Abstract: A packaged, sealed container system for stable storage of a formulation of an oxygen-sensitive pharmaceutical compound, the packaged, sealed container system comprising a primary container including therein a formulation of an oxygen-sensitive pharmaceutical compound, a secondary outer container comprising a first flexible sheet layer, an opposing second flexible sheet layer, and a seal disposed along a common peripheral edge of the first and second flexible sheet layers, such that the primary container is disposed between and enclosed by the first and second flexible sheet layers of the secondary outer container. An oxygen scavenger is also disposed between and enclosed by the first and second flexible sheet layers of the secondary outer container. The oxygen scavenger is in fluid communication with the contents of the primary container.

Abstract: A peritoneal dialysis system for detecting peritonitis is disclosed herein. In one example, an impedance measurement system includes an impedance monitor configured to sense an impedance of peritoneal dialysis (“PD”) fluid residing within a fluid line. The impedance monitor includes a first conductive lead disposed within a first port along the fluid line and a second conductive lead disposed within a second port along the fluid line. The impedance measurement system also includes a control unit electrically coupled to the impedance monitor. The control unit uses the sensed impedance from the impedance monitor to detect white blood cells to form a patient peritonitis determination. The control unit may communicate the peritonitis determination to alert a clinician.

Abstract: A medical fluid container preparation system includes: a conveyor for conveying the medical fluid container, a water injector located along the conveyor, a mechanism for carrying the water injector towards and away from the medical fluid container; a sensor positioned and arranged to determine a location of the medical fluid container moving along the conveyor, and a control unit configured to read an output from the sensor and to cause (i) the mechanism to move the water injector towards the medical fluid container an amount based upon the location of the medical fluid container obtained from the sensor output and (ii) the water injector to inject a volume of water between the medical fluid container and an overpouch into which the medical fluid container is placed.

Abstract: A system and method is disclosed for detecting remaining battery voltage or capacity in an infusion device and generating alarms based on the detection. The battery lifetime extension method includes providing an infusion device that derives its power from a rechargeable battery. The infusion device may derive its power from a rechargeable battery. Furthermore, the infusion device receives, at predetermined intervals of time in real-time sensor data comprising: a voltage, a change in the voltage over the predetermined interval of time, an average current, a temperature, and a remaining voltage or capacity reported by a battery gas gauge integrated circuit (“IC”) associated with the rechargeable battery. An improved and customized neural network model utilizes the sensor data to determine an indicia of the actual remaining voltage or capacity of the rechargeable battery in real-time. The indicia may be used to lengthen and/or abate ongoing medical infusion therapy.

Abstract: A peritoneal dialysis system includes a drain container; a drain line in fluid communication with the drain container and a patient's peritoneal cavity; a solenoid configured to permit a pneumatic force through a vacuum line and open a drain valve of the drain line; the vacuum source configured to apply and adjust the pneumatic force; the vacuum line; a weight sensor configured to output a weight of used dialysis fluid delivered to the drain container from the patient's peritoneal cavity; and the controller configured to: (i) determine an actual flow rate of used dialysis fluid removed from the patient's peritoneal cavity based on the output from the weight sensor; (ii) compare the actual flow rate to a desired flow rate; and (iii) adjust the pneumatic force applied by the vacuum source via the solenoid to attempt to match the actual flow rate to the optimal flow rate.

Abstract: An infusion pump includes a housing. The housing includes a tube port adapted to receive an intravenous (“IV”) tube. The tube port includes a tube channel and a rib. The tube channel has a first end and a second end. The rib is formed to extend laterally from the tube channel at the first end to form at least two channels at an edge of the housing. The rib tends to prevent full occlusion of the IV tube.

Abstract: A patient connector for dialysis is disclosed. In an example, a patient connector includes a housing including an inlet and an outlet and defining at least one aperture. The patient connector also includes a seal initially blocking the outlet and a hydrophobic filter covering the at least one aperture of the housing. The patient connector further includes a check valve positioned and arranged to prevent air from being vented from the housing via the at least one aperture and through the hydrophobic filter when the housing is under atmospheric pressure or negative pressure. The check valve is configured to allow air to be vented from the housing via the at least one aperture and through the hydrophobic filter when the housing is under positive pressure.

