# Patent

## Title
Medical treatment apparatus, device for supplying medical fluids, and apparatus for filling a device for supplying medical fluids

## Abstract

A medical treatment apparatus, and in particular an extra-corporeal blood treatment apparatus, has a socket unit for the connection of a plug unit belonging to a device for supplying a medical fluid for the medical treatment apparatus. A filling apparatus for filling a device for supplying a medical fluid has a socket unit for the connection of a plug unit of the device for supplying a medical fluid. The device has a plug unit having means for indicating two states of operation, while the socket unit of the treatment apparatus has means for destroying the means for indicating two states of operation. When the plug unit is connected to the socket unit, the means for indicating two states of operation are destroyed, to rule out the possibility of the device being re-used. Re-use of the device is ruled out by the fact that the device cannot be re-filled with fluid.

## Background
CROSS-REFERENCE TO RELATED APPLICATIONS
The present application claims priority to U.S. Provisional Application Ser. No. 61/611,623, filed on Mar. 16, 2012, and Application No. DE 10 2012 005 194.8, filed in the Federal Republic of Germany on Mar. 16, 2012, each of which is expressly incorporated herein in its entirety by reference thereto.


FIELD OF INVENTION
The present invention relates to a medical treatment apparatus, and in particular an extra-corporeal blood treatment apparatus, having a socket unit for the connection of a plug unit belonging to a device for supplying a medical fluid for the blood treatment apparatus. As well as this, the present invention also relates an apparatus for filling a device for supplying a medical fluid for a medical treatment apparatus, having a socket unit for the connection of a plug unit belonging to the device for supplying a medical fluid. What is more, the present invention also relates to a device for supplying a medical fluid for a medical treatment apparatus, having a plug unit for connection to a socket unit of the medical treatment apparatus or the apparatus for filling the device for supplying a medical fluid.
BACKGROUND INFORMATION
There are a large number of known connectors for connecting external components to units used in medical technology. The access to the units used in medical technology is generally gained by means of plugs which are plugged into mating sockets on the units used in medical technology. This being the case, the units used in medical technology, which will be referred to in what follows as items of medical apparatus, have a suitable socket unit while the external components have a plug unit.
What are used to treat patients suffering from kidney diseases are items of blood treatment apparatus which include in particular the known items of extra-corporeal blood treatment apparatus or items of apparatus for peritoneal dialysis. For the patient's blood to be cleansed, it is necessary for medical treatment fluids to be supplied. These include for example dialysis fluid or substitution fluid. In what is known as automatic peritoneal dialysis (APD) or acute dialysis, the medical treatment fluids are processed automatically in the blood treatment apparatus. The treatment fluids are supplied in fluid reservoirs which are connected to the treatment apparatus. The fresh dialysis fluid is pumped from the fluid reservoir into the blood treatment apparatus and used fluid is pumped out of the treatment apparatus and into the fluid reservoir. The fluid reservoir may already contain a concentrate which needs to be diluted with water. When this is the case, the fluid reservoir merely needs to be filled with water. Because of this, water too is understood to be a medical fluid in this connection. It is also possible for there to be a plurality of fluid reservoirs connected to a blood treatment apparatus when a treatment fluid ready for use is produced in the treatment apparatus by mixing a plurality of fluids. The liquid reservoir is once again connected to the blood treatment apparatus by a plug unit which is inserted in a socket unit on the blood treatment apparatus.
For filling the device for supplying dialysis fluid, there are known items of apparatus to which the devices for supplying dialysis fluid can be connected. For this purpose, the items of filling apparatus once again have a socket unit which can be connected to the plug unit of the device for supplying dialysis fluid.
A device for supplying a treatment fluid is described in, for example, European Application No. EP 0 575 970 A2. This device for supplying dialysis fluid comprises a bag for receiving the fluid, to which is connected a flexible line which is connected to a plug at its free end. The dialysis apparatus has a socket into which the plug is plugged. With the plug and socket, it is possible to make two flow-permitting connections to enable fresh dialysis fluid to be conveyed out of the bag and into the dialysis apparatus and used dialysis fluid to be conveyed back into the bag.
When the device for supplying medical fluids is being filled, it must be ensured that the possibility of the device for supplying medical fluids being re-used is ruled out.
European Application No. EP 0 476 089 B1 describes a device for irrigating tissues which has a module to receive a cassette intended for once-only use. The module has an undercut recess into which a projection in hook form on the cassette fits when the cassette is inserted in the module. When the cassette is withdrawn from the module, the projection in hook form breaks off. Described in European Application No. EP 0 947 206 is a plug unit of a device for supplying dialysis fluid which has a bar code.
SUMMARY
An object underlying the present invention is to increase the safety with which items of blood treatment apparatus, and particularly items of extra-corporeal blood treatment apparatus or items of apparatus for peritoneal dialysis, are supplied with medical fluids and particularly dialysis fluid.
The blood treatment apparatus according to the present invention or the apparatus according to the present invention for filling the device for supplying medical fluids has a socket unit, whereas the device according to the present invention for supplying medical fluids has a plug unit. The socket unit and the plug unit are characterised in that a safe and secure connection can easily be made with the two units between the device for supplying medical fluids and, on the one hand, the blood treatment apparatus or, on the other hand, the apparatus for filling the device for supplying medical fluids.
