CN103990194B - A kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument - Google Patents

A kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument Download PDF

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CN103990194B
CN103990194B CN201410177094.XA CN201410177094A CN103990194B CN 103990194 B CN103990194 B CN 103990194B CN 201410177094 A CN201410177094 A CN 201410177094A CN 103990194 B CN103990194 B CN 103990194B
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temperature
difference
temperature sensor
temperature parameter
parameter
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CN103990194A (en
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林慧勇
潘力
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VR Medical Technology Co Ltd
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VR Medical Technology Co Ltd
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    • 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
    • A61M1/28Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • 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
    • A61M1/28Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A61M1/287Dialysates therefor
    • 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
    • A61M1/166Heating
    • A61M1/1664Heating with temperature control

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  • Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Engineering & Computer Science (AREA)
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  • Biomedical Technology (AREA)
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Abstract

The embodiment of the present invention provides a kind of dialysate temperature monitoring method, and it includes step: obtain the temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument by the first temperature sensor, the second temperature sensor and three-temperature sensor timing; According to the duty residing for described peritoneal dialysis instrument, determine the monitoring logic of correspondence respectively; The monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, judges the temperature parameter of the dialysis solution of described acquisition, if deviation occurs in temperature parameter, carries out alarm. The embodiment of the present invention additionally provides corresponding dialysate temperature monitoring device and peritoneal dialysis instrument. Implementing the present invention, by the data of three temperature sensors are carried out cross reference, it is possible to the temperature of accurate measurements dialysis solution, safety is high.

Description

A kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument
Technical field
The present invention relates to field of medical device, particularly relate to a kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument.
Background technology
Peritoneal dialysis technology is analogous to the variant of artificial blood purification. It is by the peritoneum utilizing the blood supply of the patient good filter membrane as health self. By conduit, dialysis solution is inputted the abdominal cavity to patient, and according to penetration theory, urinary fractions is got rid of from blood and is entered abdominal cavity. After a few hours, then this dialysis solution carrying this urinary fractions is discharged from abdominal cavity, thus realizing the effect of dialysis.
In existing technology, several diverse ways generally can be adopted to carry out peritoneal dialysis. Such as, for CAPD (CAPD), patient oneself can manually change dialysis solution, for instance, every day can change 4 to 5 dialysis solution; And for automatization's peritoneal dialysis (APD), one is referred to as the equipment of circulating instrument (Cycler) and can realize automatically changing bag filter at night, so that patient can not be limited by day.
In the peritoneal dialysis of this automatization, abdominal cavity is filled dialysis solution by circulating instrument, and fill volume needs to control, and provides maximum loading to be such as about 3500ml for average adult to patient. Generally, a standard value can be adopted to be used as loading, it is possible to be avoided by testing the complex work determining that loading specific to each patient brings.
Generally, in peritoneal dialysis instrument, dialysis solution is inputted by a conduit inserting abdominal cavity of patients, this dialysis solution is before flowing to abdominal cavity of patients, suitable temperature (such as about 37 DEG C) need to be heated to, to avoid inputting, to patient, the sense of discomfort that improper temperature (such as supercool or overheated) dialysis solution causes to patient. Therefore the dialysate temperature in bag filter is very important treatment parameter, and the monitoring of this dialysate temperature is even more important.
In the prior art, before dialysis solution is flowed to abdominal cavity of patients, it is generally adopted heating pallet and it is heated, now temperature sensor can be set on heating pallet and be monitored with the temperature to dialysis solution. In the prior art, the scheme that a sensor is set can be adopted, in this scheme, when the absolute value of the difference being worth between T as the temperature T1 of its dialysis solution detected and default normal body temperature over the course for the treatment of is more than predetermined threshold value (such as 2.5 DEG C), then can send alarm signal.Owing to the use time of APD dialysis machine is long, and security requirement is high, once go wrong, very big harm can be brought to patient. Therefore this technical scheme being monitored dialysate temperature by single sensor of the prior art, it is impossible to directly judge that whether this sensor is normal, so can bring potential risks to the treatment of patient. Once this sensor is owing to interiorly or exteriorly reason is malfunctioning, then cannot obtain the accurate temperature of dialysis solution, very big harm can be brought to patient.
In some existing technology, also occur in that the technical scheme adopting two temperature sensors, but in these technical schemes, the detected rule of setting is usually only when the parameter of two temperature sensors differs certain value, namely it is determined with faulty sensor, and reports to the police. Therefore existing this technical scheme cannot know specifically which sensor is made mistakes, therefore when occurring reporting to the police, must stopped treatment carry out the work fixed a breakdown, and occur in hardware components owing to fault is usually, need equipment of taking apart to carry out detecting and change malfunctioning sensor, bring very big inconvenience to the treatment to patient.
