JP6831279B2 - Melting device - Google Patents

Melting device Download PDF

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JP6831279B2
JP6831279B2 JP2017054678A JP2017054678A JP6831279B2 JP 6831279 B2 JP6831279 B2 JP 6831279B2 JP 2017054678 A JP2017054678 A JP 2017054678A JP 2017054678 A JP2017054678 A JP 2017054678A JP 6831279 B2 JP6831279 B2 JP 6831279B2
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dialysis
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JP2018153557A (en
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正倫 坂巻
正倫 坂巻
良平 松本
良平 松本
鈴木 宏章
宏章 鈴木
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Nikkiso Co Ltd
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01FMIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING
    • B01F21/00Dissolving
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1654Dialysates therefor
    • A61M1/1656Apparatus for preparing dialysates
    • A61M1/1666Apparatus for preparing dialysates by dissolving solids
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B01PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01FMIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING
    • B01F21/00Dissolving
    • B01F21/30Workflow diagrams or layout of plants, e.g. flow charts; Details of workflow diagrams or layout of plants, e.g. controlling means

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Description

本発明は、透析用粉末剤を溶解して透析用原液を得るための溶解装置に関するものである。 The present invention relates to a dissolution device for dissolving a dialysis powder to obtain a dialysis stock solution.

病院等で腎不全患者の治療に使用される透析液は、一般に重炭酸塩系と酢酸系とに区分され、このうち重炭酸塩系の透析液は、重炭酸ナトリウムを含まないもの(以下、A剤という。)と重炭酸ナトリウム(以下、B剤という。)の2種類の剤に水を混合して調整されるものである。近年、運搬性向上の観点から、これらA剤及びB剤を粉末化したもの(以下、「透析用粉末剤」という。)を透析治療直前や透析治療中に溶解する試みがなされている。 The dialysate used for the treatment of patients with renal failure in hospitals is generally classified into bicarbonate type and acetic acid type, and among them, the bicarbonate type dialysate does not contain sodium bicarbonate (hereinafter, It is prepared by mixing water with two types of agents, agent A) and sodium bicarbonate (hereinafter referred to as agent B). In recent years, from the viewpoint of improving transportability, attempts have been made to dissolve these powders A and B (hereinafter referred to as "dialysis powder") immediately before dialysis treatment or during dialysis treatment.

すなわち、透析用粉末剤を溶解して作製される原液(A剤を溶解したA原液やB剤を溶解したB原液)は、清浄性の観点から溶解後にできるだけ早く治療に使用することが好ましく、特にB原液は、経時的に成分が変化する虞があるため、作り置きして長時間放置しておくことは好ましくないことから、透析治療直前にA原液やB原液を作製する必要があり、さらに、透析治療中においてA原液やB原液が不足した場合、それぞれの原液を追加で作製する必要がある。 That is, the undiluted solution prepared by dissolving the dialysis powder (the A undiluted solution in which the A agent is dissolved or the B undiluted solution in which the B agent is dissolved) is preferably used for treatment as soon as possible after the dissolution from the viewpoint of cleanliness. In particular, since the components of the B stock solution may change over time, it is not preferable to leave the B stock solution for a long time. Therefore, it is necessary to prepare the A stock solution and the B stock solution immediately before the dialysis treatment. Furthermore, if the A stock solution or the B stock solution is insufficient during dialysis treatment, it is necessary to additionally prepare each stock solution.

このように、透析治療毎に溶解作業が必要となることから、従来から溶解のための溶解装置が各種提案されている。例えば特許文献1〜3には、2つの溶解槽を併設した溶解装置が開示されており、かかる構成により、透析治療中において、一方の溶解槽から透析液原液を透析装置側に送液している間に、他方の溶解槽に透析用粉末剤を投入させて透析用粉末剤の追加溶解を行うことができる。 As described above, since a dissolution operation is required for each dialysis treatment, various dissolution devices for dissolution have been conventionally proposed. For example, Patent Documents 1 to 3 disclose a dissolution apparatus having two dissolution tanks, and with such a configuration, a dialysate stock solution is sent from one dissolution tank to the dialysis apparatus side during dialysis treatment. While the dialysis powder is added to the other dissolution tank, the dialysis powder can be additionally dissolved.

特開2001−9028号公報Japanese Unexamined Patent Publication No. 2001-9028 特開2016−19668号公報Japanese Unexamined Patent Publication No. 2016-19668 特開2016−19669号公報Japanese Unexamined Patent Publication No. 2016-19669

しかしながら、上記従来技術においては、溶解槽内に収容された透析用粉末剤が所定の液位を下回った際、これを液位センサ等にて検出して医療従事者等の作業者に対して報知することにより、透析用粉末剤を追加で投入させ得る構成とされているものの、追加の透析用粉末剤の投入タイミングを予め把握させることができない構成であった。よって、作業者が他の作業を行っている最中であっても優先して透析用粉末剤の追加投入を行う必要があり、早急に対応できない場合、透析用原液が不足してしまう虞があった。 However, in the above-mentioned prior art, when the dialysis powder contained in the dissolution tank falls below a predetermined liquid level, this is detected by a liquid level sensor or the like for workers such as medical staff. Although the configuration is such that the additional dialysis powder can be added by notifying the notification, the timing of adding the additional dialysis powder cannot be grasped in advance. Therefore, it is necessary to prioritize the addition of dialysis powder even while the worker is performing other work, and if it cannot be dealt with immediately, there is a risk that the dialysis stock solution will run short. there were.

本発明は、このような事情に鑑みてなされたもので、追加の透析用粉末剤の投入タイミングを作業者に対して予め把握させることができる溶解装置を提供することにある。 The present invention has been made in view of such circumstances, and an object of the present invention is to provide a dissolving device capable of allowing an operator to grasp in advance the timing of adding an additional dialysis powder.

請求項1記載の発明は、透析用粉末剤を溶解して透析用原液を得るとともに、その溶解された透析用原液を所定量収容し得る溶解槽を具備し、透析治療中、患者に透析治療を施すための複数の透析装置側に前記溶解槽の透析用原液を送液するのに伴って、追加の透析用粉末剤を所定量毎に投入させて溶解し得る溶解装置において、過去の透析治療中における追加の透析用粉末剤を投入したタイミングを実績投入タイミングとして記憶する記憶手段と、前記記憶手段で記憶された実績投入タイミングに基づいて、これから行われる透析治療中における追加の透析用粉末剤を投入するタイミングを予測投入タイミングとして予測する予測手段と、前記予測手段で予測されたタイミングであって透析治療中における追加の透析用粉末剤を投入するタイミングである前記予測投入タイミングを表示する表示手段とを具備したことを特徴とする。 The invention according to claim 1 is provided with a dissolution tank capable of dissolving a dialysis powder to obtain a dialysis stock solution and accommodating a predetermined amount of the dissolved dialysis stock solution, and dialysis treatment is performed on a patient during dialysis treatment. Past dialysis in a dialysis device that can dissolve by adding additional dialysis powders at predetermined intervals as the undiluted solution for dialysis in the dissolution tank is sent to a plurality of dialysis devices for performing dialysis. storage means for storing the timing which supplied the additional dialysis powders during therapy as proven turned timing, based on the stored results turned timing by said storage means, from which additional dialysis powder during dialysis therapy performed The predictive means for predicting the timing of drug injection as the predicted injection timing and the predicted injection timing which is the timing predicted by the predictive means and the timing for adding additional dialysis powder during dialysis treatment are displayed . It is characterized by having a display means.

請求項2記載の発明は、請求項1記載の溶解装置において、透析治療において必要とされる透析用粉末剤の総量を入力し得るとともに、入力された透析用粉末剤の総量に基づいて、透析用粉末剤を追加投入すべき追加回数と、各追加投入タイミングで投入すべき透析用粉末剤の追加量とを設定し得る設定手段を具備し、前記表示手段は、前記予測投入タイミングと併せて前記設定手段で設定された追加回数及び追加量を表示可能とされたことを特徴とする。 In the invention according to claim 2, in the dissolving apparatus according to claim 1, the total amount of dialysis powder required for dialysis treatment can be input, and dialysis is performed based on the input total amount of dialysis powder. The display means is provided with a setting means capable of setting an additional number of times for additional addition of the powder for dialysis and an additional amount of the powder for dialysis to be added at each additional addition timing, and the display means is combined with the predicted addition timing. It is characterized in that the number of additions and the amount of addition set by the setting means can be displayed.

