Methods and devices for monitoring the integrity of a fluid connection
US-9442036-B2 · Sep 13, 2016 · US
US9636447B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9636447-B2 |
| Application number | US-201214234527-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jun 20, 2012 |
| Priority date | Jun 30, 2011 |
| Publication date | May 2, 2017 |
| Grant date | May 2, 2017 |
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A device removes first pulses in a pressure signal of a pressure sensor which is arranged in a fluid containing system to detect the first pulses, which originate from a first pulse generator, and second pulses, which originate from a second pulse generator. The first pulse generator operates in a sequence of pulse cycles, each pulse cycle resulting in at least one first pulse. The device repetitively obtains a current data sample, calculates a corresponding reference value and subtracts the reference value from the current data sample. The reference value is calculated as a function of other data sample(s) in the same pressure signal. The fluid containing system may include an extracorporeal blood flow circuit, e.g. as part of a dialysis machine, and a cardiovascular system of a human patient.
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The invention claimed is: 1. A device for processing a time-dependent pressure signal obtained from a pressure sensor in a fluid containing system associated with a first pulse generator and a second pulse generator, wherein the pressure sensor is arranged in the fluid containing system to detect first pulses originating from the first pulse generator and second pulses originating from the second pulse generator, wherein the first pulse generator operates in a sequence of pulse cycles, each pulse cycle resulting in at least one first pulse, said device comprising: an input for the pressure signal; and a signal processor connected to said input and configured to: repetitively obtain a current data sample within a current pulse cycle in the pressure signal; calculate, for each current data sample within the current pulse cycle, a reference value as a function of a cycle-synchronized data sample in one or more other pulse cycles in the pressure signal, the cycle-synchronized data sample being obtained to have a location in said one or more other pulse cycles that corresponds to a location of the current data sample in the current pulse cycle; and operate a subtraction algorithm on the current data sample, using said reference value obtained for the current data sample as input, so as to generate a current output sample which is essentially free of a signal component attributable to said at least one first pulse. 2. The device of claim 1 , wherein the signal processor is configured to calculate the reference value as a function of the cycle-synchronized data sample in an adjacent pulse cycle. 3. The device of claim 2 , wherein the signal processor is configured to set the reference value equal to the cycle-synchronized data sample in the adjacent pulse cycle. 4. The device of claim 1 , wherein the signal processor is configured to calculate the reference value as an aggregation of the cycle-synchronized data sample and one or more adjacent data samples to the cycle-synchronized data sample in an adjacent pulse cycle. 5. The device of claim 1 , wherein the signal processor is configured to calculate the reference value as an aggregation of cycle-synchronized data samples in at least two other pulse cycles. 6. The device of claim 5 , wherein the signal processor is configured to calculate the aggregation to include one or more adjacent data samples to each cycle-synchronized data sample in said at least two other pulse cycles. 7. The device of claim 5 , wherein the signal processor is configured to calculate the aggregation recursively, by updating a preceding reference value, which corresponds to the reference value and is calculated in a preceding pulse cycle. 8. The device of claim 7 , wherein the signal processor is configured to calculate the reference value as a function of the preceding reference value and a difference between the cycle-synchronized data sample in the preceding pulse cycle and the preceding reference value. 9. The device of claim 5 , further comprising a Kalman filter, which is configured to receive a time sequence of current data samples obtained within the current pulse cycle as input and estimate a set of states that represent a time sequence of reference values in the current pulse cycle. 10. The device of claim 9 , wherein the signal processor is configured to calculate a difference value between the current data sample and the cycle-synchronized data sample, generate a weighted feedback value by applying a weight factor to a cycle-synchronized output sample which is obtained to have a location in one or more preceding pulse cycles that corresponds to a location of the current data sample within the current pulse cycle, and generate the current output sample as a sum of the difference value and the weighted feedback value, wherein the weight factor is selected such that the signal processor implements said Kalman filter. 11. The device of claim 4 , wherein the signal processor is configured to calculate the aggregation as a summation of data samples. 12. The device of claim 11 , wherein the signal processor is configured to apply a weight factor to each data sample in said summation. 13. The device of claim 12 , wherein the signal processor comprises an adaptive filter configured to adaptively determine each weight factor based on a difference between the current data sample and the current output sample. 14. The device of claim 1 , wherein the signal processor is configured to obtain the current data sample as a difference between proximate pressure values in the pressure signal. 15. The device of claim 1 , wherein the signal processor is configured to obtain first data samples from the pressure signal and obtain each current data sample by interpolation among the first data samples with respect to a respective location within the current pulse cycle. 16. The device of claim 1 , wherein the signal processor is configured to obtain the current data sample in synchronization with the pulse cycles. 17. The device of claim 1 , further comprising an input for a synchronization signal that represents the pulse cycles of the first pulse generator, wherein the signal processor is responsive to the synchronization signal in at least one of obtaining the current data sample, calculating the reference value, and operating the subtraction algorithm. 18. The device of claim 1 , wherein the fluid containing system comprises an extracorporeal blood processing apparatus, a cardiovascular system of a human subject, and a fluid connection between the extracorporeal blood processing apparatus and the cardiovascular system, wherein the first pulse generator is associated with the extracorporeal blood processing apparatus and the second pulse generator is associated with the human subject. 19. The device of claim 1 , wherein the signal processor is configured to repetitively obtain the current data sample and calculate the reference value so as to generate a time-sequence of reference values that form an estimated temporal profile of said at least one first pulse within the current pulse cycle. 20. The device of claim 1 , wherein the signal processor is configured to operate the subtraction algorithm so as to generate a time-sequence of current output samples which form a temporal profile of the second pulse. 21. The device of claim 1 , wherein the signal processor is configured to generate at least three output samples for each current pulse cycle. 22. The device of claim 1 , wherein the first pulse generator comprises a peristaltic pump comprising a rotor with at least one roller, and wherein each pulse cycle corresponds to a full rotation of the rotor. 23. The device of claim 1 , wherein the first pulse generator comprises a peristaltic pump comprising a rotor with a number rollers, and wherein each full rotation of the rotor generates the same number of pulse cycles as the number of rollers. 24. An apparatus for blood treatment comprising an extracorporeal fluid circuit configured to be connected in fluid communication with a vascular access of a human subject and operable to circulate blood from the cardiovascular system of the human subject through a blood processing device and back to the cardiovascular system, said apparatus further comprising the device as set forth in claim 1 . 25. A device for processing a time-dependent pressure signal obtained from a pressure sensor in a fluid containing system associated with a f
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Extracorporeal blood circuits, e.g. dialysis circuits · CPC title
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