Device for detecting moisture for use with a device for monitoring an access to a patient, in particular for monitoring the vascular access in an extracorporeal blood treatment
09867934 ยท 2018-01-16
Assignee
Inventors
Cpc classification
A61M1/3653
HUMAN NECESSITIES
A61B5/00
HUMAN NECESSITIES
A61M1/3656
HUMAN NECESSITIES
A61M1/3659
HUMAN NECESSITIES
A61M5/16836
HUMAN NECESSITIES
A61M2207/00
HUMAN NECESSITIES
A61F13/15666
HUMAN NECESSITIES
International classification
A61M1/36
HUMAN NECESSITIES
A61M5/168
HUMAN NECESSITIES
Abstract
A device for detecting moisture for use with a device for monitoring an access to a patient for an extracorporeal blood treatment apparatus is described. The device for detecting moisture is constituted as a two-dimensionally extending fabric to be placed on the patient's skin, having an electrically conductive structure as a moisture sensor and constituted by non-conductive and conductive warp and weft threads configured to produce in the woven fabric a defined electrically conductive structure through spatial separation of the warp and weft threads. By the use of conductive warp and weft threads, an electrically conductive structure can be constituted having sections running in different directions, thereby creating a moisture sensor exhibiting a particularly high degree of sensitivity. The electrically conductive structure is preferably terminated with a terminating resistor, preferably not a component part but rather part of a connection part of the device, so that production is simplified.
Claims
1. A device for detecting moisture for use with a device for monitoring an access to a patient for an apparatus with which at least one of a fluid is fed to the patient or is carried away from the patient via a hose line, the device for detecting moisture comprising: a textile two-dimensionally extending fabric configured to be placed onto a patient's skin, said textile two-dimensionally extending fabric comprising non-conductive warp threads, non-conductive weft threads, conductive warp threads and conductive weft threads interwoven at least partially in a same layer of the fabric and disposed such that an electrically conductive structure as a moisture sensor is formed.
2. The device according to claim 1, wherein the electrically conductive structure comprises a first strip conductor and a second strip conductor, ends of the first and second strip conductors being constituted as terminal contacts, and the first strip conductor and the second strip conductor being disposed lying beside one another in a plurality of sections.
3. The device according to claim 1, wherein the electrically conductive structure comprises a strip conductor constituted as a closed conductor loop, ends of the strip conductor being constituted as terminal contacts, and the strip conductor comprising a plurality of sections disposed lying beside one another.
4. The device according to claim 1, wherein the electrically conductive structure comprises a plurality of electrically conductive sections running in a first direction and a plurality of electrically conductive sections running in a second direction, the first and second directions being at right angles to one another.
5. The device according to claim 1, wherein the textile two-dimensionally extending fabric is formed at least partially as a woven fabric with a plurality of layers.
6. The device according to claim 5, wherein the electrically conductive and electrically non-conductive warp and weft threads are disposed in the multi-layer woven fabric such that: a layer configured to be placed on the patient's skin, which is non-conductive, a layer in which electrically conductive sections of a strip conductor run in a first direction, and a layer in which electrically conductive sections of the strip conductor run in a second direction, are formed.
7. The device according to claim 6, wherein the electrically conductive and electrically non-conductive warp and weft threads are disposed in the multi-layer woven fabric such that an intermediate layer, which is not electrically conductive, is situated between the layer in which the sections of the strip conductor run in the first direction and the layer in which the sections of the strip conductor run in the second direction.
8. The device according to claim 6, wherein, in order to create electrical contact points, electrically conductive warp threads partially change position in the multi-layer woven fabric, such that electrically conductive warp and weft threads come into contact at points of intersection.
9. The device according to claim 2, wherein the sections of the strip conductors are formed by one of a plurality of electrically conductive warp threads and a plurality of electrically conductive weft threads running beside one another.
