JP2012223248A - Peritoneal dialyzer control system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a peritoneal dialyzer control system capable of allowing a patient living with his/her family, elderly patient living by himself/herself or the like to easily performing a procedure for peritoneal dialysis with a peritoneal dialyzer.SOLUTION: The peritoneal dialyzer control system 1 includes the peritoneal dialyzer 30 used for peritoneal dialysis, and a peritoneal dialyzer control device 10 communicably connected to the peritoneal dialyzer. The peritoneal dialyzer includes an information output part 20 for outputting information, the information output part includes operating procedure information having general procedure information, and detailed procedure information more detailed than the general procedure information. The detailed procedure information is output to the information output part when response information to the general procedure information is not input in an input part 39 after the information output part outputs the general procedure information.

Description

  The present invention relates to a peritoneal dialysis device management system that manages, for example, a peritoneal dialysis device.

  Conventionally, there is a peritoneal dialysis method as a method used when a patient with kidney disease or the like performs dialysis at home. In addition, in this peritoneal dialysis method, CAPD (Continuous Ambientatory Peritonal Dialysis) in which a patient or the like exchanges dialysate by himself or APD (Automated Peritoneal Dialysis) in which the apparatus automatically changes dialysate: Automatic peritoneal dialysis).

In the case of CAPD, for example, a dialysate bag containing a dialysate to be injected into the abdominal cavity and a dialysate already contained in the abdominal cavity are discharged into a peritoneal catheter worn by a patient or the like. This is a method in which an empty bag to be used is connected, and dialysate in the abdominal cavity is replaced by using a drop due to gravity.
On the other hand, in the case of APD, a dialysate bag containing new dialysate and an empty bag are connected to a peritoneal catheter attached to a patient via an automatic peritoneal dialysis machine, and a programmed dialysis plan ( This is a method in which the automatic peritoneal dialysis device automatically replaces the intraperitoneal dialysate based on the dialysis prescription).
However, there are many elderly people, especially elderly people living alone, and in the case of such elderly people, it is difficult to exchange dialysate bags etc. when dialyzing with CAPD or APD at home. There is a case. For this reason, as shown in Patent Document 1, an automatic peritoneal dialysis apparatus that displays the operation method has been proposed (for example, Patent Document 1).

JP 2004-49497 A

  However, even with reference to the display of such a device, it may be difficult for a patient such as an elderly person to exchange a dialysate container such as a dialysate bag. In addition, when the patient is alone, there is a problem that a failure in the procedure for exchanging the dialysate container may directly lead to a failure in the peritoneal dialysis therapy. In addition, patients such as elderly people may perform peritoneal dialysis at home or outside their home to receive care, but when operation or monitoring is performed by a person who is not familiar with peritoneal dialysis, the peritoneum There was a problem that dialysis problems could not be avoided.

  Therefore, when a dialysis instrument including a dialysate container is connected to a peritoneal catheter attached to a patient via a peritoneal dialysis machine, the dialysis operation person such as a patient such as an elderly person has a wrong operation procedure. An object of the present invention is to provide a peritoneal dialysis device management system that can be easily connected and the like.

  In the present invention, the above object is a peritoneal dialysis machine management system having a peritoneal dialysis machine used for peritoneal dialysis and a peritoneal dialysis machine management device connected to the peritoneal dialysis machine in a communicable manner. The peritoneal dialysis device includes an information output unit that outputs information, and an input unit, the information output unit includes operation procedure information, and the operation procedure information includes general procedure information and And when the response information to the general procedure information is not input to the input unit after the information output unit outputs the general procedure information, the information output The detailed procedure information is output to the section.

According to the above configuration, the operation procedure information that is output information includes general procedure information and detailed procedure information that is more detailed procedure information, and the information output unit outputs the general procedure information and then inputs the procedure information. When the response information for the general procedure information is not input to the unit, the detailed procedure information is output to the information output unit.
Therefore, if the patient, such as an elderly person living alone, cannot understand the procedure for performing peritoneal dialysis using peritoneal dialysis equipment with the first general procedure information, more detailed procedure information is automatically output. Can know in detail how to wear it.

Preferably, the information output unit includes a display unit, and the general procedure information is displayed on the display unit by means of a character and a drawing showing an instrument actually used.
Therefore, the patient can know the general procedure of operation in more detail.

