Patent Grant
12044228
The present invention relates to a cassette system integrated apparatus for pumping fluid.
In accordance with one aspect of the cassette integrated system, the cassette integrated system includes a mixing cassette, a balancing cassette, a middle cassette fluidly connected to the mixing cassette and the balancing cassette and at least one pod. The mixing cassette is fluidly connected to the middle cassette by at least one fluid line and the middle cassette is fluidly connected to the balancing cassette by at least one fluid line. The at least one pod is connected to at least two of the cassettes wherein the pod is located in an area between the cassettes.
Various embodiments of this aspect of the cassette include one or more of the following. Where the housing includes a top plate, a midplate and a bottom plate. Where the pod includes a curved rigid chamber wall having at least one fluid inlet and at least one fluid outlet. Where the mixing cassette, middle cassette and said balancing cassette further include at least one valve. In some embodiments the valve is a membrane valve. Where at least one of the fluid lines connecting the cassettes is a rigid hollow cylindrical structure.
In accordance with one aspect of the cassette integrated system, the cassette integrated system includes a mixing cassette, a middle cassette and a balancing cassette. The mixing cassette includes a mixing cassette housing including at least one fluid inlet line and at least one fluid outlet line. The mixing cassette also includes at least one reciprocating pressure displacement membrane pump fluidly connected to the housing. The pressure pump pumps at least one fluid from the fluid inlet line to at least one of the fluid outlet line. The mixing cassette also includes at least one mixing chamber fluidly connected to the housing. The mixing chamber is fluidly connected to the fluid outlet line. The middle cassette includes a housing having at least one fluid port and at least one air vent port, the air vent port vents a fluid source outside the middle cassette housing. The middle cassette also includes at least one reciprocating pressure displacement membrane pump fluidly connected to the housing. The pump pumps a fluid. The balancing cassette includes a housing including at least two inlet fluid lines and at least two outlet fluid lines. Also, at least one balancing pod fluidly connected to the balancing cassette housing and in fluid connection with the fluid paths. The balancing pod balances the flow of a first fluid and the flow of a second fluid such that the volume of the first fluid equals the volume of the second fluid. The balancing pod includes a membrane wherein the membrane forms two balancing chambers. The balancing cassette also includes at least one reciprocating pressure displacement membrane pump fluidly connected to the balancing cassette housing. The pressure pump pumps a fluid from the fluid inlet line to the fluid outlet line. The mixing cassette is fluidly connected to the middle cassette by at least one fluid line, and the middle cassette is fluidly connected to the balancing pod by at least one fluid line. The reciprocating pressure displacement membrane pumps, mixing chamber and balancing pod are connected to the housings such that the reciprocating pressure displacement membrane pumps, mixing chamber and balancing pod are located in areas between the cassettes.
Various embodiments of this aspect of the cassette include one or more of the following. Where the cassette housings include a top plate, a midplate and a bottom plate. Where the reciprocating pressure displacement pump includes a curved rigid chamber wall and a flexible membrane attached to the rigid chamber wall. The flexible membrane and the rigid chamber wall define a pumping chamber. Also, in some embodiments, the balancing pod includes a curved rigid chamber wall and a flexible membrane attached to the rigid chamber wall. The flexible membrane and the rigid chamber wall define two balancing chambers. Where the mixing chamber includes a curved rigid chamber wall having at least one fluid inlet and at least one fluid outlet. Where the mixing cassette, middle cassette and the balancing cassette further include at least one valve. Some embodiments of the valve include where the valve is a membrane valve. Some embodiments include where the membrane valve is a volcano valve.
Some embodiments include where the at least one of the fluid lines connecting the cassettes is a rigid hollow cylindrical structure. Some embodiments include where at least one of the fluid lines connecting the cassettes contain a check valve within the cylindrical structure. Some embodiments of the system include where the mixing cassette further includes at least one metering membrane pump within the mixing cassette housing. The mixing chamber fluidly connects to the fluid outlet line. Some embodiments of the system include where the balancing cassette further includes at least one metering pump within the housing and fluidly connected to a fluid line. The metering pump pumps a predetermined volume of a fluid such that the fluid bypasses the balancing chambers and wherein the metering pump is a membrane pump.
In accordance with one aspect of the cassette integrated system, the cassette integrated system includes a mixing cassette, a middle cassette and a balancing cassette. The mixing cassette includes a mixing cassette housing including at least one fluid inlet line and at least one fluid outlet line. Also, at least one reciprocating pressure displacement membrane pump fluidly connected to the housing. The pressure pump pumps at least one fluid from the fluid inlet line to at least one of the fluid outlet line. The mixing cassette also includes at least one mixing chamber fluidly connected to the housing. The mixing chamber is fluidly connected to the fluid outlet line. A plurality of membrane valves and a plurality of fluid lines are also included. The valves control the flow of fluid in the fluid lines. The mixing cassette also includes at least one metering membrane pump within the mixing cassette housing. The mixing chamber is fluidly connected to the fluid outlet line.
The middle cassette includes a middle cassette housing having at least one fluid port and at least one air vent port. The air vent port vents a fluid source outside the housing. Also includes are a plurality of fluid lines within the middle cassette housing and a plurality of membrane valves. The valves control the flow of fluid in the fluid. At least one reciprocating pressure displacement membrane pump fluidly connected to the housing is also included. The pump pumps a fluid.
The balancing cassette includes a balancing cassette housing including at least one inlet fluid line and at least one outlet fluid line. A plurality of membrane valves and a plurality of fluid paths are also included. The valves control the flow of fluid in the fluid paths. At least one balancing pod fluidly connected to the balancing cassette housing and in fluid connection with the fluid paths is also included. The balancing pod balances the flow of a first fluid and the flow of a second fluid such that the volume of the first fluid equals the volume of the second fluid. The balancing pod includes a membrane which forms two balancing chambers. The balancing cassette also includes at least one reciprocating pressure displacement membrane pump fluidly connected to the balancing cassette housing. The pressure pump pumps a fluid from the fluid inlet line to the fluid outlet line. Also, at least one metering pump within said housing and fluidly connected to a fluid line, wherein said metering pump is included. The metering pump pumps a predetermined volume of a fluid such that the fluid bypasses the balancing chambers. The metering pump is a membrane pump.
The mixing cassette is fluidly connected to the middle cassette by at least one fluid line. Also, the middle cassette is fluidly connected to the balancing pod by at least one fluid line. The reciprocating pressure displacement membrane pumps, mixing chamber and balancing pod are connected to the housings such that they are located in areas between said cassettes.
Various embodiments of this aspect of the cassette include where at least one of the fluid lines connecting the cassettes is a rigid hollow cylindrical structure.
These aspects of the invention are not meant to be exclusive and other features, aspects, and advantages of the present invention will be readily apparent to those of ordinary skill in the art when read in conjunction with the appended claims and accompanying drawings.
These and other features and advantages of the present invention will be better understood by reading the following detailed description, taken together with the drawings wherein:
1. Pumping Cassette
1.1 Cassette
The pumping cassette includes various features, namely, pod pumps, fluid lines and in some embodiment, valves. The cassette embodiments shown and described in this description include exemplary and some alternate embodiments. However, any variety of cassettes having a similar functionality is contemplated. As well, although the cassette embodiments described herein are implementations of the fluid schematics as shown in
In the exemplary embodiment, the cassette includes a top plate, a midplate and a bottom plate. There are a variety of embodiments for each plate. In general, the top plate includes pump chambers and fluid lines, the midplate includes complementary fluid lines, metering pumps and valves and the bottom plate includes actuation chambers (and in some embodiments, the top plate and the bottom plate include complementary portions of a balancing chamber).
In general, the membranes are located between the midplate and the bottom plate, however, with respect to balancing chambers, a portion of a membrane is located between the midplate and the top plate. Some embodiments include where the membrane is attached to the cassette, either over molded, captured, bonded, press fit, welded in or any other process or method for attachment, however, in the exemplary embodiments, the membranes are separate from the top plate, midplate and bottom plate until the plates are assembled.
The cassettes may be constructed of a variety of materials. Generally, in the various embodiment, the materials used are solid and non flexible. In the preferred embodiment, the plates are constructed of polysulfone, but in other embodiments, the cassettes are constructed of any other solid material and in exemplary embodiment, of any thermoplastic or thermoset.
In the exemplary embodiment, the cassettes are formed by placing the membranes in their correct locations, assembling the plates in order and connecting the plates. In one embodiment, the plates are connected using a laser welding technique. However, in other embodiments, the plates may be glued, mechanically fastened, strapped together, ultrasonically welded or any other mode of attaching the plates together.
In practice, the cassette may be used to pump any type of fluid from any source to any location. The types of fluid include nutritive, nonnutritive, inorganic chemicals, organic chemicals, bodily fluids or any other type of fluid. Additionally, fluid in some embodiments include a gas, thus, in some embodiments, the cassette is used to pump a gas.
The cassette serves to pump and direct the fluid from and to the desired locations. In some embodiments, outside pumps pump the fluid into the cassette and the cassette pumps the fluid out. However, in some embodiments, the pod pumps serve to pull the fluid into the cassette and pump the fluid out of the cassette.
As discussed above, depending on the valve locations, control of the fluid paths is imparted. Thus, the valves being in different locations or additional valves are alternate embodiments of this cassette. Additionally, the fluid lines and paths shown in the figures described above are mere examples of fluid lines and paths. Other embodiments may have more, less and/or different fluid paths. In still other embodiments, valves are not present in the cassette.
The number of pod pumps described above may also vary depending on the embodiment. For example, although the exemplary and alternate embodiments shown and described above include two pod pumps, in other embodiments, the cassette includes one. In still other embodiments, the cassette includes more than two pod pumps. The pod pumps can be single pumps or work in tandem to provide a more continuous flow. Either or both may be used in various embodiments of the cassette.
The various fluid inlets and fluid outlets are fluid ports. In practice, depending on the valve arrangement and control, a fluid inlet can be a fluid outlet. Thus, the designation of the fluid port as a fluid inlet or a fluid outlet is only for description purposes. The various embodiments have interchangeable fluid ports. The fluid ports are provided to impart particular fluid paths onto the cassette. These fluid ports are not necessarily all used all of the time; instead, the variety of fluid ports provides flexibility of use of the cassette in practice.
1.2 Exemplary Pressure Pod Pump Embodiments
A membrane 112 separates the central cavity of the pod pump into two chambers. In one embodiment, these chambers are: the pumping chamber that receives the fluid to be pumped and an actuation chamber for receiving the control gas that pneumatically actuates the pump. An inlet 102 allows fluid to enter the pumping chamber, and an outlet 104 allows fluid to exit the pumping chamber. The inlet 102 and the outlet 104 may be formed between midplate 108 and the top plate 106. Pneumatic pressure is provided through a pneumatic port 114 to either force, with positive gas pressure, the membrane 112 against one wall of the pod pump cavity to minimize the pumping chamber's volume, or to draw, with negative gas pressure, the membrane 112 towards the other wall of the pod pump 100 cavity to maximize the pumping chamber's volume.