10. The device according to claim 9, wherein the textile two-dimensionally extending fabric is cut out such that a part of the one of the plurality of electrically conductive warp threads and the plurality of electrically conductive weft threads running beside one another is severed.
11. The device according to claim 10, wherein the textile two-dimensionally extending fabric comprises a circular cutout or a cross-shaped cutout.
12. The device according to claim 1, wherein the textile two-dimensionally extending fabric is U-shaped.
13. The device according to claim 1, wherein the textile two-dimensionally extending fabric is circular.
14. The device according to claim 2, wherein the textile two-dimensionally extending fabric comprises a tab on which the terminal contacts are disposed.
15. The device according to claim 1, wherein the textile two-dimensionally extending fabric comprises a section with a cutout and a section with a cover for the cutout, wherein the electrically conductive structure is formed such that the textile two-dimensionally extending fabric is sensitive to moisture at an upper layer.
16. A device for monitoring an access to a patient for an apparatus with which at least one of a fluid is fed to the patient or a fluid is carried away from the patient via a hose line, the device for monitoring comprising: a device for detecting moisture according to claim 1.
17. The device according to claim 16, further comprising: an evaluation unit which is connected to the device for detecting moisture.
18. The device according to claim 17, further comprising: a connection part to which the device for detecting moisture is connected.
19. The device according to claim 18, wherein the connection part comprises four terminal contacts, two of the four terminal contacts being connected to a connection cable in order to produce an electrical connection between the evaluation unit and the device for detecting moisture, and a remaining two of the four terminal contacts being connected electrically to one another via a terminating resistor.
20. The device according to claim 19, wherein the connection part is formed as a clamping device for clamping the textile two-dimensionally extending fabric.
21. A blood treatment apparatus with an extracorporeal blood circuit, comprising: an arterial blood line with an arterial cannula and a venous blood line with a venous cannula, and a device for monitoring the vascular access according to claim 16.
22. A method for production of devices for detecting moisture for use with a device for monitoring an access to a patient for an apparatus with which at least one of a fluid is fed to the patient and a fluid is carried away from the patient via a hose line, the method comprising: weaving a textile two-dimensionally extending fabric comprising non-conductive warp threads, non-conductive weft threads, conductive warp threads and conductive weft threads interwoven at least partially in a same layer of the fabric, the conductive and non-conductive warp and weft threads being disposed such that the conductive and non-conductive warp and weft threads form an electrically conductive structure, and wherein the conductive and non-conductive warp and weft threads form a non-conductive layer configured to be placed on the patient's skin, a layer in which electrically conductive sections of a strip conductor run in a first direction, and a layer in which electrically conductive sections of the strip conductor run in a second direction; and separating individual devices configured to detect moisture into single units.
23. The method according to claim 22, further comprising: applying an adhesive layer on a side of the textile two-dimensionally extending fabric to be placed on a patient's skin, and applying a covering material covering the adhesive layer.
24. The method according to claim 23, wherein the adhesive layer is impermeable to moisture.
25. The device according to claim 1, wherein: the access is a vascular access in an extracorporeal blood treatment; the fluid is a patient's blood; the hose line includes an arterial hose line and a venous hose line; the device for monitoring an access is configured to monitor the vascular access; and the patient's blood is carried away from the patient via the arterial hose line which has an arterial cannula and is fed to the patient via the venous hose line which has a venous puncture cannula.
26. The device according to claim 16, wherein: the access is a vascular access in an extracorporeal blood treatment; the fluid is a patient's blood; the hose line includes an arterial hose line and a venous hose line; the device for monitoring an access is configured to monitor the vascular access; and the patient's blood is carried away from the patient via the arterial hose line which has an arterial cannula and is fed to the patient via the venous hose line which has a venous puncture cannula.