The plug unit of the device according to the present invention for supplying a medical fluid has means for indicating two states of operation, while the socket unit of the medical treatment apparatus according to the present invention has means for damaging or destroying the means for indicating two states of operation. The means for indicating two states of operation and the means for damaging or destroying the means for indicating two states of operation are so designed that the means for indicating two states of operation are damaged or destroyed when the plug unit of the device for supplying a medical fluid is connected to the socket unit of the medical treatment apparatus. The first state of operation is thus the state before the plug unit is connected to the socket unit, when the means are intact, and the second state of operation is the state after the plug unit has been connected to the socket unit, when the means are damaged or destroyed. The means for indicating the two states of operation may also indicate other piece of information. However, what is crucial is that these means indicate at least the two states of operation. In a preferred exemplary embodiment the means are formed by an information carrier.
The means for indicating the two states of operation need not be completely destroyed. It is enough for these means, if they perform a function, to become unusable, by for example making the information on the information carrier no longer able to be read.
After once-only use for its intended purpose of the device for supplying a medical fluid, i.e., when the fluid has been fed to the treatment apparatus, the device cannot be filled with fluid again. Re-use of the device is thus ruled out.
The filling of a device for supplying a medical fluid which has already been used is ruled out by the apparatus according to the present invention for filling the device for supplying a medical fluid, which has a socket unit for the connection of the plug unit of the device for supplying a medical fluid.
The filling apparatus has means for detecting re-use of the device for supplying a medical fluid which are so designed that it is detected whether the means which the plug unit of the device for supplying a medical fluid has for indicating two states of operation are intact or are damaged or destroyed.
The basic principle of the present invention lies in preventing re-use of the device for supplying a medical fluid by ruling out even the filling of the device with a medical fluid. This rules out the possibility of devices for supplying a medical fluid which have already been used once finding their way back into circulation.
In a preferred exemplary embodiment of the present invention, the means for indicating two states of operation have a planar information carrier which carries machine-readable information on characteristic properties of the medical fluid such for example as the composition of the fluid or the amount of the said fluid. The information carrier thus serves not only to supply machine-readable information but also to detect re-use of the device. The information on the information carrier may for example be a matrix code but it may equally well be any other machine-readable code.
A further preferred exemplary embodiment makes provision for the information carrier to be applied to a portion of the plug unit of the device for supplying a medical fluid which is provided with a depression, the means which the treatment apparatus has for damaging or destroying the planar information carrier having a salient projection which engages in the depression when the plug unit of the device for supplying a medical fluid is connected to the socket unit of the treatment apparatus, thus causing the information carrier to be damaged or destroyed and thus to become unusable.
In an exemplary embodiment which is a particular preference, the depression is a groove in the portion of the plug unit, which groove is open at least one end and extends parallel to the axis of the plug unit, which axis defines the direction in which the plug unit is plugged into the socket unit of the treatment apparatus. When the plug unit is plugged into the socket unit, the salient projection is thrust into the groove, as a result of which the planar information carrier is sure to be destroyed without any great force being applied.
The means for detecting re-use of the device for supplying a medical fluid preferably have a unit for reading information on the planar information carrier and an analysing unit which is so designed that a signal indicating re-use is generated when the read-out of information is faulty after the destruction of the information carrier. What a faulty read-out also means in this case is that the information cannot be read at all, which should be the case after the information carrier has been destroyed or damaged.
If the apparatus for filling the device for supplying a medical fluid already has a reader, in order for example to read characteristic information about the fluid from a machine-readable code, the means for detecting re-use can be implemented without any further ado as to equipment
A further exemplary embodiment of the filling apparatus which is a particular preference provides a control unit for controlling the filling process which is so designed that the initiation of the filling process is prevented if the analysing unit generates the signal indicating re-use.
The socket unit of the filling apparatus and the plug unit of the device for supplying a medical fluid are preferably so designed that even the making of a flow-permitting connection between the socket unit and the plug unit is prevented. It is however also possible for the feeding of the medical fluid from the filling apparatus into the device for supplying the fluid to be prevented.
To make the flow-permitting connection, the socket unit has at least one connecting piece, whereas the plug unit has at least one connector, a fluid-tight connection being able to be made when the connecting piece is connected to the connector. In a preferred exemplary embodiment, the socket unit has a first connecting piece for the connection of a first connector of the plug unit and a second connecting piece for the connection of a second connector of the plug unit, thus enabling a first flow-permitting connection to be made for feeding in fresh treatment fluid and a second flow-permitting connection to be made for feeding out used treatment fluid.
If the device for supplying a medical fluid is used not only to supply fresh fluid but also to receive used fluid, the apparatus for filling the device for supplying a medical fluid can also be used to empty the device for supplying fluid. When this is the case it is only the process of filling with fresh fluid that is prevented. When it has already been used, the device is however still to be able to be emptied by the filling apparatus.
In the simplest case the device for supplying medical fluids may be a canister or bag which has the plug unit, being for example a bag having a plug.
Exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a highly simplified schematic view of a device for supplying a medical fluid, and particularly dialysis fluid, together with a blood treatment apparatus and an apparatus for filling the device for supplying dialysis fluid.
FIG. 2 is a perspective view of the plug unit of the device for supplying dialysis fluid and of the socket unit of the blood treatment apparatus shown in FIG. 1.
FIG. 3 is a view in section of the plug unit and socket unit shown in FIG. 2, in which the plug and socket units are not connected together.