Summary of the invention
Embodiment of the present invention technical problem to be solved is in that, a kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument are provided, can pass through to arrange three temperature sensors, and the data of three temperature sensors are carried out cross reference, can dialysate temperature in accurate measurements bag filter, safety is high, and when a certain sensor is made mistakes wherein, it is not necessary to must horse back therapy discontinued.
In order to solve above-mentioned technical problem, the embodiment of the present invention provides a kind of dialysate temperature monitoring method, and for being provided with in the peritoneal dialysis instrument of three temperature sensors, described method comprises the steps:
The temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument is obtained by the first temperature sensor, the second temperature sensor and three-temperature sensor timing;
According to the duty residing for described peritoneal dialysis instrument, determining the monitoring logic of correspondence respectively, wherein, described duty includes non-treatment state and therapeutic state, and the monitoring logic of described correspondence is the first monitoring logic and the second monitoring logic;
The monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, determine whether that deviation occurs in temperature parameter, if had, then carry out alarm, otherwise proceed monitoring or treatment.
Wherein, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, it may be judged whether the step of deviation includes to have temperature parameter to occur:
When the duty residing for described peritoneal dialysis instrument is non-treatment state, monitors logic with first and be monitored described first temperature sensor, the second temperature sensor and three-temperature sensor processing, including:
Three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain are ranked up, form maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
Judge that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
If it is judged that be described difference less than or equal to described first threshold, then proceed monitoring; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter is subtracted each other acquisition the second difference, and judges whether described first difference and described second difference are all higher than described first threshold;
If it is judged that be all higher than described first threshold for described first difference and described second difference, then carry out equipment failure alarms, and interrupt monitoring; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds monitoring.
Wherein, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, it may be judged whether the step of deviation includes to have temperature parameter to occur:
When the duty residing for described peritoneal dialysis instrument is therapeutic state, monitors logic with second and be monitored described first temperature sensor, the second temperature sensor and three-temperature sensor processing, including:
Three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain are ranked up, form maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
Judge that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
If it is judged that be described difference less than or equal to described first threshold, then proceed treatment; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter is subtracted each other acquisition the second difference, and judges whether described first difference and described second difference are all higher than described first threshold;
If it is judged that be all higher than described first threshold for described first difference and described second difference, then carry out equipment failure alarms therapy discontinued; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds treatment.
Wherein, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, it may be judged whether the step of deviation includes to have temperature parameter to occur:
When the duty residing for described peritoneal dialysis instrument is therapeutic state, monitors logic with second and be monitored described first temperature sensor, the second temperature sensor and three-temperature sensor processing, including:
The first temperature parameter, the second temperature parameter and the 3rd temperature parameter that described first temperature sensor, the second temperature sensor and three-temperature sensor are obtained carry out subtracting each other and taking absolute value with a fiducial temperature parameter respectively, it is thus achieved that the 3rd difference, the 4th difference and the 5th difference;
Judge described 3rd difference, the 4th difference and whether the 5th difference is respectively less than or is equal to Second Threshold, if it is judged that for being respectively less than or being equal to, then proceed treatment; Otherwise continue to judge whether described 3rd difference, the 4th difference and the 5th difference have two differences less than or equal to Second Threshold, if it is judged that be yes, then difference is carried out sensor abnormality warning more than the temperature sensor corresponding to described Second Threshold, and proceed treatment; Otherwise, unit exception warning, therapy discontinued are carried out.
Correspondingly, the embodiment of the present invention additionally provides a kind of dialysate temperature monitoring device, for being provided with in the peritoneal dialysis instrument of three temperature sensors, wherein, and including:
Temperature parameter obtains unit, for obtaining the temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument by the first temperature sensor, the second temperature sensor and three-temperature sensor timing;
Monitoring logic determines unit, for the duty residing for described peritoneal dialysis instrument, determine the monitoring logic of correspondence respectively, wherein, described duty includes non-treatment state and therapeutic state, and the monitoring logic of described correspondence is the first monitoring logic and the second monitoring logic;
Monitoring processing unit, for the monitoring logic corresponding to the duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, determine whether that deviation occurs in temperature parameter, if had, then carry out alarm, otherwise proceed monitoring or treatment.
Wherein, described monitoring processing unit farther includes:
Non-treatment status monitoring processing unit, for adopting the first monitoring logic corresponding with non-treatment state to be monitored described first temperature parameter, the second temperature parameter and the 3rd temperature parameter processing;
Therapeutic state monitoring processing unit, for adopting the second monitoring logic corresponding with therapeutic state to be monitored described first temperature parameter, the second temperature parameter and the 3rd temperature parameter processing.
