Sorbent cartridge configurations for improved dialysate regeneration

• US 9,144,640 B2
• Filed: 03/15/2013
• Issued: 09/29/2015
• Est. Priority Date: 02/02/2013
• Status: Active Grant

• Current Assignee: Mozarc Medical US LLC
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Pudil, Bryant J., Meyer, Thomas E., Lura, David B., Gerber, Martin T.
• Primary Examiner(s): BASS, DIRK R
• Application Number:
  US13/836,973
• Publication Number:
  US 20140217028A1
• Time in Patent Office: 928 Days
• Field of Search: 210/195.2, 210/646
• US Class Current: 1/1
• CPC Class Codes: A61M 1/1654 Dialysates therefor
• CPC Class Codes: A61M 1/1656 Apparatus for preparing dialysates
• CPC Class Codes: A61M 1/1668 Details of containers
• CPC Class Codes: A61M 1/167 Flexible packaging for solid concentrates
• CPC Class Codes: A61M 1/1696 with dialysate regeneration
• CPC Class Codes: A61M 1/287 Dialysates therefor
• CPC Class Codes: A61M 1/3486 Biological, chemical treatment, e.g. chemical precipitation; treatment by absorbents
• CPC Class Codes: A61M 2205/02 characterised by a particular materials
• CPC Class Codes: B01D 15/08 Selective adsorption, e.g. chromatography

Abstract

A regeneration system that has a first regeneration module containing a first chosen regenerative substance; a second regeneration module containing the first chosen regenerative substance; and a first mixing chamber. A first outlet stream of a fluid sequentially exits the first mixing chamber, flows through the first regeneration module in fluid communication with the first chosen regenerative substance and returns to the first mixing chamber, and a second outlet stream of the fluid sequentially exits the first mixing chamber and flows through the second regeneration module in fluid communication with the first chosen regenerative substance.

Claims

1. A regeneration system, comprising:

a first regeneration module containing a first chosen regenerative substance;

a second regeneration module containing the first chosen regenerative substance; and

a first mixing chamber, wherein a first outlet stream of a fluid sequentially exits the first mixing chamber, flows through the first regeneration module in fluid communication with the first chosen regenerative substance and returns to the first mixing chamber, and a second outlet stream of the fluid sequentially exits the first mixing chamber and flows through the second regeneration module in fluid communication with the first chosen regenerative substance.

2. The regeneration system of claim 1, wherein a first inlet stream of the fluid that enters the first mixing chamber is mixed in the first mixing chamber with a second inlet stream of the fluid that enters the first mixing chamber.

3. The regeneration system of claim 2, wherein the first mixing chamber further comprises a static mixer element.

4. The regeneration system of claim 2, wherein the mixing chamber further comprises a semi-permeable membrane that separates the first inlet stream from the second inlet stream, and a solute diffuses from the first inlet stream to the second inlet stream.

5. The regeneration system of claim 2, wherein the second inlet stream includes at least a portion of the first outlet stream returning to the first mixing chamber.

6. The regeneration system of claim 2, wherein the first outlet stream and the second outlet stream have substantially the same component concentrations.

7. The regeneration system of claim 1, wherein the first regeneration module operates at a total capacity of the first chosen regenerative substance.

8. The regeneration system of claim 1, wherein the fluid comprises a dialysate solution, and the first chosen regenerative substance removes a waste species from the dialysate solution.

9. The regeneration system of claim 1, wherein the fluid comprises a filtrate solution, and the first chosen regenerative substance removes a waste species from the filtrate solution.

10. The regeneration system of claim 1, wherein the first chosen regenerative substance comprises at least one of urease, alumina, zirconium phosphate, zirconium oxide, or activated carbon.

11. The regeneration system of claim 1, wherein the second regeneration module further contains a second chosen regenerative substance, the first chosen regenerative substance removes a first waste species from the fluid, and the second chosen regenerative substance removes a second waste species from the fluid.

12. The regeneration system of claim 11, wherein the first chosen regenerative substance comprises at least one of urease, alumina, zirconium phosphate, zirconium oxide, and activated carbon, and the second chosen regenerative substance comprises at least one of urease, alumina, zirconium phosphate, zirconium oxide, and activated carbon.

13. The regeneration system of claim 11, wherein the first chosen regenerative substance comprises at least one of urease, alumina, zirconium oxide, and activated carbon, the second chosen regenerative substance comprises zirconium phosphate.