請求項3記載の発明は、請求項2記載の溶解装置において、前記設定手段で設定された追加回数又は追加量を任意に変更可能とされるとともに、前記予測手段は、当該変更に対応して前記予測投入タイミングを修正し、その修正された予測投入タイミングを前記表示手段にて表示させ得ることを特徴とする。 The invention according to claim 3 makes it possible to arbitrarily change the number of additions or the amount of addition set by the setting means in the melting apparatus according to claim 2, and the prediction means responds to the change. It is characterized in that the predicted input timing can be modified and the modified predicted input timing can be displayed by the display means.

請求項4記載の発明は、請求項2又は3記載の溶解装置において、前記溶解槽内に収容された透析用原液の液位を連続的且つリアルタイムに検出可能な液位検出手段と、前記液位検出手段で検出された透析用原液の液位に基づいて前記透析用粉末剤の追加投入タイミングを報知し得る報知手段とを具備するとともに、前記予測手段は、前記報知手段で報知された追加投入タイミングに基づいて次回以降の前記予測投入タイミングを修正し、その修正された予測投入タイミングを前記表示手段にて表示させ得ることを特徴とする。 The invention according to claim 4 comprises a liquid level detecting means capable of continuously and in real time detecting the liquid level of the stock solution for dialysis contained in the dissolution tank in the dissolving apparatus according to claim 2 or 3, and the liquid. The prediction means is provided with a notification means capable of notifying the timing of additional addition of the dialysis powder based on the liquid level of the dialysis stock solution detected by the position detection means, and the prediction means is the addition notified by the notification means. It is characterized in that the predicted closing timing from the next time onward can be modified based on the closing timing, and the corrected predicted closing timing can be displayed by the display means.

請求項5記載の発明は、請求項1〜4の何れか1つに記載の溶解装置において、前記記憶手段は、医療施設における患者の治療日程に対応した特定の治療日毎に前記実績投入タイミングを記憶するとともに、前記予測手段は、当該特定の治療日毎の予測投入タイミングを予測して前記表示手段で表示させ得ることを特徴とする。 The invention according to claim 5 is the dissolving device according to any one of claims 1 to 4, wherein the storage means sets the actual input timing for each specific treatment day corresponding to the treatment schedule of the patient in the medical facility. In addition to being stored, the predictive means can predict the predicted input timing for each specific treatment day and display it on the display means.

請求項6記載の発明は、請求項1〜5の何れか1つに記載の溶解装置において、前記表示手段で表示される予測投入タイミングは、時刻又は溶解開始時からの経過時間とされることを特徴とする。 According to the invention of claim 6, in the melting apparatus according to any one of claims 1 to 5, the predicted charging timing displayed by the display means is the time or the elapsed time from the start of melting. It is characterized by.

請求項1の発明によれば、過去の透析治療中における追加の透析用粉末剤を投入したタイミングを実績投入タイミングとして記憶する記憶手段と、記憶手段で記憶された実績投入タイミングに基づいて、これから行われる透析治療中における追加の透析用粉末剤を投入するタイミングを予測投入タイミングとして予測する予測手段と、予測手段で予測されたタイミングであって透析治療中における追加の透析用粉末剤を投入するタイミングである予測投入タイミングを表示する表示手段とを具備したので、追加の透析用粉末剤の投入タイミングを作業者に対して予め把握させることができる。 According to the invention of claim 1, based on the storage means for storing the timing of adding the additional dialysis powder during the past dialysis treatment as the actual input timing and the actual input timing stored in the storage means, from now on. A predictive means for predicting the timing of adding the additional dialysis powder during the dialysis treatment to be performed as a predicted injection timing, and a predictive means for predicting the timing of adding the additional dialysis powder during the dialysis treatment. Since it is provided with a display means for displaying the predicted charging timing, which is the timing, it is possible to make the operator grasp the charging timing of the additional dialysis powder in advance.

請求項2の発明によれば、透析治療において必要とされる透析用粉末剤の総量を入力し得るとともに、入力された透析用粉末剤の総量に基づいて、透析用粉末剤を追加投入すべき追加回数と、各追加投入タイミングで投入すべき透析用粉末剤の追加量とを設定し得る設定手段を具備し、表示手段は、予測投入タイミングと併せて設定手段で設定された追加回数及び追加量を表示可能とされたので、追加回数及び追加量と併せて追加の透析用粉末剤の投入タイミングを作業者に対して予め把握させることができる。 According to the invention of claim 2, the total amount of the dialysis powder required for the dialysis treatment can be input, and the dialysis powder should be additionally added based on the input total amount of the dialysis powder. It is provided with a setting means capable of setting the number of additions and the additional amount of the dialysis powder to be added at each additional addition timing, and the display means is the number of additions and additions set by the setting means together with the predicted addition timing. Since the amount can be displayed, it is possible for the operator to grasp in advance the number of additions and the timing of adding the additional dialysis powder together with the additional amount.

請求項3の発明によれば、設定手段で設定された追加回数又は追加量を任意に変更可能とされるとともに、予測手段は、当該変更に対応して予測投入タイミングを修正し、その修正された予測投入タイミングを表示手段にて表示させ得るので、追加回数又は追加量の変更に伴う予測投入タイミングのずれを自動的に修正して表示させることができる。 According to the invention of claim 3, the number of additions or the amount of addition set by the setting means can be arbitrarily changed, and the predicting means modifies the predicted input timing in response to the change and modifies it. Since the predicted input timing can be displayed by the display means, the deviation of the predicted input timing due to the change in the number of additions or the addition amount can be automatically corrected and displayed.

請求項4の発明によれば、溶解槽内に収容された透析用原液の液位を連続的且つリアルタイムに検出可能な液位検出手段と、液位検出手段で検出された透析用原液の液位に基づいて透析用粉末剤の追加投入タイミングを報知し得る報知手段とを具備するとともに、予測手段は、報知手段で報知された追加投入タイミングに基づいて次回以降の予測投入タイミングを修正し、その修正された予測投入タイミングを表示手段にて表示させ得るので、予測投入タイミングが報知手段で報知された実際の追加投入タイミングに対してずれた場合、そのずれを修正して表示させることができ、予測投入タイミングを精度よく予測することができる。 According to the invention of claim 4, a liquid level detecting means capable of continuously and in real time detecting the liquid level of the stock solution for dialysis contained in the dissolution tank, and a liquid of the stock solution for dialysis detected by the liquid level detecting means. It is provided with a notification means capable of notifying the additional addition timing of the dialysis powder based on the position, and the prediction means corrects the predicted addition timing from the next time onward based on the additional addition timing notified by the notification means. Since the corrected predicted input timing can be displayed by the display means, if the predicted input timing deviates from the actual additional input timing notified by the notification means, the deviation can be corrected and displayed. , Prediction The input timing can be predicted accurately.

請求項5の発明によれば、記憶手段は、医療施設における患者の治療日程に対応した特定の治療日毎に実績投入タイミングを記憶するとともに、予測手段は、当該特定の治療日毎の予測投入タイミングを予測して表示手段で表示させ得るので、患者の治療日程が予め決まっている透析治療において、予測投入タイミングをより精度よく予測することができる。 According to the invention of claim 5, the storage means stores the actual input timing for each specific treatment day corresponding to the treatment schedule of the patient in the medical facility, and the predictive means stores the predicted input timing for each specific treatment day. Since it can be predicted and displayed by the display means, the predicted input timing can be predicted more accurately in the dialysis treatment in which the treatment schedule of the patient is predetermined.

請求項6の発明によれば、表示手段で表示される予測投入タイミングは、時刻又は溶解開始時からの経過時間とされるので、追加の透析用粉末剤の投入タイミングを作業者に対してより正確に把握させることができる。 According to the invention of claim 6, since the predicted charging timing displayed by the display means is the time or the elapsed time from the start of dissolution, the additional dialysis powder charging timing is given to the operator. It can be grasped accurately.

