Integrated blood treatment module

• US 8,206,580 B2
• Filed: 11/05/2004
• Issued: 06/26/2012
• Est. Priority Date: 11/07/2003
• Status: Active Grant

• Current Assignee: Gambro Lundia AB (Baxter International Inc.)
• Original Assignee: Gambro Lundia AB (Baxter International Inc.)
• Inventors: Dannenmaier, Jürgen, Goehl, Hermann, Ertl, Thomas, Chevallet, Jacques, Ribolzi, Francesco, Jönsson, Lennart, Nilsson, Eddie, Seidler, Björn Frederik
• Primary Examiner(s): Menon, Krishnan S
• Assistant Examiner(s): BASS, DIRK R
• Application Number:
  US10/595,546
• Publication Number:
  US 20090008310A1
• Time in Patent Office: 2,790 Days
• Field of Search: None
• US Class Current: 210/188
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/36222 Details related to the interface between cassette and machine
• CPC Class Codes: A61M 1/36224 with sensing means or components thereof
• CPC Class Codes: A61M 1/362262 Details of incorporated reservoirs
• 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 1/3641 Pressure isolators
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 60/113 in other functional devices, e.g. dialysers or heart-lung machines
• CPC Class Codes: A61M 60/279 Peristaltic pumps, e.g. roller pumps
• CPC Class Codes: A61M 60/37 Haemodialysis, haemofiltration or diafiltration
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: B01D 61/30 Accessories; Auxiliary operation
• CPC Class Codes: B01D 63/02 Hollow fibre modules

Abstract

An integrated blood treatment module comprises a blood treatment device (1) having a housing (2) and a first end-cap (4) and a second end-cap (5) closing both ends of the housing (2). A pump hose (17) for a peristaltic pump has a first end (18) that is secured to the housing (2) and a second end (16) that is connected to a blood inlet port (15) of the first end-cap (4) so as to form a loop. A degassing device (30) is connected to the second end-cap (5). The degassing device (30), which, in use, is full of liquid, comprises a hydrophobic membrane through which bubbles and micro-bubbles escape the degassing device.

Claims

1. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port,

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end fluidly connected to the housing and a second end that is fluidly connected to the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the second chamber has a downstream portion that extends below the passageway, and

wherein the downstream portion of the second chamber extends completely around an upper region of the first chamber and only partially around a lower region of the first chamber.

2. An integrated blood treatment module according to claim 1, further comprising:

a first pressure measurement chamber that is secured to the blood treatment device and is connected to the first end of the pump hose, the first pressure measurement chamber having a first pressure measurement port for connection to a first pressure sensor, and the first pressure measurement port having a central axis that is parallel to a central axis of at least one access port of the housing.

3. An integrated blood treatment module according to claim 2, further comprising:

a second pressure measurement chamber that is secured to the blood treatment device and is connected to the outlet port of the degassing device, the second pressure measurement chamber having a second pressure measurement port for connection to a second pressure sensor, the second pressure measurement port having a central axis that is parallel to a central axis of at least one access port of the housing.

4. An integrated blood treatment module according to claim 3 , further comprising:

a third pressure measurement chamber that is secured to the blood treatment device and is connected to the second end of the pump hose, the third pressure measurement chamber having a third pressure measurement port for connection to a third pressure sensor, the third pressure measurement port having a central axis that is parallel to a central axis of at least one access port of the housing.

5. An integrated blood treatment module according to claim 1, further comprising:

a support structure having a plurality of conduits defined therein, the blood treatment device being secured to the support structure.

6. An integrated blood treatment module according to claim 5, wherein the support structure comprises a first conduit having a first end connected to a first access port of the housing, and a second end comprised of an outlet nozzle for a waste liquid.

7. An integrated blood treatment module according to claim 5, wherein the support structure comprises a second conduit having a first end connected to a second access port of the housing, and a second end comprised of an inlet nozzle for a dialysis liquid.

8. An integrated blood treatment module according to claim 5, wherein the support structure comprises:

a third conduit having an inlet for connection to a blood withdrawal tube, and an outlet connected to the first end of the pump hose; and

a fourth conduit having an inlet connected to the second end of the pump hose, and an outlet connected to the blood inlet port of the first end-cap.

9. An integrated blood treatment module according to claim 8, wherein the support structure comprises a sixth conduit having a first end connected to the fourth conduit and a second end for connection to a pre-dilution infusion tube.

