Method and apparatus for purified pulse peritoneal dialysis using a single pump

• US 5,641,405 A
• Filed: 02/28/1996
• Issued: 06/24/1997
• Est. Priority Date: 06/17/1994
• Status: Expired due to Term

• Current Assignee: Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Emerson, Paul Frederick, Ruan, Jian, Keshaviah, Prakash R.
• Primary Examiner(s): Kim, John
• Application Number:
  US08/613,777
• Time in Patent Office: 482 Days
• Field of Search: 210/195.1, 210/85, 210/195.2, 210/86, 210/97, 210/252, 210/258, 210/90, 210/321.65, 210/321.71, 210/416.1, 210/645, 210/646, 210/739, 210/741, 210/805, 210/929, 604/4, 604/28, 604/29, 604/30, 604/53, 604/65, 604/67
• US Class Current: 210/645
• CPC Class Codes: A61M 1/1611 Weight of the patient
• CPC Class Codes: A61M 1/1643 with weighing of fresh and used dialysis fluid
• CPC Class Codes: A61M 1/1696 with dialysate regeneration
• 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 2205/3393 by weighing the reservoir
• CPC Class Codes: Y10S 210/929 Hemoultrafiltrate volume measurement or control processes

Abstract

The present invention provides an improved peritoneal dialysis method and system. The system comprises a single catheter that is placed in the patient, a source of dialysate, and a diatyzer in fluid communication with the source of dialysate and the catheter. The system includes a single fluid pump in fluid communication with the source of dialysate and the catheter. The single pump is capable of pumping the dialysate into and out of the patient and back to the source of dialysate. The method includes the steps of placing a single catheter in a peritoneum of the patient, providing a source of dialysate, coupling the source of dialysate in fluid communication with the catheter on a single fluid circuit, pumping the dialysate from the source of dialysate into and out of the peritoneum using a single pump in the single fluid circuit.

Claims

1. A system including only one pump for providing peritoneal dialysis to a patient comprising:

a single catheter that is placed in the patient and is coupled to an end of a first fluid line of a single fluid circuit;

a source of dialysate that is coupled to an end of a second fluid line of the single fluid circuit;

a dialyzer that is in fluid communication with the first and second fluid lines and thereby with the source of dialysate and the catheter; and

a single pump positioned in the single fluid circuit between the source of dialysate and the single catheter and comprising the only means for pumping the dialysate from the source of dialysate into and out of the patient, through the dialyzer and back to the source of dialysate.

2. The system of claim 1 including a force transducer coupled to the source of dialysate for monitoring the amount of dialysate present.

3. The system of claim 1 wherein the pump is a reversible roller pump.

4. The system of claim 1 including a pressure sensor in fluid communication with the pump.

5. The system of claim 1 wherein the pump is a personal cycler.

6. A method for dialyzing a patient comprising the steps of:

placing a single catheter in a peritoneum of the patient;

providing a source of dialysate;

coupling the source of dialysate in fluid communication with the catheter on a single fluid circuit, the dialysate passing from the source of dialysate through a dialyzer to be dialyzed before reaching the catheter; and

pumping the dialysate in the single fluid circuit from the source of dialysate into and out of the peritoneum and through the dialyzer using a single pump.

7. The method of claim 6 including coupling the source of dialysate to a force transducer for monitoring the amount of dialysate present.

8. The method of claim 6 including the step of using as the pump a reversible roller pump.

9. The method of claim 6 including placing a pressure sensor in fluid communication with the pump.

10. The method of claim 6 wherein the dialysate is purified twice, once when passing from the source of dialysate through the dialyzer to the patient, and once when being pumped out of the peritoneum through the dialyzer to the source of dialysate.

11. The method of claim 6 including the step of coupling the source of dialysate to a personal cycler for pumping the dialysate.

12. The method of claim 6 including the step of using a pressure sensor to monitor the pressure in the single fluid circuit.

13. The method of claim 6 including the step of using a dual proportioning system to provide non-sterile dialysate.

14. The method of claim 6 including the step of using a single double threaded peristaltic pump to pump non-sterile dialysate.

15. A method for dialyzing a patient comprising the steps of:

placing a single catheter in a patient;

coupling the catheter to a source of dialysate using a single fluid circuit;

placing in the single fluid circuit a dialyzer;

providing and positioning a single pump in the single fluid circuit to pump dialysate from the source of dialysate into and out of the patient; and

causing the dialysate to flow through the dialyzer as it is pumped with the single pump into the patient from the source of dialysate; and

when it is pumped out of the patient to the source of dialysate.

16. The method of claim 15 including coupling the source of dialysate to a force transducer for monitoring the amount of dialysate present.

17. The method of claim 15 including the step of using as the pump a reversible roller pump.

18. The method of claim 15 including placing a pressure sensor in fluid communication with the pump.

19. The method of claim 15 including the step of coupling the source of dialysate to a personal cycler for pumping the dialysate.

20. The method of claim 15 including the step of using a pressure sensor to monitor the pressure in the single fluid circuit.