Preferably, the detailed procedure information is displayed on the display unit by means of a character and a drawing showing an actually used instrument.
Therefore, even a patient who is unfamiliar with the operation can know the detailed procedure of the operation in more detail.
Preferably, the display unit is a color liquid crystal or an organic EL.

  As described above, according to the present invention, there is provided a peritoneal dialysis device management system that can facilitate the peritoneal dialysis operation procedure for a patient living with a family or a patient living alone with a peritoneal dialysis device. Can be provided.

It is the schematic which shows a peritoneal dialysis equipment management system. It is a schematic block diagram which shows the main structures etc. of the dialysate bag terminal of FIG. It is a schematic block diagram which shows the main structures etc. of the CAPD apparatus and APD apparatus of FIG. It is a schematic block diagram which shows the main structures etc. of the management server of FIG. It is a schematic block diagram which shows the main structures etc. of a patient family terminal and a medical site terminal. It is a schematic flowchart which shows the process of registering a patient's dialysis plan etc. in a management server in advance. It is a schematic flowchart which shows a peritoneal dialysis monitoring process. It is another schematic flowchart which shows a peritoneal dialysis monitoring process. It is another schematic flowchart which shows a peritoneal dialysis monitoring process. It is a schematic explanatory drawing which shows the patient's personal data memorize | stored in a personal data memory | storage part. It is a schematic explanatory drawing which shows the example of an operation screen of general description.

Preferred embodiments of the present invention will be described below in detail with reference to the accompanying drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.

FIG. 1 is a schematic diagram showing a peritoneal dialysis device management system 1.
As shown in FIG. 1, the peritoneal dialysis machine management system 1 has a peritoneal dialysis machine that is used by elderly people living alone at home.

By the way, for peritoneal dialysis, CAPD (continuous Ambientatory Peritonal Dialysis), in which the patient exchanges dialysate in the abdominal cavity with the assistance of himself / herself, family, or helper, is automatically dialyzed by the device. There is APD (Automated Peritoneal Dialysis) to exchange fluid.
In CAPD, for example, there is a “twin bag system” in which two bags are connected to a peritoneal catheter connected to a patient's peritoneum and disposed on the patient side.

  This “twin bag system” is a device that integrally processes, for example, a dialysis fluid container containing a dialysis fluid and a drainage empty bag. Then, by placing the dialysate bag higher than the patient's abdominal cavity and placing the drainage bag at a lower position, the dialysate already in the abdominal cavity can be drained using the drop due to gravity through the dialysis tube. This is a device that can inject a new dialysate into the abdominal cavity while taking it out of the solution bag.

  In this embodiment, there is an automatic peritoneal dialysis machine as a device used for APD. In this embodiment, a patient's dialysis plan (treatment pattern, initial drainage volume, liquid injection volume, storage time, final liquid injection volume) Automatic peritoneal dialysis machine 30 (hereinafter referred to as “APD device”) that can be arbitrarily set and input final concentration change, dialysis time, total dialysate volume, total water removal volume, cycle number, initial injection volume, Tidal volume, Tidal volume, etc. Is used as an example) and a patient performs dialysis.

  Further, in the peritoneal dialysis device management system 1 according to the present embodiment, the CAPD device 10 and the APD device 30 arranged at these patient sites (patient's home, etc.) can communicate with the Internet network 5 via the relay station 4. For example, the management server 50 is a peritoneal dialysis device management apparatus.

  Therefore, in the present embodiment, the management server 50 is configured to monitor the CAPD device 10 and the APD device 30.

  The peritoneal dialysis machine management system 1 is a dialysis set including a dialysate bag 2 provided to the CAPD device 10 and the APD device 30 in order for the patient to exchange dialysate stored in his or her abdominal cavity. Is used.

  The dialysate bag 2 is provided with a dialysate bag terminal 70 that manages information such as dialysate data of the dialysate bag 2 and can communicate with the CAPD device 10 and the APD device 30. (See FIG. 1).

In addition, as shown in FIG. 1, the management server 50 transmits a patient family terminal 90, which is a terminal of a patient family site (patient's family home) not living with the patient, or a medical site (patient's site) via the Internet network 5. It is possible to communicate with a medical site terminal 100 (an example of a terminal related to the peritoneal dialysis device) at a place where a doctor in charge is present.
For this reason, the management server 50 is configured to be able to contact the patient's family and the doctor in charge.