The membrane 112 is provided with a thickened rim 116, which is held tightly by a protrusion 118 in the midplate 108. Thus, in manufacturing, the membrane 112 can be placed in and held by the groove 108 before the bottom plate 110 is connected (in the exemplary embodiment) to the midplate 108.
Although not shown in
Referring first to
During typical fluid pumping operations, the application of negative or vent to atmosphere pneumatic pressure to the actuation or pneumatic interface 114 tends to withdraw the membrane 112 toward the actuation chamber wall 120 so as to expand the pumping/liquid chamber and draw fluid into the pumping chamber through the inlet 102, while the application of positive pneumatic pressure tends to push the membrane 112 toward the pumping chamber wall 122 so as to collapse the pumping chamber and expel fluid in the pumping chamber through the outlet 104. During such pumping operations, the interior surfaces of the pumping chamber wall 122 and the actuation chamber wall 120 limit movement of the membrane 112 as it reciprocates back and forth. In the embodiment shown in
Thus, in the embodiment shown in
In an exemplary embodiment, the pumping chamber wall 122 and the actuation chamber wall 120 both have a hemispheroid shape so that the pumping chamber will have a spheroid shape when it is at its maximum volume. By using a pumping chamber that attains a spheroid shape—and particularly a spherical shape—at maximum volume, circulating flow may be attained throughout the pumping chamber. Such shapes accordingly tend to avoid stagnant pockets of fluid in the pumping chamber. As discussed further below, the orientations of the inlet 102 and outlet 104 also tend to have an impact on the flow of fluid through the pumping chamber and in some embodiments, reduce the likelihood of stagnant pockets of fluid forming. Additionally, compared to other volumetric shapes, the spherical shape (and spheroid shapes in general) tends to create less shear and turbulence as the fluid circulates into, through, and out of the pumping chamber.
Referring now to
1.3 Exemplary Balancing Pods Embodiment
Referring now to
The membrane 112 provides a seal between the two chambers. The balancing chambers work to balance the flow of fluid into and out of the chambers such that both chambers maintain an equal volume rate flow. Although the inlets 102 and outlets 104 for each chamber are shown to be on the same side, in other embodiments, the inlets 102 and outlets 104 for each chamber are on different sides. Also, the inlets 102 and outlets 104 can be on either side, depending on the flow path in which the balancing pod is integrated.
In one embodiment of the balancing pod the membrane 112 includes an embodiment similar to the one described below with respect to
1.4 Metering Pumps and Fluid Management System
The metering pump can be any pump that is capable of adding any fluid or removing any fluid. The fluids include but are not limited to pharmaceuticals, inorganic compounds or elements, organic compounds or elements, nutraceuticals, nutritional elements or compounds or solutions, or any other fluid capable of being pumped. In one embodiment, the metering pump is a membrane pump. In the exemplary embodiment, the metering pump is a smaller volume pod pump. In the exemplary embodiment, the metering pump includes an inlet and an outlet, similar to a larger pod pump (as shown in
Thus, depending on the embodiment, this volume of fluid that has been removed will not then flow to the fluid outlet, the balance chambers or to a pod pump. Thus, in some embodiments, the metering pump is used to remove a volume of fluid from a fluid line. In other embodiments, the metering pump is used to remove a volume of fluid to produce other results.
FMS may be used to perform certain fluid management system measurements, such as, for example, measuring the volume of subject fluid pumped through the pump chamber during a stroke of the membrane or detecting air in the pumping chamber, e.g., using techniques described in U.S. Pat. Nos. 4,808,161; 4,826,482; 4,976,162; 5,088,515; and 5,350,357, which are hereby incorporated herein by reference in their entireties.
Metering pumps are also used in various embodiments to pump a second fluid into the fluid line. In some embodiments, the metering pump is used to pump a therapeutic or a compound into a fluid line. One embodiment uses the metering pump to pump a volume of compound into a mixing chamber in order to constitute a solution. In some of these embodiments, the metering pumps are configured for FMS volume measurement. In other embodiments, the metering pumps are not.
For FMS measurement, a small fixed reference air chamber is located outside of the cassette, for example, in the pneumatic manifold (not shown). A valve isolates the reference chamber and a second pressure sensor. The stroke volume of the metering pump may be precisely computed by charging the reference chamber with air, measuring the pressure, and then opening the valve to the pumping chamber. The volume of air on the chamber side may be computed based on the fixed volume of the reference chamber and the change in pressure when the reference chamber was connected to the pump chamber.
1.5 Valves
The exemplary embodiment of the cassette includes one or more valves. Valves are used to regulate flow by opening and closing fluid lines. The valves included in the various embodiments of the cassette include one or more of the following: volcano valves or smooth valves. In some embodiment of the cassette, check valves may be included. Embodiments of the volcano valve are shown in
Generally speaking, reciprocating positive-displacement pumps of the types just described may include, or may be used in conjunction with, various valves to control fluid flow through the pump. Thus, for example, the reciprocating positive-displacement pump or the balancing pods may include, or be used in conjunction with, an inlet valve and/or an outlet valve. The valves may be passive or active. In the exemplary embodiment of the reciprocating positive-displacement pump the membrane is urged back and forth by positive and negative pressurizations, or by positive and vent to atmosphere pressurizations, of a gas provided through the pneumatic port, which connects the actuation chamber to a pressure actuation system. The resulting reciprocating action of the membrane pulls fluid into the pumping chamber from the inlet (the outlet valve prevents liquid from being sucked back into the pumping chamber from the outlet) and then pushes the fluid out of the pumping chamber through the outlet (the inlet valve prevents fluid from being forced back from the inlet).
In the exemplary embodiments, active valves control the fluid flow through the pump(s) and the cassette. The active valves may be actuated by a controller in such a manner as to direct flow in a desired direction. Such an arrangement would generally permit the controller to cause flow in either direction through the pod pump. In a typical system, the flow would normally be in a first direction, e.g., from the inlet to the outlet. At certain other times, the flow may be directed in the opposite direction, e.g., from the outlet to the inlet. Such reversal of flow may be employed, for example, during priming of the pump, to check for an aberrant line condition (e.g., a line occlusion, blockage, disconnect, or leak), or to clear an aberrant line condition (e.g., to try to dislodge a blockage).
Pneumatic actuation of valves provides pressure control and a natural limit to the maximum pressure that may be developed in a system. In the context of a system, pneumatic actuation has the added benefit of providing the opportunity to locate all the solenoid control valves on one side of the system away from the fluid paths.
Referring now to
The pneumatic port 208 is defined by a channel formed in the top plate 214. By providing pneumatic control of several valves in a cassette, valves can be ganged together so that all the valves ganged together can be opened or closed at the same time by a single source of pneumatic pressure. Channels formed on the midplate 204, corresponding with fluid paths along with the bottom plate 216, define the valve inlet 218 and the valve outlet 220. Holes formed through the midplate 204 provide communication between the inlet 218 and the valving chamber 206 and between the valving chamber 206 and the outlet 220.
The membrane 202 is provided with a thickened rim 222, which fits tightly in a groove 224 in the midplate 204. Thus, the membrane 202 can be placed in and held by the groove 224 before the top plate 214 is connected to the midplate 204. Thus, this valve design may impart benefits in manufacturing. As shown in
1.6 Exemplary Embodiments of the Pod Membrane
In some embodiments, the membrane has a variable cross-sectional thickness, as shown in
Referring now to
The membrane may be made of any flexible material having a desired durability and compatibility with the subject fluid. The membrane can be made from any material that may flex in response to fluid, liquid or gas pressure or vacuum applied to the actuation chamber. The membrane material may also be chosen for particular bio-compatibility, temperature compatibility or compatibility with various subject fluids that may be pumped by the membrane or introduced to the chambers to facilitate movement of the membrane. In the exemplary embodiment, the membrane is made from high elongation silicone. However, in other embodiments, the membrane is made from any elastomer or rubber, including, but not limited to, silicone, urethane, nitrile, EPDM or any other rubber, elastomer or flexible material.
The shape of the membrane is dependent on multiple variables. These variables include, but are not limited to: the shape of the chamber; the size of the chamber; the subject fluid characteristics; the volume of subject fluid pumped per stroke; and the means or mode of attachment of the membrane to the housing. The size of the membrane is dependent on multiple variables. These variables include, but are not limited to: the shape of the chamber; the size of the chamber; the subject fluid characteristics; the volume of subject fluid pumped per stroke; and the means or mode of attachment of the membrane to the housing. Thus, depending on these or other variables, the shape and size of the membrane may vary in various embodiments.
The membrane can have any thickness. However, in some embodiments, the range of thickness is between 0.002 inches to 0.125 inches. Depending on the material used for the membrane, the desired thickness may vary. In one embodiment, high elongation silicone is used in a thickness ranging from 0.015 inches to 0.050 inches. However in other embodiments, the thickness may vary.
In the exemplary embodiment, the membrane is pre-formed to include a substantially dome-shape in at least part of the area of the membrane. One embodiment of the dome-shaped membrane is shown in
In the exemplary embodiment, the membrane dome is formed using liquid injection molding. However, in other embodiments, the dome may be formed by using compression molding. In alternate embodiments, the membrane is substantially flat. In other embodiments, the dome size, width or height may vary.
In various embodiments, the membrane may be held in place by various means and methods. In one embodiment, the membrane is clamped between the portions of the cassette, and in some of these embodiments, the rim of the cassette may include features to grab the membrane. In others of this embodiment, the membrane is clamped to the cassette using at least one bolt or another device. In another embodiment, the membrane is over-molded with a piece of plastic and then the plastic is welded or otherwise attached to the cassette. In another embodiment, the membrane is pinched between the mid plate described with respect to
In some embodiments of the gasket, the gasket is contiguous with the membrane. However, in other embodiments, the gasket is a separate part of the membrane. In some embodiments, the gasket is made from the same material as the membrane. However, in other embodiments, the gasket is made of a material different from the membrane. In some embodiments, the gasket is formed by over-molding a ring around the membrane. The gasket can be any shape ring or seal desired so as to complement the pod pump housing embodiment. In some embodiments, the gasket is a compression type gasket.
1.7 Mixing Pods
Some embodiments of the cassette include a mixing pod. A mixing pod includes a chamber for mixing. In some embodiments, the mixing pod is a flexible structure, and in some embodiments, at least a section of the mixing pod is a flexible structure. The mixing pod can include a seal, such as an o-ring, or a membrane. The mixing pod can be any shape desired. In the exemplary embodiment, the mixing pod is similar to a pod pump except it does not include a membrane and does not include an actuation port. Some embodiments of this embodiment of the mixing pod include an o-ring seal to seal the mixing pod chamber. Thus, in the exemplary embodiment, the mixing pod is a spherical hollow pod with a fluid inlet and a fluid outlet. As with the pod pumps, the chamber size can be any size desired.
