Method of monitoring part of a blood treatment machine and a blood treatment machine with a monitoring device

• US 6,066,261 A
• Filed: 12/23/1998
• Issued: 05/23/2000
• Est. Priority Date: 12/23/1997
• Status: Expired due to Term

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Inventors: Spickermann, Reiner
• Primary Examiner(s): Kim, John
• Application Number:
  US09/219,045
• Time in Patent Office: 517 Days
• Field of Search: 210/85, 210/90, 210/97, 210/645, 210/646, 210/739, 210/741
• US Class Current: 210/739
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/1601 Control or regulation
• CPC Class Codes: A61M 1/3639 Blood pressure control, pressure transducers specially adapted therefor
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/702 automatically during use
• CPC Class Codes: A61M 2205/705 Testing of filters for leaks blood in dialysate A61M1/1692

Abstract

To monitor the functionality of a partial device of a blood treatment machine, an excess pressure is built up on the blood side and on the dialysis fluid side and is monitored to detect a pressure drop. To do so, the flow path through the dialysis fluid inlet line (12), the dialysis fluid outlet line (13) and the blood outlet line (6) can be interrupted, and the blood pump (7) is started. The test pressure on the dialysis fluid side is built up due to the ultrafiltrate passing through the membrane (2) of the dialyzer (1). Any leakage in the closed volume, which includes a part of the blood path as well as part of the dialysis fluid path, is then detected by a (greater) pressure drop.

Claims

1. A method for monitoring a part of a blood treatment machine, the blood treatment machine having a dialyzer subdivided by a semipermeable membrane into a first chamber having a first chamber inlet and a first chamber outlet and a second chamber having a second chamber inlet and a second chamber outlet;

a blood inlet line connected to the first chamber inlet and to a blood pump;

a blood outlet line connected to the first chamber outlet;

a dialysis fluid inlet line leading from a dialysis fluid source to the second chamber inlet; and

a dialysis fluid outlet line leading from the second chamber outlet to a discharge point, the method comprising;

separating the dialysis fluid inlet line at a first separation point, the dialysis fluid inlet line having a dialysis fluid inlet section between the dialyzer and the first separation point;

separating the dialysis fluid outlet line at a second separation point, the dialysis fluid outlet line having a dialysis fluid outlet section between the dialyzer and the second separation point;

separating the blood outlet line at a third separation point, the blood outlet line having a blood outlet line section between the dialyzer and the third separation point;

separating the blood inlet line at a fourth separation point, the blood inlet line having a blood inlet line section between the dialyzer and the fourth separation point;

building up an excess pressure in a closed system, the closed system including the dialyzer, the dialysis fluid inlet section, the dialysis fluid outlet section, the blood outlet line section and the blood inlet line section; and

monitoring the excess pressure to detect a pressure drop in the closed system.

2. The method according to claim 1 wherein the blood pump is an occluding pump forming the fourth separation point, the blood pump operating to build up the excess pressure after the separating of the dialysis fluid inlet and outlet lines and the blood outlet line.

3. The method according to claim 2 wherein the blood pump operates until a predetermined excess pressure has built up in the closed system.

4. The method according to claim 1 wherein the blood pump is an occluding pump forming the fourth separation point, the blood pump operating before the separating of the blood outlet line and being stopped at the separating of the blood outlet line.

5. The method according to claim 1 further comprising determining a lack of functionality if a pressure drop per unit of time is greater than a predetermined limit value.

6. The method according to claim 1 further comprising monitoring the excess pressure in the blood outlet line section.

7. The method according to claim 1 wherein the separating of the dialysis fluid inlet and outlet lines occurs when the blood inlet and outlet lines and the first chamber are filled with blood during operation of the blood treatment machine, and the dialysis fluid inlet and outlet lines and the second chamber are filled with dialysis fluid.

8. A blood treatment machine comprising:

a dialyzer subdivided by a semipermeable membrane into a first chamber having a first chamber inlet and a first chamber outlet and a second chamber having a second chamber inlet and a second chamber outlet;

a blood inlet line connected to the first chamber inlet and to a blood pump and having a blood inlet line section between the first chamber inlet and the blood pump;

a blood outlet line connected to the first chamber outlet and to a first shut-off device and having a blood outlet line section between the first chamber outlet and the first shut-off device;

a dialysis fluid inlet line leading from a dialysis fluid source to the second chamber inlet, the dialysis fluid inlet line being connected to a second shut-off device and having a dialysis fluid inlet line section between the second chamber inlet and the second shut-off device;

a dialysis fluid outlet line leading from the second chamber outlet to a machine outlet, the dialysis fluid outlet line being connected to a third shut-off device and having a dialysis fluid outlet line section between the second chamber outlet and the third shut-off device; and

a monitoring device for monitoring functionality of a part of the machine, the monitoring device including;

a control device for actuating the first, second and third shut-off devices and for controlling the blood pump to build up an excess pressure in a closed volume containing the dialyzer, the dialysis fluid inlet and outlet line sections and the blood inlet and outlet line sections; and

a pressure-measuring device for detecting a pressure drop in the closed volume.

9. The device according to claim 8 wherein the pressure-measuring device has a pressure sensor and a comparator for comparing an output signal of the pressure sensor with a predetermined limit value.

10. The device according to claim 9 wherein the pressure sensor is arranged in the blood outlet line section.

11. The device according to claim 8 wherein the control device is capable of shutting down the blood pump after a predetermined excess pressure forms in the closed volume.

12. The device according to claim 8 wherein the monitoring device further includes an alarm device for delivering an acoustic and/or optical alarm when a pressure drop is detected in the closed volume.