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Continuous Monitoring equipment used for planed hemodialysis and shortening of dialysis time

Research Project

Project/Area Number 01870070
Research Category

Grant-in-Aid for Developmental Scientific Research

Allocation TypeSingle-year Grants
Research Field Urology
Research InstitutionScience University of Tokyo faculty of science

Principal Investigator

YAMADA Akio  Science University of Tokyo faculty of Science Professor, 理学部物理学教室, 教授 (80075267)

Co-Investigator(Kenkyū-buntansha) KABEI Nobuyuki  Tokyo Women's Medical college Biomedical Engineering Assistant Professor, 医用工学研究施設, 講師 (50096583)
Project Period (FY) 1988 – 1992
Project Status Completed (Fiscal Year 1991)
Budget Amount *help
¥6,300,000 (Direct Cost: ¥6,300,000)
Fiscal Year 1991: ¥1,600,000 (Direct Cost: ¥1,600,000)
Fiscal Year 1990: ¥1,600,000 (Direct Cost: ¥1,600,000)
Fiscal Year 1989: ¥3,100,000 (Direct Cost: ¥3,100,000)
Keywordsultrafiltrate Solution / ultrafiltrate cell / Compact ultrafietrate equipment / Electrolyte / Equipment of electrolyte measurement / BUN / BuN測定装置 / 人工腎臓モニタ- / 限外炉過セル / 電解質(Na,K.C1) / 電解質(Na、K、Cl) / 限外濾液
Research Abstract

Because most patients with renal disease have severe anemia, any sampling loss must be minimized. Blood loss can be eliminated by using an in-dwelling device. A small ultrafiltration (UF) cell that can be inserted in the blood lines of any hemodialysis machine and determines the blood chemistries from the resulting ultrafiltration has been designed. Response time can be minimized to within 6 min by the design of the UF cell itself and by using a Toyo UF membrane (U. K. 50 poly sulfone membrane). Coagulation of the UF cell and blood circuit was not observed. Plasma hemoglobin was within the normal range in 6 h. The time course of the ultrafietrate to reach a point where chances in blood solute concentration stop was examined. . The time to 90% of steady state took 3 min. Steady-state Values were obtaimed in 6 min at a blood flow rate of 300ml/min.
Nikkiso Co. dialysis machine was USed as the experiment of in ritro. ANSDIOH (Asahi Medical Co) was used as hemodialyzer. The blood flow rate was 200ml/min. The dialysis solution flow rate was 503ml/min. Venous pressure was 289mmHg. After 30 minutes of blood Criculation, Nacl, Kcl and Ures were added to the human blood. When the serum concentration reached 164.8mEq/l of Sodium, 7.82mEq/l of potassium, 154.8mEq/l of chloride and 48mg/dl of BUN, hemodialysis began After hemodialysis began, 30 minutes latter, 135mEq/l of Sodium, 2.2mEq/l of Potassium, 104mEq/l of chloride were proved. BUN concentration decreased to zero line. Nikkiso CO. dialysis machine was used for chronic renal failure patients. The blood flow rate was 200ml/min The dialysis solution flow rate was 500ml/min, Venous pressure was 290mmHg. When theserum concentration reached 136mEq/l of Sodium 3.35mEq/l of patassium, 113.2mEq/l of chlcrideand 38mg/de of BUN after 30 minutes of blood circulation heodialysis began.
BUN of ultrafiltrate Solution rapidly decreased as exponential curve. Other solutes decreased slowly

Report

(3 results)
  • 1991 Final Research Report Summary
  • 1990 Annual Research Report
  • 1989 Annual Research Report
  • Research Products

    (10 results)

All Other

All Publications (10 results)

  • [Publications] 山田 明夫: "人工腎臓モニタ-装置の開発と臨床応用" 日本臨床. 43(3). 205-214 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Akio Yamada: "Compact Ultrafiltration System Used for continuos Monitoring of Hemodialysis" Progress in Artificial organs. 263-267 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 山田 明夫: "人工透析時の連続モニタシステムに用いられるディスポザブルの濾過セルに関する研究" 人工臓器. 14(1). 11-14 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 山田 明夫: "計画的人工透析と透析時間の短縮に用いられる人工透析患者監視装置に関する研究" 人工臓器. (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 村地 孝,古川 俊行 分担執筆 山田 明夫: "臨床診断と先端技術" 株式会社カレントテラピ-, 118(8) (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yamada, A: " Development of contimuous monitoring System of hemodialysis and clinical application" Japanese clinic.43 (3). 205-214 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yamada, A., Kabei, N., Machiyama, E., IshiJima, M., Sakurai, Y., Kihara, K., and Kolff., W, J.: "Compact Ultrafiltration. System Used for Continuous Monitoring of Hemodialysis" Progress in. Artificial organs. 263-267 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Yamada, A., Machiyama, E., Kabei, N. ., Okano, T., IshiJima, M., Sakurai, Y., Kihara, k.: "Desporsable Ultrafiltrate cell used for Continuous Monitoring System of Hemodialysis." Jpn. J. Artif. crgans. 14 (1). 11-14 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 村地 孝,古川 俊行,山田 明夫(分担執筆): "臨床診断と先端技術(分担執筆8頁)" 株式会社カレントテラピ-, 118 (1988)

    • Related Report
      1990 Annual Research Report
  • [Publications] 村地孝 古川俊之 分担執筆 山田明夫: "臨床診断と先端技術" カレントテラビ-, 118 14 (1988)

    • Related Report
      1989 Annual Research Report

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Published: 1989-04-01   Modified: 2019-02-15  

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