Hemodialysis system with ultrafiltration controller
The hemodialysis system includes a closed loop dialysate flow path which includes a dialyzer and a reservoir for storing dialysate, and a closed loop blood flow path which passes through the dialyzer in the opposite direction as the dialysate flow path. In addition, the hemodialysis system includes pumps for pumping dialysate and blood through their respective flow paths, a flow sensor for measuring the flow rate of dialysate in the dialysate flow path, and a level sensor for measuring the level of dialysate in the dialysate reservoir. A processor is connected to the flow sensor, reservoir level sensor and pumps to provide a first closed loop control system including the processor, flow sensor and a first dialysate pump, and a second closed loop control system including the processor, level sensor and a second dialysate pump which enable the processor to initiate, monitor and maintain ultrafiltration.
1. A hemodialysis system comprising:
an arterial blood line for connecting to a patient's artery for collecting blood from a patient;
a venous blood line for connecting to a patient's vein for returning blood to the patient;
a dialyzer having a semipermeable membrane, said semipermeable membrane having two sides including a blood side and a dialysate side;
a blood flow path connected to said arterial blood line and said venous blood line for transporting blood from the patient to said dialyzer and back to the patient, said blood flow path passing through said dialyzer on said blood side of said semipermeable membrane;
a reservoir for storing dialysate;
a closed loop dialysate flow path, isolated from the blood flow path, for transporting the dialysate from said reservoir to said dialyzer and back to said reservoir, said dialysate flow path passing through said dialyzer on said dialysate side of the semipermeable membrane opposite said blood flow path;
a blood pump for pumping blood through said blood flow path;
a first dialysate pump connected to said dialysate flow path upflow from said dialyzer which pumps dialysate at a first pump velocity through said dialysate flow path; and
a second dialysate pump connected to said dialysate flow path downflow from said dialyzer which pumps dialysate at a second pump velocity through said dialysate flow path;
said reservoir positioned exterior to and not forming part of said first and second dialysate pumps;
a reservoir level sensor within said reservoir which measures a level of the dialysate in said reservoir to produce level sensor electrical signals; and
a processor connected to said reservoir level sensor for processing said level sensor electrical signals for determining the level of the dialysate in said reservoir, said processor connected to said first and second dialysate pumps for controlling the first pump velocity and the second pump velocity, said processor also connected to said reservoir level sensor to process said level sensor electrical signals to monitor any change in the level of the dialysate in said reservoir to determine if there is a pressure differential across said dialyzer's semi-permeable membrane, and determine a rate of ultrafiltration or reverse ultrafiltration.
2. The hemodialysis system of claim 1 wherein said processer stores preprogrammed parameters of ultrafiltration or reverse ultrafiltration, and said processor automatically adjusts the first pump velocity or second pump velocity of one of said dialysate pumps based upon measurements from said level sensor to maintain the rate of ultrafiltration or reverse ultrafiltration within said preprogrammed parameters.
3. The hemodialysis system of claim 1 further comprising a flow sensor in said dialysate flow path positioned upflow of said dialyzer and which is connected to said processor, said processor programmed to control the first pump velocity of said first dialysate pump based on measurements from said flow sensor, and said processer automatically adjusts the second pump velocity of said second dialysate pump based upon measurements from said level sensor to maintain ultrafiltration or reverse ultrafiltration within predetermined parameters.
4. The hemodialysis system of claim 1 further comprising a filter connected to said dialysate flow path for removing uremic toxins from the dialysate.