AU2107300A - Cartridge for dialysis containing sodium bicarbonate - Google Patents
Cartridge for dialysis containing sodium bicarbonate Download PDFInfo
- Publication number
- AU2107300A AU2107300A AU21073/00A AU2107300A AU2107300A AU 2107300 A AU2107300 A AU 2107300A AU 21073/00 A AU21073/00 A AU 21073/00A AU 2107300 A AU2107300 A AU 2107300A AU 2107300 A AU2107300 A AU 2107300A
- Authority
- AU
- Australia
- Prior art keywords
- cartridge
- acid
- carbon dioxide
- sodium bicarbonate
- sodium
- Prior art date
- Legal status (The legal status 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 status listed.)
- Granted
Links
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
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
-
- 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
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
- A61M1/1666—Apparatus for preparing dialysates by dissolving solids
-
- 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
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
- A61M1/1668—Details of containers
Landscapes
- Health & Medical Sciences (AREA)
- Urology & Nephrology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Hematology (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Vascular Medicine (AREA)
- Emergency Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Inorganic Chemistry (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- External Artificial Organs (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Description
WO 00/44418 PCT/EP00/00130 CARTRIDGE FOR DIALYSIS CONTAINING SODIUM BICARBONATE 5 This invention relates to dialysis cartridges containing solid sodium bicarbonate. BACKGROUND It has long been known to use cartridges containing drugs, or other o10 substances, in solid form and to pass water or a solution through the cartridge to dissolve the solid substance continuously, e.g. for continuous administration to a patient. Examples are WO-A-86/03417 and US-A-4432756. It is also known, as disclosed in EP-A-0278100 to provide sodium 15 bicarbonate in solid form for use as a buffer in haemodialysis. Sodium bicarbonate is stored separately from the rest of a dialysis solution, which contains calcium and magnesium ions, to prevent calcium and magnesium carbonate precipitation. A cartridge of sodium bicarbonate powder is inserted in a haemodialysis machine and water is passed through the 20 cartridge. The powder is gradually dissolved, so that a solution of sodium bicarbonate is continuously produced. The solution is continuously flowed through the machine, mixing with the rest of the dialysis solution in-line upstream of the dialyzer. There is, therefore, only a short dwell time in the machine after mixing, so that the problem of calcium and 25 magnesium carbonates being precipitated is avoided. A problem does, however, arise with such cartridges. The pH of the mixed dialysis solution is monitored upstream of the dialyzer. If the pH falls outside a given range, then an alarm is triggered. It has been found that this often happens during the first twenty minutes of flow, 30 when the machine is being set up for operation. After this period, no WO 00/44418 PCT/EP00/00130 2 problems are encountered. This causes substantial inconvenience to personnel operating haemodialysis machines, since the problem has to be investigated and the machine reset, each time the alarm is triggered. 5 The inventors have discovered that the problem is probably caused by contamination of the sodium bicarbonate powder with a small amount of sodium carbonate. The bicarbonate is less soluble than the carbonate, so that a high pH is caused by the dissolution of the carbonate in the early stages. Once the carbonate has dissolved, the problem disappears. It is, o10 however, difficult and expensive to produce a sodium bicarbonate powder, which is not contaminated with sodium carbonate. A possible solution to the problem once it was realised that sodium carbonate precipitation was the cause, would be to introduce a further line 15 upstream of the pH monitoring device to add dilute acid solution to the dialysis solution during the first twenty minutes of use of the cartridge. This could be done upstream or downstream of the cartridge. This involves, however, modification of the dialysis solution, use of an additional solution and additional operational control. 20 The inventors have found that the problem can be relatively simply solved by modifying the contents of the cartridge. SUMMARY OF THE INVENTION 25 The present invention relates to a cartridge having an openable sealed inlet and an openable sealed outlet, for connection in-line in a haemodialysis machine for passage of water, or a solution through the cartridge, the cartridge containing sodium bicarbonate in solid form.