FIG. 4 is a view in section of the plug unit and socket unit shown in FIG. 2, in which the socket unit has been prepared to have the plug unit connected to it.
FIG. 5 is a section through the plug unit and socket unit shown in FIG. 2, in which the plug unit is loosely inserted in the socket unit.
FIG. 6 is a section through the plug unit and socket unit shown in FIG. 2, in which the plug unit is connected to the socket unit, thus making the flow-permitting connections.
FIG. 7 is a perspective view of the plug unit of the device for supplying dialysis fluid and of the socket unit of the apparatus for filling the device for supplying dialysis fluid.
FIG. 8A shows the socket unit shown in FIG. 7 when prepared for the initiation of a flushing process.
FIG. 8B shows the socket unit shown in FIG. 7 during the flushing process.
FIG. 9 is a view in section of the plug unit and socket unit shown in FIG. 7 before the said plug unit and socket unit are connected together.
FIG. 10 is a view in section of the plug unit and socket unit shown in FIG. 7 in which the said plug unit is fitted loosely onto the said socket unit.
FIG. 11 is a section through the plug unit and socket unit shown in FIG. 7 in which the said plug unit and socket unit are connected together to make the flow-permitting connections.



DETAILED DESCRIPTION
FIG. 1 is a highly simplified schematic view of a device 1 for supplying a medical fluid and in particular dialysis fluid, and of a blood treatment apparatus 2 and an apparatus 3 for filling the device for supplying dialysis fluid. The blood treatment apparatus 2 may be an extra-corporeal dialysis apparatus or an apparatus for peritoneal dialysis. In the present exemplary embodiment, the blood treatment apparatus 2 is a dialysis apparatus which has a dialyser 4 which is divided into a blood chamber 6 and a dialysis-fluid chamber 7 by a semi-permeable membrane 5. A blood infeed line 8 runs from the patient to the blood chamber 6 of the dialyser 4 while a blood return line 9, into which a blood pump 10 is connected, runs from the blood chamber 6 to the patient. Together with the blood chamber 6, the blood infeed and return lines 8, 9 form the extra-corporeal blood circuit I of the dialysis apparatus 2.
Fresh dialysis fluid is conveyed from a dialysis-fluid reservoir 11, through a dialysis-fluid infeed line 12 into which a dialysis-fluid pump 13 is connected, to the dialysis-fluid chamber 7 of the dialyser 4, while used dialysis fluid flows out of the dialysis fluid-chamber through a dialysis-fluid outfeed line 14. A dialysis-fluid reservoir is not essential however. The dialysis fluid supplied may equally well be fed direct to the dialysis-fluid chamber.
The device 1, which has two bags or canisters 15A and 15B in the present exemplary embodiment, is used to supply fresh dialysis fluid. The two bags or canisters 15A, 15B form a unit 15, the bag 15A being filled with fresh dialysis fluid before the dialysis treatment and the bag 15B being empty.
From the dialysis-fluid bag 15A, an infeed line 16 runs to one connection 17a of a plug unit A, while an outfeed line 18 runs from the other connection 17b of the plug unit A to the empty bag 15B.
To supply dialysis fluid, the plug unit A is connected before the treatment to a socket unit B which is provided on the blood treatment apparatus 2, thus enabling fresh dialysis fluid to be fed through the infeed line 16 to the dialysis-fluid reservoir 10 and used dialysis fluid to be feed out through the outfeed line 18.
The device 1 for supplying dialysis fluid is filled with fresh dialysis fluid at apparatus 3. The device 2 for supplying dialysis fluid can also be emptied by the filling apparatus 3. The fresh dialysis fluid can be produced on-line in the filling apparatus 3 from water and dialysis fluid concentrate. Fresh dialysis fluid may however also be fed in from an internal or external source of dialysis fluid. Used dialysis fluid can be collected in an internal or external reservoir or discarded at a discharge.
FIG. 1 shows an exemplary embodiment in which a tank 20A is used to hold fresh dialysis fluid and a tank 20B to receive used dialysis fluid. The lines and pumps required are not shown in the highly schematic representation. As well as this, the device 1 for supplying dialysis fluid also has a control unit (80) by which all the components of the device 1 are controlled to connect the device for supplying a dialysis fluid to the filling or emptying apparatus and to fill and empty the device for supplying dialysis fluid, as will be described in detail below.
The apparatus 3 for filling and emptying the device 1 for supplying fresh dialysis fluid and for receiving used dialysis fluid has a socket unit B′ to which the plug unit A of the device 1 for supplying dialysis fluid is connected. The socket unit B of the blood treatment apparatus 2 and the socket unit B′ of the filling or emptying apparatus may be of identical or different forms. In the present exemplary embodiment the socket units B and B′ are of different forms. However, both the socket units B and B′ are so designed that fluid-tight flow-permitting connections in both directions for fresh and used dialysis fluid can be made to the two items of apparatus 2 and 3 with the plug unit A of the device 1 for supplying dialysis fluid.
