WO2009148987A4 - Remote exchange peritoneal dialysis - Google Patents

Remote exchange peritoneal dialysis Download PDF

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Publication number
WO2009148987A4
WO2009148987A4 PCT/US2009/045782 US2009045782W WO2009148987A4 WO 2009148987 A4 WO2009148987 A4 WO 2009148987A4 US 2009045782 W US2009045782 W US 2009045782W WO 2009148987 A4 WO2009148987 A4 WO 2009148987A4
Authority
WO
WIPO (PCT)
Prior art keywords
housing
peritoneal dialysis
flexible
dialysis system
dialysate
Prior art date
Application number
PCT/US2009/045782
Other languages
French (fr)
Other versions
WO2009148987A3 (en
WO2009148987A2 (en
Inventor
Patrick Lee
Annie Chiou
Meir Dahan
Bijan Elahi
Peter Hopping
Merrick Kossack
Joachim Prutsch
Original Assignee
Baxter International Inc.
Baxter Healthcare S.A.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Baxter International Inc., Baxter Healthcare S.A. filed Critical Baxter International Inc.
Publication of WO2009148987A2 publication Critical patent/WO2009148987A2/en
Publication of WO2009148987A3 publication Critical patent/WO2009148987A3/en
Publication of WO2009148987A4 publication Critical patent/WO2009148987A4/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A61M1/282—Operational modes
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/24—Dialysis ; Membrane extraction
    • B01D61/32—Controlling or regulating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/18—General characteristics of the apparatus with alarm
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • A61M2205/3334—Measuring or controlling the flow rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3368—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3379—Masses, volumes, levels of fluids in reservoirs, flow rates
    • A61M2205/3393—Masses, volumes, levels of fluids in reservoirs, flow rates by weighing the reservoir
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A61M2205/505—Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/581—Means for facilitating use, e.g. by people with impaired vision by audible feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/582—Means for facilitating use, e.g. by people with impaired vision by tactile feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583—Means for facilitating use, e.g. by people with impaired vision by visual feedback

Abstract

A portable, flexible peritoneal dialysis system is disclosed. The system includes a flexible harness, such as canvas or cloth, to mount a stiff housing with a heater for holding and heating fresh dialysis fluid. The harness includes straps or other suspending devices for holding a second, flexible housing for a drain bag for holding sent dialysis fluid. The upper portion of the system includes a hook and a load cell for suspending the remaining portions. The load cell is used to measure the weight of the apparatus. By keeping track of the weight and the changes, the quantity of fluid removed from the patient, spent dialysate, is tracked, as is fresh dialysate infused into the patient. An electronics or control portion controls heating of the fresh dialysate, and operation of pumps and valves for moving the dialysate. This portion also includes alarms and communications equipment.

