# US 8,784,353 B2 · Device for reversing the blood flow for an extracorporeal blood treatment device and method for determining the reversal of the blood flow during an extracorporeal blood treatment

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- Number: US 8,784,353 B2
- Document ID: US8784353B2
- Status: Granted
- Kind: B2
- Application number: 13/123,290
- Filed: 2009-10-02
- Published: 2011-08-11
- Granted: 2014-07-22
- Earliest claimed: 2008-10-08
- Assignees: Fresenius Medical Care Deutschland GmbH
- Applicants: Andreas Maierhofer; Malte Gross
- Inventors: Andreas Maierhofer; Malte Gross
- Web page: https://patentgrep.com/patent/US8784353B2

## CPC

- A61M 1/367: {Circuit parts not covered by the preceding subgroups of group A61M1/3621}
- A61M 1/3663: {Flow rate transducers; Flow integrators}
- A61M 39/10: Tube connectors or tube couplings
- A61M 39/105: {Multi-channel connectors or couplings, e.g. for connecting multi-lumen tubes (multi-channel connectors in general F16L37/56)}
- A61M 39/1055: {Rotating or swivel joints}
- A61M 39/22: Valves or arrangement of valves {(A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405)}
- A61M 39/223: {Multiway valves}
- F16K 11/074: with flat sealing faces
- A61M 1/3656: {Monitoring patency or flow at connection sites; Detecting disconnections}
- A61M 39/229: {Single-way cut-off valves}
- A61M 2039/1044: {Verifying the connection, e.g. audible feedback, tactile feedback, visual feedback, using external light sources}
- A61M 2205/3515: using magnetic means
- A61M 2205/3561: local, e.g. within room or hospital
- A61M 2205/3569: sublocal, e.g. between console and disposable
- A61M 2205/6018: providing set-up signals for the apparatus configuration
- A61M 2205/6054: Magnetic identification systems
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- F16K: VALVES; TAPS; COCKS; ACTUATING-FLOATS; DEVICES FOR VENTING OR AERATING {(devices for emptying and evacuating the excess liquid in valves or conduits F16L55/07)}

## Abstract

A device for reversing the blood flow for an extracorporeal blood treatment device, which has an extracorporeal blood circuit, includes an arterial blood line leading from a patient to a blood treatment unit and a venous blood line leading from the blood treatment unit to the patient. Furthermore, an extracorporeal blood treatment device includes a device for reversing the blood flow, and a method includes determining the reversal of the blood flow during an extracorporeal blood treatment. The device for reversing the blood flow for an extracorporeal blood treatment device includes two valve bodies which are rotated relative to one another for reversing the blood flow. The device for reversing the blood flow includes a communication device for receiving an electromagnetic high-frequency field from a read unit of the extracorporeal blood treatment device and for generating at least one identifier characterizing the position of the valve bodies which can be read by the read device.

## Claims

### Claim 1

A device for reversing blood flow, for an extra-corporeal blood treating apparatus which comprises an extra-corporeal blood circuit which has an arterial blood line outgoing from a patient which runs to a blood treating unit and a venous blood line outgoing from the blood treating unit which runs to the patient, the device for reversing flow comprising:
a first valve-action body having a first patient-side connection for a first patient-side portion, formed of flexible tubing, of the blood line and a second patient-side connection for a second patient-side portion, formed of flexible tubing, of the blood line,
a second valve-action body having a first apparatus-side connection for a first apparatus-side portion, formed of flexible tubing, of the blood line and a second apparatus-side connection for a second apparatus-side portion, formed of flexible tubing, of the blood line, the first and second valve-action bodies being rotatable with respect to each other on an axis in such a way that,
in a first relative position between the first and second valve-action bodies, a connection for liquid is made between the first patient-side connection and the first apparatus-side connection, and a connection for liquid is made between the second patient-side connection and the second apparatus-side connection, and
in a second relative position between the first and second valve bodies, a connection for liquid is made between the first patient-side connection and the second apparatus-side connection, and a connection for liquid is made between the second patient-side connection and the first apparatus-side connection; and
a communications arrangement configured to receive a high-frequency electromagnetic field from a reading arrangement belonging to the extra-corporeal blood treating apparatus and to generate at least one code which is characteristic of one of the first and second relative positions of the valve-action bodies and which is readable by the reading arrangement;
wherein the communications arrangement includes a first RFID transponder and a second RFID transponder configured to identify a direction of blood flow, the first RFID transponder configured to transmit a code which is characteristic of the first relative position and the second RFID transponder configured to transmit a code which is characteristic of the second relative position;
wherein the first RFID transponder is arranged at a point on the first or second valve-action body which is characteristic of the first relative position, and the second RFID transponder is arranged at a point on the first or second valve-action body which is characteristic of the second relative position, and the first and/or second valve-action body is screened off electrically in such a way that, in the first relative position, only the first RFID transponder configured to transmit the code characteristic of the first relative position is readable by the reading arrangement, and, in the second relative position, only the second RFID transponder configured to transmit the code characteristic of the second position is readable by the reading arrangement.

