The present invention relates to a cleaning device, a cleaning system, as well as a use thereof in the case of a blood treatment device, in particular a dialysis machine.
The term blood treatment device is to be understood, inter alia, as a dialysis machine. Dialysis machines are frequently used in dialysis centers to treat chronic kidney disease.
During the dialysis, blood of the patient flows continuously through the blood chamber of the dialyzer, while dialysis fluid flows continuously through the dialysis fluid chamber. Pre-made dialysis fluid concentrates, which are diluted with water in the dialysis devices, can be used to produce dialysis fluid. In dialysis centers, dialysis fluid concentrates are provided either as pre-made product in canisters, bags or cartridges or are provided from a central tank via a ring circuit system.
Centrally provided dialysis fluid concentrates can be handled easily by the user, they have the disadvantage, however, that the dialysis fluid cannot be individually adapted to the patient’s needs. Even though concentrates, which are provided in a decentralized manner, allow for an individual adaptation of the dialysis fluid to the patient, they have to be brought to the dialysis device for each individual dialysis treatment.
Bags or cartridges, which are filled with a powdery dialysis fluid concentrate, are used in the dialysis for the production of a liquid dialysis concentrate. The concentrate bags or cartridges contain an amount of powdery dialysis fluid concentrate, which is sufficient for a single dialysis treatment. The bags or cartridges are filled with bicarbonate. Commercially available bicarbonate bags contain 650 to 950 g of sodium bicarbonate. First of all, a liquid bicarbonate concentrate is produced from the powdery bicarbonate concentrate. To produce the dialysis fluid, a further acid concentrate is required, which is provided in a canister or by means of a central supply. Bicarbonate concentrate and acid concentrate are then mixed with water to form the final dialysis fluid.
The dialysis machine thus further has a water supply, via which pure water is supplied. The desired mixing of pure water with the corresponding concentrate then takes place in the dialysis machine.
The provision of the liquid concentrate via concentrate containers is associated with different challenges, because the concentrate containers are heavy and because the handling thereof is thus complex for the nursing staff. In addition, suction wands of the dialysis machine have to be introduced into the concentrate containers in order to provide the concentrate and have to be inserted into the dialysis machine again after a treatment for cleaning purposes. This handling of the concentrate containers is thus time-consuming and may lead to an extension of the breaks between the individual treatments.
In the alternative, the concentrate can also be supplied via a central supply and a corresponding central supply connection on the dialysis machine. This, however, requires corresponding clinic equipment and may be associated with regard to the flexibility of the available concentrate and the maintenance effort for the lines operated for this purpose.
A connector for connecting a concentrate bag, which is filled with dry concentrate and can be hooked to a dialysis machine, is known from EP 1 344 550 A1. In the case of this type of concentrate supply, certain steps are also necessary between the treatments. For instance, a contamination protection attached to the concentrate bag has to be removed manually, the concentrate bag has to be inserted into, that is connected to, the corresponding receptacle on the dialysis machine, and has to lastly be connected to the dialysate circuit.
In the case of the prior art, the connection of the concentrate bag mostly takes place from below. This means that the concentrate bag is attached to connecting spouts. After the treatment, the concentrate bag is lifted off the connecting spouts. Residual fluid, which is still present in the connection points of the concentrate bag, can thereby easily drip onto the floor.
However, residual fluid of the bicarbonate solution can also lead to deposits on the connecting spouts of the dialysis machine. This is caused by calcium and magnesium salts. Due to the formation of the connection points, which are open to the bottom, this residual fluid can drip into the connecting spouts and can cause deposits there. These deposits can lead to damages to the sealing rings assigned to the connection points.
After a treatment, the concentrate bag has to be disconnected and removed from the dialysate circuit. A cleaning program can only be started on the dialysis machine after the removal. The surface cleaning of the dialysis machine can also be performed only after the removal of the concentrate bag by the nursing staff.
In addition to high safety requirements, the aspect of time plays a special role for the dialysis treatment, in particular in dialysis centers.
