JP2013255816A - 腹膜透析用データ通信システム - Google Patents
腹膜透析用データ通信システム Download PDFInfo
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- 238000000034 method Methods 0.000 claims description 9
- 238000012546 transfer Methods 0.000 claims description 6
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- 239000000243 solution Substances 0.000 description 12
- 239000008280 blood Substances 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- 210000000683 abdominal cavity Anatomy 0.000 description 4
- 230000006870 function Effects 0.000 description 4
- 210000003734 kidney Anatomy 0.000 description 4
- 210000004303 peritoneum Anatomy 0.000 description 4
- 238000009792 diffusion process Methods 0.000 description 3
- 238000001631 haemodialysis Methods 0.000 description 3
- 230000000322 hemodialysis Effects 0.000 description 3
- 210000004379 membrane Anatomy 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
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- 239000007864 aqueous solution Substances 0.000 description 2
- DDRJAANPRJIHGJ-UHFFFAOYSA-N creatinine Chemical compound CN1CC(=O)NC1=N DDRJAANPRJIHGJ-UHFFFAOYSA-N 0.000 description 2
- 239000000385 dialysis solution Substances 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 230000003204 osmotic effect Effects 0.000 description 2
- 239000002699 waste material Substances 0.000 description 2
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
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- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 239000004202 carbamide Substances 0.000 description 1
- 208000020832 chronic kidney disease Diseases 0.000 description 1
- 229940109239 creatinine Drugs 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000003292 diminished effect Effects 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 208000028208 end stage renal disease Diseases 0.000 description 1
- 201000000523 end stage renal failure Diseases 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 230000003907 kidney function Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 210000003200 peritoneal cavity Anatomy 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 238000000108 ultra-filtration Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/15—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with a cassette forming partially or totally the flow circuit for the treating fluid, e.g. the dialysate fluid circuit or the treating gas circuit
- A61M1/159—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with a cassette forming partially or totally the flow circuit for the treating fluid, e.g. the dialysate fluid circuit or the treating gas circuit specially adapted for peritoneal dialysis
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/15—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with a cassette forming partially or totally the flow circuit for the treating fluid, e.g. the dialysate fluid circuit or the treating gas circuit
- A61M1/152—Details related to the interface between cassette and machine
- A61M1/1524—Details related to the interface between cassette and machine the interface providing means for actuating on functional elements of the cassette, e.g. plungers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/12—General characteristics of the apparatus with interchangeable cassettes forming partially or totally the fluid circuit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3546—Range
- A61M2205/3569—Range sublocal, e.g. between console and disposable
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
- A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/60—General characteristics of the apparatus with identification means
- A61M2205/6018—General characteristics of the apparatus with identification means providing set-up signals for the apparatus configuration
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Abstract
【解決手段】USBフラッシュドライブを用いて患者ファイル及び記録をアップロード及びダウンロードするため、及びUSBフラッシュドライブを介して転送されたPD装置のためのトレーニング映像を装置自体の表示部に再生するための、USBインターフェースを有するポータブル腹膜透析装置(10)。
【選択図】図2
Description
血液透析では、患者の血液を人工腎臓透析機に通す。透析機の膜は血液を浄化するための人工腎臓としての役割を果たす。この治療は体外で行なわれるので、特別な機械装置や、病院など治療を実施するセンターへの通院を必要とする。
膜透析を実行すべくPDサイクラーに対して操作のシーケンスを指示するための制御部と、前記装置に設けられてUSBフラッシュドライブを受け入れるUSBポートを含むUSBデータ通信インターフェース、及び治療に付随する治療データのデジタル記録、患者プロフィール及び処方箋、及び内蔵式のメディアプレーヤを用いて前記装置の表示部に再生可能な同じ装置用のトレーニング映像等の腹膜透析関連データのアップロード及びダウンロードを管理するためのUSBインターフェース制御システムとを備える。
