Hemodialysis monitoring system for hemodialysis machines

Liquid purification or separation – Processes – Including controlling process in response to a sensed condition

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204406, 2057805, 210 93, 210 962, 210646, 436108, 604 4, B01D 6132

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056628064

ABSTRACT:
An improved on-line real time hemodialysis monitoring system for hemodialysis treatment. The hemodialysis monitoring system quantitates the rate and amount of a constituent, such as urea, removed during the hemodialysis treatment by measuring the constituent concentrations as a function of time in the spent dialysate effluent from a hemodialysis machine. A quantity of the spent dialysate effluent is removed from the dialysate effluent waste line periodically for testing. A urea concentration time profile can be analyzed to determined the urea removal, KT/V, URR, SRI and normalized protein catabolic rate (nPCR) indices. The hemodialysis monitoring system preferably can obtain a dialysate sample equilibrated with the blood prior to the start of a hemodialysis treatment. The hemodialysis monitoring system includes a two pool analysis for taking into account the constituent concentration differences in the extracellular and intracellular spaces in the hemodialysis patient during the hemodialysis treatment.

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Quantitation of Dialysis, "Refining the Model of Urea Kinetics: Compartment Effects," Thomas A. Depner, pp. 147-153, 1992.
Blackwell Scientific Publications, Inc., Artificial Organs, "Kt/V and protein Catabolic Rate Determination from Serial Urea Measurement in the Dialysate Effluent Stream," Laurie J. Garred, Bonny DiGiuseppe, Winston Chand, William McCready, and Bernard Canaud, pp. 248-255, Feb. 1992.

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