Wherein, described non-treatment status monitoring processing unit farther includes:
Sequence subelement, for being ranked up by three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain, forms maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
First compares subelement, is used for judging that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
First process subelement, for when described first compare subelement judged result be described difference less than or equal to described first threshold, then proceed monitoring; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and medium temperature parameter are subtracted each other acquisition the second difference;
Second compares subelement, is used for judging whether described first difference and described second difference are all higher than described first threshold;
Second processes subelement, for when described second compares the judged result of subelement for being all higher than described first threshold, then carrying out equipment failure alarms, and interrupt monitoring; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds monitoring.
Wherein, described therapeutic state monitoring processing unit farther includes:
Sequence subelement, for being ranked up by three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain, forms maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
3rd compares subelement, is used for judging that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
3rd process subelement, for when described 3rd judged result comparing subelement be described difference less than or equal to described first threshold, then proceed treatment; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter are subtracted each other acquisition the second difference;
4th compares subelement, is used for judging whether described first difference and described second difference are all higher than described first threshold;
Fourth process subelement, for when the described 4th compares the judged result of subelement for being all higher than described first threshold, then carrying out equipment failure alarms therapy discontinued;Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds treatment.
Wherein, described therapeutic state monitoring processing unit farther includes:
Fiducial temperature parameter compares subelement, carry out subtracting each other and taking absolute value with a fiducial temperature parameter respectively for the first temperature parameter described first temperature sensor, the second temperature sensor and three-temperature sensor obtained, the second temperature parameter and the 3rd temperature parameter, it is thus achieved that the 3rd difference, the 4th difference and the 5th difference;
5th compares subelement, is used for judging described 3rd difference, the 4th difference and whether the 5th difference is respectively less than or equal to Second Threshold,
5th processes subelement, for when the described 5th compares the judged result of subelement for being, proceeding treatment;
6th compares subelement, for when described 5th judged result comparing subelement is no, it is judged that whether have two differences less than or equal to Second Threshold in described 3rd difference, the 4th difference and the 5th difference;
6th processes subelement, for when the judged result of described 6th comparing unit is for being, the temperature sensor corresponding to the difference more than described Second Threshold carrying out sensor abnormality warning, and proceeds treatment; Otherwise, unit exception warning, therapy discontinued are carried out.
Correspondingly, the another further aspect of the embodiment of the present invention also provides for a kind of peritoneal dialysis instrument, and it is provided with three temperature sensors for monitoring its dialysate temperature parameter, and has at least farther included aforesaid dialysate temperature monitoring device.
Implement the embodiment of the present invention, have the advantages that
There is provided a kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument, it is possible to by arranging three temperature sensors, and the data of three temperature sensors are carried out cross reference, it is possible to accurate measurements is for inputting the temperature of the dialysis solution of patient, and safety is high. And when a certain sensor is made mistakes wherein, it is not necessary to interrupt monitoring or treatment at once.
Accompanying drawing explanation
In order to be illustrated more clearly that the embodiment of the present invention or technical scheme of the prior art, the accompanying drawing used required in embodiment or description of the prior art will be briefly described below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, under the premise not paying creative work, the accompanying drawing obtaining other according to these accompanying drawings still falls within scope of the invention.
Fig. 1 is the structural representation of a kind of one embodiment of peritoneal dialysis instrument provided by the invention;
Fig. 2 is the main flow chart of a kind of one embodiment of dialysate temperature monitoring method provided by the invention;
Fig. 3 is the detail flowchart of a specific embodiment in Fig. 2;
Fig. 4 is the detail flowchart of another specific embodiment in Fig. 2;
Fig. 5 is the structural representation of an embodiment of a kind of dialysate temperature provided by the invention monitoring device;
Fig. 6 is the structural representation of the embodiment monitoring processing unit in Fig. 5;
Fig. 7 is the structural representation of non-treatment status monitoring processing unit in Fig. 6;
Fig. 8 is the structural representation of an embodiment of therapeutic state monitoring processing unit in Fig. 6;
Fig. 9 is the structural representation of another embodiment of therapeutic state monitoring processing unit in Fig. 6.
Detailed description of the invention
The explanation of following embodiment is with reference to accompanying drawing, can specific embodiment in order to implement in order to the formula example present invention.The direction term that the present invention is previously mentioned, for instance " on ", D score, "front", "rear", "left", "right", " interior ", " outward ", " side " etc., be only the direction with reference to annexed drawings. Therefore, the direction term of use is to illustrate and understand the present invention, and is not used to the restriction present invention.
For making the object, technical solutions and advantages of the present invention clearly, below in conjunction with accompanying drawing, the present invention is described in further detail.
As it is shown in figure 1, be the structural representation of a kind of one embodiment of peritoneal dialysis instrument provided by the invention; It is understood that merely illustrative non-for limiting herein, in this embodiment, this peritoneal dialysis instrument includes:
Dialysis machine 4, and the container 9, liquid outlet 2 and the adapter 3 for being connected with the conduit of patient that are connected with this dialysis machine 4; Wherein, container 9 is used for placing fresh dialysis fluid, and liquid outlet 2 is for discharging used dialysis solution; Adapter 3 is for being incorporated in the abdominal cavity of patient by fresh dialysis solution or being drawn from the abdominal cavity of patient by used dialysis solution. And communicate with each other via fluid path 100 between dialysis machine 4, container 9, liquid outlet and adapter 3.