以下に記載されるUSBインターフェースは具体的には2005年2月28日に出願された「Portable Appatratus for Peritoneal Dialysis Therapy」という名称の米国特許出願第11/069,195号に開示された型のPDサイクラー用に設計されており、この出願はそのまま本願に参照として盛り込まれている。加えて、本願は、本願と同日にKulwinder Plaheyによって出願された「Improved Cassette System For Peritoneal Dialysis Machine」という名称の関連出願(代理人整理番号18196−061001)における開示を参照として盛り込む。前述の出願は同一の譲受人に譲渡され、本願の図1に示されるPDサイクラーの実施形態の特定の詳細が記述される。
図1には、PD溶液バッグ及び関連する管を収容するように設計されたカート12の頂部に配置されたポータブルPDサイクラー10が示されている。前記サイクラー10の前部は、ヒンジで取り付けられたドア14の後部に位置する加圧されたカセットコンパートメントに同調して、患者によって操作されるように設計されたユーザインターフェースを備える制御パネル12を含む。前記カセット(図示せず)は、流路と、弾性弁ドームと、ダイアフラムによって覆われたポンプ室と、ピストンとを含む。前記ポンプ室は対応する
空気弁によって作動される。前記ピストンは、バッグから前記サイクラーを通って患者へ、そして患者からドレインへのPD溶液の流れの道順を決めるカセットコンパートメントに相互接続する。前記カセット及びカセットコンパートメントは前述の出願番号第11/069,195号にさらに詳細に開示されている。前記カセット自体は、その下端に沿って配置された管接続部16を有する。前記接続部はドア14の下方に延びるとともに図1に示されるように管に接続される。
これを達成するために、ユニバーサル・シリアル・バスまたはUSBインターフェースが提案される。ユニバーサル・シリアル・バスまたはUSBインターフェースは、患者または医者がPDサイクラーの制御システムへデータをアップロード、またはPDサイクラーの制御システムからデータをダウンロードするために、USBインターフェースを備える所謂フラッシュ・ドライブ・メモリ・デバイスをPDサイクラーのUSBポートに挿入することを可能にする。これは、各治療に付随し、治療中に生じるサイクル数、注入及び排出アラーム、流量等を含む「データシート」を実際に使用者がダウンロードすることを可能にする。
大された。したがって、患者は、医者によって処方された治療パラメータに沿った全ての適切な患者プロフィールデータを有するファイルを患者のPCに保持することができる。このファイルは患者によって最新に維持されるとともに、医者によって作成された処方箋での変更を含むことができる。一つの想定において、医者は、整合性を確実にする標準化されたフォーマットと適切なセキュリティとを備えるファイルを用いて、患者に処方箋をEメールする。患者は、その後処方箋を格納するとともにUSBフラッシュドライブに転送した後、USBフラッシュドライブを用いてPDサイクラーにデータをアップロードする。同時に、患者は治療に関するデータシートをPDサイクラーから自身のフラッシュドライブにダウンロードして、その後データシートをPCに転送して、検診及び永久記録として記録する医者へのEメールにそれを添付として送る。
Claims (7)
- 腹膜透析装置であって、
PD溶液源と、
腹膜透析を必要とする患者に前記PD溶液を投与及び供給するためのPDサイクラーと、
患者に腹膜透析を実行すべくPDサイクラーに対して操作のシーケンスを指示するための制御部と、
前記装置に設けられてUSBフラッシュドライブを受け入れるUSBポートを含むUSBデータ通信インターフェース、及び腹膜透析関連データのアップロード及びダウンロードを管理するためのUSBインターフェース制御システムと、
を備える装置。 - 前記データは、患者の腹膜透析装置に特化したトレーニング映像を含む音声映像メディアファイルの形式である請求項1に記載の腹膜透析装置。
- 前記データは治療に付随する治療データのデジタル記録の形式であり、前記データはPCへの転送のために使用者のUSBフラッシュドライブにダウンロードされる請求項1に記載の腹膜透析装置。
- 前記データは、使用者によって提供される患者プロフィール及び処方箋記録の形式であり、前記記録は使用者のUSBフラッシュドライブに格納されるとともに前記USBインターフェースを介して前記装置にアップロードされる請求項1に記載の腹膜透析装置。
- PD装置を用いるデータ通信の方法であって、
USBポートを含むUSBインターフェースを前記装置に設けることと、
患者データをUSBフラッシュドライブに転送し、使用者のUSBフラッシュドライブを前記ポートに挿入することによって、前記装置に患者データをアップロードすることと、
を備える方法。 - PD装置を用いるデータ通信の方法であって、
USBポートを含むUSBインターフェースを前記装置に設けることと、
治療データをUSBコントローラに転送し、使用者のUSBフラッシュドライブを前記ポートに挿入し、その後、PCに転送するために使用者のUSBフラッシュドライブに前記データを転送することによって、治療データを使用者にダウンロードすることと、
を備える方法。 - PD装置を操作するためのトレーニング映像を再生する方法であって、
前記PD装置にメディアプレーヤと標準的なUSBポートを有するUSBインターフェースとを設けることと、
同じPD装置に特化したトレーニング映像をUSBフラッシュドライブに読み込むことと、
前記装置のUSBポートに前記フラッシュドライブに接続することと、
メディアファイルを前記装置の制御部に転送することと、
前記装置のメディアプレーヤを用いて前記PD装置の表示画面に前記トレーニング映像を再生することと、
を備える方法。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/515,360 US8926550B2 (en) | 2006-08-31 | 2006-08-31 | Data communication system for peritoneal dialysis machine |
US11/515,360 | 2006-08-31 |
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JP2009526890A Division JP5524619B2 (ja) | 2006-08-31 | 2007-08-29 | 腹膜透析用データ通信システム |
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JP2013255816A true JP2013255816A (ja) | 2013-12-26 |
JP2013255816A5 JP2013255816A5 (ja) | 2014-04-17 |
JP5838186B2 JP5838186B2 (ja) | 2016-01-06 |
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JP2009526890A Active JP5524619B2 (ja) | 2006-08-31 | 2007-08-29 | 腹膜透析用データ通信システム |
JP2013150738A Active JP5838186B2 (ja) | 2006-08-31 | 2013-07-19 | 腹膜透析装置を動作させる方法 |
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US (1) | US8926550B2 (ja) |
EP (2) | EP2059277B1 (ja) |
JP (2) | JP5524619B2 (ja) |
CN (1) | CN101534878B (ja) |
AU (1) | AU2007289206A1 (ja) |
CA (1) | CA2661670C (ja) |
WO (1) | WO2008027967A1 (ja) |
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US20090107335A1 (en) | 2007-02-27 | 2009-04-30 | Deka Products Limited Partnership | Air trap for a medical infusion device |
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CN101534878A (zh) | 2009-09-16 |
EP2059277A1 (en) | 2009-05-20 |
EP2059277B1 (en) | 2015-08-19 |
AU2007289206A1 (en) | 2008-03-06 |
JP5524619B2 (ja) | 2014-06-18 |
CA2661670A1 (en) | 2008-03-06 |
US20080097283A1 (en) | 2008-04-24 |
JP5838186B2 (ja) | 2016-01-06 |
JP2010502307A (ja) | 2010-01-28 |
US8926550B2 (en) | 2015-01-06 |
CN101534878B (zh) | 2012-04-18 |
CA2661670C (en) | 2017-03-21 |
WO2008027967A1 (en) | 2008-03-06 |
EP2990065A1 (en) | 2016-03-02 |
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