Fluid and air handling in blood and dialysis circuits

• US 8,834,403 B2
• Filed: 05/14/2013
• Issued: 09/16/2014
• 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:
  US13/894,020
• Publication Number:
  US 20130248449A1
• Time in Patent Office: 490 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 thereby displacing a priming liquid to a drain until or after blood is detected in the extracorporeal blood circuit by flowing the priming liquid through a line connecting the extracorporeal blood circuit to the drain so that priming liquid does not pass directly through a blood filter to a dialysate circuit; and

(b) running a blood pump to pull blood from the patient into the extracorporeal blood circuit in a second direction thereby displacing the priming liquid to the drain until or after blood reaches an air trap in the extracorporeal blood circuit by flowing the priming liquid through the line connecting the extracorporeal blood circuit to the drain so that priming liquid does not pass directly through the blood filter to the dialysate circuit.

2. The blood priming method of claim 1, which includes pulling blood through a venous access during (a) and pulling blood through an arterial access during (b).

3. The blood priming method of claim 1, which includes opening an air vent valve to drain to allow the priming liquid to run from an air trap to drain.

4. The blood priming method of claim 1, which includes detecting blood during (a) via a blood presence detector.

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

(i) communicating the dialysate pump with the extracorporeal blood circuit via an air vent line;

(ii) running the dialysate pump for a number of cycles or for a given time after blood is detected in the extracorporeal blood circuit;

or (iii) running the blood pump for a number of cycles or for a given time after blood reaches the air trap.

6. 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 thereby displacing a priming liquid to a dialysate circuit until or after blood is detected in the extracorporeal blood circuit by flowing the priming liquid through a line connecting the extracorporeal blood circuit to the dialysate circuit so that the priming liquid does not pass directly through a blood filter to the dialysate circuit; and

(b) running a blood pump to pull blood from the patient into the extracorporeal blood circuit in a second direction thereby displacing the priming liquid to the dialysate circuit until or after blood reaches an air trap in the extracorporeal blood circuit by flowing the priming liquid through the line connecting the extracorporeal blood circuit to the dialysate circuit so that the priming liquid does not pass directly through the blood filter to the dialysate circuit.

7. The blood priming method of claim 6, which includes pulling blood through a venous access during (a) and pulling blood through an arterial access during (b).

8. The blood priming method of claim 6, which includes opening an air vent valve in each of the blood and dialysate circuits to allow the priming liquid to run from the air trap in the blood circuit to an air trap in the dialysate circuit.

9. The blood priming method of claim 6, which includes detecting blood during (a) via a blood presence detector.

10. The blood priming method of claim 6, which includes communicating the dialysate pump with the extracorporeal blood circuit via an air vent line.

11. The blood priming method of claim 6, which includes at least one of (i) running the dialysate pump for a number of cycles or for a given time after blood is detected in the extracorporeal blood circuit;

or (ii) running the blood pump for a number of cycles or for a given time after blood reaches the air trap.

12. A blood priming method comprising:

(a) running a blood pump in a first direction to pull blood from a patient into an extracorporeal blood circuit thereby displacing a priming liquid to a container by flowing the priming liquid through a line connecting the extracorporeal blood circuit to the container so that the priming liquid does not pass directly through a blood filter to a dialysate circuit (i) for a number of pump cycles, (ii) for a given time, or (iii) until or after blood is detected in the extracorporeal blood circuit; and

(b) running the blood pump in a second direction to pull blood from the patient into the extracorporeal blood circuit thereby displacing the priming liquid to the container by flowing the priming liquid through a line connecting the extracorporeal blood circuit to the container so that the priming liquid does not pass directly through a blood filter to the dialysate circuit (i) for a number of pump cycles, (ii) for a given time, or (iii) until or after blood reaches an air trap in the extracorporeal blood circuit.

13. The blood priming method of claim 12, wherein the line is a saline bag line.

14. The blood priming method of claim 12, which includes pulling blood through a venous access during (a) and pulling blood through an arterial access during (b).

15. The blood priming method of claim 12, which includes opening an air vent valve to the container to allow the priming liquid to run from an air trap to the container.

16. The blood priming method of claim 12, which includes detecting blood during (a) via a blood presence detector.

17. The blood priming method of claim 12 which includes at least one of:

(i) running the blood pump for a number of cycles or for a given time in the first direction after blood is detected in the extracorporeal blood circuit;

or (ii) running the blood pump for a number of cycles or for a given time in the second direction after blood reaches the air trap.

18. 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 thereby displacing a priming liquid to a dialysate circuit until or after blood is detected in the extracorporeal blood circuit;

(b) running a blood pump to pull blood from the patient into the extracorporeal blood circuit in a second direction thereby displacing the priming liquid to the dialysate circuit until or after blood reaches an air trap in the extracorporeal blood circuit; and

(c) opening an air vent valve in the blood circuit and the dialysate circuit to allow the priming liquid to run from the air trap in the blood circuit to an air trap in the dialysate circuit.

19. 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 thereby displacing a priming liquid to a dialysate circuit until or after blood is detected in the extracorporeal blood circuit;

(b) running a blood pump to pull blood from the patient into the extracorporeal blood circuit in a second direction thereby displacing the priming liquid to the dialysate circuit until or after blood reaches an air trap in the extracorporeal blood circuit; and

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