As well as this, the filling or emptying apparatus 3 has a control unit 80 for controlling the filling and emptying processes and a reader 81 for reading a machine-readable code from a planar information carrier which is provided at the plug unit A of the device 1 for supplying dialysis fluid. The filling or emptying apparatus 3 also has an analysing unit 82 by which the information read from the information carrier can be analysed. The information may for example be information on the composition or amount of the medical fluid supplied. The analysing unit also enables errors to be detected by which the faulty read-out of a code is detected. In the event of the read-out of the code being faulty following destruction of the information carrier, which includes the event of a code not being able to be read out at all, the analysing unit 82 generates a control signal which the control unit 80 receives. If the control unit 80 receives the control signal, it prevents the filling process from being initiated. The initiation of the filling process is preferably prevented by the fact that a flow-permitting connection is not automatically made between the plug unit A of the device 1 for supplying dialysis fluid and the socket unit of the filling or emptying apparatus 3. It is however also possible for the pumps (not shown) involved in the filling process not to be started or the valves (not shown) not to be opened.
In what follows, the plug unit A of the device 1 for supplying dialysis fluid will be described in detail by reference to FIGS. 2 to 6, together with the socket unit B of the blood treatment apparatus 2.
FIG. 2 is a perspective view of the plug unit A and the socket unit B, while FIGS. 3 to 6 show the plug and socket units A, B in section.
The socket unit B of the blood treatment apparatus 2 is preferably part of a treatment cassette (not shown) which is interchangeable. The socket unit B may however also be part of a non-interchangeable unit. The socket unit B has an outer flange portion 21 which is screwed to the housing wall 22 of the treatment cassette or blood treatment apparatus or it may be integral with the wall. The outer flange portion 21 may for example be screwed to the wall by screws (not shown) or it may be one common injection moulded part with the wall. Projecting from the outer flange portion 21 are two cylindrical connecting parts 23, 24 which are arranged in a common plane on the two sides of the central axis 58 of the socket unit. The cylindrical connecting parts 23, 24 concentrically surround respective connecting pieces 25 and 26, the connecting piece 25 being used to feed in fresh dialysis fluid and the connecting piece 26 to feed out used dialysis fluid.
The plug unit A of the device 1 for supplying fresh dialysis fluid and receiving used dialysis fluid has corresponding connectors 27, 28 which will be connected to the connecting pieces 25, 26 with a fluid-tight seal. The plug unit A has a plug body 29 which connects the two connectors 27, 28. The plug body 29 has an infeed passage 30 which is connected to one connector 27 and an outfeed passage 31 which is connected to the other connector 28. The infeed line 16 of the device 1 for supplying fresh dialysis fluid and receiving used dialysis fluid is connected to the connection 17a to the infeed passage 30 and its outfeed line 18 is connected to the connection 17b to the outfeed passage 31. Situated between the two connectors 27, 28 is a projecting piece 32 with which a connection which at first is only loose can be made between the plug unit A and the socket unit B. The projecting piece 32 has a plurality of latching members 33 which are arranged to be circumferentially distributed and which are integrally formed on one end of the plug body 29. Formed on the outer sides of the free ends of the latching members 33 are latching noses 34. To protect them against physical contact, the connectors 27 and 28 have sleeves 76 and 77 which are fitted onto and latch into the connectors 27, 28 on the plug body 29. The connectors 27, 28 are closed off by respective septums, which are preferably slit, or membranes 35, 36, which will be pierced by the connecting pieces 25, 26 of the socket unit.
Between the two connectors 27 and 28, the plug body 29 has a portion 83 in whose outer side there is a groove 85 which extends from the front end of the portion 83 to its rear end, parallel to the axis which defines the direction in which the plug unit A is plugged into the socket unit B, which means that the groove 85 is open at both ends (FIG. 3). Applied to the portion 83 is a planar information carrier 86 which hides the groove 85. The information carrier 86 is a thin substrate, such as a film or paper for example, on which a matrix code is printed.
The socket unit B of the blood treatment apparatus 2 has an outward pointing portion 87 of its main body which is provided on the inside with a salient projection 88. The longitudinally extending groove 85 in the portion 83 and the salient projection 88 on the portion 87 of the main body are so arranged that the salient projection 88 engages in the groove 85, which is open at the front end, when the plug unit A is plugged into the socket unit B. The information carrier 86 is thus destroyed when the plug unit is connected to the socket unit. Because the salient projection 88 also extends parallel to the axis which defines the direction in which the plug unit A is plugged into the socket unit B, the projection 88 also acts a guiding piece for the plug unit when it is plugged into the socket unit.
If the plug unit A of the device 1 for supplying fresh dialysis fluid and receiving used dialysis fluid, which latter is intended for once-only use, is connected into the socket unit B′ of the filling or emptying apparatus 3, the device 1 can only be emptied, but not refilled, because the information carrier 86 has been destroyed, as has been described by reference to FIG. 1.
Mounted in the centre of the flange portion 21 of the socket unit B is a cylindrical guiding piece 37 which extends through a hole 38 in the housing wall 22. Guided to be longitudinally displaceable in the guiding piece 37 is a tubular receiving piece 40 which has a front portion 41 and a rear portion 42. A drive unit 43 is provided to displace the tubular receiving piece 40 in the cylindrical guiding piece 37. In the present exemplary embodiment, the drive unit 43 is an electric motor driven spindle drive which has a linear motor 44 and a spindle 45, which latter is connected to the rear portion 42 of the receiving piece 40. The receiving piece 40 is thrust out of the guiding piece 37 and retracted into the guiding piece by the extension and withdrawal of the spindle 45.
Provided in the interior of the front end of the front portion 41 of the receiving piece 40 are a plurality of recesses 46 which are arranged to be circumferentially distributed and which are of a form such that the latching noses 34 on the latching members 33 of the projecting piece 32 on the plug unit A latch into the recesses 46 when the projecting piece 32 is inserted in the receiving piece 40, a process which will be described in detail below.
