Abstract: Sample tube racks having retention bars to retain sample tubes in the racks during processing of the contents of the sample tubes are described. An example rack for holding sample tubes includes a tube holder to hold the sample tubes in a substantially vertical orientation. A retention cover pivotally engages the tube holder at a first end and locks against the tube holder at a second end. The second end of the retention cover pivots relative to the tube holder about an axis that is non-parallel relative to a longitudinal axis of the retention cover while the first end of the retention cover is pivotally captured by the tube holder.

Abstract: Sample tube racks having retention bars to retain sample tubes in the racks during processing of the contents of the sample tubes are described. An example rack for holding sample tubes includes a tube holder to hold the sample tubes in a substantially vertical orientation. A retention cover pivotally engages the tube holder at a first end and locks against the tube holder at a second end. The second end of the retention cover pivots relative to the tube holder about an axis that is non-parallel relative to a longitudinal axis of the retention cover while the first end of the retention cover is pivotally captured by the tube holder.

Abstract: Sample tube racks having retention bars to retain sample tubes in the racks during processing of the contents of the sample tubes are described. An example rack for holding sample tubes includes a sample tube carrier having an elongated body and walls defining apertures. Each of the apertures is configured to receive a respective one of the sample tubes. The walls define elongated openings, each of which corresponds to a respective one of the sample tubes and extends along at least a portion of a length of the respective sample tube, and the elongated openings enable viewing of information on the outer surfaces of the sample tubes. The example rack also includes an elongated retention bar to be pivotally coupled to one end of the sample tube carrier. The retention bar has openings, each of which is positioned over a respective one of the apertures, and the openings are dimensioned to prevent removal of the sample tubes from the sample tube carrier through the retention bar.

Abstract: Sample tube racks having retention bars to retain sample tubes in the racks during processing of the contents of the sample tubes are described. An example rack for holding sample tubes includes a sample tube carrier having an elongated body and walls defining apertures. Each of the apertures is configured to receive a respective one of the sample tubes. The walls define elongated openings, each of which corresponds to a respective one of the sample tubes and extends along at least a portion of a length of the respective sample tube, and the elongated openings enable viewing of information on the outer surfaces of the sample tubes. The example rack also includes an elongated retention bar to be pivotally coupled to one end of the sample tube carrier. The retention bar has openings, each of which is positioned over a respective one of the apertures, and the openings are dimensioned to prevent removal of the sample tubes from the sample tube carrier through the retention bar.

Abstract: A set of bottles for containing dialysate chemical formulations, chemical cleaning agents or the like is described. The chemical formulation bottles come in two varieties, sodium bicarbonate and liquid acid formulations, each bottle having a slightly different shape. The different shapes cooperate with a bottle mounting structure in the dialysis machine to insure that bottles are correctly installed on their respective bottle opening mechanism. The bottles also have a detection feature comprising either a raised rim or groove extending around the periphery of the bottle. A sensor assembly in the bottle mounting and opening system detects the detection feature. The detection feature is used by the machine to distinguish between dialysate formulation bottles and chemical cleaning bottles, which do not have the detection feature. The detection feature prevents unintentional installation of the chemical bottle on the opening mechanism for the dialysate chemical formulation bottles.

Abstract: A vessel for containing a batch quantity of chemicals for preparation of physiologic, therapeutic, or irrigation solutions, such as dialysate. The vessel has a cap and a bottle shell having features that make the vessel suitable for mounting to an apparatus for automatically opening the vessel. In a preferred embodiment, the cap has a frangible membrane sealing the vessel. A protective overcap is removable mounted to the cap to protect the cap from puncture prior to installation on the opening apparatus.

Abstract: A dialysis machine is described which has a batch dialysate preparation system comprising a lightweight, substantially noncompliant dialysate tank and volumetrically closed dialysate circuit. The tank is made from a polymeric material, such as polypropylene, with fiberglass windings on the exterior of the tank. The noncompliance of the tank and dialysate circuit allows for greater control over ultrafiltration of the patient.

