JP2015181726A - blood purification system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a blood purification system enabling easy change of blood purification means to treat a determined patient and to improve an operation ratio in blood purification treatment.SOLUTION: The blood purification system includes: plural pieces of blood purification means 1; and central management means 2 capable of storing specific information of a patient and information about a treatment condition of the patient and transmitting the specific information of the patient and information about the treatment condition of the patient to determined blood purification means 1. The blood purification system further includes: treatment side transmission means 9 arranged in each blood purification means 1 and capable of determining patient determination information determining the patient and blood purification means determination information determining the blood purification means 1, to the central management means 2; and central side transmission means arranged in the central management means 2 and capable of transmitting the treatment condition of the patient determined by the patient determination information to the blood purification means 1 determined by the blood purification means determination information.

Description

  The present invention is capable of storing a plurality of blood purification means to which a blood purification device for performing blood purification treatment on a patient is attached, information specific to the patient and information regarding the treatment conditions of the patient, and information specific to the patient. The present invention relates to a blood purification system including a central management unit that can transmit information and information on treatment conditions to a specific blood purification unit.

  For example, as disclosed in Patent Document 1, a plurality of dialysis apparatuses as blood purification apparatuses used in dialysis treatment are installed in a dialysis room provided in a medical facility such as a hospital. Dialysis treatment (blood purification treatment) has been given to patients. In such a dialysis room, there is a server (central management means) that stores patient management data (such as patient weight and blood pressure before treatment) related to dialysis treatment (blood purification treatment). It was possible to send it to each dialysis machine and display it.

  For example, when a patient performs dialysis treatment, the weight and blood pressure before treatment are first measured with a weight scale or blood pressure monitor, and the values are transmitted to the central management means and stored as patient specific information. It was. Then, the central management means obtains the treatment condition of the patient based on the specific information of the patient by calculation, etc., and transmits the obtained treatment condition to the dialysis device, so that the optimum blood purification is performed for each patient. Treatment was to be performed. On the other hand, which dialysis treatment is performed in which dialysis device for each patient is set in advance (set as a schedule) by the central management means before treatment, and the body weight and blood pressure are measured with a scale and sphygmomanometer. The patient is guided to the preset dialysis machine and given treatment.

JP 2012-249748 A

  However, in the conventional blood purification system, since the blood purification means for treating a specific patient is set in advance by the central management means before the treatment, the blood purification means fails and other blood purification means However, there is a problem that the medical staff in charge needs to go to the central management means and change the setting of the delivery destination such as the patient specific information, which makes the operation cumbersome. In addition, since blood purification treatment time usually varies depending on the weight of the patient before treatment, etc., the patient is sequentially withdrawn from the patient who has been treated, but the blood purification means for treating a specific patient is the central management means. Since it is set in advance before the treatment, it is difficult to sequentially treat the patient with the vacant blood purification means after the treatment is completed, and there is a problem that the operation rate in the blood purification treatment is lowered.

  The present invention has been made in view of such circumstances, and can easily change the blood purification means for treating a specific patient and can improve the operation rate in the blood purification treatment. It is to provide a blood purification system.

  The invention according to claim 1 is capable of storing a plurality of blood purification means to which a blood purification device for performing blood purification treatment on a patient is attached, information specific to the patient and information regarding the treatment condition of the patient, A blood purification system comprising a central management means capable of transmitting to the specific blood purification means information specific to the patient and information relating to treatment conditions, and can be specified in each of the blood purification means The patient-specific information and the blood-purifying means specifying information that can specify the blood-purifying means are transmitted to the central management means, and the treatment-side transmitting means is arranged in the central management means and specified by the patient-specific information. And a central transmission means capable of transmitting the treatment condition of the patient to the blood purification means specified by the blood purification means specifying information.

  According to a second aspect of the present invention, in the blood purification system according to the first aspect, the blood purification means includes a display means for displaying a status of a patient or a device in the course of treatment and is transmitted from the central transmission means. The treatment condition of the patient can be displayed on the display means.

  The invention according to claim 3 is the blood purification system according to claim 2, wherein the central transmission means includes the specific information of the specified patient in addition to the treatment condition of the patient specified by the patient specifying information, Alternatively, preparations necessary for the treatment of the patient can be transmitted to the blood purification means, and the patient's unique information and preparations transmitted from the central transmission means can be displayed on the display means of the blood purification means. It is characterized by that.