WO 00/44418 PCT/EP00/00130 3 In accordance with the invention, the cartridge additionally contains an acid, or acid anhydride in solid form, or carbon dioxide gas. When the cartridge is mounted in a haemodialysis machine and 5 water is passed through the cartridge, the acid or acid anhydride (including carbon dioxide) is gradually dissolved, decreasing the pH of the resulting solution to counteract any temporary increase in pH caused by sodium carbonate contamination. 10 The amount of acid or acid anhydride provided is preferably predetermined, so that it is leached from the cartridge during the initial 10 to 30 minutes, i.e. during the period that sodium carbonate is also likely to be leached from the cartridge. 15 Carbon dioxide may be added to the cartridge, during manufacture, in solid form, i.e. as dry ice, prior to sealing the cartridge. Acids which may be used in solid form may be organic acids, e.g. citric acid, or tartaric acid, citric acid being preferred for clinical 20 acceptability. The cartridge may contain at least 0.2g of acid, or acid anhydride per 1000g of sodium bicarbonate; preferably at least 0.5g per 1000g and most preferably at least lg per 1000g. The preferred embodiment 25 contains 2.7g per 1000g. DRAWINGS The invention is described with reference to the accompanying drawings, wherein:- WO 00/44418 PCT/EP00/00130 4 Fig 1. is a side elevation of a cartridge according to the invention, shown partly in cross-section; and Fig 2. is a diagrammatic illustration of the cartridge of fig 1 connected in a haemodialysis machine. 5 PREFERRED EMBODIMENTS The currently preferred embodiments of the invention are now described. The construction of haemodialysis machines is well known, as is the construction of a sodium bicarbonate cartridge for use in a o10 haemodialysis machine. The machine and the cartridge are not, therefore, described in detail. The cartridge may be of the type sold under the trademark EASYCART by Bieffe Medital S.p.A. of Italy. The cartridge 10 comprises a body 14, closed by a lid 15 and 15 defining a chamber 11. The body and lid are injection moulded in polypropylene. The chamber 11 contains sodium bicarbonate in granular, crystalline form, although other solid forms are possible. The lid 15 is sealed to the body 14 by ultrasonic welding. The lid 15 has an inlet 12 and the body had an outlet 13, both sealed closed in the as-moulded state, 20 by integral membranes 17, 18 respectively. The cartridge 10 is connected in-line in a first line 20 for receiving deionised water at 21 and supplying sodium bicarbonate solution to a main line 22, at 23. The membranes 17, 18 are perforated during clamping of 25 the cartridge into the machine, by piercing means provided on the machine. The main line 22 also receives deionised water at 24. A container 30, containing a solution of the other ingredients of a dialysis solution, is connected to the main line 22 by a second line 25 at 26. A final dialysis solution is formed at point 26 and the main line 22 feeds this WO 00/44418 PCT/EP00/00130 5 to a dialyzer 40. A pH detector 50 is connected to the main line 22 downstream of point 26 and upstream of the dialyzer. The detector is connected with a control system (not shown), which produces an alarm, if a pH outside a predetermined range is exceeded. This range is usually 6.8 5 to 7.9 pH may be monitored by other means, such as by conductivity measurement. The solution in the container 30 may contain any of the components usually provided in a dialysis solution, such as calcium and magnesium 1o chloride, sodium chloride and an osmotic agent, such as dextrose. In accordance with the present invention, the cartridge contains, in addition to the sodium bicarbonate, an acid or acid anhydride in solid form, or carbon dioxide gas, so as to avoid any sodium carbonate 15 contamination causing a temporary increase in the pH of the dialysis solution to a degree sufficient to exceed the predetermined threshold and trigger an alarm. The preferred embodiment of a cartridge contains 750g sodium 20 bicarbonate and 2g citric acid, both in granular, crystalline form. A similar weight ratio could be used with different amounts of sodium bicarbonate. Alternatives to citric acid are preferably provided in the same 25 weight ratio. Tests were carried out using cartridges containing 750g sodium bicarbonate and citric acid, tartaric acid, or carbon dioxide (added as dry WO 00/44418 PCT/EP00/00130 6 ice) respectively. These were compared with similar cartridges, to which no acid or carbon dioxide had been added. The tests were carried out by running an Integra (trademark) 5 haemodialysis machine, using the various cartridges. Notes were made of which cartridges produced an alarm signal, due to the pH of the mixed dialysis solution falling outside the predetermined range. The actual maximum pH of each solution was also recorded. "Acid" solutions, ie the solutions carrying the other components of the dialysis solution, were o10 standard solutions produced by Gambro. In each case, the pH of the water supplied was 6.1. The results are shown in the tables below. There were numerous false alarms with the reference cartridges, but no false alarms with the cartridges according to the invention. 15 Table 1 This shows the results using the reference cartridges, containing 750g sodium bicarbonate and no added acid or carbon dioxide. Sample No. Maximum pH of Alarm dialysis solution Yes/No 1 7.9 No 2 7.8 No 3 8 Yes 4 8.1 Yes 5 7.9 No 6 8 Yes 7 8.2 Yes 8 8 Yes 9 7.4 No 10 7.4 No 20 WO 00/44418 PCTIEP00/00130 7 Table 2 This shows the results using cartridges according to the invention, containing 2g citric acid and 750g sodium bicarbonate. 5 Sample No. Maximum pH of Alarm dialysis solution Yes/No 11 7.5 No 12 7.5 No 13 7.5 No 14 7.5 No 15 7.4 No 16 7.4 No 17 7.4 No 18 7.4 No 19 7.4 No 20 7.4 No 21 7.4 No Table 3 This shows the results using cartridges according to the invention, o10 containing 0.5g or ig of carbon dioxide (dry ice) and 750g sodium bicarbonate. Sample No. Amount of CO 2 (g) Maximum pH of Alarm dialysis solution Yes/No 22 0.5 7.5 No 23 1.0 7.3 No 24 0.5 7.5 No 25 1.0 7.3 No 26 1.0 7.3 No WO 00/44418 PCT/EP00/00130 8 Table 4 This shows the results using cartridges according to the invention, containing ig tartaric acid and 750g sodium bicarbonate. 5 Sample No. Maxiumum pH of Alarm dialysis solution Yes/No 27 7.5 No 28 7.5 No Other tests were carried out using different "acid" solutions, and water of different pH. In each case, a cartridge according to the invention did not cause any alarm due to either high or low pH. 10
Claims (9)
1. A cartridge having an openable, sealed inlet and an openable, sealed outlet, for connection in-line in a haemodialysis machine for 5 passage of water, or a solution through the cartridge, the cartridge containing sodium bicarbonate in solid form, characterised in that the cartridge additionally contains an acid, or acid anhydride in solid form, or carbon dioxide gas. 10
