AUTOMATED DIALYSIS SYSTEM USING PISTON AND NEGATIVE PRESSURE

• US 20140188040A1
• Filed: 03/06/2014
• Published: 07/03/2014
• Est. Priority Date: 05/24/2002
• Status: Active Grant

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Hopping, Peter A., Childers, Robert W., Kienman, Richard E., Richardson, Ian, Busby, Donald A.
• Granted Patent: US 9,744,283 B2
• Time in Patent Office: Days
• US Class Current: 604/29
• CPC Class Codes: A61M 1/1522 the interface being evacuated interfaces to enhance contact
• CPC Class Codes: A61M 1/1524 the interface providing means for actuating on functional elements of the cassette, e.g. plungers
• CPC Class Codes: A61M 1/153 the cassette being adapted for heating or cooling the treating fluid, e.g. the dialysate or the treating gas
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/156 Constructional details of the cassette, e.g. specific details on material or shape
• CPC Class Codes: A61M 1/1561 at least one cassette surface or portion thereof being flexible, e.g. the cassette having a rigid base portion with preformed channels and being covered with a foil
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• CPC Class Codes: A61M 1/166 Heating for sterilisation A61M1/1686
• CPC Class Codes: A61M 1/267 used for pumping
• 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 1/288 Priming priming in extracorporeal blood circuits A61M1/3643
• CPC Class Codes: A61M 2205/127 with provisions for heating or cooling
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/581 by audible feedback
• CPC Class Codes: A61M 2205/583 by visual feedback

Abstract

A peritoneal dialysis system is provided that includes a hardware unit, a disposable unit received by the hardware unit, and a controller. The hardware unit includes a recessed area, a piston having a contact surface, a pneumatic source for supplying a negative pressure, and an actuator configured to move the contact surface of the piston into and out of at least a portion of the recessed area. The disposable unit includes an outer member fitted at least partially within the recessed area of the hardware unit and a moveable membrane positioned between the contact surface of the piston and the outer member when the disposable unit is received by the hardware unit. The controller is configured to cause the pneumatic source to apply the negative pressure to the moveable membrane so as to conform the moveable membrane to a shape of the contact surface of the piston and follow the contact surface when the piston is moved towards and away from the outer member fitted at least partially within the recessed area.

Claims

1. A peritoneal dialysis system comprising:

a hardware unit including

a recessed area,

a solid pump piston including a solid piston shaft mechanically attached to a solid piston head, the solid pump piston configured to translate back-and-forth within the recessed area, the solid piston head having a contact surface defining a curved shape,

a pneumatic source for supplying a negative pressure, and

an actuator connected operably to the solid pump piston and configured to move the contact surface of the solid piston head into and out of the recessed area;

a disposable unit received by the hardware unit, the disposable unit including

an outer member fitted at least partially within the recessed area of the hardware unit, and

a moveable membrane positioned between the contact surface of the solid piston head and the outer member when the disposable unit is received at least partially within the recessed area; and

a controller configured to cause the pneumatic source to apply the negative pressure to the moveable membrane so as to (i) conform the moveable membrane to the curved shape of the contact surface of the solid piston head and (ii) follow the curved shape of the contact surface of the solid piston head when the solid pump piston is moved towards and away from the outer member of the disposable unit when the unit is fitted at least partially within the recessed area.

2. The peritoneal dialysis system of claim 1, wherein the recessed area forms part of a lid or door of the hardware unit.

3. The peritoneal dialysis system of claim 1, wherein the moveable membrane is a first moveable membrane, and wherein the outer member of the disposable unit is a second moveable membrane that is fitted at least partially within the recessed area.

4. The peritoneal dialysis system of claim 3, wherein the second moveable membrane is fitted at least partially within the recessed area by applying the negative pressure between the recessed area and the second moveable membrane.

5. The peritoneal dialysis system of claim 3, wherein the first and second moveable membranes lay flat against each other before the disposable unit is received by the hardware unit.

6. The peritoneal dialysis system of claim 1, wherein the outer member of the disposable unit is made of a medical grade polymer.

7. The peritoneal dialysis system of claim 1, wherein the contact surface of the solid piston head includes radially extending channels for dispensing the negative pressure to the moveable membrane.

