Design and development of an impedimetric-based system for the remote monitoring of home-based dialysis patients

Amalric Montalibet (1) , Walid Arkouche (2) , Paco Bogonez-Franco (1) , Stéphane Bonnet (3) , Antoine Clarion (4) , Georges Delhomme (1) , Claudine Gehin (1) , Sadok Gharbi (3) , Régis Guillemaud (3) , Pierre Jallon (3) , Bertrand Massot (1) , Pascale Pham (3) , Eva Ribbe (4) , Eric Mcadams (1)

1 INL - Capteurs - INL - Capteurs Biomédicaux
2 AURAL - Association pour l'Utilisation du Rein Artificiel Région Lyonnaise
3 CEA-LETI - Commissariat à l'énergie atomique et aux énergies alternatives - Laboratoire d'Electronique et de Technologie de l'Information
4 BioparHom

A key clinical challenge is to determine the desired ‘dry weight’ of a patient in order to terminate the dialysis procedure at the optimal moment and thus avoid the effects of over- and under-hydration. It has been found that the effects of haemodialysis on patients can be conveniently monitored using whole-body bioimpedance measurements. The identified need of assessing the hydrational status of patients undergoing haemodialysis at home gave rise to the present Dialydom (DIALYse à DOMicile) project. The aim of the project is to develop a convenient miniaturised impedance monitoring device for localised measurements (on the calf) in order to estimate an impedimetric hydrational index of the home-based patient, and to transmit this and other parameters to a remote clinical site. Many challenges must be overcome to develop a robust and valid home-based device. Some of these are presented in the paper.

Domaines: Ingénierie biomédicale

Amalric Montalibet, Walid Arkouche, Paco Bogonez-Franco, Stéphane Bonnet, Antoine Clarion, et al.. Design and development of an impedimetric-based system for the remote monitoring of home-based dialysis patients. Studies in Health Technology and Informatics, 2016, ⟨10.3233/978-1-61499-653-8-78⟩. ⟨hal-01890701⟩