Abstract: A dialysis system includes: a dialysis machine for performing a first dialysis session on a patient at a first time of a day; a remote exchange device for performing a second dialysis session on the patient at a second time of the day, the remote exchange device configured to record an amount of ultrafiltration (“UF”) that is removed from the patient over the second dialysis session; and a communication link between the dialysis machine and the remote exchange device, wherein the dialysis machine is configured to receive the recorded amount UF removed from the remote exchange device via the communication link and determine a total amount of UF removed from the patient over the first and second sessions.

Abstract: A peritoneal dialysis system includes: (i) a hardware unit, the hardware unit including a pump actuator; (ii) a disposable unit received by the hardware unit, the disposable unit having a moveable membrane operable with the pump actuator, the pump actuator moveable towards and away from the disposable unit; and (iii) the hardware unit and disposable unit configured to hold a negative pressure between the pump actuator and the moveable membrane of the disposable unit, the negative pressure causing the moveable membrane to follow the pump actuator as the actuator is moved away from the disposable unit, the pump actuator and membrane positioned relative to each other such that the membrane moves with the pump actuator as the actuator is moved into the disposable unit.

Abstract: A peritoneal dialysis system includes: (i) an enclosure; (ii) a stepper motor housed by the enclosure; (iii) a pump head in operable communication with the stepper motor; and (iv) a disposable unit including at least one flexible membrane attached to a rigid piece, the enclosure configured to receive the disposable unit such that the stepper motor can move the pump head towards and away from the flexible membrane to cause, (a) the flexible membrane to move outwardly with respect to the rigid piece as the pump head is moved away from the disposable unit, and (b) the flexible membrane to move inwardly with respect to the rigid piece as the pump head is moved away from the disposable unit.

Abstract: A medical fluid machine includes a housing providing a first wall and a second wall, the first and second walls at least partially defining a pump chamber. A fluid receptacle is located within the pump chamber, the fluid receptacle including first and second flexible membranes configured to be moved apart to accept a medical fluid and moved together to dispel the fluid. A medical fluid outlet is in communication with the fluid receptacle. A first valve arrangement is configured to enable medical fluid in a sufficiently air-free condition to be delivered from the receptacle through the medical fluid outlet to a patient. A second valve arrangement is configured to enable medical fluid with entrained air to be delivered instead from the receptacle through the medical fluid outlet to an entrained air destination.

Abstract: A medical fluid machine includes a housing providing a first wall and a second wall, the first and second walls at least partially defining a pump chamber. A fluid receptacle is located within the pump chamber, the fluid receptacle including first and second flexible membranes configured to be moved apart to accept a medical fluid and moved together to dispel the fluid. A medical fluid outlet is in communication with the fluid receptacle. A first valve arrangement is configured to enable medical fluid in a sufficiently air-free condition to be delivered from the receptacle through the medical fluid outlet to a patient. A second valve arrangement is configured to enable medical fluid with entrained air to be delivered instead from the receptacle through the medical fluid outlet to an entrained air destination.

Abstract: A medical instrument includes a sound card or an internal capability for generating sounds from a digital music or sound file. The medical instrument is one which generates unwanted noise and is constantly in the presence of a patient or an operator, and may be in a home, a clinic, a laboratory, or other intimate setting. For instance, a patient may be typically connected for hours to a hemodialysis machine that has a noisy pump. A blood-plasma volunteer may be hooked to a noisy blood separation machine for a period of time. A laboratory technician may work in close proximity to a sample preparation machine that constantly gurgles and whirrs. In each instance, a sound card and a speaker can generate previously-recorded masking noises that make that the presence and operation of the machine more tolerable.

Abstract: A peritoneal dialysis system includes a dialysis machine including a pump chamber and a pump actuator moveable within the pump chamber; a pumping cassette including a rigid portion defining a pump well and a flexible membrane covering the pump well; and wherein the dialysis machine is configured to be mated with the pumping cassette so as to hold a vacuum between the pump chamber and the flexible membrane, the vacuum operable to cause the flexible membrane to follow the pump actuator as the actuator is retracted from the pump well of the rigid portion, the pump actuator operable to cause the flexible membrane to move into the pump well as the actuator is moved into the pump well.

