Abstract:
An extracorporeal therapy machine removes blood from a patient in order to treat the blood and then return the blood to the patient. If the removal needle or the return needle is dislodged and blood is not returned, the patient may suffer a great blood loss. A new technique for detecting dislodgement uses the normal, initial values of a plurality of parameters of the patient and the therapy machine to set criteria or limits for an alarm, and then adjusts those criteria based on the later values of those parameters as they change during one therapy or over several therapies experienced by the patient.
Abstract:
A dialysate testing method in one embodiment includes placing electrical contacts in a dialysate flow path, measuring an electrical property of the dialysate as it flows through the flow path and past the contacts, and determining whether the dialysate has been mixed properly from the detected electrical property. A dialysate testing method in another embodiment includes flowing dialysate past a pair of electrical contacts, calculating a conductivity of the dialysate using an algorithm that takes into account a geometry of the contacts, and using the calculated conductivity to determine if the dialysate has been removed properly.
Abstract:
A blood detection system is used to detect blood in a patient undergoing an extracorporeal blood therapy, such as hemodialysis or apheresis. The blood detection system uses a digital video device, which may be a camera, such as a standard digital video camera, a low light camera, an infrared camera, or a night vision camera. The digital image is sent to a computer with image processing and pattern recognition software. The software is used to detect whether a pool of blood is forming at the access site. The system is able to detect a pool of blood atop the access site, such as when a leak or a dislodgement of a needle occurs. The system is also able to detect pooling of blood under the skin, as a result, for instance, infiltration of an arteriovenous fistula.
Abstract:
An access disconnection system includes an extracorporeal circuit; first and second contacts provided in the extracorporeal circuit; a current source communicating with the first contact and configured to generate a current within fluid flowing through the extracorporeal circuit; and an apparatus positioned to apply a signal at multiple points along a path from the extracorporeal circuit, the signals tending to prevent at least a portion of the current from traveling through a ground path in parallel to the extracorporeal circuit.
Abstract:
A system and method for balancing flows of renal replacement fluid is disclosed. The method uses pressure controls and pressure sensing devices to more precisely meter and balance the flow of fresh dialysate and spent dialysate. The balancing system may use one or two balancing devices, such as a balance tube, a tortuous path, or a balance chamber.
Abstract:
A dialysis system instrument includes a dialysis instrument (10), a disposable pumping and valving cassette apparatus (30) operable with pumping and valving actuators of the dialysis instrument, the disposable cassette (50) including an electronic cell (100c) and electronics associated with the electronic cell, the electronics configured to determine an electrical property of a solution flowing through the electronic cell of the disposable apparatus.
Abstract:
A dialysate testing method in one embodiment includes placing electrical contacts in a dialysate flow path, measuring an electrical property of the dialysate as it flows through the flow path and past the contacts, and determining whether the dialysate has been mixed properly from the detected electrical property. A dialysate testing method in another embodiment includes flowing dialysate past a pair of electrical contacts, calculating a conductivity of the dialysate using an algorithm that takes into account a geometry of the contacts, and using the calculated conductivity to determine if the dialysate has been removed properly.
Abstract:
A dialysis system instrument includes a dialysis instrument (10), a disposable pumping and valving cassette apparatus (30) operable with pumping and valving actuators of the dialysis instrument, the disposable cassette (50) including an electronic cell (100c) and electronics associated with the electronic cell, the electronics configured to determine an electrical property of a solution flowing through the electronic cell of the disposable apparatus.
Abstract:
A kidney failure treatment system includes: (i) a dialysate supply; (ii) a weighing device; a control container coupled operably to the weighing device; (iii) a diffusion membrane; (iv) a drain; first and second pumps; (v) a first fluid conduit coupled fluidly to the dialysate supply and the diffusion membrane, the first fluid conduit coupled operably to the first pump; (vi) a second fluid conduit coupled fluidly to the control container and the drain, the second fluid conduit coupled operably to the first pump; and (vii) a third fluid conduit coupled fluidly to the diffusion membrane and the control conduit, the third fluid conduit coupled operably to the second pump.