Apparatus and method for monitoring and controlling a peritoneal dialysis therapy

• US 10,322,224 B2
• Filed: 09/29/2016
• Issued: 06/18/2019
• Est. Priority Date: 02/10/2000
• Status: Expired due to Fees

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Childers, Robert Warren, Eerlingen, Vital, Balteau, Patrick, Belongie, Duane
• Primary Examiner(s): Mehta, Bhisma
• Assistant Examiner(s): Wilson, Larry R.
• Application Number:
  US15/280,543
• Publication Number:
  US 20170014566A1
• Time in Patent Office: 992 Days
• CPC Class Codes: A61M 1/154 with sensing means or components thereof
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/1562 Details of incorporated reservoirs
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• CPC Class Codes: A61M 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 1/281 Instillation other than by gravity
• CPC Class Codes: A61M 1/282 Operational modes
• CPC Class Codes: A61M 1/285 Catheters therefor
• CPC Class Codes: A61M 2205/123 with incorporated reservoirs
• CPC Class Codes: A61M 2205/128 with incorporated valves
• CPC Class Codes: A61M 2205/17 with redundant control systems
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3351 Controlling upstream pump pressure
• CPC Class Codes: A61M 2205/3355 Controlling downstream pump pressure
• CPC Class Codes: A61M 5/14224 Diaphragm type

Abstract

An apparatus for performing peritoneal dialysis includes a housing; a peritoneal dialysis supply bag supported by and/or located above the housing; a first valve for controlling gravity flow of fresh peritoneal dialysis fluid from the supply bag to a patient; a second valve for controlling gravity flow of used peritoneal dialysis fluid from the patient to a drain; and a pressure sensor positioned and arranged with respect to the gravity flow of fresh peritoneal dialysis fluid or the gravity flow of used peritoneal dialysis fluid to provide a reading used to evaluate a head height pressure.

Claims

1. An apparatus for performing peritoneal dialysis comprising:

a housing;

a peritoneal dialysis supply bag supported by the housing, such that in use the peritoneal dialysis supply bag is located elevationally above a patient;

a first valve for controlling gravity flow of fresh peritoneal dialysis fluid from the peritoneal dialysis supply bag to the patient;

a second valve for controlling gravity flow of used peritoneal dialysis fluid from the patient to a drain, wherein the drain in use is located elevationally below the patient;

a first pressure sensor positioned and arranged with respect to the gravity flow of fresh peritoneal dialysis fluid to provide a first reading used to evaluate a first gravity head pressure;

a second pressure sensor positioned and arranged with respect to the gravity flow of used peritoneal dialysis fluid to provide a second reading used to evaluate a second gravity head pressure; and

a controller configured to establish the first and second gravity head pressures due to a location of the peritoneal dialysis supply bag and a location of the drain using the first and second readings.

2. The apparatus of claim 1, wherein the drain includes a drain container located below the housing for collecting the used peritoneal dialysis fluid.

3. The apparatus of claim 1, wherein the peritoneal dialysis supply bag is placed on the housing.

4. The apparatus of claim 1, wherein the drain is elevationally disposed below a peritoneal cavity of the patient.

5. The apparatus of claim 1, wherein at least one of (i) the first pressure sensor is integrated with the first valve, or (ii) the second pressure sensor is integrated with the second valve.

6. The apparatus of claim 1, wherein the first and second valves are operable respectively with a fill line and a drain line.

7. The apparatus of claim 1, wherein the first pressure sensor is placed in mechanical communication with a line carrying the gravity flow of fresh peritoneal dialysis fluid.

8. The apparatus of claim 1, wherein the second pressure sensor is placed in mechanical communication with a line carrying the gravity flow of used peritoneal dialysis fluid.

9. An apparatus for performing peritoneal dialysis comprising:

a housing;

a peritoneal dialysis supply bag located above the housing, such that in use the peritoneal dialysis supply bag is located elevationally above a patient;

a first valve for controlling gravity flow of fresh peritoneal dialysis fluid from the peritoneal dialysis supply bag to the patient;

a second valve for controlling gravity flow of used peritoneal dialysis fluid from the patient to a drain, wherein the drain in use is located elevationally below the patient;

a first pressure sensor positioned and arranged with respect to the gravity flow of fresh peritoneal dialysis fluid to provide a first reading used to evaluate a first gravity head pressure;

a second pressure sensor positioned and arranged with respect to the gravity flow of used peritoneal dialysis fluid to provide a second reading used to evaluate a second gravity head pressure; and

a controller configured to establish the first and second gravity head pressures due to a location of the peritoneal dialysis supply bag and a location of the drain using the first and second readings, respectively.

10. The apparatus of claim 9, wherein the drain includes a drain container located below the housing for collecting the used peritoneal dialysis fluid.

11. The apparatus of claim 10, wherein the drain container hangs from the housing.

12. The apparatus of claim 9, wherein the peritoneal dialysis supply bag is placed on the housing.

13. The apparatus of claim 9, wherein at least one of (i) the first pressure sensor is integrated with the first valve, or (ii) the second pressure sensor is integrated with the second valve.

14. The apparatus of claim 12, wherein the first pressure sensor is placed in mechanical communication with a line carrying the gravity flow of fresh peritoneal dialysis fluid.

15. The apparatus of claim 9, wherein the second pressure sensor is placed in mechanical communication with a line carrying the gravity flow of used peritoneal dialysis fluid.

16. A method for performing peritoneal dialysis comprising:

enabling gravity flow of fresh peritoneal dialysis fluid to a patient;

enabling gravity flow of used peritoneal dialysis fluid from the patient;

sensing a first pressure of the fresh peritoneal dialysis fluid prior to flowing to the patient and a second pressure of the used peritoneal dialysis fluid prior to flowing from the patient; and

programming a controller to evaluate (i) a first gravity head pressure from the first sensed pressure prior to a flow of the fresh peritoneal dialysis fluid into a peritoneal cavity of the patient and (ii) a second gravity head pressure from the second sensed pressure prior to a flow of the used peritoneal dialysis fluid from the patient'"'"'s peritoneal cavity.

17. The method of claim 16, which includes sequencing plural valves to gravity flow the fresh and used peritoneal dialysis fluids to and from the patient.

18. A method for performing peritoneal dialysis comprising:

enabling gravity flow of fresh peritoneal dialysis fluid from a source to a patient;

enabling gravity flow of used peritoneal dialysis fluid from the patient to a drain;

sensing a first pressure of the fresh peritoneal dialysis fluid prior to flowing from the source and a second pressure of the used peritoneal dialysis fluid prior to flowing to the drain; and

programming a controller to evaluate (i) a first gravity head pressure from the first sensed pressure prior to a flow of fresh peritoneal dialysis fluid into a peritoneal cavity of the patient and (ii) a second gravity head pressure from the second sensed pressure prior to a flow of used peritoneal dialysis fluid to the drain.

19. The method of claim 18, which includes sequencing plural valves to gravity flow the fresh and used peritoneal dialysis fluids from the source and to the drain, respectively.

20. The method of claim 19, which includes integrating at least one of (i) the first pressure sensor with a first valve of the plural valves, or (ii) the second pressure sensor with a second valve of the plural valves.