2. Pressure Pump Actuation System
The positive-pressure reservoir provides to the actuation chamber the positive pressurization of a control gas to urge the membrane towards a position where the pumping chamber is at its minimum volume (i.e., the position where the membrane is against the rigid pumping-chamber wall). The negative-pressure reservoir provides to the actuation chamber the negative pressurization of the control gas to urge the membrane in the opposite direction, towards a position where the pumping chamber is at its maximum volume (i.e., the position where the membrane is against the rigid actuation-chamber wall).
A valving mechanism is used to control fluid communication between each of these reservoirs and the actuation chamber. As shown in
The controller also receives pressure information from the three pressure transducers: an actuation-chamber pressure transducer, a positive-pressure-reservoir pressure transducer, and a negative-pressure-reservoir pressure transducer. As their names suggest, these transducers respectively measure the pressure in the actuation chamber, the positive-pressure reservoir, and the negative-pressure reservoir. The actuation-chamber-pressure transducer is located in a base unit but is in fluid communication with the actuation chamber through the pod pump pneumatic port. The controller monitors the pressure in the two reservoirs to ensure they are properly pressurized (either positively or negatively). In one exemplary embodiment, the positive-pressure reservoir may be maintained at around 750 mmHG, while the negative-pressure reservoir may be maintained at around −450 mmHG.
Still referring to
The pressure provided by the positive-pressure reservoir is preferably strong enough—under normal conditions—to urge the membrane all the way against the rigid pumping-chamber wall. Similarly, the negative pressure (i.e., the vacuum) provided by the negative-pressure reservoir is preferably strong enough—under normal conditions—to urge the membrane all the way against the actuation-chamber wall. In a further preferred embodiment, however, these positive and negative pressures provided by the reservoirs are within safe enough limits that even with either the positive-supply valve or the negative-supply valve open all the way, the positive or negative pressure applied against the membrane is not so strong as to damage the pod pump or create unsafe fluid pressures (e.g., that may harm a patient receiving pumped blood or other fluid).
It will be appreciated that other types of actuation systems may be used to move the membrane back and forth instead of the two-reservoir pneumatic actuation system shown in
3. Fluid Handling
As shown and described with respect to
Referring again to
Pressure sensors are used to monitor pressure in the pneumatic portion of the chambers themselves. By alternating between positive pressure and vacuum on the pneumatic side of the chamber, the membrane is cycled back and forth across the total chamber volume. With each cycle, fluid is drawn through the upstream valve of the inlet fluid port when the pneumatics pull a vacuum on the pods. The fluid is then subsequently expelled through the outlet port and the downstream valve when the pneumatics deliver positive pressure to the pods.
In many embodiments pressure pumps consist of a pair of chambers. When the two chambers are run 180 degrees out of phase from one another the flow is essentially continuous.
4. Volume Measurement
These flow rates in the cassette are controlled using pressure pod pumps which can detect end-of-stroke. An outer control loop determines the correct pressure values to deliver the required flow. Pressure pumps can run an end of stroke algorithm to detect when each stroke completes. While the membrane is moving, the measured pressure in the chamber tracks a desired sinusoidal pressure. When the membrane contacts a chamber wall, the pressure becomes constant, no longer tracking the sinusoid. This change in the pressure signal is used to detect when the stroke has ended, i.e., the end-of-stroke.
The pressure pumps have a known volume. Thus, an end of stroke indicates a known volume of fluid is in the chamber. Thus, using the end-of-stroke, fluid flow may be controlled using rate equating to volume.
As described above in more detail, FMS may be used to determine the volume of fluid pumped by the metering pumps. In some embodiments, the metering pump may pump fluid without using the FMS volume measurement system, however, in the exemplary embodiments, the FMS volume measurement system is used to calculate the exact volume of fluid pumped.
5. Exemplary Embodiment of the Mixing Cassette
The terms inlet and outlet as well as first fluid, second fluid, third fluid, and the number designations given to valving paths (i.e. “first valving path”) are used for description purposes only. In other embodiments, an inlet can be an outlet, as well, an indication of a first, second, third fluid does not denote that they are different fluids or are in a particular hierarchy. The denotations simply refer to separate entrance areas into the cassette and the first, second, third, etc., fluids may be different fluids or the same fluid types or composition or two or more may be the same. Likewise, the designation of the first, second, third, etc. valving paths do not have any particular meaning, but are used for clearness of description.
The designations given for the fluid inlets (which can also be fluid outlets), for example, first fluid outlet, second fluid outlet, merely indicate that a fluid may travel out of or into the cassette via that inlet/outlet. In some cases, more than one inlet/outlet on the schematic is designated with an identical name. This merely describes that all of the inlet/outlets having that designation are pumped by the same metering pump or set of pod pumps (which in alternate embodiments, can be a single pod pump).
Referring now to
Metering pumps 822, 830 pump the second fluid and the third fluid into the first fluid outlet line. The second fluid and, in some embodiments, the third fluid, connected to the cassette 800 at the second fluid inlet 826 and third fluid inlet 825 respectively, are each fluidly connected to a metering pump 822, 830 and to the first fluid outlet line through a metering fluid line 812,814,816. The metering pumps 822,830, described in more detail below, in the exemplary embodiment, include a volume measurement capacity such that the volume of fluid pumped by the metering pumps 822, 830 is readily discernable.
The mixing chamber 818 is connected to the first fluid outlet line 824 and includes a fluid inlet and a fluid outlet. In some embodiments, sensors are located upstream and downstream from the mixing chamber 818. The location of the sensors in the exemplary embodiment are shown and described below with respect to
The cassette 800 is capable of internally mixing a solution made up of at least two components. The cassette 800 also includes the capability of constituting a powder to a fluid prior to pumping the fluid into the mixing chamber. These capabilities will be described in greater detail below.
Various valves 832-860 impart the various capabilities of the cassette 800. The components of the cassette 800 may be used differently in the different embodiments based on various valving controls.
The fluid schematic of the cassette 800 shown in
Referring now to
Referring now to
The first of the two metering fluid lines connected to the second fluid inlet 826 is as follows. When valve 858 opens and valve 860 is closed and metering pump 822 is actuated, fluid is drawn from the second fluid inlet 826 and into metering fluid line 812. When valve 860 is open and valve 858 is closed and the metering pump 822 is actuated, second fluid continues on metering fluid line 812 into pod pump 820.
Referring now to the second valving path including valve 842, when valve 842 is open and pod pump 820 is actuated, fluid is pumped from pod pump 820 to one of the third fluid inlet 825. In one embodiment, this valving path is provided to send liquid into a container or source connected to third fluid inlet 825.
Referring now to the third valving path including valves 832 and 836 this valving path 832, 835 includes the metering fluid line 816, which connects to the third fluid inlet 825. As shown in these FIGS., in some embodiments of the cassette, there are two third fluid inlets 825. In practice, these two third fluid inlets 825 can be connected to the same fluid source or a different fluid source. Either way, the same fluid or a different fluid may be connected to each third fluid inlet 825. Each third fluid inlet 825 is connected to a different metering fluid line 862, 868.
When valve 832 opens and valve 836 is closed and metering pump 830 is actuated, fluid is drawn from the third fluid inlet 825 and into metering fluid line 830. When valve 836 is open and valve 832 is closed and the metering pump 830 is actuated, third fluid continues on metering fluid line 816 into first fluid outlet line 824.
Referring now to the fourth valving path, valve 846, when valve 846 is open and pod pump 820 is actuated, fluid is pumped from pod pump 820 to one of the third fluid inlet 825. In one embodiment, this valving path is provided to send liquid into a container or source connected to third fluid inlet 825.
Referring now to the fifth valving path, when valve 850 opens and pod pump 820 is actuated, fluid is pumped into the cassette 800 through the first fluid inlet 810, and into pod pump 820.
Referring now to the sixth valving path, when valve 838 is open and pod pump 820 is actuated, fluid is pumped from pod pump 820 to the mixing chamber 818 and to the first fluid outlet 824.
The seventh valving path includes valves 858, 856. This valving path 858, 856 includes the metering fluid line 812, which connects to the second fluid inlet 826. As shown in these FIGS., in some embodiments of the cassette, there are two second fluid inlets 826. In practice, these two second fluid inlets 826 can be connected the same fluid source or a different fluid source. Either way, the same fluid or a different fluid may be connected to each second fluid inlet 826. Each second fluid inlet 826 is connected to a different metering fluid line 812, 814.
When valve 858 opens and valve 856 is closed and metering pump 822 is actuated, fluid is drawn from the second fluid inlet 826 and into metering fluid line 812. When valve 856 is open and valve 858 is closed, and the metering pump is actuated, second fluid continues on metering fluid line 814 into pod pump 828.
Referring now to the eighth valving path, valve 848, when valve 848 is open and pod pump 828 is actuated, fluid is pumped from pod pump 828 to one of the third fluid inlet 825. In one embodiment, this valving path is provided to send fluid/liquid into a container or source connected to third fluid inlet 825.
Referring now to the ninth valving path including valve 844, when valve 844 is open and pod pump 828 is actuated, fluid is pumped from pod pump 828 to one of the third fluid inlet 825. In one embodiment, this valving path is provided to send liquid into a container or source connected to third fluid inlet 825.
Referring now to the tenth valving path, valve 848, when valve 848 is open and pod pump 828 is actuated, fluid is pumped from pod pump 828 to one of the third fluid inlet 825. In one embodiment, this valving path is provided to send fluid/liquid into a container or source connected to third fluid inlet 825.
The eleventh valving path including valves 854 and 856 is shown. This valving path 854, 856 includes the metering fluid line 814, which connects to the second fluid inlet 826. As shown in these FIGS., in some embodiments of the cassette, there are two second fluid inlets 826. In practice, these two second fluid inlets 826 can be connected the same fluid source or a different fluid source. Either way, the same fluid or a different fluid may be connected to each second fluid inlet 826. Each second fluid inlet 826 is connected to a different metering fluid line 812, 814.
The second of the two metering fluid lines connected to the second fluid inlet 826 is shown in
Similarly, the thirteenth valving path is seen when valve 854 opens and valve 860 is closed and metering pump 822 is actuated, fluid is drawn from the second fluid inlet 826 and into metering fluid line 814. When valve 860 is open and valve 854 is closed, and the metering pump 822 is actuated, the second fluid continues on metering fluid line 814 into pod pump 820.
Referring now to the fourteenth valving path including valve 852. When valve 852 opens and pod pump 828 is actuated, fluid is pumped into the cassette 800 through the first fluid inlet 810, and into pod pump 828.
Referring now to the fifteenth valving path, when valve 840 is open and pod pump 828 is actuated, fluid is pumped from pod pump 828 to the mixing chamber 818 and to the first fluid outlet 824. The sixteenth valving path including valve 834, when valve 834 is open and valve 836 opens, and the metering pump 830 is actuated, fluid from the third fluid inlet 825 flows on metering fluid line 862 and to metering fluid line 816.