2. A cartridge according to Claim 1, wherein the acid is in powder form.
3. A cartridge according to Claim 1 or 2, wherein the acid is citric acid. 15
4. A cartridge according to Claim 1 or 2, wherein the acid is tartaric acid, or another organic acid.
5. A cartridge according to any preceding claim containing at least 20 0.2g of acid, acid anhydride, or carbon dioxide per 1000g of sodium bicarbonate.
6. A cartridge according to Claim 5, wherein the cartridge contains at least 0.5g of acid, acid anhydride, or carbon dioxide per 1000g of sodium 25 bicarbonate.
7. A method of preventing a temporary increase of pH in a dialysis solution being continuously produced in a haemodialysis machine from different component sources including a cartridge containing solid sodium WO 00/44418 PCT/EP00/00130 10 bicarbonate, the method comprising including in the cartridge an acid or acid anhydride in solid form, or carbon dioxide gas.
8. A method according to Claim 7, wherein the cartridge and its 5 contents are in accordance with any one of Claims 1 to 6.
9. A method of introducing carbon dioxide gas to a cartridge according to Claim 1, wherein the carbon dioxide is introduced as dry ice.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ITMI99A000176 | 1999-01-29 | ||
IT1999MI000176A IT1307734B1 (en) | 1999-01-29 | 1999-01-29 | CARTRIDGE FOR DIALYSIS CONTAINING SODIUM BICARBONATE. |
PCT/EP2000/000130 WO2000044418A1 (en) | 1999-01-29 | 2000-01-07 | Cartridge for dialysis containing sodium bicarbonate |
Publications (2)
Publication Number | Publication Date |
---|---|
AU2107300A true AU2107300A (en) | 2000-08-18 |
AU757226B2 AU757226B2 (en) | 2003-02-06 |
Family
ID=11381684
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
AU21073/00A Ceased AU757226B2 (en) | 1999-01-29 | 2000-01-07 | Cartridge for dialysis containing sodium bicarbonate |
Country Status (18)
Country | Link |
---|---|
EP (1) | EP1146921A1 (en) |
JP (1) | JP2002535092A (en) |
KR (1) | KR20020008115A (en) |
CN (1) | CN1338952A (en) |
AR (1) | AR022441A1 (en) |
AU (1) | AU757226B2 (en) |
BR (1) | BR0008194A (en) |
CA (1) | CA2361641A1 (en) |
HK (1) | HK1044125A1 (en) |
ID (1) | ID30559A (en) |
IL (1) | IL144494A0 (en) |
IT (1) | IT1307734B1 (en) |
MX (1) | MXPA01007712A (en) |
NO (1) | NO20013702L (en) |
PL (1) | PL349853A1 (en) |
TR (1) | TR200102179T2 (en) |
TW (1) | TW483764B (en) |
WO (1) | WO2000044418A1 (en) |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20040037943A (en) | 2002-10-31 | 2004-05-08 | 엘지.필립스 엘시디 주식회사 | Device and fabrication method for polarizer in substrate of lcd |
DE102011016167A1 (en) * | 2011-04-05 | 2012-12-27 | Ritter Gmbh | Plastic containers for dialysis |
DE102011106248A1 (en) | 2011-07-01 | 2013-01-03 | Fresenius Medical Care Deutschland Gmbh | Container, use, dialysis machine or preparation unit and method for producing a concentrate |
DE102014119106A1 (en) * | 2014-12-18 | 2016-07-07 | B. Braun Avitum Ag | Concentrate container for an extracorporeal blood treatment machine, and concentrate delivery system for an extracorporeal blood treatment machine |
GR1009074B (en) * | 2016-04-20 | 2017-07-07 | Βερμα Ντραγκς - Verma Drugs Abee | A sodium bicarbonate-containing cartridge with added anhydrous citric acid as ph stabiliser |
GR1009075B (en) * | 2016-04-20 | 2017-07-07 | Βερμα Ντραγκς - Verma Drugs Abee | A sodium bicarbonate-containing bag with added anhydrous citric acid as ph stabilser |