Abstract: A peritoneal dialysis apparatus includes a filter and a dialysis fluid circuit in fluid communication with the filter. The peritoneal dialysis apparatus also includes a pump for pumping fresh dialysis fluid to a peritoneum of a patient via the dialysis fluid circuit and pumping used dialysis fluid from the peritoneum of the patient through the dialysis fluid circuit and the filter. The peritoneal dialysis apparatus further includes 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. The control unit forms a fluid mixture during a filter cleaning sequence by opening the selective air access to mix air with a physiologically safe fluid. The fluid mixture is transferred across insides and/or outsides of the filter at least one time.

Abstract: A blood treatment air purging system and method includes a level detector positioned and arranged to detect a low fluid level in a blood circuit indicating a high amount of air in the blood circuit; a blood pump operable with the blood circuit; a venous patient line of the blood circuit; and at least one blood circuit air vent valve, wherein the system and method are configured or programmed to (i) stop the blood pump, (ii) close the venous patient line, and (iii) open the at least one blood circuit air vent valve to atmosphere or a container when the low fluid level is detected, and (iv) run the blood pump to meter air through the at least one blood circuit air vent valve to atmosphere or the container.

Abstract: A platform for patient engagement and treatment compliance is disclosed. In an example, a system includes a home therapy machine configured to perform a renal failure therapy treatment. The system also includes a mobile communication device including an application having a calendar feature that identifies times/days in which the renal failure therapy treatment is scheduled to be performed. The application is configured to use the calendar feature to determine a time/day of a next scheduled renal failure therapy treatment. At a designated time before the next scheduled renal failure therapy treatment, the application causes a display interface of the personal mobile communication device to display a prompt for medical information. When the medical information is not received before the next scheduled renal failure therapy treatment, the application causes the home therapy machine to delay a start of the next scheduled renal failure therapy treatment.

Abstract: A medical fluid delivery system and apparatus for remote machine updating and control are disclosed. An example medical fluid delivery apparatus includes a processor and a dialysis fluid circuit including at least one dialysis fluid pump. The processor determines a dialysis treatment or a preprogrammed task is not being performed by the least one dialysis fluid pump. After determining a dialysis treatment or a preprogrammed task is not being performed, the processor activates a connectivity agent to communicatively couple to a server via a network. The processor then receives, from the server via the connectivity agent, a command message to perform a preprogrammed task. The processor next deactivates the connectivity agent to stop communication with the server and causes the at least one dialysis fluid pump to perform the preprogrammed task.

Abstract: A peritoneal dialysis system includes a housing; a dialysis fluid pump housed by the housing; a patient line extendable from the housing; and a hose reel located within the housing, the hose reel configured to coil the patient line when disconnected from a patient. The patient line may be a dual lumen patient line, wherein the dual lumen patient line is coiled about the hose reel during a disinfection sequence for disinfecting the dual lumen patient line and the dialysis fluid pump.

Abstract: The present disclosure provides a new and innovative method and system for flow rate compensation in devices, such as infusion pumps. In various embodiments, a computer-implemented method includes determining a location of a plurality of infusion pumps in a pump stack including the plurality of infusion pumps and a fluid supply connected to each of the plurality of infusion pumps. The computer-implemented method also includes determining a reference infusion pump, in the plurality of infusion pumps, and adjusting the flow rate for each infusion pump in the plurality of infusion pumps based on the distance between the infusion pump and the reference infusion pump.

Abstract: A medical product includes a bladder, a filtration device, and a sterile product concentrate. The bladder has a perimeter seal and defining a sterile chamber. The filtration device includes a stem and a filter membrane disposed in line with the stem. The stem extends through the perimeter seal and has an inlet end accessible from outside of the perimeter seal and an outlet end in fluid communication with the sterile chamber. The filter membrane can have a nominal pore size in a range of approximately 0.1 ?m to approximately 0.5 ?m, wherein the filter membrane is shaped as a hollow fiber with a wall and pores residing in the wall of the fiber. The sterile product concentrate is disposed in the sterile chamber and adapted to be reconstituted by the introduction of a pharmaceutical fluid into the chamber through the filtration device.

