Automatic priming of connected blood sets

• US 6,187,198 B1
• Filed: 07/22/1999
• Issued: 02/13/2001
• Est. Priority Date: 10/21/1997
• Status: Expired due to Term

• Current Assignee: Nxstage Medical Incorporated (Fresenius Medical Care AG)
• Original Assignee: DSU Medical Corporation
• Inventors: Utterberg, David S.
• Primary Examiner(s): Walker, W. L.
• Assistant Examiner(s): Cecil, Terry K.
• Application Number:
  US09/359,366
• Time in Patent Office: 572 Days
• Field of Search: 210/646, 210/645, 210/188, 210/252, 604/4, 604/5, 604/6, 604/325
• US Class Current: 210/645
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/3627 Degassing devices; Buffer reservoirs; Drip chambers; Blood filters
• CPC Class Codes: A61M 1/3639 Blood pressure control, pressure transducers specially adapted therefor
• CPC Class Codes: A61M 1/3643 Priming, rinsing before or after use
• CPC Class Codes: A61M 1/3644 Mode of operation
• CPC Class Codes: A61M 1/3647 with recirculation of the priming solution
• CPC Class Codes: A61M 2205/125 with incorporated filters

Abstract

A blood processing system (e.g. a dialysis system) having a blood processing unit (e.g. a hemodialyzer) and tubular arterial and venous blood flow sets (10, 14) may be primed by temporarily connecting together the ends of the sets and then passing priming solution in a first flow direction (44) that is retrograde to the normal flow of blood. This causes the priming solution to enter an in-line chamber (64) carried by one of the sets. At the same time, air is removed through a port (62). Preferably, the chamber includes a filter (65). In another step, priming solution is passed through the sets in a second flow direction (42), opposite the first flow direction, while continuing to remove air through the port. Preferably, the solution is passed in the first flow direction by gravity and in the second flow direction with a pump (26a). The solution can also be passed in both directions simultaneously. In another method of the invention, the hemodialyzer (12) is connected to an end of each set after the sets are primed.

Claims

1. The method of priming a blood processing system comprising connected tubular arterial and venous blood flow sets, for connection between a blood processing unit and a patient, which method comprises:

passing priming solution into and through said connected sets in a first flow direction that is reverse to the normal direction of blood flow through said sets, while removing air from said sets through a port communicating with the sets; and

passing priming solution in a second, reverse direction of flow to said first direction through said sets while continuing to remove air from the sets through said port, said method including the characteristic of pumping said solution with a flow pump through said system in only the reverse flow direction, and not in the first direction, during the entire priming process, said sets being temporarily connected together at least at one of respective ends thereof throughout the entire priming process.

2. The method of claim 1 in which said blood processing unit is a hemodialyzer.

3. The method of claim 1, which further comprises passing priming solution through said blood processing system and then out of said port to flush said system.

4. The method of claim 1 which comprises simultaneously passing priming solution in said first and second directions in different parts of said sets.

5. The method of claim 4 comprising the step of passing said solution in the second direction using said flow pump, and passing said solution in said first direction using gravity.

6. The method of claim 5 in which, thereafter, flow in the first direction is terminated but is continued in the second direction in a complete circuit through said blood processing system by adjustment of flow rates of at least one of the flow pump and the inflow rate of priming solution.

7. The method of claim 1 comprising the step of passing said solution in the second direction using a flow pump, and passing said solution in said first direction using gravity.

8. The method of claim 1 in which said blood processing unit defines an arterial (blood inlet) connection with said arterial set at a bottom portion of said unit.

9. The method of claim 1 in which said blood processing unit is connected to each of said arterial and venous blood flow sets during said priming.

10. The method of claim 1 in which said arterial and venous blood flow sets are connected with each other without an intervening blood processing unit during said priming, and said blood processing unit is thereafter inserted between the arterial and venous blood flow sets.

11. The method of claim 10 which comprises the step of passing said solution in the second direction using a flow pump, and passing said solution in said first direction using gravity, and, thereafter, terminating flow in the first direction while continuing flow in the second direction in a complete circuit through said joined arterial and venous flow sets by adjustment of the flow rates of at least one of the flow pump and the inflow rate of priming solution.

12. The method of priming a blood processing system comprising connected tubular arterial and venous sets for subsequent connection and blood flow after said priming with a blood processing unit, said sets, and a patient, which method comprises the following steps:

a. passing priming solution into said system in a first direction of flow through portions of both said arterial and venous sets which are temporarily connected together at respective ends thereof, to cause said priming solution to enter an in-line chamber carried by one of said sets, said first flow direction being retrograde to the normal direction of blood flow through said chamber, while removing air from said sets through a port positioned in flow connection with said sets;

b. passing priming solution in a second, reverse direction of flow to said first direction through different portions of said system while continuing to remove air from the system through said port; and

c. connecting ends of said arterial and venous sets with said blood processing unit.

13. The method of claim 12 which further comprises passing priming solution into and through said blood processing system and then out of said port to rinse said system.

14. The method of claim 13, which comprises simultaneously passing said priming solution in different parts of said system in the first and second directions of flow.

15. The method of claim 14 comprising the step of passing said solution in the second direction using a flow pump, and passing said solution in said first direction using gravity.

16. The method of claim 15 in which, thereafter, flow in the first direction is terminated but is continued in the second direction by adjustment of flow rates of at least one of the flow pump and the inflow rate of priming solution to said system.

17. The method of claim 12 in which said chamber carries a filter.

18. The method of claim 12 in which said port is positioned between the ends of one of said sets.