Due to the fact that sufficient time is to be available for the actual treatment, in particular the time between the treatments is subjected to a constant time optimization. As described above, in addition to the preparation of the patient, the preparation of the dialysis machine for the next treatment also takes time between treatments due to steps, such as the provision of the required concentrate containers or the disinfection of the dialysis machine.
The present application is thus based on the object of providing a cleaning device for a blood treatment device, which allows for an improved handling and/or time savings. In addition, the patient’s safety is to be ensured by means of a simpler cleaning of the blood treatment device.
The object on which the invention is based is solved by means of the cleaning device for a blood treatment device according to claim 1 as well as by the cleaning system for a blood treatment device according to claim 10.
Advantageous further developments and embodiments are subject matter of the dependent claims.
According to the invention, a cleaning device for a blood treatment device is provided, which is provided a base body, a first and a second line element, which extend in the base body from a first surface of the base body, preferably perpendicularly. The cleaning device can further have a first through hole. The first through hole can extend from a first point of the first line element spaced apart from the first surface of the base body to a surface of the base body, which differs from the first surface of the base body. The first through hole can thus extend a fluidic connection from the first line element to an outer side of the cleaning device. The through hole can likewise extend to an inner side of the second line element.
The cleaning device can further have a first connecting element, which extends from the base body, preferably along the center line, of the first through hole from the first lateral surface of the base body, so that the through hole further extends from the first lateral surface of the base body through the first connecting element. The connecting element can thereby be formed integrally with the cleaning device or can be pressed, adhered or screwed into it. The connecting element can thereby be made of a different material. The base body can be made, for example, of metal, and the connecting element of a flexible material, for example plastic. The first connecting element can thereby be a protrusion, which is preferably formed cylindrically, conically or step-shaped and extends from the base body, preferably essentially perpendicularly.
According to the invention, a cleaning device for a blood treatment device is a device, which can be used to clean the blood treatment device, in particular a dialysis machine. In particular the connecting spouts, which are provided for the connection of a concentrate container to the dialysis machine, can be cleaned by means of the cleaning device. Due to the fact that the connecting spouts can be introduced into the cleaning device from the top, it is possible to prevent a dripping of cleaning fluid onto the floor and in particular into the connecting spouts.
At a first point, the first through hole arranged in the base body of the cleaning device extends out of the first line element, which is spaced apart from the surface. The line elements are formed, for example, as blind holes or blind bores. The through hole can in particular extend from the inner side of the first line element in such a way that fluid in the first line element can easily flow through the through hole and can thus easily flow out of the line element. In other words, the through hole can be formed in such a way that it extends away from the underside of the line element.
According to a further development of the cleaning device, a connecting duct between the first and the second line element can be formed at a second point of the line elements, which is spaced apart from the surface of the base body. The cleaning device can additionally have recesses, which differ from the line elements. These recesses can allow for a fluidic connection between a concentrate bag attached to the cleaning device and connecting spouts of a dialysis machine.
The connecting duct can thus establish a fluidic connection between the line elements. The connecting duct can be formed close to a bottom area of the line elements or extends away from the bottom area on one plane with its underside. The connecting duct can extend essentially perpendicular to the alignment of the through hole.
According to a further development of the cleaning device, the first line element can extend to a first lateral surface of the base body. At a third point, which is spaced apart from the first surface of the base body, the second line element can further have a second through hole to the first lateral surface of the base body, which differs from the first surface of the base body.
The second through hole can thereby be formed parallel to the first through hole in the base body. In accordance with the first through hole, the second through hole can thereby be a through bore, which connects an outer side, which can also correspond to the underside of the base body to the second line element. Fluid can in particular flow out of the second line element through the second through hole. The second through hole is thus formed on one plane with the underside of the second line element or is formed close to the underside. However, the first and second through hole can also slope away from the connection point with the first and second line element away from the surface of the base body, so that fluid can easily flow out of the first and second line element.