Family Cites Families (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4432756A (en) | 1981-11-27 | 1984-02-21 | Alza Corporation | Parenteral controlled therapy |
US4655941A (en) * | 1984-02-13 | 1987-04-07 | Tomita Pharmaceutical Corp., Ltd. | Method of preparing mixed electrolyte powder for bicarbonate dialysis and powder mixture formed |
EP0247704A3 (en) | 1984-12-03 | 1988-01-27 | BAXTER INTERNATIONAL INC. (a Delaware corporation) | Receptacle for intravenous delivery system |
US4784495A (en) | 1987-02-06 | 1988-11-15 | Gambro Ab | System for preparing a fluid intended for a medical procedure by mixing at least one concentrate in powder form with water |
JP2739898B2 (en) * | 1989-08-07 | 1998-04-15 | 日機装株式会社 | Dialysate preparation method and dialysate preparation agent |
US5071558A (en) * | 1989-08-11 | 1991-12-10 | Nikkiso Co., Ltd. | Sodium bicarbonate dialysate |
ATE137981T1 (en) * | 1990-12-18 | 1996-06-15 | Univ Washington | DIALYSAT PRODUCTION SYSTEM WITH PILLS |
US5383324A (en) * | 1993-04-23 | 1995-01-24 | Baxter International Inc. | Method for manufacturing and storing stable bicarbonate solutions |
SE504633C2 (en) * | 1995-07-03 | 1997-03-24 | Althin Madical Ab | Device for dialysis machine |
-
1999
- 1999-01-29 IT IT1999MI000176A patent/IT1307734B1/en active
-
2000
- 2000-01-07 BR BR0008194-9A patent/BR0008194A/en not_active IP Right Cessation
- 2000-01-07 CA CA002361641A patent/CA2361641A1/en not_active Abandoned
- 2000-01-07 JP JP2000595720A patent/JP2002535092A/en active Pending
- 2000-01-07 PL PL00349853A patent/PL349853A1/en unknown
- 2000-01-07 TR TR2001/02179T patent/TR200102179T2/en unknown
- 2000-01-07 CN CN00803275A patent/CN1338952A/en active Pending
- 2000-01-07 WO PCT/EP2000/000130 patent/WO2000044418A1/en not_active Application Discontinuation
- 2000-01-07 KR KR1020017009573A patent/KR20020008115A/en not_active Application Discontinuation
- 2000-01-07 AU AU21073/00A patent/AU757226B2/en not_active Ceased
- 2000-01-07 MX MXPA01007712A patent/MXPA01007712A/en unknown
- 2000-01-07 IL IL14449400A patent/IL144494A0/en unknown
- 2000-01-07 EP EP00901084A patent/EP1146921A1/en not_active Withdrawn
- 2000-01-27 AR ARP000100356A patent/AR022441A1/en not_active Application Discontinuation
- 2000-02-18 TW TW089102863A patent/TW483764B/en active
-
2001
- 2001-07-27 NO NO20013702A patent/NO20013702L/en not_active Application Discontinuation
- 2001-08-28 ID IDW00200101858A patent/ID30559A/en unknown
-
2002
- 2002-08-06 HK HK02105734.8A patent/HK1044125A1/en unknown
Also Published As
Publication number | Publication date |
---|---|
NO20013702D0 (en) | 2001-07-27 |
IL144494A0 (en) | 2002-12-01 |
JP2002535092A (en) | 2002-10-22 |
ID30559A (en) | 2001-12-20 |
PL349853A1 (en) | 2002-09-23 |
AU757226B2 (en) | 2003-02-06 |
WO2000044418A1 (en) | 2000-08-03 |
NO20013702L (en) | 2001-09-06 |
MXPA01007712A (en) | 2003-07-14 |
CA2361641A1 (en) | 2000-08-03 |
TR200102179T2 (en) | 2001-12-21 |
BR0008194A (en) | 2002-02-13 |
AR022441A1 (en) | 2002-09-04 |
KR20020008115A (en) | 2002-01-29 |
IT1307734B1 (en) | 2001-11-19 |
TW483764B (en) | 2002-04-21 |
HK1044125A1 (en) | 2002-10-11 |
ITMI990176A1 (en) | 2000-07-29 |
CN1338952A (en) | 2002-03-06 |
EP1146921A1 (en) | 2001-10-24 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
FGA | Letters patent sealed or granted (standard patent) |