Fluid and air handling in blood and dialysis circuits

• US 8,444,587 B2
• Filed: 09/24/2008
• Issued: 05/21/2013
• Est. Priority Date: 10/01/2007
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Kelly, Thomas D., Minkus, Marc S., Bernardo, Angelito A., Burns, William P., Childers, Robert W., Maliekkal, Shincy J., Muller, Matthew R., Rohde, Justin B., Hogard, Michael E.
• Primary Examiner(s): Wiest, Philip R
• Application Number:
  US12/237,160
• Publication Number:
  US 20090088675A1
• Time in Patent Office: 1,700 Days
• Field of Search: 604 401- 607, 604 609- 616, 210/85, 210/134, 210/143, 210/252, 210/258, 210/645, 210/646
• US Class Current: 604/6.11
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/1601 Control or regulation
• CPC Class Codes: A61M 1/282 Operational modes
• CPC Class Codes: A61M 1/288 Priming priming in extracorporeal blood circuits A61M1/3643
• CPC Class Codes: A61M 1/3624 Level detectors; Level control
• CPC Class Codes: A61M 1/3627 Degassing devices; Buffer reservoirs; Drip chambers; Blood filters
• CPC Class Codes: A61M 1/3643 Priming, rinsing before or after use
• CPC Class Codes: A61M 1/3644 Mode of operation
• CPC Class Codes: A61M 1/3649 using dialysate as priming or rinsing liquid
• CPC Class Codes: A61M 2202/02 Gases
• CPC Class Codes: A61M 2202/0413 Blood
• CPC Class Codes: A61M 2205/10 with powered movement mechanisms
• CPC Class Codes: A61M 2205/3382 Upper level detectors
• CPC Class Codes: A61M 2205/3386 Low level detectors
• CPC Class Codes: A61M 2205/75 with filters
• CPC Class Codes: Y10T 137/0402 Cleaning, repairing, or assembling

Abstract

An air purging method includes: (a) detecting a low fluid level in a blood circuit indicating a high amount of air in the blood circuit; (b) stopping a blood pump; (c) closing a venous patient line; (d) opening a blood circuit air vent valve and a drain valve; and (e) running the blood pump to meter air through the air vent valve and the drain valve to a drain.

Claims

1. A blood priming method comprising:

(a) running a dialysate pump to pull blood from a patient into an extracorporeal blood circuit in a first direction and displacing a priming liquid to a drain for a number of pump cycles or for a given time by flowing the priming liquid through a line connecting the extracorporeal blood circuit to the drain so that the priming liquid does not pass through a blood filter; and

(b) running a blood pump to pull blood from the patient into the extracorporeal blood circuit in a second direction and displacing the priming liquid to the drain for a number of pump cycles or for a given time by flowing the priming liquid through the line connecting the extracorporeal blood circuit to the drain so that the priming liquid does not pass through the blood filter.

2. The blood priming method of claim 1, which includes at least one of:

(i) verifying step (a) has occurred by detecting blood reaching a blood presence detector;

(ii) attempting to pump blood to an air trap during step (b); and

(iii) communicating the dialysate pump with the extracorporeal blood circuit via an air vent line.

3. A blood priming method comprising:

(a) running a dialysate pump to pull blood from a patient venous access into an extracorporeal blood circuit in a first direction and displacing a priming liquid to a dialysate circuit for a number of pump cycles or for a given time, the priming liquid flowing through a line connecting the extracorporeal blood circuit to the dialysate circuit to bypass a blood filter to reach the dialysate circuit; and

(b) running a blood pump to pull blood from the patient arterial access into the extracorporeal blood circuit in a second direction and displacing the priming liquid to the dialysate circuit for a number of pump cycles or for a given time, the priming liquid flowing through the line connecting the extracorporeal blood circuit to the dialysate circuit to bypass the blood filter to reach the dialysate circuit.

4. The blood priming method of claim 3, which includes at least one of:

(i) verifying step (a) has occurred by detecting blood reaching a blood presence detector; and

(ii) attempting to pump blood to an air trap during step (b).

5. The blood priming method of claim 3, which includes displacing the priming liquid to a drain for at least one of (a) and (b).

6. The blood priming method of claim 3, wherein the line is an air vent line.