27. The method according to claim 22, wherein: the access is a vascular access in an extracorporeal blood treatment; the fluid is a patient's blood; the hose line includes an arterial hose line and a venous hose line; the device for monitoring an access is configured to monitor the vascular access; and the patient's blood is carried away from the patient via the arterial hose line which has an arterial cannula and is fed to the patient via the venous hose line which has a venous puncture cannula.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
(46)
(47) Haemodialysis apparatus A comprises a dialyser 1, which is divided by a semipermeable membrane 2 into a blood chamber 3 and a dialysing fluid chamber 4. An arterial hose line 6 is connected by means of an arterial puncture cannula 5 to the fistula or the shunt of the patient, said arterial hose line leading to the inlet of blood chamber 3 of the dialyser. Leading away from the outlet of blood chamber 3 of dialyser 1 is a venous hose line 7, which is connected by means of a venous puncture cannula 8 to the fistula or the shunt of the patient. A blood pump 9, which conveys the blood in extracorporeal blood circuit I, is incorporated into arterial hose line 6
(48) Dialysing fluid circuit II of dialysis apparatus A comprises a dialysing fluid source 10, to which a dialysing fluid supply line 11 is connected, which leads to the inlet of dialysing fluid chamber 4 of the dialyser. Departing from the outlet of dialysing fluid chamber 4 of dialyser 1 is a dialysing fluid discharge line 12, which leads to a drain 13. A dialysing fluid pump 14 is incorporated into dialysing fluid discharge line 12.
(49) The control of the dialysis apparatus is assumed by a central control unit 15, which controls blood pump and dialysing fluid pump 9, 14 via control lines 16, 17. Central control unit 15 is connected via a data line 18 to an alarm unit 19, which emits an optical, acoustic and/or tactile alarm in the event of a malfunction.
(50) Located downstream of blood chamber 3 of dialyser 1 on venous hose line 7 is an electro-magnetically actuated hose clamp 20, which is closed via a further control line 21 by central control unit 15 if the venous puncture cannula (needle) slips out of the vascular access and the moisture sensor becomes moistened with blood. Moreover, control unit 15 stops blood pump 9 after the slipping-out of the cannula when the sensor becomes moistened.
(51) In the present exemplary embodiment, monitoring device B is used to monitor the venous vascular access. Monitoring device B comprises a device 40 for detecting moisture, which is disposed at the puncture point. This detection device 40 is represented only schematically in
(52) Evaluation unit 41 is connected via a data line 43 to central control unit 15 of dialysis apparatus A. In the event of blood issuing from the venous cannula and/or the puncture point and moistening the moisture sensor, evaluation unit 41 of monitoring device B generates a control signal, which is received via data line 43 by central control unit 15, which undertakes an intervention into the blood treatment. Control unit 15 stops blood pump 9 and closes hose clamp 20. Moreover, the control unit generates an alarm signal, so that alarm unit 19 emits an acoustic, optical and/or tactile alarm. The data can also be transmitted wirelessly between monitoring device B and dialysis apparatus A.
(53) A first exemplary embodiment of device 40 for detecting moisture to be placed on the patient's skin at the puncture point is described below. Detection device 40 is constituted as a pad of a textile two-dimensionally extending fabric (woven fabric) to be placed on the patient's skin. In the first example of embodiment, textile two-dimensionally extending fabric 100 is a multi-layer woven fabric, which comprises three layers (planes).
(54)
(55) In the weaving process, weft threads 107, 108, 109; 107, 108, 109 do not necessarily have to be fed in planes lying above one another, but rather the position of a weft thread in a plane can also arise in the weaving process through jumping back of the raised or lowered warp threads, which automatically pull the weft thread into a defined plane. The planes are always to be understood as imaginary layers which do not have to be flat.
(56) In the present exemplary embodiment, detection device 40, which will also be referred to below as a pad, has the shape of a U. U-shaped pad 40 comprises a central zone 40A with two legs 40B, 40C, which laterally enclose a semicircular cutout 40D. A tab 40E lying opposite the two legs 40B, 40C is formed on central section 40A.