Wherein, dialysis machine 4 is also referred to as circulator, and it is used for performing peritoneal dialysis treatment. In this embodiment, dialysis machine 4 can mainly include controller 1, static organ 95, pump 5, valve 7, heater 6 and temperature sensor 8.
Specifically, this pump 5 is used for transporting fluid, fresh dialysis solution mainly flows to adapter 3 from container 9, and used dialysis solution is shipped to liquid outlet 2 from adapter 3.
Valve 7 is used for controlling fluid stream, opens or closes fluid path 100 by controlling the unlatching of valve 7, in order to set up fluidly connecting accordingly between container 9, adapter 3 and liquid outlet 2.
Heater 6 for fresh dialysis fluid was heated to before flowing to patient suitable temperature (as, 37 DEG C), specifically, this heater 6 can adopt the form of heating pallet, described heating pallet is placed with dialyzate bag, and dialyzate bag storage has dialysis solution.
Temperature sensor 8, for monitoring the temperature of the dialysis solution in the dialyzate bag after heater via 6 heats, in the present embodiment, this temperature sensor is three, and specifically, these three temperature sensors are arranged at heating pallet corresponding position.
Static organ 95 gives patient's and the Fluid Volume that extracts from patient for balancing. Give the too much fluid of patient to stop or extract too much fluid, this static organ 95 can be a balance chamber, can also be a balance, be realized the balance of the dialysis solution of input and output by the weight of the weight of weighing container 9 and the container holding used dialysis solution.
Controller 9 is for controlling the miscellaneous part in peritoneal dialysis instrument, and it can control pump 5, heater 6 and valve 7 based on the data of temperature sensor 8, to realize controlling the functions such as the temperature of dialysis apparatus, flow and replacing.
As in figure 2 it is shown, be the main flow chart of a kind of one embodiment of dialysate temperature monitoring method provided by the invention; In this embodiment, it is applied to be provided with as shown in Figure 1 in the peritoneal dialysis instrument of three temperature sensors, and the method specifically includes that
Step S10, obtains the temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument by the first temperature sensor, the second temperature sensor and three-temperature sensor timing;
Step S12, according to the duty residing for described peritoneal dialysis instrument, determines the monitoring logic of correspondence respectively, and wherein, described duty includes non-treatment state and therapeutic state, and the monitoring logic of described correspondence is the first monitoring logic and the second monitoring logic;
Step S14, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, determine whether that deviation occurs in temperature parameter, if had, then carry out alarm, otherwise proceed monitoring.
As shown in Figure 3, illustrate the detail flowchart of a specific example in Fig. 2, in this example embodiment, it is in non-treatment state and therapeutic state all can adopt monitoring logic as shown in Figure 3 to be monitored processing at peritoneal dialysis instrument, specifically, in this embodiment, this dialysate temperature monitoring method comprises the steps:
Step S20, obtain the temperature monitoring parameter of three temperature sensors, specifically, the first temperature parameter T1 of dialysis solution is obtained from the first temperature sensor, the second temperature parameter T2 of dialysis solution is obtained from the second temperature sensor, obtain the 3rd temperature parameter T3 of dialysis solution from three-temperature sensor, this acquisition process can be timing acquisition, for instance namely obtain the data of this T1, T2 and T3 every a set time (such as 30 seconds).
Then in embodiments of the invention, it is necessary to T1, T2 and T3 are monitored processing by the monitoring logic corresponding to duty residing for peritoneal dialysis instrument, i.e. when being in non-treatment state, then monitor logic with first and be monitored T1, T2 and T3 processing; When being in therapeutic state, then monitor logic with second and be monitored T1, T2 and T3 processing; Specifically comprise the steps:
When peritoneal dialysis instrument is in non-treatment state, in the step s 21, three temperature parameter T1, T2 and T3 are ranked up, form maximum temperature parameter Tmax, medium temperature parameter Tmid and minimum temperature parameter Tmin;
Step S22, judge that whether maximum temperature parameter Tmax and minimum temperature parameter Tmin difference between the two are less than or equal to first threshold T, namely Tmax-Tmin≤T is judged? first threshold T is wherein, this first threshold T is the maximum deflection difference value allowed in T1, T2 and T3, in one embodiment, this first threshold T is 5 DEG C;
If it is judged that be difference between the two less than or equal to first threshold T, then illustrate that the temperature parameter that three temperature sensors are read is all normal, then flow process goes to step S23 and continues executing with operating procedure; Otherwise then show that the temperature parameter that at least one temperature sensor possible is read is wrong, then in step s 24, maximum temperature parameter Tmax and medium temperature parameter Tmid is subtracted each other acquisition the first difference t1, medium temperature parameter Tmid and minimum temperature parameter Tmin is subtracted each other acquisition the second difference t2;
Step S25, it is judged that whether described first difference t1 and described second difference t2 is all higher than described first threshold T; If it is judged that be yes, then go to step S27, if it is judged that be no, then go to step S26;
Step S26, when step S25 judged result is no, then point out in described first difference t1 or the second difference t2 two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carry out sensor abnormality warning, and proceed monitoring, specifically, when t1 or t2 has at least one less than T time, if t1 is smaller in two differences, then illustrate that the value of maximum temperature parameter Tmax and medium temperature parameter Tmid is more accurate, and Tmin value is inaccurate, then think that the temperature sensor corresponding to Tmin has been likely to occur exception, then this temperature sensor is carried out abnormal alarm,If t2 is smaller in two differences, then illustrate that the value of medium temperature parameter Tmid and minimum temperature parameter Tmin is more accurate, and Tmax value is inaccurate, then it is assumed that the temperature sensor corresponding to Tmax has been likely to occur exception, then this temperature sensor is carried out abnormal alarm.
