System and method for delivering a target volume of fluid

• US 9,561,317 B2
• Filed: 06/05/2014
• Issued: 02/07/2017
• Est. Priority Date: 04/11/2002
• Status: Active Grant

• Current Assignee: Deka Products Limited Partnership
• Original Assignee: Deka Products Limited Partnership
• Inventors: Distler, Carl R., Distler, Gregory L., Demers, Jason A., Spencer, Geoffrey P., Bryant, Robert J. Jr.
• Primary Examiner(s): Hayman, Imani
• Assistant Examiner(s): Shah, Nilay
• Application Number:
  US14/297,219
• Publication Number:
  US 20140288490A1
• Time in Patent Office: 978 Days
• US Class Current: 1/1
• 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 1/1562 Details of incorporated reservoirs
• 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 2205/123 with incorporated reservoirs
• CPC Class Codes: A61M 2205/128 with incorporated valves
• CPC Class Codes: A61M 2205/3396 Reservoirs being alternately filled and emptied for measuring flow rate or delivered volume
• CPC Class Codes: A61M 2210/1017 Peritoneal cavity
• CPC Class Codes: A61M 39/22 Valves or arrangement of valves A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405
• CPC Class Codes: A61M 5/16804 Flow controllers
• CPC Class Codes: A61M 5/16827 controlling delivery of multiple fluids, e.g. sequencing, mixing or via separate flow-paths infusion of multiple fluids without using a controller A61M5/1407
• CPC Class Codes: A61M 5/16831 Monitoring, detecting, signalling or eliminating infusion flow anomalies low-level float-valves causing cut-off A61M5/40; indicating or recording presence, absence or direction of flow in general G01P13/0066
• CPC Class Codes: A61M 5/16881 Regulating valves on-off valves, e.g. clamps A61M39/28

Abstract

A method for delivering a target volume of fluid to a destination is provided. The method includes delivering a first volume of fluid to the destination in increments each having approximately a first incremental volume, the first volume of fluid being less than the target volume and delivering a second volume of fluid to the destination in increments each having approximately a second incremental volume, the second incremental volume being less than the first incremental volume, such that the sum of the first volume and the second volume is approximately equal to the target volume.

Claims

1. A dialysis system for delivering a target volume of a fluid to a destination, the system comprising:

a user interface, the user interface configured to allow user selection of a mode from a plurality of user selectable modes, one of the plurality of user selectable modes being a low volume delivery mode which limits the target volume to a predetermined range;

a flow control module configured to pneumatically act on a delivery set to direct fluid flow through the delivery set, the delivery set having one or more pumping chambers and one or more valve arrangements for controlling fluid communication throughout the system; and

a controller configured for controlling how much of the fluid is delivered to the destination, controlling the one or more valve arrangements, and controlling the fluid control module, the controller configured for executing each of the plurality of delivery modes,

wherein when in the low volume delivery mode, the controller is configured to command the flow control module to deliver a first volume of the fluid to the destination and a second volume of the fluid to the destination, the sum of the first volume of the fluid and the second volume of the fluid approximately equal to the target volume, and the controller is configured to command the flow control module to deliver the first volume of the fluid in increments each having approximately a first incremental volume, and for delivering the second volume of the fluid to the destination in increments each having approximately a second incremental volume, the second incremental volume being less than the first incremental volume.

2. The dialysis system of claim 1, wherein the predetermined range is chosen from values between 40 ml and 1200 ml.

3. The dialysis system of claim 1, wherein the predetermined range is between 60 ml and 1000 ml.

4. The dialysis system of claim 1, wherein the one or more pumping chambers comprise a first pumping chamber and a second pumping chamber, each of the first pumping chamber and the second pumping chamber including a flexible membrane.

5. The dialysis system of claim 1, wherein the user interface includes a control pad, the control pad configured for use by a user to navigate and select one of the plurality of user selectable modes.

