Dialysis apparatus with regulated mixing of the dialysis solution

• US 4,508,622 A
• Filed: 06/20/1983
• Issued: 04/02/1985
• Est. Priority Date: 06/21/1982
• Status: Expired due to Term

• Current Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Original Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Inventors: Polaschegg, Hans-Dietrich, Husar, Dieter
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US06/506,154
• Time in Patent Office: 652 Days
• Field of Search: 210/96.2, 210/321.2
• US Class Current: 210/96.2
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/1607 before use, i.e. upstream of dialyser
• CPC Class Codes: A61M 1/1609 after use, i.e. downstream of dialyser
• CPC Class Codes: A61M 1/165 with a dialyser bypass on the dialysis fluid line
• CPC Class Codes: A61M 1/1656 Apparatus for preparing dialysates
• CPC Class Codes: A61M 1/1664 with temperature control
• CPC Class Codes: A61M 1/1668 Details of containers
• CPC Class Codes: A61M 1/361 before treatment
• CPC Class Codes: A61M 1/3612 after treatment
• CPC Class Codes: A61M 2205/3317 Electromagnetic, inductive or dielectric measuring means
• CPC Class Codes: A61M 2205/3324 PH measuring means
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2205/3372 Temperature compensation
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: B01D 2313/083 Bypass routes
• CPC Class Codes: B01D 2313/18 Specific valves
• CPC Class Codes: B01D 2313/243 Pumps
• CPC Class Codes: B01D 2313/46 Supply, recovery or discharge mechanisms of washing members
• CPC Class Codes: B01D 61/28 Apparatus therefor

Abstract

A dialysis apparatus having a unit for the production of the dialysis solution and a dialyzer includes a first detector mounted upstream of the dialyzer and a second detector mounted downstream of the dialyzer by means of which the composition of the dialysis solution can be regulated. The measuring data of detectors are compared and eventually used to control the composition of the dialysis solution; the invention is particularly useful in high exchange capacity dialyzers, since the composition of the dialysis solution can be adjusted directly and at any time to maintain desired conditions in the dialyzed patient.

Claims

1. A dialysis apparatus with a unit for the production of a dialysis solution from a concentrate and water, the apparatus having a concentrate tank, a mixing unit, a pump for feeding concentrate from the concentrate tank into the mixing unit and a water connection connected to the mixing unit, the apparatus having a dialyzer for producing a treated liquid, said dialyzer being connected with said mixing unit, said dialyzer being equipped with two dialyzer chambers separated by a membrane, the first dialyzer chamber being adapted to be filled with blood, the apparatus further having pumps to route blood and untreated dialysis liquid through the dialyzer, and an ultrafiltration device to produced ultrafiltrate for withdrawal characterized in that:

an evaluation unit is provided at least for observation of a comparison of a representation of electrolyte contents of untreated liquid and treated liquid directed through said dialyzer;

at least one first detector is provided which is connected to receive untreated liquid upstream of said dialyzer and which is connected with said evaluation unit, said first detector being operative for determining and conveying to said evaluation unit a representation of the electrolyte contents of untreated liquid upstream of said dialyzer; and

at least one second detector is provided which is connected to receive treated liquid downstream of said dialyzer and which is connected with said evaluation unit, said second detector being operative for determining and conveying to said evaluation unit a representation of the electrolyte contents of treated liquid downstream of said dialyzer.

2. The apparatus according to claim 1, wherein said first and second detectors are each combined with a temperature detector.

3. The apparatus according to claim 1, further including a unit for forming a difference value wherein said evaluation unit is connected with said difference value forming unit.

4. The apparatus according to claim 3, wherein said difference value forming unit is connected with said control unit by means of which said dialysis solution producing unit can be controlled.

5. The apparatus according to claim 1, wherein a first bypass valve is mounted between said first detector and said dialyzer and a second bypass valve is provided between said second detector and said dialyzer and said first and second bypass valves are connected to a bypass line.

6. The apparatus according to claim 5, further including temperature detectors associated with said respective first and second detectors wherein said first and second detectors and said temperature detectors can be calibrated with fresh dialysis solution by activating said first and second bypass valves.

7. The apparatus according to claim 1, comprising:

a line (92) and a line (88), said line (92) being branched on said line (88) leading to a blood inlet side of said dialyzer; and

a line (104) and a line (90), said line (104) being branched on said line (90) leading away from said dialyzer, containing a shut-off valve, a pump, said line 92 and said line 104 a relief valve and said first or second detector.

8. The apparatus according to claim 7, wherein upstream of said shut-off valve at least one hemofilter is provided.

9. The apparatus according to claim 1, wherein first or second detector comprise a conductivity cell and at least an ion-selective electrode.

10. The apparatus according to claim 9, wherein said ion-selective electrode is a sodium selective, potassium-selective, pH-selective, SO₂, CO₂, HCO₃ -sensitive and/or calcium-selective electrode.

11. The apparatus according to claim 1, wherein values measured by said first and second detectors can be indicated by means of said evaluation unit differentially and/or integrally.

12. A dialysis apparatus with a unit for the production of a dialysis solution from the concentrate and water, the apparatus having a concentrate tank, a mixing unit, a pump for feeding concentrate from the concentrate tank into the mixing unit, and a water connection connected to the mixing unit, the apparatus having a dialyzer for producing a treated liquid, said dialyzer being equipped with two dialyzer chambers separated by a membrane, the first dialyzer chamber being adapted to be filled with blood, the apparatus further having pumps to route blood and untreated dialysis liquid through the dialyzer, and an ultrafiltration device to produce ultrafiltrate for withdrawal, characterized in that:

an evaluation unit is provided at least for observation of a comparison of a representation of electrolyte contents of untreated liquid directed into said dialyzer and treated liquid exiting from said dialyzer; and

a detector is provided for determining electrolyte contents of liquids passing through said dialyzer, said detector being alternately connected to receive untreated liquid from upstream of said dialyzer and treated liqdid from downstream of said dialyzer, said detector being connected with said evaluation unit for conveying representations alternately of electrolyte contents of untreated liquid upstream of said dialyzer and of electrolyte contents of treated liquid downstream of said dialyzer.

13. The apparatus according to claim 12, wherein a (68) is branched on a line (30 connecting said dialysis solution producing unit with said dialyzer and a line (70) is branched on a line (44) downstream of said dialyzer;

said line (68) and said line (70) being combined in a line (72) connected with said single detector.

14. The apparatus according to claim 13, wherein said line (68) is equipped with a first shut-off valve and said line (70) is equipped with a second shut-off valve said first and second shut-off valves to be activated alternately.

15. The apparatus according to claim 13, further including a storage tank (82) having at least one ventilation aperture (80), said storage tank being coupled to said line (72).

16. The apparatus according to claim 12, wherein said single detector is combined with a temperature detector.

17. The apparatus according to claim 12 further including a unit for forming a difference value wherein aid evaluation unit is connected with said difference value forming unit.