According to a further development of the cleaning device, at least one blocking element can be attached in the first and second line element. A fluidic connection between the connecting duct to the first and second through hole can be prevented therewith. The blocking element can additionally have predetermined breaking points, for example due to a reduced wall thickness in a partial area.
The blocking element can be a circular plastic element, which is in each case formed on the inner circumference of the line elements. In addition, the blocking element itself can have predetermined breaking points, which break through the blocking element when connecting spouts move into the line elements, so that a fluidic connection between the connecting spouts and the through holes can be formed. In the alternative or in addition, the blocking element can in each case also have predetermined breaking points in the fastening on the inner circumference. The predetermined breaking points can be perforated curved portions of the blocking element, so that the wall thickness of the blocking elements is formed to be thinner at these points. In the alternative, the blocking element can be formed between the line elements in the connecting duct.
According to a further development of the cleaning device, the base body can be formed of a first base element and a second base element. The first and second base element can thereby in each case have a groove, which has a semicircular cross section, for forming the connecting duct, and the first and second base element can in each case have two recesses, which have a semicircular cross section, for forming the first and second line element each when connecting the first and second base element.
To form the connecting duct and the line element, the first and second base element can thereby be firmly connected to one another or so that they can be separated again, in other words screw-connected, adhered or welded. To form the line elements as well as the connecting duct in a fluidically tight manner, a sealing contour can be formed between the first and second base element.
According to a further development of the cleaning device, the base body can be formed of a first base element and a second base element, and the first base element can have two blind bores and the second base element can have two through bores, the diameter of which corresponds to the blind bores, for forming the first and second line element, the first base element and second base element can additionally have a groove, which has a semicircular cross section, for forming the connecting duct.
According to a further development of the cleaning device, the latter can further have a first cylindrical receptacle comprising at least one, preferably two, through openings, and a second cylindrical receptacle comprising a through opening. In addition, a cylindrical appendage can in each case be provided on the through openings, and have at least one, preferably two, tubular connecting elements, which can be attached to the appendages and which can be introduced into the connecting duct and/or the through hole in such a way that they connect the receptacles received in the line elements. In addition, the first through hole and/or the connecting duct can be open towards the first surface, so that the cylindrical receptacles as well as the tubular connecting elements can each be placed into the base body.
According to a further development of the cleaning device, the first and second line element can run parallel to one another in their center line and/or the first and the second through hole can run parallel to one another in its center line.
According to a further development of the cleaning device, a middle element can be formed between the first and second line element. The middle element can thereby be formed in a curved manner and extends away from the first surface, preferably perpendicularly. A middle portion between the first and second line element can thus be formed to be open.
According to a further development of the cleaning device, at least one sealing shell can be formed in the first and/or second line element, wherein the sealing shell is cylindrical and can have at least one lateral passage opening, the diameter of which corresponds to the connecting duct and/or to the through hole and can be formed on the jacket surface of the sealing shell.
According to the invention, a cleaning system for a blood treatment device, in particular a dialysis machine, is formed, and can have a housing for connection to a blood treatment device, in particular a dialysis machine, a cleaning device, preferably according to one of the preceding aspects, which is movably arranged in the housing. In addition, a first closing element can be formed, to which a fluid flow from the first line element can be connected via the first connecting element, and/or a second closing element, to which a fluid flow from the second line element can be connected via the second connecting element. In addition, a drive element for moving the cleaning device can be formed. The drive element can thereby be arranged in the housing or outside of the housing. The drive element can be an electric motor or can be a hydraulic or pneumatic drive. In addition, a sensor for capturing a movement of the cleaning device can be arranged, preferably in the housing.
According to a further development of the cleaning system, the sensor can be a light barrier or a Hall sensor. The light barrier can be a printed circuit board, preferably attached above the cleaning device.
According to a further development of the cleaning system, at least one guide rail formed in the housing, preferably integrally, on which the cleaning device can be shifted, can have. The first drive element can further have a spindle nut and an electric motor comprising a threaded spindle.
