Method to control blood and filtrate flowing through an extracorporeal device

• US 6,796,955 B2
• Filed: 02/14/2002
• Issued: 09/28/2004
• Est. Priority Date: 02/14/2002
• Status: Expired due to Term

• Current Assignee: Gambro Lundia AB (Baxter International Inc.)
• Original Assignee: CHF Solutions, Inc.
• Inventors: Rychlick, Edward G., Halpert, Andrew, Gelfand, Mark, OʼMahony, John J.
• Primary Examiner(s): Sykes, Angela D.
• Assistant Examiner(s): Deak, Leslie R.
• Application Number:
  US10/073,855
• Publication Number:
  US 20030152482A1
• Time in Patent Office: 957 Days
• Field of Search: 604/6.09, 604/6.11, 604/5.01, 604/6.16, 604/6.06, 604/65-67, 604/4.01, 604/6.14, 210/645, 210/646, 210/650, 210/651, 210/90
• US Class Current: 604/6.11
• CPC Class Codes: A61M 1/3403 Regulation parameters
• CPC Class Codes: A61M 1/3639 Blood pressure control, pressure transducers specially adapted therefor
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/705 Testing of filters for leaks blood in dialysate A61M1/1692
• CPC Class Codes: A61M 2230/207 hematocrit
• CPC Class Codes: A61M 2230/30 Blood pressure A61M2230/04 takes precedence

Abstract

A method and apparatus are disclosed for controlling blood flow through an extracorporeal blood circuit having a controller comprising the steps of: withdrawing the blood from a withdrawal blood vessel in a patient into the extracorporeal circuit, treating the blood in the circuit and infusing the treated blood into the patient; detecting an occlusion which at least partially blocks the withdrawal or infusion of the blood; reducing the blood flow rate and the rate of filtration in response to the occlusion, and further prompting the patient to move his arm in an effort to alleviate the occlusion.

Claims

1. A method for controlling filtration of blood using an extracorporeal circuit having a filter and said circuit attachable to a pump having a controller, the method comprising:

a. withdrawing blood from a withdrawal blood vessel in a patient into the extracorporeal circuit, filtering liquid from the blood in the circuit and infusing the filtered blood into the patient in a continuous and simultaneous manner;

b. monitoring withdrawal and infusion pressure of the blood;

c. based on the withdrawal or infusion pressure, detecting an occlusion which at least partially blocks the withdrawal or infusion of the blood;

d. in response to the detection of the occlusion controller automatically reducing blood flow and reducing filtrate flow through the circuit;

e. detecting an alleviation or the occlusion, and

f. automatically increasing the blood flow and filtrate flow after the occlusion has been alleviated and without a human operator intervening in the operation of the pump.

2. A method for controlling filtration as in claim 1 further comprising the step (g) of prompting the patient to move to alleviate the occlusion.

3. A method for controlling filtration as in claim 1 wherein step (d) includes reducing a speed of a filtrate pump to reduce the ultrafiltrate flow.

4. A method for controlling filtration as in claim 1 wherein step (d) includes temporarily ceasing the filtrate flow.

5. A method for controlling filtration as in claim 1 wherein step (d) further comprises monitoring filtrate pressure between the filter and the pump.

6. A method for controlling filtration as in claim 1 wherein step (d) further comprises of limiting filtrate as a maximum proportional of blood flow.

7. A method for controlling filtration of blood using an extracorporeal circuit having a filter and attachable to a pump having a controller, the method comprising:

c. based on the withdrawal or infusion pressure, detecting an occlusion which at least partially blocks the withdrawal or infusion blood flow;

d. in response to the detection of the occlusion controller automatically reduces blood flow through the circuit and limits the filtrate flow to a maximum proportion of the blood flow;

e. detecting an alleviation of the occlusion, and

f. automatically increasing the blood flow and filtrate flow after the occlusion has been alleviated and without a human operator intervening.

8. A method for controlling filtration as in claim 7 further comprising the step (g) of prompting the patient to move to alleviate the occlusion.

9. A method for controlling filtration as in claim 7 wherein step (d) includes reducing a speed of a filtrate pump to reduce the ultrafiltrate flow.

10. A method for controlling filtration as in claim 7 wherein step (c) includes temporarily ceasing the filtrate flow.

11. A method for controlling filtration as in claim 7 wherein step (d) further comprises monitoring filtrate pressure between the filter and the pump.