Early detection of low bicarbonate level

• US 8,906,240 B2
• Filed: 08/29/2011
• Issued: 12/09/2014
• Est. Priority Date: 08/29/2011
• Status: Active Grant

• Current Assignee: Fresenius Medical Care Holdings Incorporated (Fresenius SE & Co. KGaA)
• Original Assignee: Fresenius Medical Care Holdings Incorporated (Fresenius SE & Co. KGaA)
• Inventors: Crnkovich, Martin Joseph, Wang, Aiyuan, Wang, Fei
• Primary Examiner(s): Kim, John
• Application Number:
  US13/220,293
• Publication Number:
  US 20130049974A1
• Time in Patent Office: 1,198 Days
• Field of Search: 210/85, 210/86, 210/97, 210/100, 210/109, 210/134, 210/252, 210/321.6, 210/321.71, 210/739, 210/746, 340/612, 340/657, 702/19, 702/25
• US Class Current: 210/746
• CPC Class Codes: A61M 1/1656 Apparatus for preparing dialysates
• CPC Class Codes: A61M 1/1658 Degasification
• CPC Class Codes: A61M 1/1662 with heat exchange between fresh and used dialysate
• CPC Class Codes: A61M 1/1666 by dissolving solids
• CPC Class Codes: A61M 1/1668 Details of containers
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3327 Measuring

Abstract

This disclosure relates to early detection of low bicarbonate level. In certain aspects, a method includes receiving a first signal from a conductivity detector connected to a line through which a solution of salt concentrate and fluid flows and determining a first conductivity of the solution based on the first signal. The method also includes receiving a second signal from the conductivity detector at a time after receiving the first signal, determining a second conductivity of the solution based on the second signal, and determining whether the second conductivity is less than the first conductivity by at least a threshold amount.

Claims

1. A method performed by data processing apparatus of a dialysis machine, the method comprising:

receiving a first signal from a conductivity detector connected to a line through which a solution of bicarbonate and fluid flows to a dialyzer of the dialysis machine, wherein the fluid flows from a fluid source, through a fluid line segment connected to the fluid source and the line, to the line;

determining a first conductivity of the solution based on the first signal;

receiving a second signal from the conductivity detector at a time after receiving the first signal;

determining a second conductivity of the solution based on the second signal; and

determining that solid bicarbonate in a container through which the solution flows is approaching a level insufficient to maintain the solution at a conductivity suitable for flowing though the dialyzer, based on a determination that the second conductivity is less than the first conductivity by at least a threshold amount.

2. The method of claim 1 further comprising:

based on a determination that the second conductivity is less than the first conductivity by at least the threshold amount, providing an alert to a user.

3. The method of claim 2, wherein the alert is provided to the user at a period of time before the container containing the solid bicarbonate is empty.

4. The method of claim 3, wherein the alert prompts the user to replace the container.

5. The method of claim 1, further comprising:

based on a determination that the second conductivity is less than the first conductivity by at least the threshold amount, receiving a third signal from the conductivity detector at a time after receiving the second signal;

determining a third conductivity of the solution based on the third signal;

determining whether the third conductivity is less than the second conductivity by at least a threshold amount; and

based on a determination that the third conductivity is less than the second conductivity by at least the threshold amount, providing an alert to a user.

6. The method of claim 1, wherein determining each conductivity of the solution based on each respective signal comprises:

adjusting a conductivity measurement of the solution based on the signal from the conductivity detector and a temperature of the solution.

7. The method of claim 6, further comprising:

receiving a signal from a temperature detector connected to the line; and

determining the temperature of the solution based on the signal received from the temperature detector.

8. The method of claim 1, further comprising storing the first conductivity for comparison to the second conductivity.

9. The method of claim 8, wherein storing the first conductivity comprises:

receiving a preceding signal from the conductivity detector at a time prior to receiving the first signal;

determining a preceding conductivity of the solution based on the signal;

determining that a difference between the first conductivity and the preceding conductivity is within a threshold amount;

based on a determination that the difference between the first conductivity and the preceding conductivity is within the threshold amount, storing the first conductivity for comparing to the second conductivity.

