System and method for detecting access disconnection

• US 8,926,544 B2
• Filed: 04/20/2012
• Issued: 01/06/2015
• Est. Priority Date: 07/25/2008
• 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: Hogard, Michael
• Primary Examiner(s): Wiest, Philip R
• Application Number:
  US13/452,447
• Publication Number:
  US 20120205312A1
• Time in Patent Office: 991 Days
• Field of Search: 604/4.01, 604/6.11, 604 29- 31, 604/90, 604/118, 604/119, 604/122, 604/149, 210/646, 210/739, 210/741
• US Class Current: 604/6.11
• CPC Class Codes: A61M 1/154 with sensing means or components thereof
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/15625 the reservoirs acting as balance chambers
• CPC Class Codes: A61M 1/15632 the filter being a dialyser
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/3401 Cassettes therefor
• CPC Class Codes: A61M 1/36224 with sensing means or components thereof
• CPC Class Codes: A61M 1/36225 with blood pumping means or components thereof
• CPC Class Codes: A61M 1/362263 Details of incorporated filters
• CPC Class Codes: A61M 1/362264 the filter being a blood filter
• CPC Class Codes: A61M 1/362265 Details of valves
• CPC Class Codes: A61M 1/3653 Interfaces between patient blood circulation and extra-corporal blood circuit
• CPC Class Codes: A61M 1/3656 Monitoring patency or flow at connection sites; Detecting disconnections
• CPC Class Codes: A61M 1/3659 Cannulae pertaining to extracorporeal circulation
• CPC Class Codes: A61M 1/3661 for haemodialysis
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 60/113 in other functional devices, e.g. dialysers or heart-lung machines
• CPC Class Codes: A61M 60/279 Peristaltic pumps, e.g. roller pumps
• CPC Class Codes: A61M 60/427 the force acting on the blood contacting member being hydraulic or pneumatic
• CPC Class Codes: A61M 60/43 : using vacuum at the blood pump, e.g. to accelerate filling
• CPC Class Codes: A61M 60/531 : using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/554 : of blood pressure

Abstract

A dialysis system includes: a blood filter; a dialysate pump connected to a dialysate portion of the blood filter; a blood pump connected to a blood portion of the blood filter, the blood pump including a diaphragm that is moved in cycles to pump the blood, the cycles having a flow period and a no-flow period; a patient access device in fluid communication with the blood portion of the blood filter, the no-flow period having a first characteristic of a property when the patient access device is lodged in a patient and a second characteristic of the property when the patient access device is dislodged from the patient; and a logic implementer configured to determine that the patient access device has been dislodged from the patient when the second characteristic of the parameter is detected.

Claims

1. A dialysis method comprising:

stopping a blood pump after pumping an amount of blood;

detecting a property indicative of whether a patient access device in fluid communication with the amount of blood is dislodged from the patient while the blood pump is stopped; and

determining whether the detected property indicates that the patient access device has been dislodged from the patient.

2. The dialysis method of claim 1, wherein if the determination is that the property indicates the patient access device has been dislodged from the patient, performing at least one of (i) shutting down the blood pump;

(ii) clamping a blood line; and

(iii) providing an alarm.

3. The dialysis method of claim 1, wherein detecting the property indicative of whether a patient access device is dislodged from the patient while the blood pump is stopped includes one of (i) measuring a pressure of blood in a flow path in communication with the patient access device and (ii) measuring a pressure of air used to drive the blood pump.

4. The dialysis method of claim 3, which includes determining that the property indicates that the patient access has been dislodged from the patient when the pressure measurement falls below a particular level.

5. The dialysis method of claim 1, wherein stopping the blood pump includes stopping a diaphragm of the blood pump from moving.

6. The dialysis method of claim 5, wherein detecting a property indicative of whether the patient access device is dislodged from the patient while the blood pump is stopped includes measuring a period in which the diaphragm is stopped.

7. The dialysis method of claim 6, wherein measuring the period in which the diaphragm is stopped includes measuring flow of blood through a flow path in communication with the patient access device.

8. The dialysis method of claim 6, wherein measuring the period in which the diaphragm is stopped includes measuring different time periods between different changes of pressure of blood through a flow path in communication with the patient access device.

9. The dialysis method of claim 6, which includes determining that the property indicates that the patient access device has been dislodged from the patient when the period in which the diaphragm is stopped extends past a particular duration.

10. The dialysis method of claim 1, wherein if the determination indicates that the patient access device has not been dislodged from the patient, re-actuating the blood pump.

11. The dialysis method of claim 1, wherein stopping the blood pump includes stopping a peristaltic pump roller or allowing a diaphragm of the blood pump to reach an end-of-stroke.

12. A dialysis method comprising:

operating a blood pump to have a flow period and a no-flow period;

in the no-flow period, detecting a first characteristic of a property when a patient access device is lodged in a patient, and detecting a second characteristic of the property when the patient access device is dislodged from the patient; and

determining that the patient access device has been dislodged from the patient when the second characteristic of the property is detected.

13. The dialysis method of claim 12, wherein the property is time, the first characteristic is a shorter amount of time and the second characteristic is a longer amount of time.

14. The dialysis method of claim 12, wherein the property is blood pressure, the first characteristic being a higher blood pressure, the second characteristic being a lower blood pressure.

15. The dialysis method of claim 12, wherein the property is a first property, and which includes detecting a first characteristic of a second property when the patient access device is lodged in the patient and a second characteristic of the second property when the patient access device is dislodged from the patient, and which includes determining that the patient access device has been dislodged from the patient when the second characteristics of both the first and second properties are detected.

16. The dialysis method of claim 15, wherein the first property is time of the blood pump no-flow period, and the second property is a blood pressure during the blood pump no-flow period.

17. The dialysis method of claim 12, which includes lengthening the blood pump no-flow period, so as to enhance a difference between the first and second characteristics of the property.

18. A dialysis method comprising:

storing a first characteristic of a property of a blood pump no-flow period that is indicative of a patient access device being lodged in a patient;

storing a second characteristic of the property of the blood pump no-flow period that is indicative of the patient access device being dislodged from the patient, and

determining that the patient access device being dislodged from the patient when the second characteristic of the property is detected.

19. The dialysis method of claim 18, wherein the property is time, the first characteristic is a shorter amount of time and the second characteristic is a longer amount of time.

20. The dialysis method of claim 18, wherein the property is blood pressure, the first characteristic being a higher blood pressure, the second characteristic being a lower blood pressure.