CA1256386A - Priming system for ultrafiltration unit - Google Patents
Priming system for ultrafiltration unitInfo
- Publication number
- CA1256386A CA1256386A CA000475051A CA475051A CA1256386A CA 1256386 A CA1256386 A CA 1256386A CA 000475051 A CA000475051 A CA 000475051A CA 475051 A CA475051 A CA 475051A CA 1256386 A CA1256386 A CA 1256386A
- Authority
- CA
- Canada
- Prior art keywords
- blood
- ultrafiltrate
- port
- compartment
- outlet port
- 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.)
- Expired
Links
- 238000000108 ultra-filtration Methods 0.000 title claims abstract description 56
- 230000037452 priming Effects 0.000 title claims abstract description 54
- 210000004369 blood Anatomy 0.000 claims abstract description 175
- 239000008280 blood Substances 0.000 claims abstract description 175
- 239000012528 membrane Substances 0.000 claims abstract description 12
- 239000000243 solution Substances 0.000 claims description 33
- 238000011144 upstream manufacturing Methods 0.000 claims description 7
- 238000000034 method Methods 0.000 claims description 5
- 239000000385 dialysis solution Substances 0.000 claims description 3
- 238000010586 diagram Methods 0.000 description 4
- 239000012530 fluid Substances 0.000 description 3
- 239000012487 rinsing solution Substances 0.000 description 3
- 238000011026 diafiltration Methods 0.000 description 2
- 230000036512 infertility Effects 0.000 description 2
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 229940100084 cardioplegia solution Drugs 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000005534 hematocrit Methods 0.000 description 1
- QSHDDOUJBYECFT-UHFFFAOYSA-N mercury Chemical compound [Hg] QSHDDOUJBYECFT-UHFFFAOYSA-N 0.000 description 1
- 229910052753 mercury Inorganic materials 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3643—Priming, rinsing before or after use
-
- 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
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3643—Priming, rinsing before or after use
- A61M1/3644—Mode of operation
-
- 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
- A61M2205/36—General characteristics of the apparatus related to heating or cooling
- A61M2205/366—General characteristics of the apparatus related to heating or cooling by liquid heat exchangers
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Biomedical Technology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Cardiology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
- Separation Using Semi-Permeable Membranes (AREA)
Abstract
ABSTRACT
A system is disclosed for priming an ultrafiltration unit (10) connected to a blood source, without requiring a pump in the blood line. An ultrafiltration unit (10) is provided having an ultrafiltration membrane which separates a blood compartment from an ultrafiltration compartment, a blood inlet port (12), a blood outlet port (14), a second inlet port (16) communicating with the ultrafiltrate compartment, and an ultrafiltrate outlet port (18). A feedback tube (38) connects the blood outlet port (14) to the second input port (16). Priming solution (36) is introduced to the blood inlet port (12) and a vacuum is applied to the ultrafiltrate outlet port (18).
The priming solution (36) is drawn through the blood compartment, through the ultrafiltrate compartment, out the ultrafiltrate outlet port, and to drain.
A system is disclosed for priming an ultrafiltration unit (10) connected to a blood source, without requiring a pump in the blood line. An ultrafiltration unit (10) is provided having an ultrafiltration membrane which separates a blood compartment from an ultrafiltration compartment, a blood inlet port (12), a blood outlet port (14), a second inlet port (16) communicating with the ultrafiltrate compartment, and an ultrafiltrate outlet port (18). A feedback tube (38) connects the blood outlet port (14) to the second input port (16). Priming solution (36) is introduced to the blood inlet port (12) and a vacuum is applied to the ultrafiltrate outlet port (18).
The priming solution (36) is drawn through the blood compartment, through the ultrafiltrate compartment, out the ultrafiltrate outlet port, and to drain.
Description
~%563;36 PRIMING SYSTEM FOR ULTRAFILTRATION UNIT
TECHNICAL FIELD
The present invention concerns a novel system for priming an ultrafiltration unit.
TECHNICAL FIELD
The present invention concerns a novel system for priming an ultrafiltration unit.