In the exemplary fluid flow-path embodiment shown in
Referring now to
Referring now to
Still referring to
The groove 1002 provides a fluid path whereby when the membrane is at the end-of-stroke there is still a fluid path between the inlet and outlet such that the pockets of fluid or air do not get trapped in the pod pump. The groove 1002 is included in both the liquid/fluid and air/actuation sides of the pod pumps 820, 828. In some embodiments, the groove 1002 may also be included in the mixing chamber 818 (see
In an alternate embodiment of the cassette, the liquid/fluid side of the pod pumps 820,828 may include a feature (not shown) whereby the inlet and outlet flow paths are continuous and a rigid outer ring (not shown) is molded about the circumference of the pumping chamber is also continuous. This feature allows for the seal, formed with the membrane (not shown) to be maintained. Referring to
Referring now to
Referring now to
In alternate embodiments, there are either no sensors in the cassette or only a temperature sensor, only one or more conductivity sensors or one or more of another type of sensor.
Referring now to
Referring now to
Referring now to
5.1 Membranes
In the exemplary embodiment, the membrane is a gasket o-ring membrane as shown in
Referring next to
The various embodiments of the membrane used in the metering pumps 1604, in the preferred embodiment, are shown in more detail in
One embodiment of the conductivity sensor elements 1314, 1316 and the temperature sensor element 1310, which make up the sensor cell 1322, are also shown in
5.2 Cross Sectional Views
Referring now to
Referring now to
Referring now to
As described above, the exemplary embodiment is one cassette embodiment that incorporates the exemplary fluid flow-path schematic shown in
Referring now to
Referring now to
Referring now to
As this alternate embodiment shows, there are many variations of the pumping cassette and the general fluid schematic shown in
5.3 Exemplary Embodiments of the Mixing Cassette
In practice, the cassette may be used to pump any type of fluid from any source to any location. The types of fluid include nutritive, nonnutritive, inorganic chemicals, organic chemicals, bodily fluids or any other type of fluid. Additionally, fluid in some embodiments includes a gas, thus, in some embodiments; the cassette is used to pump a gas.
The cassette serves to pump and direct the fluid from and to the desired locations. In some embodiments, outside pumps pump the fluid into the cassette and the cassette pumps the fluid out. However, in some embodiments, the pod pumps serve to pull the fluid into the cassette and pump the fluid out of the cassette.
As discussed above, depending on the valve locations, control of the fluid paths is imparted. Thus, the valves being in different locations or additional valves are alternate embodiments of this cassette. Additionally, the fluid lines and paths shown in the figures described above are mere examples of fluid lines and paths. Other embodiments may have more, less and/or different fluid paths. In still other embodiments, valves are not present in the cassette.
The number of pod pumps described above may also vary depending on the embodiment. For example, although the exemplary and alternate embodiments shown and described above include two pod pumps, in other embodiments, the cassette includes one. In still other embodiments, the cassette includes more than two pod pumps. The pod pumps can be single pumps or work in tandem to provide a more continuous flow. Either or both may be used in various embodiments of the cassette.
The various ports are provided to impart particular fluid paths onto the cassette. These ports are not necessarily all used all of the time, instead, the variety of ports provide flexibility of use of the cassette in practice.
The pumping cassette can be used in a myriad of applications. However, in one exemplary embodiment, the pumping cassette is used to mix a solution that includes at least two ingredients/compounds. In the exemplary embodiment, three ingredients are mixed. However, in other embodiments, less than three or more than three can be mixed by adding metering pumps, mixing chambers, inlets/outlets, valves and fluid lines. These variations to the cassette design are readily discernable.
As used herein, the terms “source ingredient” or “sources of ingredients” refers to ingredients other than the fluid pumped into the cassette from the first fluid inlet. These source ingredients are contained in a container, or provided by a source, connected to the cassette.
In the exemplary embodiment, the pumping cassette includes the ability to connect four sources of ingredients to the cassette in addition to the fluid inlet line. In the exemplary embodiment, the fluid inlet is connected to a water source. However, in other embodiments, the fluid inlet line is connected to a container of a liquid/fluid solution or to another source of fluid/liquid.
In the exemplary embodiment, the four additional sources of ingredients can be four of the same source ingredients, or two of one source ingredient and two of another. Using two of each source ingredient, or four of one source ingredient, pumping and mixing can be done in a continuous manner without having to replace the sources. However, depending on the source, the number of redundant sources of each ingredient will vary. For example, the source could be a connection to a very large container, a smaller container or a seemingly “endless” source. Thus, depending on the volume being pumped and the size of the source, the number of containers of a source ingredient may vary.
One of the fluid paths described above with respect to
Additionally, in some embodiments, fluid is pumped into the fluid inlet and to the source ingredients where the source ingredients are fluid. This embodiment may be used in situations where the fluid inlet fluid is a source ingredient that needs to be mixed with one of the source ingredients prior to pumping. This functionality can be designed into any embodiment of the pumping cassette. However, in some embodiments, this valving path is not included.
In the exemplary embodiment, the metering pumps allow for the pumping of the source ingredients in known volumes. Thus, careful pumping allows for mixing a solution requiring exact concentrations of the various ingredients. A single metering pump could pump multiple source ingredients. However, as an ingredient is pumped, small amounts of that ingredient may be present in the metering fluid line and thus, could contaminate the ingredient and thus, provide for an incorrect assessment of the volume of that second ingredient being pumped. Therefore, in the exemplary embodiment, at least one metering pump is provided for each source ingredient, and thus, a single metering pump is provided for two sources of source ingredients where those two sources contain identical source ingredients.
In the exemplary embodiment, for each source ingredient, a metering pump is provided. Thus, in embodiments where more than two source ingredients are present, additional metering pumps may be included for each additional source ingredient in the pumping cassette. In the exemplary embodiment, a single metering pump is connected to two source ingredients because in the exemplary embodiment, these two source ingredients are the same. However, in alternate embodiments, one metering pump can pump more than one source ingredient and be connected to more than one source ingredient even if they are not the same.
Sensors or sensor elements may be included in the fluid lines to determine the concentration, temperature or other characteristic of the fluid being pumped. Thus, in embodiments where the source ingredient container included a powder, water having been pumped by the cassette to the source ingredient container to constitute the powder into solution, a sensor could be used to ensure the correct concentration of the source ingredient. Further, sensor elements may be included in the fluid outlet line downstream from the mixing chamber to determine characteristics of the mixed solution prior to the mixed solution exiting the cassette through the fluid outlet. Additionally, a downstream valve can be provided to ensure badly mixed solution is not pumped outside the cassette through the fluid outlet. Discussion of the exemplary embodiment of the sensor elements is included above.
One example of the pumping cassette in use is as a mixing cassette as part of a hemodialysis system. The mixing cassette would be used to mix dialysate to feed a dialysate reservoir outside the cassette. Thus, the cassette would be connected to two containers of each citric acid and NaCl/bicarbonate. Two metering pumps are present in the cassette, one dedicated to the citric acid and the other to the NaCl/Bicarbonate. Thus, one metering pump works with two source ingredient containers.
In the exemplary embodiment, the NaCl/Bicarbonate is a powder and requires the addition of water to create the fluid source ingredient solution. Thus, water is pumped into the first fluid inlet and into the source containers of NaCl/Bicarbonate. Both pod pumps can pump out of phase to rapidly and continuously provide the necessary water to the source containers of NaCl/Bicarbonate.
To mix the dialysate, the citric acid is pumped by a metering pump into a pod pump and then towards the mixing chamber. Water is pumped into the pod pumps as well, resulting in a desired concentration of citric acid. Sensor elements are located upstream from the mixing chamber to determine if the citric acid is in the proper concentration and also, the pod pumps can pump additional water towards the mixing chamber if necessary to achieve the proper concentration.
The NaCl/Bicarbonate is pumped by the second metering pump and into the fluid outlet line upstream from the mixing chamber. The citric acid and fluid NaCl/Bicarbonate will enter the mixing chamber. The two source ingredients will then mix and be pumped out the fluid outlet.
In some embodiments, sensor elements are located downstream from the mixing chamber. These sensor elements can ensure the concentration of the finished solution is proper. Also, in some embodiments, a valve may be located downstream from the fluid outlet. In situations where the sensor data shows the mixing has not been successful or as desired, this valve can block the dialysate from flowing into the reservoir located outside the cassette.
In alternate embodiments of the cassette, addition metering pumps can be includes to remove fluid from the fluid lines. Also, additional pod pumps may be included for additional pumping features. In alternate embodiments of this dialysate mixing process, three metering pumps and two mixing chambers are used (as shown in
Various embodiments of the cassette for mixing various solutions are readily discernable. The fluid lines, valving, metering pumps, mixing chambers, pod pumps and inlet/outlets are modular elements that can be mixed and matched to impart the desired mixing functionality onto the cassette.
In various embodiments of the cassette, the valve architecture varies in order to alter the fluid flow-path. Additionally, the sizes of the pod pumps, metering pump and mixing chambers may also vary, as well as the number of valves, pod pumps, metering pumps, sensors, mixing chambers and source ingredient containers connected to the cassette. Although in this embodiment, the valves are volcano valves, in other embodiments, the valves are not volcano valves and in some embodiments are smooth surface valves.
6. Exemplary Embodiment of the Middle Cassette
Referring now to
The cassette additionally includes at least one pod pump 3820, 3828 to pump fluid through at least one port and into and/or out of the cassette. The exemplary embodiment includes two pod pumps 3820, 3828. However, in alternate embodiments, one or more pod pumps are included in the cassette. In the exemplary embodiment, two pod pumps 3820, 3828 may provide for continuous or steady flow. The vent 3830 provides a vent to atmosphere for a fluid reservoir fluidly connected to, but outside of, the cassette.
The fluid schematic of the cassette 3800 shown in
Still referring to
A vent 3830 provides a location for a reservoir or other container or fluid source to vent to atmosphere. In some embodiments, the source of the first fluid is connected to the vent 3830. A valve 3802 controls the venting pathway.
Although in one scenario, fluid is pumped into port 3810, in other embodiments, fluid is pumped into the cassette through any of the ports 3804, 3824, 3826, 3830, 3832, 3846, 3848, 3850, 3852, 3854 and then out of the cassette through any of the ports 3804, 3810, 3824, 3826, 3830, 3832, 3846, 3848, 3850, 3852, 3854. Additionally, the pod pumps 3820, 3828 in various embodiments pump fluid in the opposite direction than described above.
In general, the cassette 3800 provides pumping power to pump fluid as well as fluid flow paths between ports and around the cassette.
In one embodiment, the one or more ports 3804, 3810, 3824, 3826, 3830, 3832, 3846, 3848, 3850, 3852, 3854 are attached to a filter or other treatment area for the fluid being pumped out of the cassette. In some embodiments, pod pumps 3820, 3828 provide enough pumping force to push the fluid through a filter or other treatment area.
