Drain and fill logic for automated peritoneal dialysis

• US 9,943,632 B2
• Filed: 09/15/2015
• Issued: 04/17/2018
• Est. Priority Date: 01/29/2009
• 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: Childers, Robert W., Lo, Ying-Cheng, Hopping, Peter A.
• Primary Examiner(s): DRODGE, JOSEPH W
• Application Number:
  US14/854,923
• Publication Number:
  US 20160067399A1
• Time in Patent Office: 945 Days
• Field of Search: 210 85- 87, 210 961, 210 962, 210 97, 210141, 210143, 2103216, 21032165, 210637, 210645-647, 210929, 604 501, 604 601, 604 605, 604 609, 604 29, 604 65- 67, 600300, 700273, 702 19, 705 2, 705 3, 706 45- 48, 706 61, 706924
• 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 1/155 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 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 1/281 Instillation other than by gravity
• CPC Class Codes: A61M 1/282 Operational modes
• CPC Class Codes: A61M 1/284 Continuous flow peritoneal dialysis [CFPD]
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3379 Masses, volumes, levels of fluids in reservoirs, flow rates
• CPC Class Codes: B01D 61/30 Accessories; Auxiliary operation
• CPC Class Codes: B01D 61/32 Controlling or regulating

Abstract

A system for performing a peritoneal dialysis therapy includes at least one dialysis fluid pump, and a control unit operable with the at least one dialysis fluid pump to perform a plurality of peritoneal dialysis cycles, the cycles including a fill phase, a dwell phase and a drain phase. The control unit configured to (i) store a previously entered continuous cycling peritoneal dialysis (“CCPD”) therapy having a total prescribed fresh dialysate fill volume delivered over n cycles, the cycles performed over a total therapy duration, and (ii) automatically convert the CCPD therapy into a tidal peritoneal dialysis therapy having n+1 cycles, less a number of cycles already completed during the CCPD therapy, using the total prescribed fresh dialysis fill volume, and maintaining the total therapy duration.

Claims

1. A system for performing a peritoneal dialysis therapy comprising:

at least one dialysis fluid pump; and

a logic implementer including a central processing unit (“

CPU”

) and a pump controller operable with the CPU, the pump controller operable with the at least one dialysis fluid pump to perform a plurality of peritoneal dialysis cycles, the cycles including a fill phase, a dwell phase and a drain phase, the logic implementer configured to;

(i) store a continuous cycling peritoneal dialysis (“

CCPD”

) therapy having a total prescribed fresh dialysate fill volume delivered over n cycles during a total therapy duration; and

(ii) during the CCPD therapy after at least some dialysis fluid has been pumped by the at least one dialysis fluid pump, convert the CCPD therapy into a tidal peritoneal dialysis therapy having at least n+1 cycles and using the total prescribed fresh dialysate fill volume.

2. The system of claim 1, wherein the tidal peritoneal dialysis therapy maintains the total therapy duration.

3. The system of claim 1, wherein the logic implementer is configured to convert the CCPD therapy into the tidal peritoneal dialysis therapy during one of the cycles of the CCPD therapy.

4. The system of claim 1, wherein the logic implementer is configured to run the tidal peritoneal dialysis therapy for a subsequent treatment.

5. The system of claim 1, wherein the logic implementer is configured to enable a user to select to run either the CCPD therapy or the tidal peritoneal dialysis therapy.

6. The system of claim 1, wherein the stored CCPD therapy is a previously entered CCPD therapy.

7. The system of claim 1, wherein the logic implementer is configured to convert the CCPD therapy into the tidal peritoneal dialysis therapy using a net ultrafiltration (“

UF”

) limit stored for the CCPD therapy.

8. A system for performing a peritoneal dialysis therapy comprising:

at least one dialysis fluid pump;

an input device configured to receive information, including information regarding a continuous cycling peritoneal dialysis (“

CCPD”

) therapy for a patient; and

a logic implementer including a central processing unit (“

CPU”

) and a pump controller operable with the CPU, the pump controller operable with the at least one dialysis fluid pump to perform a plurality of peritoneal dialysis cycles according to the information received by the input device, the cycles including a fill phase, a dwell phase and a drain phase, the logic implementer configured to;

(i) control the at least one dialysis fluid pump so that the CCPD therapy is performed for a first treatment; and

(ii) convert the CCPD therapy into a tidal peritoneal dialysis therapy using the information received by the input device for the CCPD therapy, and control the at least one dialysis fluid pump so that the tidal peritoneal dialysis therapy is performed for a second treatment.

9. The system of claim 8, wherein the CCPD information includes at least one of (i) a net ultrafiltration (“

UF”

) limit;

(ii) a dwell time;

(iii) a total therapy duration;

or (iv) a total prescribed fresh dialysate fill volume.

10. The system of claim 8, wherein the logic implementer is configured to accept additional information used to convert the CCPD therapy into the tidal peritoneal dialysis therapy.

11. The system of claim 10, wherein the additional information includes prescription identification information.

12. The system of claim 8, wherein the logic implementer is configured to convert the CCPD therapy into the tidal peritoneal dialysis therapy upon a user selection to do so using the input device.

13. The system of claim 8, wherein the CCPD therapy includes a number of peritoneal dialysis cycles, and the logic implementer recalculates the number of peritoneal dialysis cycles when performing (ii).

14. The system of claim 8, wherein the logic implementer is configured to convert the CCPD therapy into the tidal peritoneal dialysis therapy during the CCPD therapy.

15. The system of claim 8, wherein the logic implementer is configured to maintain a total therapy duration when converting the CCPD therapy into the tidal peritoneal dialysis therapy.

16. The system of claim 8, wherein the logic implementer is configured to convert the CCPD therapy into the tidal peritoneal dialysis therapy using a parameter determined during the CCPD therapy.

17. A method of performing a peritoneal dialysis therapy comprising:

enabling a dialysis machine to be programmed to perform a continuous cycling peritoneal dialysis (“

CCPD”

) therapy;

enabling the dialysis machine, including a central processing unit (“

CPU”

) and a pump controller operable with the CPU, to control at least one dialysis fluid pump to perform the programmed CCPD therapy;

enabling the dialysis machine to convert the CCPD therapy into a tidal peritoneal dialysis therapy using information from the programmed CCPD therapy; and

enabling the dialysis machine to control the at least one dialysis fluid pump to perform the tidal peritoneal dialysis therapy.

18. The method of claim 17, wherein enabling the CCPD therapy to be converted into the tidal peritoneal dialysis therapy includes using a total prescribed fresh dialysate fill volume from the CCPD therapy for the tidal peritoneal dialysis therapy.

19. The method of claim 17, which includes enabling either the CCPD therapy or the tidal peritoneal dialysis therapy to be selected for treatment prior to at least one of:

(i) an initial drain phase or (ii) an initial fill phase.

20. The method of claim 17, wherein enabling the CCPD therapy to be converted into the tidal peritoneal dialysis therapy includes enabling a user to select to add one or more fill, dwell and drain cycle to the number of cycles specified by the CCPD therapy.

21. The method of claim 17, wherein enabling the CCPD therapy to be converted into the tidal peritoneal dialysis therapy includes automatically calculating a tidal drain volume, which is a lesser percentage of a complete drain volume.