-2- ~2S~3~3E;
BACKGROUND A~T
One of the problems in cardiac bypass surgery is that when the patient's blood has been fully diluted in a bypass circuit with priming solution, addition ~luid and cardioplegia solution, the hematocrit has dropped to well under normal values. Since the patient cannot take back his own blood volume and the circuit volume, much of this diluted blood and the patient's blood cells and proteins are left in the oxygenator, heat exchanger and tubing. Recently, a high ultrafiltration hemodialyzer has been used to concentrate this blood by removal of water so that a reasonable ~olume of the valuable blood constituents can be given back to the patient. In this operational mode, a dialyzer is used only as an ultra-filtrator so that no dialysis solution flow is required.
Ultrafiltration is achieved by drawing a vacuum on the dialysate compartment. Sometimes a blood pump is used, but often a tap is made in the circuit downstream of the bypass circuit arterial pump or venous pump in the oxygenator. Thus the circuit and ultrafiltration unit must be primed without a pump.
Dialyzers may re~uire the rinsing of both the blood compartment and the dialysate compartment to prepare the dialyzer and to guard against the possibility of a hypersensitivity reaction in the patient. Of course the rinsing solution must be discarded.
The present invention is particularly applicable to any type of ultrafiltration unit, including a hemoconcentrator, a dialyzer, a diafilter, etc. Such ultrafiltration units generally include an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment. When a dialyzer is used as an ultrafiltration unit, the dialysate compartment of the dialyzer becomes the ultrafiltrate compartment~
It is an object of an aspect of the present invention to provide a system for priming an ultrafiltration unit without requiring a pump in the blood line.
, ~
BACKGROUND A~T
One of the problems in cardiac bypass surgery is that when the patient's blood has been fully diluted in a bypass circuit with priming solution, addition ~luid and cardioplegia solution, the hematocrit has dropped to well under normal values. Since the patient cannot take back his own blood volume and the circuit volume, much of this diluted blood and the patient's blood cells and proteins are left in the oxygenator, heat exchanger and tubing. Recently, a high ultrafiltration hemodialyzer has been used to concentrate this blood by removal of water so that a reasonable ~olume of the valuable blood constituents can be given back to the patient. In this operational mode, a dialyzer is used only as an ultra-filtrator so that no dialysis solution flow is required.
Ultrafiltration is achieved by drawing a vacuum on the dialysate compartment. Sometimes a blood pump is used, but often a tap is made in the circuit downstream of the bypass circuit arterial pump or venous pump in the oxygenator. Thus the circuit and ultrafiltration unit must be primed without a pump.
Dialyzers may re~uire the rinsing of both the blood compartment and the dialysate compartment to prepare the dialyzer and to guard against the possibility of a hypersensitivity reaction in the patient. Of course the rinsing solution must be discarded.
The present invention is particularly applicable to any type of ultrafiltration unit, including a hemoconcentrator, a dialyzer, a diafilter, etc. Such ultrafiltration units generally include an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment. When a dialyzer is used as an ultrafiltration unit, the dialysate compartment of the dialyzer becomes the ultrafiltrate compartment~
It is an object of an aspect of the present invention to provide a system for priming an ultrafiltration unit without requiring a pump in the blood line.
, ~
-3~ ~S63~6 An object of an aspect of the present invention is to provide a system for priming an ultrafiltration unit with a provision for automatically discarding the priming solution without disconnection or reconnection of the blood set.
An object of an aspect of the present invention is to provide a system for priming an ultrafiltration unit, enabling the priming and rinsing of both the blood compartment and the ultrafiltrate compartment, at prescribed flow and volume rates and with an automatic discard of the priming and rinsing solution without disconnection or reconnection of the blood set.
By avoiding the necessity of disconnecting or reconnecting the blood set before, during or after priming and/or rinsing, the sterility compromise concomitant with disconnection or reconnection is obviated.
Other objects and advantages of the present invention will become apparent as the description proceeds.
