Clinical Trial on a Novel Blood Pumping System in 4008A Hemodialysis Machine
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Renal Dialysis
- Sponsor
- D.med Consulting GmbH
- Enrollment
- 8
- Locations
- 1
- Primary Endpoint
- Incidence of Alarms
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of this clinical trial will be to verify the feasibility of using an impeller system instead of a roller pump for hemodialysis, using the established 4008 hemodialysis system and a Convergence Dialyzer with design changes made to the FX-Coral P 600 dialyzer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients must be up to 18-85 years
- •Hemodialysis Schedule: 3 times per week; app. 3- 5 hour treatment
- •Stable clinical conditions: no recent (last 2 weeks) hospitalization events, no recent main surgery (last 3 weeks), no acute cardiological problems, hemoglobine levels in the DOQI Guideline ranges.
- •Hemodynamic stability during dialysis i.c. number of sessions complicated by acute hypotension events or arrhythmia \<25% in the last 3 Months
- •Well-functioning AVF vascular access: access recirculation ≤10%
- •No coagulation disorders and anticoagulant therapy
- •Patients must be using a similar size dialyzer as Convergence dialyzer
- •Signed Inform consent form.
Exclusion Criteria
- •Unstable clinical condition: recent hospitalization, recent surgery, anemia, active neoplastic diseases,shock or unstable cardiac function and intolerable to extracorporeal treatment
- •Hemodynamic instability during the dialysis sessions; more than 25% of the sessions complicated by acute hypotension or arrhythmic events.Presence of clinically significant abnormality on a 12-lead ECG at Screening that, at the investigator's clinical judgment, may compromise the safety of the patient or affect the outcome of the study.
- •History or presence of congestive heart failure with symptoms consistent with New York Heart Association Class III or IV functional status within 6 months prior to the study Convergence system treatment.
- •Abnormal liver function values including but not limited to the aspartate transaminase, alanine transaminase or alkaline phosphatase ≥5 × upper limit normal.
- •Any uncontrolled clinically significant respiratory disease in the investigator's opinion (e.g., chronic obstructive pulmonary disease, cystic fibrosis, bronchiectasis, asthma).
- •Temporary excluded will be patients with increased body temperature due to some infective disease, dehydration, diarrhea, hyperglycemia,
- •Severe bleeding, or history or evidence of bleeding diathesis or coagulopathy with the risk of bleeding or have to put on dialysis without anticoagulant.
- •Using temporary or permanent dialysis catheter
- •Uncontrolled diabetes mellitus or hypertension, at the discretion of investigator.
- •Known pregnancy and lactating without pregnancy test
Outcomes
Primary Outcomes
Incidence of Alarms
Time Frame: 1 study day
Incidence of alarms leading to end of treatment, cause identification
Serious adverse event / adverse event/ Serious adverse device effect/ Adverse device effect/Unanticipated serious adverse device effect
Time Frame: 1 study day
Incidence of Serious adverse event / adverse event/ Serious adverse device effect/ Adverse device effect/Unanticipated serious adverse device effect
Product defects
Time Frame: 1 study day
Product defects leading to end of treatment, cause identification
Incidence of "recoverable" alarms
Time Frame: 1 study day
Incidence of "recoverable" alarms, cause of alarms i.e.arterial/venous pressure outside of set range/limits
Secondary Outcomes
- Arterial pressure(1 study day)
- Bicarbonate(1 study day)
- Sodium(1 study day)
- Dialysis Dose as single pool Kt/V(1 study day)
- Ultrafiltration Volume(1 study day)
- pH(1 study day)
- Average Blood Flow Rate(1 study day)
- Completion Rate(1 study day)
- Venous pressure(1 study day)
- Impeller RPM(1 study day)
- Dialysis Dose as Urea Reduction Ratio (URR)(1 study day)
- Anticoagulation(1 study day)
- Clotting Score(1 study day)
- Body weight change(1 study day)
- Potassium(1 study day)
- Chloride(1 study day)
- Free hemoglobin(1 study day)