本発明の実施形態に係る溶解装置を示す斜視図Perspective view which shows the melting apparatus which concerns on embodiment of this invention. 同溶解装置を示す3面図Three views showing the melting device 図2におけるIII−III線断面図Section III-III sectional view in FIG. 同溶解装置が適用される血液浄化システムを示す模式図Schematic diagram showing the blood purification system to which the lysing device is applied 同溶解装置の構成を概念的に示す模式図Schematic diagram conceptually showing the configuration of the melting device 同溶解装置の構成(給水)を概念的に示す模式図Schematic diagram conceptually showing the configuration (water supply) of the melting device 同溶解装置の構成(給水及び溶解)を概念的に示す模式図Schematic diagram conceptually showing the configuration (water supply and dissolution) of the dissolution device 同溶解装置の構成(溶解及び循環)を概念的に示す模式図Schematic diagram conceptually showing the configuration (dissolution and circulation) of the dissolution device 同溶解装置の構成(送液)を概念的に示す模式図Schematic diagram conceptually showing the configuration (liquid feeding) of the dissolution device 同溶解装置の構成(送液切り替え及び給水)を概念的に示す模式図Schematic diagram conceptually showing the configuration (liquid supply switching and water supply) of the dissolution device 同溶解装置の構成(追加投入)を概念的に示す模式図Schematic diagram conceptually showing the configuration (additional input) of the melting device 同溶解装置の構成(送液切り替え及び移送)を概念的に示す模式図Schematic diagram conceptually showing the configuration (liquid transfer switching and transfer) of the dissolution device 同溶解装置における表示手段による表示内容(メニュー画面)を示す模式図Schematic diagram showing the display contents (menu screen) by the display means in the melting device 同溶解装置における表示手段による表示内容(予測投入タイミング等の表示)を示す模式図Schematic diagram showing the display contents (display of predicted input timing, etc.) by the display means in the melting device. 同表示手段による表示内容(追加量の変更時の表示)を示す模式図Schematic diagram showing the display contents (display when the additional amount is changed) by the display means 同表示手段による表示内容(追加量及び追加回数の変更時の表示)を示す模式図Schematic diagram showing the display contents (display when the amount of addition and the number of additions are changed) by the same display means 同溶解装置における予測投入タイミングの修正時の制御内容を示すフローチャートA flowchart showing the control contents at the time of correcting the predicted closing timing in the melting device. 同溶解装置における予測投入タイミングの修正時の制御内容を示すフローチャートA flowchart showing the control contents at the time of correcting the predicted closing timing in the melting device. 同溶解装置の記憶手段で記憶された過去の透析治療時における透析用原液の経時的な消費傾向を示すグラフA graph showing the consumption tendency of the dialysis stock solution over time during the past dialysis treatment stored by the storage means of the dissolving device. 本発明の他の実施形態に係る溶解装置を示す模式図Schematic diagram showing a melting apparatus according to another embodiment of the present invention.

以下、本発明の実施形態について図面を参照しながら具体的に説明する。
本実施形態に係る溶解装置は、透析用粉末剤を溶解し透析用原液を得るものであって、図1〜5に示すように、透析用粉末剤を溶解して透析用原液を得るとともに、その溶解された透析用原液を所定量収容し得る第1溶解槽2及び第2溶解槽3と、入力手段4と、記憶手段5と、設定手段6と、予測手段7と、表示手段8と、液位検出手段9と、報知手段10とを有して構成されている。
Hereinafter, embodiments of the present invention will be specifically described with reference to the drawings.
The dissolving apparatus according to the present embodiment dissolves a dialysis powder to obtain a dialysis stock solution, and as shown in FIGS. 1 to 5, the dialysis powder is dissolved to obtain a dialysis stock solution, and the dialysis stock solution is obtained. A first dissolution tank 2 and a second dissolution tank 3 capable of accommodating a predetermined amount of the dissolved stock solution for dialysis, an input means 4, a storage means 5, a setting means 6, a prediction means 7, and a display means 8. , The liquid level detecting means 9 and the notifying means 10 are provided.

第1溶解槽2は、重炭酸ナトリウムを含まないもの(A剤)又は重炭酸ナトリウム(B剤)の2種類のうち何れかから成る透析用粉末剤を投入可能な収容空間を有するとともに、給水源から延設された給水ラインL1が接続されている。かかる給水ラインL1には、図5に示すように、電磁弁等から成るバルブV1が配設されており、このバルブV1を開状態とすることにより第1溶解槽2内に給水可能とされている。しかして、給水源から所定量の水を第1溶解槽2内に供給して収容させた後、その水の量に対して決められた量(規定量)の透析用粉末剤を第1溶解槽2に投入することにより、所定量及び所定濃度の透析用原液を得ることができる。 The first dissolution tank 2 has a storage space in which a dialysis powder containing either sodium bicarbonate-free (agent A) or sodium bicarbonate (agent B) can be charged, and is supplied. A water supply line L1 extending from the water source is connected. As shown in FIG. 5, the water supply line L1 is provided with a valve V1 composed of a solenoid valve or the like, and by opening the valve V1, water can be supplied into the first dissolution tank 2. There is. Then, after supplying a predetermined amount of water from the water supply source to the first dissolution tank 2 and accommodating it, a predetermined amount (specified amount) of the dialysis powder is first dissolved with respect to the amount of the water. By putting it in the tank 2, a predetermined amount and a predetermined concentration of undiluted solution for dialysis can be obtained.

第2溶解槽3は、第1溶解槽2に投入される透析用粉末剤と同種の透析用粉末剤を投入可能な空間を有するとともに、図5に示すように、当該第2溶解槽3と第1溶解槽2とを連結する接続ラインL4が接続されている。かかる接続ラインL4には、電磁弁等からなるバルブV2、V3、V4が配設されており、これらバルブV2、V3、V4を開状態にすることにより、第1溶解槽2内の液体を第2溶解槽3内に移送可能とされている。なお、本実施形態に係る第2溶解槽3は、第1溶解槽2に比べて相対的に容量が小さなタンクとされ、オーバーフローラインL5にて第1溶解槽2に接続されている。 The second dissolution tank 3 has a space in which the same type of dialysis powder as the dialysis powder to be charged into the first dissolution tank 2 can be charged, and as shown in FIG. 5, the second dissolution tank 3 and the second dissolution tank 3 A connection line L4 connecting the first melting tank 2 is connected. Valves V2, V3, and V4 made of solenoid valves and the like are arranged in the connection line L4, and by opening these valves V2, V3, and V4, the liquid in the first dissolution tank 2 is brought into the open state. 2 It is possible to transfer it into the melting tank 3. The second melting tank 3 according to the present embodiment is a tank having a relatively smaller capacity than the first melting tank 2, and is connected to the first melting tank 2 by an overflow line L5.

また、第1溶解槽2は、給水ラインL1及び接続ラインL4の他、接続ラインL2が接続されている。かかる接続ラインL2は、一端が第1溶解槽2に接続されるとともに、他端が接続ラインL4における接続部b(バルブV2とバルブV3との間の位置)に接続されている。さらに、接続ラインL2における接続部a(ポンプP1の配設部位と接続部bとの間の位置)には、送液ラインL3の基端が接続されている。かかる送液ラインL3は、ポンプP2が配設されるとともに、電磁弁等から成るバルブV5が配設されている。なお、送液ラインL3と接続ラインL4との間には、電磁弁等から成るバルブV6が配設された接続ラインL6が接続されている。 Further, in the first dissolution tank 2, in addition to the water supply line L1 and the connection line L4, the connection line L2 is connected. One end of the connection line L2 is connected to the first melting tank 2, and the other end is connected to the connection portion b (position between the valve V2 and the valve V3) in the connection line L4. Further, the base end of the liquid feeding line L3 is connected to the connection portion a (position between the arrangement portion of the pump P1 and the connection portion b) in the connection line L2. The liquid feeding line L3 is provided with a pump P2 and a valve V5 made of a solenoid valve or the like. A connection line L6 in which a valve V6 composed of a solenoid valve or the like is arranged is connected between the liquid feeding line L3 and the connection line L4.

