Method and apparatus for hemodialysis with a single needle

• US 5,120,303 A
• Filed: 04/28/1989
• Issued: 06/09/1992
• Est. Priority Date: 09/10/1986
• Status: Expired due to Fees

• Current Assignee: Remi O.J. Hombrouckx
• Original Assignee: Remi O.J. Hombrouckx
• Inventors: Hombrouckx, Remi O. J.
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): Owens, Kerry
• Application Number:
  US07/359,665
• Time in Patent Office: 1,138 Days
• Field of Search: 604/4-6, 604/905, 604/27-31, 604/51, 128/DIG. 13
• 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 1/306 Pressure control, e.g. using substantially rigid closed or gas buffered or elastic reservoirs
• CPC Class Codes: A61M 1/3604 in opposite directions

Abstract

The dialysis apparatus with a single needle comprises a reversible pump (3) controlled by a program so as to provide, in the first rotation direction, for the removal of a predetermined blood volume outside the circulatory system of a patient (P), the treatment of said blood volume in an artificial kidney (4) and the discharge into an expansion chamber (5), as well as, in a reverse rotation direction, to provide for the return of purified blood towards the patient (P) after a second purification in the artificial kidney (1). The expansion chamber (5) under pressure is used both as a blood accumulation container and as a housing for measuring the pressure. Its capacity is 4 to 5 times more than the internal volume of the artificial kidney (4).

Claims

1. A method for hemodialysis using a single needle (2), comprising the steps of:

alternately removing, from the body of a patient (P) by means of a pump (3), a predetermined volume of blood coming from a fistula, a vein or an artery; and

filtering the removed volume of blood in an artificial kidney (4) and then returning it to the patient (P) at the same puncture location by a single and same needle;

wherein the removal of the predetermined volume of blood from the body of the patient and the movement of the blood in a first direction (X) through the artificial kidney to an expansion chamber on the one hand, and the return of the filtered blood into the body of the patient, on the other hand, by movement of the blood in an opposite direction (Y) through a single and same blood line (6) and the same needle, are carried out using a reversible pump, the direction of rotation of which is controlled automatically in a programmed manner by means of a regulating and measuring device, and

wherein the filtration of the blood is carried out twice in succession in the artificial kidney (4), that is a first time during a blood delivery phase in the first direction (X) and during a blood return phase in the second direction (Y) which is opposite to said first direction (X).

2. The method in accordance with claim 1, wherein the removal of a predetermined volume of blood and the movement of the blood through the artificial kidney in the expansion chamber on the one hand, is carried out by a first pump (13) in direction (X) while the return of the filtered blood into the body of the patient on the other hand, by movement in the opposite direction (Y) though a single and same blood line (6) and the same needle, is carried out by means of a second pump (14), with the two pumps being started up automatically in succession in a programmed manner under the control of a measuring and regulating device.

3. The method in accordance with claim 1, wherein the delivery of the blood into the expansion chamber (5) which is provided at the end of the above-identified blood line and the return of the blood from the expansion chamber (5) to the artificial kidney (4) is carried out through the same orifice at the bottom of the expansion chamber (5).

4. The method in accordance with claim 2, wherein the pumps (13, 14) are started up in turn.

5. The method in accordance with claim 4, herein the two pumps (13, 14) are controlled automatically and in a programmed manner by a measuring and regulating device.

6. Apparatus for hemodialysis using a single needle, in which a predetermined volume of blood from a fistule, a vein or an artery is alternately drawn from the body of the patient by means of a pump to be filtered in an artificial kidney and then returned to the patient at the same puncture location, comprising:

a needle,

a section of tube between the needle and a pump,

the artificial kidney,

an expansion chamber composed of a closed receptacle provided with a blood delivery and removal tube and provided in its upper part with an apical air tube and provided, a few millimeters lower, with an infusion line enabling the kidney to be rinsed, medication to be administered and the height of the blood level to be adjusted by means of air under pressure, and

a device for measuring and controlling the pump, wherein

the pump is intermittently reversible and has an output directly connected to the artificial kidney,

the needle, the pump and the expansion chamber are situated on a same blood line,

the expansion chamber is farther from the puncture point than the pump, and

the infusion line ends in the expansion chamber a few millimeters lower than the apical air tube.

7. The apparatus in accordance with claim 6, wherein the expansion chamber is provided with a single orifice or channel intended to deliver or return the blood.

8. The apparatus in accordance with claim 6, wherein the blood line, going from the puncture point, the pump and the artificial kidney, ends in the expansion chamber which is connected to a compliance chamber by a pressure line.

9. The apparatus in accordance with claims 6, 7 or 8, wherein the artificial kidney is connected on one side by means of a pump and a single needle or catheter to the circulatory system of the patient and is connected on the other side to an expansion chamber containing a receptacle provided with a blood delivery tube and a blood removal tube, and in its upper part an apical air tube intended to act as a pressure line and, a few millimeters lower, an infusion line for rinsing the kidney, administering medication and adjusting the level of the blood by means of the amount of air injected.

10. The apparatus in accordance with claim 9, wherein the expansion chamber and the compliance chamber contain a device for measuring pressure.