This application claims priority to German Application DE 10 2015 120 215.8 filed Nov. 23, 2015, the contents of such application being incorporated by reference herein.
The invention relates to a sensor device and a system comprising the sensor device and relates in particular to a central device for external single or multiple sensor applications for measuring at least one measurand, as well as to a system which supplies a medium to be measured and comprises said device.
In the field of dialysis, for example, sensors are mainly used for monitoring the most varied measuring parameters, and for instance the cleaning level of the blood is determined with the aid of absorbance measurements in the used dialysis liquid (DF), which is a chemical image of the cleaned blood. The absorbance measurements are performed here by means of and/or using an optical UV transmission sensor. In known assemblies, the sensor is a fixed component of the dialysis machine, so that each dialysis machine at which a desired variable or a corresponding measured value is to be output has to be equipped with one or several of such sensor(s), which requires intensive developments and is cost-intensive.
A dialysis center can use several of such dialysis machines at the same time or in a timely staggered manner. In doing so, the rejection of used dialysis liquid is discharged over a common line. Nevertheless, the corresponding sensors have to be plurally provided in the several dialysis machines.
Thus, the invention relates to the object to provide a device and a system which are able to perform measurements in a used dialysis liquid without disposing a plurality of corresponding and/or similar sensors in several dialysis machines.
This object is achieved according to aspects of the invention by a device for measuring at least one measurand comprising the features of the first independent claim and by a system comprising a centralized device for an external single or multiple sensor device comprising the features of the second independent claim.
The invention relates to the general idea to remove the sensors, carrying out measurements in used dialysis liquids, from the dialysis machine such that a centralized sensor device can be used for several dialysis machines at the same time or in a timely adapted fashion. To this end, the use of the sensor system is reorganized according to aspects of the invention such that the used dialysis liquid is directed through an external device which only comprises one exemplar of each sensor. This drastically reduces the number of sensors employed. In order to be able to operate several dialysis machines, the device may additionally comprise a module which—by a suitable bypassing or switching of flow paths of flows, i.e. flows of media output by a dialysis machine (predominantly fluids or liquids such as the used dialysis liquid of a desired dialysis machine, but without any limitation thereto)—is able to re-route the flows of media through the sensor(s) in the external device. This is possible in particular because known sensors in a dialysis machine detect their values anyway every 3 to 5 minutes. In the meantime, values for other machines can be recorded without having to accept a reduction in resolution, for example.
Instead of focusing on a production of numerous sensors for installation in a dialysis machine, an external centralized sensor device advantageously allows to reduce the number of sensors required for the overall system and to cut costs. Moreover, it will be possible to use further sensors for the measurement of quantitative variables such as creatinine and urea, for example.
In addition, some sensors need an additional device for adding corresponding reagents. With known assemblies, such additional devices require space in a dialysis machine and also have to meet high regulatory requirements. According to aspects of the invention, however, it is possible that all the sensors located in the dialysis liquid drain section can be accommodated in the centralized device. In this case, they are subject to considerably lower regulatory requirements because they represent an in-vitro diagnostic agent. In this respect, the device according to aspects of the invention provides room for elements and components which actually have to be individually present in a dialysis machine. Further advantages result from the fact that even low-cost machines and/or machines from other manufacturers, which usually are not equipped with a separate and/or compatible sensor system in the drain section of the dialysis machine can also be connected to the device and operated in the system network. Further, measured values can be forwarded or transferred to a dialysis machine and/or corresponding databases by the already existing infrastructure such as data management systems, for example.
Specifically, the above-mentioned advantages are achieved and the object is met by a device for measuring at least one measurand, comprising: a sensor device which has at least one sensor and, via at least one medium-carrying detection path, can be connected to at least one of a plurality of devices outputting at least one flow of a medium to be captured, the at least one sensor being arranged to selectively detect at least one measurand with respect to at least one medium flow output by one of the plurality of devices.
A device for measuring at least one measurand is suggested, comprising: a sensor device such as a stand-alone sensor which comprises at least one sensor and, via at least one medium-carrying detection path, can be connected to one of a plurality of (medical) devices such as dialysis machines, which each output a flow of medium (used dialysis fluids/liquids) to be captured as a medium flow, the at least one sensor being arranged to selectively detect at least one measurand with respect to the medium flow output by said one device; and a fluidic unit (for example a switch valve or a multi-port valve) which is arranged upstream of the sensor device, can be (is) connected to the plurality of devices via a plurality of paths carrying medium flows and is connected to the sensor device so as to (selectively) pass on exactly one medium flow to the sensor device, wherein the fluidic unit is arranged to provide a flow control (performed in a processor/CPU) for the flows of media to be captured, namely by selectively choosing one of the plurality of medium flows output by the plurality of devices via the plurality of paths carrying medium flows and by supplying the one selected medium flow to the at least one sensor of the sensor device.