8. The peritoneal dialysis system of claim 1, wherein the recessed area is defines a dome shape that matches the curved shape of the solid piston head.

9. A peritoneal dialysis system comprising:

a hardware unit including

a recessed area,

a solid pump piston including a solid piston shaft mechanically attached to a solid piston head, the solid pump piston configured to translate back-and-forth within the recessed area, the solid piston head having a contact surface defining a curved shape,

an air pump motor and a vacuum line for supplying a negative pressure, and

an actuator connected to the solid pump piston and configured to move the contact surface of the solid piston head into and out of the recessed area;

a disposable unit received by the hardware unit, the disposable unit including

an outer member fitted at least partially within the recessed area of the hardware unit, and

a moveable membrane positioned between the contact surface of the solid piston head and the outer member when the disposable unit is received at least partially within the recessed area, the moveable membrane and the outer member forming a chamber for receiving dialysis fluid; and

a controller configured to cause the air pump motor and the vacuum line to (i) apply the negative pressure to the moveable membrane so that the negative pressure conforms the moveable membrane to the curved shape of the contact surface of the solid piston head, (ii) pull dialysis fluid into the chamber when the contact surface of the solid piston head and the moveable membrane are moved away from the outer member, and (iii) push dialysis fluid out of the chamber when the contact surface of the solid piston head and the moveable membrane are moved towards the outer member.

10. The peritoneal dialysis system of claim 9, wherein the outer member of the disposable unit is fitted at least partially within the recessed area during (ii) and (iii).

11. The peritoneal dialysis system of claim 9, wherein the controller is configured to cause the outer member of the disposable unit to be fitted at least partially within the recessed area via the negative pressure.

12. The peritoneal dialysis system of claim 11, wherein the controller is configured to cause the outer member of the disposable unit to be fitted at least partially within the recessed area during (i).

13. The peritoneal dialysis system of claim 9, wherein the hardware unit includes a fluid valve operable to allow dialysis fluid to be pulled into the chamber when the contact surface of the solid piston head and the moveable membrane are moved away from the outer member.

14. The peritoneal dialysis system of claim 9, wherein the hardware unit includes an air vent solenoid positioned and arranged to relieve the negative pressure applied to the moveable membrane.

15. The peritoneal dialysis system of claim 14, wherein the negative pressure is further applied to the outer member of the disposable unit to fit the outer member at least partially within the recessed area, and wherein the air vent solenoid is further positioned and arranged to relieve the negative pressure applied to the outer member of the disposable unit.

16. The peritoneal dialysis system of claim 9, wherein the outer member of the disposable unit is fitted at least partially within the recessed area while the actuator moves the contact surface of the solid piston head towards and away from the outer member a plurality of times during a patient fill phase or a patient drain phase.

17. A peritoneal dialysis system comprising:

a hardware unit including

a recessed area,

a solid pump piston including a solid piston shaft mechanically attached to a solid piston head, the solid pump piston configured to translate back-and-forth within the recessed area, the solid piston head having a contact surface defining a curved shape,

an air pump motor and a vacuum line for supplying a negative pressure,

a stepper motor, and

an actuator connected to the stepper motor and coupled to the solid pump piston,

the stepper motor and actuator configured to move the contact surface of the solid piston head into and out the recessed area;

a disposable unit received by the hardware unit, the disposable unit including an outer member shaped to fit at least partially within the recessed area of the hardware unit, and a moveable membrane positioned between the contact surface of the solid piston head and the outer member when the disposable unit is received by the hardware unit; and

a sealed area around the solid pump piston, the sealed area allowing the negative pressure to be applied by the air pump motor through the vacuum line to the moveable membrane, the negative pressure causing the moveable membrane to follow the contact surface of the solid piston head when the solid pump piston is moved towards and away from the outer member of the disposable unit fitted at least partially within the recessed area.

18. The peritoneal dialysis system of claim 17, wherein the sealed area is provided in part by a diaphragm located on an opposing side of the contact surface from the moveable membrane.

19. The peritoneal dialysis system of claim 17, wherein the moveable membrane is a first moveable membrane, and wherein the outer member of the disposable unit is a second moveable membrane that is pulled via the negative pressure into the recessed area.

20. The peritoneal dialysis system of claim 17, wherein the negative pressure conforms the moveable membrane to the curved shape of the solid piston head.