6. The dialysis system of claim 5, wherein the control pad includes a key or a keypad.

7. The dialysis system of claim 1, wherein the user interface includes a display.

8. The system of claim 1, wherein the destination is a mammalian subject.

9. The system of claim 1, wherein the destination is a peritoneal cavity of a mammalian subject.

10. The system of claim 1, wherein the destination is an anatomical cavity of a mammalian subject.

11. A dialysis system for delivering a target volume of a fluid to a destination, said system comprising:

a flow control module configured to act upon a delivery set to deliver the fluid; and

a controller configured to control the flow control module in each of a plurality of delivery modes, the delivery modes being selectable via an interface configured to allow a selection of a desired delivery mode from the plurality of delivery modes, the plurality of delivery modes including a low volume delivery mode,

wherein when in the low volume delivery mode, the controller is configured to command the flow control module to deliver a first volume of the fluid to the destination and a second volume of the fluid to the destination, the sum of the first volume of the fluid and the second volume of the fluid approximately equal to the target volume, the controller is configured to command the flow control module to deliver the first volume of the fluid in increments each having approximately a first incremental volume, and for delivering the second volume of the fluid to the destination in increments each having approximately a second incremental volume, the second incremental volume being less than the first incremental volume.

12. The system of claim 11, wherein the flow control module is configured to pneumatically act upon the delivery set.

13. The system of claim 11, wherein the flow control module includes at least one pressure reservoir.

14. The system of claim 13, wherein the flow control module includes at least a positive pressure reservoir and a negative pressure reservoir.

15. The system of claim 11, wherein the delivery set includes a cassette.

16. The system of claim 11, wherein the delivery set includes a first pumping chamber and a second pumping chamber.

17. The system of claim 11, wherein the delivery set includes a valve arrangement for controlling fluid communication throughout the system.

18. The system of claim 17, wherein the controller is further configured for controlling the valve arrangement.

19. The system of claim 11, wherein the controller is configured for controlling how much of the fluid is delivered to the destination.

20. The system of claim 11, wherein the low volume delivery mode limits the target volume to a predetermined range.

21. The system of claim 20, wherein the predetermined range is chosen from values between 40 ml and 1200 ml.

22. The system of claim 20, wherein the predetermined range is 60 ml-1000 ml.

23. The system of claim 11, wherein the interface includes a control pad, the control pad configured for use by a user to navigate and select one of the plurality of selectable modes.

24. The system of claim 23, wherein the control pad includes a key or keypad.

25. The system of claim 11, wherein the interface includes a display.

26. The system of claim 11, wherein the dialysis system is a peritoneal dialysis system.

27. The system of claim 11, wherein the system measures volume delivered with a volume measurement system.

28. The system of claim 27, wherein the volume measurement system includes a pressure transducer.

29. The system of claim 11, wherein the system further comprises one or more pressure transducers in the flow control module to provide pressure data allowing the controller to measure volume delivered.

30. A dialysis system for delivering a target volume of a fluid to a destination, the system comprising:

a flow control module configured to pneumatically act on a delivery set to direct fluid flow through the delivery set, the delivery set having at least a first pumping chamber having a first chamber volume, a second pumping chamber having a second chamber volume, and a valve arrangement for controlling fluid communication throughout the system;

a controller configured for controlling how much of the fluid is delivered to the destination, controlling the valve arrangement, and controlling the fluid control module, the controller configured to operate in;

a first mode to command the flow control module to conduct a number of pumping strokes to pump the fluid from the first or the second pumping chamber, each pumping stroke delivering approximately the respective volume of the first pumping chamber or the second pumping chamber; and

a targeting mode after completion of the first mode, the targeting mode to command the flow control module to perform one or more targeting strokes, each targeting stroke delivering a predetermined portion of the respective volume of the first pumping chamber or the second pumping chamber;

wherein the predetermined portion delivered by each targeting stroke is less than the volume delivered with a pumping stroke.

31. The system of claim 30, wherein the system measures volume delivered from the first pumping chamber and the second pumping chamber with a volume measurement system.

32. The system of claim 31, wherein the volume measurement system includes a pressure transducer.

33. The system of claim 30, wherein the flow control module includes one or more pressure reservoir.

34. The system of claim 33, wherein the flow control module includes at least a positive pressure reservoir and a negative pressure reservoir.

35. The system of claim 30, wherein the destination is a peritoneal cavity.

36. The system of claim 30, wherein the first mode is further configured to conduct the pumping strokes such that each of the first pumping chamber and the second pumping chamber fill and deliver in sync.

37. The system of claim 30, wherein the controller is further configured to monitor a cumulative delivery volume and switch from the first mode to the targeting mode upon determination that the cumulative volume exhibits a predetermined characteristic.

