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WO1992018048A1 - Procede et installation de dialyse peritoneale - Google Patents

Procede et installation de dialyse peritoneale Download PDF

Info

Publication number
WO1992018048A1
WO1992018048A1 PCT/RU1992/000080 RU9200080W WO9218048A1 WO 1992018048 A1 WO1992018048 A1 WO 1992018048A1 RU 9200080 W RU9200080 W RU 9200080W WO 9218048 A1 WO9218048 A1 WO 9218048A1
Authority
WO
WIPO (PCT)
Prior art keywords
unit
dialysis
solution
units
patient
Prior art date
Application number
PCT/RU1992/000080
Other languages
English (en)
Russian (ru)
Inventor
Viktor Anatolievich Sagatovich
Iosif Borisovich Toporovsky
Igor Semenovich Ivantsov
Semen Iosifovich Toporovsky
Original Assignee
Viktor Anatolievich Sagatovich
Iosif Borisovich Toporovsky
Igor Semenovich Ivantsov
Semen Iosifovich Toporovsky
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Viktor Anatolievich Sagatovich, Iosif Borisovich Toporovsky, Igor Semenovich Ivantsov, Semen Iosifovich Toporovsky filed Critical Viktor Anatolievich Sagatovich
Publication of WO1992018048A1 publication Critical patent/WO1992018048A1/fr

Links

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
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • 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
    • A61M1/1654Dialysates therefor
    • A61M1/1656Apparatus for preparing dialysates
    • A61M1/166Heating

