Artificial kidney for adjusting a concentration of substance in blood

• US 5,698,090 A
• Filed: 10/28/1996
• Issued: 12/16/1997
• Est. Priority Date: 09/10/1991
• Status: Expired due to Term

• Current Assignee: Industries Gambro
• Original Assignee: Hospal Industrie
• Inventors: Chevallet, Jacques, Bene, Bernard
• Primary Examiner(s): KIM, SUN U
• Application Number:
  US08/738,829
• Time in Patent Office: 414 Days
• Field of Search: 210/645, 210/646, 210/650, 210/739, 210/929, 210/85, 210/87, 210/97, 210/103, 210/134, 210/143, 210/195.2, 210/257.2, 210/258, 210/321.6, 210/321.65 , 210/321.71, 210/321.75, 210/321.84, 210/321.72, 604/4, 604/5, 604/6, 604/28, 604/65, 604/66, 604/67
• US Class Current: 210/85
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/1605 Physical characteristics of the dialysate fluid
• CPC Class Codes: A61M 1/1643 with weighing of fresh and used dialysis fluid
• CPC Class Codes: A61M 1/341 by measuring the filtrate rate or volume
• CPC Class Codes: A61M 1/3413 Diafiltration
• CPC Class Codes: A61M 1/3437 downstream of the filter, e.g. post-dilution with filtrate
• CPC Class Codes: A61M 1/3441 Substitution rate control as a function of the ultrafiltration rate
• CPC Class Codes: A61M 1/3451 the difference in weight between both ultra-filtrate and substitution reservoir being used as control signal
• CPC Class Codes: A61M 1/3458 having electrolytes not present in the dialysate
• CPC Class Codes: A61M 1/3465 using dialysate as substitution fluid
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3396 Reservoirs being alternately filled and emptied for measuring flow rate or delivered volume
• CPC Class Codes: Y10S 210/929 Hemoultrafiltrate volume measurement or control processes

Abstract

An artificial kidney comprises an exchanger (1) having two compartments (2, 3) separated by a semipermeable membrane (4), a first compartment (2) being connected to a circuit (5, 7) for extracorporeal blood circulation, the second compartment (3) having an outlet for draining waste liquid. Means (22, 25) are provided for controlling the flow rate (Q_A) of a sterile solution containing a substance (A) to be perfused into the circuit (5, 7) for conveying a flow of blood outside the body, which flow rate is controlled as a function of the flow rate (Q_OUT) of waste liquid. This kidney makes it possible to dose a substance such as a medicine, glucose or bicarbonate, accurately into the blood of a patient undergoing treatment by hemofiltration, hemodialysis, or hemodiafiltration.

Claims

1. An artificial kidney, comprising:

an exchanger having first and second compartments separated by a semipermeable membrane, the first compartment being connected to a blood circuit for conveying a flow of blood outside a body of a patient, and the second compartment having an outlet for draining a waste liquid;

a source of perfusion liquid for containing a substance (A) having a concentration A!_SOL ;

means for connecting the source of perfusion liquid to the patient;

means for varying a flow rate of the perfusion liquid to the patient; and

dosage means for adjusting a concentration of the substance (A) in the blood of the patient to a desired concentration A!_DES, the dosage means including means for calculating a flow rate (Q_A) of the perfusion liquid as a function of the clearance Cl of the artificial kidney for the substance (A), and means for controlling the flow varying means so that an actual flow rate of the perfusion liquid is substantially equal to the calculated flow rate (Q_A).

2. An artificial kidney according to claim 1, wherein the calculating means determines the flow rate (Q_A) of the perfusion liquid using the equation:

##EQU4##

3. An artificial kidney according to claim 1, wherein the means for connecting the source of perfusion liquid to the patient includes a duct connected to the blood circuit.

4. An artificial kidney according to claim 1, wherein the means for varying the flow rate of perfusion liquid includes a pump connected to the duct.

5. An artificial kidney according to claim 1, wherein the substance (A) is bicarbonate.

6. An artificial kidney according to claim 5, further including a source of bicarbonate-free substitution liquid connected to the blood circuit.

7. An artificial kidney according to claim 5, including a source of bicarbonate-free dialysis liquid connected to an inlet of the second compartment of the exchanger.

8. An artificial kidney according to claim 5, further including a source of bicarbonate-free substitution/dialysis liquid connected to the blood circuit and to an inlet of the second compartment of the exchanger, and blocking means for selectively isolating the source and enabling the substitution/dialysis liquid to flow into the blood circuit, and alternatively allowing the substitution/dialysis liquid to flow into the second compartment of the exchanger.

9. An artificial kidney according to claim 1, further including means for varying an ultrafiltration flow rate through the exchanger.

10. An artificial kidney according to claim 9, wherein the means for controlling the ultrafiltration flow rate varying means controls the ultrafiltration flow rate as a function of a difference between liquids flow and a given reference value for a weight loss flow rate (Q_WL).

11. An artificial kidney according to claim 1, further including means for measuring a difference between an amount of liquid injected into the blood circuit and an amount of waste liquid flowing out of the second compartment of the exchanger, the waste liquid being chosen from a group consisting of ultrafiltrate and waste dialysis liquid.

12. An artificial kidney according to claim 11, wherein the means for measuring the difference between the amounts of liquids includes a scale for weighing a container constituting a source of substitution/dialysis liquid, and a container for collecting waste liquid, and a scale for weighing a container constituting a source of solution containing the substance (A).