In some embodiments, the pumping cassette includes additional fluid paths and one or more additional pod pumps. Additionally, the cassette in some embodiments includes additional venting paths.
The various flow paths possible in the cassette, represented by one embodiment in
In some embodiments of the pumping cassette, more valves are included or additional flow paths and/or ports are included. In other embodiments, there are a smaller number of valves, flow paths and/or ports. In some embodiments of the cassette, the cassette may include one or more air traps, one or more filters, and/or one or more check valves.
The embodiments of the fluid flow-path schematic shown in
Referring now to
The pod pumps 3820, 3828 include a raised flow path 3908, 3910. The raised flow path 3908, 3910 allows for the fluid to continue to flow through the pod pumps 3820, 3828 after the membrane (not shown) reaches the end of stroke. Thus, the raised flow path 3908, 3910 minimizes the membrane causing air or fluid to be trapped in the pod pump 3820, 3828 or the membrane blocking the inlet or outlet of the pod pump 3820, 3828, which would inhibit flow. The raised flow path 3908, 3910 is shown in the exemplary embodiment having particular dimensions. In alternate embodiments, the raised flow path 3908, 3910 is larger or narrower, or in still other embodiments, the raised flow path 3908, 3910 can be any dimension as the purpose is to control fluid flow so as to achieve a desired flow rate or behavior of the fluid. Thus, the dimensions shown and described here with respect to the raised flow path, the pod pumps, the valves, or any other aspect are mere exemplary and alternate embodiments. Other embodiments are readily apparent.
Referring now to
Referring next to
Referring next to
Referring now to
Referring now to
Referring next to
Still referring to
As described above, the exemplary embodiment described above represents one cassette embodiment that incorporates the exemplary fluid flow-path schematic shown in
Referring now to
In this embodiment, when the cassette is assembled, as shown in
Still referring to
Still referring to
Referring now to
In the alternate embodiment, the gaskets 31500, 31700 are made from silicone, but in other embodiments, the gaskets 31500, 31700 may be made from other materials. Still referring to
6.1 Exemplary Embodiments of the Middle Cassette
In practice, the cassette may be used to pump any type of fluid from any source to any location. The types of fluid include nutritive, nonnutritive, inorganic chemicals, organic chemicals, bodily fluids, or any other type of fluid. Additionally, fluid in some embodiments include a gas, thus, in some embodiments, the cassette is used to pump a gas.
The cassette serves to pump and direct the fluid from and to the desired locations. In some embodiments, outside pumps pump the fluid into the cassette and the cassette pumps the fluid out. However, in some embodiments, the pod pumps serve to pull the fluid into the cassette and pump the fluid out of the cassette.
As discussed above, depending on the valve locations, control of the fluid paths is imparted. Thus, the valves being in different locations or additional valves are alternate embodiments of this cassette. Additionally, the fluid lines and paths shown in the figures described above are mere examples of fluid lines and paths. Other embodiments may have more, less, and/or different fluid paths. In still other embodiments, valves are not present in the cassette.
The number of pod pumps described above may also vary depending on the embodiment. For example, although the exemplary and alternate embodiments shown and described above include two pod pumps, in other embodiments, the cassette includes one. In still other embodiments, the cassette includes more than two pod pumps. The pod pumps can be single pumps or work in tandem to provide a more continuous flow. Either or both may be used in various embodiments of the cassette.
The terms inlet and outlet as well as fluid paths are used for description purposes only. In other embodiments, an inlet can be an outlet. The denotations simply refer to separate entrance areas into the cassette.
The designations given for the fluid inlets (which can also be fluid outlets), for example, first fluid outlet, second fluid outlet, merely indicate that a fluid may travel out of or into the cassette via that inlet/outlet. In some cases, more than one inlet/outlet on the schematic is designated with an identical name. This merely describes that all of the inlet/outlets having that designation are pumped by the same metering pump or set of pod pumps (which in alternate embodiments, can be a single pod pump).
The various ports are provided to impart particular fluid paths onto the cassette. These ports are not necessarily all used all of the time, instead, the variety of ports provide flexibility of use of the cassette in practice.
Referring again to
One embodiment includes a fluid line extending from port 3850 to port 3848 and controlled by valves 3838, 3836. In one embodiment, port 3848 may be fluidly attached to a reservoir. As such, port 3810 may also be attached to the same reservoir. Thus, in one embodiment, port 3850 provides a fluid line to the reservoir, and port 3810 provides a fluid line such that the pod pumps pump fluid from the reservoir into the cassette. In some embodiments, valve 3858 controls a bypass line from the reservoir to another fluid line controlled by valve 3842.
Some embodiments may include an air trap within the fluid lines and/or at least one sensor. The sensor can be any sensor having a capability to determine any fluid or non-fluid sensor data. In one embodiment; three sensor elements are included in a single fluid line. In some embodiments, more than one fluid line includes the three sensor elements. In the three sensor element embodiment, two of the sensor elements are conductivity sensor elements and the third sensor element is a temperature sensor element. The conductivity sensor elements and temperature sensor element can be any conductivity or temperature sensor in the art. In one embodiment, the conductivity sensors are graphite posts. In other embodiments, the conductivity sensor elements are posts made from stainless steel, titanium, platinum, or any other metal coated to be corrosion resistant and still be electrically conductive. The conductivity sensor elements will include an electrical lead that transmits the probe information to a controller or other device. In one embodiment, the temperature sensor is a thermister potted in a stainless steel probe. However, in alternate embodiments, a combination temperature and conductivity sensor elements is used similar to the one described in co-pending U.S. patent application entitled Sensor Apparatus Systems, Devices and Methods filed Oct. 12, 2007 (U.S. application Ser. No. 11/871,821).
In alternate embodiments, there are either no sensors in the cassette or only a temperature sensor, only one or more conductivity sensors or one or more of another type of sensor.
7. Exemplary Embodiment of the Balancing Cassette
Referring now to
Balancing pods 4822, 4812 in the cassette 4800 provide for a desired balance of volume of fluid pumped into and out of the cassette 4800, i.e., between the first fluid and the second fluid. The balancing pods 4822, 4812, however, may be bypassed by way of the metering pump 4830. The metering pump 4830 pumps a volume of second fluid (or first fluid in other embodiments) out of the fluid line, bypassing the balancing pod 4822, 4812. Thus, a smaller or reduced volume (i.e., a “new” volume) of the fluid that has been removed by the metering pump 4830 will actually enter the balancing pod 4822, 4812 and thus, the metering pump 4830 functions to provide a “new” volume of second fluid by removing the desired volume from the fluid path before the second fluid reaches the balancing pod 4822, 4812 (or in other embodiments, removing first fluid the desired volume from the fluid path before the second fluid reaches the balancing pod 4822, 4812) resulting in less first fluid (or in other embodiments, second fluid) being pumped for that pump cycle.
The fluid schematic of the cassette 4800 shown in
Referring still to
Referring first to
At the same time, pod pump B 4820 includes a volume of second fluid. The volume of second fluid is pumped to balancing pod B 4822. Balancing pod B 4822 contains a volume of first fluid, and this volume of first fluid is displaced by the volume of second fluid. The volume of first fluid from balancing pod B 4822 flows to the second fluid outlet 4824 and exits the cassette. A volume of a second fluid enters the cassette at fluid inlet two 4826 and flows to pod pump A 4828.
Referring still to
First fluid flows into the cassette through the first fluid inlet 4810 and flows to balancing pod B 4822. The first fluid displaces the second fluid in balancing pod B 4822, forcing the second fluid to flow out of the cassette through the first fluid outlet 4816. Second fluid flows into the cassette through the second fluid inlet 4826 and to pod pump B 4820.
The metering pump can be actuated at any time and its function is to remove fluid from the fluid path in order to bypass the balancing pod. Thus, any volume of fluid removed would act to decrease the volume of the other fluid flowing out of the second fluid outlet 4824. The metering pump is independent of the balancing pods 4812, 4822 and the pod pumps 4820, 4828. The fluid enters through fluid inlet two 4826 and is pulled by the metering pump 4830. The metering pump then pumps the volume of fluid through the second fluid outlet 4816.
Although in the embodiment of the fluid schematic shown in
In the exemplary fluid flow-path embodiment shown in
In the exemplary embodiment, the fluid valves are volcano valves, as described in more detail in this specification. Although the fluid flow-path schematic has been described with respect to a particular flow path, in various embodiments, the flow paths can change based on the actuation of the valves and the pumps. Additionally, the terms inlet and outlet as well as first fluid and second fluid are used for description purposes only. In other embodiments, an inlet can be an outlet, as well as, a first and second fluid may be different fluids or the same fluid types or composition.
Referring now to
Referring now to
Still referring to
The groove 41002 provides a fluid path whereby when the membrane is at the end of stroke, there is still a fluid path between the inlet and outlet such that the pockets of fluid or air do not get trapped in the pod pump or balancing pod. The groove 41002 is included in both the liquid and air sides of the pod pumps 4820, 4828 and balancing pods 4812, 4822 (see
The liquid side of the pod pumps 4820, 4828 and balancing pods 4812, 4822, in the exemplary embodiment, include a feature whereby the inlet and outlet flow paths are continuous while the outer ring 41004 is also continuous. This feature allows for the seal, formed with the membrane (not shown) to be maintained.
Referring to
Referring now to
In the exemplary embodiment of the cassette, sensor elements are incorporated into the cassette so as to discern various properties of the fluid being pumped. In one embodiment, the three sensor elements are included. In the exemplary embodiment, the sensor elements are located in the sensor cell 41114. The cell 41114 accommodates three sensor elements in the sensor element housings 41116, 41118, 41120. In the exemplary embodiment, two of the sensor housings 41116, 41118 accommodate a conductivity sensor element and the third sensor element housing 41120 accommodates a temperature sensor element. The conductivity sensor elements and temperature sensor elements can be any conductivity or temperature sensor elements in the art. In one embodiment, the conductivity sensor elements are graphite posts. In other embodiments, the conductivity sensor elements are posts made from stainless steel, titanium, platinum or any other metal coated to be corrosion resistant and still be electrically conductive. The conductivity sensor elements will include an electrical lead that transmits the probe information to a controller or other device. In one embodiment, the temperature sensor is a thermister potted in a stainless steel probe. However, in alternate embodiments, a combination temperature and conductivity sensor elements is used similar to the one described in co-pending U.S. patent application entitled Sensor Apparatus Systems, Devices and Methods filed Oct. 12, 2007 (U.S. application Ser. No. 11/871,821).
In this embodiment, the sensor cell 41114 is a single opening to the fluid line or a single connection to the fluid line.
In alternate embodiments, there are either no sensors in the cassette or only a temperature sensor, only one or more conductivity sensors or one or more of another type of sensor.
