Systems and methods for peritoneal dialysis having point of use dialysis fluid preparation using water accumulator and disposable set

1. A peritoneal dialysis system comprising:

a water purifier including a water outlet connector, a water recirculation connector, and an internal recirculation loop from the water outlet connector to the water recirculation connector;

a cycler; and

a disposable set operable with the cycler, the disposable set including

a pumping cassette including a water inlet port,

a water line in fluid communication with the water inlet port and the water outlet connector, the water line including at least one sterile sterilizing grade filter, and

a recirculation line in fluid communication with the water line downstream from the sterile sterilizing grade filter and the water recirculation connector, wherein the recirculation line and the internal recirculation loop absorb pressure upon a failure of the at least one sterile sterilizing grade filter.

2. The peritoneal dialysis system of claim 1 , wherein the disposable set further includes a heater/mixing container in fluid communication with the pumping cassette.

3. The peritoneal dialysis system of claim 1 , wherein the water purifier is configured to enter an alarm state upon sensing a change in operating pressure due to the failure of the at least one sterile sterilizing grade filter.

4. The peritoneal dialysis system of claim 3 , wherein the recirculation line and the internal recirculation loop provide time for the water purifier to react to the change in operating pressure.

5. The peritoneal dialysis system of claim 1 , which includes a pump in operable communication with the internal recirculation loop.