  According to a fourth aspect of the present invention, in the blood purification system according to the second or third aspect, the display means includes a touch panel that allows a predetermined input by touching a predetermined portion of the screen. The patient specifying information and blood purification means specifying information can be input.

  According to a fifth aspect of the present invention, in the blood purification system according to any one of the first to fourth aspects, the central management unit is configured such that the blood purification unit identified by the blood purification unit identification information is the patient identification. A determination means for determining whether or not the patient specified by the information is appropriate is provided.

  According to the first aspect of the present invention, it is possible to transmit the patient specifying information that can be specified to the patient and the blood purification means specifying information that can specify the blood purification means to the central management means. A treatment-side transmission means; and a central-side transmission means arranged in the central management means and capable of transmitting the treatment condition of the patient identified by the patient identification information to the blood purification means identified by the blood purification means identification information. Since it was equipped, while changing the blood purification means which should treat a specific patient, it can perform easily and the operation rate in a blood purification treatment can be improved.

  According to the invention of claim 2, the blood purification means includes display means for displaying the state of the patient or device in the course of treatment, and the patient treatment conditions transmitted from the central transmission means are displayed on the display means. Since it can be displayed, the treatment conditions of the patient transmitted from the central transmission means can be visually recognized by a medical worker or the like, and smoother treatment can be performed.

  According to the invention of claim 3, the central transmission means includes the specific information of the identified patient or the preparation necessary for the treatment of the patient in addition to the treatment condition of the patient identified by the patient identification information. The patient's treatment transmitted from the central transmission means can be transmitted to the blood purification means and the patient's unique information and preparations transmitted from the central transmission means can be displayed on the display means of the blood purification means. Conditions, patient-specific information, or preparations can be visually recognized by medical staff and the like, and smoother treatment preparation and treatment can be performed.

  According to the invention of claim 4, the display means comprises a touch panel that allows a predetermined input by touching a predetermined part of the screen, and patient specification information and blood purification means specification information can be input on the touch panel. Therefore, input and display in the blood purification means can be performed smoothly and easily.

  According to the invention of claim 5, the central management means comprises determination means for determining whether or not the blood purification means specified by the blood purification means identification information is appropriate for the patient specified by the patient identification information. Therefore, it is possible to perform an appropriate treatment according to patient-specific circumstances.

1 is an overall schematic diagram showing a blood purification system according to an embodiment of the present invention. Schematic diagram showing blood purification means in the blood purification system Time chart showing communication between blood purification means and central management means in the blood purification system Time chart showing communication between the blood purification means and the central management means in the blood purification system (when a specific blood purification means is not assigned in advance to a specific patient) Time chart showing communication (when changing to other blood purification means) between the blood purification means and the central management means in the blood purification system

Hereinafter, embodiments of the present invention will be specifically described with reference to the drawings.
The blood purification system according to the present embodiment is called a “dialysis treatment central system” capable of performing dialysis treatment on a plurality of patients. As shown in FIG. It is mainly composed of blood purification means 1 and central management means 2 electrically connected. In addition, a bed B on which a patient can lie down is installed in the vicinity of each blood purification means 1, and dialysis treatment is performed on the patient lying on the bed B by the blood purification means 1. It has become.

  A plurality of blood purification means 1 are installed in a dialysis room. A dialyzer (blood purifier) for performing blood purification treatment (blood dialysis treatment) on a patient is attached and supplied from a dialysate supply device (not shown). The dialysate can be supplied to the dialyzer (blood purifier). As shown in FIG. 2, the blood purification unit 1 includes a touch panel 8 as a display unit, and a predetermined input can be performed by touching a predetermined part of the screen of the touch panel 8.

  The touch panel 8 has both a predetermined display function (display function as a display means) and an input function (input function as an input means). For example, the touch panel 8 displays the state of a patient or device in the course of treatment and hemodialysis. Parameters related to treatment (for example, a driving speed of a blood pump or a water removal pump (not shown)) can be input. The touch panel 8 is attached to the upper part of the dialysis apparatus main body so as to face the front, and a medical worker such as a doctor visually observes the display and allows a predetermined input operation (operation on the screen). Note that the touch panel 8 may be rotatable in the left-right direction.

