Abstract:
Components for a medical infusion fluid handling system, such as an APD system, in which one or more lines (such as solution lines), spikes or other connection ports may be automatically capped and/or de-capped. This feature may provide advantages, such as a reduced likelihood of contamination since no human interaction is required to de-cap and connect the lines, spikes or other connections. For example, a fluid handling cassette may include one or more caps that cover a corresponding spike and include a raised and/or recessed feature to assist in removal of the cap from the cassette. A solution line cap may include a hole and recess, groove or other feature to engage with a spike cap and enable removal of the cap.
Abstract:
Improvements in fluid volume measurement systems are disclosed for a pneumatically actuated diaphragm pump in general, and a peritoneal dialysis cycler using a pump cassette in particular. Pump fluid volume measurements are based on pressure measurements in a pump control chamber and a reference chamber in a two-chamber model, with different sections of the apparatus being modeled using a combination of adiabatic, isothermal and polytropic processes. Real time or instantaneous fluid flow measurements in a pump chamber of a diaphragm pump are also disclosed, in this case using a one-chamber ideal gas model and using a high speed processor to obtain and process pump control chamber pressures during fluid flow into or out of the pump chamber. Improved heater control circuitry is also disclosed, to provide added or redundant safety measures, or to reduce current leakage from a heater element during pulse width modulation control of the heater. Improvements are also disclosed in the application of negative pressure during a drain phase in peritoneal dialysis therapy, and to control the amount of intraperitoneal fluid accumulation during a therapy. Improvements in efficiency are also disclosed in the movement of fluid into and out of a two-pump cassette and heater bag of a peritoneal dialysis cycler, and in the synchronization of the operation of two or more pumps in a peritoneal dialysis cycler or other fluid handling devices using a multi-pump arrangement.
Abstract:
A medical treatment system, such as peritoneal dialysis system, may include control and other features to enhance patient comfort and ease of use. For example, a peritoneal dialysis system may include patient line state detector for detecting whether a patient line is primed before it is to be connected to the patient. The patient line state detector can also the ability to detect whether a patient line has been properly mounted for priming. Both patient line presence/absence and fill state can be determined using an optical system, e.g., one that employs a single optical sensor.
Abstract:
A medical treatment system, such as peritoneal dialysis system, may include control and other features to enhance patient comfort and ease of use. For example, a peritoneal dialysis system may include patient line state detector for detecting whether a patient line is primed before it is to be connected to the patient. The patient line state detector can also the ability to detect whether a patient line has been properly mounted for priming. Both patient line presence/absence and fill state can be determined using an optical system, e.g., one that employs a single optical sensor.
Abstract:
A fluid handling cassette (24), such as that useable with an APD cycler device or other infusion apparatus, may include a generally planar body having at least one pump chamber (181) formed as a depression in a first side of the body and a plurality of flowpaths for fluid that includes a channel. A patient line port may be arranged for connection to a patient line (34) and be in fluid communication with the at least one pump chamber via at least one flowpath, and an optional membrane (15) may be attached to the first side of the body over the at least one pump chamber. In one embodiment, the membrane may have a pump chamber portion (151) with an unstressed shape that generally conforms to the pump chamber depression in the body and is arranged to be movable for movement of fluid in the useable space of the pump chamber. One or more spacers (50) may be provided in the pump chamber to prevent a pump membrane from contacting an inner wall of the pump chamber. Patient, drain (28) and/or heater bag lines (26) may be positioned to be separately occludable in relation to one or more solution lines (30) that are connectable to the cassette.
Abstract:
A medical treatment system, such as peritoneal dialysis system, may include control and other features to enhance patient comfort and ease of use. For example, a peritoneal dialysis system may include a control system that can adjust the volume of fluid infused into the peritoneal cavity to prevent the intraperitoneal fluid volume from exceeding a pre¬ determined amount. The control system can adjust by adding one or more therapy cycles, allowing for fill volumes during each cycle to be reduced. The control system may continue to allow the fluid to drain from the peritoneal cavity as completely as possible before starting the next therapy cycle. The control system may also adjust the dwell time of fluid within the peritoneal cavity during therapy cycles in order to complete a therapy within a scheduled time period. The cycler may also be configured to have a heater control system that monitors both the temperature of a heating tray and the temperature of a bag of dialysis fluid in order to bring the temperature of the dialysis fluid rapidly to a specified temperature, with minimal temperature overshoot.