DISCLOSU~E OF_T~E INVENTION
In accordance with an aspect of the present invention, there is provided in a system for priming an ultrafiltration unit, connected to a blood source, without requiring a pump in the blood line, an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, and an ultrafiltrate outlet port; the improvement comprising:
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
~ i63~3~
In the illustrative embodiment, blood inlet tubing is provided for connecting the blood inlet port to a blood source. A first port is provided on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing. A second port is provided on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing. Blood outlet tubing extends from the blood outlet port. Means are provided for connecting the ultrafiltrate outlet port to a container and means connect the container to a vacuum source.
In the illustrative embodiment, a flow restrictor is interposed in the feedback tube to control the flow rate of the priming solution through the blood path and then into the ultrafiltrate compartment.
In accordance with an aspect of the present invention, there is provided a method for priming an ultrafiltration unit connected to a blood source without requiring a pump in the blood line, comprising the steps of:
providing an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, a second inlet port communicating with the ultrafiltrate compartment, and an ultrafiltrate outlet port;
providing a feedback tube connecting the blood outlet port to the second inlet port;
introducing priming solution to the blood inlet yort; and applying a low pressure to the ultrafiltrate outlet port to draw the priming solution through the blood compartment, through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
35In the illustrative embodiment, the method includes the steps of providing tubing for connecting the blood inlet port to a blood source; connecting a priming solution container to the blood inlet tubing; and prior to introducing the priming solution to the blood inlet 5~3~;
port, (1) clamping the tubing upstream of the blood inlet port and introducing priming solution into the tubing upstream of the clamp; and (2) then clamping the tubing downstream of the feedback tube and removing the clamp upstream of the blood inlet port.
Other aspects of this invention are as follows:
In a system for priming an ultrafiltration unit, connected to a blood source, without requiring a pump in the blood line, an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, and an ultrafiltrate outlet port, the improvement comprising:
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartmen-t and out -the ultrafiltrate outlet port;
a flow restrictor interposed in the feedback tube to control the flow rate into the ultrafiltrate compartment;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port; and means for connecting the ultrafiltrate outlet port to a vacuum source.
An ultrafiltration set which can be primed without requiring a pump on the blood line, comprising:
-4b-an ultrafiltration unit having an ultrafiltration membrane which separates a blood compar-tment from an ultrafiltrate compartment;
a blood inlet por-t;
a blood outlet port;
a second inlet port communicating with the ultrafiltrate compartment;
an ultrafiltrate outlet port;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port;
a feedback tube connecting the blood outlet port to the second inlet port, whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through said blood compartment and then through said ultrafiltrate compartment and out the ultrafiltrate outlet port.
A more detailed explanation of the invention is provided in the following description and claims, and is illustrated in the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a schematic diagram of a system for priming an ultrafiltration unit, constructed in accordance with the principles of the present inventionO
Figure 2 is a schematic diagram of the system of Figure 1, after a first step of priming has been accomplished.
Figure 3 is a schematic diagram of the system of Figure 1, after a second step of priming has been accomplished.
Figure 4 is a schematic diagram of the system of Figure 1, after the system has been fully primed.
, ~c- ~,%~Ç;3B6 DETAILED DESCRIPTION OF THE ILLUSTRATIVE EMBODIMENT
_ Referring to the Figures, an ultrafiltration unit 10, in the exemplary form of a dialyzer, is illustrated having a blood inlet port 12, a blood outlet port 14, a second inlet port 16 and an ultrafiltrate outlet port 18. In a dialy~er, ports 16 and 18 would be the dialysate inlet port and the 3~3~
dialysate outlet port, respectively. Ultrafiltration unit 10 includes a suitable ultrafiltration membrane separating the blood eompartment from the ultrafiltrate compartment, as is well-known in the art.
A blood inlet tube 20 connects blood inlet port 12 to the outlet 22 of an oxygenator 24. A blood outlet tube 26 connects the blood outlet port 14 to the inlet 28 of oxygenator 24. This eonnection could be directly to the oxygenator illustrated or through a cardiotomy reservoir. Additionally, blood might be introduced into a blood bag or other container directly from the hemoconcentrator. The illustrated method is for explanation only and not to restrict the choice of blood inlet source or outlet final destination.