Still referring to
Referring now to
Referring now to
7.1 Membranes
In the exemplary embodiment, the membrane is a double o-ring membrane as shown in
Referring now to
The membrane used in the metering pump 41224, in the preferred embodiment, is shown in more detail in
One embodiment of the conductivity sensor elements 41214, 41216 and the temperature sensor 41218, which make up the sensor cell 41212, are also shown in
7.2 Cross Sectional Views
Referring now to
Referring now to
As described above, the exemplary embodiment is one cassette embodiment that incorporates the exemplary fluid flow-path schematic shown in
Referring now to
Referring now to
Referring now to
Referring now to
7.3 Exemplary Embodiments of the Balancing Cassette
The pumping cassette can be used in a myriad of applications. However, in one exemplary embodiment, the pumping cassette is used to balance fluid going into the first fluid inlet and out the first fluid outlet with fluid coming into the cassette through the second fluid inlet and exiting the cassette through the second fluid outlet (or vice versa). The pumping cassette additionally provides a metering pump to remove a volume of fluid prior to that volume affecting the balancing chambers or adds a volume of fluid prior to the fluid affecting the balancing chambers.
The pumping cassette may be used in applications where it is critical that two fluid volumes are balanced. Also, the pumping cassette imparts the extra functionality of metering or bypassing a fluid out of the fluid path, or adding a volume of the same fluid or a different fluid into the fluid path. The flow paths shown in the schematic are bi-directional, and various flow paths may be created by changing the valve locations and or controls, or adding or removing valves. Additionally, more metering pumps, pod pumps and/or balancing pods may be added, as well as, more or less fluid paths and valves. Additionally, inlets and outlets may be added as well, or the number of inlets or outlets may be reduced.
One example is using the pumping cassette as an inner dialysate cassette as part of a hemodialysis system. Clean dialysate would enter the cassette through the first fluid inlet and pass through the sensor elements, checking if the dialysate is at the correct concentration and/or temperature. This dialysate would pass through the balancing chambers and be pumped through the first fluid outlet and into a dialyzer. The second fluid in this case is used or impure dialysate from the dialyzer. This second fluid would enter through the second fluid inlet and balance with the clean dialysate, such that the amount of dialysate that goes into the dialyzer is equal to the amount that comes out.
The metering pump may be used to remove additional used dialysate prior to that volume being accounted for in a balancing chamber, thus, creating a “false” balancing chamber through an ultra filtration (“UF”) bypass. The situation is created where less clean dialysate by a volume equaled to the bypassed volume will enter the dialyzer.
In this embodiment, the valves controlling fluid connections to the balancing pods shall be oriented such that the volcano feature of the valve is on the fluid port connected to the balancing pod. This orientation directs most of the fluid displaced by the valve as it is thrown away from the balancing pod.
The valves controlling fluid connections to the UF pump shall be oriented such that the volcano feature of the valve is on the fluid port connected to the pumping chamber. In the exemplary embodiment, the nominal stroke volume of each inside dialysate pump chamber shall be 38 ml. The nominal volume of each balancing pod shall be 38 ml. The stroke volume of the UF pump shall be 1.2 ml+/−0.05 ml. The inner dialysate pump low-pressure pneumatic variable valves shall vent to ambient atmospheric pressure. This architecture feature minimizes the chance that dissolved gas will leave the dialysate while inside of the balancing chambers. Other volumes of pod pumps, balancing pods and metering pumps are easily discernable and would vary depending on the application. Additionally, although the embodiment described discusses venting to ambient, in other applications, negative pressure can be administered.
In various embodiments of the cassette, the valve architecture varies in order to alter the fluid flow path. Additionally, the sizes of the pod pumps, metering pump and balancing pods may also vary, as well as the number of valves, pod pumps, metering pumps and balancing pods. Although in this embodiment, the valves are volcano valves, in other embodiments, the valves are not volcano valves and in some embodiments are smooth surface valves.
8. Exemplary Embodiment of the Cassette System Integrated
As described above, a mixing cassette may be used to mix dialysate, and then send the dialysate to a storing vessel or reservoir. The middle, also called the outer dialysate, cassette provides a vent for a container and a variety of fluid lines and ports, and the balancing cassette provides a system for balancing the volume of fluid that enters a cassette in one direction with the volume that enters the cassette in another direction. Additionally, the balancing cassette provides a metering function, where a volume of fluid from one direction may be pumped such that it bypasses the balancing chambers and does not affect the balancing volumes. In some embodiments, these three cassettes may be combined into a system. Fluid lines can connect the cassettes such that a cassette system integrated is formed. However, various hoses can be difficult to manage and also, get tangled, removed from the ports or the connection may be disrupted in one of a variety of ways.
One embodiment of this would be to simply connect the fluid lines. However, in the exemplary embodiment, the three cassette exemplary fluid flow-path schematics are combined into a cassette device which makes the system more compact and also, there are benefits with respect to manufacture.
In an exemplary embodiment of this the cassette system integrated, the three cassettes are combined in an efficient, stand alone, cassette system. The fluid flow-path schematics shown and described above with respect to the various individual cassettes are combined. Thus, in some cases, fluid lines may be in two different cassettes to save space or efficiency, but in fact, the fluid lines follow many of the same paths as shown in the schematics.
The fluid flow-path for the exemplary embodiment of the cassette system integrated is shown in
Referring now to
Referring now to
Referring now to
The dialysate flows out of the mixing cassette 500, to a dialysate tank (not shown, shown as 1502 in
Referring now to
The fluid flow-path for this embodiment is shown in
Referring now to
The conduits 1200, 1300 include a check-valve. These conduits 1200, 1300 allow for one-way flow. In the exemplary embodiment, these conduits 1200, 1300 all lead to drain. Referring to the flow-path schematic
Once the dialysate is mixed, and after the dialysate flows to the sensor cassette (1504 in
Referring now to
Referring now to
Referring to
Still referring now to
The valves and pumps of the cassette system are pneumatically actuated in the exemplary embodiment. The pneumatics attach to the cassettes via individual tubes. Thus, each pump, balancing pod, or valve includes an individual tube connection to a pneumatic actuation manifold (not shown). Referring now to
Referring again to
Referring now to
Referring now to
Referring now to
The membrane used in the balancing chamber pods 706, 708 in the preferred embodiments is shown and described above with respect to
In the exemplary embodiment, the membrane valve membrane is shown in
While the principles of the invention have been described herein, it is to be understood by those skilled in the art that this description is made only by way of example and not as a limitation as to the scope of the invention. Other embodiments are contemplated within the scope of the present invention in addition to the exemplary embodiments shown and described herein. Modifications and substitutions by one of ordinary skill in the art are considered to be within the scope of the present invention.
This application is a Continuation of U.S. patent application Ser. No. 17/366,609, filed on Jul. 2, 2021, and issued as U.S. Pat. No. 11,633,526 on Apr. 25, 2023, which is a Continuation of U.S. patent application Ser. No. 17/067,605, filed on Oct. 9, 2020, and issued as U.S. Pat. No. 11,052,181 on Jul. 6, 2021, which a Continuation of U.S. patent application Ser. No. 15/619,961, filed on Jun. 12, 2017, and issued as U.S. Pat. No. 10,799,628 on Oct. 13, 2020, which is a Continuation of U.S. patent application Ser. No. 14/673,822, filed on Mar. 30, 2015, and issued as U.S. Pat. No. 9,677,554 on Jun. 13, 2017, which is a Continuation of U.S. patent application Ser. No. 13/619,343, filed on Sep. 14, 2012, and issued as U.S. Pat. No. 8,992,189 on Mar. 31, 2015, which is a Continuation of U.S. patent application Ser. No. 13/280,274, filed on Oct. 24, 2011 and issued as U.S. Pat. No. 8,499,780 on Aug. 6, 2013, which is a Divisional of U.S. patent application Ser. No. 12/038,648, filed on Feb. 27, 2008 and issued as U.S. Pat. No. 8,042,563 on Oct. 25, 2011, which is a Continuation in Part of U.S. patent application Ser. No. 11/871,803, filed Oct. 12, 2007 and issued as U.S. Pat. No. 7,967,022 on Jun. 28, 2011, which claims priority from the following United States Provisional Patent Applications: U.S. Provisional Patent Application No. 60/904,024 entitled Hemodialysis System and Methods filed on Feb. 27, 2007; and U.S. Provisional Patent Application No. 60/921,314 entitled Sensor Apparatus filed on Apr. 2, 2007. All of the four above mentioned U.S. Patent Applications are hereby incorporated by reference in their entireties.
