Method and device for PD cyclers

• US 7,559,913 B1
• Filed: 02/28/2000
• Issued: 07/14/2009
• Est. Priority Date: 02/28/2000
• Status: Expired due to Fees

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Gambro Lundia AB (Baxter International Inc.)
• Inventors: Recupero, Silivia, Lofgren, Par, Hlustik, Robert, Jeppsson, Jan-Bertil, Axelsson, Mikael, Bengtsson, Staffan
• Primary Examiner(s): Lucchesi; Nicholas D
• Assistant Examiner(s): Koharski; Christopher D
• Application Number:
  US10/204,186
• Time in Patent Office: 3,424 Days
• Field of Search: 604/29, 604/27, 604/28, 604/30, 604/33
• US Class Current: 604/29
• CPC Class Codes: A61M 1/166 Heating for sterilisation A61M1/1686
• CPC Class Codes: A61M 1/1668 Details of containers
• 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 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/3393 by weighing the reservoir
• CPC Class Codes: A61M 5/1486 the bags being substantially completely surrounded by fluid
• CPC Class Codes: A61M 5/445 the media being heated in the reservoir, e.g. warming bloodbags

Abstract

PD-cycler and tube set therefor and a method for use thereof. The tube set includes a transfer member for automatic transfer of possibly remaining contents in supply bags or heater bags of the tube set to a waste receiver. A separate connection unit is arranged in connection with a valve pack of the PD-cycler. The connection unit has a rod of ferromagnetic material which allows an indication that the tube set is in the correct position. The beater and drain bags are combined into a double bag which is supported by a yoke in a folded state, which is unfolded upon application into the PD-cycler.

Claims

1. An apparatus for peritoneal dialysis (PD), comprising:

a PD-cycler;

a tube set connected to the PD-cycler;

a PD-fluid source connected to the tube set;

a heater bag connected, via the tube set, to the PD-fluid source, wherein the heater bag temporarily stores and heats the PD-fluid received from the PD-fluid source before introduction to a patient;

a drain bag connected to the tube set, wherein the drain bag receives spent PD-fluid from the patient;

a waste receiver connected to the tube set, wherein the waste receiver at least receives PD-fluid from the drain bag;

a valve pack connected to the PD-cycler comprising a plurality of valves operable on the tube set to control flows of fluids through the tube set; and

a transfer member arranged to connect the heater bag and the waste receiver,

wherein one of the valves operable on the tube set operates to keep the transfer member closed during PD-treatment and open after completion of PD-treatment,

wherein when the transfer member is open after completion of PD-treatment,

the transfer member is configured to transfer the PD-fluid in the heater bag to the waste receiver, and

the PD-fluid remaining in the PD-fluid source is directed via the transfer member to the waste receiver by actuation of at least another one of the valves operable on the tube set.

2. The apparatus of claim 1, wherein the PD-fluid source is at least one supply bag.

3. The apparatus of claim 1, wherein the waste receiver is a collection bag.

4. The apparatus of claim 1, wherein, after completion of the PD-treatment, the PD-fluid remaining in the PD-fluid source is first directed to the heater bag by actuation of at least one of the valves, and, after transfer of PD-fluid to the heater bag, actuation of at least one valve permits transfer of the PD-fluid from the heater bag to the waste receiver.

5. The apparatus of claim 1, further comprising:

a scales container containing the heater bag and the drain bag, wherein the scales container permits an over-pressure or an under-pressure to be applied to the heater bag and the drain bag to assist with flow of the PD-fluid;

a transfer member connecting the heater bag to the drain bag, wherein one valve in the valve pack operates on the transfer member to keep the transfer member closed except when PD-fluid from the heater bag is transferred to the waste receiver.

6. The apparatus of claim 1, wherein the valve pack comprises:

a connection unit housing a portion of the tube set, the connection unit comprising a plurality of abutments each adjacent to one of the tubes in the tube set;

a valve rod for each of the plurality of valves cooperating with the abutments, wherein each valve rod clamps a tube between itself and a corresponding abutment to control flow within the tube.

7. The valve apparatus of claim 6, wherein the valve rods are actuated in a gradual fashion to stop flow in the tubes, thereby achieving a soft valve operation.

8. The apparatus of claim 6, further comprising:

a ferromagnetic rod, arranged to conduct magnetic radiation from a source of magnetism to a detector of magnetism, to indicate that the connection unit is positioned correctly.

9. The apparatus of claim 1, wherein the heater bag and the drain bag together form a double bag with three plastic layers welded together at edges thereof.

10. The apparatus of claim 9, further comprising:

a yoke supporting the double bag along one side, wherein the double bag is folded along a fold line and is supported by a holding member on the yoke.

11. The apparatus of claim 1, further comprising:

a pressure container enclosing the heater bag and the drain bag; and

an indicator to indicate when the drain bag or the heater bag extends above an opening in the pressure container.

12. The apparatus of claim 11, wherein the indicator comprises:

a light transmitter transmitting a light signal; and

a light receiver disposed opposite to the light transmitter to detect an interruption in the light signal.

13. The apparatus of claim 12, wherein the light signal comprises an infrared component.

14. The apparatus of claim 12, wherein the light signal consists essentially of an infrared component.

15. An apparatus for peritoneal dialysis (PD), comprising:

a PD cycler;

a tube set connected to the PD cycler;

a PD-fluid source connected to the tube set;

a heater bag connected to the tube set for temporarily storing and heating PD-fluid received from the PD-fluid source;

a drain bag connected to the tube set for receiving spent PD-fluid from a patient;

a waste receiver connected to the tube set for receiving PD-fluid from the drain bag;

a valve pack connected to the PD-cycler comprising a plurality of valves operable on the tube set to control flow of PD-fluid through the tube set; and

a transfer member arranged to connect the heater bag and the waste receiver,

wherein one of the plurality of valves operable on the tube set operates on the transfer member to keep the transfer member closed during PD-treatment and open after completion of PD-treatment,

wherein when the transfer member is open after completion of PD-treatment,

the transfer member is configured to transfer the PD-fluid in the heater bag to the waste receiver, and

the PD-fluid from the PD-fluid source is permitted to flow via the heater bag to the waste receiver by actuation of at least another one of the valves operable on the tube set.

16. The apparatus of claim 15, wherein the tube set further comprises:

a first connection piece connected to the heater bag; and

a second connection piece connected to the waste receiver,

wherein the transfer member connects the first connection piece to the second connection piece.

17. The apparatus of claim 16, wherein the second connection piece connects to the drain bag, permitting PD-fluid to flow from the heater bag and the drain bag to the waste receiver.

18. The apparatus of claim 15, wherein the heater bag and the drain bag together form a double bag comprising three plastic layers welded together at edges thereof.

19. The apparatus of claim 18, further comprising:

a yoke comprising a holding member to support the double bag along one side, wherein the double bag is folded along a fold line and is supported by the holding member.