(57) The multi-layer woven fabric is made from electrically conductive and electrically non-conductive warp and weft threads (monofilaments, carbon fibres, silvered polyamide yarn). The electrically conductive and electrically non-conductive warp and weft threads are disposed in such a way that the woven fabric comprises a lower layer to be placed on the patient's skin, a middle layer and an upper layer facing away from the patient's skin.
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(61) In
(62) The two strip conductors 80, 90 are formed in the middle and upper plane of the woven fabric by the fact that electrically conductive warp and weft threads 50, 60 are disposed at points of intersection 70 in such a way that they are either connected to one another in an electrically conductive manner or are insulated electrically from one another. A contact point between electrically conductive warp and weft threads is achieved by means of a partial change of plane of the warp thread during the weaving process, as can be seen from
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(64) In
(65) Second strip conductor 90 with sections 90A, 90B running normal to one another is represented in
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(67) For the sake of better clarity,
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(69) In the present exemplary embodiment, the electrically conductive warp and weft threads are severed on the one hand by semi-circular cutout 40D. On the other hand, the conductive warp and weft threads are severed by a further cutout 40F, which is located in central section 40A of pad 40. In the present exemplary embodiment, this cutout is a cross-shaped cutout 40F. This cutout can however also have any other arbitrary shape. The crucial factor is that, with one or more additional cutouts, an electrical structure of a specific configuration, in which individual conductive threads are severed, can be created in a targeted manner.
(70) The in particular cross-shaped cutout 40F serves on the one hand for the targeted, subsequent and permanent interruption of the conductive threads in the finished woven fabric, so that only a single strip conductor path remains in the finished product. It is intended with cutout 40F to avoid redundant strip conductor paths remaining. On the other hand, cutout 40F, in combination with a suitably formed protrusion, can be used for the fixing of the terminal contacts by a keyed connection.
(71) Semicircular cutout 40D is used for the passage of the puncture cannula, pad 40 also being able to be placed on the patient's skin when the puncture cannula is already in place. Central cutout 40F can be used for the orientation and/or fixing of the pad in a suitable holding or clamping part, which however is not represented in the figures.
(72) Further exemplary embodiments of the pad are described below, which however differ from the exemplary embodiment described by reference to
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(76) A high redundancy of the strip conductors, i.e., a plurality of conductive threads, leads to a high degree of sensitivity of the moisture sensor, because even small quantities of blood between the strip conductors lying close beside one another can be detected at every point of the sensor. A low or no redundancy conversely gives rise to a low sensitivity. A drawback of a high redundancy, however, is that, in the event of a break in the strip conductor, the malfunction of an unchecked sensor is not detected until it is used, unless each individual strip conductor has been previously checked for its integrity. In the case of sensors with redundancy, therefore, an in-process control (IPC) takes place, in which each individual strip conductor is examined in the production process for its operability.
(77) In the case of sensors which have no redundancy, an in-process control (IPC) can also be carried out, in which each individual strip conductor is examined in the production process for its operability.
(78) If threads with high tear strength are used in the woven fabric, an electrical structure with a lower redundancy may be sufficient, whereas an electrical structure with a high redundancy is advantageous when use is made of threads with lower tear strength.
(79) Moreover, the operability of the moisture sensor can be checked by measuring the resistance between the terminal contacts. If a strip conductor section comprising only one conductive thread is interrupted, an infinitely high resistance is measured. In the case of an interruption of a thread in a strip conductor section comprising a plurality of threads forming a parallel circuit, the defect of an individual thread cannot however be detected by measuring an infinitely high resistance.
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(81) For the sake of better clarity,
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(83) Pad 40 comprises a three-layer woven fabric with a lower layer (
(84) In order at all events to prevent, in the exemplary embodiments of pad 40 described, the electrically conductive puncture cannula from causing a short circuit between individual sections of the strip conductor, there can be provided at the upper side of the pad an insulating woven fabric zone 40H, in which no conductive threads emerge at the surface.