Step S26, when step S25 judged result is for being, then illustrates that the temperature parameter that three temperature sensors obtain is all inaccurate, and the equipment that is now likely to occurs in that fault elsewhere, so time need to carry out device failure alert, and terminate monitoring.
In step S28, after eliminating equipment fault, continue executing with operating procedure.
And when peritoneal dialysis instrument is in therapeutic state, it would however also be possible to employ T1, T2 and T3 are monitored by the monitoring logic identical with Fig. 3, and concrete details is referred to aforesaid description, are not described in detail at this.
As shown in Figure 4, it is shown that the detail flowchart of another specific example in Fig. 2. In this embodiment, when peritoneal dialysis instrument is in non-treatment state, then it can adopt the first monitoring logic as shown in Figure 3 that T1, T2 and T3 are monitored; And when peritoneal dialysis instrument is in therapeutic state, then can adopt the second monitoring logic as shown in Figure 4 that T1, T2 and T3 are monitored, specifically, it is possible to be described in detail in conjunction with Fig. 4. Specifically, the method for this embodiment comprises the steps:
Step S30, obtains temperature monitoring parameter T1, T2 and the T3 of three temperature sensors.
When peritoneal dialysis instrument is in therapeutic state, in the step s 21, by three temperature parameter T1, T2 and T3 respectively with a fiducial temperature parameter T0(such as 37 DEG C) carry out subtracting each other and taking absolute value, it is thus achieved that the 3rd difference t3, the 4th difference t4 and the 5th difference t5;
Step S32, it is judged that whether the 3rd difference t3, the 4th difference t4 and the 5th difference t5 are respectively less than or equal to Second Threshold Tf(such as 2.5 DEG C).
If it is judged that be that three differences are respectively less than or equal to Second Threshold Tf, then illustrate that the temperature parameter that three temperature sensors are read is all normal, then flow process goes to step S33 and continues executing with operating procedure; Otherwise then show that the temperature parameter that at least one temperature sensor possible is read is wrong, then in step S34, it is judged that whether the 3rd difference t3, the 4th difference t4 and the 5th difference t5 have two less than or equal to Second Threshold Tf; If it is judged that be yes, then in step s 35, difference is carried out sensor abnormality warning more than the temperature sensor corresponding to described Second Threshold Tf, and proceeds treatment, for instance, when in an example, t3 and t4 less than Tf, t5 more than Tf, then it is assumed that the first temperature sensor corresponding to T1 and T2 and the second temperature sensor are normal, and three-temperature sensor corresponding to T3 has been likely to occur exception, therefore three-temperature sensor is carried out sensor abnormality warning; Otherwise, in step S36, carrying out unit exception warning, therapy discontinued, because now having at least two temperature parameters to occur in that exception in T1, T2 and T3, then the miscellaneous part being likely to equipment occurs in that fault, therefore carries out unit exception warning. When that happens, then in step S38, after eliminating equipment fault, continue executing with operating procedure.
To Fig. 5 to shown in 7, it it is another aspect of embodiment of the present invention embodiment that a kind of dialysate temperature monitoring device is provided, this embodiment is for being provided with in the peritoneal dialysis instrument of two temperature sensors, specifically controller 1 in FIG realizes, specifically, this dialysate temperature monitoring device 10 includes:
Temperature parameter obtains unit 12, for obtaining the temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument by first temperature sensor the 80, second temperature sensor 81 and three-temperature sensor 82 timing, specifically, the first temperature parameter T1 is obtained from the first temperature sensor 80, obtain the second temperature parameter T2 from the second temperature sensor 81, obtain the 3rd temperature parameter T3 from three-temperature sensor 82;
Monitoring logic determines unit 14, for the duty residing for peritoneal dialysis instrument, determine the monitoring logic of correspondence respectively, wherein, this duty includes therapeutic state and non-treatment state, and monitoring logic corresponding respectively is the first monitoring logic and the second monitoring logic;
Monitoring processing unit 16, for determining the determined monitoring logic of unit 14 according to monitoring logic, temperature parameter T1, T2 and the T3 of the dialysis solution that first temperature sensor the 80, second temperature sensor 81 and three-temperature sensor 82 obtain is judged, determine whether that deviation occurs in temperature parameter, if had, then carry out alarm, otherwise proceed monitoring.