Claims

AMENDED CLAIMS received by the International Bureau on 30 November 2009 (30.11.2009)
1. A peritoneal dialysis system, comprising: a flexible mounting apparatus (21, 25); a first housing (16) for a first container for fresh dialysis fluid mounted on the flexible mounting apparatus (21, 25); an electronics bay (13) with a controller (33) mounted on the first housing (16); a flexible housing (23) for a second container (24) for spent dialysis fluid
Figure imgf000003_0001
on the' flexible mounting apparatus (21, 25) and suspended from the first housing (16) at a lower height than the first housing (16); a mount (11) for holding the flexible mounting apparatus (21 , 25); and a mass sensor (12) between the mount (11) and the flexible mounting apparatus (21, 25).
2. The peritoneal dialysis system according to Claim 1 , wherein the first housing (16) further comprises a heater (17).
3. The peritoneal dialysis system according to any one of the preceding claims, further comprising a vacuum pump (54) controlled by the controller (33).
4. The peritoneal dialysis system according to any one of the preceding claims, further comprising a wireless communication module (39) connected to the controller (33).
5. The peritoneal dialysis system according to any one of the preceding claims, further comprising a visual or audio alarm (15, 34, 35) connected to the controller (33).
6. The peritoneal dialysis system according to any one of the preceding claims, wherein the flexible housing (16) comprises a canvas or cloth harness suspended by straps (21) from the first housing (16).
7. The peritoneal dialysis system according to any one of the preceding claims, wherein the mount (11) comprises a hook for suspending the flexible mounting apparatus (21, 25).
8. Λ peritoneal dialysis system, comprising: a. flexible mounting apparatus (21, 25); a stiff housing (16) with a heater (17) for a first container (18) for fresh dialysis fluid, the stiff housing (16) mounted to the flexible mounting apparatus (21, 25); an electronics bay (13) with a controller (33) mounted on the stiffhousing (16); a conformable housing (23) for a second container (24) for spent dialysis fluid, the ^conformable housing (23) suspended by the stiffhousing (16) below the stiffhousing (16); a vacuum pump (54) in operable communication with the controller (33); amount (1 1) for holding the flexible mounting apparatus (21, 25); and a load cell (12) between the mount (11) and the flexible mounting apparatus (21, 25).
9. The peritoneal dialysis system according to Claim 8, wherein a height of the conformable housing (24) is adjustable by straps (21) suspending the conformable housing (24). . -
10. The peritoneal dialysis system according to any of Claims 8 or 9, wherein the stiff housing (16) is airtight and is capable of holding a vacuum or a pressure for pumping £li,alysis fluid.
11. The peritoneal dialysis system according to any of Claims 8 to 10, wherein a height of the flexible mounting apparatus (21, 25) is adjustable.
12. The peritoneal dialysis system according to any of Claims 8 to 11, wherein a height of the flexible mounting apparatus (21, 25) is adjustable by adjusting the mount, (11) and the load cell (12).
13. The peritoneal dialysis system according to any of Claims 8 to 12, further comprising interconnecting lines (59) and a Y-connector (56) for connecting to an access ^gyice (57) of a patient.
14. The peritoneal dialysis system according to any of Claims 8 to 13, further comprising valves (55, 58) for controlling flow of fresh dialysis fluid from the first container (51) to the patient and flow of spent dialysis fluid from the patient to the second container (52).
15. The peritoneal dialysis system according to any of Claims 8 to 14, further comprising a pump (53, 54) for pumping dialysis fluid.
16. A peritoneal dialysis system comprising: a dialysate drain bag (24) of a portable, flexible peritoneal dialysis system mounted in a.;βrst housing (23) at a height lower than a peritoneum of a patient; a dialysate fill bag (18) of the portable, flexible peritoneal dialysis system mounted in a second flexible, deformable housing (16) at a height higher than the peritoneum of the jPtatient, wherein the flexible peritoneal dialysis system includes the first and second housings ((l6, 23) and wherein the first housing and second housing (16, 23) are mounted within the flexible peritoneal dialysis system with freedom to move with respect to one another, and wherein the first housing (23) is suspended from the second housing (16); a heater (17) configured to heat the dialysate fill bag (18) until a desired temperature is achieved; a pump or a vacuum (54) configured to drain spent dialysate into the drain, bag (24) .Until a desired mass of spent dialysate is achieved; and one of gravity or a pump (53) for filling the peritoneum with fresh dialysate until a desired mass of dialysate fill is achieved.
17. The system according to Claim 16, further comprising a controller (33) (Cjonfigured to send a signal if the desired mass of drained dialysate or fill dialysate is not ^achieved within a desired time or if the desired mass is exceeded.
18. The system according to any of Claims 16 or 17, further comprising adjustable ,straps (21) for adjusting a height of the drain bag (24).
19. The system according to any of Claims 16 to 18, further comprising a mount (1.1) and a load cell (12) for adjusting a height of the portable, flexible peritoneal dialysis
.system.
20. The system according to any of Claims 16 to 19, further comprising a controller (33) configured to send a status of a peritoneal dialysis therapy session to a remote computer.
21. The system according to any of Claims 16 to 20, further comprising a controller (33) configured lυ calculate the desired mass of dialysate fill or spent dialysate.
PCT/US2009/045782 2008-06-03 2009-06-01 Remote exchange peritoneal dialysis WO2009148987A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/132,455 US7988849B2 (en) 2008-06-03 2008-06-03 Customizable personal dialysis device having ease of use and therapy enhancement features
US12/132,455 2008-06-03

Publications (3)

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WO2009148987A2 WO2009148987A2 (en) 2009-12-10
WO2009148987A3 WO2009148987A3 (en) 2010-05-06
WO2009148987A4 true WO2009148987A4 (en) 2010-08-26

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PCT/US2009/045782 WO2009148987A2 (en) 2008-06-03 2009-06-01 Remote exchange peritoneal dialysis
PCT/US2009/045812 WO2009149002A2 (en) 2008-06-03 2009-06-01 "customizable personal dialysis device having ease of use and therapy enhancement features"

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PCT/US2009/045812 WO2009149002A2 (en) 2008-06-03 2009-06-01 "customizable personal dialysis device having ease of use and therapy enhancement features"

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WO (2) WO2009148987A2 (en)

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US20110275984A1 (en) 2011-11-10
WO2009148987A3 (en) 2010-05-06
WO2009149002A3 (en) 2010-02-04
WO2009148987A2 (en) 2009-12-10
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US20130037461A1 (en) 2013-02-14
US7988849B2 (en) 2011-08-02

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