The socket unit B has means by which it is detected that the projecting piece 32 is inserted in the receiving piece 40. These means have a sensing member 47, in the form of a tubular body, which is guided to be longitudinally displaceable in the tubular receiving piece 40. The tubular sensing member 47 is pre-loaded by a spring 48 which is mounted in the rear portion 42 of the receiving piece 40. A limit to the movement of the sensing member 47 in the longitudinal direction is set by a stop member 49 which is merely indicated and which is guided in a slot (not visible in the present plane of section) which is provided in the receiving piece 40.
To detect the projecting piece 32 in the receiving piece 40, the socket unit B has means by which it is detected whether the front end of the sensing member 47 is flush with the front end of the receiving piece 40 (FIG. 3) or whether it has been pushed back into the receiving piece in opposition to the pre-loading from the spring 48. This is the case when the projecting piece 32 is inserted in the receiving piece 40.
The socket unit B also has a body 50 in pin form which is arranged in an immovable position, inside the tubular sensing member 47. The body 50 in pin form may for example be locked by a pin 39 which extends through slots (not shown in the plane of section) in the sensing member 47 and the receiving piece 40 and into the guiding piece 37.
In what follows, it will be described in detail how the plug unit A is connected to the socket unit B.
FIG. 3 shows the starting position, in which the socket unit B is locked. In this position, the spindle 45 of the linear motor 43 is withdrawn, as a result of which the receiving piece 40 and the sensing member 47 are retracted and the body 50 in pin form thus projects from the receiving piece. The body 50 in pin form thus prevents the projecting piece 32 from being inserted in the receiving piece 40.
FIG. 4 shows the position of the receiving piece 40 and the sensing member 47 in which the spindle 45 of the linear motor 44 is extended and the receiving piece 40 and the sensing member 47 are advanced outwards out of the guiding piece 37. In this position the body 50 in pin form, which is connected to the guiding piece 37, is retracted sufficiently far for the projecting piece 32 on the plug unit A to be able to be inserted in the receiving piece 40.
FIG. 5 shows the projecting piece 32 on the plug unit A when fitted into the receiving piece 40 of the socket unit B. When the projecting piece 32 is inserted in the receiving piece 40, the latching noses 34 on the latching members 33 latch into the recesses 46 in the receiving piece 40 by a snap-in action. The plug unit A is held loosely to the socket unit by this means. However, the flow-permitting connection has not been made yet in this case, because the connecting pieces 25, 26 of the socket unit B have not yet been connected to the connectors 27, 28 of the plug unit A. In this position the infeed and outfeed passages 30, 31 in the plug unit are still closed off with a fluid-tight seal by the membranes 35, 36.
When the projecting piece 32 is inserted in the receiving piece 40, the sensing member 47, which is guided to be longitudinally displaceable in the receiving piece, is pushed back into the receiving piece 40 by the latching members 33 of the projecting piece 32 in opposition to the resilient force of the spring 48. The withdrawn position of the sensing member 47, which is shown in FIG. 5, is sensed by means which are not shown, such for example as electrical contacts which are closed or a light barrier, as a result of which the drive unit 43 is started. The linear motor 44 now withdraws the spindle 45, and the receiving piece 40 and the sensing member 47 are thus retracted.
FIG. 6 shows the position of the receiving piece 40 when the spindle 45 of the linear motor 44 is completely withdrawn and the receiving piece 40 and the sensing member 37 are fully retracted. As the receiving piece 40 is retracted, the body 50 in pin form is advanced into the projecting piece 32, as a result of which the latching noses 34 on the latching members 33 of the projecting piece 32 are secured in the recesses 46 in the receiving piece 40. The projecting piece 32 is thus locked in the receiving piece 40. The locking of the projecting piece 32 in the receiving piece 40 takes place simultaneously with the relative movement of the connecting pieces 25, 26 and the connectors 27, 28.
In the position shown in FIG. 6, in which the spindle 45 of the linear motor 44 is fully withdrawn, the two connecting pieces 25, 26 and the two connectors 27, 28 are connected together with a fluid-tight seal. The locking of the projecting piece 32 in the receiving piece 40 on the one hand ensures that the plug unit A, which at first was only loosely inserted in the socket unit B, can be drawn onto the socket unit in opposition to the forces which arise, and on the other hand prevents the plug unit from being able to detach from the socket unit once the flow-permitting connections have been made. The fluid-tight and non-releasable connection between the plug unit A and socket unit B is thus made automatically once the plug unit has been loosely inserted in the socket unit.
The unlocking of the plug unit A from the socket unit B takes place in the reverse order from the locking of the plug unit to the socket unit. For this purpose, the drive unit 43 is started again. This may for example be done by pressing a button or the like. When the spindle 45 of the linear motor 44 is extended again, the receiving piece 40 and the sensing member 47 slide forward again over the body 50 in pin form, as a result of which the locking of the latched connection between the projecting piece 32 and receiving piece 40 is released. At the same time, the connecting pieces 25, 26 are disconnected from the connectors 27, 28. The plug unit A is thus situated in the starting position (FIG. 5) again, in which the plug unit is still held loosely on the socket unit. This prevents the plug unit from being able to drop easily off the socket unit.
