Methods for monitoring patient parameters and blood fluid removal system parameters include identifying those system parameters that result in improved patient parameters or in worsened patient parameters. By comparing the patient's past responses to system parameters or changes in system parameters, a blood fluid removal system may be able to avoid future use of parameters that may harm the patient and may be able to learn which parameters are likely to be most effective in treating the patient in a blood fluid removal session.

A method is provided for controlling fluid flow through a tubing segment is provided in which a pump draws fluid through the tubing segment using negative pressure P. The method includes the steps of: a) operating the pump at an initial commanded fluid flow rate to draw fluid through the tubing segment; b) measuring on a continuous basis the P in the tubing segment; c) determining into which of four zones the measured P falls, a first zone being where P>X.sub.1, a second zone being where X.sub.1>P>X.sub.2, a third zone where X.sub.2>P>X.sub.3, and a fourth zone where X.sub.3>P; d) if P is in the first zone for greater than a first pre-established time period, then increasing the commanded flow rate of the pump and returning to step b); e) if P is in the second zone, then continuing to operate the pump at the flow rate at which the pump is currently operated and returning to step b); f) if P is in the third zone, for greater than a second pre-established time period, then decreasing the commanded flow rate of the pump and returning to step b); and g) if P is in the fourth zone, then commanding the pump to stop. A system including a programmable controller configured to automatically perform the method is also disclosed

A monitoring device operates to monitor regional citrate anticoagulation (RCA) in a blood treatment system which is configured to administrate citrate to an extracorporeal blood circuit (10) upstream of a dialyzer (11) during a treatment session. At consecutive time steps during the treatment session, the monitoring device obtains a current measurement value of systemic ionized calcium (iCa.sub.SYS) or systemic total calcium (Ca.sub.SYS), operates a predefined algorithm on the current measurement value to generate a current computation value that represents ionized calcium (iCa.sub.2, iCa.sub.3) in blood at a selected location (loc2, loc3) downstream or upstream of the dialyzer (11) in the extracorporeal blood circuit (10), and presents and/or evaluates the current computation value for assessment of the regional citrate anticoagulation. The need for conventional blood sampling and blood analysis upstream and/or downstream of the dialyzer, e.g. during CRRT, is thereby reduced significantly.

According to some embodiments, a system may treat blood containing metformin outside the body of a patient. The system may include one or more pumps configured to pump blood in a fluid flow path at a collective rate over 4 liters per minute. The system may include one or more heat exchangers operable to heat at least a portion of the blood to a temperature of at least 42 degrees. The system may include one or more convection dialysis modules configured to perform convection dialysis on at least a portion of the blood at least after the one or more heat exchangers allow the blood to cool one or more degrees.

A low leakage current fluid heater and systems and methods thereof. The fluid heater has a configuration whereby a heating element is isolated from a fluid channel so as to leak into fluid passing through the channel an allowed amount of leakage current. Fluid passing through the fluid heater can be heated to a desired temperature. A controller can provide control signals to driver the fluid heater to the desired temperature and maintain the temperature at the desired temperature.

Embodiments of the invention pertain to cartridges, systems and methods for performing hemodialysis and related extracorporeal blood treatment modalities and therapies, in which blood flows in the inter fiber space and dialysate flows in the lumens of hollow fibers. Appropriate connectors and fitting orientations may be provided. There may be provided orbital distributors, fanning of fibers, and features to promote uniformity of fiber spacing in the fiber bundle. Orbital distributors may contain contoured surfaces, flow redirectors, non-uniform-conductance flow elements, through-wall distributors, and other features. There may be subdivision of the fiber bundle into two groups of fibers with separate control fluid to each group. Appropriate systems may be provided for various therapies. Flow past the fibers may be parallel, transverse or other configuration. These various features may enable long-term application to all dialysis and ultrafiltration related therapies, and also to other therapies and to applications including implantables, portables and wearables.

There is provided an apparatus for extracorporeal blood treatment, comprising: a treatment unit (10), a blood circuit coupled to the treatment unit (10), a blood pump (22) configured to be coupled to a pump section of the blood circuit, at least two fluid lines (40, 60, 70, 70b, 70c) connected to respective containers (48, 68, 78, 88) and to the blood circuit and/or to the treatment unit (10). The apparatus further comprises a fluid dispatcher (300) having a common zone (310), wherein said at least two fluid lines (40, 60, 70, 70b, 70c) are connected one to the other at said common zone (310) upstream the blood circuit, for selectively allowing fluid flow between said at least two fluid lines (40, 60, 70, 70b, 70c) through said common zone (310).

A dialysis system is provided that includes a dialysis machine and a potassium sensing device that is configured to measure the concentration of potassium in the patient's blood, in spent dialysate resulting from treating the patient, or in both. The potassium sensing device can be configured to generate a sensed value of the concentration of potassium. A control and computing unit, including a processor and a memory, is configured to receive the sensed value, compare the value with one or more values stored in the memory, and generate a control signal based on the comparison. A potassium infusion circuit uses the control signal to infuse supplemental potassium solution into the treatment dialysate, a replacement fluid, or both. The memory can include stored patient-historical and population data.

The present disclosure relates to a disposable, which includes a fluid line and a connector having a connector lumen, for fluidically connecting the fluid line to a first lumen of a first fluid guide of a port, which further includes a second lumen. It further relates to a system with a disposable according to the present disclosure and with a port for establishing a fluid communication between at least one fluid line of a medical treatment apparatus, which fluid line is assigned to an interior of the medical treatment apparatus, and a connector of a fluid line of a disposable, which fluid line is assigned to an exterior of the medical treatment apparatus.

An extracorporeal blood filtering machine can include a blood circuit, an effluent circuit, and a source fluid circuit and can be controlled by a controller. The extracorporeal blood filtering machine can also include access ports for connecting the source fluid circuit to the blood circuit, as well as blood sensors to detect possible issues with the extracorporeal blood filtering machine. The extracorporeal blood filtering machine can include density sensors and flow sensors that enable it to be more accurate and to operate while being transported. The extracorporeal blood filtering machine can further include a user interface and can display fluid inflow/outflow information. A medical fluid container can automatically empty after being filled. An apparatus for supporting a medical fluid container can include a hanger and an attachment member with the apparatus able to adjust to ensure the medical fluid container remains properly oriented directly under a medical fluid container scale.