Blood treatment systems and methods
Dialysis systems are disclosed comprising new fluid flow circuits. Systems may include blood and dialysate flow paths, where the dialysate flow path includes balancing, mixing, and/or directing circuits. Dialysate preparation may be decoupled from patient dialysis. Circuits may be defined within one or more cassettes. The fluid circuit fluid flow paths may be isolated from electrical components. A gas supply in fluid communication with the dialysate flow path and/or the dialyzer able to urge dialysate through the dialyzer and urge blood back to the patient may be included for certain emergency situations. Fluid handling devices, such as pumps, valves, and mixers that can be actuated using a control fluid may be included. Control fluid may be delivered by an external pump or other device, which may be detachable and/or generally rigid, optionally with a diaphragm dividing the device into first and second compartments.
1. A system, comprising:
a liquid supply line that includes a flow restrictor and that is configured to provide a liquid to a pump downstream of the flow restrictor, the pump being configured to draw the liquid under negative pressure from the liquid supply line; and
an accumulator including:
a chamber having a liquid side and a port connected to the liquid supply line between the flow restrictor and the pump for both receiving the liquid into the chamber and for discharging liquid into the liquid supply line, the port being the only fluid connection to the liquid side of the chamber;
a moveable diaphragm in the chamber that separates the liquid side of the chamber from a gas side of the chamber; and
a vent directly connected to atmosphere, and continuously venting the gas side of the chamber to the atmosphere;
wherein the flow restrictor and the accumulator are configured to maintain a negative pressure in the liquid supply line when the pump draws liquid from the liquid supply line.
2. The system of claim 1 incorporated into a dialysis system comprising:
a mixing circuit comprising the pump and arranged to combine at least water and one ingredient to form dialysate used in a dialysis treatment;
a water supply connected to the liquid supply line, wherein the liquid supply line is a water supply conduit and the water supply is arranged to provide water to the mixing circuit via the water supply conduit; and
wherein the accumulator is arranged to receive and release water via the port in fluid communication with the water supply conduit.
3. The system of claim 2 , wherein the accumulator is arranged to store a volume of water equal to about 27 ml.
4. The system of claim 2 , wherein the accumulator is arranged to receive and hold water from the water supply conduit during periods when the mixing circuit is not drawing water from the water supply conduit, and is arranged to supply water to the water supply conduit during periods when the mixing circuit is drawing water from the water supply conduit.
5. The system of claim 2 , wherein the water supply includes a container of water suitable for the formation of dialysate.
6. The system of claim 2 , wherein the water supply includes a reverse osmosis filter.
7. The system of claim 2 , wherein the water supply provides water to the water supply conduit at a pressure greater than a negative pressure used by the pump to draw water from the water supply conduit.
8. The system of claim 7 , wherein the water supply includes a pressure regulator.
9. The system of claim 2 , wherein the mixing circuit includes two or more pumps that draw water from the water supply conduit.
10. The system of claim 9 , wherein the two or more pumps intermittently or alternately draw water from the water supply conduit.
11. The system of claim 10 , wherein the water supply is arranged to provide water on a continuous basis.
12. The system of claim 2 , further comprising an air trap in fluid communication with the water supply conduit and arranged to trap air in the water supply conduit.
13. The system of claim 12 , wherein the air trap is arranged to trap up to about 1.5 ml of air.
14. The system of claim 12 , wherein the air trap is arranged to trap air at a rate of up to about 10 ml/hour with a flow of water of about 1200 ml/minute through the air trap.
15. The system of claim 12 , wherein the mixing circuit, the water supply, the water supply conduit and/or the accumulator are arranged to cause a negative pressure to be present in the air trap during at least a portion of a cycle in which the pump of the mixing chamber draws water from the water supply conduit.
16. The system of claim 1 , wherein the vent includes an orifice having a size of about 0.004 inches.
17. The system of claim 1 , wherein the chamber is arranged to store a volume of water equal to about 27 ml in the liquid side.
18. The system of claim 1 , wherein the moveable diaphragm comprises a flexible, hemispherically shaped element attached to the chamber.
19. The system of claim 1 , wherein the vent comprises a controllably variable orifice valve arranged to vary an orifice size of the vent.
20. The system of claim 1 , wherein the flow restrictor comprises a valve.