FIGS. 7-11 show an alternative exemplary embodiment B′ of the socket unit which is provided on the apparatus 3 for filling the device 1 for supplying the dialysis fluid. Basically, this alternative exemplary embodiment may equally well be provided on the blood treatment apparatus 2. It is however also possible for the exemplary embodiment which was described by reference to FIGS. 2 to 6 to be provided on the filling apparatus 3. The alternative exemplary embodiment B′ of the socket unit will be described in detail in what follows.
FIG. 7 is a perspective view of the alternative exemplary embodiment B′ of the socket unit together with the plug unit A. Both the exemplary embodiments B and B′ of the socket unit can be connected to the same plug unit A, thus enabling the device 1 for supplying dialysis fluid to be connected on the one hand to the apparatus 3 for filling and emptying and on the other hand to the blood treatment apparatus 2.
The two exemplary embodiments of the socket unit differ from one another in particular in that, when the plug unit A is being connected to the socket unit B to make the flow-permitting connections, the connectors 27, 28 of the plug unit A are drawn automatically onto the connecting pieces 25, 26 of the socket unit B (FIGS. 2 to 6) by moving the plug unit A, whereas in the alternative exemplary embodiment B′ of the socket unit the connecting pieces of the socket unit are moved into the connectors 27, 28 of the plug unit A, in which case the plug unit A is not moved. What is more, the alternative exemplary embodiment B′ of the socket unit envisages the closing-off of the two connecting pieces or the making of a flow-permitting connection between the connecting pieces for a flushing process without the plug unit A and socket unit B′ being connected together.
The socket unit B′ has a housing body 51 which is inserted in a wall 52 of the housing of the filling apparatus 3 (FIG. 7). The housing body 51 has a central opening 53 in which the receiving piece 57 for the projecting piece 32 of the plug unit A is arranged (FIG. 9). In contrast to the exemplary embodiment which was described by reference to FIGS. 2-6, the receiving piece 57 of the socket unit B′ is not guided to be displaceable in the direction defined by the longitudinal axis 58 of the socket unit B′ but is mounted to be rotatable on the longitudinal axis 58 by means of a bearing 59 which is inserted in the central opening 53 in the housing body 51. The receiving piece 57 is rotated by a drive unit which is not shown.
The receiving piece 57 has a front portion 60 which extends out of the housing body 51 and a rear portion 61 which extends into the housing body 51, the front portion 60 being of a larger inside and outside diameter than the rear portion 61. Provided on the inside of the front end of the front portion 60 of the receiving piece 57 are the recesses 62 which are arranged to be circumferentially distributed and into which the latching noses 34 on the latching members 33 of the projecting piece 32 latch when the plug unit A is fitted loosely onto the socket unit B′.
Guided to be longitudinally displaceable in the tubular receiving piece 57 is the sensing member 63, which takes the form of a tubular body and which is pre-loaded by a spring (not shown) so that the sensing member 63 is pushed back in opposition to the loading from the spring when the projecting piece 32 is inserted in the receiving piece 57.
Guided in the tubular sensing member 63 is the body 64 in pin form for locking the projecting piece 32 in the receiving piece 57. The body 64 in pin form can be advanced in the longitudinal direction of the axis 58 and retracted again, to respectively lock and release the projecting piece 32 in the receiving piece 57, by a drive unit (not shown).
In the alternative exemplary embodiment B′ of the socket unit, the connecting pieces 65, 66 are mounted in cylindrical openings 67, 68 in a connecting part 69 which is guided to be longitudinally displaceable in the housing body 51, thus enabling the connecting pieces 65, 66 to be advanced out of and retracted into the housing body 51. The drive unit for advancing and retracting the connecting part 69 having the connecting pieces 65, 66 is not shown in the drawings.
FIG. 9 shows the socket unit B′ in the position in which the plug unit A is fitted loosely onto the socket unit B′. The body 64 in pin form is retracted into the receiving piece 57 and the latching members 33 of the projecting piece 32 which have the latching noses 34 are thus able to latch into the receiving piece 57 which has the recesses 62.
FIG. 10 shows the position in which the plug unit A is fitted loosely onto the socket unit B′, with the projecting piece 32 latched into the receiving piece 57. The plug unit A is held only loosely in this case without the flow-permitting connections being made.
The position of the sensing member 63 is once again monitored. Because the sensing member 63 has been pushed back by the projecting piece 32, it is detected that the plug unit A has been loosely fitted. When the plug unit is loosely fitted, the drive unit (not shown) is started, as a result of which the body 64 in pin form is advanced in the receiving piece 57. As a result, the connection between the projecting piece 32 and receiving piece 57, which at first was only loose, is now locked. At the same time, the connecting part 69 having the two connecting pieces 65, 66 is advanced out of the housing body 51. It is also possible for the body 64 in pin form and the connecting part 69 to be connected together and to be moved in unison by a drive unit. The displacement of the connecting part 69 and the two connecting pieces 65, 66 causes the connecting pieces 65, 66 to pierce the membranes 35, 36 of the plug unit A, as a result of which the fluid-tight connections are made between the connecting pieces and the connectors. It is true that there is, once again, a relative movement between the connecting pieces 65, 66 and the connectors 27, 28. However, in this exemplary embodiment it is not the plug unit A itself which is moved. Because the plug unit A is firmly seated on the socket unit B′ once the projecting piece has been locked to the receiving piece, the forces which occur when the plug and socket units are connected together can be absorbed. The connection of the plug unit to the socket unit thus once again takes place automatically.