Blood inlet tube 20 includes a first port 30 for enabling the connection of a pressure monitor 32 to the blood inlet tube 20. The blood inlet tube 20 also has a second port 34 for enabling the connection of a priming solution container 36 (Figures 2-4) or rinsing solution container to the blood inlet tube 20.
A feedback tube 38 having a flow restrictor 40 is connected from blood outlet port 14 to the second inlet port 16. The second inlet port 16 communicates with the ultrafiltrate compartment of unit 10. The flow restrictor 40 operates to control the flow rate through the ultrafiltration unit 10 as will be explained below.
A priming solution output tube 42 connects ultrafiltrate outlet port 18 to a container 44 with the outlet 46 of container 44 being coupled to a vacuum source via tubing 48. Often the hospital has a wall vacuum which is connected to tubing 48.
The operation of the system will now be explained. ~eferring to Figure 2, blood inlet tubing 20 is clamped at point 50 and a container 36 of priming solution such as saline solution, is attached to port 34. The portion of tubing 20 between point 50 and the oxygenator is then primed.
Referring to Figure 3, the clamp is removed at point 50, the blood inlet tubing is clamped at point 52 (upstream of port 34) and the blood outlet tubing 26 is clamped at point 54 (downstream of the feedback tube 38). A
~acuum of determined level such as 500 mm mercury is applied at ultrafiltrate outlet port 18.The priming fluid will be drawn from container 36 through the blood compartment of ultrafiltration unit 10, to 35 point 54, through flow restrictor 40, into the ultrafiltrate compartment via second inlet port 16, out of ultrafiltrate outlet port 18 and to drain via tube \
~8. It can be seen that flow restrictor 40 controls the flow rate of the fluid into the ultrafiltrate compartment.
As the priming fluid flows through the blood compartment of ultrafiltration unit 10, some of it will be ultrafiltered through the 5 membrane. The ultrafiltration unit will be rinsed, flushed and primed with the solution automatically discarded to drain. After about five minutes, in the illustrative embodiment, approximately 800 to 900 ml of priming solution will have passed through the ultrafiltration unit 10.
Referring to Figure 4, after the ultrafiltration unit 10 has been 10 primed, the clamps at points 52 and 5~ are removed and clamps are provided at points 56 and 58, to stop the feedback line and to remove the vacuum. In this manner, the remaining portion of the blood outlet tubing 26 is primed using the remaining solution in container 36 and the line is clamped at points 60 and 62. The system is now ready for use. Clamp 56 15 remains in place but elamps 58, 60 and 62 are removed and the correct negative pressure is applied at ultrafiltrate outlet port 18 to control ultrafiltration.
It can be seen that a novel system has been disclosed for priming and rinsing an ultrafiltration unit, such as a dialyzer, hemoconcentrator or 20 diafilter, without requiring the use of a pump in the blood line. Both the blood compartment and ultrafiltrate compartment are rinsed at a controlled rate and the solution is automatically discarded without disconnection or reconnection of the blood tubing which could result in sterility compromise.
Although an illustrative embodiment of the invention has been shown as described, it is to be understood that various modifications and substitutions may be made by those skilled in the art without departing from the novel spirit and scope of the present invention.
An object of an aspect of the present invention is to provide a system for priming an ultrafiltration unit, enabling the priming and rinsing of both the blood compartment and the ultrafiltrate compartment, at prescribed flow and volume rates and with an automatic discard of the priming and rinsing solution without disconnection or reconnection of the blood set.
By avoiding the necessity of disconnecting or reconnecting the blood set before, during or after priming and/or rinsing, the sterility compromise concomitant with disconnection or reconnection is obviated.
Other objects and advantages of the present invention will become apparent as the description proceeds.
