Method and apparatus for controlling the circulation of blood in a single needle circuit

• US 5,318,511 A
• Filed: 02/05/1992
• Issued: 06/07/1994
• Est. Priority Date: 02/06/1991
• Status: Expired due to Term

• Current Assignee: Industries Gambro
• Original Assignee: Hospal Industrie
• Inventors: Chevallet, Jacques, Riquier, Jean-Claude
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): RIMELL, SAMUEL G
• Application Number:
  US07/831,536
• Time in Patent Office: 853 Days
• Field of Search: 604/4-6, 604/19, 604/27, 604/28, 604/29, 604/30, 210/87, 210/646
• US Class Current: 604/6.05
• CPC Class Codes: A61M 1/30 Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/302 having a reservoir for withdrawn untreated blood
• CPC Class Codes: A61M 1/303 having a reservoir for treated blood to be returned
• CPC Class Codes: A61M 1/306 Pressure control, e.g. using substantially rigid closed or gas buffered or elastic reservoirs
• CPC Class Codes: A61M 1/3639 Blood pressure control, pressure transducers specially adapted therefor
• CPC Class Codes: A61M 2205/3382 Upper level detectors
• CPC Class Codes: A61M 2205/3386 Low level detectors

Abstract

A single needle extracorporeal blood circuit for connection to a blood treatment device includes an arterial portion having an arterial reservoir, an end for connection to the needle, an end for connection to the blood treatment device, and a first valve for flow communicating the needle with the arterial reservoir. The blood circuit also includes a venous portion having a venous reservoir, an end for connection to the blood treatment device, an end for connection to the needle, and a second valve for flow communicating the needle with the venous reservoir. Detectors monitor quantities of liquid in the arterial and venous reservoirs so that the first valve is opened in response to the presence of a first predetermined quantity of liquid in the arterial reservoir or a second predetermined quantity of liquid in the venous reservoir. Similarly, the second valve is opened in response to the presence of either a third predetermined quantity of liquid in the arterial reservoir or a fourth predetermined quantity of liquid in the venous reservoir.

Claims

1. A single needle extracorporeal blood circuit for connection to a blood treatment device, the blood circuit comprising:

an arterial portion having a first end for connection to the needle and a second end for connection to the blood treatment device, the arterial portion including an arterial reservoir;

a venous portion having a first end for connection to the blood treatment device and a second end for connection to the needle, the venous portion including a venous reservoir;

valve means actuate between a first position for flow communicating the needle with the arterial reservoir, and a second position for flow communicating the needle with the venous reservoir;

means for monitoring quantities of liquid in the arterial reservoir and in the venous reservoir; and

a controller including first means for actuating the valve means to the first position in response to detection by the monitoring means of a first predetermined quantity of liquid in the arterial reservoir and for actuating the valve means to the first position in response to detection of a second predetermined quantity of liquid in the venous reservoir, and second means for actuating the valve means to the second position in response to detection by the monitoring means of a third predetermined quantity of liquid in the arterial reservoir and for actuating the valve means to the second position in response to detection of a fourth predetermined quantity of liquid in the venous reservoir.

2. A single needle extracorporeal blood circuit as set forth in claim 1 wherein the first and second predetermined quantities are predetermined minimum quantities for the respective arterial and venous reservoirs, and the third and fourth quantities are predetermined maximum quantities for the respective arterial and venous reservoirs.

3. A single needle extracorporeal blood circuit as set forth in claim 1 wherein the monitoring means includes pressure sensing means for determining the quantity of liquid in each of the arterial and venous reservoirs based upon the pressure in the reservoirs.

4. A single needle extracorporeal blood circuit as set forth in claim 3 wherein the pressure sensing means includes a first pressure detector connected to the arterial reservoir and a second pressure detector connected to the venous reservoir.

5. A single needle extracorporeal blood circuit as set forth in claim 1 wherein the monitoring means includes a high level detector and a low level detector associated with each of the arterial and venous reservoirs.

6. A single needle extracorporeal blood circuit as set forth in claim 1 further including pump means for moving liquid through the circuit.

7. A single needle extracorporeal blood circuit as set forth in claim 1 further including means for introducing a gas into the arterial and venous reservoirs.

8. A single needle extracorporeal blood circuit as set forth in claim 7 wherein the gas introducing means includes a pump.

9. A single needle extracorporeal blood circuit as set forth in claim 8 wherein the gas introducing means also includes a distributor for selectively flow communicating the pump with the arterial and venous reservoirs.

10. A single needle extracorporeal blood circuit as set forth in claim 1 wherein the valve means includes a first valve and a second valve, the first valve being disposed in the arterial portion and the second valve being disposed in the venous portion.

28. A single needle extracorporeal blood circuit as set forth in claim 1 wherein the monitoring means includes level detector means for determining quantities of liquid in each of the arterial and venous reservoirs.