送液ラインL3は、その途中にポンプP2が配設されるとともに、先端が透析液供給装置B(図4参照)に接続されており、溶解装置1で作製された透析用原液を透析液供給装置Bに送液可能とされている。かかる透析液供給装置Bは、溶解装置1から送液された透析用原液を所定濃度に希釈して透析液を作製するもので、図4に示すように、配管を介して複数の透析装置Aに接続されている。しかして、溶解装置1で作製された透析用原液は、透析液供給装置Bで所定濃度の透析液とされ、各透析装置Aに送液されて透析治療が施されるようになっている。 In the liquid feeding line L3, a pump P2 is arranged in the middle thereof, and the tip thereof is connected to a dialysate supply device B (see FIG. 4), and a dialysate undiluted solution prepared by the dissolution device 1 is supplied to the dialysate. It is said that the liquid can be sent to the device B. The dialysate supply device B prepares a dialysate by diluting the undiluted solution for dialysis sent from the dissolution device 1 to a predetermined concentration, and as shown in FIG. 4, a plurality of dialysate devices A via a pipe. It is connected to the. Therefore, the stock solution for dialysis produced by the dissolution device 1 is made into a dialysate having a predetermined concentration by the dialysate supply device B, and is sent to each dialysis device A for dialysis treatment.

液位検出手段9は、第1溶解槽2に配設されたセンサから成るもので、第1溶解槽2内に収容された透析用原液の液位を連続的且つリアルタイムに検出可能なものである。本実施形態に係る液位検出手段9は、第1溶解槽2内に収容された液体の液面に浮いて上下移動可能な浮き手段を有した磁歪式リニア変位センサで構成されており、浮き手段の位置を連続的且つリアルタイムに検出することにより、液面(すなわち液位)を検知可能とされている。 The liquid level detecting means 9 includes a sensor arranged in the first dissolution tank 2, and can continuously and in real time detect the liquid level of the undiluted solution for dialysis contained in the first dissolution tank 2. is there. The liquid level detecting means 9 according to the present embodiment is composed of a magnetostrictive linear displacement sensor having a floating means that floats on the liquid surface of the liquid contained in the first dissolution tank 2 and can move up and down. It is possible to detect the liquid level (that is, the liquid level) by continuously and in real time detecting the position of the means.

なお、液位検出手段9は、第1溶解槽2内に収容された透析用原液(供給された水又は溶液であってもよい)の液位を連続的且つリアルタイムに検出可能なものであれば、接触式又は非接触式のどちらのタイプでもよく、本実施形態の如く浮き手段による磁歪式リニア変位センサの他、超音波センサ等により構成するようにしてもよい。また、本実施形態においては、液位検出手段9が第1溶解槽2のみに配設されているが、当該第1溶解槽2と共に第2溶解槽3にも配設するようにしてもよい。 The liquid level detecting means 9 may be capable of continuously and in real time detecting the liquid level of the stock solution for dialysis (which may be supplied water or solution) contained in the first dissolution tank 2. For example, it may be either a contact type or a non-contact type, and may be configured by a magnetostrictive linear displacement sensor by a floating means as in the present embodiment, or an ultrasonic sensor or the like. Further, in the present embodiment, the liquid level detecting means 9 is arranged only in the first dissolution tank 2, but it may be arranged in the second dissolution tank 3 together with the first dissolution tank 2. ..

さらに、液位検出手段9は、報知手段10と電気的に接続されている。かかる報知手段10は、液位検出手段9で検出された透析用原液の液位に基づいて透析用粉末剤の追加投入タイミングを報知し得るもので、音声や効果音等を出力させるスピーカや警告灯などから構成されている。すなわち、液位検出手段9にて検出された液位が所定の高さより低く、透析用原液が不足すると予測される時点において、報知手段10にて報知することにより、追加の透析用粉末剤を医療従事者等の作業者に投入させ、追加溶解することにより透析用原液を追加で作製することができるのである。 Further, the liquid level detecting means 9 is electrically connected to the notifying means 10. The notification means 10 can notify the timing of additional addition of the dialysis powder based on the liquid level of the dialysis stock solution detected by the liquid level detection means 9, and is a speaker or a warning that outputs a voice, a sound effect, or the like. It is composed of lights and the like. That is, when the liquid level detected by the liquid level detecting means 9 is lower than a predetermined height and it is predicted that the undiluted solution for dialysis will be insufficient, the notification means 10 notifies the additional powder for dialysis. An undiluted solution for dialysis can be additionally prepared by adding it to a worker such as a medical worker and additionally dissolving it.

次に、本実施形態に係る溶解装置1による溶解のための動作について説明する。
先ず、透析治療前(治療前日の夜等)において、図6に示すように、第2溶解槽3に所定量(準備溶解袋数)の透析用粉末剤を投入して収容させておく。そして、バルブV1、V2を開状態としつつバルブV3〜V6を閉状態とすることにより、給水源から第1溶解槽2に給水するとともに、ポンプP1を駆動させることにより、供給された水を循環させる。
Next, the operation for melting by the melting device 1 according to the present embodiment will be described.
First, before the dialysis treatment (the night before the treatment, etc.), as shown in FIG. 6, a predetermined amount (the number of prepared dissolution bags) of the dialysis powder is charged into the second dissolution tank 3 and stored. Then, by closing the valves V3 to V6 while keeping the valves V1 and V2 open, water is supplied from the water supply source to the first dissolution tank 2, and the supplied water is circulated by driving the pump P1. Let me.

その後、図7に示すように、バルブV1、V3、V4を開状態としつつバルブV2、V5、V6を閉状態とし、給水源からの給水及びポンプP1の駆動を継続して行わせることにより、第1溶解槽2内の水を第2溶解槽3に送り込む。これにより、予め第2溶解槽3内に収容された透析用粉末剤に水が送り込まれて溶解するとともに、その溶解液(透析用原液となる過程の溶液)がオーバーフローラインL5を介して第1溶解槽2に送り込まれることとなる。 After that, as shown in FIG. 7, the valves V1, V3, and V4 are opened and the valves V2, V5, and V6 are closed, and the water supply from the water supply source and the driving of the pump P1 are continuously performed. The water in the first melting tank 2 is sent to the second melting tank 3. As a result, water is sent to the dialysis powder prepared in the second dissolution tank 3 in advance and dissolved, and the dissolution solution (the solution in the process of becoming the dialysis stock solution) is first passed through the overflow line L5. It will be sent to the melting tank 2.

そして、所定量の給水が行われると、図8に示すように、バルブV3、V4を開状態としつつバルブV1、V2、V5、V6を閉状態とし、給水源からの給水を停止する一方、ポンプP1の駆動を継続して行わせることにより、第1溶解槽2と第2溶解槽3との間で透析用原液を循環させる。これにより、作製した透析用原液を攪拌することができ、均一な濃度の透析用原液を得ることができる。 Then, when a predetermined amount of water is supplied, as shown in FIG. 8, the valves V3 and V4 are opened and the valves V1, V2, V5 and V6 are closed, and the water supply from the water supply source is stopped. By continuously driving the pump P1, the stock solution for dialysis is circulated between the first dissolution tank 2 and the second dissolution tank 3. As a result, the prepared dialysis stock solution can be agitated, and a dialysis stock solution having a uniform concentration can be obtained.

上記のように第1溶解槽2及び第2溶解槽3のそれぞれに透析用原液が収容された状態において、図9に示すように、バルブV5を開状態としつつバルブV1〜V4、V6を閉状態とし、ポンプP1及びポンプP2を駆動させることにより、送液ラインL3を介して第1溶解槽2内の透析用原液を透析液供給装置Bに送液することができ、所定濃度の透析液を各透析装置Aに供給させて透析治療を行わせることができる。 As described above, in the state where the stock solution for dialysis is contained in each of the first dissolution tank 2 and the second dissolution tank 3, as shown in FIG. 9, the valves V1 to V4 and V6 are closed while the valves V5 are opened. By driving the pump P1 and the pump P2 in this state, the undiluted solution for dialysis in the first dissolution tank 2 can be supplied to the dialysate supply device B via the solution feeding line L3, and the dialysate having a predetermined concentration can be supplied. Can be supplied to each dialysis apparatus A to perform dialysis treatment.

その後、液位検出手段9にて第1溶解槽2内の透析用原液の液位が所定高さに達すると、報知手段10にて追加投入のための報知がなされる。この場合、図10に示すように、バルブV1、V2、V4、V6を開状態としつつバルブV3、V5を閉状態とし、給水源からの給水を行わせる一方、ポンプP2の駆動を継続して行わせることにより、第1溶解槽2に代えて第2溶解槽3内の透析用原液を透析液供給装置Bに送液する。 After that, when the liquid level of the stock solution for dialysis in the first dissolution tank 2 reaches a predetermined height by the liquid level detecting means 9, the notification means 10 notifies the additional charging. In this case, as shown in FIG. 10, the valves V1, V2, V4, and V6 are opened and the valves V3 and V5 are closed to supply water from the water supply source, while the pump P2 is continuously driven. By doing so, the stock solution for dialysis in the second dissolution tank 3 is sent to the dialysate supply device B instead of the first dissolution tank 2.