Abstract: Methods and apparatus for increasing the accuracy of ultrafiltration in a dialysis machine and decreasing the time required for dialysis. The machine inclused a substantially non-compliant tank for mixing and storing a batch of dialsyate. In a preferred form, the tank is a hollow vessel made from a lightweight and chemically inert material, such as polypropylene, reinforced on its exterior. The machine further includes an ultrafiltration pump for pumping fluid from an extracorporeal circuit to an ultrafiltration tank commensurate with the removal of water from the patient. The pump is calibrated with the volume of fluid in the tank.

Abstract: A hemodialysis machine has ports of a disinfection manifold for receiving the arterial and venous line connectors terminating the arterial and venous lines. The ports are in fluid communication with a hydraulic system that circulates disinfection fluid through the machine including the extracorporeal circuit. The ports are constructed so as to provide a gap extending circumferentially around the arterial and venous line connectors. When the disinfection fluid circulates through the ports of the disinfection manifold, the fluid circulates around the external surfaces of the connectors as well as through the internal fluid passages, thereby insuring a complete disinfection of the connectors.

Abstract: A connector for a tube and a port construction for sealingly and securely receiving the connector. The connector has a male luer comprising a locking hub and a cylindrical tubing port. The cylindrical tubing port receives the free end of the tube. A second piece is provided that envelops the male luer, comprising a elongate cylindrical housing having a interior surface. The male luer and the tube are snugly inserted within the interior surface of the second piece to form a unitary connector.The port receives the connector and has a housing having a first end and a second end and an open interior region defining first and second chambers and a housing axis. The first and second chambers are disposed within the first and second ends of the housing, respectively. A locking knob is movably mounted on the first end of the port apparatus and movable along the housing axis relative to the first end between first and second positions.

Abstract: A loading platform and chemical addition system are described for a machine that prepares a batch of dialysate. The loading platform is in fluid communication with a dialysate preparation tank, and receives chemical vessels that contain a batch quantity of dialysate chemicals. The chemicals are released from the vessels automatically and fall onto a shelf in the loading platform. Nozzles and spray equipment are provided for insuring the complete release of the chemicals from the vessels and their dispersion into the tank. Novel mixing techniques are implemented in the tank to insure complete mixing of the dialysate solution and prevention of settling of dialysate solution at the bottom of the tank.

Abstract: Apparatus for removing air bubbles from blood and from a dialysate solution are described herein. In one cassette-style embodiment of a blood debubbler, the debubbler includes front and rear covers, a fluid circuit board between the front and rear covers and defining a blood chamber between the fluid circuit board and the front cover and an air chamber between the fluid circuit board and the rear cover, and a microporous membrane separating the blood chamber from the air chamber. A support means is provided for supporting the microporous membrane from the air side of the membrane. A pressure sensor is provided within the front and rear covers for measuring the blood pressure in the blood chamber. The debubbler has a blood inlet port and a blood outlet port for conducting blood to and from the blood chamber. An air port is provided in communication with the air chamber, which allows for air passing through the microporous membrane to escape.

Abstract: A dialysis machine is disclosed that incorporates a water treatment module, a dialysate preparation module having a dialysate circuit, and an extracorporeal circuit including a dialyzer and arterial and venous blood lines that connect to the patient. The machine accomplishes on-line disinfection of all the fluid circuits of the machine, including the water treatment module, the dialysate preparation module and extracorporeal circuit, the arterial and venous lines, and the dialyzer, by circulating water heated to a high level disinfection temperature (e.g., 80 degrees C.) through the fluid passages of the machine for a sufficient time (such as an hour) to achieve high level disinfection. After the dialysis session is ended, the patient connects the arterial and venous lines to ports in a disinfection manifold that places the arterial and venous lines into fluid communication with the heated water. Thereafter, the machine is ready to disinfect the fluid circuits including the extracorporeal circuit.

Abstract: A non-invasive technique and system is provided for measuring flow of liquid driven by a flexible diaphragm of a membrane pump (18). Flow, pressure and/or temperature of a gas, such as air, used to drive the pump (18) is continuously monitored. Instantaneous volume of liquid being pulled into or out of a chamber of the pump (18) can be calculated from measured values of the gas used to drive the pump (18). Sensors (10, 12 and/or 14) are used to measure values relating to the gas. The sensed parameters are concurrently monitored and continuously determine the amount of gas flowing to and from the diaphragm of the membrane pump (18) utilized to move liquid within a liquid pathway. The measurements may then be used to calculate the instantaneous flow rate of the liquid.