Medical treatment system and methods using a plurality of fluid lines

• US 8,708,950 B2
• Filed: 07/07/2011
• Issued: 04/29/2014
• Est. Priority Date: 07/07/2010
• Status: Active Grant

• Current Assignee: Deka Products Limited Partnership
• Original Assignee: Deka Products Limited Partnership
• Inventors: Scarpaci, Jacob W., Helmore, Simon C., Finch, Matthew J., VanWyk, Eric J.
• Primary Examiner(s): NGUYEN, SANG H
• Application Number:
  US13/178,191
• Publication Number:
  US 20120123322A1
• Time in Patent Office: 1,027 Days
• Field of Search: 356213-218, 356432-444, 356/246, 356 39- 41, 250/343, 250/341, 250/559.42, 250/577, 250/216, 250/573, 600/322, 604/28, 604/29
• US Class Current: 604/28
• CPC Class Codes: A61M 1/152 Details related to the interface between cassette and machine
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/1561 at least one cassette surface or portion thereof being flexible, e.g. the cassette having a rigid base portion with preformed channels and being covered with a foil
• 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 1/288 Priming priming in extracorporeal blood circuits A61M1/3643
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2205/14 Detection of the presence or absence of a tube, a connector or a container in an apparatus
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3306 Optical measuring means
• CPC Class Codes: A61M 2205/36 related to heating or cooling
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 by audible feedback
• CPC Class Codes: A61M 2205/583 by visual feedback
• CPC Class Codes: A61M 2205/702 automatically during use
• CPC Class Codes: G01V 8/20 : using multiple transmitters or receivers

Abstract

A medical treatment system, such as peritoneal dialysis system, may include control and other features to enhance patient comfort and ease of use. For example, a peritoneal dialysis system may include patient line state detector for detecting whether a patient line is primed before it is to be connected to the patient. The patient line state detector can also the ability to detect whether a patient line has been properly mounted for priming. Both patient line presence/absence and fill state can be determined using an optical system, e.g., one that employs a single optical sensor.

Claims

1. A tubing state detector for detecting the presence or absence of a tubing segment, comprising:

a first light emitter positioned next to a side wall of a channel and located at a pre-determined point longitudinally along the channel, the channel configured to receive and hold a tubing segment, the first light emitter having a first optical axis directed toward a center of a tubing segment positioned in the channel;

a second light emitter positioned next to the side wall of the channel and located at approximately the same point longitudinally along the channel as the first light emitter, the second light emitter having a second optical axis directed toward the channel, the second light emitter being positioned next to the first light emitter and having an optical axis approximately parallel to but spaced apart from the first optical axis; and

an optical sensor positioned on a side of the channel opposite the first and second light emitters and arranged to receive light emitted by the first and second light emitters to determine a presence or absence of a tubing segment in the space.

2. The detector of claim 1, wherein the optical sensor detects a higher or lower light level from the first light emitter when a tubing segment is in the space.

3. The detector of claim 2, wherein the optical sensor detects a lower light level from the second light emitter when a tubing segment is in the space.

4. The detector of claim 1, wherein with a tubing segment in the space, a detected light level for both the first and second light emitters differs by more than about 15-20% from a calibration light level for the first and second light emitters that is detected when a tubing segment is known to be absent from the space.

5. The detector of claim 4, wherein with a tubing segment not in the space, a detected light level for the second light emitter is within about 15-20% of the calibration light level for the second light emitter.

6. The detector of claim 1, wherein the optical sensor has an optical axis that is approximately collinear with the first optical axis.

7. The detector of claim 1, wherein the second optical axis is offset from the center of a tubing segment with the tubing segment positioned in the space.

8. The detector of claim 1, wherein the optical sensor has a sensor optical axis, the detector further comprising a third light emitter having a third optical axis that is arranged at an oblique angle relative to the sensor optical axis.

9. The detector of claim 8, wherein the oblique angle is about 110-120 degrees.

10. The detector of claim 8, wherein the optical sensor and third light emitter are arranged such that with a tubing segment in the space and the tubing segment containing no liquid, a light level detected by the optical sensor is over about 150% of a calibration light level detected with no tubing segment in the space, and such that with a tubing segment in the space and the tubing segment containing liquid, a light level detected by the optical sensor is less than about 125% of the calibration light level.