| Number | Name | Date | Kind |
|---|---|---|---|
| 356997 | Gil | Feb 1887 | A |
| 2203859 | Brendlin | Jun 1940 | A |
| 2339876 | Phillips | Jan 1944 | A |
| 2529028 | Landon | Nov 1950 | A |
| 3083943 | Stewart et al. | Apr 1963 | A |
| 3656873 | Schiff | Apr 1972 | A |
| 3741687 | Nystroem | Jun 1973 | A |
| RE27849 | Wortman | Dec 1973 | E |
| 4222127 | Donachy et al. | Sep 1980 | A |
| 4305702 | Hartley | Dec 1981 | A |
| 4583920 | Lindner | Apr 1986 | A |
| 4623450 | Vantard et al. | Nov 1986 | A |
| 4781535 | Frawley et al. | Nov 1988 | A |
| 4808161 | Kamen | Feb 1989 | A |
| 4927411 | Pastrone et al. | May 1990 | A |
| 4950235 | Slate et al. | Aug 1990 | A |
| 5088901 | Brauer | Feb 1992 | A |
| 5098262 | Wecker et al. | Mar 1992 | A |
| 5178182 | Kamen | Jan 1993 | A |
| 5242384 | Robinson et al. | Sep 1993 | A |
| 5247434 | Peterson et al. | Sep 1993 | A |
| 5349896 | Delaney, III et al. | Sep 1994 | A |
| 5411472 | Steg, Jr. et al. | May 1995 | A |
| 5431627 | Pastrone et al. | Jul 1995 | A |
| 5458468 | Ye et al. | Oct 1995 | A |
| 5476368 | Rabenau et al. | Dec 1995 | A |
| 5499909 | Yamada et al. | Mar 1996 | A |
| 5516429 | Snodgrass et al. | May 1996 | A |
| 5558255 | Sancoff et al. | Sep 1996 | A |
| 5566718 | Nagai et al. | Oct 1996 | A |
| 5578012 | Kamen et al. | Nov 1996 | A |
| 5609572 | Lang | Mar 1997 | A |
| 5638737 | Mattson et al. | Jun 1997 | A |
| 5645531 | Thompson et al. | Jul 1997 | A |
| 5704520 | Gross | Jan 1998 | A |
| 5755683 | Houle et al. | May 1998 | A |
| 5836908 | Beden et al. | Nov 1998 | A |
| 5961305 | Eek et al. | Oct 1999 | A |
| 6109881 | Snodgrass et al. | Aug 2000 | A |
| 6165154 | Gray et al. | Dec 2000 | A |
| 6261065 | Nayak et al. | Jul 2001 | B1 |
| 6284131 | Hogard et al. | Sep 2001 | B1 |
| 6293108 | Cho et al. | Sep 2001 | B1 |
| 6295918 | Simmons et al. | Oct 2001 | B1 |
| 6340294 | Kubota et al. | Jan 2002 | B1 |
| 6382257 | Mead et al. | May 2002 | B2 |
| 6419462 | Horie et al. | Jul 2002 | B1 |
| 6435844 | Fukami | Aug 2002 | B1 |
| 6481980 | Vandlik et al. | Nov 2002 | B1 |
| 6505691 | Judge et al. | Jan 2003 | B2 |
| 6520747 | Gray et al. | Feb 2003 | B2 |
| 6579074 | Chiba | Jun 2003 | B2 |
| 6655257 | Meyer | Dec 2003 | B1 |
| 6692457 | Flaherty | Feb 2004 | B2 |
| 6709417 | Houle et al. | Mar 2004 | B1 |
| 6726656 | Kamen et al. | Apr 2004 | B2 |
| 6752172 | Lauer | Jun 2004 | B2 |
| 6752599 | Park | Jun 2004 | B2 |
| 6814547 | Childers et al. | Nov 2004 | B2 |
| 6877419 | Ohrle et al. | Apr 2005 | B2 |
| 6905479 | Bouchard et al. | Jun 2005 | B1 |
| 6929751 | Bowman, Jr. et al. | Aug 2005 | B2 |
| 7029245 | Maianti et al. | Apr 2006 | B2 |
| 7044432 | Beden et al. | May 2006 | B2 |
| 7153286 | Busby et al. | Dec 2006 | B2 |
| 7175606 | Bowman, Jr. et al. | Feb 2007 | B2 |
| 7232418 | Neri et al. | Jun 2007 | B2 |
| 7238164 | Childers et al. | Jul 2007 | B2 |
| 7273465 | Ash | Sep 2007 | B2 |
| 7500962 | Childers et al. | Mar 2009 | B2 |
| 7559524 | Gray et al. | Jul 2009 | B2 |
| 7648627 | Beden et al. | Jan 2010 | B2 |
| 7717682 | Orr | May 2010 | B2 |
| 7727176 | Tonelli et al. | Jun 2010 | B2 |
| 7794141 | Perry et al. | Sep 2010 | B2 |
| 7798997 | Kamen et al. | Sep 2010 | B2 |
| 7867214 | Childers et al. | Jan 2011 | B2 |
| 7892331 | Childers et al. | Feb 2011 | B2 |
| 7967022 | Grant et al. | Jun 2011 | B2 |
| 8029454 | Kelly et al. | Oct 2011 | B2 |
| 8038639 | Lo et al. | Oct 2011 | B2 |
| 8038640 | Orr | Oct 2011 | B2 |
| 8042563 | Wilt et al. | Oct 2011 | B2 |
| 8105057 | Chen et al. | Jan 2012 | B2 |
| 8105265 | Demers et al. | Jan 2012 | B2 |
| 8137553 | Fulkerson et al. | Mar 2012 | B2 |
| 8246826 | Wilt et al. | Aug 2012 | B2 |
| 8273049 | Demers et al. | Sep 2012 | B2 |
| 8292594 | Tracey et al. | Oct 2012 | B2 |
| 8317492 | Demers et al. | Nov 2012 | B2 |
| 8357298 | Demers et al. | Jan 2013 | B2 |
| 8388908 | Blaga et al. | Mar 2013 | B2 |
| 8393690 | Grant et al. | Mar 2013 | B2 |
| 8409441 | Wilt | Apr 2013 | B2 |
| 8425471 | Grant et al. | Apr 2013 | B2 |
| 8459292 | Wilt et al. | Jun 2013 | B2 |
| 8491184 | Kamen et al. | Jul 2013 | B2 |
| 8499780 | Wilt et al. | Aug 2013 | B2 |
| 8512553 | Cicchello et al. | Aug 2013 | B2 |
| 8535525 | Heyes et al. | Sep 2013 | B2 |
| 8545698 | Wilt et al. | Oct 2013 | B2 |
| 8562834 | Kamen et al. | Oct 2013 | B2 |
| 8721879 | Van der Merwe et al. | May 2014 | B2 |
| 8721884 | Wilt et al. | May 2014 | B2 |
| 8771508 | Grant et al. | Jul 2014 | B2 |
| 8858787 | Muller et al. | Oct 2014 | B2 |
| 8863772 | Dale et al. | Oct 2014 | B2 |
| 8870549 | Tracey et al. | Oct 2014 | B2 |
| 8888470 | Demers et al. | Nov 2014 | B2 |
| 8926294 | Demers et al. | Jan 2015 | B2 |
| 8968232 | Kamen et al. | Mar 2015 | B2 |
| 8985133 | Grant et al. | Mar 2015 | B2 |
| 8992075 | Kamen et al. | Mar 2015 | B2 |
| 8992189 | Wilt et al. | Mar 2015 | B2 |
| 9028691 | Grant et al. | May 2015 | B2 |
| 9115708 | van der Merwe et al. | Aug 2015 | B2 |
| 9272082 | Demers et al. | Mar 2016 | B2 |
| 9302037 | Wilt et al. | Apr 2016 | B2 |
| 9302039 | Kelly et al. | Apr 2016 | B2 |
| 9364655 | Grant et al. | Jun 2016 | B2 |
| 9517295 | Wilt et al. | Dec 2016 | B2 |
| 9535021 | Kamen et al. | Jan 2017 | B2 |
| 9539379 | Grant et al. | Jan 2017 | B2 |
| 9550018 | Demers et al. | Jan 2017 | B2 |
| 9555179 | Wilt et al. | Jan 2017 | B2 |
| 9597442 | Wilt | Mar 2017 | B2 |
| 9603985 | Wilt et al. | Mar 2017 | B2 |
| 9649418 | Demers et al. | May 2017 | B2 |
| 9677554 | Wilt et al. | Jun 2017 | B2 |
| 9700660 | Demers et al. | Jul 2017 | B2 |
| 9700711 | Grant et al. | Jul 2017 | B2 |
| 9717834 | Wilt et al. | Aug 2017 | B2 |
| 9724458 | Grant et al. | Aug 2017 | B2 |
| 9795728 | Grant et al. | Oct 2017 | B2 |
| 9907897 | Burbank et al. | Mar 2018 | B2 |
| 9951768 | Grant et al. | Apr 2018 | B2 |
| 9987407 | Grant et al. | Jun 2018 | B2 |
| 9999717 | van der Merwe et al. | Jun 2018 | B2 |
| 10060867 | Kamen et al. | Aug 2018 | B2 |
| 10077766 | Demers et al. | Sep 2018 | B2 |
| 10098998 | Wilt | Oct 2018 | B2 |
| 10201650 | Wilt et al. | Feb 2019 | B2 |
| 10302075 | Tracey et al. | May 2019 | B2 |
| 10415559 | Demers et al. | Sep 2019 | B2 |
| 10441697 | Kamen et al. | Oct 2019 | B2 |
| 10443591 | Wilt et al. | Oct 2019 | B2 |
| 10449280 | Wilt et al. | Oct 2019 | B2 |
| 10463774 | Ballantyne et al. | Nov 2019 | B2 |
| 10500327 | Grant et al. | Dec 2019 | B2 |
| 10537671 | Wilt et al. | Jan 2020 | B2 |
| 10682450 | Wilt et al. | Jun 2020 | B2 |
| 10697913 | Kamen et al. | Jun 2020 | B2 |
| 10780210 | Grant et al. | Sep 2020 | B2 |
| 10780213 | Grant et al. | Sep 2020 | B2 |
| 10799628 | Wilt et al. | Oct 2020 | B2 |
| 10850089 | Grant et al. | Dec 2020 | B2 |
| 10851769 | Demers et al. | Dec 2020 | B2 |
| 10871157 | Tracey et al. | Dec 2020 | B2 |
| 11033671 | van der Merwe et al. | Jun 2021 | B2 |
| 11052181 | Wilt et al. | Jul 2021 | B2 |
| 11103625 | Wilt | Aug 2021 | B2 |
| 11110212 | Grant et al. | Sep 2021 | B2 |
| 11154646 | Wilt et al. | Oct 2021 | B2 |
| 11197951 | Wilt et al. | Dec 2021 | B2 |
| 11311656 | Kamen et al. | Apr 2022 | B2 |
| 11371498 | Grant et al. | Jun 2022 | B2 |
| 11419965 | Demers et al. | Aug 2022 | B2 |
| 11529444 | Wilt et al. | Dec 2022 | B2 |
| 11568043 | Ballantyne et al. | Jan 2023 | B2 |
| 11598329 | Grant et al. | Mar 2023 | B2 |
| 11633526 | Wilt et al. | Apr 2023 | B2 |
| 11666690 | Wilt et al. | Jun 2023 | B2 |
| 11724011 | Wilt et al. | Aug 2023 | B2 |
| 11725645 | Wilt et al. | Aug 2023 | B2 |
| 11752244 | Grant et al. | Sep 2023 | B2 |
| 11754064 | Tracey et al. | Sep 2023 | B2 |
| 11766554 | Grant et al. | Sep 2023 | B2 |
| 11779689 | van der Merwe et al. | Oct 2023 | B2 |
| 11779691 | Demers et al. | Oct 2023 | B2 |
| 11793915 | Wilt et al. | Oct 2023 | B2 |
| 11828279 | Wilt et al. | Nov 2023 | B2 |
| 11885758 | Kamen et al. | Jan 2024 | B2 |
| 11890403 | Grant et al. | Feb 2024 | B2 |
| 20030138334 | Vandlik et al. | Jul 2003 | A1 |
| 20030194332 | Jahn et al. | Oct 2003 | A1 |
| 20040109769 | Jahn et al. | Jun 2004 | A1 |
| 20040136843 | Jahn et al. | Jul 2004 | A1 |
| 20060251533 | Nighy et al. | Nov 2006 | A1 |
| 20070077156 | Orr | Apr 2007 | A1 |
| 20070140873 | Grapes | Jun 2007 | A1 |
| 20070166181 | Nilson | Jul 2007 | A1 |
| 20070278155 | Lo et al. | Dec 2007 | A1 |
| 20080015515 | Hopkins et al. | Jan 2008 | A1 |
| 20080058697 | Kamen et al. | Mar 2008 | A1 |
| 20080077068 | Orr | Mar 2008 | A1 |
| 20080132828 | Howard | Jun 2008 | A1 |
| 20080216898 | Grant et al. | Sep 2008 | A1 |
| 20080253911 | Demers et al. | Oct 2008 | A1 |