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(86) The device for detecting moisture, which comprises only one strip conductor 85 with two terminal contacts (
(87) In the exemplary embodiment with two strip conductors 80, 90 (
(88) Evaluation unit 41 of the monitoring device measures the resistance between terminal contacts 80C, 80D. If the pad 40 is wetted with fluid, in particular blood, the resistance measured between the terminal contacts diminishes, so that evaluation unit 41 detects a malfunction.
(89) Evaluation unit 41 also permits a check on the operability of detection device 40. For this purpose, evaluation unit 41 measures the resistance between the terminal contacts. This resistance must correspond to the sum of terminal resistance R and the strip conductor resistance, when pad 40 is not wetted with fluid. If the measured resistance diverges from the terminal resistance by a preset difference, the evaluation unit ascertains that detection unit 40 is not operable, i.e., a strip conductor is interrupted.
(90) Detection device 40 according to the present invention with the two strip conductors has an advantage that the particular routing of the strip conductors permits the displacement of terminating resistor R outside the pad. Straightforward manufacture of the pad is thus made possible. This is because the terminating resistor could not be produced with sufficient reproducibility in the weaving process. The pad can thus be produced solely by weaving without additional process steps. A terminating resistor likewise does not need to be applied on the pad after the weaving process. An advantage of a constantly reproducible terminating resistor thus results, independently of the weaving process.
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(92) Connection part 150 is constituted as a clamping device for the clamping of tab 40E of pad 40. It comprises a lower clamp part 155 and an upper clamp part 160, four terminal contacts 156, 157, 158, 159 lying beside one another being disposed in lower clamp part 155 and four terminal contacts 161, 162, 163, 164 lying beside one another being disposed in upper clamp part 160. Upper and lower clamp parts 155, 160 can be clamped together, tab 40E of pad 40 with terminal contacts 80C, 80D, 90C, 90D lying between mutually opposite terminal contacts 156, 157, 158, 159 and 161, 162, 163, 164 of upper and lower clamp parts 155, 160. The two inner terminal contacts 162, 163 of upper clamp part 160 are connected electrically to one another by a terminating resistor R shown only diagrammatically. Terminating resistor R can be an SMD resistor (miniature resistor) integrated into upper clamp part 160.
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(94) Longer lower leg 175 of connection part 170 represented in
(95) Shorter upper leg 180 comprises at the underside four terminal contacts 181, 182, 183, 184 lying beside one another, which are constituted as spikes. Latching elements 190, shown only by way of indication, are provided at the opposite inner sides of the two legs 175, 180, so that the legs can be fixed latched tight after being pressed together. In this exemplary embodiment, the two inner terminal contacts 182, 183 of connection part 170 are also connected via a terminating resistor R, which is constituted as an SMD resistor integrated into upper leg 180.
(96) For connection of detection device 40 to monitoring device B, the pad (not shown) is placed between the two legs 175, 180 of connection part 170, so that cross-shaped protrusion 185 engages into cross-shaped cutout 40F of pad 40. The two legs 175, 180 of connection part 180 are then pressed together, terminal contacts 181, 182, 183, 184 of connection part 170 coming into contact with terminal contacts 80C, 80D, 90C, 90D of the pad. The pad is fixed by spike-shaped terminal contacts 181, 182, 183, 184.
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(98) Instead of silicone paper, use may also be made of a siliconised plastic film. The decisive factor is that the adhesive layer of the sensor can easily be detached from the silicone paper or the siliconised plastic film.
(99) The pads are then separated into single units, for example by stamping or cutting from the continuous length of woven fabric. The cutouts of the pad can also be produced in the stamping or cutting process.
(100) The pads can be packaged individually in a sterile manner or a plurality of pads lying one upon the other can be packaged in a sterile manner. In the case of use of the pad for monitoring a central venous catheter, a sterile pad is preferably used which has been sterilised, for example by the known sterilisation methods ETO (ethylene oxide) or E-beam (electron beam sterilisation). Alternatively, steam sterilisation can also be carried out.