The release of the plug unit A from the socket unit B′ takes place in the reverse order. For this purpose, the body 64 in pin form is retracted in the receiving piece 57, and the connecting part 69 and the connecting pieces 65, 66 are retracted in the housing body 51, as a result of which the connection between the projecting piece 32 and receiving piece 57 is unlocked and the connecting pieces 65, 66 are drawn out of the connectors 27, 28. The unlocking may take place simultaneously with the drawing back of the connecting pieces or prior to the said drawing back of the connecting pieces.
The alternative exemplary embodiment B′ of the socket unit has a means 70 for closing off the two connecting pieces 65, 66, or for making a flow-permitting connection between the two connecting pieces 65, 66 to enable a flushing process to be carried out with a flushing solution (FIG. 7; FIG. 8A and FIG. 8B). The means 70 has two connectors 71, 72 which are arranged at the same distance from one another as the connectors 27, 28 of the plug unit A and which are of the same form as the connectors of the plug unit. The two connectors 71, 72 are closed off at a rear end in a flushing piece 73 or are connected to make a flow-permitting connection in the flushing piece 73.
The flushing piece 73 has semi-circular indentations 74, 75 on the two opposite sides on which the connectors 71, 72 are not arranged. The flushing piece 73 having the connectors 71, 72 is connected to the front portion 60 of the receiving piece 57 of the socket unit B′. For this purpose, the flushing piece 73 has a central opening 89 through which the front portion 60 of the receiving piece 57 extends (FIG. 9). Because the receiving piece 57 is mounted to be rotatable on the longitudinal axis 58, the flushing piece 73 too and the connectors 71, 72 can be rotated on the longitudinal axis 58 as a result of the receiving piece 57 being rotated by the drive unit (not shown).
FIG. 7 shows the flushing piece 73 having the connectors 71, 72 in the position in which the plug unit A can be fitted onto the socket unit B′. In this position, the semi-circular indentations 74, 75 are situated in front of the connecting pieces 65, 66 of the socket unit B′, while the connectors 71, 72 are positioned in a plane which is perpendicular to the plane in which the connecting pieces 65, 66 are positioned.
To initiate the flushing process, the flushing piece 73 having the connectors 71, 72 is pivoted through 90° as a result of the receiving piece 57 being rotated by the drive unit (not shown), and the connectors 71, 72 are thus situated in front of the connecting pieces 65, 66. However, this means that the connecting pieces are not yet closed off or that a flow-permitting connection has not yet been made between the connecting pieces (FIG. 8A). The connecting part 69 having the connecting pieces 65, 66 is then advanced out of the housing body 51 and the connectors 65, 66 are thus forced into the membranes of the connectors 71, 72. This makes a fluid-tight connection between the connecting pieces 65, 66 of the socket unit B′ and the connectors 71, 72 and the two connecting pieces 65, 66 are thus closed off or short-circuited by means of the flushing piece (FIG. 8B). On completion of the flushing process, the connecting pieces 65, 66 are retracted again and the flushing piece 73 having the connectors 71, 72 is rotated back to the starting position (FIG. 7).
The flushing piece 73 of the socket unit (B′), and the plug body 29 of the plug unit A, are of asymmetrical forms and the plug unit A can thus only be plugged into the socket unit (B′) when in the correct position shown in FIG. 7. For this purpose, the flushing piece 73 has a U-shaped projection 78 on the outer side opposite the plug body, while the plug body 29 has a projection 79 on the outer side opposite the flushing piece. The projection 79 is so arranged that it collides with the projection 78 if the plug unit A is plugged into the socket unit (B′) in a position in which it is rotated through 180°.
The particular design of the means 70 for closing off or for making the flow-permitting connection forms part of the socket unit B′. There is no need for a separate plug or the like. The socket unit B′ allows fully automatic control both of the connection of the plug unit A to the socket unit B′ and of the initiation of the flushing process, thus simplifying the handling process as a whole. Because the insertion of the plug unit in the socket unit is detected, the filling process or emptying process can be initiated automatically. The filling process may however also be prevented if the information carrier 86 on the plug unit A is destroyed. The control unit 80 of the filling apparatus 3 preferably prevents the connecting pieces 65, 66 of the socket unit B from being extended to make a flow-permitting connection. After the filling or emptying, the plug unit can be released automatically. The same is true of the flushing process. When the device 1 for supplying dialysis fluid is connected to the dialysis apparatus 2, the filling of the fluid reservoir 10 can also be started automatically by the insertion of the plug unit A in the socket unit B of the dialysis apparatus.

## Claims

1. A medical treatment apparatus comprising: a plug unit belonging to a device for supplying a medical fluid for the medical treatment apparatus;
a socket unit for connection of the plug unit;
wherein the socket unit includes a salient projection provided on a portion of the socket unit for damaging or destroying an information carrier for indicating two states of operation of the device for supplying a medical fluid, the salient projection being configured such that the information carrier for indicating two states of operation is damaged or destroyed when the plug unit of the device for supplying a medical fluid is connected to the socket unit, a first state of operation being a state before the plug unit is connected to the socket unit, when the information carrier is intact, and a second state of operation being a state after the plug unit has been connected to the socket unit, when the information carrier is damaged or destroyed,
wherein the socket unit includes two connecting pieces configured to connect to two connectors of the plug unit of the device for supplying a medical fluid, thus enabling a flow-permitting connection to be made to feed fresh fluid in or to feed used fluid out of the plug unit wherein, when the plug unit of the device for supplying a medical fluid is connected to the socket unit, the salient projection is configured to engage in a depression in a portion of the plug unit to which the information carrier is applied, the information carrier being planar.