14. The regeneration system of claim 13, wherein the first chosen regenerative substance comprises zirconium oxide and the second regenerative substance comprises urease, alumina, zirconium oxide, zirconium phosphate and activated carbon.

15. The regeneration system of claim 1, further comprising:

a third regeneration module containing the first chosen regenerative substance; and

a second mixing chamber, wherein a third outlet stream of the fluid exits the second mixing chamber and flows through the first mixing chamber, a fourth outlet stream of the fluid exits the second mixing chamber and flows through the third regeneration module, a third inlet stream of the fluid enters the second mixing chamber, the fourth inlet stream enters the second mixing chamber, the first inlet stream consists of the third outlet stream, and the fourth inlet stream consists of the second outlet stream.

16. The regeneration system of claim 15, further comprising a first pump that operates to cause the fluid to flow through the first mixing chamber.

17. The regeneration system of claim 16, further comprising a second pump between the first mixing chamber and the second regeneration module that operates to cause the second outlet stream to flow.

48. The regeneration system of claim 1, further comprising a microbial filter positioned downstream of the first mixing chamber along a fluid flow.

49. The regeneration system of claim 48, further comprising a replacement fluid pump upstream of the microbial filter along the fluid flow.

50. The regeneration system of claim 1, further comprising a first pump positioned upstream of the first regeneration module and a second pump positioned upstream of the second regeneration module.

51. The regeneration system of claim 1, wherein at least one of the first and second regeneration modules includes first and second compartments, the first and second compartments being separated with a barrier oriented in a direction substantially parallel to a fluid flow.

52. The regeneration system of claim 51, wherein the first and second compartments are different in composition.

18. A regeneration system, comprising:

a regeneration module containing a regenerative substance; and

a mixing chamber containing the regenerative substance, wherein a first stream of a fluid enters the mixing chamber in fluid communication with the regenerative substance, a second stream of the fluid exits and reenters the mixing chamber, and a third stream of the fluid exits the mixing chamber and flows through the regeneration module in fluid communication with the regenerative substance.

19. The regeneration system of claim 18, wherein the first stream is mixed in the mixing chamber with the second stream reentering the mixing chamber.

20. The regeneration system of claim 18, wherein the second stream and the third stream exiting the mixing chamber have substantially the same concentration of at least one component of the fluid.

21. The regeneration system of claim 18, wherein the fluid comprises a dialysate solution, and the regenerative substance removes a waste species from the dialysate solution.

22. The regeneration system of claim 18, wherein the fluid comprises a filtrate solution, and the regenerative substance removes a waste species from the filtrate solution.

23. The regeneration system of claim 18, wherein the regenerative substance comprises at least one of urease, alumina, zirconium phosphate, zirconium oxide, and activated carbon.

24. A dialysis system, comprising:

a dialyzer that facilitates transfer of a solute from blood to a dialysate;

a first regeneration module containing a first chosen regenerative substance;

a second regeneration module containing the first chosen regenerative substance; and

a first mixing chamber, wherein a first outlet stream of the dialysate sequentially exits the first mixing chamber, flows through the first regeneration module in fluid communication with the regenerative substance and returns to the first mixing chamber, and a second outlet stream of the dialysate sequentially exits the first mixing chamber, flows through the second regeneration module in fluid communication with the regenerative substance and flows through the dialyzer.

25. The dialysis system of claim 24, further comprising a dialysate flow path that allows fluid communication between the dialyzer, the first and second regeneration modules and the first mixing chamber, wherein the dialysate flow path, the dialyzer, the first and second regeneration modules and the first mixing chamber have a substantially fixed volume.

26. The dialysis system of claim 24, further comprising a dialysate flow path that is controlled compliant.

27. The dialysis system of claim 24, wherein the dialysis system is capable of selectively metering fluid into and out of the dialysate flow path.

28. The dialysis system of claim 27, wherein the dialysis system is capable of selectively metering fluid into and out of the dialysate flow path using any one of a control pump, a water pump, a salination pump, an acid concentrate pump, a replacement fluid pump, and combinations thereof.

29. The dialysis system of claim 24, wherein the dialysis system is capable of moving fluid bi-directionally in any one of the dialyzer, the first and second regeneration modules, the first mixing chamber, the dialysate flow path, the dialyzer, the first and second regeneration modules and the first mixing chamber.

30. The dialysis system of claim 24, further comprising a variable-volume dialysate flow path that allows fluid communication between the dialyzer, the first and second regeneration modules and the first mixing chamber.

