Peritoneal dialysis apparatus

• US 6,595,948 B2
• Filed: 10/04/2001
• Issued: 07/22/2003
• Est. Priority Date: 10/04/2000
• Status: Expired due to Term

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Terumo Kabushiki Kaisha
• Inventors: Suzuki, Minoru, Suzuki, Hironobu, Hirota, Kazuhiko, Makiuchi, Yoshikazu, Minagawa, Akira, Tsubota, Jun
• Primary Examiner(s): KENNEDY, SHARON E
• Application Number:
  US09/969,607
• Publication Number:
  US 20020045851A1
• Time in Patent Office: 656 Days
• Field of Search: 604/28, 604/29, 604/30, 604/132, 604/141, 210/646, 210/650, 210/180, 210/252, 210/258, 417/395, 128/DIG.12, 128/DIG.13
• US Class Current: 604/29
• CPC Class Codes: A61M 1/152 Details related to the interface between cassette and machine
• CPC Class Codes: A61M 1/153 the cassette being adapted for heating or cooling the treating fluid, e.g. the dialysate or the treating gas
• 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 1/156 Constructional details of the cassette, e.g. specific details on material or shape
• 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 2205/127 with provisions for heating or cooling
• CPC Class Codes: A61M 2205/128 with incorporated valves
• CPC Class Codes: A61M 2205/581 by audible feedback
• CPC Class Codes: A61M 5/44 having means for cooling or heating the devices or media

Abstract

The invention aims to provide a compact peritoneal dialysis apparatus using a disposable cassette integrally formed with a diaphragm and heating portion, in which a flow path can be switched quietly and a heating ability is high. By using a disposable cassette (8) integrally formed with a diaphragm, heating portion, and flow path switching portion, a predetermined amount of dialysis fluid is heated to a predetermined temperature with the heating portion. Clamps (111-118) for opening/closing a flow path switching portion are provided in order to form flow paths through which the heated peritoneal dialysis fluid is distributed into the peritoneal cavity of a patient almost continuously and is sucked and drained from the peritoneal cavity of the patient. The invention also aims to provide a peritoneal dialysis apparatus with which automatic dialysis treatment can be performed by the patient himself and the operation procedures of which are very clear and easy to understand, so treatment can be performed with optimal conditions, and even if a trouble should occur, it can be coped with easily.

Claims

1. A peritoneal dialysis apparatus on which a disposable cassette, integrally formed with a fluid distributing diaphragm, a heating portion and a flow path switching portion, is loaded and which is used by connecting to a dialysis fluid container storing a dialysis fluid and a drained fluid container, comprising:

a body provided with an operating portion and a display;

cassette loading means for detachably loading the cassette;

pumping actuating means for setting the diaphragm in a positive pressure state and negative pressure state, after the cassette is loaded, to distribute the fluid from the dialysis fluid container and to the drained fluid container;

heater means for heating an amount of dialysis fluid to a patient'"'"'s body temperature while the dialysis fluid stays in the heating portion so that the heating portion is heated from both upper and lower sides after the cassette is loaded;

flow path switching means connected to a plurality of said dialysis fluid containers and which is made of flexible tubes and a plurality of dampers for opening/closing the flow path switching portion in order to form a flow path through which the heated dialysis fluid heated by said heater means is distributed into a peritoneal cavity of a patient and, after a period of time elapses, the dialysis fluid is sucked and drained from the peritoneal cavity; and

control means connected to the operating portion, the display, said pumping actuating means, said heater, an said flow path switching means for controlling operation of the operating portion, the display, said pumping actuating means, said heater, and said flow path switching means.

2. The apparatus according to claim 1, wherein an openable/closeable lid for closing an opening of said cassette loading means is disposed on a front surface of said body, and

the cassette has, on a side surface thereof, a connection tube to be connected to the dialysis fluid container and the drained fluid container, and

a blocking plate is provided which is moved to prevent interference with the connection tube when the cassette is to be loaded through the opening.

3. The apparatus according to claim 2, wherein the body includes a main base and a sub-base, and including clamping canceling means for holding the connection tube in a clamped state with respect to a bubble sensor disposed on the sub-base and for canceling the clamped when the cassette is moved downward from the operative position state of the connection tube.