### Claim 2 (depends on 1)

The device according to claim 1, wherein the first and second RFID transponders are situated opposite one another on the inside face of the first valve-action body on an axis which lies perpendicular to the axis of rotation of the valve-action bodies, the inside face of the second valve-action body being metallized to screen off the RFID transponders except for a cut-out portion situated opposite the first RFID transponder when the valve-action bodies are in the first relative position, the cut-out portion being situated opposite the second RFID transponder when the valve-action bodies are in the second relative position, so that in the first relative position only the first RFID transponder configured to transmit the code characteristic of the first relative position is readable by the reading arrangement, and in the second relative position only the second RFID transponder configured to transmit the code characteristic of the second position is readable by the reading arrangement.

### Claim 3 (depends on 1)

The device according to claim 1, wherein the inside face of the second valve-action body is metallized to screen off the RFID transponders electrically.

### Claim 4 (depends on 1)

The device according to claim 1, wherein the first and second RFID transponders are passive transponders.

### Claim 5 (depends on 1)

A blood treating apparatus, comprising:
the device for reversing blood flow according to claim 1,
an arterial blood line;
a venous blood line;
a blood treating unit; and
a reading arrangement,
wherein the apparatus is configured to carry out an extra-corporeal blood treatment in which, in the extra-corporeal blood circuit, the blood of a patient flows via the arterial blood line to the blood treating unit and via the venous blood line from the blood treating unit to the patient, the device for reversing blood flow being connected into the arterial and venous blood lines, the reading arrangement being configured such that the code characteristic of the first or second relative position is readable by the communications arrangement of the device for reversing blood flow.

### Claim 6 (depends on 5)

The blood treating apparatus according to claim 5, further comprising an arrangement configured to recognize the communications arrangement of the associated device for reversing blood flow, the arrangement configured to recognize the communications arrangement having means configured such that a change between the codes characteristic of the first and second relative positions within a preset interval of time is detected.

### Claim 7

A device for reversing blood flow, for an extra-corporeal blood treating apparatus which comprises an extra-corporeal blood circuit which has an arterial blood line outgoing from a patient which runs to a blood treating unit and a venous blood line outgoing from the blood treating unit which runs to the patient, the device for reversing flow comprising:
a first valve-action body having a first patient-side connection for a first patient-side portion, formed of flexible tubing, of the blood line and a second patient-side connection for a second patient-side portion, formed of flexible tubing, of the blood line,
a second valve-action body having a first apparatus-side connection for a first apparatus-side portion, formed of flexible tubing, of the blood line and a second apparatus-side connection for a second apparatus-side portion, formed of flexible tubing, of the blood line, the first and second valve-action bodies being rotatable with respect to each other on an axis in such a way that,
in a first relative position between the first and second valve-action bodies, a connection for liquid is made between the first patient-side connection and the first apparatus-side connection, and a connection for liquid is made between the second patient-side connection and the second apparatus-side connection, and
in a second relative position between the first and second valve bodies, a connection for liquid is made between the first patient-side connection and the second apparatus-side connection, and a connection for liquid is made between the second patient-side connection and the first apparatus-side connection; and
a communications arrangement configured to receive a high-frequency electromagnetic field from a reading arrangement belonging to the extra-corporeal blood treating apparatus and to generate at least one code which is characteristic of one of the first and second relative positions of the valve-action bodies and which is readable by the reading arrangement;
wherein the communications arrangement includes a first RFID transponder and a second RFID transponder, the first RFID transponder configured to transmit a code which is characteristic of the first relative position and the second RFID transponder configured to transmit a code which is characteristic of the second relative position;
wherein, in the first relative position, only the transceiver of the first RFID transponder is connected to an aerial and, in the second relative position, only the transceiver of the second RFID transponder is connected to an aerial, so that in the first relative position only the first RFID transponder configured to transmit the code characteristic of the first position is readable by the reading arrangement, and in the second relative position only the second RFID transponder configured to transmit the code characteristic of the second position is readable by the reading arrangement.

