System and method to efficiently clean a blood filter

1. A peritoneal dialysis apparatus comprising:

a filter including a plurality of hollow fiber membranes;

a dialysis fluid circuit in fluid communication with the filter;

a pump for pumping

fresh dialysis fluid to a peritoneum of a patient via the dialysis fluid circuit, and

used dialysis fluid from the peritoneum of the patient through the dialysis fluid circuit and the filter;

a selective air access in fluid communication with the dialysis fluid circuit; and

a control unit configured to control the pump during a peritoneal dialysis treatment and a filter cleaning sequence in which

(i) a physiologically safe fluid is transferred across insides and/or outsides of the plurality of hollow fiber membranes at least one time,

(ii) a fluid mixture is formed by opening the selective air access to mix air with the physiologically safe fluid, and

(iii) the fluid mixture is transferred across the insides and/or outsides of the plurality of hollow fiber membranes at least one time,

wherein the filter cleaning sequence is performed such that the fluid mixture is delivered to the filter instead of a drain.

2. The apparatus of claim 1 , wherein the physiologically safe fluid includes fresh dialysis fluid.

3. The apparatus of claim 1 , wherein the fresh dialysis fluid is (i) prepared from an online source, or (ii) received from a fluid container.

4. The apparatus of claim 1 , wherein the pump is configured to pull the air in from outside the selective air access for mixing with the physiologically safe fluid.

5. The apparatus of claim 1 , wherein the fluid mixture is configured to enhance loosening or removing residuals from the hollow fiber membranes.

6. The apparatus of claim 1 , further comprising an air-passing filter in fluid communication with the selective air access and configured to filter air passing through the selective air access.

7. The apparatus of claim 1 , wherein the selective air access is at least one of (a) vented via a protective membrane or (b) selectively accessed via a valve.

8. The apparatus of claim 1 , wherein the physiologically safe fluid includes saline provided by a saline supply in fluid communication with the dialysis fluid circuit, and wherein the pump or a second pump is positioned and arranged to pump the saline from the saline supply.

9. The apparatus of claim 1 , wherein the control unit is configured to cause the pump to perform at least (i) and (iii) and a second pump to be operated simultaneously in an attempt to equalize pressure across the hollow fiber membranes.

10. The apparatus of claim 1 , wherein the control unit is configured to cause the pump to perform at least (i) and (iii), and use a second pump to perform (ii).

11. The apparatus of claim 1 , wherein the control unit is configured to cause the pump to perform (ii) and a second pump to perform (i) and (iii).

12. The apparatus of claim 1 , wherein the filter is a dialyzer.

13. The apparatus of claim 1 , wherein the control unit is configured to cause the physiologically safe fluid to be transferred back and forth across the plurality of hollow fiber membranes a plurality of times before mixing the physiologically safe fluid with the air.

14. The apparatus of claim 1 , which is configured to transfer the fluid mixture to the drain after (iii).

15. The apparatus of claim 1 , wherein the control unit is configured to perform (iii) such that the fluid mixture is mixed with dialysis fluid instead of being purged to the drain.

16. A method for cleaning a filter during a cleaning sequence, the method comprising:

(i) pumping a physiologically safe fluid across insides and/or outsides of a plurality of hollow fiber membranes of a filter for peritoneal dialysis;

(ii) forming a fluid mixture by injecting air into the physiologically safe fluid;

(iii) during the cleaning sequence, pumping the fluid mixture across the insides and/or outsides of the plurality of hollow fiber membranes of the filter so as to remove or loosen residuals, such as proteins and/or biological fluid,

wherein the fluid mixture is delivered to the filter instead of a drain during at least (ii) and (iii); and

(iv) transferring the fluid mixture along with the removed or loosened residuals to the drain,

wherein the use of the fluid mixture enables the cleaning sequence to be performed after a peritoneal dialysis treatment.

17. The method of claim 16 , wherein pumping the fluid mixture across the insides and/or outsides of the plurality of hollow fiber membranes includes at least one of (a) breaking the air into microbubbles, (b) pumping the fluid mixture from a bottom of the filter to a top of the filter, (c) pumping the fluid mixture back and forth across the plurality of hollow fiber membranes, or (d) circulating the fluid mixture across the plurality of hollow fiber membranes a plurality of times.

18. The method of claim 16 , wherein the physiologically safe fluid is pumped back and forth across the insides and/or the outsides of the plurality of hollow fiber membranes of the filter so as to remove or loosen the residuals.

19. The method of claim 16 , wherein transferring the fluid mixture to the drain includes injecting air to push the fluid mixture along with the removed or loosened residuals to the drain.

20. The method of claim 16 , which further includes at least one of:

priming the filter with at least one of dialysis fluid, replacement fluid, or saline after the transferring performed in (iv); or

disinfecting the filter with at least one of hot water or a chemical disinfectant after the transferring performed in (iv).

21. The method of claim 16 , wherein the cleaning sequence is performed at an end of the peritoneal dialysis treatment when peritoneal dialysis fluid is pumped from a patient's peritoneum.

22. The method of claim 16 , wherein injecting the air includes at least one of (a) filtering the air or (b) pumping the air into the filter via a pump.