  The CAPD device 10, APD device 30, management server 50, dialysate bag terminal 70, patient family terminal 90, and medical site terminal 100 shown in FIG. For this reason, it has CPU (Central Processing Unit), RAM (Random Access Memory), ROM (Read Only Memory) etc. which are not shown in figure, and these are connected via the bus | bath, for example.

FIG. 2 is a schematic block diagram showing the main configuration and the like of the dialysate bag terminal 70 of FIG.
As shown in FIG. 2, the dialysate bag terminal 70 has a dialysate bag terminal control unit 71 and controls the communication chip 72, dialysate content data storage unit 73, and the like.

The communication chip 71 is a wireless communication chip. When a CAPD device side reading device 11 (APD device side reading device 31) of a CAPD device 10 (APD device 30) described later approaches, the CAPD reading device 11 (APD reading device). The electronic circuit is driven by the radio wave 31) and can communicate with the CAPD reader 11 (APD reader 31).
The dialysate content data storage unit 73 stores data on the type and content of the dialysate contained in the dialysate bag 2.

FIG. 3 is a schematic block diagram showing main components and the like of the CAPD device 10 and the APD device 30 of FIG.
Since the main configurations of the CAPD device 10 and the APD device 30 shown in FIG. 3 are common, the other is shown in parentheses.

  In FIG. 3, the CAPD device 10 (APD device 30), the CAPD device controller 12 (APD device controller 32), the CAPD reader 11 (APD reader 31), the management server 50 in FIG. CAPD (APD) device side communication device 13 (33), CAPD device side alarm device 14 (APD device side alarm device 34), CAPD device side timing device 15 (APD device side timing device 35), and an input unit for communication For example, a CAPD device side input device 19 (APD device side input device 39) and an information output unit such as a CAPD device side display device 20 (APD device side display device 40) are included.

The CAPD device control unit 12 (APD device control unit 32) is configured to control the CAPD device side reading device 11 (APD device side reading device 31) and the like.
The CAPD device control unit 12 (APD device control unit 32) also controls other storage units and processing units shown in FIG. 3, which will be described later.

FIG. 4 is a schematic block diagram showing a main configuration and the like of the management server 50 of FIG.
As shown in FIG. 4, the management server 50 includes a management server side control unit 51, a management server side communication device 52 for communicating with the CAPD device 10, the APD device 30, and the like, and a management server side that displays various data. It has a display device 53, a management server side timing device 54, and a management server side input device 55.
And the management server side control part 51 becomes a structure which controls these management server side communication apparatuses 52 grade | etc.,.
Further, the management server side control unit 51 is configured to control other storage units and processing units shown in FIG. 4, which will be described later.

FIG. 5 is a schematic block diagram showing main configurations and the like of the patient family terminal 90 and the medical site terminal 100.
Since the main configurations of the patient family terminal 90 and the medical site terminal 100 shown in FIG. 5 are common, the other is shown in parentheses.
As shown in FIG. 5, the patient family terminal 90 (medical site terminal 100) has a patient family terminal control unit 91 (medical site terminal control unit 101) and a patient for communicating with the management server 50 and the like in FIG. A family terminal side communication device 92 (medical site terminal side communication device 102) and a patient family terminal side display device 93 (medical site terminal side display device 103) for displaying various data are included.
Then, the patient family terminal control unit 91 (medical site terminal control unit 101) converts the patient family terminal side communication device 92 (medical site terminal side communication device 102) and the patient family terminal side display device 93 (medical site terminal side display device 103). ) And the like are controlled.

6 to 9 are schematic flowcharts showing main operations and the like of the peritoneal dialysis device management system 1 according to the present embodiment.
Hereinafter, the operation of the peritoneal dialysis device management system 1 will be described along with the flowchart of FIG. 6 and the like, and the configuration of FIGS. 1 to 5 and the like will also be described.

  In the present embodiment, a patient who is an elderly living alone who performs peritoneal dialysis at home as prescribed by a doctor in charge at a hospital (medical site) will be described as an example. Since this patient is not living with his family, dialysis is performed by himself. Moreover, although the family does not live together, as shown in FIG. 1, it can communicate with the patient family terminal 90 via the management server 50, and the doctor in charge can also communicate with the management server 50 at the medical site terminal 100. Yes.