4. The apparatus according to claim 1, wherein said mounting portion includes and opening in a surface of the body, and including a locking member mounted on the body and adapted to engage a trailing end face of the cassette to set the cassette in a locked state when the cassette is inserted through the opening of said body, and a button connected to the locking member to move the lock member and release engagement of the locking member with the trailing end face of the cassette, and

a spring biased lever adapted to abut against a leading end face of the cassette and connected to a sensor for detecting presence and absence of the cassette, the detection of one of the presence and absence of the cassette and ejection of the cassette from a loading position being performed by cooperation of the lever and the locking member.

5. The apparatus according to claim 1, wherein the diaphragm is adapted to be positioned in a pump chamber

said pumping actuating means having a switching valve that communicates with the pump chamber to switch the diaphragm between the positive pressure state and the negative pressure state,

the pumping actuating means including a vacuum pump connected to the pump chamber, reserve tanks for providing positive and negative pressures, and pressure sensors for detecting pressures in the reserve tanks to monitor a supply amount of the dialysis fluid.

6. The apparatus according to claim 1, including a memory card attachable to and detachable from said body for altering a screen of the display.

7. A peritoneal dialysis apparatus on which a disposable cassette, integrally formed with a fluid distributing diaphragm, a heating portion forming upper and lower systems of flow paths through a gap and a flow path switching portion, is loaded and which is used by connecting to a dialysis fluid container storing a dialysis fluid and a drained fluid container, comprising:

a body provided with a operating portion and a display;

cassette loading means or detachably loading the cassette;

pumping actuating means for setting the diaphragm in a positive pressure state and negative pressure state, after the cassette is mounted, to distribute the fluid from the dialysis fluid container and to the drained fluid container;

heater means having three layers of sheet heaters that come into contact with the upper and lower systems of flow paths in which the dialysis fluid stays to perform heating from above and below, thereby heating an amount of dialysis fluid in the heating portion to a patient'"'"'s body temperature after the cassette is mounted;

flow path switching means connected to a plurality of said dialysis fluid containers and which is made of flexible tubes and a plurality of dampers for opening/closing the flow path switching portion in order to form a flow path through which the heated dialysis fluid heated by the heater means is distributed into a peritoneal cavity of a patient continuously and, after a period of time elapses, the dialysis fluid is sucked and drained from the peritoneal cavity; and

control means connected the operating portion, the display, said cassette loading means, said pumping actuating means, said heater means, and said flow path switching means to control the operating portion, the display, said cassette loading means, said pumping actuating means, and said flow heater means, and said flow path switching means.

8. The apparatus according to claim 7, wherein said plurality of clampers are continuously and intermittently moved by a plurality of cam shafts having a plurality of cams with driving portions of the cam shafts, thereby opening/closing said flow path switching portion.

9. The apparatus according to claim 8, wherein the clampers of said flow path switching means have larger diameter restoring coil springs for abutting the clampers against cam surfaces of the cams, and smaller diameter coil springs preventing a flow path of said flow path switching portion from being closed excessively.

10. The apparatus according to claim 7, wherein the mounting portion includes an opening in a surface of the body through which the cassette is inserted, and including cassette elevating means for vertically moving the cassette after the cassette is inserted through the opening,

the cassette being moved from a lower position to an operative position by the cassette elevating means to position the cassette at a predetermined position where each of the upper and lower systems of flow paths come into contact with two of the sheet heaters,

said pumping actuating means including a pump chamber that is maintained airtight with respect to the diaphragm, and

said flow path switching means is opened/closed by the clampers.

11. The apparatus according to claim 10, wherein said body has a main base and a sub-base fixed to the main base,

the three sheet heaters include an upper sheet heater fixed to the sub-base, an intermediate sheet heater adapted to enter the gap of the cassette, and a lower sheet heater, and

the cassette elevating means has an elevating member provided on the main base that is vertically movable by a first cam mechanism which is motor-driven, the intermediate sheet heater being fixed in a cantilevered manner on the elevating member, and

the lower sheet heater is vertically movable by a second cam mechanism provided on the elevating member, the second cam mechanism serving to abut against a stud extending vertically downward from the sub-base and to be driven pivotally.

