Peritoneal dialysis system and methods
Described herein are systems and methods for performing peritoneal dialysis. According to one aspect, the disclosure provides a sterile interface connection for connecting a water purification system to a disposable source of dialysate concentrates. The sterile interface connection can include a chamber comprising an inlet adapted to be connected to the water purification system on a proximal end and a valve on a distal end. The sterile interface connection can also include spring-loaded needle disposed in the chamber. The spring-loaded needle can move between a retracted configuration in which the spring-loaded needle is fully retracted into the chamber and the valve is closed and sealed, and an extended configuration in which the spring-loaded needle extends through the valve into the disposable source of dialysate concentrates.
1. A disposable consumable container configured to produce dialysate solution in real-time, comprising:
a sterile interface connection on the disposable consumable container and configured to be fluidly coupled to a source of sterile water;
a concentrate container for coupling to the source of sterile water via the sterile interface connection and containing a plurality of pre-sterilized dialysate concentrates;
a mixing chamber configured to promote mixing of sterile water with the plurality of pre-sterilized dialysate concentrates to produce dialysis fluid; and
an automated cycler configured to pump mixtures of each of the plurality of pre-sterilized dialysate concentrates into the mixing chamber, the automated cycler being further configured to feed the produced dialysis fluid to and from a patient.
2. The disposable consumable container of claim 1 , wherein the mixing chamber is configured to elevate fluid within the mixing chamber to patient temperature.
3. The disposable consumable container of claim 1 , wherein the mixing chamber comprises a plurality of thermally conductive, flexible sheets welded together in a pattern to produce tortuous flow paths that promote mixing and heating of the sterile water with the dialysate concentrates.
4. The disposable consumable container of claim 1 , further comprising tubing sections which may be acted upon by pumps of the automated cycler.
5. The disposable consumable container of claim 1 , further comprising one or more sensors configured to measure properties of the dialysis fluid.
6. The disposable consumable container of claim 1 , further comprising a conductivity sensor configured to monitor a quality of the dialysis fluid in real time.
7. The disposable consumable container of claim 6 , wherein the automated cycler is configured to route the dialysis fluid to a drain if the dialysis fluid does not meet prescribed settings.
8. The disposable consumable container of claim 6 , wherein the conductivity sensor is placed at an outlet of the mixing chamber.
9. The disposable consumable container of claim 1 , wherein the automated cycler further includes a dialyzer that allows for diffusion or convection of waste from a first fluid to a second fluid.
10. The disposable consumable container of claim 9 , wherein the first fluid comprises the dialysis fluid and the second fluid comprises a patient effluent solution.
11. The disposable consumable container of claim 10 , wherein the dialyzer comprises a dialysis fluid side and a patient effluent solution side, wherein the dialysis fluid side of dialyzer is configured to receive new dialysis fluid flowing in a first direction while the patient effluent solution side of dialyzer is configured to receive patient effluent solution in the opposite direction to maximize waste clearances.
12. The disposable consumable container of claim 1 , wherein the concentrate container includes acid powder, bicarb powder, and glucose.
13. The disposable consumable container of claim 12 , wherein the concentrate container further includes other concentrates configured to produce oncotic or osmotic gradient required for conducting peritoneal dialysis.
14. The disposable consumable container of claim 12 wherein the concentrate container further includes other concentrates high molecular weight substances including polysaccharide, polyamides or polypeptides in order to minimize transfer of these substances into the patient.