管线（7）在第二点（40）被主动地或被动地充气并且液体被排空 通过半透膜（2）进入透析液室（4）和离开该室的透析液排出管（21）。 本发明的方法可以通过在血液透析机的控制单元（30）中自动运行的控制程序进行，而不需要操作者在程序激活之后的特殊操作步骤。

公开(公告)号：US20090152179A1

公开(公告)日：2009-06-18

申请号：US12085680

申请日：2006-07-14

Applicant: Pascal Kopperschmidt

Inventor： Pascal Kopperschmidt

IPC: B01D35/14 ,  B01D35/143

Abstract: This invention relates to a method for clearing a wetted hydrophobic filter, in which in a first step the air permeability of the hydrophobic filter is monitored and in which in a second step the hydrophobic filter is cleared by means of a connected air pump, if it is detected that the hydrophobic filter is clogged. Furthermore, the invention relates to an apparatus for performing this method.

Abstract translation: 本发明涉及一种清洗湿润疏水性过滤器的方法，其中在第一步骤中监测疏水性过滤器的透气性，并且在第二步骤中，通过连接的空气泵将疏水性过滤器清除，如果 检测到疏水性过滤器堵塞。 此外，本发明涉及一种用于执行该方法的装置。

公开(公告)号：US20090053083A1

公开(公告)日：2009-02-26

申请号：US12282544

申请日：2007-03-01

Applicant: Pascal Kopperschmidt

Inventor： Pascal Kopperschmidt

IPC: F04B43/12

CPC classification number: A61M1/16 ,  F04B43/0081 ,  F04B43/12 ,  F04B51/00 ,  F04B2201/1203 ,  F04B2207/70

Abstract: The invention relates to a method and to a device for operating an electric peristaltic hose pump, in particular a hose pump for transporting fluids in medical-technical devices, in particular extracorporeal blood treatment devices. In order to monitor the regular operation of a hose pump, the power consumption of the pump or a physical variable in correlation with the power consumption, in particular the pump flow, is monitored. The pump flow includes a periodically non-altering direct component which is superimposed on a periodically altering alternating component. In order to monitor the regular operation of the hose pump, the alternating component of the power consumption in relation to the direct component of the power consumption is monitored as whether it increases and/or decreases during blood treatment.

Abstract translation: 本发明涉及一种用于操作电动蠕动软管泵的方法和装置，特别是用于在医疗技术装置中输送流体的软管泵，特别是体外血液处理装置。 为了监测软管泵的常规操作，监测泵的功率消耗或与功率消耗特别是泵流量相关的物理变量。 泵流包括周期性地不改变的直接分量，其被叠加在周期性变化的交替分量上。 为了监视软管泵的常规操作，监测与功耗的直接分量相关的功率消耗的交替分量，以及在血液处理期间是否增加和/或减少。

公开(公告)号：US10744466B2

公开(公告)日：2020-08-18

申请号：US12085680

申请日：2006-07-14

Applicant: Pascal Kopperschmidt

Inventor： Pascal Kopperschmidt

IPC: B01D35/14 ,  B01D35/143 ,  B01D65/10 ,  A61M1/36 ,  B01D65/02

Abstract: A method for clearing a wetted hydrophobic filter includes a first step in which the air permeability of the hydrophobic filter is monitored, and a second step in which the hydrophobic filter is cleared by means of a connected air pump, if it is detected that the hydrophobic filter is clogged. An apparatus for performing this method includes a pressure sensor and an air pump connected to an air separation chamber via a conduit, and a control and monitoring unit configured to actuate the air pump in order to clear the hydrophobic filter.