10. An integrated blood treatment module according to claim 8, further comprising:

a first pressure measurement chamber defined within the support structure and connected to the third conduit for measuring a pressure upstream of the pump hose.

11. An integrated blood treatment module according to claim 8, wherein the outlet of the third conduit and the inlet of the fourth conduit are arranged with respect to each other so that the pump hose forms a loop that extends in a plane substantially parallel to the longitudinal axis of the housing.

12. An integrated blood treatment module according to claim 11, wherein the outlet of the third conduit is located between the two end-caps and the loop formed by the pump hose extends laterally with respect to the housing of the blood treatment device.

13. An integrated blood treatment module according to claim 11, wherein the outlet of the third conduit is located along the longitudinal axis of the housing beyond the first end-cap, and the loop formed by the pump hose is offset along the longitudinal axis of the housing with respect to the housing of the blood treatment device.

14. An integrated blood treatment module according to of claim 8, wherein the outlet of the third conduit and the inlet of the fourth conduit are arranged with respect to each other so that the pump hose forms a loop that extends in a plane inclined with respect to a plane substantially perpendicular to the longitudinal axis of the housing.

15. An integrated blood treatment module according to claim 5, wherein the support structure comprises a fifth conduit having an inlet connected to the outlet port of the blood degassing device, and an outlet for connection to a blood return tube.

16. An integrated blood treatment module according to claim 15, wherein the support structure comprises a seventh conduit having a first end connected to the fifth conduit and a second end for connection to a post-dilution infusion tube.

17. An integrated blood treatment module according to claim 15, further comprising:

a second pressure measurement chamber defined within the support structure and connected to the fifth conduit for measuring a pressure downstream of the blood degassing device.

18. An integrated blood treatment module according to claim 17, further comprising,

a first pressure measurement chamber defined within the support structure and connected to the third conduit for measuring a pressure upstream of the pump hose,

wherein the first pressure measurement chamber has a port for connection to a first pressure sensor, the second pressure measurement chamber has a port for connection to a second pressure sensor, and

wherein the inlet nozzle, the outlet nozzle, the port of the first pressure measuring chamber and the port of the second measuring chamber have respective central axes that are substantially parallel.

19. An integrated blood treatment module according to claim 18, wherein the respective central axes of the inlet nozzle, the outlet nozzle, the port of the first pressure measuring chambers and the port of the second measuring chamber are substantially perpendicular to the longitudinal axis of the housing.

20. An integrated blood treatment module according to claim 1, wherein the downstream portion of the second chamber has a lateral wall that surrounds a longitudinal axis of the degassing device and a bottom wall that is inclined with respect to the longitudinal axis of the degassing device.

21. An integrated blood treatment module according to claim 20, wherein the downstream portion of the first chamber has a lateral wall that is concentric to the lateral wall of the second chamber.

22. An integrated blood treatment module according to claim 21, wherein the lateral wall of the downstream portion of the first chamber and the lateral wall of the downstream portion of the second chamber are substantially cylindrical.

23. An integrated blood treatment module according to claim 1, wherein the downstream portion of the first chamber has a cross-section that is substantially the same as a cross-section of the passageway between the first and the second chamber chambers.

24. An integrated blood treatment module according to claim 1, wherein the first chamber comprises an upstream portion having a decreasing cross section.

25. An integrated blood treatment module according to claim 1, wherein the second chamber comprises an upstream portion extending above the passageway that has a decreasing cross-section, with a larger cross-section that is substantially level with the passageway and a smaller cross-section that is substantially level with the hydrophobic membrane.

26. An integrated blood treatment module according to claim 25, wherein the upstream portion of the second chamber is substantially frusto-conical.

27. An integrated blood treatment module according to claim 1, wherein the outlet port opens in the downstream portion of the second chamber at a location furthest to the passageway.

28. An integrated blood treatment module according to claim 1, wherein the first chamber of the degassing device has a downstream portion having a cross-section selected with respect to a maximal flow rate of a liquid in the module so that a velocity of the liquid in the downstream portion of the first chamber is less than a predetermined velocity.

29. An integrated blood treatment module according to claim 28, wherein the cross-section of the downstream portion of the first chamber is selected with respect to the maximal flow rate of the liquid of about 500 ml/min in the module so that the velocity of the liquid in the downstream portion of the first chamber is less than about 3 m/min.