Preferably, the at least one sensor is arranged to detect the at least one measurand with respect to the medium flow along a fluid path or an air path.
Preferably, the sensor device constitutes a sensor device which is centralized for a plurality of devices and is connected to at least one output and/or outlet of a dialysis machine via a liquid path or an air path.
Preferably, the at least one sensor is arranged to detect a clearance and/or a concentration of an analyte in the medium flow as the at least one measurand.
Preferably, a flow-controlling fluidic unit arranged upstream of the sensor device is connected so as to pass on at least one medium flow to the sensor device, the fluidic unit being arranged to supply, in a specifically selectable manner, the at least one sensor device with at least one of a plurality of medium flows which are output by the plurality of devices outputting the plurality of medium flows and/or the sensor device is arranged, in a specifically selectable manner, to detect at least one of a plurality of measurands of a selected device whose medium flow is fed to the sensor device.
Preferably, the fluidic unit is arranged to supply the sensor device with medium flows from the plurality of devices in a timely controlled manner and in a predetermined switching scheme, and/or to supply the sensor device with a currently selected medium flow from a currently selected device for a predetermined period of time.
Preferably, the predetermined period of time can be adapted or is adapted to detection times of a sensor system in the currently selected device, and a plurality of predetermined periods of time are provided to be adaptable or to be adapted to detection times of a sensor system of each of the plurality of connected or connectable devices and are made available alternately in the manner of a time multiplex.
Preferably, among a plurality of predetermined periods of time at least one predetermined period of time having a fixed or adjustable duration is provided for a sensor-less device.
Preferably, a selection of a device can be enforced by a user and can only be canceled by the latter at any points in time.
Preferably, at least one multi-port valve is provided which is arranged to be connectable at the input side with a plurality of devices outputting medium flows, to be connected to the sensor device at the output side and to supply the sensor device with one medium flow each from the plurality of devices outputting medium flows. Instead of the at least one multi-port valve, it is also possible to provide a clever combination of simple shut-off valves with which the device according to aspects of the invention is implemented.
Preferably, an interface to a data management and/or communication device is provided for a transmission and/or further processing of measured data and/or measurands in an associated device and/or a database.
Preferably, an additional device such as a pump or a syringe or a valve is provided on the sensor device and arranged to add a reagent required by the sensor.
A system is suggested that comprises a centralized device for an external single or multiple sensor device includes a centrally arranged device (comprising at least a sensor device and a fluidic unit) for measuring at least one measurand as described above; and at least one (medical) device (such as a dialysis machine) outputting the flow of the medium to be measured at at least one outlet, wherein one of the devices (dialysis machines) can be selectively selected and can be connected to the (centrally arranged) device for a predetermined period of time if several devices (dialysis machines) outputting a medium flow (dialysis liquid/fluid) are connected to the (centrally arranged) device for measuring at least one measurand.
Preferably, the system comprises a data management and/or communication device arranged to receive captured information, data and/or measured values from the device for measuring at least one measurand.
Preferably, the data management and/or communication device is arranged to transfer information, data and/or measured values received from the device for measuring at least one measurand to a predetermined device outputting a medium flow and/or to store these in a database.
Preferably, the data management and/or communication device is arranged to transfer control and/or closed-loop control instructions, which are output by a device outputting a medium flow, to the device for measuring at least one measurand.
Preferably, the system comprises a display device for displaying information, data and/or measured values captured by the device for measuring at least one measurand and/or for displaying information or instructions, relevant to system-related control and/or closed-loop control functions, output by a device outputting a medium flow.
The invention is best understood from the following detailed description when read in connection with the accompanying drawings.
In the following description of the Figures, identical or functionally identical elements and components in the individual Figures are designated with the same reference numerals and are expediently not redundantly described. In those cases in which a following exemplary embodiment functionally corresponds to at least one preceding embodiment, i.e. if corresponding functions, arrangements and/or modes of operation are similarly contained, only the differences will be discussed for convenience.