  Further, the blood purification means 1 according to the present embodiment is electrically connected to the central management means 2 through a wiring H2 constituting, for example, a LAN (local area network: private communication network) capable of two-way communication, and treatment. A side transmission unit 9, a reception unit 10, and a control unit 11 are included. The receiving means 10 can receive information transmitted from the central management means 2 (for example, information specific to the patient and information regarding the treatment condition of the patient). The control means 11 controls various devices to perform blood purification treatment based on the information received by the receiving means 10 and the settings input by the blood purification means 1.

  The treatment-side transmission means 9 can transmit patient specifying information that can specify a patient and blood purification means specifying information that can specify the blood purification means 1 to the central management means 2, and in this embodiment, the patient Specific information and blood purification means specific information can be input on the touch panel 8. For example, a patient to be treated by the blood purification means 1 can be specified by inputting the name of the patient, an identification code assigned to each patient, and the like on the touch panel 8, and given to each blood purification means 1. Since the input identification code or the identification code given to the bed B installed corresponding to the blood purification means 1 is input on the touch panel 8, the blood purification means 1 to be input can be specified. is there.

  The means for inputting the patient specifying information and the blood purification means specifying information is not limited to the touch panel 8, and may be an input means provided separately, for example, a separate keyboard or numeric keypad, RFID, barcode, biometrics, or the like. For example, input by automatic recognition by image recognition or the like, input by voice recognition or the like may be performed. As for blood purification means identification information, information that automatically transmits an identification code given in advance to blood purification means 1 together with inputted patient identification information (that is, input of blood purification means identification information is necessary before treatment) Or not).

  The central management means 2 is electrically connected to each blood purification means 1 and the weight scale D by wirings H1 and H2 constituting a LAN capable of bidirectional communication, and can transmit and receive information to and from each other. The storage unit 3, the reception unit 4, the calculation unit 5, the central side transmission unit 6, and the determination unit 7 are configured. The weight scale D measures the weight of the patient before treatment (patient specific information), and the measured value is transmitted to the central management means 2 via the wiring H1. In addition to the weight scale D, a sphygmomanometer that measures the blood pressure of the patient before treatment may be connected to the central management means 2.

  The memory | storage means 3 can memorize | store the information regarding a patient's specific information and the treatment condition of the patient. In addition to the above-mentioned patient weight before treatment (including the blood pressure of the patient before treatment), the patient-specific information includes information specific to the patient (identification of men or women, allergy, etc., necessity and type of medication, It may be a shunt state or past treatment information). In addition to the patient treatment conditions, the information related to the patient treatment conditions in the present embodiment includes preparations necessary for the patient treatment (blood purifiers, blood circuits, puncture needles, patients having different specifications for each patient, Taping, disinfectant, etc., which differ in necessity. The receiving means 4 can receive a measurement value (patient specific information) and the like transmitted from the scale D.

  The calculation means 5 obtains information on the treatment condition of the patient based on the patient specific information received by the reception means 4. The patient treatment conditions required by the computing means 5 include, for example, dialysis treatment time, blood flow (flow rate of blood to be circulated extracorporeally), dialysate flow rate (flow rate of dialysate supplied to the blood purifier), and replacement fluid amount (replacement fluid). ), Fluid replacement rate, water removal amount (amount of water removed from the patient), water removal rate, drug dosage and administration rate, dialysate and fluid replacement temperature, alarm level settings, and other initial setting values.

  Here, the receiving means 4 according to the present embodiment can receive the patient specifying information and the blood purifying means specifying information transmitted from the treatment side transmitting means 9 of the blood purifying means 1. Then, the patient specified by the received patient specifying information is associated (linked) with the patient specific information stored in the storage means 3 and the information related to the treatment condition of the patient, and the calculation means 5 as described above. It is configured to determine the patient's treatment conditions.