DISCLOSU~E OF_T~E INVENTION
In accordance with an aspect of the present invention, there is provided in a system for priming an ultrafiltration unit, connected to a blood source, without requiring a pump in the blood line, an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, and an ultrafiltrate outlet port; the improvement comprising:
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
~ i63~3~
In the illustrative embodiment, blood inlet tubing is provided for connecting the blood inlet port to a blood source. A first port is provided on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing. A second port is provided on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing. Blood outlet tubing extends from the blood outlet port. Means are provided for connecting the ultrafiltrate outlet port to a container and means connect the container to a vacuum source.
In the illustrative embodiment, a flow restrictor is interposed in the feedback tube to control the flow rate of the priming solution through the blood path and then into the ultrafiltrate compartment.
In accordance with an aspect of the present invention, there is provided a method for priming an ultrafiltration unit connected to a blood source without requiring a pump in the blood line, comprising the steps of:
providing an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, a second inlet port communicating with the ultrafiltrate compartment, and an ultrafiltrate outlet port;
providing a feedback tube connecting the blood outlet port to the second inlet port;
introducing priming solution to the blood inlet yort; and applying a low pressure to the ultrafiltrate outlet port to draw the priming solution through the blood compartment, through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
35In the illustrative embodiment, the method includes the steps of providing tubing for connecting the blood inlet port to a blood source; connecting a priming solution container to the blood inlet tubing; and prior to introducing the priming solution to the blood inlet 5~3~;
port, (1) clamping the tubing upstream of the blood inlet port and introducing priming solution into the tubing upstream of the clamp; and (2) then clamping the tubing downstream of the feedback tube and removing the clamp upstream of the blood inlet port.
Other aspects of this invention are as follows:
In a system for priming an ultrafiltration unit, connected to a blood source, without requiring a pump in the blood line, an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, and an ultrafiltrate outlet port, the improvement comprising:
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartmen-t and out -the ultrafiltrate outlet port;
a flow restrictor interposed in the feedback tube to control the flow rate into the ultrafiltrate compartment;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port; and means for connecting the ultrafiltrate outlet port to a vacuum source.
An ultrafiltration set which can be primed without requiring a pump on the blood line, comprising:
-4b-an ultrafiltration unit having an ultrafiltration membrane which separates a blood compar-tment from an ultrafiltrate compartment;
a blood inlet por-t;
a blood outlet port;
a second inlet port communicating with the ultrafiltrate compartment;
an ultrafiltrate outlet port;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port;
a feedback tube connecting the blood outlet port to the second inlet port, whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through said blood compartment and then through said ultrafiltrate compartment and out the ultrafiltrate outlet port.
A more detailed explanation of the invention is provided in the following description and claims, and is illustrated in the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
Figure 1 is a schematic diagram of a system for priming an ultrafiltration unit, constructed in accordance with the principles of the present inventionO
Figure 2 is a schematic diagram of the system of Figure 1, after a first step of priming has been accomplished.
Figure 3 is a schematic diagram of the system of Figure 1, after a second step of priming has been accomplished.
Figure 4 is a schematic diagram of the system of Figure 1, after the system has been fully primed.
, ~c- ~,%~Ç;3B6 DETAILED DESCRIPTION OF THE ILLUSTRATIVE EMBODIMENT
_ Referring to the Figures, an ultrafiltration unit 10, in the exemplary form of a dialyzer, is illustrated having a blood inlet port 12, a blood outlet port 14, a second inlet port 16 and an ultrafiltrate outlet port 18. In a dialy~er, ports 16 and 18 would be the dialysate inlet port and the 3~3~
dialysate outlet port, respectively. Ultrafiltration unit 10 includes a suitable ultrafiltration membrane separating the blood eompartment from the ultrafiltrate compartment, as is well-known in the art.
A blood inlet tube 20 connects blood inlet port 12 to the outlet 22 of an oxygenator 24. A blood outlet tube 26 connects the blood outlet port 14 to the inlet 28 of oxygenator 24. This eonnection could be directly to the oxygenator illustrated or through a cardiotomy reservoir. Additionally, blood might be introduced into a blood bag or other container directly from the hemoconcentrator. The illustrated method is for explanation only and not to restrict the choice of blood inlet source or outlet final destination.