しかして、第1溶解槽2内に所定量(追加投入袋数)の追加の透析用粉末剤を投入させることができ、その投入された透析用粉末剤が給水源からの給水によって溶解されることとなる。なお、ポンプP1を駆動させることにより、透析用原液となる過程の溶液を循環させることができる。これにより、第1溶解槽2に代えて第2溶解槽3からの透析用原液の送液が引き続き行われるとともに、第1溶解槽2において追加の透析用粉末剤を投入させて溶解することができる。 Therefore, a predetermined amount (the number of additional charging bags) of the additional dialysis powder can be charged into the first dissolution tank 2, and the charged dialysis powder is dissolved by water supply from the water supply source. It will be. By driving the pump P1, the solution in the process of becoming a stock solution for dialysis can be circulated. As a result, the stock solution for dialysis is continuously sent from the second dissolution tank 3 instead of the first dissolution tank 2, and an additional powder for dialysis can be added and dissolved in the first dissolution tank 2. it can.

そして、所定量の給水が行われると、図11に示すように、バルブV2、V4、V6を開状態としつつバルブV1、V3、V5を閉状態とし、給水源からの給水を停止する一方、ポンプP1、P2の駆動を継続して行わせることにより、第2溶解槽3から透析用原液の送液を引き続き行わせるとともに、第1溶解槽2内の透析用原液を循環させて攪拌し、均一な濃度の透析用原液を得ることができる。 Then, when a predetermined amount of water is supplied, as shown in FIG. 11, the valves V2, V4, and V6 are opened and the valves V1, V3, and V5 are closed, and the water supply from the water supply source is stopped. By continuously driving the pumps P1 and P2, the undiluted solution for dialysis is continuously sent from the second dissolution tank 3, and the undiluted solution for dialysis in the first dissolution tank 2 is circulated and stirred. A dialysis stock solution having a uniform concentration can be obtained.

上記のように第1溶解槽2に透析用原液が収容された状態において、図12に示すように、バルブV2〜V5を開状態としつつバルブV1、V6を閉状態とし、ポンプP1及びポンプP2を駆動させることにより、送液ラインL3を介して第1溶解槽2内の透析用原液を透析液供給装置Bに送液することができ、所定濃度の透析液を各透析装置Aに供給させて透析治療を行わせることができる。このとき、第1溶解槽2内の透析用原液の一部は、第2溶解槽3内に移送され、オーバーフローラインL5にてオーバーフローする状態まで透析用原液が送り込まれることとなる。 In the state where the undiluted solution for dialysis is contained in the first dissolution tank 2 as described above, as shown in FIG. 12, the valves V1 and V6 are closed while the valves V2 to V5 are open, and the pumps P1 and P2 are closed. By driving, the undiluted solution for dialysis in the first dissolution tank 2 can be supplied to the dialysate supply device B via the solution supply line L3, and the dialysate having a predetermined concentration is supplied to each dialysate device A. Can be used for dialysis treatment. At this time, a part of the dialysis stock solution in the first dissolution tank 2 is transferred to the second dissolution tank 3, and the dialysis stock solution is sent to a state of overflowing at the overflow line L5.

その後、図9に示すように、バルブV5を開状態としつつバルブV1〜V4、V6を閉状態とし、ポンプP1及びポンプP2を駆動させることにより、送液ラインL3を介して第1溶解槽2内の透析用原液を透析液供給装置Bに送液することができ、所定濃度の透析液を各透析装置Aに供給させて透析治療を行わせることができる。これにより、第1溶解槽2にて追加溶解された透析用原液を透析液供給装置Bに供給することができるので、各透析装置Aによる透析治療を継続して行わせることができる。 After that, as shown in FIG. 9, the valves V1 to V4 and V6 are closed while the valves V5 are open, and the pumps P1 and P2 are driven to drive the first dissolution tank 2 via the liquid feed line L3. The stock solution for dialysis can be sent to the dialysate supply device B, and the dialysate having a predetermined concentration can be supplied to each dialysis device A to perform dialysis treatment. As a result, the stock solution for dialysis additionally dissolved in the first dissolution tank 2 can be supplied to the dialysate supply device B, so that the dialysis treatment by each dialysis device A can be continuously performed.

このように、本実施形態に係る溶解装置1は、透析治療中、患者に透析治療を施すための複数の透析装置A側に第1溶解槽2及び第2溶解槽3の透析用原液を送液するのに伴って、追加の透析用粉末剤を所定量毎(本実施形態においては透析用粉末剤を収容する袋単位(袋数))に投入させて溶解し得るものであり、所謂バッチ式と称される溶解装置から成るものとされている。 As described above, the dissolving apparatus 1 according to the present embodiment sends the dialysis stock solutions of the first dissolving tank 2 and the second dissolving tank 3 to the plurality of dialysis apparatus A sides for performing the dialysis treatment on the patient during the dialysis treatment. Along with the liquid, an additional dialysis powder can be added into a predetermined amount (in this embodiment, a bag unit (the number of bags) containing the dialysis powder) to dissolve the dialysis powder, which is a so-called batch. It is supposed to consist of a melting device called a formula.

ここで、本実施形態に係る溶解装置1の筐体部には、図5に示すように、入力手段4と、記憶手段5と、設定手段6と、予測手段7と、表示手段8とを有して構成されている。入力手段4は、操作者が入力操作可能な操作スイッチやタッチパネル等により構成されたもので、本実施形態においては、透析治療において必要とされる透析用粉末剤の総量を入力し得るものとされている。 Here, as shown in FIG. 5, the housing portion of the melting device 1 according to the present embodiment includes an input means 4, a storage means 5, a setting means 6, a prediction means 7, and a display means 8. It is configured to have. The input means 4 is composed of an operation switch, a touch panel, or the like that can be input-operated by the operator, and in the present embodiment, the total amount of the dialysis powder required for dialysis treatment can be input. ing.

表示手段8は、溶解作業に関する種々表示を行い得る液晶モニタ等にて構成されるもので、本実施形態においては、入力手段4と表示手段8とを兼用するタッチパネルにて構成されている。なお、入力手段4と表示手段8とを兼用するタッチパネルとするものの他、入力手段4と表示手段8とを別個に具備するものとしてもよい。 The display means 8 is composed of a liquid crystal monitor or the like capable of performing various displays related to the melting operation, and in the present embodiment, the display means 8 is composed of a touch panel that also serves as the input means 4 and the display means 8. In addition to the touch panel that also serves as the input means 4 and the display means 8, the input means 4 and the display means 8 may be separately provided.

記憶手段5は、過去の透析治療中における追加の透析用粉末剤を投入したタイミングを実績投入タイミングとして記憶し得るもので、本実施形態においては、病院等の医療施設における患者の治療日程に対応した特定の治療日毎(具体的には曜日毎)に実績投入タイミングを記憶するよう構成されている。すなわち、透析患者は、通常、決まった曜日(例えば月曜日、水曜日及び金曜日)に透析治療を受けることから、医療従事者も曜日毎に決まった作業を行うこととなる。したがって、曜日(患者の治療日程に対応した特定の治療日毎)によって透析用原液や透析液の消費量及び流量がほぼ一定となるので、曜日毎に実績投入タイミングを記憶すれば追加の透析用粉末剤を投入するタイミングを精度よく予測することができる。 The storage means 5 can store the timing of adding the additional dialysis powder during the past dialysis treatment as the actual input timing, and in the present embodiment, it corresponds to the treatment schedule of the patient in a medical facility such as a hospital. It is configured to store the actual input timing for each specific treatment day (specifically, for each day). That is, since dialysis patients usually receive dialysis treatment on fixed days of the week (for example, Monday, Wednesday, and Friday), medical staff also perform fixed work on each day of the week. Therefore, the consumption amount and flow rate of the dialysis stock solution and dialysate are almost constant depending on the day of the week (each specific treatment day corresponding to the patient's treatment schedule). Therefore, if the actual input timing is memorized for each day of the week, additional dialysis powder is added. It is possible to accurately predict the timing of adding the agent.