First, the pre-registration process of FIG. 6 is performed.
FIG. 6 shows the dialysis plan (treatment pattern, initial drainage volume, injection volume, storage time, final injection volume, final concentration change, dialysis time, total dialysate volume, total water removal volume, cycle number, initial injection It is a schematic flowchart which shows the process of registering in a management server in advance, such as a liquid quantity, a Tidal amount, a Tidal water removal amount.
As shown in step ST (hereinafter referred to as “ST”) 1 in FIG. 6, the above-mentioned patient who is a single elderly person registers predetermined data in the management server 50 in FIG. 1.
Specifically, it is stored in the personal data storage unit 56 of FIG. FIG. 10 is a schematic explanatory diagram showing the above-described patient personal data 56 a stored in the personal data storage unit 56.

  As shown in FIG. 10, the patient registers the identification number of the patient and the dialysis machine identification number used at home. As the dialysis device identification number, for example, when the patient uses the CAPD device 10 and the APD device 30 in FIG. 1, the respective identification numbers are registered. These identification numbers serve as identification data when the management server 50 communicates with the CAPD device 10 or the APD device 30. The patient's dialysis plan (treatment pattern, initial drainage volume, injection volume, storage time, final injection volume, final concentration change, dialysis time, total dialysate volume, total water removal volume, cycle number, initial injection volume , The amount of tidar, the amount of water removed from tidar, etc.) can also be set at the input section of the APD device 30.

  Further, in the personal data storage unit 56, as shown in FIG. 10, for example, contact e-mail number which is contact data of the patient family terminal 90 of FIG. 1, or the medical site terminal 100 of the doctor in charge of FIG. For example, a doctor's e-mail number as a contact is registered.

Next, in ST2, additional data is registered from the medical site terminal 100 of FIG.
Specifically, the above-mentioned dialysis prescription of the patient, for example, dialysate container related information, for example, a dialysis plan (dialysis equipment (selection information for peritoneal dialysis equipment) and dialysis start time (an example of connection time information)) Is registered.
For example, in the example of FIG. 10, dialysis is performed with the APD device 30 at midnight and 6 am, and then dialysis is performed with the CAPD device 10 at 12 pm and 6 pm.
This is because when the patient is sleeping, the APD device 30 is an automatic peritoneal dialysis apparatus with slightly complicated preparation procedures and operation procedures, and a set dialysis plan (treatment pattern, initial drainage volume, infusion volume, storage volume). Dialysis automatically based on time, final injection volume, final concentration change, dialysis time, total dialysate volume, total water removal volume, number of cycles, initial injection volume, Tidal volume, Tidal water volume, etc.) When the patient is awake, dialysis is performed with CAPD 10 which is a twin bag peritoneal dialysis machine.

The personal data storage unit 56 stores the dialysate bag 2 to be used in the dialysis machine used in the dialysis plan, that is, to be used in the dialysis machine (CAPD device 10 or APD device 30). Type data and capacity data are registered.
For the dialysate, the number of dialysate bags 2 that the patient currently holds at home is also registered for inventory management (an example of dialysis container quantity information).
In addition, about the stock of this dialysate bag 2, it becomes the structure which a patient, a doctor, or a family can register.

  This completes the pre-registration process. Next, the peritoneal dialysis monitoring process of FIGS. 7 to 9 is started. 7 to 9 are schematic flowcharts showing the peritoneal dialysis monitoring process.

First, in ST11, the management server-side timing device 54 of the management server 10 in FIG. 4 acquires current time data and stores it in the current time data storage unit 57 in FIG.
Next, the process proceeds to ST12. In ST12, the dialysis plan search processing unit (program) 58 of FIG. 4 is operated, referring to “start time” of “dialysis plan” of the personal data 56a of FIG. 9 in the personal data storage unit 56 of FIG. It is determined whether there is time data to be used.