Wherein, described monitoring processing unit 16 farther includes
Non-treatment status monitoring processing unit 17, is used for utilizing the first monitoring logic to be monitored the first temperature parameter T1, the second temperature parameter T2 and the 3rd temperature parameter T3 processing;
Therapeutic state monitoring processing unit 18, is used for utilizing the second monitoring logic to be monitored the first temperature parameter T1, the second temperature parameter T2 and the 3rd temperature parameter T3 processing.
Specifically, non-treatment status monitoring processing unit 17 includes:
Sequence subelement 170, for three temperature parameters T1, T2 and T3 that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain being ranked up, form maximum temperature parameter Tmax, medium temperature parameter Tmid and minimum temperature parameter Tmin;
First compares subelement 171, is used for judging that whether maximum temperature parameter Tmax and minimum temperature parameter Tmin difference between the two are less than or equal to first threshold T(such as 5 DEG C);
First process subelement 172, for when described first compare subelement 171 judged result be described difference less than or equal to described first threshold T, then proceed monitoring; Otherwise maximum temperature parameter Tmax and medium temperature parameter Tmid is subtracted each other acquisition the first difference t1, medium temperature parameter Tmid and minimum temperature parameter Tmin is subtracted each other acquisition the second difference t2;
Second compares subelement 173, is used for judging whether described first difference t1 and described second difference t2 is all higher than described first threshold T;
Second processes subelement 174, for when described second compares the judged result of subelement 173 for being all higher than described first threshold T, then carrying out equipment failure alarms, and interrupt monitoring; Otherwise, pointing out in described first difference t1 or the second difference t2 two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds monitoring.
As shown in Figure 8, it is the structural representation of an embodiment of therapeutic state monitoring processing unit in Fig. 6; In this embodiment, the first monitoring logic adopted in second monitoring logical AND Fig. 7 that therapeutic state monitoring processing unit 18 adopts is essentially identical. Specifically, in this embodiment, this therapeutic state monitoring processing unit 18 includes:
Sequence subelement 180, for three temperature parameters T1, T2 and T3 that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain being ranked up, form maximum temperature parameter Tmax, medium temperature parameter Tmid and minimum temperature parameter Tmin;
First compares subelement 181, is used for judging that whether maximum temperature parameter Tmax and minimum temperature parameter Tmin difference between the two are less than or equal to first threshold T(such as 5 DEG C);
First process subelement 182, for when described first compare subelement 181 judged result be described difference less than or equal to described first threshold T, then proceed treatment; Otherwise maximum temperature parameter Tmax and medium temperature parameter Tmid is subtracted each other acquisition the first difference t1, medium temperature parameter Tmid and minimum temperature parameter Tmin is subtracted each other acquisition the second difference t2;
Second compares subelement 183, is used for judging whether described first difference t1 and described second difference t2 is all higher than described first threshold T;
Second processes subelement 184, for when described second compares the judged result of subelement 173 for being all higher than described first threshold T, then carrying out equipment failure alarms therapy discontinued; Otherwise, pointing out in described first difference t1 or the second difference t2 two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds treatment.
As it is shown in figure 9, be the structural representation of an embodiment of therapeutic state monitoring processing unit in Fig. 6; In this embodiment, the first monitoring logic adopted in second monitoring logical AND Fig. 7 that therapeutic state monitoring processing unit 18 adopts is different. Specifically, in this embodiment, this therapeutic state monitoring processing unit 18 includes:
Fiducial temperature parameter compares subelement 190, for the first temperature parameter T1, the second temperature parameter T2 and the 3rd temperature parameter T3 that described first temperature sensor the 80, second temperature sensor 81 and three-temperature sensor 82 are obtained respectively with a fiducial temperature parameter T0(such as 37 DEG C) carry out subtracting each other and taking absolute value, it is thus achieved that the 3rd difference t3, the 4th difference t4 and the 5th difference t5;
5th compares subelement 191, is used for judging whether described 3rd difference t3, the 4th difference t4 and the 5th difference t5 are respectively less than or equal to Second Threshold Tf(such as 2.5 DEG C),
5th processes subelement 192, for when the described 5th compares the judged result of subelement 191 for being, proceeding treatment;
6th compares subelement 193, for when described 5th judged result comparing subelement 191 is no, it is judged that whether have two differences less than or equal to Second Threshold Tf in described 3rd difference t3, the 4th difference t4 and the 5th difference t5;
6th processes subelement 194, for when the judged result of described 6th comparing unit 193 is for being, the temperature sensor corresponding to the difference more than described Second Threshold Tf carrying out sensor abnormality warning, and proceeds treatment; Otherwise, unit exception warning, therapy discontinued are carried out.
