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Dry weight predictor

A technology of dry weight and measurement technology, applied in the direction of sensors, diagnostic recording/measurement, medical science, etc., which can solve the problems of lack of dry weight, increased cost and complexity, and expensive, and achieve the effect of reducing excessive body fluids

Inactive Publication Date: 2013-07-17
FRESENIUS MEDICAL CARE HLDG INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

This is partly due to the lack of an established "gold standard" for dry weight determination
Furthermore, the intradialytic approach presents added cost and complexity to the dialysis procedure (which is itself already expensive and time-consuming)

Method used

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Embodiment Construction

[0096] As mentioned above, the present disclosure is concerned with the problem of predicting / estimating the dry weight of an individual. The individual is typically a patient undergoing hemodialysis or peritoneal dialysis as a result of renal failure, it being understood that the processes and devices disclosed herein may also be used to assess patients suffering from conditions other than renal failure (acute kidney disease) hydration status, eg, heart failure, liver failure, nutritional disorders, thrombophlebitis, and / or chronic kidney disease that has not resulted in the need for dialysis. In particular, knowledge of dry weight is valuable for heart failure patients treated with diuretics to reduce their fluid values. When on dialysis, knowledge of the patient's dry weight is of clinical importance in deciding how much diuretic to prescribe.

[0097] Furthermore, these processes and devices may be used in estimating the hydration status of normal subjects, eg, individual...

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Abstract

Methods and apparatus for predicting / estimating the dry weight of an individual, e.g., a patient undergoing dialysis treatment, are provided. The techniques employ a bioimpedance measurement (303) on the individual's calf (101) to obtain information regarding the extracellular fluid volume of the calf. Using a measurement of the calf's circumference (309), a resistivity value is calculated, normalized by the individual's body mass index (BMI), and then offset by a reference value to obtain a new variable, nRho, which is shown, by comparison with a "gold standard" (FIGS. 5-9), to be highly effective in predicting / estimating dry weight (FIGS. 10-13 and 15-16). The techniques are easy to use and provide accurate dry weight predictions / estimations without substantially adding to the complexity or cost of dialysis procedures.; The techniques can also be used for individuals who are not renal patients, e.g., patients suffering from other diseases in which fluid overload can occur, athletes, fitness enthusiasts, and the like.

Description

[0001] Related cases for cross-referencing of US national phase applications [0002] This application claims the benefit under 35 USC 119(e) of US Provisional Patent Application No. 61 / 393,544, filed October 15, 2010, the contents of which are hereby incorporated by reference in their entirety. technical field [0003] The present disclosure relates to prediction / estimation of dry weight for an individual. Although an approximate value, knowledge of the individual dry weight is particularly important for renal patients undergoing dialysis procedures. Background technique [0004] Hydration status is an important issue in long-term dialysis patients and is related to clinical outcome. Chronic overhydration is associated with left ventricular hypertrophy, left ventricular dilatation, arterial hypertension, and eventually development of congestive heart failure. In addition to chronic hyperhydration, higher intradialysis weight gain further increases the burden on the cardio...

Claims

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Application Information

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IPC IPC(8): A61B5/103
CPCG06F19/3456G06F19/30G06F19/3481A61B5/0537A61B5/6828G16H20/40A61B2090/061A61B5/4875A61B5/4839
Inventor N·W·莱文F·朱
Owner FRESENIUS MEDICAL CARE HLDG INC
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