12. The apparatus according to claim 11, wherein a pin, which is adapted to be inserted in a positioning hole of the cassette when the cassette is moved upward to the operative position by the cassette elevating means to position the cassette, is disposed vertically on the sub-base.

13. The apparatus according to claim 11, wherein the main base and the sub-base are formed of aluminum plates, and the cassette elevating means is disposed on the main base, and further comprising;

a control board for said control means,

power supply means including a battery,

the diaphragm being adapted to be positioned in a pump chamber connected to a vacuum pump, and

said flow path switching means including clamper driving means disposed on the sub-base.

14. A peritoneal dialysis apparatus having a dialysis fluid circuit including at least one dialysis fluid container filled with a dialysis fluid and at least one drained fluid container for recovering the dialysis fluid, fluid distributing means for distributing the dialysis fluid from the dialysis fluid container as a start point or to the drained fluid container as an end point, display means for informing conditions concerning dialysis, the apparatus configured to supply the dialysis fluid to a patient with the fluid distributing means and to recover a drained fluid and having heater means to perform heating of the dialysis fluid to patient'"'"'s body temperature, flow path switching means connected to a plurality of said dialysis fluid containers and to the drained fluid container for opening/closing the flow path switching portion in order to form a flow path through which the heated dialysis fluid heated by said heater means is distributed into a peritoneal cavity of a patient and recovering drained dialysis fluid after a predetermined time elapse thereby performing a dialysis, comprising:

an operation procedure necessary for the dialysis is displayed on a display of the display means through a voice guide and at least one of a still image and a motion image including characters.

15. The apparatus according to claim 14, wherein at least one of the still image and the motion image is displayed in color.

16. The apparatus according to claim 14, wherein said display is a liquid crystal touch panel operated by touching, and the operation procedure, as well as an operation for solving an abnormal state and a setting procedure are adapted to be performed by a patient through touching of the panel.

17. The apparatus according to claim 14, comprising a start button for starting the dialysis and a stop button for stopping the dialysis, the start and stop buttons being separately disposed at positions spaced from the display and having different colors, and braille characters positioned under said start and stop buttons.

18. A peritoneal dialysis apparatus having a dialysis fluid circuit including at least one dialysis fluid container filled with a dialysis fluid and at least one drained fluid container for recovering the dialysis fluid, fluid distributing means for distributing the dialysis fluid from the dialysis fluid container as a start point or to the drained fluid container as an end point, display means for informing conditions concerning dialysis, the apparatus configured to supply the dialysis fluid to a patient with the fluid distributing means and to recover a drained fluid, and having heater means to perform heating of the dialysis fluid to a patient'"'"'s body temperature, flow path switching means connected to a plurality of said dialysis fluid containers and to the drained fluid container for opening/closing a flow path switching portion in order to form a flow path through which the heated dialysis fluid heated by said heater means is distributed into a peritoneal cavity of a patient and recovering drained dialysis fluid after a predetermined time elapse thereby performing a dialysis, comprising:

a color of a background displayed together with a voice guide, in at least one of a still image and a motion image including characters, displayed on the display means being different from a color of a background of the dialysis operation in a normal state.

19. A peritoneal dialysis apparatus having a dialysis fluid circuit including at least one dialysis fluid container filled with a dialysis fluid and at least one drained fluid container for recovering the dialysis fluid, fluid distributing means for distributing the dialysis fluid from the dialysis fluid container as a start point or to the drained fluid container as an end point, display means for informing conditions concerning dialysis, the apparatus configured to supply the dialysis fluid to a patient with the fluid distributing means and to recover a drained fluid, and having heater means to perform heating of the dialysis fluid to a patient'"'"'s body temperature, flow path switching means connected to a plurality of said dialysis fluid containers and to the drained fluid container for opening/closing a flow path switching portion in order to form a flow path through which the heated dialysis fluid heated by said heater means is distributed into a peritoneal cavity of a patient and recovering drained dialysis fluid after a predetermined time elapse thereby performing a dialysis, comprising:

an operation procedure necessary for the dialysis is displayed on a display of the display means through a voice guide and a still image including characters and with a fixed background color.