Components for a medical infusion fluid handling system, such as an APD system, in which one or more lines (such as solution lines), spikes or other connection ports may be automatically capped and/or de-capped. This feature may provide advantages, such as a reduced likelihood of contamination since no human interaction is required to de-cap and connect the lines, spikes or other connections. For example, a fluid handling cassette may include one or more caps that cover a corresponding spike and include a raised and/or recessed feature to assist in removal of the cap from the cassette. A solution line cap may include a hole and recess, groove or other feature to engage with a spike cap and enable removal of the cap.

A device and method for providing a medical solution is described. The device comprises a first chamber adapted to have a defined volume, the first chamber is configured to be connected to a liquid providing system to fill the first chamber with the defined volume of liquid. A connector for connecting a container including at least one powder; the connector has an inlet and an outlet. A channel connecting the first chamber with the inlet of the connector, and an outlet for distributing the medical solution. The device is configured to mix the at least one powder with the defined volume of liquid for a period of time, and wherein the device is configured to fill the first chamber with the liquid from the liquid providing system while mixing the medical solution and/or distributing the mixed medical solution through the outlet.

A device and method for providing a medical solution is described. The device comprises a first chamber adapted to have a defined volume, the first chamber is configured to be connected to a liquid providing system to fill the first chamber with the defined volume of liquid. A connector for connecting a container including at least one powder; the connector has an inlet and an outlet. A channel connecting the first chamber with the inlet of the connector, and an outlet for distributing the medical solution. The device is configured to mix the at least one powder with the defined volume of liquid for a period of time, and wherein the device is configured to fill the first chamber with the liquid from the liquid providing system while mixing the medical solution and/or distributing the mixed medical solution through the outlet.

A blood treatment apparatus (1) defines first and second flow circuits (C1, C2) separated by a dialyzer (20). The second flow circuit (C2) comprises return and withdrawal lines (24, 24) for connection to a vascular system of a subject during a treatment session. After the treatment session, a control system causes an operator to connect the second flow circuit (C2) to a first port (32) of a container (30), the apparatus (1) to perform a rinseback procedure, the operator to disconnect the return line (24) from the vascular system and re-arrange the second flow circuit (C2) to define a closed loop, and the apparatus (1) to draw residual liquid from the closed loop into the first flow circuit (C1) through a dialyzer membrane (21). To facilitate drainage of the residual fluid with a conventional line set, the second flow circuit (C2) is connected to a second port (33) of the container (30) to include the container (30) in the closed loop, or the return and withdrawal lines (24, 24) are connected in fluid communication with the first port of the container (30) through a three-way manifold coupling 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.

An machine is used for extracorporeal treatment of blood from a patient. The machine includes a dialyzer, a blood circuit with arterial and venous sections, a dialysis fluid circuit, a blood property and/or dialysate property recording unit, and a control unit. The blood treatment machine is configured to perform priming of the extracorporeal blood circuit with priming fluid, request connection of an arterial shunt section with the arterial section filled with priming fluid by priming and/or to ascertain this connection, request connection of a venous shunt section with the venous section filled with priming fluid by the priming and/or to ascertain this connection, and detect and/or quantify and/or check a recirculation and/or a recirculation rate at the shunt depending on a blood and/or dialysate property. A computer-implemented detection method is used for detecting recirculation at a shunt of the machine. The method can be executed with a computer program.

A medical infusion fluid handling system, such as an automated peritoneal dialysis system, may be arranged to de-cap and connect one or more lines (such as solution lines) with one or more spikes or other connection ports on a fluid handling cassette. This feature may reduce a likelihood of contamination since no human interaction is required to de-cap and connect the one or more lines and the one or more spikes. For example, the automated peritoneal dialysis system may include a carriage arranged to receive the one or more lines each having a connector end and a cap. The carriage may move along a first direction so as to move the connector ends of the one or more lines along the first direction, and a cap stripper may be arranged to engage with the caps on the one or more lines on the carriage. The cap stripper may move in a second direction transverse to the first direction, as well as to move with the carriage along the first direction.

A medical treatment system, such as a peritoneal dialysis system, may include a control and other features to enhance patient comfort and ease of use. For example, a cycler device may include a heater bag receiving section and a lid mounted to cover and uncover the heater bag receiving section, potentially enabling faster heating of a dialysate. A user interface may be moveable to be received into the receiving section and covered by the lid, if desired. The system may detect anomalous conditions, such as tilting of a housing of the system, and automatically recover without terminating a treatment. The system may include noise reduction features, such as porting pneumatic outputs to a common chamber, and others. The system may also automatically detect any one of several different solution lines connected to the system, and control operation accordingly, e.g., to mix solutions provided by two or more lines and form a needed dialysate solution. A cassette control surface may be arranged to have one or more ports that can detect a presence of a liquid, e.g., to identify if a cassette is leaking or has otherwise been compromised.

A dialysis system may have an electrolyte management loop, which may adjust and manage electrolyte parameters for a dialysate. The electrolytes may be managed with several different electrolyte sources. By combining the different sources in different combinations, specific electrolytes may be added or adjusted to the dialysate. The electrolyte management loop may use flow-through cartridges, direct-injection, liquid or dry additive mechanisms, or combination of sources and source types to manage electrolytes. The dialysate may be managed or adjusted when the dialysate may be manufactured prior to use, as well as during use. The electrolyte management loop may adjust electrolytes during a dialysis treatment process to maintain specific electrolytes in accordance with a prescribed treatment plan for a patient.