Gravity flow fluid balance system

• US 4,994,026 A
• Filed: 08/31/1988
• Issued: 02/19/1991
• Est. Priority Date: 08/31/1988
• Status: Expired due to Fees

• Current Assignee: Minntech Corporation
• Original Assignee: W R Grace & Company - CONN (WR Grace & Company)
• Inventors: Fecondini, Luciano
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): Lewis, Ralph A.
• Application Number:
  US07/238,903
• Time in Patent Office: 902 Days
• Field of Search: 604/4-6, 604/29-31, 604/65
• US Class Current: 604/29
• CPC Class Codes: A61M 1/1643 with weighing of fresh and used dialysis fluid
• CPC Class Codes: A61M 1/3441 Substitution rate control as a function of the ultrafiltration rate
• CPC Class Codes: A61M 1/3451 the difference in weight between both ultra-filtrate and substitution reservoir being used as control signal
• CPC Class Codes: A61M 2209/082 Mounting brackets, arm supports for equipment
• CPC Class Codes: A61M 5/16895 by monitoring weight change, e.g. of infusion container

Abstract

Disclosed is a gravity flow fluid balancing system that includes an infusion line to transport an infusate from an infusate supply to a patient'"'"'s body and an ultrafiltrate line for transporting ultrafiltrate from the body to an ultrafiltrate reservoir. The infusate and ultrafiltrate reservoirs are each connected to a load cell. The load cells are, in turn, connected to a control unit which compares the readings received from the load cells. A clamp, which is controlled by the control unit, controls the flow out of the infusate reservoir into the patient'"'"'s body. Control of the clamp and fluid flow through the system can be regulated on a weight change basis (infusate - ultrafiltrate) or on an infusion basis.

Claims

1. A system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body comprising:

an infusate reservoir for storing a supply of infusate;

means for transporting infusate from said infusate reservoir to the human body;

an ultrafiltrate reservoir for storing a supply of ultrafiltrate;

means for transporting a fluid from the human body to said ultrafiltrate reservoir, said means for transporting fluid including a means for filtering said fluid to obtain an ultrafiltrate;

means for monitoring said infusate transported out of said infusate reservoir and the fluid transported to said ultrafiltrate reservoir by determining weight changes of said infusate reservoir and said ultrafiltrate reservoir;

means for controlling the infusate transported out of said infusate reservoir based on a rate of weight change over time, said rate of weight change being equal to a rate of change over time in the weight of said infusate reservoir minus a rate of change over time in the weight of said ultrafiltrate reservoir.

2. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 wherein said infusate reservoir is a bag supported at a height above the human body.

3. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 wherein said means for transporting infusate comprises tubing of a length at least equal to the distance from said infusate supply to the human body and wherein said means for controlling the transported infusate or fluid comprises a closeable clamp mounted around said tubing.

4. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 3 further comprising a processor for generating signals to control operation of said clamp in order to control the quantity of infusate transported from said infusate reservoir to the human body.

5. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 4 wherein said means for monitoring the transported infusate and fluid comprises two load cells, one of said load cells being connected to said infusate reservoir to determine the weight of said infusate reservoir and the other of said load cells being connected to said ultrafiltrate reservoir to determine the weight of said ultrafiltrate reservoir, said load cells providing signals indicating the weight of said reservoirs to said processor.

6. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 wherein said means for monitoring the transported infusate and fluid comprises two load cells, one of said load cells being connected to said infusate reservoir to determine the weight of said infusate reservoir and the other of said load cells being connected to said ultrafiltrate reservoir to determine the weight of said ultrafiltrate reservoir.

7. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 4 wherein said means for monitoring the transported fluid further comprises a processor and means for providing weight-indicating signals to said processor from said load cells, said processor including means for calculating said rate of change in the weight of said infusate reservoir using a weight-indicating signal from said load cell connected to said infusate reservoir and means for calculating said rate of change in the weight of said ultrafiltrate reservoir using a weight-indicating signal from said load cell connected to said ultrafiltrate reservoir.

8. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 further comprising means for setting a limit on a total weight change between said infusate reservoir and said ultrafiltrate reservoir.

9. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 further comprising means for setting a minimum rate of flow of ultrafiltrate into said ultrafiltrate reservoir to be achieved by the system.

10. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 wherein said ultrafiltrate reservoir is a bag supported at a height below the human body.

11. The system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body of claim 1 further comprising means for displaying rates at which the weight of said infusate reservoir and of said ultrafiltrate reservoir change over time, said means for displaying including means for periodically changing the displayed rate with the changed rate being the average rate during a pre-set time interval if the changed rate is within a pre-selected range, and if the changed rate is outside said pre-selected range, the changed rate being the average rate during a shorter pre-set time interval.

12. A system for monitoring and controlling the infusion and removal of fluids travelling by gravity to a human body comprising:

an infusate reservoir for storing a supply of infusate;

means for transporting infusate from said infusate reservoir to the human body;

an ultrafiltrate reservoir for storing a supply of ultrafiltrate;

means for transporting a fluid from the human body to said ultrafiltrate reservoir, and means for transporting fluid including a means for filtering said fluid to obtain an ultrafiltrate;

means for monitoring said infusate transported out of said infusate reservoir and the fluid transported to said ultrafiltrate reservoir by determining weight changes of said infusate reservoir and said ultrafiltrate reservoir;

means for controlling the infusate transported out of said infusate reservoir based on a rate of weight change over time, said rate of weight change being equal to a rate of change over time in the weight of said infusate reservoir minus a rate of change over time in the weight of said ultrafiltrate reservoir;

means for controlling infusate transported out of said infusate reservoir based on a rate of flow of infusate over time from said infusate reservoir;

means for enabling either said means for controlling transported infusate based on said rate of weight change or said means for controlling transported infusate based on said rate of flow of infusate.