Method for adjusting a continuous dialysate volume flow in a dialysis machine and dialysis machine

• US 9,694,126 B2
• Filed: 05/31/2012
• Issued: 07/04/2017
• Est. Priority Date: 06/03/2011
• Status: Active Grant

• Current Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Original Assignee: Fresenius Medical Care Deutschland GmbH (Fresenius Medical Care AG)
• Inventors: Griessmann, Erik, Wich-Heiter, Joachim, Sebesta, Sven, Hedmann, Frank
• Primary Examiner(s): Bosworth, Kami A
• Application Number:
  US13/484,765
• Publication Number:
  US 20120310148A1
• Time in Patent Office: 1,860 Days
• CPC Class Codes: A61M 1/1522 the interface being evacuated interfaces to enhance contact
• CPC Class Codes: A61M 1/1524 the interface providing means for actuating on functional elements of the cassette, e.g. plungers
• CPC Class Codes: A61M 1/153 the cassette being adapted for heating or cooling the treating fluid, e.g. the dialysate or the treating gas
• 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 1/1561 at least one cassette surface or portion thereof being flexible, e.g. the cassette having a rigid base portion with preformed channels and being covered with a foil
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• CPC Class Codes: A61M 1/1601 Control or regulation
• CPC Class Codes: A61M 1/166 Heating for sterilisation A61M1/1686
• CPC Class Codes: A61M 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 1/282 Operational modes
• CPC Class Codes: A61M 2205/3379 Masses, volumes, levels of fluids in reservoirs, flow rates
• CPC Class Codes: A61M 2206/22 eliminating pulsatile flows, e.g. by the provision of a dampening chamber

Abstract

A method is provided for adjusting a continuous dialysate volume flow in a dialysis machine with at least two discontinuous pumps and a controller for generating a desired volume flow of the dialysate. The energy for driving the pumps is set to be constant with a value determined corresponding to the pump-time volume of the respective pump stroke and the delivered volume. A dialysis machine for carrying out the aforementioned method is also provided.

Claims

1. A method for adjusting a dialysate volume flow in a dialysis machine with at least one discontinuous pump and a controller for generating a desired volume flow of the dialysate as pumped by said at least one pump over a pump cycle, said pump cycle including a plurality of pump strokes performed sequentially, said method comprising the steps of:

determining a first constant energy value for a first pump stroke of the at least one pump in said pump cycle;

operating the at least one pump over the first pump stroke with the first constant energy value;

determining a constant energy value for each subsequent pump stroke in said pump cycle and operating the at least one pump at the constant energy value determined for said each subsequent pump stroke, the constant energy value for said each subsequent pump stroke being adapted over the pump cycle based on at least one of volume and pressure values measured during at least one previous pump stroke of said plurality of pump strokes.

2. The method according to claim 1, wherein for said first and said each subsequent pump stroke in the pump cycle, a pressure in the dialysate delivered is measured and, upon exceedance of a pressure limit value, the at least one pump is stopped.

3. The method according to claim 2, wherein the determination of the constant energy value for said each subsequent pump stroke depends on whether a pressure limit value was exceeded in at least one previous pump stroke of said plurality of pump strokes.

4. The method according to claim 1, wherein the constant energy value is determined for at least one subsequent pump stroke of said plurality of pump strokes in said pump cycle on the basis of a pump volume per time of the at least one pump and a delivered volume.

5. The method according to claim 1, wherein the constant energy value is determined for at least one subsequent pump stroke of said plurality of pump strokes in said pump cycle on the basis of a pump volume per time of the at least one pump, a delivered volume and whether a pressure limit value was exceeded in at least one previous pump stroke of said plurality of pump strokes.

6. The method according to claim 1, wherein the first constant energy value for the first pump stroke is taken from an estimate table.

7. The method according to claim 1, wherein the at least one pump is a diaphragm pump.

8. The method according to claim 1, wherein the dialysis machine includes, in addition to the at least one discontinuous pump, at least a second discontinuous pump, said discontinuous pumps providing said dialysate volume flow as a continuous dialysate volume flow.

9. The method of claim 1, wherein the steps of operating the at least one pump over the first pump stroke with the first constant energy value and of operating the at least one pump with the constant energy value determined for said each subsequent pump stroke includes at least one form of operation selected from the group consisting of operating the at least one pump with a constant electrical current, operating the at least one pump with a constant electrical voltage and operating the at least on, pump with a constant electrical power.

10. The method of claim 1, wherein said steps of operating the at least one pump over the first pump cycle with the first constant energy vale and of operating the at least one pump with the constant energy value determined for said each subsequent pump stroke include pumping dialysate to a peritoneal cavity of a patient or from a peritoneal cavity of a patient during peritoneal dialysis.

11. A method for adjusting a dialysate volume flow in a dialysis machine with at least one discontinuous pump and a controller for generating a desired volume flow of the dialysate as pumped by said at least one pump over a pump cycle, said pump cycle including a plurality of pump strokes performed sequentially, said method comprising:

for each pump stroke of said plurality of pump stokes in the pump cycle, performing the following steps;

determining a constant energy value for the pump stroke;

operating the at least one pump over the pump stroke with the constant energy value;

determining whether a pressure during the pump stroke exceeds a pressure limit value; and

wherein a first constant energy value for a first pump stroke in the pump cycle is taken from a lookup table and, for each subsequent pump stroke in the pump cycle, the constant energy value is adapted depending on whether the pressure limit value was exceeded in a previous pump stroke of said plurality of pump strokes.

12. The method of claim 11, wherein for each pump stroke of said plurality of pump strokes, the at least one pump is stopped if it is determined that the pressure during the pump stroke exceeds the pressure limit value.

13. The method of claim 11, wherein for each pump stroke in the pump cycle, the following additional step is performed:

determining at least one parameter selected from the group consisting of a pump volume per time of the at least one pump and a delivered volume.

14. The method of claim 13, wherein for said each subsequent pump stroke in the pump cycle, the step of determining the constant energy value includes adapting the constant energy value depending on at least one parameter selected from the group consisting of the pump volume per time of the at least one pump and the delivered volume.

15. The method of claim 11, wherein the step of operating the at least one pump with the constant energy value includes at least one form of operation selected from the group consisting of operating the at least one pump with a constant electrical current, operating the at least one pump with a constant electrical voltage and operating the at least one pump with a constant electrical power.

16. The method of claim 11, wherein said step of operating the at least one pump includes pumping dialysate to a peritoneal cavity of a patient or from a peritoneal cavity of a patient during peritoneal dialysis.