According to a further development of the cleaning system, the threaded nut can be formed on the middle element of the cleaning device, which is preferably formed in a curved manner and can have a different material than the base body, or the middle element, which is preferably formed in a curved manner, can have a protrusion, which is formed in the direction of the light barrier, so that a triggering of the light barrier can be attained in response to a moving, in particular a shifting of the cleaning device.
According to a further development, a use of a cleaning system according to a preceding aspect in the case of a blood treatment device, in particular a dialysis machine, is provided.
According to a further development, a use of a cleaning device according to one of the preceding aspects in the case of a blood treatment device, in particular a dialysis machine, is provided.
By means of the cleaning device as well as cleaning system, it is possible to attach a concentrate bag to the blood treatment device, while a cleaning step of the connecting spouts still takes place. Due to the formation of the cleaning device, it is additionally possible to ensure the safety of the patient. Fluid can in particular be prevented from dripping out of a concentrate bag, which is connected to the blood treatment device, in particular dialysis machine.
The above-described features and functions of the present invention as well as further aspects and features will be described in more detail below on the basis of a detailed description of preferred embodiments with reference to the enclosed figures. Identical features/elements and features/elements comprising the same function are identified with the same reference numerals in the figures.
In which
With reference to
The through holes 3a, 3b are further formed at an equal distance from the surface. The connecting elements 31a, 31b in each case extend parallel to one another from the through holes 3a, 3b. In the embodiment illustrated in
If this cleaning device is used during a blood treatment, in particular a dialysis treatment, a cleaning step can take place in this cleaning device. As shown in
The sequence of operations for cleaning the connecting spouts by means of the cleaning device begins with an attaching of the cleaning device, to which a concentrate bag is attached, to a dialysis machine. The connecting spouts 6a, 6b of the dialysis machine move into the line elements 2a, 2b. A stamping device, which is shown in
In this cleaning position, however, a fluid flow between the connecting spouts can take place via the connecting duct 5. If the connecting spouts 6a, 6b move further into a position shown in
The blocking element 21a is advantageously in each case formed as circular blocking element 21a in line elements 2a, 2b below the lower edge of the connecting duct 5. If the connecting spouts 6a, 6b are moved into the second position, that is, into a position in the line elements 2a, 2b, in which a fluidic connection to the concentrate bag is formed, and the lateral surfaces of the connecting spouts 6a, 6b thus close the connecting duct 5, the connecting spouts 6a, 6b break through the blocking elements 21a in order to get into this position. For this purpose, the blocking elements 21a can have predetermined breaking points and can, for this purpose, have a smaller wall thickness, for example in a partial portion or can be formed to be weakened in a partial portion.
The fluid thereby flushes around the connecting spouts 6a, 6b. After this cleaning process, the fluid, which remains in the line elements 2a, 2b, can be suctioned off via the through holes 3a, 3b and adjacent connecting lines. It is advantageous for this purpose when a lower edge of the through holes 3a, 3b is adjacent to the underside of the line elements 2a, 2b.
Along their longitudinal axis, these recesses extend essentially perpendicularly to the recesses of the line element 2a, 2b, which are formed of recesses, which have a semicircular cross section. A through hole 3a is thereby formed only on the line element 2a. In the case of a use of the cleaning device with a dialysis machine, fluid can thereby flow in via a line element 2a, can flow through the connecting duct 5 to the second line element 2b, and from there can flow back again via the connecting duct 5. At the end of the cleaning, the remaining fluid can be removed via the connecting element 31a, which had previously been closed, for instance by a valve, which is now open.
In this embodiment, a through hole 3a comprising connecting element 31a adjacent thereto is additionally also formed only on one line element 2a. The cleaning with connecting spouts 6a, 6b of a dialysis machine, which can be moved into the line elements 2a, 2b, takes place according to embodiment three.
