The invention relates to a dialysis machine having a fluid system that has an inflow line for providing fresh dialyzing solution to a dialyzer and an outflow line for removing used dialyzing solution from the dialyzer, wherein the fluid system has a balancing system arranged between the inflow and outflow lines to balance the fluid volumes flowing through the lines, and wherein the fluid system has an ultrafiltration line that branches off from the outflow line between the dialyzer and the balancing system and has an ultrafiltration pump to be able to remove a defined volume of used dialyzing solution from the balance, and wherein an additional balancing chamber is provided that is arranged in a section of the inflow line disposed between the balancing system and the dialyzer or in a section of the outflow line disposed between the dialyzer and the branching of the ultrafiltration line.

Dialyzer systems can consolidate multiple technologies and functionalities of blood treatment systems in a significantly integrated fashion. For example, this disclosure describes dialyzer systems that include a magnetically driven and magnetically levitating pump rotor integrated into the dialyzer. Such a dialyzer can be used with treatment modules that include a magnetic field-generating pump drive unit. In some embodiments, the dialyzers include pressure sensor chambers with flexible membranes with which corresponding pressure transducers of the treatment modules can interface to detect arterial and/or venous pressures.

A dialysis apparatus has a replenisher passage selectively connectable to an arterial side passage (pre-replenishment) or a venous side passage (post-replenishment) in a blood circuit. A supply side pressure sensor measures a pressure of a dialysate supply passage and a collection side pressure sensor measures a pressure of a dialysate collection passage. The connection passages each have one end communicating with the arterial side passage or the venous side passage of the blood circuit and another end connected to the dialysate collection passage. It is determined whether the replenisher passage is connected to the arterial side passage or the venous side passage, based on a differential pressure of pressures measured by the supply side pressure sensor and the collection side pressure sensor, in a state where a dialysate pump (liquid delivery device) causes dialysate to flow into the blood circuit from the replenisher passage.

The present disclosure relates to an insert piece for a blood tubing set. The insert piece includes at least a first connection site for connecting a first tubing portion of the blood tubing set to the insert piece, and a second connection site for connecting a second tubing portion of the blood tubing set to the insert piece. The insert piece also includes a third connection site for connecting a third tubing portion of the blood tubing set to the insert piece, and a main line for forwarding a first liquid through the insert piece. The main line is in fluid communication with the first connection site and with the second connection site. The insert piece also includes a secondary line for forwarding a second liquid into the main line. The secondary line is in fluid communication with the third connection site.

An extracorporeal blood treatment apparatus is provided comprising a filtration unit (2) connected to a blood circuit (17) and to a dialysate circuit (32), a preparation device (9) for preparing and regulating the composition of the dialysis fluid, and a sensor (11) for measuring conductivity of the dialysate (i.e. spent dialysis fluid); a control unit (12) configured for setting a sodium concentration in the dialysis fluid and after setting the dialysis fluid at the initial set point, circulating the dialysis fluid and/or the substitution fluid, measuring an initial conductivity value of the dialysate at the beginning of the treatment, and calculating, based on the measured initial conductivity value of the spent dialysis fluid and on the corresponding conductivity value of the dialysis fluid, the value of the initial plasma conductivity, said circulating the dialysis fluid up to the calculating of the initial plasma conductivity being performed maintaining the dialysis fluid conductivity substantially constant.

An extracorporeal blood treatment apparatus is provided comprising a filtration unit (2) connected to a blood circuit (17) and to a dialysate circuit (32); a control unit (12) is configured for calculating a sodium concentration value for the blood; the estimation of the sodium concentration includes the sub-step of calculating the sodium concentration value as an algebraic sum of a main contribution term based on the isoconductive sodium concentrate and of an offset contribution term based on a concentration of at least a substance in the dialysis fluid chosen in the group including bicarbonate, potassium, acetate, lactate, citrate, magnesium, calcium, sulphate and phosphate.

The invention provides a blood treatment device comprising: a dialyser; an inlet pump assembly; an outlet pump assembly; and a control system. The inlet pump assembly configured to deliver a first volume of dialysate from a dialysate source to the dialyser in an inlet pump cycle having a dialysate delivery stroke. The outlet pump assembly configured to remove a second volume of dialysate from the dialyser and deliver the dialysate away from the dialyser in an outlet pump cycle having a dialysate removal stroke. The control system is configured to operate the inlet pump assembly in the inlet pump cycle, and configured to operate the outlet pump assembly in the outlet pump cycle. For each inlet pump cycle there is a corresponding outlet pump cycle, and each inlet pump assembly dialysate delivery stroke has a commencement time t.sub.1 and a termination time h, and each outlet pump assembly dialysate removal stroke has a commencement time t.sub.3 and a termination time t.sub.4. The blood treatment device is operable such that either: each dialysate removal stroke commencement time t.sub.3 is after the respective corresponding dialysate delivery stroke commencement time ti and before the respective corresponding dialysate delivery stroke termination time t.sub.2; or each dialysate delivery stroke commencement time t.sub.1 is after the respective corresponding dialysate removal stroke commencement time t.sub.3 and before the respective corresponding dialysate removal stroke termination time t.sub.4.

A blood purification apparatus that includes a blood circuit including an arterial blood circuit and a venous blood circuit and having a flow route that allows a patient's blood to extracorporeally circulate from a distal end of the arterial blood circuit to a distal end of the venous blood circuit; a blood purifier connected to a proximal end of the arterial blood circuit and to a proximal end of the venous blood circuit and that purifies the blood flowing through the blood circuit; an air-trap chamber connected to the blood circuit and that traps bubbles contained in liquid flowing in the flow route of the blood circuit; and a blood pump provided to the arterial blood circuit and being capable of delivering the liquid within the blood circuit. An upstream bubble-detecting unit attached to a position of the blood circuit on an upstream side with respect to the air-trap chamber and that detects bubbles contained in the liquid flowing in the blood circuit; and a control unit that reduces, at the detection of any bubbles by the upstream bubble-detecting unit, a flow rate of the liquid flowing into the air-trap chamber.

A dialysis machine comprising internal fluidics, wherein the internal fluidics includes a dialysis fluid pump for pumping dialysis fluid from a dialysis fluid reservoir through a dialysis fluid feed line to a dialyzer and from the dialyzer through a dialysis fluid drain line to a waste reservoir, a substitution fluid pump for supplying dialysis fluid through a substitution fluid feed line as substitution fluid to an extracorporeal hose system including ports on the patient side and coupling means for connecting the extracorporeal hose system to the internal fluidics is disclosed.

A hemodialysis system configured to purge air from a blood circuit comprising: a dialyzer; a dialysis fluid circuit operable with the dialyzer via dialysis fluid inlet and outlet lines; the blood circuit operable with the dialyzer and including an arterial line, a venous line, a blood pump operable with the arterial line upstream of the dialyzer, and a physiologically acceptable fluid source in fluid communication with the arterial line upstream of the blood pump; and an air purging scheme wherein, with the dialysis fluid inlet and outlet lines connected to the dialyzer, air is purged using dialysis fluid or other physiologically acceptable fluid pumped by at least one of the fresh or used dialysis fluid pumps from the dialysis fluid circuit, through the dialyzer, into the blood circuit, in combination with dialysis fluid or other physiologically acceptable fluid from the source introduced directly into the blood circuit.