Abstract: A combination pressure pod and access site apparatus is suitable for use in a medical tubing set. The combination pressure pod and access site comprises a pressure sensing chamber and a measured fluid chamber separated by a pressure transmissive diaphragm. An access site having a needle or needle-less septum is in fluid communication with the measured fluid chamber and permits and withdrawing fluids from, the measured fluid chamber through the access site. One or more of the combination pressure sites and access sites may be provided in a simplified blood tubing set for an extracorporeal blood treatment apparatus, such as a hemodialysis apparatus.

Abstract: A method and device for sampling biological fluids during collection without opening the functionally closed collection system, thereby compromising the sterility of the collected fluid. A sample bag connected to a fluid line or collection reservoir is filled coincident with fluid collection, then hermetically sealed and physically separated from the collection system using a radio frequency tubing sealer. A vacuum tube collection device is attached to the sample bag to minimize exposure to the fluid during sample handling and processing.

Abstract: A method of disinfecting a blood tubing set on a dialysis machine after the blood tubing set has been used in a dialysis treatment. One end of the blood tubing set is connected to a disinfection port on the dialysis machine and an opposite end of the blood tubing set is connected to a waste drain. The dialysis machine provides a supply of a disinfectant solution to the disinfection port. A blood pump on the dialysis machine pumps the disinfectant solution from the disinfection port to the waste drain through the blood tubing set to expel contaminants from the blood tubing set. The blood tubing set is preferably connected to a dialyzer which is disinfected when the disinfectant solution is pumped through the blood tubing set. A supply of cleaning solution or water may be pumped through the blood tubing set and dialyzer to expel the disinfectant solution. A supply of air may be pumped through the blood tubing set and dialyzer to expel substantially all fluid from the blood tubing set and dialyzer.

Abstract: Blood from a patient is treated extracorporeally by any selected one of a plurality of predetermined treatments. Each of the treatments involves the flow of blood from the patient into a primary chamber of a filtration unit, past a semipermeable membrane located in the filtration unit which separates the primary chamber from a secondary chamber of the filtration unit, out the filtration unit and back to the patient. A replacement fluid is selectively and controllably added to the blood, as required for the selected treatment. A secondary fluid is controllably and selectively introduced into the secondary chamber of the filtration unit for controllably collecting material passing across the semipermeable membrane from the blood or for supplying material to pass across the semipermeable membrane into the blood as required for the selected treatment. Materials are removed from the secondary chamber and collected in accordance with the selected treatment.

Abstract: A method and apparatus for maximizing the total amount of blood processed during an apheresis procedure by optimizing the concentration of anticoagulant in a donor/patient and the associated extracorporeal tubing set is provided. A simplified model of an anticoagulant accumulation in a donor/patient's body is used to calculate an optimal anticoagulant infusion rate profile to the donor/patient during a blood processing procedure. A maximum acceptable anticoagulant concentration in the donor/patient acts as an upper limit on the rate at which anticoagulant may be infused to the donor/patient using the optimized infusion rate profile. A minimum acceptable anticoagulant level acts as a lower limit in optimally controlling the anticoagulant concentration in the extracorporeal tubing set.

Abstract: An extracorporeal blood processing system is disclosed which includes a variety of novel components and which may be operated in accordance with a variety of novel methodologies. For instance, the system includes a graphical operator interface which directs the operator through various aspects of the apheresis procedure. Moreover, the system also includes a variety of features relating to loading a blood processing vessel into a blood processing channel and removing the same after completion of the procedure. Furthermore, the system also includes a variety of features relating to utilizing a blood priming of at least portions of the apheresis system in preparation for the procedure. In addition, the system includes a variety of features enhancing the performance of the apheresis system, including the interrelationship between the blood processing vessel and the blood processing vessel and the utilization of high packing factors for the procedure.

Abstract: A fluid chamber and method are disclosed for filtering or separating particles. The fluid chamber includes a wall extending between an inlet and outlet to form a fluid chamber interior. The interior converges from a position of maximum cross-sectional area toward the inlet. A groove or a step may be formed on an inner surface of the fluid chamber wall to improve particle separation within the fluid chamber.

Abstract: An apparatus for trapping bubbles in blood flowing in a circuit, such as blood in an extracorporeal circuit, is provided. The apparatus includes a housing which defines a substantially vertical chamber. Blood is introduced into the chamber through an inlet tube extending downwardly into the chamber and is removed from the chamber at an exit port near the lower end of the housing. A diverter having a container base and rim is positioned within the chamber. Blood is introduced near the container base. The blood is redirected upward upon contact with the container base and is then redirected downward over the rim. The redirection of blood flow provides an opportunity for bubbles in the blood to separate from the blood in the chamber and also helps prevent stagnation of blood in the chamber which might otherwise lead to clotting and separation of the blood.Blood is introduced into a chamber of the apparatus in a generally downward direction below the level of blood already present in the chamber.

Abstract: An exchanger includes an outer casing having an inlet port and an outlet port for a first fluid, and an inlet port and an outlet port for a second fluid, and a bundle of hollow fibers located within the outer casing and being in flow communication with the inlet and outlet port for the second fluid. A central core is located in the outer casing and the bundle of fibers is arranged around the central core. The central core includes an inlet manifold connected to the first fluid inlet port, and an outlet manifold connected to the first fluid outlet port.

Abstract: A blood circulation apparatus includes a suction wand for receiving blood from a patient, a reservoir for collecting received blood, a flow path between the suction wand and the reservoir, and an anticoagulant pump and line for introducing anticoagulant into the flow path upstream of the reservoir. Sensors detect pressure in the flow path and in the anticoagulant line, and transmit corresponding pressure signals to a controller that regulates anticoagulant introduction as a function of the pressure signals.