To details more in Fig. 5-Fig. 6, it is possible to reference to the aforementioned description to Fig. 1 to Fig. 4.
Implement the embodiment of the present invention, have the advantages that
There is provided a kind of dialysate temperature monitoring method, device and peritoneal dialysis instrument, it is possible to by arranging three temperature sensors, and the data of three temperature sensors are carried out cross reference, it is possible to accurate measurements is for inputting the temperature of the dialysis solution of patient, and safety is high. And when a certain sensor is made mistakes wherein, it is not necessary to interrupt monitoring or treatment at once.
It is understandable that, one of ordinary skill in the art will appreciate that all or part of flow process realizing in above-described embodiment method, can be by the hardware that computer program carrys out instruction relevant to complete, program can be stored in a computer read/write memory medium, this program is upon execution, it may include such as the flow process of the embodiment of above-mentioned each side method. Wherein, storage medium can be magnetic disc, CD, read-only store-memory body (Read-OnlyMemory, ROM) or random store-memory body (RandomAccessMemory, RAM) etc.
Above disclosed it is only one preferred embodiment of the present invention, certainly can not limit the interest field of the present invention, the equivalent variations therefore made according to the claims in the present invention with this, still belong to the scope that the present invention contains.

Claims (10)

1. a dialysate temperature monitoring method, for being provided with in the peritoneal dialysis instrument of three temperature sensors, it is characterised in that described method comprises the steps:
The temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument is obtained by the first temperature sensor, the second temperature sensor and three-temperature sensor timing;
According to the duty residing for described peritoneal dialysis instrument, determining the monitoring logic of correspondence respectively, wherein, described duty includes non-treatment state and therapeutic state, and the monitoring logic of described correspondence is the first monitoring logic and the second monitoring logic;
The monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, determine whether that deviation occurs in temperature parameter, if had, then carry out alarm, otherwise proceed monitoring or treatment.
2. dialysate temperature monitoring method as claimed in claim 1, it is characterized in that, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, it may be judged whether the step of deviation includes to have temperature parameter to occur:
When the duty residing for described peritoneal dialysis instrument is non-treatment state, monitors logic with first and be monitored described first temperature sensor, the second temperature sensor and three-temperature sensor processing, including:
Three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain are ranked up, form maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
Judge that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
If it is judged that be described difference less than or equal to described first threshold, then proceed monitoring; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter is subtracted each other acquisition the second difference, and judges whether described first difference and described second difference are all higher than described first threshold;
If it is judged that be all higher than described first threshold for described first difference and described second difference, then carry out equipment failure alarms, and interrupt monitoring; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds monitoring.
3. dialysate temperature monitoring method as claimed in claim 2, it is characterized in that, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, it may be judged whether the step of deviation includes to have temperature parameter to occur:
When the duty residing for described peritoneal dialysis instrument is therapeutic state, monitors logic with second and be monitored described first temperature sensor, the second temperature sensor and three-temperature sensor processing, including:
Three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain are ranked up, form maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
Judge that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
If it is judged that be described difference less than or equal to described first threshold, then proceed treatment; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter is subtracted each other acquisition the second difference, and judges whether described first difference and described second difference are all higher than described first threshold;
If it is judged that be all higher than described first threshold for described first difference and described second difference, then carry out equipment failure alarms therapy discontinued; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds treatment.
4. dialysate temperature monitoring method as claimed in claim 2, it is characterized in that, the monitoring logic corresponding to duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, it may be judged whether the step of deviation includes to have temperature parameter to occur:
When the duty residing for described peritoneal dialysis instrument is therapeutic state, monitors logic with second and be monitored described first temperature sensor, the second temperature sensor and three-temperature sensor processing, including:
The first temperature parameter, the second temperature parameter and the 3rd temperature parameter that described first temperature sensor, the second temperature sensor and three-temperature sensor are obtained carry out subtracting each other and taking absolute value with a fiducial temperature parameter respectively, it is thus achieved that the 3rd difference, the 4th difference and the 5th difference;
Judge described 3rd difference, the 4th difference and whether the 5th difference is respectively less than or is equal to Second Threshold, if it is judged that for being respectively less than or being equal to, then proceed treatment; Otherwise continue to judge whether described 3rd difference, the 4th difference and the 5th difference have two differences less than or equal to Second Threshold, if it is judged that be yes, then difference is carried out sensor abnormality warning more than the temperature sensor corresponding to described Second Threshold, and proceed treatment; Otherwise, unit exception warning, therapy discontinued are carried out.