(101) For use, the covering material is pulled off from the pad and the pad is placed with the adhesive layer onto the patient's skin. The puncture with the cannula can then take place. It is however also possible to place the pad on the patient's skin after the puncture if the pad is cut out at the side. The connection part can be connected to the pad before or after the pad is placed on the skin.
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(103) The electrically conductive warp and weft threads forming an electrically conductive structure are characterised by horizontal and vertical thin lines. In this exemplary embodiment, in contrast with the exemplary embodiments described above, weft threads S run in the vertical direction and warp threads K run in the horizontal direction. The electrically conductive structure is formed by 8 warp threads K[1] to K[8] and 12 weft threads S[1] to S[12], which are disposed at the points of intersection in such a way that they are either connected in an electrically conductive manner or are insulated electrically from one another.
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(105) In
(106) The woven fabric of the exemplary embodiment of
(107) An alternative exemplary embodiment provides for a woven fabric, wherein the number of layers differs locally. Thus, the woven fabric can comprise a different number of layers in individual zones of the sensor. Three different zones can be constituted, wherein the first zone forms a contact point at which conductive threads intersect in a contacting manner, the second zone forms an insulation point at which an insulating thread is located between conductive threads, and the third zone forms neither a contact point nor an insulation point.
(108) A particularly preferred exemplary embodiment makes provision such that local zones forming a contact point and local zones forming neither a contact point nor an insulation point comprise a total of two layers. Located in the first layer are the conductive threads running in the first direction as well as in the second direction. The second (uppermost) layer forms a non-conductive cover layer, which ensures that the sensor is advantageously not sensitive to being touched. If the sensor were sensitive to touch, touching of the exposed sensor area of the sensor stuck on the patient, for example with the fingers, would lead to a false alarm. Such touching of the sensor can for example be caused by the patient himself or by the medical staff. The threads of this insulating second layer dip partially into the first layer, as a result of which a mechanical bond between the first and second layer is produced.
(109) The particularly preferred exemplary embodiment also provides for a local zone forming an insulation point, which comprises a total of four layers. Located in the first (lowest) layer are conductive threads running in the first direction. The second layer comprises a layer of non-conductive threads, which insulates the first layer from the third layer. Conducting threads running in the second direction are located in the third layer. The fourth (uppermost) layer is formed by a non-conductive cover layer, which advantageously makes the sensor insensitive to touch.
(110) The insulation point described above can for example be provided at the points designated by Isol. in
(111) The pad with the locally different zones has a differing thickness. A particular advantage of this exemplary embodiment is to be found in the material saving, because the pad has to have a sufficient thickness only at the points where electrically conductive threads have to be insulated from one another. The material saving permits particularly cost-effective production of the sensor.
(112) The pad of
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(114) The sensitivity of the pad to moisture is produced not solely directly in the zone of the conductive structure of warp and weft threads, but also in the edge zones of the pad, since the warp and weft threads extend up to the edge of the pad. In
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(118) Further alternative exemplary embodiments of the pad are described below, which differ from one another in the shape and the course of the strip conductors.
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(120) The lowest layer forms a cover 210, for example a peel-off film, with which an adhesion layer 220 adhering to the patient's skin is covered. As can be seen from the table, cover 210 is located at the underside of the two halves 300A and 300B of pad 300, since all the fields are marked with X. Adhesion layer 220, on the other hand, is located in the central zone of first half 300A of pad 300.
(121) Adhesion layer 220 is followed by a layer 230 impermeable to moisture and liquid, for example a PET film, which extends over the whole area of the pad. Located on the upper side of the PET film is an adhesive coating 240, on which a multi-layer woven fabric 250 with an electrically conductive structure lies, said structure being formed by 12 warp threads K[1] to K[12] and 12 weft threads S[1] to S[12].