Next, in ST12, when the corresponding time data exists, the process proceeds to ST13. In ST13, an inquiry signal is transmitted to the dialysis device identification number of the dialysis device of the dialysis plan corresponding to the start time of the corresponding dialysis plan in FIG. 9, for example, 1234-2 (APD device 30).
Specifically, it is transmitted to the APD device 30 of FIG. 1 via the management server side communication device 52 of FIG. For example, in the example of FIG. 10, peritoneal dialysis is performed with the APD device (1234-2) 30 at midnight and 6 am, and then with the CAPD device (1234-1) 10 at 12 pm and 6 pm. Is going to do. Dialysis plan (Treatment pattern, Initial drainage volume, Injection volume, Retention time, Final injection volume, Final concentration change, Dialysis time, Total dialysate volume, Total water removal volume, Cycle number, Initial injection volume, Tidal volume, Tidal water removal) is the data obtained for peritoneal dialysis of the patient, such as urine volume, drainage volume, residual kidney Kt / V, PD Kt / V (peritoneal dialysis) Kt / V), Cr D / P based on PET test (ratio between serum creatinine concentration P and creatinine concentration D in peritoneal dialysis drainage), change possible, possible / impossible The attending physician can pre-program.

Next, the process proceeds to ST14. In ST14, the APD device side reading device 31 of FIG. 3 of the APD device 30 that has received the inquiry signal operates.
That is, the time is the time for the patient to exchange the dialysate bag 2. If the patient is aware, the dialysate bag 2 of FIG. 1 is scheduled to be used in the APD device 30. Yes.
Accordingly, the APD device 30 activates the APD device-side reader 31 to activate the dialysis fluid container identification information of FIG. 2 via the communication chip 72 of the dialysis fluid bag terminal 70 of the dialysis fluid bag 2, for example, dialysis An attempt will be made to obtain liquid content data. This is ST15.

In ST15, the APD device-side communication state determination processing unit (program) 36 of FIG. 3 operates, and the APD device-side reader 31 has successfully communicated with the communication chip 72 of the dialysate bag terminal 70. Whether or not capacity data has been acquired is determined.
That is, if communication is possible, the dialysate bag 2 has been used for the APD device 30, and if communication is not possible, it is determined that the dialysate bag 2 is not used for the APD device 30. can do.
Therefore, the APD device side communication state determination processing unit (program) 36 is an example of the connection determination unit.

If the communication between the APD device side reader 31 and the communication chip 72 of the dialysate bag terminal 70 is not successful in ST15, the process proceeds to ST16. In ST16, it is determined whether or not a predetermined time (for example, 60 seconds) has elapsed.
In ST16, when the predetermined time has elapsed, that is, when the dialysate bag 2 is not used in the APD device 30 even after the predetermined time has elapsed, the APD device 30 is It is determined that dialysis cannot be performed by itself, and the process proceeds to ST31.

In ST31, the operation method screen display processing unit (program) 63 of the management server 50 in FIG. 4 operates to determine whether the device is the CAPD device 10 or the APD device 30 from the dialysis device identification number of the personal data 56a in FIG. For example, the general procedure information (connection procedure information) of the device is acquired from the operation screen storage unit 64 of FIG.
Then, the operation screen of this general description is displayed on the APD device side display device 40 of the APD device 30.

FIGS. 11A to 11C are schematic explanatory diagrams illustrating an example of an operation screen for general description.
FIG. 11A shows an example of a general explanation screen that should be displayed first, and FIG. 11B shows a general explanation screen that is one of the information that should be output and displayed after (a). An example is shown, and FIG. 11C shows an example of a general explanation screen to be displayed after (b).
That is, in the present embodiment, these screens are not displayed on the APD device side display device 40 at the same time, but are displayed in order of operation, and the patient operates in this order. The screen is configured so that the dialysate bag 2, the empty bag, and the peritoneal catheter attached to the patient can be appropriately connected via the APD device 30.
In this display, in addition to the character display, it is preferable to perform a dialysis preparation more preferably by performing a voice guidance or a color animation guidance so that an instrument actually used can be identified.

Further, as shown in FIG. 11A and the like, the general explanation screen includes a general explanation main body 64a and response information 64b which is response information, for example.
Therefore, in the APD device side display device 40, both the general explanation main body 64a (the time when the peritoneal dialysate replacement starts) and the response guide 64b (yes, start) of FIG. Is displayed.
By the way, in this embodiment, since the screen is configured such that the operation procedure proceeds from FIG. 11A to FIG. 11C, the display order is as shown in FIG. It becomes.

