# US 8,784,359 B2 · Cassette system for peritoneal dialysis machine

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- Number: US 8,784,359 B2
- Document ID: US8784359B2
- Status: Granted
- Kind: B2
- Application number: 13/092,560
- Filed: 2011-04-22
- Published: 2011-08-11
- Granted: 2014-07-22
- Earliest claimed: 2005-02-28
- Assignees: Fresenius Medical Care Holdings, Inc.
- Applicants: Kulwinder S. Plahey; Frank L. Hedmann; Stephan Klatte; Thomas Irvin Folden
- Inventors: Kulwinder S. Plahey; Frank L. Hedmann; Stephan Klatte; Thomas Irvin Folden
- Web page: https://patentgrep.com/patent/US8784359B2

## CPC

- A61M 1/28: Peritoneal dialysis {; Other peritoneal treatment, e.g. oxygenation}
- A61M 1/1522: {the interface being evacuated interfaces to enhance contact}
- A61M 1/1524: {the interface providing means for actuating on functional elements of the cassette, e.g. plungers}
- A61M 1/154: {with sensing means or components thereof}
- A61M 1/155: {with treatment-fluid pumping means or components thereof}
- A61M 1/1561: {at least one cassette surface or portion thereof being flexible, e.g. the cassette having a rigid base portion with preformed channels and being covered with a foil}
- A61M 1/1565: {Details of valves}
- A61M 1/159: {specially adapted for peritoneal dialysis}
- A61M 1/16: with membranes
- A61M 1/281: {Instillation other than by gravity}
- A61M 1/288: {Priming (priming in extracorporeal blood circuits A61M1/3643)}
- A61M 2205/122: using evacuated interfaces to enhance contact
- A61M 2205/128: with incorporated valves
- A61M 2205/505: Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
- 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)}

## Abstract

A peritoneal dialysis (PD) system that includes a disposable PD cassette including a base having a substantially planar portion and a dome-shaped protrusion extending from the substantially planar portion and a flexible membrane attached to the base and covering a recessed region of the dome-shaped protrusion to form a pumping chamber between the flexible membrane and the recessed region of the dome-shaped protrusion. The system also includes a PD machine including a deck and a door hinged from one side to the deck. The door and the deck can cooperate to form a cassette compartment, and the door has a cylindrical recess positioned to receive the dome-shaped protrusion of the base of the disposable PD cassette when the disposable PD cassette is disposed in the cassette compartment and the door is closed.

## Claims

### Claim 1

A peritoneal dialysis (PD) system comprising:
a disposable PD cassette comprising
a base having a substantially planar portion and a dome-shaped protrusion extending from the substantially planar portion, the dome-shaped protrusion defining a recessed region,
a flexible membrane attached to the base and covering the recessed region of the dome-shaped protrusion to form a pumping chamber between the flexible membrane and the recessed region of the dome-shaped protrusion, and
a plurality of tubing connectors positioned along one edge of the PD cassette; and
a PD machine comprising
a deck having a plurality of openings,
a door hinged from one side to the deck, the door and the deck being arranged so that when the door is closed over the deck, the door and the deck cooperate to form a cassette compartment configured to receive the disposable PD cassette therein, and the door having a cylindrical recess positioned to receive the dome-shaped protrusion of the base of the disposable PD cassette when the disposable PD cassette is disposed in the cassette compartment of the PD machine with the door closed,
a piston head at least partially disposed within one of the openings of the deck, the piston head being aligned with the pumping chamber of the disposable PD cassette when the disposable PD cassette is disposed in the cassette compartment of the PD machine, and
an inflatable bladder configured to compress the substantially planar portion of the base of the disposable PD cassette between the deck and the door of the PD machine when the disposable PD cassette is disposed in the cassette compartment of the PD machine with the door closed and the inflatable bladder is inflated.

### Claim 2 (depends on 1)

The PD system of claim 1, wherein when the PD machine is resting on a substantially horizontal surface during use, the deck lies in a plane inclined from the vertical by 10 to 35 degrees.

### Claim 3 (depends on 2)

The PD system of claim 2, wherein when the cassette is disposed in the cassette compartment, all of the tubing connectors are in a line along a bottom edge of the cassette so that tubes connected to the tubing connectors bend between the cassette and the substantially horizontal surface on which the PD machine is resting, at an angle greater than 90 degrees.

### Claim 4 (depends on 3)

The PD system of claim 3, wherein the tubing connectors extend beneath the door of the PD machine.

### Claim 5 (depends on 1)

The PD system of claim 1, wherein the cassette defines a circumferential channel that extends along a perimeter region of the cassette, and the circumferential channel can be placed in fluid communication with the pumping chamber.

### Claim 6 (depends on 1)

The PD system of claim 1, wherein the piston head is a mushroom-shaped piston head.

### Claim 7 (depends on 6)

The PD system of claim 6, wherein the pumping chamber is substantially clamshell shaped.

### Claim 8 (depends on 1)

The PD system of claim 1, wherein the PD machine further comprises a clamp that, when the cassette is disposed in the cassette compartment and tubes are connected to the tubing connectors of the cassette, extends across all of the tubes such that all of the tubes can be crimped by the clamp at one time.

### Claim 9 (depends on 8)

The PD system of claim 8, wherein the PD machine further comprises a controller that causes the clamp to crimp all of the tubes when a potentially unsafe condition is detected.

### Claim 10 (depends on 1)

The PD system of claim 1, wherein the pump chamber has an inlet port and an outlet port.

### Claim 11 (depends on 1)

The PD system of claim 1, wherein the PD machine comprises a plurality of inflatable balloon valves positioned in some of the openings in the deck.

### Claim 12 (depends on 1)

The PD system of claim 1, wherein the PD machine comprises two piston heads that travel back and forth through two of the openings in the deck when reciprocated, the PD cassette defines two pumping chambers, and the piston heads align with the pumping chambers when the PD cassette is disposed in the cassette compartment of the PD machine.
