Method to control blood and filtrate flowing through an extracorporeal device
First Claim
1. A method for controlling blood flow through an extracorporeal blood circuit having a controller comprising:
- a. withdrawing the blood from a patient into the extracorporeal circuit, treating the blood in the circuit, and infusing the treated blood into the patient;
b. detecting an occlusion that at least partially blocks the withdrawal or infusion of the blood;
c. in response to the detection of the occlusion, the controller automatically prompts the patient to move to alleviate the occlusion;
d. continuing the withdrawal, treatment and infusion of blood if the occlusion is alleviated after step (c), and e. ceasing the withdrawal of blood if the occlusion is not alleviated within a predetermined time to cessation period after step (c), wherein steps (a) to (e) are performed automatically.
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Accused Products
Abstract
A method and apparatus are disclosed for controlling blood flow through an extracorporeal blood circuit having a controller comprising the steps of: withdrawing the blood from a withdrawl blood vessel in a patient into the extracorporeal circuit, treating the blood in the circuit and infusing the treated blood into the patient; detecting an occlusion which at least partially blocks the withdrawl or infusion of the blood; reducing the blood flow rate and the rate of filtration in response to the occlusion, and further prompting the patient to move his arm in an effort to alleviate the occlusion.
144 Citations
33 Claims
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1. A method for controlling blood flow through an extracorporeal blood circuit having a controller comprising:
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a. withdrawing the blood from a patient into the extracorporeal circuit, treating the blood in the circuit, and infusing the treated blood into the patient;
b. detecting an occlusion that at least partially blocks the withdrawal or infusion of the blood;
c. in response to the detection of the occlusion, the controller automatically prompts the patient to move to alleviate the occlusion;
d. continuing the withdrawal, treatment and infusion of blood if the occlusion is alleviated after step (c), and e. ceasing the withdrawal of blood if the occlusion is not alleviated within a predetermined time to cessation period after step (c), wherein steps (a) to (e) are performed automatically. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
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22. A method for controlling blood flow through an extracorporeal blood ultrafiltration circuit having a controller comprising:
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a. selecting a desired filtration rate for the ultrafiltration circuit to extract filtrate for an ultrafiltration treatment;
b. withdrawing the blood from a patient into the extracorporeal circuit, filtering the blood to extract filtrates at the desired filtration rate, and infusing the filtered blood into the patient;
c. detecting a pressure of the blood being withdrawn or infused exceeding a predetermined threshold pressure value;
d. reducing a blood flow rate through the circuit in response to the detection of the pressure exceeding the threshold;
e. in connection with step (d), reducing a rate of filtrate extraction to a rate less than the desired filtration rate;
f. increasing the blood flow rate through the circuit after determining that the pressure of the blood being withdrawn or infused is within the threshold pressure value, and g. increasing the filtration rate after step (f). - View Dependent Claims (23, 24, 25)
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26. A method for controlling filtration in a blood circuit having withdrawal and infusion blood passages connected to a patient, a filter, a blood pump, and a filtrate pump, said method comprising:
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a. withdrawing the blood from a patient into the blood circuit, filtering liquid ultrafiltrate from the blood in the filter, and infusing the filtered blood into the patient;
b. controlling a filtrate flow from the filter to maintain an filtrate flow pressure above a predetermined pressure value;
c. in response to a reduction of blood flow through the blood circuit, automatically reducing the filtrate flow. - View Dependent Claims (27, 28, 29, 30, 31, 32, 33)
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Specification