Blood inlet tube 20 includes a first port 30 for enabling the connection of a pressure monitor 32 to the blood inlet tube 20. The blood inlet tube 20 also has a second port 34 for enabling the connection of a priming solution container 36 (Figures 2-4) or rinsing solution container to the blood inlet tube 20.
A feedback tube 38 having a flow restrictor 40 is connected from blood outlet port 14 to the second inlet port 16. The second inlet port 16 communicates with the ultrafiltrate compartment of unit 10. The flow restrictor 40 operates to control the flow rate through the ultrafiltration unit 10 as will be explained below.
A priming solution output tube 42 connects ultrafiltrate outlet port 18 to a container 44 with the outlet 46 of container 44 being coupled to a vacuum source via tubing 48. Often the hospital has a wall vacuum which is connected to tubing 48.
The operation of the system will now be explained. ~eferring to Figure 2, blood inlet tubing 20 is clamped at point 50 and a container 36 of priming solution such as saline solution, is attached to port 34. The portion of tubing 20 between point 50 and the oxygenator is then primed.
Referring to Figure 3, the clamp is removed at point 50, the blood inlet tubing is clamped at point 52 (upstream of port 34) and the blood outlet tubing 26 is clamped at point 54 (downstream of the feedback tube 38). A
~acuum of determined level such as 500 mm mercury is applied at ultrafiltrate outlet port 18.The priming fluid will be drawn from container 36 through the blood compartment of ultrafiltration unit 10, to 35 point 54, through flow restrictor 40, into the ultrafiltrate compartment via second inlet port 16, out of ultrafiltrate outlet port 18 and to drain via tube \
~8. It can be seen that flow restrictor 40 controls the flow rate of the fluid into the ultrafiltrate compartment.
As the priming fluid flows through the blood compartment of ultrafiltration unit 10, some of it will be ultrafiltered through the 5 membrane. The ultrafiltration unit will be rinsed, flushed and primed with the solution automatically discarded to drain. After about five minutes, in the illustrative embodiment, approximately 800 to 900 ml of priming solution will have passed through the ultrafiltration unit 10.
Referring to Figure 4, after the ultrafiltration unit 10 has been 10 primed, the clamps at points 52 and 5~ are removed and clamps are provided at points 56 and 58, to stop the feedback line and to remove the vacuum. In this manner, the remaining portion of the blood outlet tubing 26 is primed using the remaining solution in container 36 and the line is clamped at points 60 and 62. The system is now ready for use. Clamp 56 15 remains in place but elamps 58, 60 and 62 are removed and the correct negative pressure is applied at ultrafiltrate outlet port 18 to control ultrafiltration.
It can be seen that a novel system has been disclosed for priming and rinsing an ultrafiltration unit, such as a dialyzer, hemoconcentrator or 20 diafilter, without requiring the use of a pump in the blood line. Both the blood compartment and ultrafiltrate compartment are rinsed at a controlled rate and the solution is automatically discarded without disconnection or reconnection of the blood tubing which could result in sterility compromise.
Although an illustrative embodiment of the invention has been shown as described, it is to be understood that various modifications and substitutions may be made by those skilled in the art without departing from the novel spirit and scope of the present invention.
Claims (11)
1. In a system for priming an ultrafiltration unit, connected to a blood source, without requiring a pump in the blood line, an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, and an ultrafiltrate outlet port; the improvement comprising:
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
2. In a system as described in Claim 1, including blood inlet tubing for connecting the blood inlet port to a blood source, a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing, a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing, and blood outlet tubing extending from the blood outlet port.
3. In a system as described in Claim 1, including means for connecting the ultrafiltrate outlet port to a container and means for connecting the container to a vacuum source.
4. In a system as described in Claim 1, including a flow restrictor interposed in the feedback tube to control the flow rate into the ultrafiltrate compartment.
