Method for the automatic semicontinuous peritoneal dialysis

• US 4,498,900 A
• Filed: 12/21/1982
• Issued: 02/12/1985
• Est. Priority Date: 10/26/1979
• Status: Expired due to Fees

• Current Assignee: Vincenzo Buoncristiani
• Original Assignee: Vincenzo Buoncristiani
• Inventors: Buoncristiani, Vincenzo
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US06/452,513
• Time in Patent Office: 784 Days
• Field of Search: 604/28, 604/29, 128/DIG. 3
• US Class Current: 604/28
• CPC Class Codes: A61M 1/1674 using UV radiation sources for sterilising the dialysate
• CPC Class Codes: A61M 1/1696 with dialysate regeneration
• 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: Y10S 128/03 Heart-lung

Abstract

A method for the automatic semicontinuous peritoneal dialysis, wherein the dialysing solution is pumped from the supply bag to the peritoneal cavity of the patient in a predetermined amount sensed by control means, by which the pumping means are actuated to change over the pumping direction, the same dialysing solution being pumped to and from the peritoneal cavity for a predetermined number of times.

Patient safety is assured by providing shunting means for the pumping means, whereby the latter are short-circuited between the delivery and the suction side if any abnormal condition occurs.

Claims

1. A method for automatic semicontinuous peritoneal dialysis of a patient in need of such dialysis, wherein dialysing solution is introduced into the peritoneal cavity of the patient and then discharged therefrom, comprising forming a closed circuit between said peritoneal cavity and a supply of dialysing solution, said supply of dialysing solution being a predetermined amount of solution;

transferring the dialysing solution from said supply, in an amount predetermined consistently with the patient undergoing the treatment, to the peritoneal cavity of the patient in unchanged form from that in said supply;

transferring at least a portion of said dialysing solution back from said cavity to said supply in unchanged form from that in which it is withdrawn from said cavity; and

sequentially repeating said transfer of the dialysing solution to and from the said peritoneal cavity for a predetermined number of cycles, while maintaining the dialysing solution at a desired temperature.

2. The method according to claim 1, wherein the amount of dialysing solution fed to and pumped back from the peritoneal cavity is detected each time in both phases of every cycle, by means of sensing means for preventing an amount of dialysing solution greater than the said predetermined amount from being pumped into the peritoneal cavity.

3. The method according to claim 2, wherein said prevention of a greater than predetermined amount being pumped to the peritoneal cavity is ensured by short-circuiting the suction and delivery sides of said pumping means, when said sensing means are not actuated upon the said predetermined amount having been pumped into the peritoneal cavity.

4. In a method for conducting automatic semicontinuous peritoneal dialysis, wherein a dialysing solution is introduced into the peritoneal cavity of a patient in need of such dialysis and then discharged from the peritoneal cavity, the improvement comprising the steps of:

(a) providing a supply of dialysing solution, said supply being in an amount predetermined in accordance with the patient undergoing peritoneal dialysis;

(b) providing a pumping means for pumping said dialysing solution to and from said supply of dialysing solution and said peritoneal cavity, said supply, said peritoneal cavity and said pumping means being connected together in a closed circuit;

(c) introducing at least a portion of said dialysing solution from said supply into said peritoneal cavity in unchanged form from that in said supply through said closed circuit by operation of said pumping means;

(d) removing at least a portion of said dialysing solution in said peritoneal cavity from said cavity and transferring all of said removed dialysing solution in unchanged form from that in which it is removed from said cavity to said supply of dialysing solution through said closed circuit by operation of said pumping means;

(e) sequentially repeating steps (c) and (d) for a predetermined number of cycles to repeatedly transfer at least portions of the same dialysing solution initially present in said supply through said closed circuit to and from said peritoneal cavity and said supply of dialysing solution, whereby the risk of peritoneal infection in the patient due to exterior exposure of dialysis solution is essentially eliminated.

5. A method according to claim 4, wherein said predetermined amount of said dialysing solution is greater than the amount of dialysing solution introduced into said peritoneal cavity during each cycle, said portion of said dialysing solution being transferred from said peritoneal cavity to said supply being admixed with dialysing solution already present in said supply to give an admixed dialysing solution, a portion of which is then introduced into said peritoneal cavity in the next succeeding cycle.

6. A method according to claim 4, wherein said predetermined amount of dialysing solution introduced into said peritoneal cavity is detected, and the amount of dialysing solution subsequently introduced into said peritoneal cavity is controlled to prevent an amount of dialysing solution greater than said predetermined amount being introduced into said peritoneal cavity.

7. A method according to claim 6, wherein said amount of dialysing solution subsequently fed to said peritoneal cavity is controlled so as not to exceed said predetermined amount of dialysing solution by passing said dialysing solution through a short circuit connected upstream and downstream of said pumping means.

8. A method according to claim 4, wherein said dialysing solution is maintained at a desired temperature.