Definitions

  • the main disadvantage of the described means is the lack of income for the process of reducing the incidence of urea in patients who have a little pain. Therefore, due to an increase in the degree of care of 25, there is a slight deterioration of the pit, which significantly reduces its rate of disruption.
  • This method is included in the introduction, operation and subsequent removal of the dialyzed solution from the abdominal area.
  • the global volume is 2 liters. There are 5 cycles that can be smoothed from 12 to 24, but there may be more.
  • This session is designed for the use of one and the same product, it is possible to change it at the same time as adding to it, but it is not necessary to add to it.
  • the dilution of the dilution is controlled by the dialyzed solution.
  • the product is heated and exchanged and sterilized by the use of a bactericidal filter.
  • the purpose of the ⁇ -desired treatment is to create a method for treating and dialing and explaining the procedure of 20 installation for it. in ⁇ . impairment
  • the optimal combination of concentrators involved in dialysis It is easier to eliminate the pain of the patient. reduction of the resulting disease-damage and longer. the compilation of her-dalzhzya ⁇ properties. 5
  • This is a task that resolves . That is, a means of treating a patient through dialysis, an interruption of an interdependent communication between them, and and. ⁇ ⁇ .. ⁇ ⁇ réelle ⁇ .
  • V- volume of hydration The estimated time of dialysis. .
  • One of the options for the method is that a reduction in the quality of the process and a change in the quantity of 10 glitches in it.
  • Another option is to determine that there is a decrease in the quality of the environment and a change in the quantity of salt in it.
  • the achieved task is also solved by the fact that the installation is for the implementation of the process of transferring to the storage room, which is conveniently maintained.
  • Fig. 1 displays a strict system of terms for the transfer of dialyz, which is in accordance with the general agreement.
  • Fig. 3 - a delivery for the delivery of a dialyzed solution;
  • Fig. 4 - a dose for removing dialyzed solution.
  • - 7 The best options for carrying out the work of the below described patented installation are available in the following process. In the beginning. .there is a choice of
  • the unit for regular dialysis contains volume I (fig. 2) for purified water with level sensors. (not shown on the drawings), capacity 2 for on-salt. Interest rate and capacity 3 for glucose equivalents, equipped with a CL-5 panel 4,5,6 with control units connected to a unit 1,2,3 after a compartment of 7,8,9 above a connection to a box ⁇ bee ⁇ echeniya nen ⁇ e ⁇ yvn ⁇ s ⁇ i dialysis bl ⁇ i II, 12,13,14 for ⁇ d ⁇ g ⁇ eva, s ⁇ e ⁇ ilizatsii ⁇ as ⁇ v ⁇ a, ⁇ ya ⁇ lya eg ⁇ ⁇ em ⁇ e ⁇ a ⁇ u ⁇ y and -ele ⁇ v ⁇ dya ⁇ s ⁇ i, d ⁇ za ⁇ y0 15 and 16 and removal ⁇ dachi dializi ⁇ uyuscheg ⁇ ⁇ as ⁇ v ⁇ a, vy ⁇ lnennye as elas ⁇ ichny ⁇ ⁇ z ⁇ achyay ⁇ for s
  • the installation also has a system 23 (Fig. 1.2) for the dial-in dialysis device, the console 24, the server 25, the remote control 26, it is for the remote Signalization.
  • the regulator is connected to the 24th channel.
  • BLOCK ## For the control panel for the temperature and unit 14. For the control panel for the installation of the device
  • System 23 of the card is disposed of a dialysis device that is connected to the receiver. floods and. removing from dialysis 16 dialysis unit,
  • live capacity-33, which is included in the hydrostatic system, installed via an electromagnet valve (there is no inverse flow between charges 15 and 16.
  • Particular block 4 can be made in the form of an elec- tric circuit 0 with power amplifiers at the output, after which there is a solution of blocks 7,8,9, and more.
  • the installation process is shown on the basis of its function in the "dialysis" mode, as most generally ... by the way.
  • the valve On the 5th of the “start”, the valve is turned on 4,5,6 ( ⁇ ) and it is turned off for discharging the discharges from blocks 7 and 8 and the water flow is discharged.
  • Block 12 destroys the bacteria, for example, by irradiating. A high degree of the bactericidal waste stream is eliminated by the elimination of the cost of radiation sources, and the elimination of waste and waste. 10 ⁇ The time of filling the capacitance 17 (Fig. 3). Deliver 15 is activated; the circuit breaker 19 and its signal shuts down the task 25 (Fig. 2).
  • the system 42 After a short delay, the system 42, outputs 15 and 16, as a result, turn off. dialysis solution from patient 15 passes into the patient’s stomach. and the processed product from the 16th unit is survived into the sewer.
  • the rest of the patient from the patient’s stomach is in the canalization ..
  • the last meal is fresh.
  • a signal is generated that is suitable for the temperature and power supply of the device. All the parameters are safe. For the patient, the product is in good condition for the operation of the receiver. If one of the cameras were to go beyond the limits of the installed options, through the switch 24., block 28 is turned on.
  • the production system is available. There is a system 23. In the case of stability, the operating speed is 5 times, for example, it can be used. There is also a noticeable disconnection of the device, that is, the signal from the output of the system 23 through the terminal 24 includes a block 28.

Landscapes

  • Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (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)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