5. In a system for priming an ultrafiltration unit, connected to a blood source, without requiring a pump in the blood line, an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, and an ultrafiltrate outlet port, the improvement comprising:
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartment and out the ultrafiltrate outlet port;
a flow restrictor interposed in the feedback tube to control the flow rate into the ultrafiltrate compartment;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port; and means for connecting the ultrafiltrate outlet port to a vacuum source.
a second inlet port communicating with the ultrafiltrate compartment;
a feedback tube connecting the blood outlet port to the second inlet port whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through the blood compartment and then through the ultrafiltrate compartment and out the ultrafiltrate outlet port;
a flow restrictor interposed in the feedback tube to control the flow rate into the ultrafiltrate compartment;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port; and means for connecting the ultrafiltrate outlet port to a vacuum source.
6. In a system as described in Claim 5, in which said ultrafiltration unit is a hemoconcentrator.
7. In a system as described in Claim 5, in which said ultrafiltration unit is a dialyzer, said second inlet port is a dialysis solution inlet port and said ultrafiltrate outlet port is a dialysis solution outlet port.
8. An ultrafiltration set which can be primed without requiring a pump on the blood line, comprising:
an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment;
a blood inlet port;
a blood outlet port;
a second inlet port communicating with the ultrafiltrate compartment;
an ultrafiltrate outlet port;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port;
a feedback tube connecting the blood outlet port to the second inlet port, whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through said blood compartment and then through said ultrafiltrate compartment and out the ultrafiltrate outlet port.
an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment;
a blood inlet port;
a blood outlet port;
a second inlet port communicating with the ultrafiltrate compartment;
an ultrafiltrate outlet port;
blood inlet tubing for connecting the blood inlet port to a blood source;
a first port on the blood inlet tubing for connecting a pressure monitor to the blood inlet tubing;
a second port on the blood inlet tubing for connecting a priming solution container to the blood inlet tubing;
blood outlet tubing extending from the blood outlet port;
a feedback tube connecting the blood outlet port to the second inlet port, whereby a low pressure can be applied to the ultrafiltrate outlet port and priming solution introduced at the blood inlet port will be drawn through said blood compartment and then through said ultrafiltrate compartment and out the ultrafiltrate outlet port.
9. An ultrafiltration set as described in Claim 8, including a flow restrictor interposed in the feedback tube to control the flow rate into the ultrafiltrate compartment.
10. A method for priming an ultrafiltration unit connected to a blood source without requiring a pump in the blood line, comprising the steps of:
providing an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, a second inlet port communicating with the ultrafiltrate compartment, and an ultrafiltrate outlet port;
providing a feedback tube connecting the blood outlet port to the second inlet port;
introducing priming solution to the blood inlet port; and applying a low pressure to the ultrafiltrate outlet port to draw the priming solution through the blood compartment, through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
providing an ultrafiltration unit having an ultrafiltration membrane which separates a blood compartment from an ultrafiltrate compartment, a blood inlet port, a blood outlet port, a second inlet port communicating with the ultrafiltrate compartment, and an ultrafiltrate outlet port;
providing a feedback tube connecting the blood outlet port to the second inlet port;
introducing priming solution to the blood inlet port; and applying a low pressure to the ultrafiltrate outlet port to draw the priming solution through the blood compartment, through the ultrafiltrate compartment and out the ultrafiltrate outlet port.
11. A method as described in Claim 10, including the steps of:
providing tubing for connecting the blood inlet port to a blood source;
connecting a priming solution container to the blood inlet tubing;
prior to introducing priming solution to the blood inlet port, (1) clamping the tubing upstream of the blood inlet port and introducing priming solution into the tubing upstream of the clamp, (2) then clamping the tubing downstream of the feedback tube and removing the clamp upstream of the blood inlet port, whereby the priming solution will be drawn through the blood compartment, through the ultrafiltrate compart-ment, and out the ultrafiltrate outlet port.
