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US Patent 5301673 - Ambulatory clearance function monitor

US Patent Issued on April 12, 1994
Estimated Patent Expiration Date: Icon_subject November 18, 2011Estimated Expiration Date is calculated based on simple USPTO term provisions. It does not account for terminal disclaimers, term adjustments, failure to pay maintenance fees, or other factors which might affect the term of a patent.
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Abstract

Accurate and continuous monitoring of clearance function is obtained by determining the depletion of a labelled substance from the extracellular body fluid using an external monitor which detects label from within a defined tissue volume. The detector of the external monitor is contained within a collimator which functions to both exclude external influences and to functionally isolate the volume of extracellular fluid to be monitored. Also, a method for determining and expressing a clearance function in a subject includes steps of allowing a time sufficient to permit establishment of equilibrium of a detectable substance in the extracellular space in the subject, obtaining first and second measures, at first and second times, of the detectable substance in the extracellular fluid within a defined tissue volume in the subject, and determining the slope of the measures over the time interval.

Other References

  • Rossing, et al., "The Glomerular Filtration Rate Determined with Tc-DTPA and a Portable Cadmium Telluride Detector", 1978, Scand. Jour. Clin. Lab. Invest., vol. 38, pp. 23-28
  • Casey et al., "GFR Measurement by Simulating Constant Infusion with Data Acquired Using a CdTe Detector, A Feasbility Study", 1986, Nuclear Med. Communications, vol. 7, pp. 811-818
  • Bak et al., "Optimal CdTe-Detector Mounting for Evaluation of the Kidney Function with 99m Tc-DTPA", 1982, Proc. III World Congress of Nuclear Medicine and Biology, Paris, pp. 609-613
  • Blaufox, et al., "Measurement of Effective Renal Plasma Flow in Man by External Counting Methods", 1967, Jour. Nucl. Med., vol. 8, pp. 77-85
  • Earle, et al., "A Simplified Clinical Procedure for Measurement of Glomerular Filtration Rate and Renal Plasma Flow", 1946, Proc. Soc. Exp. Biol. Med., vol. 62, pp. 262-269
  • Sapirstein, et al., "Volumes of Distribution and Clearances of Intravenously Injected Creatinine in the Dog", 1955, Am. Jour. Physiol., vol. 181, pp. 330-ff
  • Chantler, et al., "Estimation of Glomerular Filtration Rate From Plasma Clearance of 51-Chromium Edetic Acid", 1972, Arch. Dis. Child, vol. 47, pp. 613-ff
  • Carrie, et al., "Creatinine: An Inadequate Filtration Marker in Glomerular Diseases", 1980, Am. Jour. Med., vol. 69, pp. 177-182
  • Shemesh, et al., "Limitations of Creatinine as a Filtration Marker in Glomerulopathic Patients", 1985, Kidney Int., vol. 28, pp. 830-838
  • Walser, et al., "Creatinine Measurements Often Yield False Estimates of Progression in Chronic Renal Failure", 1988, Kidney Int., vol. 34, pp. 412-418
  • Price, "Comparison of Creatinine Clearance to Inulin Clearance in the Determination of Glomerular Filtration Rate", 1972, Urology, vol. 107, pp. 339-340
  • Bojsen, et al., "Portable Cadmium Telluride Detectors and Their Applicability for External Measurement of 51 Cr-EDTA Clearance*", 1981, Intl. J. Applied Radiation and Isotopes, vol. 32, pp. 719-727
  • Cerretelli, et al., "Cadmium Telluride 133 Xe Clearance Detector for Muscle Blood Flow Studies", Feb. 1978, IEEE Transactions on Nuclear Science, vol. NS-25, No. 1, pp. 620-62

Inventors

Assignee

Application

No. 793781 filed on 11/18/1991

US Classes:

600/436, Nuclear radiation (e.g., radioactive emission, etc.)600/477With comparison means (e.g., ratio of or comparison to a standard)

Examiners

Primary: Cohen, Lee S.
Assistant: Gilbert, Samuel

Attorney, Agent or Firm

US Patent References

3827427, 4092980, Fibrinogen monitor
Issued on: 06/06/1978
Inventor: Frank, et al.
4243884, Probe assembly
Issued on: 01/06/1981
Inventor: Avera, Jr.
4329986, Treatment of an extracorporeal stream of blood with a dialyzable chemotherapeutic and a fluorescable tracer
Issued on: 05/18/1982
Inventor: Babb
4380240, Apparatus for monitoring metabolism in body organs
Issued on: 04/19/1983
Inventor: Jobsis ,   et al.
4682604, Coincidence counting emission tomographic probe: method and apparatus
Issued on: 07/28/1987
Inventor: Fymat ,   et al.
4798955, Measurement locator and light shield for use in interactance testing of body composition and method for use thereof
Issued on: 01/17/1989
Inventor: Rosenthal
4889991, Gamma radiation detector with enhanced signal treatment
Issued on: 12/26/1989
Inventor: Ramsey, et al.
4893013, Detector and localizer for low energy radiation emissions
Issued on: 01/09/1990
Inventor: Denen, et al.
4908202, Use of 2-oxo-1-pyrrolidineacetamide for the determination of the glomerular filtration rate in humans
Issued on: 03/13/1990
Inventor: Schulz
5054915, Liver function testing apparatus
Issued on: 10/08/1991
Inventor: Kanda, et al.
5154176Liver function testing apparatus
Issued on: 10/13/1992
Inventor: Kanda

Foreign Patent References

  • 86302549 EP. 04/20/1986
  • 2641039 DE. 09/20/1976
  • 3245778 DE. 06/20/1984

International Class

A61B 006/00

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