31. The dialysis system of claim 30, wherein the dialysis system is capable of moving fluid bi-directionally in the variable-volume dialysate flow path.

32. The dialysis system of claim 24, wherein the first outlet stream and the second outlet stream have substantially the same concentration of at least one component of the fluid.

33. The dialysis system of claim 24, wherein the first regeneration module operates at a total capacity of the regenerative substance.

34. The dialysis system of claim 24, wherein the regenerative substance comprises at least one of urease, alumina, zirconium phosphate, zirconium oxide, and activated carbon.

35. The dialysis system of claim 24, further comprising:

a third regeneration module containing the first chosen regenerative substance; and

a second mixing chamber, wherein a third outlet stream of the dialysate exits the second mixing chamber and flows through the first mixing chamber, and a fourth outlet stream of the dialysate exits the second mixing chamber and flows through the third regeneration module.

36. The dialysis system of claim 24, further comprising:

an extracorporeal circuit to convey blood from a subject through the dialyzer and back to the subject; and

a replacement fluid circuit to convey a portion of the second outlet stream downstream of the second regeneration module to the extracorporeal circuit downstream of the dialyzer, wherein the dialyzer also facilitates removal of a filtrate from the blood.

37. The dialysis system of claim 36, further comprising a dialysate flow path that allows fluid communication between the dialyzer, the first and second regeneration modules and the first mixing chamber, wherein the dialyzer, the dialysate flow path the first and second regeneration modules and the first mixing chamber have a substantially fixed volume.

38. A filtration system, comprising:

a filter that facilitates removal of a filtrate from blood;

a first regeneration module containing a first chosen regenerative substance;

a second regeneration module containing the first chosen regenerative substance; and

a first mixing chamber, wherein a first outlet stream of the filtrate sequentially exits the first mixing chamber, flows through the first regeneration module in fluid communication with the regenerative substance and returns to the first mixing chamber, and a second outlet stream of the filtrate sequentially exits the first mixing chamber, flows through the second regeneration module in fluid communication with the regenerative substance and flows through the dialyzer.

39. A method of regenerating a fluid, comprising the steps of:

conveying a first outlet stream of the fluid from a first mixing chamber to a first regeneration module containing a first chosen regenerative substance;

removing a waste species from the first outlet stream in fluid communication with the regenerative substance;

returning the first outlet stream to the first mixing chamber;

mixing a first inlet stream of the fluid entering the first mixing chamber with the first outlet stream returned to the first mixing chamber;

conveying a second outlet stream of the fluid from the first mixing chamber to a second regeneration module containing the first chosen regenerative substance; and

removing the waste species from the second outlet stream in fluid communication with the regenerative substance.

40. The method of claim 39, wherein the step of mixing further comprises employing a static mixer element in the mixing chamber.

41. The method of claim 40, wherein the step of mixing further comprises employing a semi-permeable membrane that separates the first inlet stream from the second inlet stream in the first mixing chamber, and a solute diffuses from the first inlet stream to the second inlet stream.

42. The method of claim 40, wherein the step of mixing results in the first outlet stream and the second outlet stream having substantially the same concentration of at least one component of the fluid.

43. The method of claim 40, further comprising operating the first regeneration module at a total capacity of the regenerative substance.

44. The method of claim 40, further comprising:

conveying the second outlet stream from the second regeneration module through a dialyzer; and

conveying the first inlet stream from the dialyzer to the first mixing chamber, wherein the fluid comprises a dialysate solution.

45. The method of claim 40, further comprising:

conveying the second outlet stream from the second regeneration module to a filter;

removing a filtrate from blood through the filter; and

conveying the first inlet stream from the filter to the first mixing chamber, wherein the fluid comprises a filtrate solution.

46. The method of claim 40, further comprising:

wherein the regenerative substance comprises at least one of urease, alumina, zirconium phosphate, zirconium oxide, or activated carbon.

47. The method of claim 40, further comprising:

conveying the second outlet stream from the second regeneration module to a second mixing chamber;

mixing a third inlet stream of the fluid entering the second mixing chamber with the second outlet stream;

conveying a third outlet stream of the fluid from the second mixing chamber to the first mixing chamber;

conveying a fourth outlet stream of the fluid from the second mixing chamber to a third regeneration module containing the first chosen regenerative substance; and

removing the waste species from the fourth outlet stream in fluid communication with the regenerative substance;

wherein the first inlet stream consists of the third outlet stream.