Fluid circuit priming methods, devices, and systems

• US 10,022,484 B2
• Filed: 02/06/2014
• Issued: 07/17/2018
• Est. Priority Date: 02/06/2013
• Status: Active Grant

• Current Assignee: Nxstage Medical Incorporated (Fresenius SE & Co. KGaA)
• Original Assignee: Nxstage Medical Incorporated (Fresenius SE & Co. KGaA)
• Inventors: Brugger, James M., Schnell, William J.
• Primary Examiner(s): Menon, Krishnan S
• Assistant Examiner(s): HUANG, RYAN
• Application Number:
  US14/765,001
• Publication Number:
  US 20150367062A1
• Time in Patent Office: 1,622 Days
• Field of Search: None
• CPC Class Codes: A61M 1/3646 Expelling the residual body fluid after use, e.g. back to the body
• CPC Class Codes: A61M 1/3647 with recirculation of the priming solution
• CPC Class Codes: A61M 1/3649 using dialysate as priming or rinsing liquid
• CPC Class Codes: A61M 1/365 through membranes, e.g. by inverted trans-membrane pressure [TMP]

Abstract

According to embodiments, priming systems, methods, and devices are disclosed which allow medical treatment devices which pump fluid to be primed with minimal operator intervention and a high level of convenience. A blood circuit with a filter fitted with one or more air vents on a non-blood compartment is attached to a treatment system and priming fluid pumped slowly through the blood circuit in a loop. The source of fluid may be elevated, or the pumping may generate pressure, such that priming fluid is forced through the membrane of the filter and out the air vent(s). In embodiments, the vents are hydrophobic which prevent fluid from being ejected, so the priming system can nm without intervention.

Claims

1. A method of priming a blood circuit of a blood treatment system of a type whose control of a blood circuit pump thereof permits pumping in a single direction, only, the method comprising:

connecting a blood circuit that includes

a filter that includes a bundle of microtubular fiber membranes with lumens of the microtubular fiber membranes fluidly connected to a blood compartment of the filter and the lumens extending through a non-blood compartment of the filter, the non-blood compartment having at least one port,

venous lines, and

arterial lines

to a blood treatment machine pump;

orienting the filter such that the at least one port is positioned at a highest point of the non-blood compartment of the filter and the at least one port includes a liquid-blocking vent fluidly connected to the non-blood compartment of the filter;

pumping a priming fluid from a source of the priming fluid through the blood circuit and the filter in a single direction into the blood compartment of the filter;

flowing the priming fluid from the blood compartment of the filter into the lumens of the microtubular fiber membranes;

the flowing being such that an exterior surface of the microtubular membranes remains dry until the exterior surface is wetted from the flow of the priming fluid from the lumens through the microtubular fiber membranes to the non-blood compartment of the filter;

collecting air that is pushed out of the microtubular fiber membranes in the non-blood compartment and

venting said air through the liquid-blocking vent fluidly connected to the non-blood compartment of the filter.

2. The method of claim 1, further comprising connecting the blood circuit to the source of the priming fluid such that the venous and arterial portions are interconnected to form a flow loop.

3. The method of claim 2, wherein the pumping includes pumping the priming fluid continuously through said flow loop.

4. The method of claim 2, wherein said connecting includes connecting said arterial and venous lines to said source of the priming fluid.

5. The method of claim 4, wherein said connecting the arterial and venous lines includes connecting to said source of the priming fluid through a dual lumen connector that connects both the arterial and venous lines to the source of the priming fluid.

6. The method of claim 5, wherein the source of the priming fluid is a container.

7. The method of claim 1, wherein the at least one liquid-blocking vent includes a cap with a hydrophobic membrane.

8. The method of claim 1, wherein the at least one liquid-blocking vent includes a removable cap with a hydrophobic membrane.

9. The method of claim 1, wherein the filter is a dialyzer, and the at least one liquid-blocking vent includes a removable cap with a hydrophobic membrane.

15. The method of claim 1, wherein the filter is positioned with a longitudinal access thereof oriented at a diagonal with the vertical.

16. The method of claim 1, further comprising installing the filter in an attachment to hold the filter and leaving it in the attachment for priming and for performing a blood treatment without removing the filter or changing its orientation.

17. The method of claim 16, wherein the attachment holds the filter in a fixed position.

18. The method of claim 1, wherein the pumping is at a predetermined volumetric flow rate selected for priming.

19. The method of claim 1, wherein the priming fluid is sterile saline.

20. The method of claim 18, wherein

the predetermined volumetric flow rate is selected to prevent the priming fluid from passing through the microtubular fiber membranes at a first region of the membranes, above a second region of the membranes, before the priming fluid passes through the microtubular fiber membranes at the second region, and

the second region is not wetted from the exterior surface thereof before said second region is wetted by the passing of the priming fluid through the microtubular membrane.

10. The method of 1, wherein the lumens of the membranes extend in parallel within the filter.

11. The method of claim 10, wherein the at least one liquid-blocking vent includes a cap with a hydrophobic membrane.

12. The method of claim 10, wherein the at least one liquid-blocking vent includes a removable cap with a hydrophobic membrane.

13. The method of claim 10, wherein the at least one liquid-blocking vent includes a removable cap with a membrane that provides a sterile barrier.

14. The method of claim 10, wherein the filter is a dialyzer, the at least one liquid-blocking vent includes a removable cap with a hydrophobic membrane.