Systems and methods for compensation of compliant behavior in regenerative dialysis systems

• US 8,784,668 B2
• Filed: 10/12/2010
• Issued: 07/22/2014
• Est. Priority Date: 10/12/2010
• Status: Expired due to Fees

• Current Assignee: Fresenius Medical Care Holdings Incorporated (Fresenius Medical Care AG)
• Original Assignee: Fresenius Medical Care Holdings Incorporated (Fresenius Medical Care AG)
• Inventors: Beiriger, Michael J
• Primary Examiner(s): Kim, John
• Application Number:
  US12/902,702
• Publication Number:
  US 20120085707A1
• Time in Patent Office: 1,379 Days
• Field of Search: 210/645, 210/646, 210/660, 210/739, 210/844, 210/85, 210/86, 210/97, 210/103, 210/104, 210/109, 210/134, 210/143, 210/252, 210/257.1, 210/257.2, 210/258, 210/321.6, 210/321.65, 210/650
• US Class Current: 210/744
• CPC Class Codes: A61M 1/1696 with dialysate regeneration
• CPC Class Codes: A61M 2205/3393 by weighing the reservoir
• CPC Class Codes: B01D 2311/16 Flow or flux control
• CPC Class Codes: B01D 2311/2626 Absorption or adsorption
• CPC Class Codes: B01D 61/243 Dialysis
• CPC Class Codes: B01D 61/30 Accessories; Auxiliary operation
• CPC Class Codes: B01D 61/32 Controlling or regulating
• CPC Class Codes: B01J 20/0211 Compounds of Ti, Zr, Hf
• CPC Class Codes: B01J 20/0277 Carbonates of compounds other than those provided for in B01J20/043
• CPC Class Codes: B01J 20/06 comprising oxides or hydroxides of metals not provided for in group B01J20/04
• CPC Class Codes: B01J 20/08 comprising aluminium oxide or hydroxide; comprising bauxite
• CPC Class Codes: B01J 20/14 Diatomaceous earth
• CPC Class Codes: B01J 20/20 comprising free carbon; comprising carbon obtained by carbonising processes
• CPC Class Codes: B01J 20/28052 Several layers of identical or different sorbents stacked in a housing, e.g. in a column
• CPC Class Codes: B01J 20/3204 Inorganic carriers, supports or substrates
• CPC Class Codes: B01J 20/3274 Proteins, nucleic acids, polysaccharides, antibodies or antigens
• CPC Class Codes: B01J 20/3433 of sorbents or filter aids other than those covered by B01J20/3408 - B01J20/3425
• CPC Class Codes: B01J 2220/62 In a cartridge
• CPC Class Codes: B01J 39/05 in the strongly acidic form

Abstract

In a regenerative dialysis system, in a method for controlling a regenerative dialysis system, and in a controller for a regenerative dialysis system, an embodiment of the system comprises an input pump that pumps fresh dialysate fluid into a dialyzer at an input rate. An output pump pumps used dialysate fluid from the dialyzer at an output rate. An ultrafiltration rate of the system is related to the output rate relative to the input rate. A sorbent cartridge filters the used dialysate fluid to generate the fresh dialysate fluid. A controller controls the ultrafiltration rate of the system in response to a flow rate of the dialysate fluid through the sorbent cartridge.

Claims

1. A regenerative dialysis system, comprising:

an input pump that pumps fresh dialysate fluid into a dialyzer at an input rate;

an output pump that pumps used dialysate fluid from the dialyzer at an output rate, an ultrafiltration rate of the system being related to the output rate relative to the input rate;

a sorbent cartridge that filters the used dialysate fluid to generate the fresh dialysate fluid; and

a controller that controls the ultrafiltration rate of the system in response to a compliance model of the sorbent cartridge that provides a predefined model of compliant behavior related to the sorbent cartridge that is based on a relationship between a volume of dialysate fluid stored by the sorbent cartridge as a function of a flow rate of the dialysate fluid through the sorbent cartridge.

2. The system of claim 1 wherein the system further comprises:

a reservoir that stores the fresh dialysate fluid;

a scale that monitors the scale weight of the fresh dialysate fluid stored in the reservoir; and

wherein the controller further controls the ultrafiltration rate in response to the scale weight of the fresh dialysate fluid in the reservoir.

3. The system of claim 2 wherein the controller further:

calculates a dynamic weight of dialysate fluid stored in the sorbent cartridge in response to the flow rate of the dialysate fluid through the sorbent cartridge;

calculates a corrected dialysate fluid weight by summing the dynamic weight and the scale weight; and

controls the ultrafiltration rate of the system in response to the corrected dialysate fluid weight.

4. The system of claim 3 wherein the controller calculates the dynamic weight of the dialysate fluid over a time period of a treatment procedure.

5. The system of claim 3 wherein the controller further:

calculates an absorption weight of dialysate fluid stored in the sorbent cartridge as a result of time-based absorption; and

calculates the corrected dialysate fluid rate by further summing the absorption weight with the dynamic weight and the scale weight.

6. The system of claim 1 wherein the relationship between the volume of dialysate fluid stored by the sorbent cartridge as a function of flow rate of the dialysate fluid through the sorbent cartridge is linear.