5. a dialysate temperature monitoring device, for being provided with in the peritoneal dialysis instrument of three temperature sensors, it is characterised in that including:
Temperature parameter obtains unit, for obtaining the temperature parameter of dialysis solution in the dialyzate bag being positioned on the pallet of described peritoneal dialysis instrument by the first temperature sensor, the second temperature sensor and three-temperature sensor timing;
Monitoring logic determines unit, for the duty residing for described peritoneal dialysis instrument, determine the monitoring logic of correspondence respectively, wherein, described duty includes non-treatment state and therapeutic state, and the monitoring logic of described correspondence is the first monitoring logic and the second monitoring logic;
Monitoring processing unit, for the monitoring logic corresponding to the duty residing for described peritoneal dialysis instrument, the temperature parameter of the dialysis solution that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain is judged, determine whether that deviation occurs in temperature parameter, if had, then carry out alarm, otherwise proceed monitoring or treatment.
6. dialysate temperature monitoring device as claimed in claim 5, it is characterised in that described monitoring processing unit farther includes:
Non-treatment status monitoring processing unit, for adopting the first monitoring logic corresponding with non-treatment state to be monitored described first temperature parameter, the second temperature parameter and the 3rd temperature parameter processing;
Therapeutic state monitoring processing unit, for adopting the second monitoring logic corresponding with therapeutic state to be monitored described first temperature parameter, the second temperature parameter and the 3rd temperature parameter processing.
7. dialysate temperature monitoring device as claimed in claim 6, it is characterised in that wherein, described non-treatment status monitoring processing unit farther includes:
Sequence subelement, for being ranked up by three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain, forms maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
First compares subelement, is used for judging that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
First process subelement, for when described first compare subelement judged result be described difference less than or equal to described first threshold, then proceed monitoring; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter are subtracted each other acquisition the second difference;
Second compares subelement, is used for judging whether described first difference and described second difference are all higher than described first threshold;
Second processes subelement, for when described second compares the judged result of subelement for being all higher than described first threshold, then carrying out equipment failure alarms, and interrupt monitoring; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds monitoring.
8. dialysate temperature monitoring device as claimed in claim 7, it is characterised in that wherein, described therapeutic state monitoring processing unit farther includes:
Sequence subelement, for being ranked up by three temperature parameters that described first temperature sensor, the second temperature sensor and three-temperature sensor obtain, forms maximum temperature parameter, medium temperature parameter and minimum temperature parameter;
3rd compares subelement, is used for judging that whether maximum temperature parameter and minimum temperature parameter difference between the two are less than or equal to first threshold;
3rd process subelement, for when described 3rd judged result comparing subelement be described difference less than or equal to described first threshold, then proceed treatment; Otherwise maximum temperature parameter and medium temperature parameter are subtracted each other acquisition the first difference, medium temperature parameter and minimum temperature parameter are subtracted each other acquisition the second difference;
4th compares subelement, is used for judging whether described first difference and described second difference are all higher than described first threshold;
Fourth process subelement, for when the described 4th compares the judged result of subelement for being all higher than described first threshold, then carrying out equipment failure alarms therapy discontinued; Otherwise, pointing out in described first difference or the second difference two temperature sensors corresponding to smaller normal, another one temperature sensor is abnormal, carries out sensor abnormality warning, and proceeds treatment.
9. dialysate temperature monitoring device as claimed in claim 7, it is characterised in that wherein, described therapeutic state monitoring processing unit farther includes:
Fiducial temperature parameter compares subelement, carry out subtracting each other and taking absolute value with a fiducial temperature parameter respectively for the first temperature parameter described first temperature sensor, the second temperature sensor and three-temperature sensor obtained, the second temperature parameter and the 3rd temperature parameter, it is thus achieved that the 3rd difference, the 4th difference and the 5th difference;
5th compares subelement, is used for judging described 3rd difference, the 4th difference and whether the 5th difference is respectively less than or equal to Second Threshold,
5th processes subelement, for when the described 5th compares the judged result of subelement for being, proceeding treatment;
6th compares subelement, for when described 5th judged result comparing subelement is no, it is judged that whether have two differences less than or equal to Second Threshold in described 3rd difference, the 4th difference and the 5th difference;
6th processes subelement, for when the judged result of described 6th comparing unit is for being, the temperature sensor corresponding to the difference more than described Second Threshold carrying out sensor abnormality warning, and proceeds treatment; Otherwise, unit exception warning, therapy discontinued are carried out.
10. a peritoneal dialysis instrument, it is characterised in that it is provided with three temperature sensors for monitoring its dialysate temperature parameter, and at least farther includes to monitor device just like the dialysate temperature described in any one of claim 5-9.
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