Le présent procédé de dialyse péritonéale, consistant à ménager un flux à diffusion orientée entre la solution de dialyse et le sang du patient du fait de l'existence du gradient osmotique entre eux, est caractérisé par le fait que la molarité osmotique de la solution de dialyse est diminuée à mesure que la concentration en urée dans le sang du patient décroît au cours de la dialyse. Une installation de mise en ÷uvre du procédé comprend des réservoirs (1, 2, 3) d'eau épurée, un sel ainsi que du glucose, des unités (7, 8, 9) de dosage desdits constituants dont les sorties sont reliées, par un joint en T (30), à l'admission d'une unité (12) de stérilisation de la solution. Des unités (13, 14) de régulation de la température et de la conductivité électrique de la solution sont situées au niveau de la sortie d'une unité de dosage (15) destinée à son alimentation et reliée à une unité (10) assurant la continuité de la dialyse. Une unité de chauffage (11) est montée à l'intérieur du réservoir (1) et elle est dotée d'une unité de régulation (29) de température. Des unités de dosage (15 et 16) destinées à acheminer et à décharger la solution de dialyse se composent de réservoirs transparents (17 et 18), montés chacun sur une plaque fixe (34, 35) dans laquelle est incorporé un premier interrupteur de fin de course (20, 22) et dans la paroi supérieure de laquelle est monté un capteur (36, 37). Elles se composent également de plaques mobiles (38 et 39) situées chacune au-dessus des réservoirs (17, 18) et dotées d'un second interrupteur de fin de course incorporé (19, 21), les interrupteurs de fin de course (19 à 22) ainsi que les capteurs (36, 37) étant montés coaxialement, un réservoir de simulation supplémentaire (33) étant monté entre l'unité de dosage (15) et l'unité de dosage (16). La commande de l'installation s'effectue au moyen d'un pupitre de commande (26), avec une unité (27) de dialyse et une programmation de lavage au formol, par l'intermédiaire d'une unité de commande (24) dotée d'un appareil de réglage (25) et reliée à un système de commande (23) de décharge de solution de dialyse comprenant un indicateur (31) de qualité de dialyse ainsi qu'une unité (32) d'enregistrement du temps de remplissage et de déchargement de la solution; et avec les interrupteurs de fin de course ainsi que la vanne électromagnétique du réservoir supplémentaire de simulation (33).
PCT/RU1992/000080 1991-04-23 1992-04-17 Procede et installation de dialyse peritoneale WO1992018048A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
RU4937720 1991-04-23
SU914937720A RU2001638C1 (ru) 1991-04-23 1991-04-23 Способ проведени перитонеального диализа

Publications (1)

Publication Number Publication Date
WO1992018048A1 true WO1992018048A1 (fr) 1992-10-29

Family

ID=21575294

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/RU1992/000080 WO1992018048A1 (fr) 1991-04-23 1992-04-17 Procede et installation de dialyse peritoneale

Country Status (3)

Country Link
AU (1) AU2000692A (fr)
RU (1) RU2001638C1 (fr)
WO (1) WO1992018048A1 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8870811B2 (en) * 2006-08-31 2014-10-28 Fresenius Medical Care Holdings, Inc. Peritoneal dialysis systems and related methods
US10363352B2 (en) 2002-07-19 2019-07-30 Baxter International Inc. Disposable set and system for dialysis
US10646634B2 (en) 2008-07-09 2020-05-12 Baxter International Inc. Dialysis system and disposable set
US10716886B2 (en) 2016-05-06 2020-07-21 Gambro Lundia Ab Systems and methods for peritoneal dialysis having point of use dialysis fluid preparation including testing thereof
US11135345B2 (en) 2017-05-10 2021-10-05 Fresenius Medical Care Holdings, Inc. On demand dialysate mixing using concentrates
US11311657B2 (en) 2007-07-05 2022-04-26 Baxter International Inc. Dialysis system for mixing treatment fluid at time of use
US11439736B2 (en) 2008-07-25 2022-09-13 Baxter International Inc. Dialysis system with online dialysis fluid generation
US11495334B2 (en) 2015-06-25 2022-11-08 Gambro Lundia Ab Medical device system and method having a distributed database
US11504458B2 (en) 2018-10-17 2022-11-22 Fresenius Medical Care Holdings, Inc. Ultrasonic authentication for dialysis
US11516183B2 (en) 2016-12-21 2022-11-29 Gambro Lundia Ab Medical device system including information technology infrastructure having secure cluster domain supporting external domain

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0153164A2 (fr) * 1984-02-18 1985-08-28 M.L. Laboratories Plc Solution pour la dialyse péritonéale
EP0171834A2 (fr) * 1981-06-05 1986-02-19 POPOVICH, Robert P. L'appareil d'irradiation ultraviolette de l'appareil de dialyse
US4618343A (en) * 1983-09-15 1986-10-21 Fresenius Ag Apparatus for peritoneal dialysis
EP0243547A1 (fr) * 1986-05-01 1987-11-04 Alan M. Peabody Dispositif de dialyse péritonéale à flux continu
SU1593660A1 (ru) * 1987-10-30 1990-09-23 Научно-Исследовательский Институт Трансплантологии И Искусственных Органов Устройство дл перитонеального диализа
SU1659058A1 (ru) * 1988-11-18 1991-06-30 Московский областной научно-исследовательский клинический институт им.М.Ф.Владимирского Способ детоксикации организма