In the inserted position, the through openings of the receptacles 32a, 32b are aligned with the connecting duct 5 formed in the base body 1 and with the through hole 3a. Connecting elements 51a, 51b, formed here as hoses, are mounted or attached, respectively, to appendages, which are provided on the receptacles 32a, 32b. In the case of this embodiment, the recesses in the base body 1 for forming the connecting duct 5 or the through hole 3a, respectively, do not have to be closed towards the surface of the base body 1. On the contrary, the connecting duct 5 and the through hole 3a through the connecting element 51a, 51b are formed in such a way that they are closed towards the surface. As illustrated in
If a concentrate bag hangs in the receptacle 31 provided for this purpose, the cleaning device moves horizontally into a device interior of the dialysis machine and positions the concentrate bag adapter below the connecting spouts in this way. These connecting spouts move vertically downward into openings of the concentrate bag and connect the bag for the dialysis operation in this way. As soon as the therapy has ended and the concentrate bag is emptied, the connecting spouts move vertically upward out of the concentrate bag adapter. The cleaning device then partially moves horizontally out of the dialysis device into the cleaning position. In the cleaning position, the connecting spouts move into the line elements 2a, 2b again. In this position of the cleaning unit, the concentrate bag hangs in front of the dialysis machine and can be removed. A new bag is hooked in again after the subsequent surface cleaning.
The receiving unit has receptacles, for example receiving bores, for a concentrate bag, so that the concentrate bag is positioned in such a way that the connecting spouts 6a, 6b of the dialysis machine can be securely moved in said receptacles. In the case of this embodiment, the receiving bores are arranged for this purpose in the cleaning position so as to be aligned with the line elements 2a, 2b, while, when a concentrate bag is located in the receiving unit, the cleaning device is shifted in the connecting position in such a way that said concentrate bag is arranged below the connecting spouts. A sequence of a cleaning method will be described below. The start position of the cleaning device is thereby the cleaning position as shown in
A press-fit element 12 shown in
In addition to the vertical direction, the movement along the bevel also includes a horizontal direction, whereby the cleaning device is horizontally shifted, so that the receiving bores become free. To connect the concentrate bag to the dialysate circuit, the connecting spouts 6a, 6b move vertically downward and connect the concentrate bag at the corresponding openings. After the therapy, the concentrate bag is emptied, the connecting spouts 6a, 6b move out of the concentrate bag, and the press-fit piece 12 moves back into the receiving unit. The nursing staff can then remove the concentrate bag. Due to the removal of the concentrate bag, the cleaning device returns into the cleaning position, so that the connecting spouts 6a, 6b can move vertically downward into the cleaning position again. The nursing staff performs the surface disinfection and hooks in a new concentrate bag during the dialysate circuit cleaning.
In addition, a positioning element 81, which interacts with a sensor assigned to the dialysis machine and which can trigger a light barrier, for example as protrusion 81 from the middle element 8, can be formed on the middle element 8.
To regulate a fluid flow, non-illustrated blocking elements, for example valves, can be formed on the connecting elements 31a, 31b. To move the cleaning device, a drive element is arranged in the housing 9. To capture the movement of the cleaning device, a printed circuit board is arranged in the housing 9 in such a way that the protrusion 81 on the middle element 8 can interact with forked light barriers, which are provided on the printed circuit board 94. In this embodiment, the drive element is an electric motor 92, which drives a threaded spindle, which engages with the threaded nut on the middle element 8. The housing 9 can further have a cover 95, which can be screw-connected to the housing 9 after the assembly of the elements.
The housing 9 can further have a cover 95, a sealing element between the dialysis device and the housing 9, as well as a fastening adapter. To more easily position the cover 95 on the housing 9, positioning aids in the form of stops, as shown in
After the insertion of the cover 95, the latter is screw-connected to the housing 9 at three points. A rubber stopper in the color of the cover 95 is mounted to the screwed-in screw heads. They are to close the bores, so that the cover 95 has a plane surface area. As shown in
Number | Date | Country | Kind |
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10 2020 106 593.0 | Mar 2020 | DE | national |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2021/054281 | 2/22/2021 | WO |