設定手段6は、入力手段4にて入力された透析用粉末剤の総量に基づいて、透析用粉末剤を追加投入すべき追加回数と、各追加投入タイミングで投入すべき透析用粉末剤の追加量とを自動的に設定し得るものである。例えば、表示手段8において、図13に示すようなメニュー画面で特定の曜日(例えば月曜日)を選択し、その日に必要とされる透析用粉末剤の総量を入力すると、準備溶解量(治療前に予め溶解する袋数)と、透析用粉末剤を追加する回数(追加回数)と、各追加タイミングで投入すべき透析用粉末剤の投入量(追加時の袋数)とを自動的に割り振って設定し、図14に示すように、表示手段8にて表示させるよう構成されている。 The setting means 6 adds the number of additional dialysis powders to be added and the addition of the dialysis powders to be added at each additional addition timing based on the total amount of the dialysis powders input by the input means 4. The amount and can be set automatically. For example, in the display means 8, when a specific day of the week (for example, Monday) is selected on the menu screen as shown in FIG. 13 and the total amount of dialysis powder required for that day is input, the prepared dissolution amount (before treatment) is input. The number of bags to be dissolved in advance), the number of times the dialysis powder is added (the number of additions), and the amount of the dialysis powder to be added at each additional timing (the number of bags at the time of addition) are automatically assigned. It is configured to be set and displayed by the display means 8 as shown in FIG.

予測手段7は、記憶手段5で記憶された実績投入タイミング(本実施形態においては時刻)に基づいて、これから行われる透析治療中における追加の透析用粉末剤を投入するタイミングを予測投入タイミングとして予測し得るものである。具体的には、記憶手段5で記憶された実績投入タイミングのうち直近のもの(これから透析治療する日が月曜日であれば、先週の月曜日のもの)が予測投入タイミングとされるとともに、その後の曜日毎の透析治療日において、実績投入タイミングを順次上書き保存し、記憶手段5で記憶される実績投入タイミングを透析治療日毎にアップデート(記憶した情報を更新)するようになっている。 The prediction means 7 predicts the timing of adding the additional dialysis powder during the dialysis treatment to be performed as the predicted input timing based on the actual input timing (time in the present embodiment) stored in the storage means 5. It is possible. Specifically, among the actual input timings stored in the storage means 5, the latest input timing (if the day of dialysis treatment is from now on is Monday, the one of last Monday) is set as the predicted input timing, and the day after that. On each dialysis treatment day, the actual input timing is sequentially overwritten and saved, and the actual input timing stored in the storage means 5 is updated (stored information is updated) for each dialysis treatment day.

また、予測手段7による予測投入タイミングの予測方法として、上記のものに限らず、例えば過去の透析治療中における複数の実績投入タイミングを記憶手段5で記憶しておき、その平均値等を演算して予測投入タイミングとするもの、或いは曜日毎の透析用原液の消費パターン(消費傾向)が一定となったことを条件として、その消費パターンに基づいて予測投入タイミングを予測するもの等であってもよい。 Further, the method of predicting the predicted input timing by the predicting means 7 is not limited to the above, for example, a plurality of actual input timings during the past dialysis treatment are stored in the storage means 5, and the average value or the like is calculated. Even if the predicted loading timing is used, or if the consumption pattern (consumption tendency) of the undiluted solution for dialysis is constant for each day, the predicted loading timing is predicted based on the consumption pattern. Good.

なお、最初に本装置を使用する場合や試運転を行う場合等、記憶手段5にて実績投入タイミングが記憶されていない場合、例えば1クール(特定の医療施設において1日で行われる治療の単位)を5時間とし、そのうち準備作業に30分、返血作業に30分及び液置換に30分それぞれかかることを想定し、クール毎の血液治療の開始時刻及び患者の数(床数)等を考慮すれば、実績投入タイミングが記憶されていなくても透析用粉末剤の投入タイミングを予測することができる。 If the storage means 5 does not store the actual input timing, such as when using this device for the first time or when performing a trial run, for example, one course (a unit of treatment performed in one day at a specific medical facility). It is assumed that it will take 30 minutes for preparation work, 30 minutes for blood return work, and 30 minutes for liquid replacement, and consider the start time of blood treatment and the number of patients (number of beds) for each course. By doing so, it is possible to predict the injection timing of the dialysis powder even if the actual injection timing is not stored.

また、溶解工程において、その日の透析用粉末剤の総量(袋数)が一時的に増加する場合、袋数1つにつき患者が1人変更になったと想定し、それまでの実績データに透析用原液の消費速度を対応させて透析用原液の消費傾向を作成し、透析用粉末剤の投入タイミングを予測してもよく、透析用粉末剤の総量(袋数)が恒久的に増加する場合、袋数1つにつき患者が1人変更になったと想定し、透析用原液の消費速度を対応させて透析用原液の消費傾向を作成し、透析用粉末剤の投入タイミングを予測してもよい。 In addition, if the total amount (number of bags) of dialysis powder on that day increases temporarily in the dissolution process, it is assumed that one patient has changed for each number of bags, and the actual data up to that point is for dialysis. The consumption tendency of the dialysis stock solution may be created by matching the consumption rate of the stock solution to predict the injection timing of the dialysis powder, and when the total amount (number of bags) of the dialysis powder increases permanently. Assuming that one patient is changed for each number of bags, the consumption tendency of the dialysis stock solution may be created by matching the consumption rate of the dialysis stock solution, and the timing of adding the dialysis powder may be predicted.

表示手段8は、上述の如く溶解作業に関する種々表示を行い得るもので、特に本実施形態においては、図14に示すように、予測手段7で予測された予測投入タイミングを表示し得るよう構成されている。また、本実施形態に係る表示手段8は、同図に示すように、予測手段7で予測された予測投入タイミングと併せて設定手段6で設定された追加回数及び追加量が表示されている。しかるに、本実施形態においては、表示手段8で表示される予測投入タイミングが「時刻」とされているが、投入タイミングが分かる他の形態であってもよく、例えば溶解開始時からの経過時間を予測投入タイミングとして表示するようにしてもよい。 As described above, the display means 8 can display various indications related to the melting operation, and particularly in the present embodiment, as shown in FIG. 14, the display means 8 is configured to be able to display the predicted input timing predicted by the predictor 7. ing. Further, as shown in the figure, the display means 8 according to the present embodiment displays the number of additions and the amount of addition set by the setting means 6 together with the predicted input timing predicted by the predicting means 7. However, in the present embodiment, the predicted charging timing displayed by the display means 8 is set to "time", but it may be in another form in which the charging timing is known, for example, the elapsed time from the start of melting. It may be displayed as a predicted input timing.

さらに、本実施形態に係る予測手段7は、報知手段10で報知された追加投入タイミングに基づいて次回以降の予測投入タイミングを修正し、その修正された予測投入タイミングを表示手段8にて表示させ得るよう構成されている。例えば、図17に示すように、報知手段10で報知された実際の追加投入タイミングと、そのときの予測手段7で予測された予測投入タイミングとの時間差(Δt)を算出し(S1)、次回以降の予測投入タイミングを時間差(Δt)だけずらす(S2)ことにより、予測投入タイミングを逐次修正し、その修正された予測投入タイミングが表示手段8にて表示されることとなる。 Further, the prediction means 7 according to the present embodiment corrects the predicted input timing from the next time onward based on the additional input timing notified by the notification means 10, and causes the display means 8 to display the corrected predicted input timing. It is configured to get. For example, as shown in FIG. 17, the time difference (Δt) between the actual additional input timing notified by the notification means 10 and the predicted input timing predicted by the prediction means 7 at that time is calculated (S1), and the next time. By shifting the subsequent predicted input timing by the time difference (Δt) (S2), the predicted input timing is sequentially corrected, and the corrected predicted input timing is displayed on the display means 8.