  The center side transmission means 6 can transmit the treatment condition of the patient specified by the patient specifying information to the blood purification means 1 specified by the blood purification means specifying information. That is, the patient identification information and the blood purification means identification information input on the touch panel 8 of the blood purification means 1 are transmitted to the central management means 2 by the treatment side transmission means 9, and the central management means 2 is based on the patient identification information. The patient's treatment conditions are determined at the same time, and the patient who is treated by the blood purification means 1 for the blood purification means 1 specified by the blood purification means identification information by the central transmission means 6 (identified patient) The treatment conditions can be transmitted.

  Information relating to the treatment condition of the patient transmitted by the central transmission means 6 is received by the receiving means 10 of the blood purification means 1 and displayed on the touch panel 8 (display means). Based on such display, settings related to treatment of blood purification means 1 are performed, and control by control means 11 is performed based on the settings, and blood purification treatment (hemodialysis treatment) suitable for the patient is performed. It becomes.

  In addition to the treatment conditions of the patient specified by the patient identification information, the central side transmission means 6 according to the present embodiment includes the specific information of the identified patient (in addition to the weight and blood pressure information before treatment, the patient Specific information (identification of men or women, presence / absence of allergies, necessity / type of medication, shunt status, past treatment information, etc.), or preparations necessary for treatment of the patient (Including both the patient's unique information and the preparation) can be transmitted to the blood purification means, and the patient's unique information and the preparation transmitted from the central transmission means 6 are displayed on the touch panel 8 (display of the blood purification means 1). (Means).

  The determination means 7 determines whether or not the blood purification means 1 specified by the blood purification means identification information is appropriate for the patient specified by the patient identification information. According to the determination means 7, for example, when a male and a female who are patients are set for the adjacent blood purification means 1, the blood purification means 1 far from the medical staff in charge is inferior. This can be determined as inappropriate, for example, when a patient who is likely to be prone is set. In addition, when it determines with the determination means 7 being unsuitable, you may make it display on the display means (in this embodiment touch panel 8) of the blood purification means 1, or may not be able to perform treatment. .

Next, communication between blood purification means 1 and central monitoring means 2 will be described based on the time chart of FIG.
First, when a patient who enters the treatment room measures his / her weight with the scale D, the measured value is transmitted to the central management means 2, and the central management means 2 stores the received measurement value and the storage means 3. Based on the information (dry weight value, etc.), the treatment condition (water removal amount, etc.) is calculated and determined (S1). Further, the medical staff operates the blood purification means 1 to transmit the patient identification information and the blood purification means identification information to the central management means 2, thereby requesting treatment conditions for the identified patient (S2).

  When the central management unit 2 receives the patient identification information and the blood purification unit identification information from the blood purification unit 1, the central management unit 2 identifies the blood purification unit 1 identified by the blood purification unit identification information by the determination unit 7 using the patient identification information. It is determined whether or not it is appropriate for the given patient (S3). If the result of determination by the determination means 7 (S4) is appropriate for the specified patient, the treatment condition is transmitted to the specified blood purification means 1 (S5). Initial setting values are registered (S6). If the result of determination by the determination means 7 (S4) is not appropriate for the specified patient, that effect is displayed on the touch panel 8 of the blood purification means 1, or the appropriate blood purification means 1 (blood purification means 1 is installed). The ID to be identified and the ID of the bed corresponding to the blood purification means 1 can be displayed and guided on the touch panel 8 or the like, for example.

Next, communication between the blood purification means and the central management means when a specific blood purification means is not assigned to a specific patient in advance will be described based on the time chart of FIG.
The medical staff operates the blood purification means 1 to transmit the patient identification information and the blood purification means identification information to the central management means 2, thereby requesting treatment conditions for the identified patient (S1). On the other hand, when the central management unit 2 receives the patient identification information and the blood purification unit identification information from the blood purification unit 1, the blood purification unit 1 identified by the blood purification unit identification information by the determination unit 7 becomes the patient identification information. It is determined whether or not it is appropriate for the identified patient (S2).