Abstract:
Methods and apparatus for concentration determination using polarized light. The apparatus includes a first polarized light source having a first light source polarization axis and a second polarized light source having a second light source polarization axis generally perpendicular to the first light source polarization axis. Also, a first polarized light receiver having a first polarized light receiver polarization axis and configured to measure an intensity of light transmitted from the first light receiver polarizer and a second polarized light receiver having a second polarized light receiver polarization axis substantially perpendicular to the first light receiver polarization axis and configured to measure an intensity of light transmitted from the second light receiver polarizer, wherein the first and second light receiver polarization axes are generally +/- 45 degrees relative to the first and second light source polarization axes.
Abstract:
An occluder, and methods for occlusion, that employs first and second opposed occluding members associated with each other, a tube contacting member connected to, or comprising at least a portion of, at least one of the first and second occluding members, and a force actuator constructed and positioned to apply a force to at least one of the first and second occluding members. Application of the force by the force actuator may cause the tube contacting member to move between a tube occluding and an open position. A release member may be configured and positioned to enable an operator to manually move the tube contacting member from the tube occluding position to the open position even with no force applied to the occluding member by the force actuator. In one embodiment, the force actuator may apply a force sufficient to bend both the first and second occluding members, so that upon application of the force by the force actuator (such as an air bladder), the first and second occluding members (e.g., spring plates pivotally connected at opposite ends) bend and the tube contacting member may move between a tube occluding and an open position.
Abstract:
Methods and apparatus for concentration determination using polarized light. The apparatus includes a first polarized light source having a first light source polarization axis and a second polarized light source having a second light source polarization axis generally perpendicular to the first light source polarization axis. Also, a first polarized light receiver having a first polarized light receiver polarization axis and configured to measure an intensity of light transmitted from the first light receiver polarizer and a second polarized light receiver having a second polarized light receiver polarization axis substantially perpendicular to the first light receiver polarization axis and configured to measure an intensity of light transmitted from the second light receiver polarizer, wherein the first and second light receiver polarization axes are generally +/−45 degrees relative to the first and second light source polarization axes.
Abstract:
Se describen mejoras en los sistemas de medición de volumen de fluido para una bomba de diafragma activada neumáticamente en general, y un ciclador de diálisis peritoneal que utiliza un casete de bomba en particular; las mediciones de volumen del fluido de la bomba se basan en las mediciones de presión en una cámara de control de la bomba y una cámara de referencia en un modelo de dos cámaras, con diferentes secciones del aparato estando diseñadas usando una combinación de procesos adiabáticos, isotérmicos y politrópicos; también se describen mediciones de flujo en tiempo real o instantáneas en una cámara de bomba de una bomba de diafragma, en este caso usando un modelo de gas ideal de una cámara y usando un procesador de alta velocidad para obtener y procesar las presiones de la cámara de control de la bomba durante el flujo de fluido hacia adentro o hacia afuera de la cámara de bomba; también se describe un sistema de circuitos de control de calentador mejorado para proporcionar mediciones de seguridad agregadas o redundantes o para reducir la fuga de corriente de un elemento de calentador durante el control de modulación de ancho de pulso del calentador; también se describen mejoras en la aplicación de presión negativa durante una fase de drenado en terapia de diálisis peritoneal y para controlar la cantidad de acumulación de fluido intraperitoneal durante una terapia; también se describen mejoras en eficiencia en el movimiento de fluido hacia adentro y hacia afuera de un casete de dos bombas y bolsa del calentador de un ciclador de diálisis peritoneal y en la sincronización de la operación de dos o más bombas en un ciclador de diálisis peritoneal u otros dispositivos de manejo de fluido que utilizan una disposición de múltiples bombas.