摘要:
An apparatus is described for automatically opening and dispensing the contents of a vessel, for example, a vessel containing dialysate chemicals for dispersion into a dialysate preparation tank. The apparatus comprises a housing having an open interior region, with the vessel mounted above the housing, and a spike reciprocable within the interior of the housing between upper and lower positions. The spike pierces the vessel when the spike is moved to the upper position. The spike has an upper spike element that pierces the bottle and an integral spike body concentric with the housing permitting passage of dialysate chemicals therethrough after the spike has pierced the vessel. A drive means is proved for moving the spike relative to the housing between the upper and lower positions, so as to control the operation of the spike and the automatic release of the contents of the vessel.
摘要:
A method is described for automatically testing the integrity of a dialyzer filter within a dialysis machine. The method consists of substantially removing fluids which may be present from the blood side of the dialyzer filter, pumping air into the blood side of the dialyzer filter with a blood pump to pressurize the dialyzer filter, and measuring the pressurization of the dialyzer filter. If the dialyzer filter pressurizes, the rate of decay of pressurization is measured. The pressurization and rate of decay are indicative of the integrity of the membrane of the dialyzer filter.
摘要:
A method for raising or lowering the fluid level in a chamber in an extracorporeal circuit of a dialysis machine, such as an air trap or compliance chamber, is provided which uses a touch screen. The user of the machine is prompted to indicate on the touch screen the current or actual level of fluid (e.g., blood) in the drip chamber. The user then touches the touch screen to indicate the level, such as by touching an illustration of the chamber at a level corresponding to the actual level. The control system for the machine determines from the level indicated on the touch screen whether the level in the chamber needs to be raised or lowered, and by how much, and responsively operates chamber level adjustment apparatus (such as pressure adjustment apparatus in air communication with the chamber) to raise or lower the level closer to the proper level.
摘要:
A user interface for a medical instrument such as a dialysis machine is described which uses both a touch screen and at least one hard key off of the touch screen to effectuate a change in a parameter associated with the operation of the machine or the treatment session. The user interface is connected to a central computer control system having a host microprocessor and a backup safety microprocessor. The hard key is directly wired to the safety microprocessor. After the user selects a new parametric value on the touch screen, the user presses a hard key. The host and safety microprocessors implement a verification routine to insure that the entered parameter is appropriate for the patient's treatment and the display on the touch screen. If the verification procedure ends in a positive result, the user is prompted to presses a second hard key to confirm the change, causing an additional verification check to be performed. If the additional verification check is successful, the parametric value is entered into a memory (such as a hard disk) storing instructions for operation of the medical instrument.
摘要:
Water treatment and pretreatment methods and processes for use in a dialysate preparation machine are described. In one aspect, water is passed through a first filter having chlorine removal properties and then passed into a line. Water is removed from the line at a sample location. The removed water is periodically sampled for the presence of chlorine or chloramines. The presence of chlorine or chloramines indicates that the filtration capacity for chlorine of the first filter is substantially exhausted. The method further includes the step of filtering the water downstream from the sample location in a second filter having chlorine removal properties, and replacing the first filter if chlorine or chlorine is detected during the sampling step. Water pretreatment may be provided by mixing hot and cold water from a source with a temperature-controlled mixing valve and passing the water through the first filter, so as to provide warm, filtered water to the dialysate preparation machine.
摘要:
Methods and apparatus for increasing the accuracy of ultrafiltration in a dialysis machine and decreasing the time required for dialysis. The machine inclused a substantially non-compliant tank for mixing and storing a batch of dialsyate. In a preferred form, the tank is a hollow vessel made from a lightweight and chemically inert material, such as polypropylene, reinforced on its exterior. The machine further includes an ultrafiltration pump for pumping fluid from an extracorporeal circuit to an ultrafiltration tank commensurate with the removal of water from the patient. The pump is calibrated with the volume of fluid in the tank. The reduction in the time to conduct hemodialysis of the patient is achieved by introducing the patient's blood into the arterial line and conducting the blood to the blood pump, measuring the pressure of the blood in the arterial line, increasing the pump rate of the blood pump, and in the event that the pressure measured in the arterial line drops below a predetermined threshold value, slowing the pump rate of the blood pump.
摘要:
A method is described for determining the sodium clearance of a dialyzer. Dialysate containing sodium ions is circulated through the dialysate side of the dialyzer. Water is continuously circulated through the blood side of the dialyzer, the water being single passed through the blood side of the dialyzer. Measurements of the conductivity of the dialysate are made prior to the dialysate entering the dialyzer, and measurements of the conductivity of the dialysate are made after the dialysate has passed through the dialyzer. The clearance of the sodium ions by the dialyzer is calculated from the measurements of conductivity. The measurements of conductivity of the dialysate after passing through the dialyzer becomes substantially constant as the dialysate and water are circulated through the dialyzer. The sodium clearance corresponds to urea clearance of the dialyzer, since the two molecules are approximately the same size.
摘要:
A method is described herein for automatically rinsing blood back to a patient. The method comprises the steps of pumping dialysate (or, alternatively, saline solution) through a dialyzer into an extracorporeal circuit, and pumping blood in the extracorporeal circuit out the arterial and venous lines back to the patient. Optical sensors monitor the concentration of blood in the arterial and venous lines as the blood is being pumped from the extracorporeal circuit back to the patient. The return flow of blood is ceased when the concentration of blood in the arterial and venous lines drops to a predetermined threshold level, thereby preventing excess fluids from being returned to the patient.
摘要:
High level disinfection of a home hemodialysis machine is achieved without the use of disinfection chemicals. The machine has a water treatment module, an extracorporeal circuit and a dialysate circuit. Purified water is heated to a high level disinfection temperature, such as 75 or 80 degrees C. The water is circulated though the water treatment module, the extracorporeal circuit and the dialysate circuit for a time sufficient to achieve a high level disinfection of the machine, for example at least one hour. After the high level disinfection is obtained, the water is drained from the machine and the machine is placed in condition for another treatment session.