  Then, the central management unit 2 determines the information (initial setting value, etc.) that does not require calculation by the calculation unit 5, for example, if it is appropriate for the identified patient as a result of the determination by the determination unit 7 (S3). At the same time as the transmission to the purification means 1 (S4), the measurement value transmitted from the scale D and the information (dry weight value etc.) stored in the storage means 3 by the weight measurement performed after the patient entered the room. The treatment condition (water removal amount, etc.) is calculated and determined based on this (S5), and transmitted to the blood purification means 1, whereby the treatment condition and the initial set value are registered in the blood purification means 1 (S6). If the result of determination by the determination means 7 (S3) is not appropriate for the specified patient, that effect is displayed on the touch panel 8 of the blood purification means 1 or the appropriate blood purification means 1 (blood purification means 1 is installed). The ID to be identified and the ID of the bed corresponding to the blood purification means 1 can be displayed and guided on the touch panel 8 or the like, for example.

Next, communication between the blood purification means and the central management means when the assigned blood purification apparatus 1 is changed to another blood purification means 1 due to failure or the like is based on the time chart of FIG. I will explain.
The medical staff operates the blood purification apparatus 1 at the change destination and sends the patient identification information and the blood purification means identification information to the central management means 2, thereby requesting treatment conditions for the identified patient (S1). .

  On the other hand, when the central management unit 2 receives the patient identification information and the blood purification unit identification information from the blood purification unit 1, the blood purification unit 1 identified by the blood purification unit identification information by the determination unit 7 becomes the patient identification information. It is determined whether or not it is appropriate for the identified patient (S2). Then, as a result of the determination by the determination means 7 (S3), if it is appropriate for the identified patient, the treatment conditions (water removal amount, etc.) registered before the change and the treatment progress information up to the interruption are changed. It transmits to the means 1 (S4) and registers (S5). If the result of determination by the determination means 7 (S3) is not appropriate for the specified patient, the appropriate blood purification means 1 (ID for identifying the blood purification means 1, ID of the bed corresponding to the blood purification means 1, etc.) ) Can be displayed and guided on the touch panel 8 or the like, for example.

  According to the embodiment, the patient specifying information that can be specified in each of the blood purification means 1 and that can specify the patient and the blood purification means specification information that can specify the blood purification means 1 can be transmitted to the central management means 2. The treatment-side transmission means 9 and the central-side transmission that is arranged in the central management means 2 and can transmit the treatment condition of the patient specified by the patient specifying information to the blood purification means 1 specified by the blood purification means specifying information With the means 6, the blood purification means 1 that should treat a specific patient can be easily changed, and the operating rate in the blood purification treatment can be improved.

  That is, when the blood purification means 1 for treating a specific patient is preset (managed and set as a schedule) before treatment by the central management means 2, the blood purification means 1 breaks down and other blood purification means When the blood purification means 1 after the change is operated and the patient-specific information and the blood purification means specification information are transmitted from the treatment side transmission means 9 to the central management means 2 when changing to 1, the central management means 2 Since the changed blood purification means 1 can receive the treatment condition of the patient specified by the patient specifying information from the central transmission means 6, the changing operation can be easily performed.

  In addition, when changing from the blood purification means 1 set in advance before the treatment to another blood purification means 1 as described above, in addition to the patient identification information and the blood purification means identification information, information indicating the change (for example, before treatment) May be transmitted from the treatment side transmission means 9 to cancel the setting of (2) and change to another blood purification means 1). In this case, it is preferable that the determination means 7 determines whether or not the changed blood purification means 1 is appropriate for the patient, and transmits it from the central transmission means 6 to the changed blood purification means 1 for display.

  Further, the blood purification means 1 for treating a specific patient is not set in advance by the central management means 2 before the treatment, and the next patient is treated in the order in which the previous patient's treatment is completed and vacant. In this case, since the work for changing the setting before the treatment is unnecessary, the blood purification treatment can be performed smoothly, and the operation rate in the blood purification treatment (the patient rotation rate in the treatment room) is improved. be able to.

  Furthermore, the blood purification means 1 according to the present embodiment includes a touch panel 8 as a display means for displaying the state of a patient or a device in the course of treatment, and the patient's treatment conditions transmitted from the central transmission means 6 Since the information can be displayed on the touch panel 8 (display means), the treatment conditions of the patient transmitted from the central transmission means 6 can be visually recognized by a medical worker or the like, and smoother treatment can be performed. Instead of the touch panel 8, separate display means (general-purpose display means incapable of input operation) may be provided.

