Localised impedance monitoring device for the remote clinical assessment of home-based dialysis patients

A. Montalibet (1) , W. Arkouche (2) , P. Bogonez Franco , Sophie Bonnet (3) , A. Clarion (4) , G. Delhomme (1) , C. Gehin (1) , S. Gharbi (3) , R. Guillemaud (5) , P. Jallon (3) , B. Massot (1) , P. Pham (3) , E. Ribbe-Cornet (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
5 Electronique et Systèmes pour la Santé

BioImpedance Spectroscopy (BIS) has been clinically used to determine the hydrational status of patients undergoing haemodialysis (HD). In the present project we are developing a calf-localised, integrated impedimetric device to periodically and conveniently measure and transmit information on the hydrational status of home-based patients to a remote clinic. Surprisingly, we have found that simple postural changes before or during measurement lead to significant fluid shifts in the lower leg that are as important and as long lasting as the effects of haemodialysis. These must be taken into account if potentially hazardous errors are not to be made in assessing a patient's hydrational status.

Domaines: Sciences de l'ingénieur [physics]

A. Montalibet, W. Arkouche, P. Bogonez Franco, Sophie Bonnet, A. Clarion, et al.. Localised impedance monitoring device for the remote clinical assessment of home-based dialysis patients. 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Aug 2016, Orlando, Florida, United States. pp.4427-4430, ⟨10.1109/EMBC.2016.7591709⟩. ⟨hal-01964657⟩