Abstract: A blood component collection system with optimization capabilities. In one embodiment, the blood component collection system includes a central input station (e.g., computer) and a plurality of blood component collection assemblies. These blood component collection assemblies include a blood component collection device and an operator interface module (e.g., computer). Various types of data are maintained on the collection procedures performed in the blood component collection system and are utilized to generate various types of reports for optimizing system operations.

Abstract: An method and apparatus for determining a degree of occlusion in the tubing loop disposed in the raceway of a peristaltic pump. An electrical circuit is formed in tubing loop by filling the loop with an electrically conductive fluid, such as blood, and electrically connecting the inlet portion to the outlet portion of the tubing loop. An excitation coil, which encircles a portion of the tubing loop, induces an alternating current in the tubing fluid. A sensing coil, also encircling a portion of the tubing loop, senses the induced current. The degree if occlusion in the tubing loop is correlated to the magnitude of the sensed current. The degree of occlusion may be adjusted, in response to the determined occlusion, while the pump is in operation using an occlusion adjuster.

Abstract: An apparatus for minimizing trauma to a medical fluid while transporting the medical fluid from a surgical wound by reducing the air to fluid interface during transport. The apparatus includes a suction wand for collecting medical fluid and tubing for transporting the medical fluid to a reservoir. The reservoir repeatedly accumulates the medical fluid and discharges it in a bolus when a predetermined volume is achieved. The reservoir comprises a fluid inlet, a fluid outlet, and a gas outlet. A siphon is disposed inside the reservoir for removing the bolus of medical fluid once the predetermined fluid volume is accumulated. The siphon includes a first end for suctioning the medical fluid and a second end exiting the reservoir through the fluid outlet, thereby defining an external siphon length. A pump is attached to the second siphon end to provide suction to the system.

Abstract: A method and system are disclosed for more accurate administration of a composition being infused into a body fluid having formed elements. The improved accuracy is due to a correction factor that corrects for the relative impermeability of the formed elements to the infused composition. In one embodiment, the infusion system is a cardioplegia system in which a controller receives information pertaining to the hematocrit and initial blood potassium concentration and adjusts blood flow rate and crystalloid (KCl) solution flow rate so as to obtain the desired resulting potassium concentration in the cardioplegia. The invention further includes an infusion system that comprises a controller which uses an equation that relates the correction factor to an index of formed elements in the body fluid, such as the hematocrit.

Abstract: An extracorporeal blood processing system is disclosed which includes a variety of novel components and which may be operated in accordance with a variety of novel methodologies. For instance, the system includes a graphical operator interface which directs the operator through various aspects of the apheresis procedure. Moreover, the system also includes a variety of features relating to loading a blood processing vessel into a blood processing channel and removing the same after completion of the procedure. Furthermore, the system also includes a variety of features relating to utilizing a blood priming of at least portions of the apheresis system in preparation for the procedure. In addition, the system includes a variety of features enhancing the performance of the apheresis system, including the interrelationship between the blood processing vessel and the blood processing vessel and the utilization of high packing factors for the procedure.

Abstract: A method and apparatus for preventing accidental manual rotor reversal in a peristaltic pump is provided. A peristaltic pump may be provided with a hand crank or the like to drive a rotor assembly of the pump manually in the event of failure of the electric motor drive of the pump. An indicator may provide information to the pump operator to inform the operator of the direction in which the pump was rotating when last driven by the electric motor. Further an alarm device may alert the operator when the operator is attempting to rotate the pump in the direction opposite the direction in which the pump was rotating when last driven by the electric motor or the direction last selected by the operator before loss of power.

Abstract: A technique for automatically priming and recirculating sterile fluid through an extracorporeal circuit of a dialysis machine having a blood pump, a dialyzer, and a blood tubing set including an arterial line for drawing blood from a patient and a venous line for returning the blood to the patient. The dialysis machine selectively opens and closes clamps on the arterial and venous lines and further operates a waste valve for selectively opening and closing a waste line leading to a waste drain. A connector attaches both the arterial and venous lines to the waste line downstream of the arterial and venous clamps and upstream of the waste valve. The dialysis machine automatically operating the blood pump, the clamps and the waste valve to flush the dialyzer and the blood tubing set with the sterile fluid and direct the used fluid down the waste drain.

Abstract: A process and medium are disclosed for the lyophilization of cells which comprises the use of solutions including monosaccharide hexoses and pentoses, and/or biocompatible amphipathic polymers to permit the reconstitution of viable cells.

Abstract: An extracorporeal fluid treatment apparatus which is selectively operable in a disinfecting mode or a treatment mode includes an inlet line, a pre-treatment portion, an input pump, a heater, an input shunt, a filtration device, a post-treatment portion, a drain line and an output shunt. The apparatus also includes a combination of valves which are selectively positionable in disinfecting mode to create an input fluid circuit which includes the pre-treatment portion and the input shunt, and which is in fluid isolation from the post-treatment portion and from the filtration device. In disinfecting mode, the valves are also selectively positionable to create an output fluid circuit which includes the post-treatment portion and the output shunt, and which is in fluid isolation from the pre-treatment portion and from the filtration device.

Abstract: Biocompatible anion exchange materials are provided comprising a support having a quaternary amine moiety and a polyethylene oxide (PEO) moiety having between about 10 and about 200 repeating units covalently bonded thereto, such that said quaternary amine and polyethylene oxide moieties are substantially homogeneously distributed on said support. These anion exchange materials are useful for removing negatively charged species such as heparin from blood and other body fluids without significant removal of platelets. Methods of making and using these materials are also provided.