Apparatus for carrying out peritoneal dialyses

• US 5,722,947 A
• Filed: 09/17/1996
• Issued: 03/03/1998
• Est. Priority Date: 02/03/1994
• Status: Expired due to Term

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius SE & Co. KGaA)
• Original Assignee: Gambro AB (Baxter International Inc.)
• Inventors: Nordlie, Tor, Jeppsson, Jan-Bertil
• Primary Examiner(s): Buiz, Michael
• Assistant Examiner(s): Mendez, Manuel
• Application Number:
  US08/687,596
• Time in Patent Office: 532 Days
• Field of Search: 664/29, 664/65-67, 664/30-34, 664/49-53
• US Class Current: 604/29
• CPC Class Codes: A61M 1/1643 with weighing of fresh and used dialysis fluid
• 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 1/604 Bag or liner in a rigid container, with suction applied to both
• CPC Class Codes: A61M 2205/07 having air pumping means
• CPC Class Codes: A61M 2205/6081 Colour codes
• CPC Class Codes: A61M 5/1486 the bags being substantially completely surrounded by fluid
• CPC Class Codes: Y10S 128/12 Pressure infusion
• CPC Class Codes: Y10S 128/13 Infusion monitoring

Abstract

Apparatus for carrying out peritoneal dialysis. The apparatus comprises a weighing device (37) provided with a case (50) for forming an airtight space. A heat bag (38) and, optionally, a discharge bag (42) are positioned in the space, said bags being connected with a catheter for the patient, who is to perform peritoneal dialysis. The apparatus comprises a pump arrangement (57) connected with the case (50) for producing overpressure and underpressure, respectively, in the space inside the case. Valve arrangements (39, 44) are adapted to connect either the discharge bag (42) or the heat bag (38) with the patient'"'"'s catheter. By providing an underpressure in the case (50). fresh dialysis solution is provided to the heat bag (38) from supply bags, whereupon used dialysis fluid is extracted from a patient to the discharge bag (42). By causing an overpressure in the case (50), a fresh and heated dialysis solution is supplied from the heat bag (38) to the patient, whereupon the discharge bag (42) is drained to a waste or to collection bags. The flow of dialysis solution is monitored by the apparatus by means of weighing the case (50) and its contents. Suitable data for the treatment is stored in a memory unit of the apparatus.

Claims

1. An apparatus for conducting peritoneal dialysis comprising at least one flexible container for handling a fluid useful in said peritoneal dialysis, supply means for supplying said fluid to said at least one flexible container, weighing means for weighing the contents of said at least one flexible container, a conduit connected to said at least one flexible container for conducting a flow of said fluid, enclosure means surrounding said at least one flexible container thereby forming a space between said at least one flexible container and said enclosure means, and pressure control means for altering the pressure within said space for transferring said fluid from said at least one flexible container through said conduit.

2. The apparatus of claim 1, wherein said enclosure means includes an entry port for permitting said conduit to pass through said enclosure means.

3. The apparatus of claim 2, wherein said entry port includes entry port sealing means for sealing said entry port with respect to said conduit.

4. The apparatus of claim 1, wherein said pressure control means comprises pressure increasing means for creating a pressure greater than atmospheric pressure within said space for emptying said fluid from said at least one flexible container through said conduit.

5. The apparatus of claim 1, wherein said enclosure means is rigid, and wherein said pressure control means comprises pressure decreasing means for creating a pressure less than atmospheric pressure within said space for driving said fluid into said at least one flexible container through said conduit.

6. The apparatus of claim 4 or 5 wherein said space includes a pressure medium comprising a gas.

7. The apparatus of claim 6, wherein said gas comprises air.

8. The apparatus of claim 4 or 5, wherein said space includes a pressure medium comprising a liquid.

9. The apparatus of claim 8, wherein said liquid comprises water.

10. The apparatus of claim 1, wherein said enclosure means comprises a cover movable between an open and a closed position, and including sealing means for sealing said cover when in said closed position.

11. The apparatus of claim 1, wherein said at least one flexible container comprises first and second flexible containers, wherein said conduit comprises a first conduit for connection to said first flexible container, and including a second conduit connected to said second flexible container for conducting a flow of fluid.

12. The apparatus of claim 11, wherein said first flexible container is adapted for handling a fresh fluid, and said second flexible container is adapted for handling a used fluid.

13. The apparatus of claim 1, including valve means associated with said conduit for controlling the flow of said fluid in said conduit.

14. The apparatus of claim 1, wherein said at least one flexible container comprises a plastic bag.

15. The apparatus of claim 1, wherein said space includes a pressure medium, and wherein said pressure control means includes a pump for controlling the flow of said pressure medium into and out of said space.

16. The apparatus of claim 15, including damping means for damping vibrational movements created by said pump.

17. The apparatus of claim 16, including muffler means for reducing the sound level of said pump.

18. The apparatus of claim 15, wherein said pump has an output pressure which is dependent upon the cycle speed thereof.

19. The apparatus of claim 18, wherein said pump comprises a centrifugal pump.

20. The apparatus of claim 1, wherein said pressure control means comprises a first pressure chamber including a gas maintained at a pressure greater than atmospheric pressure and a second pressure chamber including a gas maintained at a pressure less than atmospheric pressure, and valve means for selectively connecting said first and second pressure chambers with said enclosure means.

21. The apparatus of claim 20, wherein said pressure control means includes a pressure sensor for controlling said valve means.

22. The apparatus of claim 20, wherein said pressure control means includes a pump in communication with said first and second pressure chambers for increasing the pressure in said first pressure chamber and decreasing the pressure in said second pressure chamber, first pressure chamber valve means for regulating the pressure in said first pressure chamber and second pressure chamber valve means for regulating the pressure in said second pressure chamber.

23. The apparatus of claim 22, wherein said pump operates substantially continuously.

24. The apparatus of claim 20, including pressure relief means for maintaining the pressure within said enclosure means between predetermined limits.

25. The apparatus of claim 24, wherein said predetermined limits are between about 0.3 bar and -0.3 bar.