In ST31, when the general explanation main body 64a and the response guide 64b (description screen to be displayed first) shown in FIG. 11A are displayed on the APD device side display device 40, the process proceeds to ST32. In ST32, it is determined whether or not a response signal is input through a touch panel or the like displayed on the screen of the display unit as an input unit.
That is, the response signal is transmitted to the management server 50 when the patient clicks the response guide 64a by operating the APD device side input device 39 of FIG.
In the management server 50, the response signal reception determination processing unit (program) 64 of FIG. 4 operates to determine whether a response signal has been received.

If a response signal is received in ST32, the management server 50 determines that the patient has started exchanging the dialysate bag 2, and proceeds to ST33.
In ST33, the response signal reception determination processing unit (program) 65 determines whether or not there is an operation screen having the following general description.
In the present embodiment, as described above, since there is the operation screen of FIG. 11 (b) after FIG. 11 (a), in ST34, the general explanation main body 64a (peritoneal dialysate bag of FIG. 11 (b)). Is displayed from the packaging bag?) And a response guide 64b (Yes, it is removed) are displayed on the APD device side display device 40.

In this way, the above-described ST32 and ST33 are executed, and until the display of the explanation screen for all general explanations and the click of the response guidance by the patient are completed, that is, the exchange of the dialysate bag 2 by the patient is completed. Until it will repeat.
Thus, even if the patient is an elderly person living alone and is not familiar with the replacement of the dialysate bag 2, the replacement method is specifically taught, so the patient can easily replace the dialysate bag 2 (APD). Mounting to the device 30).

On the other hand, if there is no next operation screen in ST33, that is, if the operation is completed, the process proceeds to ST35. In ST35, the dialysate bag stock quantity processing unit (program) 66 (an example of the dialyzer container quantity information change processing unit) of the management server 50 in FIG. 4 is operated, and the stock of dialysate in the personal data 56a in FIG. Perform reduction processing.
Thereby, the management server 50 can grasp | ascertain the stock quantity of the said dialysate bag 2 of the said patient reliably, and the patient family terminal 90 or 90 so that the stock of the dialysate bag 2 may not become zero by carelessness of a patient. The fact can be notified to the medical site terminal 100 of the doctor in charge and measures can be taken.

If the input of a response signal by the patient cannot be detected in ST32 described above, the process proceeds to ST36. In ST36, the management server 50 determines whether or not a predetermined time (for example, 60 seconds) has elapsed.
If it is determined in ST36 that the predetermined time has elapsed, the process proceeds to ST37, where detailed explanation is provided by a moving image such as an animation showing an actual procedure, which is one of information to be output / displayed, or a still image. Is displayed on the display unit (preferably a color liquid crystal display unit or an organic EL) of the APD device side display device 40 of the APD device 30 with the sound.
That is, in ST32, when there is no response signal input, the patient does not click the response guide 64b in FIG. 11 (a) or the like, that is, the patient does not know how to connect the dialysate bag 2 to the APD device 30. A case is assumed.
Therefore, in the present embodiment, the operation information is more detailed than the operation screen of the general description, is detailed procedure information, and an explanatory description including characters and, preferably, a drawing indicating an instrument to be actually used, The image is displayed on the display unit (preferably a color liquid crystal display unit or organic EL) of the APD device side display device 40 of the APD device 30.

The operation screen of this detailed description has a “response guide” corresponding to a “detailed description main body” (not shown) and is stored in the operation screen storage unit 64 of FIG. .
Specifically, the operation method screen display processing unit (program) 63 of the management server 50 operates to identify the CAPD device 10 or the APD device 30 from the dialysis device identification number of the personal data 56a in FIG. Is obtained from the operation screen storage unit 64 of FIG.
Then, the operation screen described in detail is displayed on the APD device side display device 40 (preferably a color liquid crystal display unit or organic EL) of the APD device 30.

  As described above, in this embodiment, in the general description of the general description main body 64a shown at the beginning, it is not known in what procedure the dialysate bag 2 is used for the APD device 30. On the other hand, more detailed methods and the like are automatically shown in the detailed description. For this reason, the patient can know the use of the dialysate bag 2 in the APD device 30 in more detail.

Next, the process proceeds to ST38. In ST38, it is determined whether or not the patient has read the above-mentioned “detailed explanation body” and clicked the corresponding “response guidance” screen.
If the patient clicks “response guidance” in ST38, the process proceeds to ST32 described above. That is, when the patient clicks the “response guide” for the detailed explanation body of the previous explanation screen, a general explanation of the next operation screen is displayed.
Therefore, the patient gives a detailed explanation regarding the use of the dialysate bag 2 in the APD device 30 when the general explanation is unknown for each procedure. On the other hand, if it can be obtained from the general explanation, only the general explanation is displayed, so that necessary operation information can be efficiently obtained for each procedure. Yes.