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0171834A2 (fr) * 1981-06-05 1986-02-19 POPOVICH, Robert P. L'appareil d'irradiation ultraviolette de l'appareil de dialyse
US4618343A (en) * 1983-09-15 1986-10-21 Fresenius Ag Apparatus for peritoneal dialysis
EP0153164A2 (fr) * 1984-02-18 1985-08-28 M.L. Laboratories Plc Solution pour la dialyse péritonéale
EP0243547A1 (fr) * 1986-05-01 1987-11-04 Alan M. Peabody Dispositif de dialyse péritonéale à flux continu
SU1593660A1 (ru) * 1987-10-30 1990-09-23 Научно-Исследовательский Институт Трансплантологии И Искусственных Органов Устройство дл перитонеального диализа
SU1659058A1 (ru) * 1988-11-18 1991-06-30 Московский областной научно-исследовательский клинический институт им.М.Ф.Владимирского Способ детоксикации организма

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10363352B2 (en) 2002-07-19 2019-07-30 Baxter International Inc. Disposable set and system for dialysis
US11235094B2 (en) 2002-07-19 2022-02-01 Baxter International Inc. System for peritoneal dialysis
US8870811B2 (en) * 2006-08-31 2014-10-28 Fresenius Medical Care Holdings, Inc. Peritoneal dialysis systems and related methods
US11931497B2 (en) 2007-07-05 2024-03-19 Baxter International Inc. System and method for preparing peritoneal dialysis fluid at the time of use
US11311657B2 (en) 2007-07-05 2022-04-26 Baxter International Inc. Dialysis system for mixing treatment fluid at time of use
US10646634B2 (en) 2008-07-09 2020-05-12 Baxter International Inc. Dialysis system and disposable set
US11918721B2 (en) 2008-07-09 2024-03-05 Baxter International Inc. Dialysis system having adaptive prescription management
US11311658B2 (en) 2008-07-09 2022-04-26 Baxter International Inc. Dialysis system having adaptive prescription generation
US11439736B2 (en) 2008-07-25 2022-09-13 Baxter International Inc. Dialysis system with online dialysis fluid generation
US11495334B2 (en) 2015-06-25 2022-11-08 Gambro Lundia Ab Medical device system and method having a distributed database
US10828412B2 (en) 2016-05-06 2020-11-10 Gambro Lundia Ab Systems and methods for peritoneal dialysis having point of use dialysis fluid preparation including mixing and heating therefore
US11718546B2 (en) 2016-05-06 2023-08-08 Baxter International Inc. System and a method for producing microbiologically controlled fluid
US11045596B2 (en) 2016-05-06 2021-06-29 Gambro Lundia Ab Systems and methods for peritoneal dialysis having point of use dialysis fluid preparation using water accumulator and disposable set
US10716886B2 (en) 2016-05-06 2020-07-21 Gambro Lundia Ab Systems and methods for peritoneal dialysis having point of use dialysis fluid preparation including testing thereof
US11939251B2 (en) 2016-05-06 2024-03-26 Gambro Lundia Ab Systems and methods for peritoneal dialysis having point of use dialysis fluid preparation including mixing and heating therefore
US11516183B2 (en) 2016-12-21 2022-11-29 Gambro Lundia Ab Medical device system including information technology infrastructure having secure cluster domain supporting external domain
US11135345B2 (en) 2017-05-10 2021-10-05 Fresenius Medical Care Holdings, Inc. On demand dialysate mixing using concentrates
US11752246B2 (en) 2017-05-10 2023-09-12 Fresenius Medical Care Holdings, Inc. On demand dialysate mixing using concentrates
US11504458B2 (en) 2018-10-17 2022-11-22 Fresenius Medical Care Holdings, Inc. Ultrasonic authentication for dialysis

Also Published As

Publication number Publication date
RU2001638C1 (ru) 1993-10-30
AU2000692A (en) 1992-11-17

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