Method and apparatus for monitoring and controlling peritoneal dialysis therapy

• US 6,497,676 B1
• Filed: 02/10/2000
• Issued: 12/24/2002
• Est. Priority Date: 02/10/2000
• Status: Expired due to Term

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Childers, Robert Warren, Belongie, Duane, Balteau, Patrick, Eerlingen, Vital
• Primary Examiner(s): JACYNA, J CASIMER
• Application Number:
  US09/501,778
• Time in Patent Office: 1,048 Days
• Field of Search: 604/28, 604/29, 604/5-1-
• US Class Current: 604/29
• CPC Class Codes: A61M 1/154 with sensing means or components thereof
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/1562 Details of incorporated reservoirs
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• 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 1/282 Operational modes
• CPC Class Codes: A61M 1/285 Catheters therefor
• CPC Class Codes: A61M 2205/123 with incorporated reservoirs
• CPC Class Codes: A61M 2205/128 with incorporated valves
• CPC Class Codes: A61M 2205/17 with redundant control systems
• 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 2205/3351 Controlling upstream pump pressure
• CPC Class Codes: A61M 2205/3355 Controlling downstream pump pressure
• CPC Class Codes: A61M 5/14224 Diaphragm type

Abstract

An automated peritoneal dialysis system and method are provided for monitoring and controlling automated peritoneal dialysis therapy based upon intraperitoneal pressure measured at a point near the end of the patient catheter during the fill, dwell and drain phases of automated peritoneal dialysis therapy.

Claims

1. A system for providing peritoneal dialysis to a patient, the system comprising:

a dialysate container connected to the patient with a first pressure sensor connected in-line therebetween wherein the first pressure sensor measures an intraperitoneal pressure of the patient while dialysate flows from the patient to the drain container, and

a drain container connected to the patient with a second pressure sensor connected in-line therebetween wherein the second pressure sensor measures an intraperitoneal pressure of the patient while dialysate flows from the dialysate container to the patient.

2. The system of claim 1 further comprising a first pump disposed in-line between the dialysate container and the first pressure sensor.

3. The system of claim 1 wherein the dialysate flows from the dialysate container into the patient under a hydrostatic head.

4. The system of claim 1 further comprising a second pump disposed in-line between the drain container and the second pressure sensor.

5. The system of claim 1 wherein the dialysate flows from the patient to the drain container under a hydrostatic head.

6. The system of claim 1 wherein the second pressure sensor measures an intraperitoneal pressure of the patient while dialysate flows from the dialysate container to the patient.

7. The system of claim 1 wherein the first pressure sensor measures an intraperitoneal pressure of the patient while dialysate flows from the patient to the drain container.

8. The system of claim 1 further comprising a first lumen connecting the dialysate container to the first sensor and the first sensor to a catheter, and

a second lumen connecting the drain container to the second sensor and the second sensor to the catheter,

the catheter being connected to the patient,

a flow of dialysate from the patient to the drain container evacuating dialysate from the first lumen and causing said dialysate from the first lumen to flow through the second lumen and to the drain container.

9. The system of claim 8 wherein the catheter is a dual lumen catheter.

10. The system of claim 1 wherein the first and second sensors are redundant in-line pressure/vacuum sensors.

11. a system for providing peritoneal dialysis to a patient, the system comprising:

a dialysate container connected to the patient with a first pump and a first pressure sensor connected in-line therebetween, the first sensor being disposed between the first pump and patient wherein the first pressure sensor measures an intraperitoneal pressure of the patient while dialysate is pumped by the second pump from the patient to the drain container, and

a drain container connected to the patient with a second pump and a second pressure sensor connected in-line therebetween, the second sensor disposed between the second pump and the patient wherein the second pressure sensor measures an intraperitoneal pressure of the patient while dialysate is pumped by the first pump from the dialysate container to the patient.

12. The system of claim 11 wherein the second pressure sensor measures an intraperitoneal pressure of the patient while dialysate is pumped by the first pump from the dialysate container to the patient.

13. The system of claim 11 wherein the first pressure sensor measures an intraperitoneal pressure of the patient while dialysate is pumped by the second pump from the patient to the drain container.

14. The system of claim 11 further comprising a first lumen connecting the dialysate container to the first pump and the first pump to the first sensor and the first sensor to a catheter, and

a second lumen connecting the drain container to the second pump and the second pump to the second sensor and the second sensor to the catheter,

the catheter being connected to the patient,

operation of the second pump evacuating dialysate from the first lumen and pumping said dialysate from the first lumen to the drain container.

15. The system of claim 14 wherein the catheter is a dual lumen catheter.

16. The system of claim 11 wherein the first and second sensors are redundant in-line pressure/vacuum sensors.