11. The detector of claim 8, wherein the optical sensor and third light emitter are arranged such that with a tubing segment in the space and the tubing segment containing no liquid, a light level detected by the optical sensor is over a threshold level, and such that with a tubing segment in the space and the tubing segment containing liquid, a light level detected by the optical sensor is less than the threshold level.

12. The detector of claim 11, wherein the threshold level is about 125-150% of a light level detected by the optical sensor with no tubing segment in the space.

13. The detector of claim 8, wherein the third light emitter and the optical sensor are arranged such that the optical sensor receives light from the third light emitter both when a tubing segment in the space is filled with liquid and when a tubing segment in the space is empty of liquid.

14. The detector of claim 8, wherein the channel is arranged to receive and hold a tubing segment having a cylindrical outer surface without substantially deforming the tubing segment.

15. The detector of claim 8, wherein the detector is arranged to detect a presence of liquid in the tubing segment based on light from third emitter that is sensed by the optical sensor.

16. A method for detecting a presence of a tubing segment, comprising:

emitting first light along a first optical axis toward a space in which a tubing segment is to be optionally positioned, the first optical axis being arranged at a longitudinal location along a length of the tubing segment and directed toward a center of the tubing segment when the tubing segment is positioned in the space;

emitting second light along a second optical axis toward the space, the second optical axis being arranged at the longitudinal location along the length of the tubing segment when the tubing segment is positioned in the space, the second optical axis being parallel to and spaced from the first optical axis, the first and second light being emitted from a first side of the space;

sensing at least portions of the first and second light using a single sensor element on a second side of the space opposite the first side; and

determining a presence or absence of a tubing segment in the space based on the sensed portions of the first and second light.

17. A tubing state detector for detecting the presence or absence of a tubing segment, comprising:

a first light emitter having a first optical axis directed toward a space in which a tubing segment is to be positioned;

a second light emitter having a second optical axis directed toward the space, the second light emitter being adjacent the first light emitter;

a third light emitter having a third optical axis directed toward the space; and

an optical sensor having a sensor optical axis positioned on a side of the space opposite the first and second light emitters and arranged to receive light emitted by the first and second light emitters to determine a presence or absence of a tubing segment in the space, the third optical axis being arranged at an oblique angle relative to the sensor optical axis, wherein the optical sensor and third light emitter are arranged such that with a tubing segment in the space and the tubing segment containing no liquid, a light level detected by the optical sensor is over a threshold level, and such that with a tubing segment in the space and the tubing segment containing liquid, a light level detected by the optical sensor is less than the threshold level.

18. The detector of claim 17, wherein the second optical axis is approximately parallel to the first optical axis.

19. The detector of claim 17, wherein the optical sensor detects a higher or lower light level from the first light emitter when a tubing segment is in the space.

20. The detector of claim 19, wherein the optical sensor detects a lower light level from the second light emitter when a tubing segment is in the space.

21. The detector of claim 17, wherein with a tubing segment in the space, a detected light level for both the first and second light emitters differs by more than about 15-20% from a calibration light level for the first and second light emitters that is detected when a tubing segment is known to be absent from the space.

22. The detector of claim 21, wherein with a tubing segment not in the space, a detected light level for the second light emitter is within about 15-20% of the calibration light level for the second light emitter.

23. The detector of claim 17, wherein the optical sensor has an optical axis that is approximately collinear with the first optical axis.

24. The detector of claim 17, wherein the first optical axis passes approximately through a center of a tubing segment with the tubing segment positioned in the space.

25. The detector of claim 17, wherein the second optical axis is offset from a center of a tubing segment with the tubing segment positioned in the space.

26. The detector of claim 17, wherein the oblique angle is about 110-120 degrees.

27. The detector of claim 26, wherein the optical sensor and third light emitter are arranged such that with a tubing segment in the space and the tubing segment containing no liquid, a light level detected by the optical sensor is over about 150% of a calibration light level detected with no tubing segment in the space, and such that with a tubing segment in the space and the tubing segment containing liquid, a light level detected by the optical sensor is less than about 125% of the calibration light level.

28. The detector of claim 17, wherein the threshold level is about 125-150% of a light level detected by the optical sensor with no tubing segment in the space.

29. The detector of claim 17, wherein the third light emitter and the optical sensor are arranged such that the optical sensor receives light from the third light emitter both when a tubing segment in the space is filled with liquid and when a tubing segment in the space is empty of liquid.

30. The detector of claim 17, wherein the space is arranged to receive and hold a tubing segment having a cylindrical outer surface without substantially deforming the tubing segment.