### Claim 8 (depends on 7)

The device according to claim 7, wherein the transceivers of the first and second RFID transponders are arranged in the first valve-action body and a common aerial for the transceivers of the first and second RFID transponders is arranged in the second valve-action body, a contact arrangement being able to be made in the first relative position to make an electrical connection between the first transceiver and the common aerial, and being able to be made in the second relative position to make an electrical connection between the second transceiver and the common aerial.

### Claim 9 (depends on 8)

The device according to claim 8, wherein the contact arrangement has a first electrical connection configured to make a permanent electrical connection between the first and second transceivers and the aerial, the contact arrangement having on the first valve-action body a contact which is connected to the first transceiver and a contact which is connected to the second transceiver, and on the second valve-action body a sliding contact, the sliding contact being able to make contact with the first contact in the first relative position and with the second contact in the second relative position.

### Claim 10

A blood treating apparatus, comprising:
a device for reversing blood flow, for an extra-corporeal blood treating apparatus which comprises an extra-corporeal blood circuit which has an arterial blood line outgoing from a patient which runs to a blood treating unit and a venous blood line outgoing from the blood treating unit which runs to the patient, the device for reversing flow comprising:
a first valve-action body having a first patient-side connection for a first patient-side portion, formed of flexible tubing, of the blood line and a second patient-side connection for a second patient-side portion, formed of flexible tubing, of the blood line,
a second valve-action body having a first apparatus-side connection for a first apparatus-side portion, formed of flexible tubing, of the blood line and a second apparatus-side connection for a second apparatus-side portion, formed of flexible tubing, of the blood line, the first and second valve-action bodies being rotatable with respect to each other on an axis in such a way that,
in a first relative position between the first and second valve-action bodies, a connection for liquid is made between the first patient-side connection and the first apparatus-side connection, and a connection for liquid is made between the second patient-side connection and the second apparatus-side connection, and
in a second relative position between the first and second valve bodies, a connection for liquid is made between the first patient-side connection and the second apparatus-side connection, and a connection for liquid is made between the second patient-side connection and the first apparatus-side connection; and
a communications arrangement configured to receive a high-frequency electromagnetic field from a reading arrangement belonging to the extra-corporeal blood treating apparatus and to generate at least one code which is characteristic of one of the first and second relative positions of the valve-action bodies and which is readable by the reading arrangement;
an arterial blood line;
a venous blood line;
a blood treating unit;
a reading arrangement;
an arrangement configured to determine a parameter of the blood treatment on the basis of a first measurement of a characteristic variable before the reversal of blood flow and a second measurement of a characteristic variable after the reversal of blood flow, and
an alarm unit configured to co-operate with the arrangement configured to determine a parameter of the blood treatment in such a way that the alarm unit provides an alarm if, after the first measurement, the reading arrangement has not received the code characteristic of the first relative position and if, after the second measurement, the reading arrangement has not received the code characteristic of the second relative position;
wherein the apparatus is configured to carry out an extra-corporeal blood treatment in which, in the extra-corporeal blood circuit, the blood of a patient flows via the arterial blood line to the blood treating unit and via the venous blood line from the blood treating unit to the patient, the device for reversing blood flow being connected into the arterial and venous blood lines, the reading arrangement being configured such that the code characteristic of the first or second relative position is readable by the communications arrangement of the device for reversing blood flow.
