Apparatus for hemodialysis

• US 4,895,657 A
• Filed: 10/05/1988
• Issued: 01/23/1990
• Est. Priority Date: 10/15/1987
• Status: Expired due to Term

• Current Assignee: Fresenius AG Gluckensteinweg 5 6380 Bad Homburg VDH Germany A Corporation
• Original Assignee: Fresenius AG (Fresenius SE & Co. KGaA)
• Inventors: Polaschegg, Hans-Dietrich
• Primary Examiner(s): JONES, WILLIAM G
• Application Number:
  US07/253,814
• Time in Patent Office: 475 Days
• Field of Search: 210/85, 210/86, 210/96.2, 210/257.2, 210/321.71, 210/646, 210/647, 210/739, 210/744, 210/746
• US Class Current: 210/647
• CPC Class Codes: A61M 1/1656 Apparatus for preparing dialysates
• CPC Class Codes: A61M 1/1668 Details of containers

Abstract

The invention relates to an apparatus for hemodialysis comprising a mixing means which prepares dialysis solution for a dialyzer by mixing concentrate with prepared water. The apparatus comprises a protective system which is independent of the mixing system and which is based on monitoring the conductivity of the dialysis solution. For protection against confusion of the concentrate containers to be connected, in the concentrate intake conduits conductivity measuring cells are additionally provided and the output signals thereof are compared with the desired values of the conductivity of the concentrates of the concentrate containers to be connected. In advantageous manner said conductivity cells are integrated into the concentrate intake conduits in such a way that they serve simultaneously as level sensors for the concentrate in the containers.

Claims

1. In an apparatus for hemodialysis which comprises a mixing system for supplying dialysis solution to a dialyzer (2) and a protective system (6, 7) independent of the mixing system for preventing the dialyzer from receiving dialysis solution which is dangerous to a patient, wherein the mixing system includes at least one source container for dialysis concentrate (4,5), at least one intake conduit (4a, 4b;

5a, 5b), a source of water (3), and a mixing means (1), and wherein said protective system includes a first conductivity cell (6) for monitoring conductivity of dialysis solution and at least a first monitoring stage, the improvement comprising;

at least one second conductivity cell (8,

     9) in said intake conduit; and

a second protective system (8, 9,

     7) comprising a means for monitoring a conductivity of dialysis concentrate through said second conductivity cell to apply an output signal from said second conductivity cell to a monitoring stage of said second protective system where a correct connection of the source container of dialysis concentrate exists and conductivity measured by said second conductivity cell is within a preset range and to emit an alarm or control signal from said monitoring stage of said second protective system where measured conductivity deviates from said preset range in order to detect incorrect connection of said dialysis concentrate container.

2. Apparatus according to claim 1 wherein at least two dialysis concentrate containers exist, and wherein the monitoring stage (7) of the second protective system further comprises means for responding to the ratio of the output signals of at least two second conductivity cells.

3. Apparatus according to claim 1 or 2, wherein the second conductivity cells (8,9) are integrated into the intake conduit (4a,b;

5a,b) in such a manner that they serve simultaneously as filling level sensors for the dialysis concentrate container.

4. Apparatus according to claim 3 wherein the intake conduit comprises a feed flexible tube (4a, 5a) not dipping into the dialysis concentrate and an intake tube (4b, 5b) dipping into the dialysis concentrate, wherein the intake tube (4b, 5b) comprises a plastic material and located outside and above an intake opening carries a first electrode (8a) of the second conductivity cell, wherein a second electrode (8b) of said second conductivity cell is located inside the feed flexible tube (4a).

5. Apparatus according to claim 1 wherein an intake conduit (4a, 4b) comprises a feed flexible tube (4a) not dipping into the dialysis concentrate and an intake tube (4b) dipping into the dialysis concentrate, wherein the intake tube (4b) further comprises an electrically conductive tube (11) which serves as electrode and is connected via a line (15) to the monitoring stage of the second protective system (7).

6. Apparatus according to claim 5, wherein the intake tube (4b) is additionally provided at its front end with a coding jack (22) which engages into a corresponding counter member in the dialysis concentrate container.

7. Apparatus according to claim 5 or 6, wherein the intake tube (4b) is connected detachably via a contact spring (16) to the line (15) and via detent elements (20, 21) to a grip member (13).

8. Apparatus according to claim 6 or 7, wherein the front end of the intake tube (4b) is sealed by the coding jack (22) and in a region of said front end, radial openings (12) are provided which ensure a flow connection from inside the intake tube to outside the intake tube (4b).

9. In a method for hemodialysis using a hemodialysis apparatus which comprises a mixing system for supplying dialysis solution to a dialyzer and a protective system independent of the mixing system for preventing the dialyzer from receiving dialysis solution which is dangerous to a patient, wherein said mixing system includes at least one source container for dialysis concentrate, at least one intake conduit, a source of water, and a mixing means, and wherein said protective system includes a first conductivity cell for sensing conductivity of dialysis solution and a monitoring stage for monitoring conductivity of dialysis solution through said first conductivity cell, said method including the steps of mixing dialysis concentrate from said source container with water from said source of water to produce the dialysis solution, monitoring the conductivity of the dialysis solution through said first conductivity cell and preventing dialysis solution having a composition dangerous to the patient from reaching the dialyzer, the improvement comprising:

providing at least one second conductivity cell in said intake conduit;

monitoring conductivity of the dialysis concentrate through said second conductivity cell;

applying an output signal from said second conductivity cell to a monitoring stage of a second protective system where correct connection of the dialysis concentrate container exists and conductivity measured by said second conductivity cell is within a preset range; and

emitting an alarm or control signal from said second protective system where measured conductivity deviates from said preset range.