11. A method for controlling a single needle extracorporeal blood circuit for attachment to a blood treatment device, the method comprising the steps of:

monitoring a blood quantity in an arterial reservoir disposed in the blood circuit;

monitoring a blood quantity in a venous reservoir disposed in the blood circuit;

initiating blood flow from a patient to the arterial reservoir when a first predetermined quantity of blood is detected in the arterial reservoir;

initiating blood flow from a patient to the arterial reservoir when a second predetermined quantity of blood is detected in the venous reservoir;

initiating blood flow from the venous reservoir to the patient when a third predetermined quantity of blood is detected in the arterial reservoir; and

initiating blood flow from the venous reservoir to the patient when a fourth predetermined quantity of blood is detected in the venous reservoir.

12. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 11 wherein the first and second predetermined quantities are predetermined minimum quantities for the respective arterial and venous reservoirs, and the third and fourth quantities are predetermined maximum quantities for the respective arterial and venous reservoirs.

13. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of determining the quantity of liquid in the venous reservoir when the first predetermined quantity is detected in the arterial reservoir, and modifying the quantity of gas in at least one of said arterial and venous reservoirs if the determined quantity of liquid in the venous reservoir is not substantially equal to the second predetermined quantity.

14. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of adding a quantity of gas to either of the arterial or venous reservoirs if the maximum predetermined liquid quantity is attained in one of the reservoirs before the maximum predetermined liquid quantity is attained in the other of said reservoirs.

15. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of withdrawing a quantity of gas from either of the arterial or venous reservoirs if the maximum predetermined liquid quantity is attained in one of the reservoirs before the maximum predetermined liquid quantity is attained in the other of said reservoirs.

16. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 13 wherein the gas is air.

17. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of adding a quantity of gas to either of the arterial or venous reservoirs if the minimum predetermined quantity is attained in one of the reservoirs before the minimum predetermined quantity is attained in the other of said reservoirs.

18. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of withdrawing a quantity of as from either of the arterial or venous reservoirs if the minimum predetermined quantity is attained in one of the reservoirs before the minimum predetermined quantity is attained in the other of said reservoirs.

19. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 14 wherein the gas is air.

20. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 11 wherein the step of monitoring the blood level in the reservoirs includes the substep of determining the pressures in each of the reservoirs.

21. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of determining the quantity of liquid in the arterial reservoir when the second predetermined quantity is detected in the venous reservoir, and modifying the quantity of gas in at least one of said arterial and venous reservoirs if the determined quantity of liquid in the arterial reservoir is not substantially equal to the first predetermined quantity.

22. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of determining the quantity of liquid in the venous reservoir when the third predetermined quantity is detected in the arterial reservoir, and modifying the quantity of gas in at least one of said arterial and venous reservoirs if the determined quantity of liquid in the venous reservoir is not substantially equal to the fourth predetermined quantity.

23. A method for controlling a single needle extracorporeal blood circuit as set forth in claim 12 further including the step of determining the quantity of liquid in the arterial reservoir when the fourth predetermined quantity is detected in the venous reservoir, and modifying the quantity of gas in at least one of said arterial and venous reservoirs if the determined quantity of liquid in the arterial reservoir is not substantially equal to the third predetermined quantity.

24. A method for controlling a single needle extracorporeal blood circuit for attachment to a blood treatment device, the method comprising the steps of:

(a) monitoring the blood level in a arterial reservoir disposed in the blood circuit;

(b) monitoring the blood level in a venous reservoir disposed in the blood circuit;

(c) initiating blood flow from a patient to the arterial reservoir when a first predetermined quantity of blood is detected in the arterial reservoir;

(d) initiating blood flow from a patient to the arterial reservoir when a second predetermined quantity of blood is detected in the venous reservoir;

(e) initiating blood flow for the venous reservoir to the patient when a third predetermined quantity of blood is detected in the arterial reservoir;

(f) initiating blood flow from the venous reservoir to the patient when a fourth predetermined quantity of blood is detected in the venous reservoir;

(g) varying an amount of gas in at least one of the arterial and venous reservoirs if one of the first and second predetermined quantities is reached before the other of said first and second predetermined quantities is reached; and

(h) varying an amount of gas in at least one of the arterial and venous reservoirs if one of the third and fourth predetermined quantities is reached before the other of said third and fourth predetermined quantities is reached.

25. A method as set forth in claim 24 wherein step (g) sequentially follows at least one of steps (c) and (d), and step (h) sequentially follows at least one of steps (e) and (f).

26. A method as set forth in claim 24 wherein the gas is varied in step (g) in order for the other of said first and second predetermined quantities to be reached.

27. A method as set forth in claim 24 wherein the gas is varied in step (h) in order for the other of said third and fourth predetermined quantities to be reached.