B. Braun Avitum Ag

Soeren Weyer

Christof Strohhoefer

Silvie Krause

Joern Ahrens

Alex Castellarnau

Control methods of a dialysis machine for allowing the dialysate-side detection of a recirculation in an arteriovenous shunt of a patient during ongoing hemodialysis are described. A sensor is arranged downstream of a dialyzer and detects a change of a physicochemical parameter Pof outflowing dialysis fluid. Control elements are provided to guide the dialysis fluid in a selected manner through the dialyzer or pass it by. Recirculation may be determined by passing the dialysis fluid by the dialyzer so that the dialysis fluid is guided unchanged along the sensor for calibration, switching the control elements after optional sensor calibration such that the dialysis fluid flows through the dialyzer, and adjusting a desired first blood flow value BFin the blood-side extracorporeal circulatory branch so that between an inlet of the extracorporeal circulatory branch and an outlet a recirculation R and, a first clearance Kare adjusted and the parameter detected by the sensor adopts a corresponding value P, changing the first blood flow value BFto a second blood flow value BF, wherein a second clearance Kis adjusted, and accordingly at the sensor a new parameter value Pis provided and detected, and determining the recirculation R by the course of change from the parameter value Pto the parameter value P.

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Aachen, Germany

Soeren Weyer