On the other hand, if no response signal is input in ST38, the process proceeds to ST39. If it is determined in ST39 that a predetermined time (for example, 60 seconds) has elapsed, the process proceeds to ST40 and thereafter.
That is, if the patient does not click the “response guidance” screen corresponding to the above “detailed explanation main body” and the fixed time has elapsed, the patient can read the detailed explanation, but the APD device of the dialysate bag 2 It is determined that the usage method at 30 is unknown, and the process proceeds to ST40.

In ST40, the APD device 30 operates, for example, the APD device side alarm device 34 which is the information output unit of FIG. 3, outputs an alarm sound, etc., alerts the patient, and the dialysate bag 2 is not attached. “Alarm” data indicating that the dialysate cannot be exchanged is transmitted to the management server 50.
Therefore, if the patient lives alone and simply forgets the dialysis time, the user will notice that it is the time to replace the dialysate bag 2 by listening to this alarm sound or the like, and use the dialysate bag in the APD device 30. Operation can be performed. For this reason, the dialysate can be changed without forgetting the dialysis time even if the person is living alone (single life).

  Next, in ST41, the alarm display execution processing unit (program) 59 of FIG. 4 operates, and the management server 50 indicates the fact of the alarm in the “alarm history” of the personal data 56a of FIG. 10 based on the received “alarm” data. Is registered, and “alarm data” is transmitted to these e-mail addresses with reference to “contact e-mail number” and “in-charge physician e-mail number” in the personal data 56a of FIG.

Next, in ST42, the patient family terminal 90 and the medical site terminal 100 receive “alarm data” using the patient family terminal side communication device 92 and the medical site terminal side communication device 102, respectively, and are output devices, for example, The information is displayed on the patient family terminal side display device 93 and the medical site terminal side display device 103.
As a result, the family and the doctor in charge of the patient, such as the above-mentioned elderly living alone, can quickly know that the patient is in a state where the dialysate cannot be exchanged, and can immediately take appropriate measures.
As described above, in the present embodiment, when the dialysate bag 2 is used in the APD device 30, the detailed response according to the specific situation facing the patient such as the elderly (voice guide, guide by display) Etc.).

On the other hand, when the communication between the APD device side reading device 31 and the communication chip 72 of the dialysate bag terminal 70 is successful in ST15, the process proceeds to ST20.
In ST20, the APD device 30 stores the type and volume data of the dialysate received from the dialysate bag terminal 70 in the APD device-side read data storage unit 37 shown in FIG.
Next, the process proceeds to ST21. In ST21, the APD device side communication device 33 in FIG. 3 transmits the type and volume data of the dialysate in the APD device side read data storage unit 37 to the management server 50.

Next, in ST22, the management server 50 operates the determination processing unit (program) 60 such as the dialysate bag of FIG. 4, and refers to the “type” and “capacity” of “dialysis solution” in the personal data 56a of FIG. Compared with the received “type and volume data of the dialysate”, it is determined whether or not the “type and volume data of the dialysate” is correct (whether it matches the personal data 56a).
Therefore, the determination processing unit (program) 60 such as a dialysate bag is an example of a dialysis information determination unit.

If it is determined in ST22 that the “type and volume data of the dialysate” is different from the personal data 56a, that is, if it is determined to be incorrect, the process proceeds to ST23. In ST23, the management server 50 transmits “warning” to the APD device 30, and the APD device side alarm device 34 outputs “warning”.
For this reason, in the present embodiment, the patient can immediately know the fact that the dialysate bag 2 used by the patient does not match his dialysate plan.

On the other hand, if “the type and volume data of the dialysis solution” matches the personal data 56a in ST22, that is, if it is determined correctly, the process proceeds to ST24.
In ST24, the operation start time processing unit (program) 61 in FIG. 4 operates to register the current time as the operation start time in the personal data 56a in FIG.

  Next, the process proceeds to ST25. In ST25, it is determined whether or not the dialysate exchange has been completed. Specifically, the determination is made based on whether or not the flow of the dialysate from the dialysate bag 2 is no longer detected by a flow sensor or the like disposed in the APD device 30 or the like.