30. An integrated blood treatment module according to claim 1, wherein the cross-section of the second chamber of the degassing device at a level of the passageway is selected so that a ratio of a velocity of a liquid within a downstream portion of the first chamber to a velocity of the liquid within the second chamber at the level of the passageway is more than a determined value.

31. An integrated blood treatment module according to claim 30, wherein the cross-section of the second chamber of the degassing device at the level of the passageway is selected so that the ratio of the velocity of the liquid within the downstream portion of the first chamber to the velocity of the liquid within the second chamber at the level of the passageway is at least about 2.

32. An integrated blood treatment module according to claim 1, wherein the downstream portion of the second chamber forms an overflow for a fluid flowing from the first chamber into the second chamber.

33. An integrated blood treatment module according to claim 1, wherein the first chamber, the second chambers and the passageway therebetween are arranged with respect to each other so that a flow pattern of a liquid flowing from the first chamber through the second chamber and to the outlet comprises a component that is tangential to the membrane.

34. An integrated blood treatment module according to claim 33, wherein a flow pattern of a liquid flowing from the first chamber through the second chamber and to the outlet comprises an umbrella-like component.

35. An integrated blood treatment module according to claim 1, wherein the first chamber, the second chamber, and the passageway therebetween are arranged with respect to each other so that a flow of liquid flowing from the first chamber through the second chamber and to the outlet keeps gas bubbles in motion along an inner surface of the hydrophobic membrane.

36. An integrated blood treatment module according to claim 1, further comprising:

a protective member for protecting the hydrophobic membrane against external blows and for limiting a deformation of the hydrophobic membrane when a pressure of the liquid within the degassing device exceeds a limit.

37. An integrated blood treatment module according to claim 1, wherein the hydrophobic membrane is arranged in a plane substantially perpendicular to a longitudinal axis of the degassing device.

38. An integrated blood treatment module according to claim 1, wherein the blood treatment device is a hemodialyzer, a hemofilter or a plasmafilter.

49. The integrated blood treatment module in claim 1 wherein the downstream portion of the second chamber asymmetrically surrounds at least partially the downstream portion of the first chamber.

39. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is fluidly connected to the housing and a second end that is fluidly connected to the blood inlet port;

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway, and

wherein the second chamber has a downstream portion that extends below the passageway, and

wherein the downstream portion of the second chamber extends around an upper region of the downstream portion of the first chamber to a greater degree than around a lower region of the downstream portion of the first chamber; and

a support structure having a plurality of conduits defined therein, the blood treatment device being secured to the support structure.

40. An integrated blood treatment modules comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is fluidly connected to the housing and a second end that is fluidly connected to the blood inlet;

a degassing device connected to the second end-cap having;

a first chamber having;

an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the second chamber has a downstream portion that extends below the passageway and asymmetrically surrounds the downstream portion of the first chamber, and

wherein the downstream portion of the second chamber extends around an upper region of the downstream portion of the first chamber to a greater degree than around a lower region of the downstream portion of the first chamber; and

a support structure having a plurality of conduits defined therein, wherein the blood treatment device is secured to the support structure, and the support structure comprises;

a third conduit having an inlet for connection to a blood withdrawal tube, and an outlet connected to the first end of the pump hose; and

a fourth conduit having an inlet connected to the second end of the pump hose, and an outlet connected to the blood inlet port of the first end-cap.

41. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is fluidly connected to the housing and a second end that is fluidly connected to the blood inlet;

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the second chamber has a downstream portion that extends below the passageway, and

wherein the degree to which the downstream portion of the second chamber extends around the downstream portion of the first chamber decreases in a downstream direction of flow through the second chamber; and

a support structure having a plurality of conduits defined therein, wherein the blood treatment device is secured to the support structure, and the support structure comprises;

a third conduit having an inlet for connection to a blood withdrawal tube, and an outlet connected to the first end of the pump hose; and

a fourth conduit having an inlet connected to the second end of the pump hose, and an outlet connected to the blood inlet port of the first end-cap,

wherein the outlet of the third conduit and the inlet of the fourth conduit are arranged with respect to each other so that the pump hose forms a loop that extends in a plane substantially parallel to the longitudinal axis of the housing.

42. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is fluidly connected to the housing and a second end that is fluidly connected to the blood inlet port;

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the second chamber has a downstream portion that extends below the passageway, and

wherein the degree to which the downstream portion of the second chamber extends around the downstream portion of the first chamber gradually decreases in a downstream direction of flow through the second chamber; and

a support structure having a plurality of conduits defined therein, wherein the blood treatment device is secured to the support structure, and the support structure comprises;

a third conduit having an inlet for connection to a blood withdrawal tube, and an outlet connected to the first end of the pump hose; and

a fourth conduit having an inlet connected to the second end of the pump hose, and an outlet connected to the blood inlet port of the first end-cap,

wherein the outlet of the third conduit and the inlet of the fourth conduit are arranged with respect to each.

43. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is fluidly connected to the housing and a second end that is fluidly connected to the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the second chamber has a downstream portion that extends below the passageway, and

wherein the degree to which the downstream portion of the second chamber extends around the downstream portion of the first chamber reduces along a downstream direction of flow through the second chamber, and

wherein the downstream portion of the second chamber has a lateral wall that surrounds a longitudinal axis of the degassing device and a bottom wall that is inclined with respect to a longitudinal axis of the degassing device.

44. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is fluidly connected to the housing and a second end that is fluidly connected to the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the second chamber has a downstream portion that extends below the passageway,

wherein the degree to which the downstream portion of the second chamber extends around the downstream portion of the first chamber gradually reduces along a downstream direction of flow through the second chamber, and

an upstream portion of the second chamber extending above the passageway that has a decreasing cross-section, with a larger cross-section that is substantially level with the passageway and a smaller cross-section that is substantially level with the hydrophobic membrane.

45. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is connected to the housing to provide fluid communication between the first end and the housing, and a second end that is connected to provide fluid communication to the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap,

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the degree to which the second chamber extends around the first chamber gradually reduces in a downstream direction of flow through the second chamber, and

wherein the first chamber has a downstream portion that partially extends within the second chamber, communicates therewith by a passageway, and has a cross-section selected with respect to a maximal flow rate of the liquid in the module so that a velocity of the liquid in the downstream portion of the first chamber is less than a predetermined velocity.

46. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is connected the housing to provide fluid communication between the first end of the pump hose and the housing, and a second end that is connected to provide fluid communication between the second end of the pump hose and the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the degree to which the second chamber extends around the downstream portion of the first chamber decreases in a downward direction, and

wherein the cross-section of the second chamber of the degassing device at a level of the passageway is selected so that a ratio of a velocity of the liquid within a downstream portion of the first chamber to a velocity of the liquid within the second chamber at the level of the passageway is more than a determined value.

47. An integrated blood treatment modules comprising:

a blood treatment device having;

a housing having a longitudinal axis,

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is connected to the housing to provide fluid communication between the first end of the pump hose and the housing, and a second end that is connected to provide fluid communication between the second end of the pump hose and the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the degree to which the first chamber is encircled by the second chamber reduces in a downstream direction of flow through the second chamber, and

wherein the first chamber, the second chamber, and the passageway therebetween are arranged with respect to each other so that a flow pattern of the liquid flowing from the first chamber through the second chamber and to the outlet comprises a component that is tangential to the hydrophobic membrane.

48. An integrated blood treatment module, comprising:

a blood treatment device having;

a housing having a longitudinal axis;

a first end-cap closing a first end of the housing, the first end-cap having a blood inlet port, and

a second end-cap closing a second end of the housing;

a pump hose for a peristaltic pump, wherein the pump hose has a first end that is connected to the housing to provide fluid communication between the first end of the pump hose and the housing, and a second end that is connected to provide fluid communication between the pump hose and the blood inlet port; and

a degassing device connected to the second end-cap having;

a first chamber having an inlet for receiving a liquid flowing into the second end-cap, and

a second chamber having an opening closed by a hydrophobic membrane and an outlet for discharging the liquid,

wherein the outlet of the second chamber is above the inlet of the first chamber,

wherein the first chamber has a downstream portion that partially extends within the second chamber and communicates therewith by a passageway,

wherein the degree to which the second chamber extends around the downstream portion of the first chamber gradually reduces in a downstream direction of the flow through the second chamber, and

wherein the first chamber, the second chambers and the passageway therebetween are arranged with respect to each other so that a flow of the liquid flowing from the first chamber through the second chamber and to the outlet keeps gas bubbles in motion along an inner surface of the hydrophobic membrane.