Method and apparatus for predicting intradialytic morbid events

Surgery – Diagnostic testing – Detecting nuclear – electromagnetic – or ultrasonic radiation

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600481, 600504, 600526, A61B 600

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060615907

ABSTRACT:
A method and apparatus for identifying a central blood volume and monitoring changes in the central blood volume during hemodialysis to assist in predicting an onset of intradialytic morbid events. A method of determining a central blood volume mean transit time in a patient system having the central volume and a tubing portion includes measuring a system mean transit time through the tubing portion and the central volume; calculating a tubing portion mean transit time corresponding to passage of an indicator through the tubing portion; adjusting the measured system mean transit time in response to the calculated tubing portion mean transit time to produce the central volume mean transit time and calculating a central volume by multiplying the central volume mean transit time by the cardiac output. This technology can be used not only in hemodialysis, but in intensive care units or during the surgery with extracorporeal circulation systems.

REFERENCES:
patent: 5230341 (1993-07-01), Polaschegg
patent: 5331958 (1994-07-01), Oppenheimer
patent: 5453576 (1995-09-01), Krivitski
patent: 5595182 (1997-01-01), Krivitski
patent: 5601080 (1997-02-01), Oppenheimer
patent: 5687726 (1997-11-01), Hoeft
Abstracts XXXII Congress of the International Union of Physiological Sciences Aug. 1st-6th, Glasgow, 1.
Journal of the American Society of Nephrology; Sep. 1993; vol. 4, No. 3; "Dialysis", p. 357; Published by Williams & Wilkins.
ASAIO Journal 1992; Slide Forum 4, Hemodialysis/Blood Volume and Flow; "Continuous Measurement of Blood Volume During the Hemodialysis by an Optical Method"; pp. M181-M185; De Vries et al.
ASAIO Journal 1994; Poster Session-Renal 2; Hematocrit as an Indicator of Blood Volume and a Predictor of Intradialytic Morbid Events; pp. M691-M696; Steuer et al.

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