Abstract: A hemodialysis system is disclosed. The hemodialysis system includes a dialyzer, a saline container including saline, and a disposable set comprising a blood pumping tube fluidly connected to a first end of the dialyzer, an arterial line fluidly connected to a first end of the blood pumping tube, a venous line fluidly connected to a second end of the dialyzer, a saline line fluidly connected to the blood pumping tube and the saline container, and a dialyzer line fluidly connected to a second end of the blood pumping tube and a second end of the dialyzer. The hemodialysis system also includes a dialysis instrument comprising an arterial line clamp, a venous line clamp, and a saline valve. The saline rinses blood out of the arterial line when the venous line clamp is closed, the arterial line clamp is opened, and the saline value is opened.

Abstract: A system includes a server including a clock and a plurality of medical devices in network communication with the server. Each medical device includes at least one alarm mechanism and an internal clock. A first medical device of the plurality of medical devices is configured to receive a clock synchronization data from the server, update the internal clock of the first medical device based on the clock synchronization data, provide an alarm signal of a first type at a first time, and provide a subsequent alarm signal of the first type at a second time. The second time occurs at a predetermined interval from the first time. Additionally, the second time is the same time the alarm signal of the first type is provided by a second medical device of the plurality of medical device.

Abstract: A graph database for outbreak tracking and management is disclosed. In an example embodiment, an outbreak management system includes a memory device storing instructions that define a graph database for disease outbreak tracking. The instructions specify for a given host that a host node is created and an episode node is connected to the host node via a ‘case’ link. The episode node is associated with episode parameters that are related to a disease classification of the host. In addition, the instructions specify that an outbreak node is connected to the episode node via a ‘part of’ link to indicate that the host has become part of an outbreak of the disease. The outbreak node is connected to a definition node via a ‘defined as’ link. The definition node specifies disease parameters of the disease that is related to the outbreak node.

Abstract: A digital communication module for transmission of data from a medical device is disclosed. In an example, a digital communication apparatus includes an input interface configured for communicative coupling to a medical device and an output interface configured for communicative coupling to a medical network. A processor of the digital communication apparatus receives a configuration file that specifies one input port of the input interface and at least one output port of the output interface, a first data format, and a second data format. The processor installs drivers for the input and output ports specified by the configuration file, provisions the input interface with the specified input port to receive medical data from the medical device in the first data format, and provisions the output interface with the at least one specified output port to transmit the received medical data using the first data format and the second data format.

Abstract: A system is provided for operation with a facility providing peritoneal dialysis exchanges for multiple peritoneal dialysis patients. The system can include a peritoneal dialysis solution supply, peritoneal dialysis sets to deliver peritoneal dialysis solution to the peritoneal dialysis patients at the facility, a computer, and a treatment station. The computer can electronically read a prescription for a patient, electronically identify a quantity of the peritoneal dialysis solution from the prescription, and electronically identify a peritoneal dialysis set from the peritoneal dialysis sets for use with the identified quantity of the peritoneal dialysis solution.

Abstract: A handheld device measures all vital signs and some hemodynamic parameters from the human body and transmits measured information wirelessly to a web-based system, where the information can be analyzed by a clinician to help diagnose a patient. The system utilizes our discovery that bio-impedance signals used to determine vital signs and hemodynamic parameters can be measured over a conduction pathway extending from the patient's wrist to a location on their thoracic cavity, e.g. their chest or navel. The device's form factor can include re-usable electrode materials to reduce costs. Measurements made by the handheld device, which use the belly button as a ‘fiducial’ marker, facilitate consistent, daily measurements, thereby reducing positioning errors that reduce accuracy of standard impedance measurements. In this and other ways, the handheld device provides an effective tool for characterizing patients with chronic diseases, such as heart failure, renal disease, and hypertension.