Blood flow monitoring and control apparatus

• US 4,231,366 A
• Filed: 08/08/1977
• Issued: 11/04/1980
• Est. Priority Date: 08/12/1976
• Status: Expired due to Term

• Current Assignee: Dr Eduard Fresenius Chemisch-Pharmazeutische Industrie KG Apparatebau KG
• Original Assignee: Dr Eduard Fresenius Chemisch-Pharmazeutische Industrie KG Apparatebau KG
• Inventors: Schael, Wilfried
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Jaworski, Francis J.
• Application Number:
  US05/822,928
• Time in Patent Office: 1,184 Days
• Field of Search: 128/2 F, 128/2 G, 128/214 E, 128/214 R, 128/DIG. 3, 128/DIG. 5, 128/DIG. 7, 128/DIG. 12-13, 23/258.5 R, 210/321 B, 210/321 A, 422/44, 422/48
• US Class Current: 604/6.05
• CPC Class Codes: A61M 1/30 Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/303 having a reservoir for treated blood to be returned
• CPC Class Codes: A61M 1/308 Volume control, e.g. with open or flexible containers, by counting the number of pump revolutions, weighing
• CPC Class Codes: A61M 1/3624 Level detectors; Level control
• CPC Class Codes: A61M 2205/3382 Upper level detectors
• CPC Class Codes: A61M 2205/3386 Low level detectors
• CPC Class Codes: A61M 2209/082 Mounting brackets, arm supports for equipment
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

The present blood flow monitoring and control apparatus is especially use in connection with the so-called single needle technique, for example, for treatments such as dialysis, perfusion, or diafiltration. The blood pressure control is accomplished by a measuring chamber including a pressure equalizing device operatively connected between the blood cleaning apparatus and the blood pump. Sensors are operatively connected to the volume measuring chamber. The volume sensors provide electric control input signals to a control circuit which in turn controls the blood pumps and/or valves. A reading may be provided on a display or an alarm may be given when the blood pressure or blood quantity or volume is not within predetermined limits as calculated by an electronic computer.

Claims

1. A blood flow monitoring and control apparatus, comprising single needle liquid withdrawal and liquid return means (1) connectable to a patient, blood treating means (4), first artery conduit means (3'"'"') connecting said blood treating means to said single needle means, artery pump means (3) in said first artery conduit means, a single operating condition volume sensing means (5) having an inlet and an outlet, second artery conduit means operatively interconnecting said blood treating means (4) to said inlet of said single operating condition volume sensing means (5), vein conduit means (11'"'"') and vein pump means (11) in said vein conduit means operatively connecting said outlet of said single operating condition volume sensing means (5) to said single needle means to form together with said first conduit means a closed loop flow circuit in which the blood circulates in but one direction, and control means (13) operatively connected to said single operating condition volume sensing means (5) as well as to said artery and vein pump means (3, 11) to control the blood flow in said closed loop flow circuit, said operating condition volume sensing means comprising filling level sensing means 7, 8, 9, 10 for the volumetric measuring of the liquid flowing in said one direction in said closed loop flow circuit, said filling level sensing means providing control signals for a liquid withdrawal phase from said volume sensing means (5) through said vein conduit and vein pump means (11, 11'"'"') and for a liquid return phase to said volume sensing means (5) through said artery conduit and artery pump means (3, 3'"'"'), whereby the liquid withdrawal phase is stopped upon reaching a predetermined first filling level in said volume sensing means (5) and the liquid return phase is started whereas a liquid return phase is stopped upon reaching a predetermined second filling level and vice versa.

2. The apparatus of claim 1, further comprising pressure equalization means operatively connected to said volume level sensing means.

3. The apparatus of claim 1, wherein said filling level sensing means comprise a plurality of individual sensors and means for adjusting the elevational position of said sensors.

4. The apparatus of claim 1, wherein said filling level sensing means comprise measuring chamber means and a plurality of individual sensors, a first pair of said sensors being arranged for sensing the upper and lower limit of a normal filling level condition in said measuring chamber for limiting the normal filling level condition to be within said upper and lower limit, a second pair of said sensors being arranged to detect the exceeding of said upper limit and the dropping below said lower limit respectively of the filling level condition in said measuring chamber, said first pair of sensors (8, 9) being operatively connected to said control means for controlling said pump means so as to maintain the normal filling level condition in said measuring chamber means, said second pair of sensors (7, 10) being connected to said control means for stopping said pump means.

5. The apparatus of claim 4, further comprising means operatively connected to said control means for indicating the filling condition in said measuring chamber means.

6. The apparatus of claim 5, wherein said indicating means indicate an unpermissible operating condition.

7. The apparatus of claim 1, further comprising valve means in said first and second conduit means, and means operatively connecting said valve means to said control means.

8. The apparatus of claim 7, wherein said single needle liquid withdrawal and liquid return means comprise an inlet port proper, a conduit connected for liquid withdrawal and a conduit connected for liquid return, both conduits being connected to said inlet port proper, said control means being arranged to control said pump means and said valve means so that the flow rate is higher in said liquid withdrawal conduit during a liquid withdrawal phase while it is lower in said liquid return conduit and vice versa during the liquid return phase.

9. The apparatus of claim 1, wherein said control means further comprise electronic computer means operatively connected to said control means, and indicating means operatively connected to said computer means which calculate a blood flow mean value for each operational cycle, said indicating means displaying said blood flow mean value.

10. The apparatus of claim 9, wherein said control means further comprise monitoring circuit means which recognize the deviations from a preselected blood flow mean value to provide a warning.

11. The apparatus of claim 10, wherein said monitoring circuit means also recognize the stopping of the blood flow to provide a warning.

12. The apparatus of claim 1, wherein said control means further comprise flow quantity measuring means including counter means for indicating the total volume of blood flowing through the apparatus.