またさらに、本実施形態においては、設定手段6で設定された追加回数又は追加量を任意に変更可能とされるとともに、予測手段7は、当該変更に対応して予測投入タイミングを修正し、その修正された予測投入タイミングを表示手段8にて表示させ得るよう構成されている。例えば、図15に示すように、1回目における透析用粉末剤の追加量を10袋から8袋に変更した場合、その分、最終回(同図においては4回目)における追加量を修正して表示するとともに、2回目以降の予測投入タイミングをずらして表示させる。また、図16に示すように、1回あたりの透析液粉末剤の追加量を8袋に減らし、追加回数を5回に増加させることも可能とされている。 Furthermore, in the present embodiment, the number of additions or the amount of addition set by the setting means 6 can be arbitrarily changed, and the prediction means 7 modifies the prediction input timing in response to the change. The display means 8 can display the corrected predicted input timing. For example, as shown in FIG. 15, when the additional amount of the dialysis powder in the first round is changed from 10 bags to 8 bags, the additional amount in the final round (the fourth round in the figure) is corrected accordingly. In addition to displaying, the predicted input timing for the second and subsequent times is shifted and displayed. Further, as shown in FIG. 16, it is also possible to reduce the amount of dialysate powder added at one time to 8 bags and increase the number of times of addition to 5 times.

このように、追加量(袋数)を変更する場合、図19に示すように、記憶手段5にて過去の透析治療における透析用原液の経時的な消費傾向を記憶しておく。そして、例えば図18に示すように、変更される袋数から生成される透析用原液の量を算出し(S1)、その透析用原液が消費される時刻を記憶手段5に記憶されたデータ(透析用原液の経時的な消費傾向)から予測(S2)した後、袋数が変更された以降の予測投入タイミングを修正(S3)することにより、その修正された予測投入タイミングが表示手段8にて表示されることとなる。 When the additional amount (number of bags) is changed in this way, as shown in FIG. 19, the storage means 5 stores the tendency of consumption of the dialysis stock solution over time in the past dialysis treatment. Then, for example, as shown in FIG. 18, the amount of the dialysis stock solution generated from the changed number of bags is calculated (S1), and the time when the dialysis stock solution is consumed is stored in the storage means 5 (data (S1). After predicting (S2) from (the tendency of consumption of the undiluted solution for dialysis over time), the predicted charging timing after the number of bags is changed is corrected (S3), so that the corrected predicted charging timing is displayed on the display means 8. Will be displayed.

上記実施形態によれば、過去の透析治療中における追加の透析用粉末剤を投入したタイミングを実績投入タイミングとして記憶し得る記憶手段5と、記憶手段5で記憶された実績投入タイミングに基づいて、これから行われる透析治療中における追加の透析用粉末剤を投入するタイミングを予測投入タイミングとして予測し得る予測手段7と、予測手段7で予測された予測投入タイミングを表示し得る表示手段8とを具備したので、追加の透析用粉末剤の投入タイミングを作業者に対して予め把握させることができる。 According to the above embodiment, based on the storage means 5 that can store the timing of adding the additional dialysis powder during the past dialysis treatment as the actual input timing and the actual input timing stored in the storage means 5. Predicting means 7 capable of predicting the timing of adding additional dialysis powder during dialysis treatment to be performed as predicted charging timing, and display means 8 capable of displaying the predicted charging timing predicted by the predicting means 7 are provided. Therefore, it is possible to make the operator know in advance the timing of adding the additional dialysis powder.

また、透析治療において必要とされる透析用粉末剤の総量を入力し得るとともに、入力された透析用粉末剤の総量に基づいて、透析用粉末剤を追加投入すべき追加回数と、各追加投入タイミングで投入すべき透析用粉末剤の追加量とを設定し得る設定手段6を具備し、表示手段8は、予測投入タイミングと併せて設定手段6で設定された追加回数及び追加量を表示可能とされたので、追加回数及び追加量と併せて追加の透析用粉末剤の投入タイミングを作業者に対して予め把握させることができる。 In addition, the total amount of dialysis powder required for dialysis treatment can be input, and based on the input total amount of dialysis powder, the number of additional dialysis powders to be added and the number of additional dialysis powders to be added are added. A setting means 6 capable of setting an additional amount of the dialysis powder to be charged at the timing is provided, and the display means 8 can display the number of additions and the additional amount set by the setting means 6 together with the predicted charging timing. Therefore, it is possible to make the operator know in advance the timing of adding the additional dialysis powder along with the number of additions and the amount of addition.

さらに、設定手段6で設定された追加回数又は追加量を任意に変更可能とされるとともに、予測手段7は、当該変更に対応して予測投入タイミングを修正し、その修正された予測投入タイミングを表示手段8にて表示させ得るので、追加回数又は追加量の変更に伴う予測投入タイミングのずれを自動的に修正して表示させることができる。 Further, the number of additions or the amount of addition set by the setting means 6 can be arbitrarily changed, and the prediction means 7 corrects the predicted input timing in response to the change, and sets the corrected predicted input timing. Since it can be displayed by the display means 8, it is possible to automatically correct and display the deviation of the predicted input timing due to the change in the number of additions or the amount of addition.

またさらに、溶解槽(2、3)内に収容された透析用原液の液位を連続的且つリアルタイムに検出可能な液位検出手段9と、液位検出手段9で検出された透析用原液の液位に基づいて透析用粉末剤の追加投入タイミングを報知し得る報知手段10とを具備するとともに、予測手段7は、報知手段10で報知された追加投入タイミングに基づいて次回以降の予測投入タイミングを修正し、その修正された予測投入タイミングを表示手段8にて表示させ得るので、予測投入タイミングが報知手段10で報知された実際の追加投入タイミングに対してずれた場合、そのずれを修正して表示させることができ、予測投入タイミングを精度よく予測することができる。 Furthermore, the liquid level detecting means 9 capable of continuously and in real time detecting the liquid level of the dialysis stock solution contained in the dissolution tanks (2, 3) and the dialysis stock solution detected by the liquid level detecting means 9 A notification means 10 capable of notifying the additional injection timing of the dialysis powder based on the liquid level is provided, and the prediction means 7 predicts the next and subsequent additional injection timings based on the additional injection timing notified by the notification means 10. Is corrected, and the corrected predicted input timing can be displayed on the display means 8. Therefore, if the predicted input timing deviates from the actual additional input timing notified by the notification means 10, the deviation is corrected. Can be displayed, and the predicted input timing can be predicted accurately.

特に、本実施形態に係る記憶手段5は、医療施設における患者の治療日程(治療サイクル)に対応した特定の治療日毎(本実施形態においては曜日毎)に実績投入タイミングを記憶するとともに、予測手段7は、当該特定の治療日毎の予測投入タイミングを予測して表示手段で表示させ得るので、患者の治療日程が予め決まっている透析治療において、予測投入タイミングをより精度よく予測することができる。 In particular, the storage means 5 according to the present embodiment stores the actual input timing for each specific treatment day (every day in the present embodiment) corresponding to the treatment schedule (treatment cycle) of the patient in the medical facility, and is a prediction means. In No. 7, since the predicted input timing for each specific treatment day can be predicted and displayed by the display means, the predicted input timing can be predicted more accurately in the dialysis treatment in which the treatment schedule of the patient is predetermined.

さらに、表示手段8で表示される予測投入タイミングは、時刻又は溶解開始時からの経過時間とされるので、追加の透析用粉末剤の投入タイミングを作業者に対してより正確に把握させることができる。なお、本実施形態においては、予測投入タイミングと併せて設定手段6で設定された追加回数及び追加量を表として表示しているので、追加タイミングを視覚的に把握させることができる。これらの表示は、表以外、グラフ等として表示されるようにしてもよい。 Further, since the predicted charging timing displayed by the display means 8 is the time or the elapsed time from the start of dissolution, it is possible to make the operator more accurately grasp the charging timing of the additional dialysis powder. it can. In the present embodiment, the number of additions and the amount of addition set by the setting means 6 are displayed as a table together with the predicted input timing, so that the timing of addition can be visually grasped. These displays may be displayed as graphs or the like other than tables.