38. The system of claim 37, wherein the controller is further configured to separately measure volume pumped through each of the first pumping chamber and the second pumping chamber.

39. The system of claim 38, wherein upon the determination that the cumulative volume exhibits the predetermined characteristic, the flow control module begins performing targeting strokes on whichever of the first or the second pumping chamber has delivered the least amount of the fluid.

40. The system of claim 37, wherein the predetermined characteristic of the cumulative volume is a characteristic in which the cumulative volume is within a predetermined range of the target volume.

41. The system of claim 30, wherein the first pumping chamber and the second pumping chamber each comprise a flexible membrane.

42. The system of claim 30, wherein the system is a peritoneal dialysis system.

43. The system of claim 30, wherein the system further comprises a volume measuring means, the volume measuring means configured to measure volume delivered from the first pumping chamber and the second pumping chamber.

44. A dialysis system for delivering a target volume of a fluid to a destination, the system comprising:

a flow control module configured to act on a delivery set to deliver the fluid;

a controller configured for controlling the fluid control module, the controller configured to operate in;

a first mode to command the flow control module to conduct a number of pumping strokes to pump the fluid from a first pumping chamber or a second pumping chamber of the delivery set, each pumping stroke delivering approximately the respective volume of the first pumping chamber or the second pumping chamber, the first mode configured to monitor a cumulative delivery volume and switch to a targeting mode upon determination that the cumulative volume exhibits a predetermined characteristic;

wherein the targeting mode commands the flow control module to perform one or more targeting strokes until the target volume has been approximately delivered, each targeting stroke delivering a predetermined portion of the respective volume of the first pumping chamber or the second pumping chamber, the predetermined portion delivered by each targeting stroke being less than the volume delivered with a pumping stroke.

45. The system of claim 44, wherein the one or more targeting strokes is performed on a single pump chamber of the first pump chamber and the second pump chamber.

46. The system of claim 45, wherein the single chamber of the first pumping chamber and the second pumping chamber is the pumping chamber to have delivered the least fluid.

47. The system of claim 44, wherein the predetermined characteristic of the cumulative volume is a characteristic in which the cumulative volume is within a predetermined range of the target volume.

48. The system of claim 44, wherein the cumulative volume delivered by the one or more targeting strokes is less than the cumulative volume delivered by the number of pumping strokes.

49. The system of claim 44, wherein the flow control module pneumatically acts upon the delivery set to deliver the fluid.

50. The system of claim 44, wherein the flow control module includes a pressure reservoir.

51. The system of claim 44, wherein the flow control module includes a positive pressure reservoir and a negative pressure reservoir.

52. The system of claim 44, wherein the system is configured to measure volume delivered from the first pumping chamber and the second pumping chamber via a volume measurement system.

53. The system of claim 52, wherein the volume measurement system includes a pressure transducer.

54. The system of claim 44, wherein when in the first mode the controller is configured to conduct the number of pumping strokes such that each of the first pumping chamber and the second pumping chamber fill and deliver in sync.

55. The system of claim 44, wherein the delivery set includes a valve arrangement for controlling fluid communication throughout the system.

56. The system of claim 55, wherein the controller is further configured for controlling the valve arrangement.

57. The system of claim 44, wherein the controller is configured for controlling how much of the fluid is delivered to the destination.

58. A fluid pumping system for delivering a predetermined volume to a destination, said system comprising:

a user interface to input a predetermined volume within a range, wherein a sub range of the range corresponds to a low-volume mode;

a cassette with one or more pumping chambers configured to operate in accordance with a selected input;

a volume measurement device in operative communication with the one or more pumping chamber and configured to estimate successive volumes of fluid that flow through the pumping chambers;

a controller configured to compare a sum of the successive volumes of fluid flowing through the pumping chambers with the predetermined volume, wherein said comparison determines whether the controller directs the operation of a single one of the one or more pumping chambers, such that said single pumping chamber delivers the fluid in a volume that is less than each of said successive volumes of fluid in order to deliver said predetermined volume to said destination.

59. The system according to claim 58, wherein the comparison is a function of the predetermined volume.

60. The system according to claim 59, wherein the comparison is whether another successive volume is greater than a remaining fluid to be infused to achieve the predetermined volume.