An inductive inline dialysis fluid heater is disclosed. In an example, a dialysis fluid heater includes a cylindrical tube including an inner diameter that is between 4.00 millimeters (“mm”) and 12.7 mm. The dialysis fluid heater also includes a susceptor located within the cylindrical tube and an inductive coil extending around the cylindrical tube in a non-contacting arrangement. The dialysis fluid heater further includes power electronics in electrical communication with the inductive coil and configured to supply an electrical current to the inductive coil, causing the susceptor to heat.

A modular tunneled catheter is provided that allows lumen length and cuff positioning to be adjusted based on the size of a patient. This catheter should be useful for any patient who would benefit from customized fitting of a catheter to their measurements. Methods of using the modular catheter for hemodialysis, peritoneal dialysis, and fluid drainage, including drainage of plural effusions from the lungs or malignant ascites from the abdomen are also described.

Methods, apparatuses, and systems for determining a correlation between intraperitoneal pressure (“IPP”) measurements and patient intraperitoneal volume (“IPV”) are disclosed. In an example, an apparatus is configured to determine a maximum fill volume of dialysate to be pumped into a peritoneal cavity of a patient. The apparatus also determines a plurality of iterations to achieve the maximum fill volume and a volume of the dialysate to be pumped for each of the iterations. For each iteration, the apparatus causes a dialysis machine to pump the dialysate to the peritoneal cavity based on the determined volume for that iteration, records IPP measurement output data from a pressure sensor, records or determines a total accumulated fill volume, and creates a data point for a personalized patient model corresponding to a correlation between the IPP measurement output data and the total accumulated fill volume.

The invention relates to a unit (1) for an apparatus (2) for connecting and disconnecting a tubular fitting (24) to a connector (14), comprising a body (16) having: —a first receptacle (18) and a second receptacle (20), wherein each of said receptacles is configured for holding an end cap (22) of the tubular fitting (24), and —a connector holder (26) configured for accommodating insertion of the connector (14); wherein the unit (1) comprises a capsule (290) that is configured to be connected to said body (16) in a releasable fashion, wherein said capsule (290) comprises said second receptacle (20).

A Direct Sodium Removal method, apparatus and solution for treating patients in heart failure, and having a glomerular filtration rate greater than 15 mL/min/1.73 m.sup.2, or residual kidney function corresponding to normal to CKD Stage 4, is provided in which a no or low sodium DSR infusate is administered to the peritoneal cavity for a predetermined dwell period and then removed, thereby removing sodium from the body. The resulting elimination of fluid from the patient by i) functioning of the kidneys through urination and ii) direct removal of osmotic ultrafiltrate from the peritoneal cavity, restores serum sodium concentrations to healthy levels and thereby reduces fluid overload in the patient.

An electromagnetic radiation (EMR) delivery system for delivering EMR at wavelengths, intensities, exposures, and durations to locations inside and/or outside a patient’s body in, on, and surrounding a tubular structure such as a tube, catheter, and/or a catheter extension to prevent, reduce, and/or eliminate infectious agents in, on, or surrounding the tubular structure. A smart light engine box generates the therapeutic EMR, controls treatments, and monitors the health of the system. A fiber optic disposable makes at-home use of the EMR delivery system possible. Specific embodiments of the EMR delivery system for use with peritoneal dialysis catheters, dialysis accesses, and hemodialysis accesses are also disclosed.

A method of manufacturing a catheter assembly including a proximal catheter assembly portion and a distal catheter assembly portion. The method of manufacturing comprises forming the proximal catheter assembly portion, creating a distal catheter assembly portion, and applying a polymeric coating to at least one of the proximal catheter assembly portion and the distal catheter assembly portion. The proximal catheter assembly portion can include a catheter hub and at least one cannula, the catheter hub including at least one fluid passageway in communication with a lumen of the at least one cannula. The distal catheter assembly portion can include a catheter tube defining at least one lumen designed to receive the at least one cannula. The polymeric coating is configured to provide a seal between the at least one cannula and the catheter tube when the proximal catheter assembly portion and the distal catheter assembly portion are connected.

A direct sodium removal (“DSR”) infusate regimen and methods of use are provided for removing sodium and reducing fluid overload in patients with severe renal dysfunction and/or heart failure, in which a patient has at least a first DSR session with a first DSR infusate having no or low sodium that is instilled into a patient's peritoneal cavity for a first dwell period to cause sodium and excess fluid to migrate to the patient's peritoneal cavity, and thereafter, the patient may undergo conventional dialysis to rebalance the patient's fluid and sodium levels.

A medical fluid treatment system includes a source of purified water; at least one concentrate for mixing with the water from the source to form a treatment fluid; a disposable set including a pumping portion, a concentrate line in fluid communication with the concentrate source and the pumping portion, and a patient line in fluid communication with the pumping portion, the patient line including a filter having a membrane configured to filter the treatment fluid, the filter configured such that (i) fresh treatment fluid flowing from the pumping portion towards a patient flows through the membrane and (ii) used treatment fluid flowing through the filter from the patient to the pumping portion bypasses the membrane; and a medical fluid delivery machine including a pump actuator operable with the pumping portion of the disposable set.

Methods and apparatuses for peritoneal catheter placement are disclosed herein. An example method includes using a puncture device to create an access hole to a patient's peritoneal cavity. The puncture device includes a lumen that enables a guidewire to be inserted into the peritoneal cavity. The puncture device is then replaced with a catheter, which is inserted along the guidewire. A surgical seal is next applied to connect the catheter to adjacent patient muscle tissue. After the guidewire is removed, a tunneling device creates a pathway through fat tissue to anchor the catheter. An end of the tunneling device is aligned with an external piercing device to pierce the patient's skin from the outside, creating a catheter exit hole. An end of the catheter is connected to the tunneling device and pulled through the exit hole, thereby enabling the catheter to be connected to peritoneal dialysis tubing for a treatment.