Fresenius Medical Care Holdings, Inc.

Hema Metrics, Inc.

Fresenius Medical Holdings, Inc.

Louis Leegrande Barrett

Perry N Law

David W Peterson

Matthew A Stowell

Chih-Hu Ho

Kristian Allen Sammann

Eric Stroup

David Yuds

Douglas L Cox

Ken Chhi

Tom Merics

Joan Dowd

Peter Kotanko

Chris Chau

Christopher Yim Chau

Michael J Germain

Michael Jack Germain

Ronald S Glaittli

Jorge Perez

Brian Harris Nathanson

Bemjamin D Jensen

N Diane Hudkins

Michael K Black

Brian H Nathanson

Kristian A Sammann

A method of performing closed-loop dialysis treatment during hemodialysis is provided. The method involves determining an initial ultrafiltration rate and setting an ultrafiltration pump of a dialysis system to the determined ultrafiltration rate. A series of measurements and calculations are made to ensure that a rate of change of blood volume during treatment follows a specified profile. A threshold may be used to keep the rate of change of blood volume tracking the profile. Patient fluid dynamics may be measured in real-time and used to determine the ultrafiltration pump rate.

Closed loop dialysis treatment using adaptive ultrafiltration rates

A measurement system for measuring blood characteristics includes a controller, an emitter, a sensor, and a reference sensor. The emitter emits light at a plurality of wavelengths from a first side of a blood flow channel to a second side of the blood flow channel. The sensor is provided on the second side of the blood flow channel. The reference sensor is provided on the first side of the blood flow channel. The controller compensates measurements from the sensor based upon measurements from the reference sensor. The reference sensor may be disposed in a position to increase noise immunity of the measurement system. The measurement system may be connected to or part of a dialysis system.

Direct light differential measurement system

Blood flow line

Embodiments of the disclosure provide a method for determining beginning blood volume of a patient during dialysis (e.g., hemodialysis). Ultrafiltration rates are determined at different time stamps during dialysis by obtaining a blood flowrate measurement and hematocrit measurements at input port and output port of a dialyzer connected to the patient. The flowrate and hematocrit measurements are used to determine fluid removed from the patient during dialysis. The ultrafiltration rates and fluid removed from the patient are used to determine the beginning blood volume of the patient.

Determination of patient blood volume at start of a dialysis treatment

Direct light differential measurement system with increased noise immunity

Embodiments of the disclosure provide a method for evaluating dialyzers used in different medical applications (e.g., hemodialysis). Red blood cell volume lost in a dialyzer is monitored by obtaining blood flowrate measurements and hematocrit measurements at input ports and output ports of the dialyzer. The flowrate and hematocrit measurements are used to determine an accumulation of red cell blood volume in the dialyzer. The measurements may be obtained in a lab environment with an in-vitro blood source or may be obtained in a clinical setting with an in-vivo blood source from a patient.

System and method for dialyzer evaluation

Systems and sensor clip assemblies for optically monitoring blood flowing through a blood chamber are provided. A sensor clip assembly includes emitters and photodetectors positioned on opposing arms, a signal conditioning circuit for conditioning raw analog signals generated by the photodetectors while the sensor clip assembly is fastened to a blood chamber, and an analog-to-digital converter for converting the conditioned analog signals to raw digital data. The sensor clip assembly may include a microcontroller for calculating parameters of blood flowing through the blood chamber such as hematocrit, oxygen saturation, and change in blood volume from the raw digital data. The sensor clip assembly is in communication with a networked computer, and the networked computer is in communication with a remote computer configured to provide a user interface for monitoring and/or controlling the sensor clip assembly.

Controlling data output of a sensor clip assembly for an optical monitoring system

Remote interfacing with a sensor clip assembly for an optical monitoring system

Systems and sensor clip assemblies for optically monitoring blood flowing through a blood chamber are provided. A sensor clip assembly includes emitters and photodetectors positioned on opposing arms, a signal conditioning circuit for conditioning raw analog signals generated by the photodetectors while the sensor clip assembly is fastened to a blood chamber, and an analog-to-digital converter for converting the conditioned analog signals to raw digital data. The sensor clip assembly may output the raw digital data to an external device and receive synchronized control signals from the external device, or the sensor clip assembly may include a microcontroller for performing calculations on the raw digital data and providing synchronized control signals internally. Parameters of blood flowing through the blood chamber such as hematocrit, oxygen saturation, and change in blood volume may be calculated from the raw digital data derived from the raw analog signals generated by the photodetectors.

Sensor clip assembly for an optical monitoring system

A measurement system for measuring blood characteristics includes a controller, an emitter, a sensor, a reference photo sensor, and a mask. The emitter emits light at a plurality of wavelengths from a first side of a blood flow channel to a second side of the blood flow channel. The sensor is provided on the second side of the blood flow channel. The reference photo sensor is provided on the first side of the blood flow channel. The mask is provided on the first side blocking reflected light other than from the light from the emitter to enter the reference photo sensor. The controller compensates measurements from the sensor based upon measurements from the reference photo sensor.

An embodiment of the disclosure provides a system for determining information on one or more constituents in a medium. The system includes N light emitters L. . . L, wherein each light emitter Lprovides an amplitude modulated (AM) light at modulation frequency finto a flow path of the medium from one side of a containment vessel for the medium. The system further includes a photodetector, for receiving the AM light from each light emitter after it passes through the flow path of the medium, and converting the AM light to an electrical signal characterized by a summation of frequency components from each modulation frequency f. The system further includes one or more measuring circuits providing information about a concentration of one or more constituents in the medium determined from log ratios of a pair of amplitudes of fand ffrequency components in the electrical signal.

Tunable optical receiver

Growing community of inventors

West Point, UT, United States of America

Louis Leegrande Barrett