MULTICHANNEL INFUSION SYSTEM FOR RENAL REPLACEMENT THERAPY

• US 20130150821A1
• Filed: 02/04/2013
• Published: 06/13/2013
• Est. Priority Date: 09/17/2004
• Status: Abandoned Application

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: BOLLISH, Stephen J., VANDERVEEN, Timothy W.
• Application Number:
  US13/758,931
• Publication Number:
  US 20130150821A1
• Time in Patent Office: Days
• US Class Current: 604/500
• CPC Class Codes: A61M 1/14 Dialysis systems; Artificial kidneys; Blood oxygenators semi-permeable membranes characterised by the material, manufacturing processes therefor B01D71/00 ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/3451 the difference in weight between both ultra-filtrate and substitution reservoir being used as control signal
• CPC Class Codes: A61M 1/3687 Chemical treatment A61M1/3675 takes precedence
• CPC Class Codes: A61M 5/14232 Roller pumps
• CPC Class Codes: A61M 5/1452 pressurised by means of pistons
• CPC Class Codes: A61M 5/16886 for measuring fluid flow rate, i.e. flowmeters
• CPC Class Codes: A61M 5/16895 by monitoring weight change, e.g. of infusion container
• CPC Class Codes: A61M 5/172 electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A multichannel infusion system for use with a hemofilter includes first and second measurement devices that measure the weight of a replacement fluid in a first receptacle and an ultrafiltrate in a second receptacle, a first pumping module configured to accept a first desired flow rate and deliver the replacement fluid from the first receptacle to the hemofilter at the accepted first desired flow rate, a second pumping module configured to accept a second desired flow rate and remove the ultrafiltrate from the hemofilter to the second receptacle at the accepted second desired flow rate, and a control system in communication with the first and second measurement units and the first and second pumping modules. The control system is configured to adjust the first and second desired flow rates based on the measurements made by the first and second measurement devices.

Claims

1. A multichannel infusion system for use with a hemofilter, the system comprising:

a first measurement device configured to measure the weight of a replacement fluid contained in a first receptacle;

a first pumping module configured to accept a first desired flow rate and deliver the replacement fluid from the first receptacle to the hemofilter at the accepted first desired flow rate;

a second measurement device configured to measure the weight of an ultrafiltrate contained in a second receptacle;

a second pumping module configured to accept a second desired flow rate and remove the ultrafiltrate from the hemofilter to the second receptacle at the accepted second desired flow rate; and

a control system in communication with the first and second measurement units and the first and second pumping modules, the control system configured to adjust the first and second desired flow rates based on the measurements made by the first and second measurement devices.

2. The infusion system of claim 1, wherein the control system is further configured to accept a desired differential flow rate between the removed ultrafiltrate and the delivered replacement fluid and to adjust the first and second desired flow rates additionally based on the desired differential flow rate.

3. The infusion system of claim 1, wherein the control system is further configured to stop one of the first and second pumping modules if the other of the first and second pumping modules stops for any reason.

4. The infusion system of claim 1, wherein the control system comprises a programming interface.

5. The infusion system of claim 1, wherein the control system automatically recalculates the first and second desired flow rates after an interruption of either of the first and second pumping modules.

6. The infusion system of claim 1, wherein the first and second measurement devices respectively comprise first and second weight cells configured to measure the weight of the replacement fluid and the first receptacle and the removed ultrafiltrate and the second receptacle.

7. The infusion system of claim 6, wherein the weight of the replacement fluid and the removed ultrafiltrate is calculated from the weight of each of the first and second receptacles less a respective tare weight of each of the first and second receptacles.

8. The infusion system of claim 6, wherein the infusion system further comprises a receptacle detection system for detecting the type and tare weight of each of the first and second receptacles.

9. The infusion system of claim 1, wherein at least one of the first and second pumping modules comprises an infusion pump.

10. The infusion system of claim 1, wherein the control system is located within a programmable control unit (PCU) and the first and second pumping modules are contained in large volume pump (LVP) combination modules that are removably attached to the PCU.

11. A method of filtering a patient'"'"'s blood using a hemofilter, the method comprising the steps of:

measuring a weight of a replacement fluid in a first receptacle;

measuring a weight of an ultrafiltrate in a second receptacle;

initiating delivery of the replacement fluid from the first receptacle to the hemofilter at an first desired flow rate and removal of the ultrafiltrate from the hemofilter to the second receptacle at an initial second desired flow rate; and

automatically adjusting the first and second desired flow rates based on the measurements of the replacement fluid and removed ultrafiltrate in the first and second receptacles.

12. The method of claim 11, further comprising the step of repeating the steps of automatically calculating a remaining time interval and automatically adjusting the first and second desired flow rates until desired amount of the replacement fluid is delivered.

13. The method of claim 11, wherein:

the step of accepting comprises accepting a desired differential between the first and second flow rates; and

the step of automatically adjusting the first and second desired flow rates is also based on the desired differential.

14. The method of claim 11, further comprising the steps of:

accepting an amount of the replacement fluid to be delivered; and

repeating the step of automatically adjusting the first and second desired flow rates based on the measurements of the replacement fluid and removed ultrafiltrate in the first and second receptacles until the accepted amount of replacement fluid has been delivered.