When it is determined in ST25 that the exchange of dialysate has been completed from the APD device 30, a signal to that effect is transmitted to the management server 50.
Then, the management server 50 registers the reception time of the signal as the “dialysis end time” in FIG. 9, and the dialysis operation time calculation processing unit (program) 62 in FIG. It calculates and registers as "dialysis operation time" in the personal data 56a of FIG.
Thereby, since the management server can obtain the data of the patient's dialysate exchange time, it can be used as data for the subsequent monitoring system and product development.

Next, the process proceeds to ST27. In ST27, the APD device side operation error determination processing unit (program) 38 of FIG. 3 operates to determine whether or not there is an operation error in the dialysate bag 2 replacement operation in the APD device 30.
If there is an operation error in ST28, the data is transmitted to the management server 50 and registered as “operation error” in the personal data 56a of FIG.

  For this reason, the management server 50 can obtain data and the like that are likely to cause an operation error by the patient, and can be used as a material for the subsequent monitoring system and product development.

  In the present embodiment, the APD device 30 has been described as an example. However, the present invention is not limited to this, and the CAPD device 10 can be similarly operated.

  DESCRIPTION OF SYMBOLS 1 ... Peritoneal dialysis equipment management system, 2 ... Dialysate bag, 4 ... Relay station, 5 ... Internet network, 10 ... CAPD equipment, 11 ... CAPD equipment side reader, 12 ... CAPD device control unit, 13 ... CAPD device side communication device, 14 ... CAPD device side alarm device, 15 ... CAPD device side timing device, 16 ... CAPD device side communication state judgment processing unit (Program), 17 ... CAPD device side read data storage unit, 18 ... CAPD device side operation error judgment processing unit (program), 19 ... CAPD device side input device, 20 ... CAPD device side display 30 ... APD device, 31 ... APD device side reading device, 32 ... APD device control unit, 33 ... APD device side communication device, 34 ... APD device side alarm device 35 ... APD device side timing device, 39 ... APD device side input device, 40 ... APD device side display device, 50 ... management server, 51 ... management server side control unit, 52 ... Management server side communication device, 53 ... Management server side display device, 54 ... Management server side timing device, 55 ... Management server side input device, 56 ... Personal data storage unit, 56a ... Personal data, 57... Current time data storage unit, 58... Dialysis plan search processing unit (program), 59... Alarm display execution processing unit (program), 60. (Program), 61 ... operation start time processing section (program), 62 ... dialysis operation time calculation processing section (program), 63 ... operation method screen display processing section (program), 64 ... operation Screen 64a ... general explanation main body, 64b ... response guidance, 65 ... response signal reception judgment processing unit (program), 66 ... dialysate bag inventory quantity processing unit (program), 70 ... Dialysate bag terminal, 71 ... Dialysate bag terminal control unit, 72 ... Communication chip, 73 ... Dialysate content data storage unit, 90 ... Patient family terminal, 91 ... Patient family terminal Control unit, 92 ... Patient family terminal side communication device, 93 ... Patient family terminal side display device, 100 ... Medical site terminal, 101 ... Medical site terminal control unit, 102 ... Medical site terminal Side communication device, 103 ... medical site terminal side display device

Claims (4)

A peritoneal dialysis machine used for peritoneal dialysis;
A peritoneal dialysis device management system having a peritoneal dialysis device management device communicably connected to the peritoneal dialysis device,
The peritoneal dialysis device has an information output unit for outputting information, and an input unit,
The information output unit includes operation procedure information,
The operation procedure information includes general procedure information and detailed procedure information which is more detailed procedure information.
The detailed procedure information is output to the information output unit when response information for the general procedure information is not input to the input unit after the information output unit outputs the general procedure information. Dialysis equipment management system. The information output unit includes a display unit,
The peritoneal dialysis machine management system according to claim 1, wherein the general procedure information is displayed on the display unit by means of letters and drawings showing the instruments actually used.   2. The peritoneal dialysis machine management system according to claim 1, wherein the detailed procedure information is displayed on the display unit by means of letters and drawings showing the instruments actually used.   The peritoneal dialysis machine management system according to any one of claims 1 to 3, wherein the display unit is a color liquid crystal or an organic EL.

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