2. A medical treatment system comprising:
a medical treatment apparatus, which includes a socket unit for connection of a plug unit belonging to a device for supplying a medical fluid for the medical treatment apparatus; and
the device for supplying a medical fluid for the medical treatment apparatus, which includes the plug unit for connection to the socket unit of the medical treatment apparatus;
wherein the plug unit of the device for supplying a medical fluid includes an information carrier for indicating two states of operation and the socket unit of the medical treatment apparatus includes a salient projection for damaging or destroying the information carrier for indicating two states of operation, and the information carrier for indicating two states of operation and the salient projection for damaging or destroying the information carrier for indicating two states of operation are configured such that the information carrier for indicating two states of operation is damaged or destroyed when the plug unit is connected to the socket unit, a first state of operation being a state before the plug unit is connected to the socket unit, when the information carrier is intact, and a second state of operation being a state after the plug unit has been connected to the socket unit, when the information carrier is damaged or destroyed,
wherein the socket unit includes two connecting pieces configured to connect to two connectors of the plug unit of the device for supplying a medical fluid, thus enabling a flow-permitting connection to be made to feed fresh fluid in or to feed used fluid out of the plug unit.

3. The medical treatment system according to claim 2, wherein the salient projection is provided on a portion of the socket unit, and the information carrier carries information on characteristic properties of the medical fluid, the information carrier being planar.

4. The medical treatment system according to claim 3, wherein the information carrier is applied to a portion of the plug unit which is provided with a depression, the information carrier thus being destroyed by the projection on the socket unit, which engages in the depression, when the plug unit is connected to the socket unit.

5. The medical treatment system according to claim 4, wherein the depression is a groove in the portion of the plug unit, which groove is open at at least one end and extends parallel to an axis of the plug unit, the axis defining a direction in which the plug unit is plugged into the socket unit, the salient projection thus being thrust into the groove when the plug unit is plugged into the socket unit.

6. A medical treatment system comprising:
at least one device for supplying a medical fluid for a medical treatment apparatus comprising a plug unit for connection to a socket unit of the medical treatment apparatus, wherein the plug unit includes an information carrier for indicating two states of operation which is configured such that the information carrier for indicating two states of operation can be damaged or destroyed when the plug unit is connected to the socket unit of the treatment apparatus, a first state of operation being a state before the plug unit is connected to the socket unit, when the information carrier is intact, and a second state of operation being a state after the plug unit has been connected to the socket unit, when the information carrier is damaged or destroyed;
a medical treatment apparatus comprising the socket unit for connection of the plug unit belonging to the device for supplying the medical fluid for the medical treatment apparatus, wherein the socket unit includes a salient projection for damaging or destroying the information carrier for indicating two states of operation of the device for supplying the medical fluid, the salient projection being configured such that the information carrier for indicating two states of operation is damaged or destroyed when the plug unit of the device for supplying a medical fluid is connected to the socket unit, wherein the socket unit includes two connecting pieces configured to connect to two connectors of the plug unit of the device for supplying a medical fluid, thus enabling a flow-permitting connection to be made to feed fresh fluid in or to feed used fluid out of the plug unit;
at least one filling apparatus for filling the device for supplying the medical treatment fluid for the medical treatment apparatus comprising the socket unit for connection of the plug unit of the device for supplying the medical fluid, wherein the filling apparatus includes a reading unit and an analysing unit for detecting re-use of the device for supplying the medical fluid which are configured to detect whether the information carrier which the plug unit of the device for supplying the medical fluid includes for indicating two states of operation is intact or is damaged or destroyed.

7. A medical treatment system comprising:
a medical treatment apparatus, which includes a socket unit for connection of a plug unit belonging to a device for supplying a medical fluid for the medical treatment apparatus; and
the device for supplying a medical fluid for the medical treatment apparatus, which includes the plug unit for connection to the socket unit of the medical treatment apparatus;
wherein the plug unit of the device for supplying a medical fluid includes an information carrier for indicating two states of operation and the socket unit of the medical treatment apparatus includes a salient projection for damaging or destroying the information carrier for indicating two states of operation, and the information carrier for indicating two states of operation and the salient projection for damaging or destroying the information carrier for indicating two states of operation are configured such that the information carrier for indicating two states of operation is damaged or destroyed when the plug unit is connected to the socket unit, a first state of operation being a state before the plug unit is connected to the socket unit, when the information carrier is intact, and a second state of operation being a state after the plug unit has been connected to the socket unit, when the information carrier is damaged or destroyed,
wherein the salient projection is provided on a portion of the socket unit, and the information carrier carries information on characteristic properties of the medical fluid, the information carrier being planar,
wherein the information carrier is applied to a portion of the plug unit which is provided with a depression, the information carrier thus being destroyed by the projection on the socket unit, which engages in the depression, when the plug unit is connected to the socket unit,
wherein the depression is a groove in the portion of the plug unit, which groove is open at at least one end and extends parallel to an axis of the plug unit, the axis defining a direction in which the plug unit is plugged into the socket unit, the salient projection thus being thrust into the groove when the plug unit is plugged into the socket unit.