According to the following exemplary embodiments, a device and a system comprising said device for measuring various variables (conductivity, temperature, pH value, Kt/V, concentrations of analytes such as creatinine, urea and the like and of electrolytes such as sodium and the like) are connected to the dialysis machine via the liquid output or an air path with the aid of a centralized sensor device. A suitable flow control unit allows to detect various measurands of selected machines. A data management—and/or communication application allows for the transfer or transmission of measured information, data and/or values into the dialysis machine (e.g. for displaying these on a display device or for instance as control and closed-loop control instructions) and/or into a database.
Specifically,
The sensor device 1 may further comprise one or more different (not illustrated) sensors as well as associated mechanical and electronic systems, such as e.g. (reagent) pumps 7, control units, arithmetic units and the like which are known per se. A communication and/or data management device 20 or a corresponding application allows to send information to the dialysis machine. Such information may consist in a captured concentration value or a clearance (Kt/V) value, for example. However, it is also possible to simultaneously send or transmit control instructions in order to control a blood flow, for instance, making it possible for other methods to determine blood-related concentrations.
The detected values are available to the dialysis machine 6 and can be output for being displayed on the screen 6a and/or written in a (not illustrated) database. In the latter case, the data obtained in this way can be analyzed over a longer period of time.
Specifically,
By way of example and according to
It is preferred that said periods of time are specified or selected in accordance with a time behavior of detected values at a respective dialysis machine 6 according to a treatment process which is carried out there. In other words, the process of passing on a dialysis liquid of a particular dialysis machine 6 for being measured in the sensor device 1 is carried out preferably in those periods of time or at those points in time where a recording or detection of values is supposed to be done at the particular dialysis machine 6 (for instance every 3 to 5 minutes). The dialysis liquid of another dialysis machine 6 can be measured in other times. To this end, several dialysis machines 6 may be operated such or may perform their treatment such, for instance, that they receive the respectively required values with a suitable time offset.
It goes without saying that the components and/or the parts of the system may also be provided in multiple form. By way of example, if within existing cycle times the number of already connected dialysis machines 6 does not allow to connect further dialysis machines 6, it is possible to add a second fluidic unit 2 and/or a second sensor device 1 for measuring medium flows from further dialysis machines 6.
According to the exemplary embodiment of a flow control unit or fluidic system shown in simplified form in
The core of the previously described smart fluid management scheme in accordance with the fluidic unit 2 is represented by at least one multi-port valve 3 which is illustrated according to the exemplary embodiment in a variant with two ports. The output or outlet 4 for the dialysis liquid of a dialysis machine 6 is connected to the at least one multi-port valve 3 via the fluidic unit 2. This allows to control the flows in the machine. A digital interface (not shown) offers the possibility to determine the machine for which the dialysis liquid is to be examined. The other paths are discharged to the drain. The measured values may then be transmitted to the corresponding machine for illustration and/or further processing.
According to
According to aspects of the invention, there are cost savings in terms of the installation of many sensors, it is possible to use several sensors for the investigation or detection of a very wide range of variables such as Kt/V, creatinine, urea, but also for enzymatic tests, the regulatory requirements which have to be met are lower by a possible classification as an in vitro diagnostic agent, and even dialysis machines which are not equipped with an own sensor system benefit from the cited advantages of the described sensor system.
Thus, a device for measuring at least one measurand and a system containing the device for external single or multiple sensor devices in a centralized manner have been described above. The device comprises a sensor device which has at least one sensor and, via at least one medium-carrying detection path, can be connected to at least one of a plurality of devices outputting at least one flow of a medium to be captured, the at least one sensor being arranged to selectively detect at least one measurand with respect to at least one medium flow output by one of said plurality of devices. The system further comprises at least one device outputting the flow of the medium to be measured at at least one outlet, wherein one of the devices outputting a medium flow can be selectively selected and can be connected to the device for a predetermined period of time if several devices outputting a medium flow are connected to the device for measuring at least one measurand.
It shall be understood that the invention is not limited to the described exemplary embodiments, in particular not to the dialysis machine and the dialysis liquid which have only been taken as an example and to the numeric values and orders of magnitude which have been given in their context, but obvious modifications and equivalent solutions can be inferred by the person skilled in the art within the scope of protection defined by the following claims.
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10 2015 120 215 | Nov 2015 | DE | national |
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European Communication for European Application No. 16 197 475.3, dated Feb. 19, 2018, including English translation, 9 pages. |
European Search Report with translation for DE 10 2015 120 215.8 dated Mar. 31, 2017. |
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Number | Date | Country | |
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20170146446 A1 | May 2017 | US |