A dialysis system comprising a sorbent cartridge for fluidly communicating with at least one of a patient or a dialyzer, the sorbent cartridge including a housing having a zirconium phosphate layer followed by at least one of a urease layer, a zirconium oxide layer, or a carbon layer; a storage container in fluid communication with the sorbent cartridge; a pump in fluid communication with the sorbent cartridge and the storage container; and a control unit in operable communication with the pump to cause the pump to (i) recirculate a dialysis fluid through the sorbent cartridge for at least two recirculation cycles such that the dialysis fluid in each cycle contacts the zirconium phosphate layer first before contacting the at least one of the urease layer, zirconium oxide layer or carbon layer, and (ii) store the dialysis fluid in the storage container after the at least two recirculation cycles.

There is provided a blood purification apparatus with which the efficiency of dialysate purification can be improved and the reduction in the amount of electrolytes contained in dialysate and necessary for treatment can be suppressed. The blood purification apparatus includes a storage device capable of storing a predetermined amount of dialysate that is necessary for blood purification treatment, a dialysate circulation line through which the dialysate is allowed to circulate by introducing the dialysate in the storage device into the dialyzer and draining waste liquid from the dialyzer into the storage device, and the dialysate purification device that purifies the dialysate in the dialysate circulation line. A treatment state in which the dialysate is allowed to be introduced into the dialyzer without flowing through the dialysate purification device and a purification state in which the dialysate is allowed to be purified by the dialysate purification device are taken switchably.

A microfluidic device for increasing convective clearance of particles from a fluid is provided. In some implementations, described herein the microfluidic device includes multiple layers that each define infusate, blood, and filtrate channels. Each of the channels have a pressure profile. The device can also include one or more pressure control features. The pressure control feature controls a difference between the pressure profiles along a length of the device. For example, the pressure control feature can control the difference between the pressure profile of the filtrate channel and the pressure profile of the blood channel. In some implementations, the pressure control feature controls the pressure difference between two channels such that the difference varies along the length of the channels by less than 50% of the pressure difference between the channels at the channels' inlets.

A renal failure therapy system (10a, 10b) includes a dialysis fluid circuit (30) including a dialysis fluid pump (54, 58); a source (86, 90) of physiological cleaning, disinfecting, and/or decalcifying substance in fluid communication with the dialysis fluid circuit; a source (22) of purified water in fluid communication with the dialysis fluid circuit; and a logic implementer (20) in operable communication with the dialysis fluid pump (54,58), the logic implementer (20) causing the physiological cleaning, disinfecting, and/or decalcifying substance from its source (86, 90) to be added to purified water from the purified water source (22) to form a mixture and to circulate the mixture within the dialysis fluid circuit using the dialysis fluid pump (54,58) to at least one of clean, disinfect or decalcify at least a portion of the dialysis fluid circuit (30) without a subsequent rinse.

Systems and methods are provided for improved techniques associated with administering peritoneal dialysis. Embodiments of the invention relate to the continuous introduction and circulation of dialysate fluid in and through the peritoneal cavity. This constant influx of fresh fluid results in a perpetually high diffusion gradient between the toxin solute concentration of the blood and the dialysate fluid traversing the abdominal cavity, which promotes a much more efficient and rapid transfer of toxic solutes from the blood stream into the abdominal fluid. The fluid is continuously removed from the abdominal cavity and passed through an external filter using a pulsatile pump. The external filter cleanses the toxic solutes from the fluid before returning the fluid to the abdominal cavity. Embodiments of the invention also relate to improvements in catheters used to access the peritoneal cavity.

A blood purification apparatus is provided that can easily and accurately determine before treatment whether or not blocking of liquid by a check valve is appropriate. In the blood purification apparatus including a blood circuit, a dialyzer, a dialysate introduction line and a dialysate discharge line, pressure detection device, a dialysate extraction device, a dialysate supply line, and a check valve that blocks flow of a liquid from the blood circuit to the dialysate introduction line, there are provided a control means that makes it possible to generate a pressure difference between a side of the blood circuit and a side of the dialysate introduction line across the check valve, a monitor means that makes it possible to monitor a change in a detection value of the pressure detection device based on the pressure difference, and a determination means that makes it possible to determine whether or not blocking of liquid by the check valve is appropriate based on the change in the detection value of the pressure detection device.

An extracorporeal blood treatment apparatus comprises a blood treatment device (2), an extracorporeal blood circuit, a blood pump (8) configured to be coupled to a blood withdrawal line (6) of the extracorporeal blood circuit. A closed fluid line (10) is connected to an inlet port (4a) and to an outlet port (4b) of a fluid chamber (4) of the blood treatment device (2), wherein the closed fluid line (10) together with the fluid chamber (4) forms a recirculation loop. An evacuation line (15) departs from the closed fluid line (10). A warming device (13) and a recirculation pump (17) are coupled or configured to be coupled to the closed fluid line (10). At least one temperature sensor (22) is operative on the extracorporeal blood circuit and it is configured to sense a blood temperature (Tb). A control unit (25), connected to the warming device (13), to the recirculation pump (17) and to the temperature sensor (22), is configured to execute the following procedure: receiving from the temperature sensor (22) at least a signal correlated to the blood temperature (Tb); adjusting the blood temperature (Tb) by controlling at least one of the warming device (13) and the recirculation pump (17).

Provided herein is an apparatus for producing dialysis fluid including a forward osmosis unit used for diluting a dialysis concentrate for producing dialysis fluid. The FO-unit includes a FO-membrane that separates a first side from a second side. The apparatus also comprises a first flow path including a first side and a control arrangement providing priming fluid from a source to the first flow path. A return path fluidly connects an inlet port of the first side to an outlet port of the first side to allow priming fluid from the outlet port to circulate to the inlet port via the return path. The apparatus further comprises a gas collection chamber arranged in the first flow path between the first side and the return path. The gas collection chamber removes gas from first flow path. The present disclosure also relates to a method for priming a FO-unit.

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.

The invention relates to a system of integrated manifolds for use in dialysis. The system of integrated manifolds can include two or more manifolds connected by fluid lines, the manifolds forming at least a portion of a dialysate flow path. In certain embodiments, valves, sensors, and/or pumps can be included. A controller can control the valves and pumps to pump fluid through the manifolds in a specified flow path.