Abstract: A medical fluid pumping system includes a medical fluid pump; a first pressure chamber connected fluidly to the medical fluid pump; a second pressure chamber connected fluidly to the medical fluid pump; first and second pressure sensors connected operably to the first and second pressure chambers, respectively; and at least one processor operable with the pressure sensors to calculate a volume of gas in the medical fluid pump prior to a pump-out stroke using a reading from the first pressure sensor after exposing the pump to gas pressure from the first pressure chamber and to use the calculated volume of gas in combination with a known volume of the second pressure chamber and a pressure decay reading taken via the second pressure sensor during the pump-out stroke to calculate at least one volume of fluid pumped during the pump-out stroke.

Abstract: A peritoneal dialysis machine includes: (i) a supply bag; (ii) an apparatus configured to support the supply bag, the supply bag located above the peritoneal cavity of a patient; (iii) a vacuum source; (iv) a patient line configured to be connected to the patient; (v) a drain line configured to be connected to a drain; and (vi) a logic implementor configured to enable (a) fresh dialysate to be gravity fed from the supply bag through the patient line to the peritoneal cavity during a fill cycle and (b) the vacuum source to cause spent dialysate to be pulled from the peritoneal cavity through the drain line to the drain during a drain cycle.

Abstract: The invention provides a method and system for conducting a continuous operation, flowing vapor phase decontamination in either an open loop or a closed loop. Using the method, a multi-component liquid decontaminant is vaporized and delivered into, through and out of a sealable enclosure by means of a carrier gas that is flowing into, through and out of said sealable enclosure. After leaving the enclosure, the vapor is captured in a cold-water bath and decomposed. The invention humidifies the carrier gas by passing it through a temperature controlled water bath to warm, or to cool, the carrier gas as necessary in order to bring the carrier gas to the desired temperature and humidity before it is combined with the vaporized sterilant and allowed to flow into the sealable enclosure. The concentration of the vapor sterilant and the percent saturation of the vapor sterilant are simultaneously controlled by controlling the rate at which the carrier gas flows and the rate at which the liquid sterilant is vaporized.

Abstract: The invention includes compositions of stem and progenitor cells recovered from bone marrow or cord blood containing most of the viable CD34+ cells and substantially depleted of red blood cells resident in the original sample, without any xenobiotic additives to aid cell separation. The invention also includes a system and method for preparing the compositions. The system includes a bag set and a processing device, which utilizes an optical sensor, microcontroller, servo motor, accelerometer, load cell, and battery. The system and method utilize centrifugation to stratify the cells into layers and then separate and transfer the stem cells into a stem cell bag. The processing device's microcontroller receives input from the device's accelerometer, load cell and optical sensor to direct the metering valve in the bag set to open and close to permit the transfer of as many stems cells as possible with as few red cells as possible.

Abstract: A peritoneal dialysis system includes: (i) an enclosure; (ii) a stepper motor housed by the enclosure; (iii) a pump head in operable communication with the stepper motor; and (iv) a disposable unit including at least one flexible membrane attached to a rigid piece, the enclosure configured to receive the disposable unit such that the stepper motor can move the pump head towards and away from the flexible membrane to cause, (a) the flexible membrane to move outwardly with respect to the rigid piece as the pump head is moved away from the disposable unit, and (b) the flexible membrane to move inwardly with respect to the rigid piece as the pump head is moved away from the disposable unit.

Abstract: A dialysis machine includes: a hardware unit including at least one pump actuator, at least one valve actuator and a cassette interface, the cassette interface including: (i) a plate that abuts the cassette; (ii) at least one pump aperture defined by the plate; (iii) at least one pump head moveable out of and retractable into the at least one pump aperture to operate a pumping portion of the cassette; (iv) at least one valve aperture defined by the plate; (v) at least one valve apparatus moveable out of and retractable into the at least one valve aperture to operate a valve portion of the cassette; (vi) at least one sensor aperture defined by the plate; and (vii) at least one sensor located in the least one sensor aperture, the at least one sensor operable with a sensor portion of the cassette.