7. The system of claim 1 wherein the relationship between the volume of dialysate fluid stored by the sorbent cartridge as a function of flow rate of the dialysate fluid through the sorbent cartridge is non-linear.

8. The system of claim 1 wherein the ultrafiltration rate is a rate at which fluid is removed from a patient at the dialyzer.

9. The system of claim 1 wherein the ultrafiltration rate of a dialysis procedure performed by the regenerative dialysis system is prescribed.

10. A method of controlling ultrafiltration rate of a regenerative dialysis system, comprising:

pumping fresh dialysate fluid into a dialyzer at an input rate;

pumping used dialysate fluid from the dialyzer at an output rate, an ultrafiltration rate of the regenerative dialysis system being related to the output rate relative to the input rate;

filtering the used dialysate fluid to generate the fresh dialysate fluid at a sorbent cartridge; and

controlling the ultrafiltration rate of the regenerative dialysis system in response to a compliance model of the sorbent cartridge that provides a predefined model of compliant behavior related to the sorbent cartridge based on a relationship between a volume of dialysate fluid stored by the sorbent cartridge as a function of a flow rate of the dialysate fluid through the sorbent cartridge.

11. The method of claim 10 further comprising:

storing the fresh dialysate fluid at a reservoir;

monitoring a scale weight of the fresh dialysate fluid stored in the reservoir; and

further controlling the ultrafiltration rate in response to the scale weight of the fresh dialysate fluid in the reservoir.

12. The method of claim 11 further comprising:

calculating a dynamic weight of dialysate fluid stored in the sorbent cartridge in response to the flow rate of the dialysate fluid through the sorbent cartridge; and

calculating the corrected dialysate fluid weight by summing the dynamic weight and the scale weight; and

further controlling the ultrafiltration rate in response to the corrected dialysate fluid weight.

13. The method of claim 12 wherein calculating the dynamic weight of dialysate fluid stored in the sorbent cartridge is performed over a time period of a treatment procedure.

14. The method of claim 12 further comprising:

calculating an absorption weight of dialysate fluid stored in the sorbent cartridge as a result of time-based absorption; and

calculating the corrected dialysate fluid rate by further summing the absorption weight with the dynamic weight and the scale weight.

15. The method of claim 10 wherein the relationship between the volume of dialysate fluid stored by the sorbent cartridge as a function of flow rate of the dialysate fluid through the sorbent cartridge is linear.

16. The method of claim 10 wherein the relationship between the volume of dialysate fluid stored by the sorbent cartridge as a function of flow rate of the dialysate fluid through the sorbent cartridge is non-linear.

17. The method of claim 10 wherein the ultrafiltration rate is a rate at which fluid is removed from a patient at the dialyzer.

18. The method of claim 10 wherein the ultrafiltration rate of a dialysis procedure performed by the regenerative dialysis system is prescribed.

19. A regenerative dialysis system, comprising:

an input pump that pumps fresh dialysate fluid into a dialyzer at an input rate;

an output pump that pumps used dialysate fluid from the dialyzer at an output rate, an ultrafiltration rate of the system being related to the output rate relative to the input rate;

a sorbent cartridge that filters the used dialysate fluid to generate the fresh dialysate fluid;

a controller that controls the ultrafiltration rate of the system in response to a flow rate of the dialysate fluid through the sorbent cartridge, wherein the controller controls the ultrafiltration rate of the system in response to a corrected dialysate fluid weight;

a reservoir that stores the fresh dialysate fluid;

a scale that monitors the scale weight of the fresh dialysate fluid stored in the reservoir, wherein the controller further controls the ultrafiltration rate in response to the scale weight of the fresh dialysate fluid in the reservoir, wherein the controller further;

calculates a dynamic weight of dialysate fluid stored in the sorbent cartridge in response to the flow rate of the dialysate fluid through the sorbent cartridge;

calculates the corrected dialysate fluid weight by summing the dynamic weight and the scale weight;

calculates an absorption weight of dialysate fluid stored in the sorbent cartridge as a result of time-based absorption; and

calculates the corrected dialysate fluid rate by further summing the absorption weight with the dynamic weight and the scale weight.

20. A method of controlling ultrafiltration rate of a regenerative dialysis system, comprising:

pumping fresh dialysate fluid into a dialyzer at an input rate;

pumping used dialysate fluid from the dialyzer at an output rate, an ultrafiltration rate of the regenerative dialysis system being related to the output rate relative to the input rate;

filtering the used dialysate fluid to generate the fresh dialysate fluid at a sorbent cartridge;

controlling the ultrafiltration rate of the regenerative dialysis system in response to a flow rate of the dialysate fluid through the sorbent cartridge, and in response to a corrected dialysate fluid weight;

storing the fresh dialysate fluid at a reservoir;

monitoring the scale weight of the fresh dialysate fluid stored in the reservoir;

further controlling the ultrafiltration rate in response to the scale weight of the fresh dialysate fluid in the reservoir;

calculating a dynamic weight of dialysate fluid stored in the sorbent cartridge in response to the flow rate of the dialysate fluid through the sorbent cartridge;

calculating the corrected dialysate fluid weight by summing the dynamic weight and the scale weight;

calculating an absorption weight of dialysate fluid stored in the sorbent cartridge as a result of time-based absorption; and

calculating the corrected dialysate fluid rate by further summing the absorption weight with the dynamic weight and the scale weight.