providing tubing for connecting the blood inlet port to a blood source;
connecting a priming solution container to the blood inlet tubing;
prior to introducing priming solution to the blood inlet port, (1) clamping the tubing upstream of the blood inlet port and introducing priming solution into the tubing upstream of the clamp, (2) then clamping the tubing downstream of the feedback tube and removing the clamp upstream of the blood inlet port, whereby the priming solution will be drawn through the blood compartment, through the ultrafiltrate compart-ment, and out the ultrafiltrate outlet port.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US58385484A | 1984-02-27 | 1984-02-27 | |
| US583,854 | 1984-02-27 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1256386A true CA1256386A (en) | 1989-06-27 |
Family
ID=24334860
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000475051A Expired CA1256386A (en) | 1984-02-27 | 1985-02-25 | Priming system for ultrafiltration unit |
Country Status (6)
| Country | Link |
|---|---|
| EP (1) | EP0173710B1 (en) |
| JP (1) | JPS61501249A (en) |
| CA (1) | CA1256386A (en) |
| DE (1) | DE3577401D1 (en) |
| IT (1) | IT1183417B (en) |
| WO (1) | WO1985003879A1 (en) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2624375B1 (en) * | 1987-12-11 | 1997-03-28 | Hospal Ind | METHOD AND DEVICE FOR RINSING AND PRIMING AN EXCHANGER |
| US5041215A (en) * | 1989-11-22 | 1991-08-20 | Cobe Laboratories, Inc. | Dialysis unit priming |
| US5910252A (en) * | 1993-02-12 | 1999-06-08 | Cobe Laboratories, Inc. | Technique for extracorporeal treatment of blood |
| US7744553B2 (en) | 2003-12-16 | 2010-06-29 | Baxter International Inc. | Medical fluid therapy flow control systems and methods |
| US9869512B1 (en) * | 2016-11-18 | 2018-01-16 | Omnis Thermal Technologies, Llc | Pulse combustion variable residence time drying system |
| PL3782671T3 (en) | 2019-08-19 | 2021-12-13 | Gambro Lundia Ab | The method of priming the extracorporeal blood circuit of the apparatus for extracorporeal blood processing and the apparatus for extracorporeal blood processing |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3907504A (en) * | 1973-04-06 | 1975-09-23 | Gen Electric | Blood oxygenation system including automatic means for stabilizing the flow rate of blood therethrough |
| US3927980A (en) * | 1973-08-22 | 1975-12-23 | Baxter Laboratories Inc | Oxygen overpressure protection system for membrane-type blood oxygenators |
| US3962075A (en) * | 1973-09-10 | 1976-06-08 | Tri-Flo Research Laboratories, Ltd. | Hemo dialyzer employing two dialysate solutions |
| SE396017B (en) * | 1974-12-23 | 1977-09-05 | Alfa Laval Ab | FILTRATION PROCEDURE, SPECIAL FOR ULTRA FILTRATION |
| US4299705A (en) * | 1979-09-07 | 1981-11-10 | Russell Richard T | Method of treating blood during operative procedures |
-
1985
- 1985-01-25 DE DE8585901153T patent/DE3577401D1/en not_active Expired - Lifetime
- 1985-01-25 EP EP85901153A patent/EP0173710B1/en not_active Expired - Lifetime
- 1985-01-25 JP JP60500821A patent/JPS61501249A/en active Pending
- 1985-01-25 WO PCT/US1985/000124 patent/WO1985003879A1/en not_active Ceased
- 1985-02-25 CA CA000475051A patent/CA1256386A/en not_active Expired
- 1985-02-25 IT IT19636/85A patent/IT1183417B/en active
Also Published As
| Publication number | Publication date |
|---|---|
| IT8519636A0 (en) | 1985-02-25 |
| DE3577401D1 (en) | 1990-06-07 |
| EP0173710B1 (en) | 1990-05-02 |
| WO1985003879A1 (en) | 1985-09-12 |
| IT1183417B (en) | 1987-10-22 |
| EP0173710A4 (en) | 1987-10-27 |
| JPS61501249A (en) | 1986-06-26 |
| EP0173710A1 (en) | 1986-03-12 |
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| Date | Code | Title | Description |
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