  Furthermore, the central transmission means 6 according to the present embodiment, in addition to the patient treatment conditions specified by the patient identification information, the specific information of the identified patient or the preparation necessary for the treatment of the patient. Since it can be transmitted to the blood purification means 1 and the patient's specific information and preparations transmitted from the central side transmission means 6 can be displayed on the touch panel 8 (display means) of the blood purification means 1, the central side transmission means The treatment conditions of the patient, the patient's unique information or the preparations transmitted from 6 can be made visible to the medical staff and the like, and smoother preparation and treatment can be performed.

  In particular, the display unit according to the present embodiment includes the touch panel 8 capable of performing a predetermined input by touching a predetermined part of the screen, and can input patient specifying information and blood purification unit specifying information on the touch panel 8. Therefore, input and display in the blood purification means 1 can be performed smoothly and easily. Instead of the touch panel 8, separate input means (general-purpose input means that cannot display) may be provided.

  Further, the central management means 2 according to this embodiment includes a determination means 7 for determining whether or not the blood purification means 1 specified by the blood purification means identification information is appropriate for the patient specified by the patient identification information. Therefore, it is possible to perform an appropriate treatment according to the circumstances specific to the patient. That is, when the central management means 2 receives the patient specifying information, it is associated (linked) with the specific information of the specified patient, so that the circumstances specific to the patient can be taken into account based on the specific information of the patient. It is.

  The blood purification system according to the present embodiment has been described above, but the present invention is not limited to this. For example, each blood purification means 1 and the central management means 2 are both wireless LANs and have no wiring. It may be connected so that bidirectional communication is possible. Further, in this embodiment, the information of the central management means 2 is transmitted exclusively to each blood purification means 1, but another server different from the central management means 2 (accounting system not directly related to blood purification treatment) Or a server such as a reservation system) may be transmitted to each blood purification means 1. In addition, in this embodiment, although it is set as the system which performs a hemodialysis treatment, you may make it apply to the blood purification system which performs another blood purification treatment.

  A treatment-side transmission unit that is disposed in each of the blood purification units and can transmit patient identification information that can identify a patient and blood purification unit identification information that can identify a blood purification unit to the central management unit; If it is a blood purification system provided with a central side transmission means arranged and capable of transmitting the treatment condition of the patient identified by the patient identification information to the blood purification means identified by the blood purification means identification information, other It can also be applied to those to which the above function is added.

DESCRIPTION OF SYMBOLS 1 Blood purification means 2 Central management means 3 Storage means 4 Reception means 5 Calculation means 6 Central side transmission means 7 Determination means 8 Touch panel (display means)
9 treatment side transmission means 10 reception means 11 control means

Claims (5)

A plurality of blood purification means to which a blood purifier for performing blood purification treatment on a patient is attached;
A central management means capable of storing information related to the patient's unique information and treatment conditions of the patient, and capable of transmitting the information related to the patient's unique information and treatment conditions to a specific blood purification means;
A blood purification system comprising:
A treatment-side transmission unit that is disposed in each of the blood purification units and can transmit patient identification information that can identify a patient, and blood purification unit identification information that can identify a blood purification unit to the central management unit;
A central-side transmission means arranged in the central management means and capable of transmitting the treatment condition of the patient identified by the patient identification information to the blood purification means identified by the blood purification means identification information;
A blood purification system comprising:   The blood purification means includes a display means for displaying a state of a patient or a device in the course of treatment, and can display the treatment condition of the patient transmitted from the central transmission means on the display means. The blood purification system according to claim 1.   The central transmission unit transmits to the blood purification unit, in addition to the treatment conditions of the patient specified by the patient identification information, specific information of the identified patient or preparations necessary for the treatment of the patient. The blood purification system according to claim 2, wherein the patient specific information and the preparations transmitted from the central transmission means can be displayed on the display means of the blood purification means.   The display means comprises a touch panel that allows a predetermined input by touching a predetermined part of the screen, and the patient specifying information and blood purification means specifying information can be input on the touch panel. The blood purification system according to claim 2 or claim 3.   The central management means comprises determination means for determining whether or not the blood purification means specified by the blood purification means identification information is appropriate for the patient specified by the patient identification information. Item 5. The blood purification system according to any one of Items 1 to 4.

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