10. The method of claim 8, wherein storing the first conductivity further comprises:

comparing the first conductivity to a threshold conductivity; and

based on a determination that the first conductivity meets the threshold conductivity, storing the first conductivity.

21. The method of claim 1, wherein a fluid enters the container containing the solid bicarbonate and mixes with a portion of the solid bicarbonate to produce the solution of bicarbonate and fluid.

22. The method of claim 1, wherein values of the first and second conductivities of the solution indicate that the solution has a physiological pH.

23. The method of claim 1, wherein the fluid flows through the container and mixes with the solid bicarbonate in the container to produce the solution.

24. The method of claim 1, wherein a volume of the solution that flows to the dialyzer is approximately equal to a volume of spent solution that flows from the dialyzer.

25. The method of claim 24, wherein the solution is dialysate and the spent solution is spent dialysate.

11. A dialysis system comprising:

a fluid source;

a fluid line segment connected to the fluid source;

a container containing solid bicarbonate, the container connected to the fluid line segment, wherein the fluid flows from the fluid source, through the fluid line segment, to the container;

a line connected to the container;

a conductivity detector connected to the line; and

a data processing apparatus connected to the conductivity detector and configured for;

receiving a first signal from a conductivity detector connected to the line through which a solution of bicarbonate and fluid flows to a dialyzer of the dialysis machine;

determining a first conductivity of the solution based on the first signal;

receiving a second signal from the conductivity detector at a time after receiving the first signal;

determining a second conductivity of the solution based on the second signal;

determining that the solid bicarbonate in the container through which the solutions flows is approaching a level insufficient to maintain the solution at a conductivity suitable for flowing through the dialyzer, based on a determination that the second conductivity is less than the first conductivity by at least a threshold amount.

12. The dialysis system of claim 11, wherein the container is a collapsible bag.

13. The dialysis system of claim 11, wherein the data processing apparatus is further configured for:

based on a determination that the second conductivity is less than the first conductivity by at least the threshold amount, providing an alert to a user.

14. The dialysis system of claim 13, wherein the alert is provided to the user at a period of time before the container containing the solid bicarbonate is empty.

15. The dialysis system of claim 11, wherein the data processing apparatus is further configured for:

based on a determination that the second conductivity is less than the first conductivity by at least the threshold amount, receiving a third signal from the conductivity detector at a time after receiving the second signal;

determining a third conductivity of the solution based on the third signal;

determining whether the third conductivity is less than the second conductivity by at least a threshold amount; and

based on a determination that the third conductivity is less than the second conductivity by at least the threshold amount, providing an alert to a user.

16. The dialysis system of claim 11, wherein determining each conductivity of the solution based on each respective signal comprises:

adjusting a conductivity measurement of the solution based on the signal from the conductivity detector and a temperature of the solution.

17. The dialysis system of claim 16, further comprising:

receiving a signal from a temperature detector connected to the line; and

determining the temperature of the solution based on the signal received from the temperature detector.

18. The dialysis system of claim 11, wherein the data processing apparatus is further configured for storing the first conductivity for comparison to the second conductivity.

19. The dialysis system of claim 18, wherein storing the first conductivity comprises:

receiving a preceding signal from the conductivity detector at a time prior to receiving the first signal;

determining a preceding conductivity of the solution based on the signal;

determining that a difference between the first conductivity and the preceding conductivity is within a threshold amount; and

based on a determination that the difference between the first conductivity and the preceding conductivity is within the threshold amount, storing the first conductivity for comparing to the second conductivity.

20. The dialysis system of claim 18, wherein storing the first conductivity further comprises:

comparing the first conductivity to a threshold conductivity; and

based on a determination that the first conductivity meets the threshold conductivity, storing the first conductivity.

26. The dialysis system of claim 11, wherein values of the first and second conductivities of the solution indicate that the solution has a physiological pH.

27. The dialysis system of claim 11, wherein the fluid flows through the container and mixes with the solid bicarbonate in the container to produce the solution.

28. The dialysis system of claim 11, wherein a volume of the solution that flows to the dialyzer is approximately equal to a volume of spent solution that flows from the dialyzer.

29. The dialysis system of claim 28, wherein the solution is dialysate and the spent solution is spent dialysate.