Abstract: A peritoneal dialysis system includes: (i) a hardware unit, the hardware unit including a pump actuator; (ii) a disposable unit received by the hardware unit, the disposable unit having a moveable membrane operable with the pump actuator, the pump actuator moveable towards and away from the disposable unit; and (iii) the hardware unit and disposable unit configured to hold a negative pressure between the pump actuator and the moveable membrane of the disposable unit, the negative pressure causing the moveable membrane to follow the pump actuator as the actuator is moved away from the disposable unit, the pump actuator and membrane positioned relative to each other such that the membrane moves with the pump actuator as the actuator is moved into the disposable unit.

Abstract: A peritoneal dialysis system includes: (i) a fluid cassette including diaphragm operated first and second pump chambers; (ii) a first pressure sensor operable with the first pump chamber; (iii) a second pressure sensor operable with the second pump chamber; and (iv) a to-patient port of the cassette in fluid communication with the first and second pump chambers, wherein the first pressure sensor is located between the first pump chamber and the to-patient port and the second pressure sensor is located between the second pump chamber and the to-patient port.

Abstract: The present invention provides automated peritoneal dialysis systems, methods of operating the systems and devices for performing same. A typical therapy performed by the present invention begins by draining dialysis solution that is already in the patient's peritoneal cavity. The system pumps fresh dialysate from one of a plurality of supply bags, through an in-line heater to the patient's peritoneal cavity. After a dwell period, the spent dialysate in the cavity is pumped out of the patient to a drain or other disposal means. The system then pumps fresh dialysate from the supply bags to the patient and the procedure is repeated as defined in the therapy protocol. The system can pump a last bag of dialysate to the peritoneal cavity for an extended dwell, such as a daytime dwell.

Abstract: A medical fluid machine includes a housing providing a first wall and a second wall, the first and second walls at least partially defining a pump chamber. A fluid receptacle is located within the pump chamber, the fluid receptacle including first and second flexible membranes configured to be moved apart to accept a medical fluid and moved together to dispel the fluid. A medical fluid outlet is in communication with the fluid receptacle. A first valve arrangement is configured to enable medical fluid in a sufficiently air-free condition to be delivered from the receptacle through the medical fluid outlet to a patient. A second valve arrangement is configured to enable medical fluid with entrained air to be delivered instead from the receptacle through the medical fluid outlet to an entrained air destination.

Abstract: A method, system and apparatus for performing peritoneal dialysis are provided. To this end, in part, a pump for a dialysis system is provided. The pump includes a first chamber wall including a first aperture, a second chamber wall including a second aperture, a piston, at least a portion of which can move through the second aperture, the piston including a third aperture, and first and second membranes disposed between the first and second chambers walls. A vacuum can be applied through the first aperture to pull the first membrane towards the first chamber wall and can be applied through the third aperture to pull the second membrane towards the piston. The piston can thereafter move the second membrane.

Abstract: A system, method and apparatus for performing a renal replacement therapy is provided. In one embodiment, two small high flux dialyzers are connected in series. A restriction is placed between the two dialyzers in the dialysate flow path. The restriction is variable and adjustable in one preferred embodiment. The restriction builds a positive pressure in the venous dialyzer, causing a high degree of intentional backfiltration. That backfiltration causes a significant flow of dialysate through the high flux venous membrane directly into the patient's blood. That backfiltered solution is subsequently ultrafiltered from the patient from the arterial dialyzer. The diffusion of dialysate into the venous filter and removal of dialysate from the arterial dialyzer causes a convective transport of toxins from the patient. Additionally, the dialysate that does not diffuse directly into the patient but instead flows across the membranes of both dialyzers provides a diffusive clearance of waste products.

Abstract: Improved integrity test, priming sequence and bag height detection tests, apparatuses and methods for a medical fluid delivery system are provided. The integrity test includes a plurality of air pressure decay tests, using positive and negative pressure. The priming sequence includes pumping fluid through a portion of a patient line to be primed to overcome air in the line and other potential obstacles. The head height test measures a pressure build-up or drop-off within a pump chamber of a membrane pump. The measured pressure corresponds to a head height between a fluid supply and the pump or between the pump and a fluid drain. A determination is made whether the corresponding head height is acceptable.