Systems, devices and methods for peritoneal dialysate production and delivery
Embodiments pertain to a peritoneal dialysate production and delivery (PD) system configured to produce fresh dialysate for use in peritoneal dialysis of a patient, the system comprising: a water inlet, a water treatment device that is fluidly connectable or connected via the water inlet to a water source and configured to treat water received from the water source to generate treated water; a concentrate supply device that is in fluid communication with the at least one water treatment device to add concentrate comprised in the concentrate supply device to the treated water to generate fresh dialysate fluid; tubing having a lumen for supplying the fresh dialysate fluid to a patient body via a flow path; and a tubing disinfectant supply device that contains and/or that is operable to receive disinfectant agents, wherein the tubing disinfectant supply device is in fluid connection with the tubing for disinfecting at least a portion of the tubing.
1 . A portable peritoneal dialysate production and delivery (PD) system for producing fresh dialysate for use in peritoneal dialysis of a patient, the portable system comprising:
a water treatment device fluidly connectable or connected via a water inlet to a water source and configured to treat water received from the water source to generate treated water;
a concentrate supply device in fluid communication with at least one of water treatment devices and configured to add concentrate contained in the concentrate supply device to the treated water to generate fresh dialysate fluid;
a tubing having a lumen for supplying the fresh dialysate fluid to a patient body via a flow path;
a tubing disinfectant supply device configured to contain and/or receive disinfectant agents, wherein the tubing disinfectant supply device is in fluid connection with the tubing for disinfecting at least a portion of the tubing; and
a bypass flow path fluidly connecting the water source with the tubing disinfectant supply device by bypassing the water treatment device and/or the concentrate supply device.
2 . The portable PD system of claim 1 , wherein the tubing comprises:
a patient catheter having a proximal end for positioning inside the patient body and a distal end;
a disinfectant supply tubing;
a fresh dialysate supply tubing;
a dialysate waste tubing; and
a tubing connector for fluidly connecting the fresh dialysate supply tubing and the dialysate waste tubing with the distal end of the patient catheter.
3 . The portable PD system of claim 2 , wherein the disinfectant supply tubing is part of the fresh dialysate supply tubing.
4 . The portable PD system of claim 2 , wherein the disinfectant supply tubing is separate from the fresh dialysate supply tubing.
5 . The portable PD system of claim 3 , wherein the disinfectant supply tubing and the fresh dialysate supply tubing are fluidly coupled, in parallel, with the tubing connector.
6 . The portable PD system of claim 1 , wherein the water treatment device comprises any one or more of the following:
a water filter apparatus;
a water disinfection apparatus for generating disinfected water; and
a water conditioning apparatus for generating preconditioned water.
7 . The portable PD system of claim 1 , further comprising:
a supply pump device for expending energy onto water for forcing water received by the PD system via the tubing, through the water treatment device and the concentrate supply device for providing the patient with fresh dialysate.
8 . The portable PD system of claim 2 , wherein the tubing connector comprises a manifold for operably connecting the patient catheter with the disinfectant supply tubing, the fresh dialysate supply tubing, and the dialysate waste tubing with each other.
9 . The portable PD system of claim 8 , wherein the manifold is configured to selectively fluidly connect the patient catheter with and disconnect the patient catheter from one or more of the following: the disinfectant supply tubing, the fresh dialysate supply tubing, and the dialysate waste tubing.
10 . The portable PD system of claim 9 , wherein the manifold comprises manifold valves and tubing for selectively fluidly connecting the patient catheter with and disconnecting the patient catheter from one or more of the following: the disinfectant supply tubing, the fresh dialysate supply tubing, and the dialysate waste tubing.
11 . The portable PD system of claim 1 , wherein the disinfecting agent is biocompatible and, optionally, biodegradable.
12 . The portable PD system of claim 1 , wherein the concentrate supply device comprises fin elements having surface portions extending into a flow path of treated water to generate fresh dialysate fluid.
13 . The portable PD system of claim 1 , further comprising a recycling device configured to recycle used dialysate to generate recycled feed water.
14 . A method for performing peritoneal dialysis in a patient, comprising:
performing a disinfecting stage with a disinfecting agent for disinfecting at least part of a tubing employed for producing and/or delivering a fresh dialysate to a patient, wherein the method employs a portable peritoneal dialysate production and delivery (PD) system comprising:
a water treatment device fluidly connectable or connected via a water inlet to a water source and configured to treat water received from the water source to generate treated water;
a concentrate supply device in fluid communication with at least one of water treatment devices and configured to add concentrate contained in the concentrate supply device to the treated water to generate fresh dialysate fluid;
a tubing having a lumen for supplying the fresh dialysate fluid to a patient body via a flow path;
a tubing disinfectant supply device configured to contain and/or to receive disinfectant agents, wherein the tubing disinfectant supply device is in fluid connection with the tubing for disinfecting at least a portion of the tubing; and
a bypass flow path fluidly connecting the water source with the tubing disinfectant supply device by bypassing the water treatment device and/or the concentrate supply device.
15 . The method of claim 14 , wherein a peritoneal dialysate production and delivery (PD) system comprises the disinfection agent in preparation of the disinfecting stage.
16 . The method of 15 , wherein the disinfection agent is provided to the PD system at a patient site prior to initiating the disinfecting stage.
17 . The method of claim 14 , wherein the disinfecting stage is performed prior to performing a fresh dialysate delivery stage; after performing a fresh dialysate deliver stage yet before executing a used dialysate drain and/or used dialysate recycling stage; and/or after performing the used dialysate drain or recycling stage.
18 . The method of claim 14 , wherein the disinfection stage is performed:
prior to receiving water from a water source;
after receiving water from the water source but prior to treating the water for obtaining treated water;
after treating the water but prior to adding concentrate to the treated water for obtaining the fresh dialysate;
after adding concentrate to the treated water but prior to delivering the fresh dialysate to a patient's peritoneal cavity;
prior to and/or during waiting for a dwell time to allow for ultrafiltration in the peritoneal cavity to complete;
after the dwell time has passed but prior to draining and/or recycling used dialysate; and/or
after the draining of used dialysate to drain and/or after recycling the used dialysate to produce recycled feed water.