(122) The points of intersection at which an electrical connection between the warp and weft threads is produced are again marked with circles in
(123) First half 300A of rectangular pad 300 comprises a central circular cutout 310, from which an obliquely running narrow cutout 320 extends up to the narrow side of the first half of the pad. Second half 300B of pad 300 is cut out in such a way that a tab 330 for terminal contacts L1A, L1E and L2A, L2E arises on the inner side and a circular cover 340 for circular cutout 310 of the first half of the pad arises on the outer side. Circular cover 340 of the second half is larger than circular cutout 310 of the first half, so that the circular cutout of the first half is completely covered by the circular cover when the second half of the pad is folded onto the first half.
(124) Pad 300 is used as follows. After the cannula (not represented) has been put in place and peel-off film 210 has been pulled off, the pad is stuck onto the patient's skin with adhesion layer 220. Since an incision is made into the pad at the side, the pad can be moved laterally over the cannula already in place, so that the cannula lies in circular cutout 310 of the first half of the pad. Second half 300B of the pad is now folded onto first half 300A (
(125) Regarding the pad, the electrically conductive structure with the warp and weft threads is located at the upper side of the pad, so that the pad is sensitive at the upper side. This becomes clear in the table from the designation a, which stands for sensitivity at the upper side. After the folding-over of second half 300B onto first half 300A of pad 300, the pad also becomes sensitive at the underside in the region of circular cutout 310, which is located in the immediate vicinity of the puncture point, since this zone is covered by cover 340 sensitive at the upper side before the folding.
(126)
(127) Pad 400 is essentially rectangular in the exemplary embodiment of
(128) It can be seen from the table that pad 400 is sensitive at the underside in central zone 440 which is surrounded by narrow gap 430, since this zone is designated by s in the table, which stands for sensitivity at the underside. In the remaining zones, on the other hand, the pad is sensitive at the upper side (a). The sensitivity at the underside of the pad is achieved by the fact that PET film 230 impermeable to water and moisture is not present in central zone 440, which emerges from the table. Adhesion layer 220 and adhesive coating 240 are also absent in this zone (table).
(129) An advantage of this exemplary embodiment lies in the fact that the puncture point is additionally covered by a woven fabric sensitive at the underside, so that the pad is sensitive on both sides. Leakages of blood at the puncture point can be immediately and reliably detected by the pad which is also sensitive at the underside. Since the remaining zones are sensitive at the upper side, the cannula lying beneath the pad cannot cause a short circuit.
(130) A further exemplary embodiment of pad 500 which is sensitive on both sides, but which is folded over, is shown in
(131) The pad comprises a central section 510 with two legs 520, 530, which laterally surround a semicircular cutout 540. Formed on central section 510 is a tab 550 with terminal contacts L1A, L1E and L2A, L2E, said tab lying opposite the two legs 520, 530. Pad 500 further comprises a lateral cover 560 for semicircular cutout 540, which is formed on one of the two legs 520, 530. Lateral cover 560 is dimensioned such that semicircular cutout 540 of the pad, in which the cannula lies, is completely covered after the folding-over of the cover.
(132) As emerges from the table, pad 500 is sensitive only on the upper side before the folding-over of cover 560. After the folding-over of the cover, the pad is also sensitive at the underside in the region of semicircular cutout 540, so that leakages of blood occurring at the puncture point can be reliably detected.
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(135) A further exemplary embodiment of a pad 800 sensitive only at the upper side is shown in
(136) A further exemplary embodiment is shown in
(137) This exemplary embodiment differs from the other pads in particular by the fact that the pad comprises two tabs 920, 930 with in each case four terminal contacts L1A, L1E and respectively L2A, L2E, which are formed on central section 910. The two tabs 920, 930 can for example enclose an angle of 90. An advantage of this exemplary embodiment lies in the fact that the connection part can be connected to the pad at two different points. The conductor loop is constituted non-redundant in this exemplary embodiment.