以上、本実施形態について説明したが、本発明はこれに限定されず、例えば図20に示すように、所定量の透析用粉末剤を収容する収容手段Mと、収容手段M内の透析用粉末剤を所定量ずつ溶解槽Tに供給し得るフィーダFと、収容手段M内の透析用粉末の重量を経時的に計測し得る重量計Sとを有した溶解装置に適用してもよい。この場合、追加の透析用粉末剤は、収容手段Mに対して投入されることとなり、その実績投入タイミングが記憶されるとともに予測投入タイミングを予測して表示手段8にて表示させることができる。 Although the present embodiment has been described above, the present invention is not limited to this, and as shown in FIG. 20, for example, a storage means M for storing a predetermined amount of dialysis powder and a dialysis powder in the storage means M. It may be applied to a dissolving device having a feeder F capable of supplying a predetermined amount of the agent to the dissolving tank T and a weighing scale S capable of measuring the weight of the dialysis powder in the accommodating means M over time. In this case, the additional dialysis powder is charged to the accommodating means M, the actual charging timing is stored, and the predicted charging timing can be predicted and displayed on the display means 8.

さらに、本実施形態に係る溶解装置1は、透析用粉末剤を投入して溶解するための第1溶解槽2及び第2溶解槽3を具備しているが、1つの溶解槽を具備したもの或いは3つ以上の溶解槽を具備したものに適用してもよい。また、記憶手段5は、曜日毎に実績投入タイミングを記憶し、曜日毎に表示手段8にて予測投入タイミングを表示しているが、医療施設における患者の治療日程に対応した特定の治療日毎であれば、他の日程であってもよい。 Further, the dissolution apparatus 1 according to the present embodiment includes a first dissolution tank 2 and a second dissolution tank 3 for adding and dissolving a dialysis powder, but includes one dissolution tank. Alternatively, it may be applied to those provided with three or more melting tanks. Further, the storage means 5 stores the actual input timing for each day of the week, and the display means 8 displays the predicted input timing for each day of the week, but for each specific treatment day corresponding to the treatment schedule of the patient in the medical facility. If there is, it may be another schedule.

過去の透析治療中における追加の透析用粉末剤を投入したタイミングを実績投入タイミングとして記憶し得る記憶手段と、記憶手段で記憶された実績投入タイミングに基づいて、これから行われる透析治療中における追加の透析用粉末剤を投入するタイミングを予測投入タイミングとして予測し得る予測手段と、予測手段で予測された予測投入タイミングを表示し得る表示手段とを具備した溶解装置であれば、外観形状が異なるもの或いは他の機能が付加されたもの等にも適用することができる。 Based on the storage means that can memorize the timing of adding the additional dialysis powder during the past dialysis treatment as the actual input timing and the actual input timing memorized by the storage means, the additional dialysis treatment to be performed in the future. If the dissolution device is provided with a predicting means capable of predicting the timing of charging the dialysis powder as a predicted charging timing and a display means capable of displaying the predicted charging timing predicted by the predicting means, the appearance shape is different. Alternatively, it can be applied to those to which other functions are added.

1 溶解装置
2 第1溶解槽
3 第2溶解槽
4 入力手段
5 記憶手段
6 設定手段
7 予測手段
8 表示手段
9 液位検出手段
10 報知手段
L1 給水ライン
L2 接続ライン
L3 送液ライン
L4 接続ライン
L5 オーバーフローライン
A 透析装置
B 透析液供給装置
1 Dissolution device 2 1st dissolution tank 3 2nd dissolution tank 4 Input means 5 Storage means 6 Setting means 7 Prediction means 8 Display means 9 Liquid level detection means 10 Notification means L1 Water supply line L2 Connection line L3 Liquid supply line L4 Connection line L5 Overflow line A dialysate B dialysate supply device

Claims (6)

透析用粉末剤を溶解して透析用原液を得るとともに、その溶解された透析用原液を所定量収容し得る溶解槽を具備し、透析治療中、患者に透析治療を施すための複数の透析装置側に前記溶解槽の透析用原液を送液するのに伴って、追加の透析用粉末剤を所定量毎に投入させて溶解し得る溶解装置において、
過去の透析治療中における追加の透析用粉末剤を投入したタイミングを実績投入タイミングとして記憶する記憶手段と、
前記記憶手段で記憶された実績投入タイミングに基づいて、これから行われる透析治療中における追加の透析用粉末剤を投入するタイミングを予測投入タイミングとして予測する予測手段と、
前記予測手段で予測されたタイミングであって透析治療中における追加の透析用粉末剤を投入するタイミングである前記予測投入タイミングを表示する表示手段と、
を具備したことを特徴とする溶解装置。
A plurality of dialysis devices for providing dialysis treatment to a patient during dialysis treatment, provided with a dissolution tank capable of dissolving a dialysis powder to obtain a dialysis stock solution and accommodating a predetermined amount of the dissolved dialysis stock solution. In a dissolution device capable of dissolving by adding an additional dialysis powder in predetermined amounts as the undiluted solution for dialysis in the dissolution tank is sent to the side.
A storage means for storing the timing of adding additional dialysis powder during past dialysis treatment as the actual input timing,
Based on the actual input timing stored in the storage means, a predictive means for predicting the timing of adding additional dialysis powder during the dialysis treatment to be performed as a predicted input timing, and
A display means for displaying the predicted injection timing, which is the timing predicted by the predictive means and is the timing for adding the additional dialysis powder during the dialysis treatment .
A melting device characterized by being provided with.
透析治療において必要とされる透析用粉末剤の総量を入力し得るとともに、入力された透析用粉末剤の総量に基づいて、透析用粉末剤を追加投入すべき追加回数と、各追加投入タイミングで投入すべき透析用粉末剤の追加量とを設定し得る設定手段を具備し、前記表示手段は、前記予測投入タイミングと併せて前記設定手段で設定された追加回数及び追加量を表示可能とされたことを特徴とする請求項1記載の溶解装置。 The total amount of dialysis powder required for dialysis treatment can be input, and based on the input total amount of dialysis powder, the number of additional dialysis powders to be added and the timing of each additional addition A setting means capable of setting an additional amount of the dialysis powder to be added is provided, and the display means can display the number of additions and the additional amount set by the setting means together with the predicted addition timing. The melting apparatus according to claim 1, wherein the dissolution apparatus is characterized by the above. 前記設定手段で設定された追加回数又は追加量を任意に変更可能とされるとともに、前記予測手段は、当該変更に対応して前記予測投入タイミングを修正し、その修正された予測投入タイミングを前記表示手段にて表示させ得ることを特徴とする請求項2記載の溶解装置。 The number of additions or the amount of addition set by the setting means can be arbitrarily changed, and the prediction means modifies the predicted input timing in response to the change and sets the corrected predicted input timing as described above. The melting device according to claim 2, wherein the melting device can be displayed by a display means. 前記溶解槽内に収容された透析用原液の液位を連続的且つリアルタイムに検出可能な液位検出手段と、
前記液位検出手段で検出された透析用原液の液位に基づいて前記透析用粉末剤の追加投入タイミングを報知し得る報知手段と、
を具備するとともに、前記予測手段は、前記報知手段で報知された追加投入タイミングに基づいて次回以降の前記予測投入タイミングを修正し、その修正された予測投入タイミングを前記表示手段にて表示させ得ることを特徴とする請求項2又は3記載の溶解装置。
A liquid level detecting means capable of continuously and in real time detecting the liquid level of the stock solution for dialysis contained in the dissolution tank.
A notification means capable of notifying the timing of additional addition of the dialysis powder based on the liquid level of the dialysis stock solution detected by the liquid level detecting means, and
The predictive means can modify the predicted input timing from the next time onward based on the additional input timing notified by the notification means, and display the corrected predicted input timing on the display means. The melting device according to claim 2 or 3, wherein the melting device is characterized by the above.
前記記憶手段は、医療施設における患者の治療日程に対応した特定の治療日毎に前記実績投入タイミングを記憶するとともに、前記予測手段は、当該特定の治療日毎の予測投入タイミングを予測して前記表示手段で表示させ得ることを特徴とする請求項1〜4の何れか1つに記載の溶解装置。 The storage means stores the actual input timing for each specific treatment day corresponding to the treatment schedule of the patient in the medical facility, and the prediction means predicts the predicted input timing for each specific treatment day and displays the display means. The dissolving apparatus according to any one of claims 1 to 4, wherein the dissolution apparatus can be displayed with. 前記表示手段で表示される予測投入タイミングは、時刻又は溶解開始時からの経過時間とされることを特徴とする請求項1〜5の何れか1つに記載の溶解装置。 The melting apparatus according to any one of claims 1 to 5, wherein the predicted charging timing displayed by the display means is a time or an elapsed time from the start of melting.
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