| 20090095679 | Demers et al. | Apr 2009 | A1 |
| 20090107335 | Wilt et al. | Apr 2009 | A1 |
| 20090137940 | Orr | May 2009 | A1 |
| 20100056975 | Dale et al. | Mar 2010 | A1 |
| 20100116740 | Fulkerson et al. | May 2010 | A1 |
| 20110005992 | Kelly et al. | Jan 2011 | A1 |
| 20110105877 | Wilt et al. | May 2011 | A1 |
| 20120106289 | Wilt et al. | May 2012 | A1 |
| 20130074959 | Demers et al. | Mar 2013 | A1 |
| 20130126413 | van der Merwe et al. | May 2013 | A1 |
| 20130304020 | Wilt et al. | Nov 2013 | A1 |
| 20140112828 | Grant et al. | Apr 2014 | A1 |
| 20140199193 | Wilt et al. | Jul 2014 | A1 |
| 20140309611 | Wilt et al. | Oct 2014 | A1 |
| 20140322053 | van der Merwe et al. | Oct 2014 | A1 |
| 20150050166 | Tracey et al. | Feb 2015 | A1 |
| 20150196698 | Grant et al. | Jul 2015 | A1 |
| 20150196699 | Wilt et al. | Jul 2015 | A9 |
| 20150265760 | Wilt et al. | Sep 2015 | A1 |
| 20160030657 | Kelly et al. | Feb 2016 | A1 |
| 20160175505 | Demers et al. | Jun 2016 | A1 |
| 20160175506 | Wilt et al. | Jun 2016 | A1 |
| 20170356435 | Gray | Dec 2017 | A1 |
| 20180368704 | Kawamura et al. | Dec 2018 | A1 |
| 20180372084 | Grant et al. | Dec 2018 | A1 |
| 20200139031 | Wilt et al. | May 2020 | A1 |
| 20200171226 | Wilt et al. | Jun 2020 | A1 |
| 20200400595 | Kamen et al. | Dec 2020 | A1 |
| 20210060231 | Grant et al. | Mar 2021 | A1 |
| 20210146028 | Demers et al. | May 2021 | A1 |
| 20210285435 | Tracey et al. | Sep 2021 | A1 |
| 20210290928 | Grant et al. | Sep 2021 | A1 |
| 20210316058 | van der Merwe et al. | Oct 2021 | A1 |
| 20210361841 | van der Merwe et al. | Nov 2021 | A1 |
| 20220096718 | Grant et al. | Mar 2022 | A1 |
| 20220133968 | Wilt et al. | May 2022 | A1 |
| 20220152286 | Wilt et al. | May 2022 | A1 |
| 20220241479 | Kamen et al. | Aug 2022 | A1 |
| 20220355006 | Demers et al. | Nov 2022 | A1 |
| 20230124240 | Wilt et al. | Apr 2023 | A1 |
| 20230177149 | Ballantyne et al. | Jun 2023 | A1 |
| 20230256148 | Wilt et al. | Aug 2023 | A1 |
| 20230272791 | Grant et al. | Aug 2023 | A1 |
| 20230287876 | Wilt et al. | Sep 2023 | A1 |
| 20230338632 | Wilt et al. | Oct 2023 | A1 |
| 20230364312 | Grant et al. | Nov 2023 | A1 |
| 20230381383 | van der Merwe et al. | Nov 2023 | A1 |
| 20230398274 | Wilt et al. | Dec 2023 | A1 |
| 20230400019 | Tracey et al. | Dec 2023 | A1 |
| 20230400425 | Kamen et al. | Dec 2023 | A1 |
| Number | Date | Country |
|---|---|---|
| 1057786 | Jan 1992 | CN |
| 0 288 145 | Oct 1988 | EP |
| 0 406 562 | Jan 1991 | EP |
| 1 362 604 | Nov 2003 | EP |
| 1508116 | Apr 1978 | GB |
| S60-30489 | Feb 1985 | JP |
| S61-167492 | Oct 1986 | JP |
| S64-29267 | Jan 1989 | JP |
| H06-237988 | Aug 1994 | JP |
| H09-287441 | Nov 1997 | JP |
| H10-196814 | Jul 1998 | JP |
| H10-281332 | Oct 1998 | JP |
| H11-210902 | Aug 1999 | JP |
| 2000-167040 | Jun 2000 | JP |
| 2001-009025 | Jan 2001 | JP |
| 2002-113096 | Apr 2002 | JP |
| 2003-000706 | Jan 2003 | JP |
| 2005-013502 | Jan 2005 | JP |
| 2005-261558 | Sep 2005 | JP |
| 2006-198141 | Aug 2006 | JP |
| 2007-035582 | Feb 2007 | JP |
| 2007-222667 | Sep 2007 | JP |
| WO 8402473 | Jul 1984 | WO |
| WO 9705913 | Feb 1997 | WO |
| WO 9910028 | Mar 1999 | WO |
| WO 01037895 | May 2001 | WO |
| 0230267 | Apr 2002 | WO |
| 03008076 | Jan 2003 | WO |
| 03099353 | Dec 2003 | WO |
| 03101510 | Dec 2003 | WO |
| 2006120415 | Nov 2006 | WO |
| 2007120812 | Oct 2007 | WO |
| 2009051669 | Apr 2009 | WO |
| 2010139918 | Dec 2010 | WO |
| 2015183976 | Dec 2015 | WO |
| 2015183981 | Dec 2015 | WO |
| Entry |
|---|
| Wilt et al., Blood Treatment Systems and Methods. Co-pending U.S. Appl. No. 18/346,174, filed Jun. 30, 2023. |
| Wilt et al., Blood Treatment Systems and Methods. Co-pending U.S. Appl. No. 18/321,751, filed May 22, 2023. |
| Grant et al., Liquid Pumping Cassettes and Associated Pressure Distribution Manifold and Related Methods. Co-pending U.S. Appl. No. 18/167,736, filed Feb. 10, 2023. |
| Office Action for AU Application No. 2008221370 filed Feb. 27, 2008, which Office Action is dated Jun. 5, 2012, and claims as pending for AU Application No. 2008221370 as of Jun. 5, 2012. |
| Office Action for AU Application No. 2013204505 filed Apr. 12, 2013, which Office Action is dated Jun. 12, 2020. |
| Office Action for AU Application No. 2018200039 filed Feb. 27, 2008, which Office Action is dated Mar. 25, 2019 and claims as pending for AU Application No. 2018200039 as of Mar. 25, 2019. |
| Office Action for CN Application No. 200880013768.5 filed Feb. 27, 2008, published as CN 101801432 on Aug. 11, 2010, which Office Action is dated Nov. 23, 2011, and claims as pending for CN Application No. 200880013768.5 as of Nov. 23, 2011. |
| Examination Report for EP Application No. 08730871.4 filed Feb. 27, 2008, published as EP 2131887 on Dec. 16, 2009, which Examination Report is dated Feb. 9, 2012, and claims as pending for EP Application No. 08730848.2 as of Feb. 9, 2012. |
| Response to Examination Report dated Feb. 9, 2012 for EP Application No. 08730871.4 filed Feb. 27, 2008, which Response is dated Dec. 5, 2012, and claims as pending for EP Application No. 08730871.4 as of Dec. 5, 2012. |
| Extended European Search Report for EP Application No. 14155798.3 filed Feb. 27, 2008, which Search Report is dated Apr. 22, 2014, and claims as pending for EP Application No. 14155798.3 as of Apr. 22, 2014. |
| Office Action for EP Application No. 14155798.3 filed Feb. 27, 2008, which Office Action is dated Sep. 29, 2015, and claims as pending for EP Application No. 14155798.3 as of Sep. 29, 2015. |
| Extended European Search Report for EP Application No. 16199879.4 filed Nov. 21, 2016, which Search Report is dated May 4, 2017, and claims as pending for EP Application No. 16199879.4 as of May 4, 2017. |
| Office Action for IN Application No. 6183/DELNP/2009 filed Sep. 25, 2009, which Office Action is dated Dec. 8, 2017, and claims as pending for IN Application No. 6183/DELNP/2009 as of Dec. 8, 2017. |
| Office Action for JP Application No. 2009-552957 filed Feb. 27, 2008, which Office Action is dated Nov. 20, 2012, and claims as pending for JP Application No. 2009-552957 as of Nov. 20, 2012. |
| Office Action for JP Application No. 2014-193586 filed Sep. 24, 2014, which Office Action is dated Sep. 1, 2015, and claims as pending for JP Application No. 2014-193586 as of Sep. 1, 2015. |
| Office Action for JP Application No. 2017-022161 filed Feb. 9, 2017, which Office Action is dated Dec. 5, 2017, and claims as pending for JP Application No. 2017-022161 as of Dec. 5, 2017. |
| Appeal Decision for JP Application No. 2017-022161 filed Feb. 27, 2008, which Appeal Decision is dated Apr. 14, 2020, and claims as pending for JP Application No. 2017-022161 as of Apr. 14, 2020. |
| Office Action for MX Application No. MX/A/2009/009217 filed Feb. 27, 2008, unpublished as of Jul. 16, 2013, which Office Action issued Jul. 16, 2013, and claims as pending for MX Application No. MX/A/2009/009217 as of Jul. 16, 2013. |
| Invitation to Pay Additional Fees for Application No. PCT/US2008/055168 mailed Aug. 5, 2008. |
| International Search Report and Written Opinion for Application No. PCT/US2008/055168 mailed Nov. 10, 2008. |
| International Preliminary Report on Patentability for Application No. PCT/US2008/055168 mailed Sep. 11, 2009. |
| Demers et al., Pumping Cassette. U.S. Appl. No. 18/460,492, filed Sep. 1, 2023. |
| McGill et al., Pump Cassette and Methods for Use in Medical Treatment System Using a Plurality of Fluid Lines. U.S. Appl. No. 18/512,005, filed Nov. 16, 2023. |
| Van Der Merwe et al., Blood Treatment Systems and Methods. U.S. Appl. No. 18/583,836, filed Feb. 21, 2024. |
| Grant et al., Hemodialysis System. U.S. Appl. No. 18/394,189, filed Dec. 22, 2023. |
| Number | Date | Country | |
|---|---|---|---|
| 20230256148 A1 | Aug 2023 | US |
| Number | Date | Country | |
|---|---|---|---|
| 60921314 | Apr 2007 | US | |
| 60904024 | Feb 2007 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 12038648 | Feb 2008 | US |
| Child | 13280274 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 17366609 | Jul 2021 | US |
| Child | 18138711 | US | |
| Parent | 17067605 | Oct 2020 | US |
| Child | 17366609 | US | |
| Parent | 15619961 | Jun 2017 | US |
| Child | 17067605 | US | |
| Parent | 14673822 | Mar 2015 | US |
| Child | 15619961 | US | |
| Parent | 13619343 | Sep 2012 | US |
| Child | 14673822 | US | |
| Parent | 13280274 | Oct 2011 | US |
| Child | 13619343 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 11871803 | Oct 2007 | US |
| Child | 12038648 | US |
