Arrangement with a blood pump, a control unit and a device for transmitting the measured values
An assembly with a blood pump and a control unit to control the flow rate at the blood pump includes a device that is designed to deliver a parameter of the breathing cycle or a parameter associated with the breathing cycle. In this way, it is also made possible for a parameter that correlates to the breathing cycle to be used to control the blood pump, in order to proactively prevent problems associated with the drainage.
1. An assembly ( 2 , 12 , 22 ) for extracorporeal lung and heart assistance with a blood pump ( 4 , 14 , 24 ), a gas exchanger ( 5 , 15 , 25 ), a control unit ( 6 , 16 , 26 ) to control the flow rate at the blood pump ( 4 , 14 , 24 ), a cannula ( 3 , 13 , 23 ) to withdraw blood from a blood vessel of a patient, the cannula ( 3 , 13 , 23 ) being connected to the blood pump ( 4 , 14 , 24 ), such that blood can be transported through the gas exchanger ( 5 , 15 , 25 ) by means of the blood pump ( 4 , 14 , 24 ), and at least one device ( 8 , 30 , 33 ) for transmitting measurement values to the control unit ( 6 , 16 , 26 ), wherein the device ( 8 , 30 , 33 ) is designed to output a parameter of the breathing cycle or a parameter that is associated with the breathing cycle, wherein the control unit ( 6 , 16 , 26 ) is adapted to determine the optimum point in time for withdrawing blood from the patient depending on the patient's breathing and to adjust the blood flow accordingly to avoid or reduce adherence of the cannula ( 3 , 13 , 23 ) to the blood vessel wall.
2. The assembly according to claim 1 , wherein the blood pump ( 4 ) includes a drive for controlling the output thereof to vary the flow rate.
3. The assembly according to claim 1 , wherein the blood pump ( 4 , 14 , 24 ) includes a rotor for controlling the rotating speed thereof to vary the flow rate.
4. The assembly according to claim 1 , wherein the device is an EKG ( 33 ) and the parameter correlates to an impedance of the EKG.
5. The assembly according to claim 1 , wherein the device is a ventilator ( 8 , 18 , 28 ) and the parameter correlates to an inspiratory pressure of the ventilator ( 8 , 18 , 28 ).
6. The assembly according to claim 1 , wherein the device is a chest strap and the parameter correlates to a stretching or tension in the chest strap.
7. The assembly according to claim 1 , wherein the device is a piezo element.
8. The assembly according to claim 1 , wherein the device is a diaphragm or myocardial sensor.
9. The assembly according to claim 1 , wherein the device is a sensory gastric tube.
10. The assembly according to claim 1 , wherein the control unit ( 6 , 16 , 26 ) monitors blood flow and gas flow parameters of a gas exchanger ( 5 , 15 , 25 ) and a ventilator ( 8 , 18 , 28 ).
11. The assembly according to claim 1 , wherein the control unit ( 6 , 16 , 26 ) selects or combines measurement values from different devices ( 8 , 18 , 28 , 33 ) on the basis of previously entered data to control the flow rate at the blood pump ( 4 , 14 , 24 ).
12. The assembly according to claim 1 , wherein a buffer element is arranged after the blood pump ( 4 , 14 , 24 ).
13. The assembly according to claim 1 , wherein the cannula is a dual lumen cannula.
14. A method comprising:
providing an assembly ( 2 , 12 , 22 ) for extracorporeal lung and heart assistance with a blood pump ( 4 , 14 , 24 ), a gas exchanger ( 5 , 15 , 25 ), a control unit ( 6 , 16 , 26 ) to control the flow rate at the blood pump ( 4 , 14 , 24 ), a cannula ( 3 , 13 , 23 ) to withdraw blood from a blood vessel of a patient, the cannula ( 3 , 13 , 23 ) being connected to the blood pump ( 4 , 14 , 24 ), such that blood can be transported through the gas exchanger ( 5 , 15 , 25 ) by means of the blood pump ( 4 , 14 , 24 ), and at least one device ( 8 , 30 , 33 ) for transmitting measurement values to the control unit ( 6 , 16 , 26 ), wherein the device ( 8 , 30 , 33 ) is designed to output a parameter of the breathing cycle or a parameter that is associated with the breathing cycle, wherein the control unit ( 6 , 16 , 26 ) is adapted to determine the optimum point in time for withdrawing blood from the patient depending on the patient's breathing and to adjust the blood flow accordingly to avoid or reduce adherence of the cannula ( 3 , 13 , 23 ) to the blood vessel wall; and
comparing the measurement values of or associated with the breathing cycle of the patient with predefined measurement values by the control unit ( 6 , 16 , 26 ) for the purpose of controlling the flow rate of the blood pump ( 4 , 14 , 24 ) to withdraw blood from the patient at an optimum point in time to avoid or reduce adherence of the cannula ( 3 , 13 , 23 ) to the blood vessel wall.
15. The method according to claim 14 , wherein the measurement values are compared with predefined measurement values by the control unit ( 6 , 16 , 26 ) for the purpose of controlling the gas flow of a ventilator ( 8 , 18 , 28 ).
16. The method according to claim 14 , wherein with the control unit ( 6 , 16 , 26 ) spontaneous breathing and ventilation are detected automatically and the flow rate of the blood pump ( 4 , 14 , 24 ) is controlled correspondingly.