JP2022501088A - 中央制御された複数患者透析処置システムおよびその使用法 - Google Patents
中央制御された複数患者透析処置システムおよびその使用法 Download PDFInfo
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Abstract
Description
Claims (18)
- 中央制御された複数患者透析処置システムであって、
進行中の透析処置のために、処方に基づいて透析液を調製し、透析液供給を制御するように構成された透析液調製ユニットと、
透析器に前記透析液を供給し、限外濾過プロセスを制御するように構成された1つまたは複数の透析液モジュールと、
前記透析処置のために前記透析器を通る体外血液流を制御するように構成された1つまたは複数の患者モジュールと
を備え、
前記透析液調製ユニット、前記透析液モジュール、および前記患者モジュールは、1人または複数人の患者に好適な統合透析処置システムに組み立てられるよう適応されるように構成されている、中央制御された複数患者透析処置システム。 - 前記透析液調製ユニットは、前記透析液モジュールと流体接続され、前記透析液調製ユニットは、
前記透析液を摂氏約35度に加熱するように構成された加熱モジュールと、
処理済み水から空気を除去するように構成された脱気モジュールと、
粉末の形態の少なくとも1つの濃縮物カートリッジから液体濃縮液を調製するように構成された濃縮液調製モジュールと、
要求に応じて、処方された混合比で前記濃縮液と前記処理済み水を混合するように構成された調合ユニットと、
前記中央制御された複数患者透析処置システムの透析液分配ループの前に配設され、衛生管理を強化するように構成されたETRFと
のうちのいずれか1つまたは複数を備える、請求項1に記載の中央制御された複数患者透析処置システム。 - 前記加熱モジュールは、
排水管内の廃棄透析液からの熱を前記処理済み水に交換するように構成された熱交換器と、
前記処理済み水が前記脱気モジュールに入る前に、前記処理済み水を摂氏約35度に加熱するように構成されたプレヒータと、
前記透析液分配ループの端部に設置され、前記透析液を摂氏約35度に保つように構成されたフローヒータと
のうちのいずれか1つまたは複数をさらに備える、請求項2に記載の中央制御された複数患者透析処置システム。 - 前記透析液モジュールは、前記透析液をそれぞれの前記患者モジュールに分配するように前記中央制御された複数患者透析処置システムの透析液分配ループと流体連通され、前記透析液モジュールは、
透析液温度を制御するように構成された透析温度制御モジュールと、
UFポンプを用いて前記透析処置における限外濾過を制御するように構成されたバランシングシステムと
のうちのいずれか1つまたは複数を備え、前記UFポンプは、前記透析処置における限外濾過量を制御するようにさらに構成されている、請求項1に記載の中央制御された複数患者透析処置システム。 - 前記体外血液流のための流路は、前記透析器およびチュービングセットを備え、および/または、
前記透析温度制御モジュールは、前記バランシングシステムの前に配設され、ならびに処方された処置温度におよび/または加熱消毒のために前記透析液を加熱するように構成された透析液ヒータをさらに備える、
請求項4に記載の中央制御された複数患者透析処置システム。 - 前記透析器は、好ましくは前記透析器の流入ポートおよび流出ポートをそれぞれのレセプタクルまたは透析液ラインにプラグ接続することによって、前記透析液モジュールまたは前記患者モジュールのいずれかにパッケージされることができる、
請求項1〜4のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記透析液調製ユニットは、前記中央制御された複数患者透析処置システムの透析液調製パラメータおよび/または前記中央制御された複数患者透析処置システムに接続された前記患者モジュールの処置ステータスをモニタおよび/または制御するための中央ステーションとして構成されている、
請求項1〜6のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記透析液調製ユニットは、キャビネット形状の形態で構成されている、
請求項1〜7のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記透析液モジュールは、
前記中央制御された複数患者透析処置システムの前記透析液分配ループに向かう逆流汚染を防止するための逆流防止器をさらに備える、請求項1〜8のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記透析液モジュールは、
前記バランシングシステムに新しい透析液を入れるために安定した負荷圧力を維持するための圧力レギュレータをさらに備え、それにより、前記透析液モジュール内の前記バランシングシステムの負荷側の前記安定した負荷圧力から発生した動力駆動が利用されて、水圧設計を簡易化することができる、請求項4に記載の中央制御された複数患者透析処置システム。 - 前記透析液モジュールは、コネクタによって前記透析液分配ループに取り外し可能に接続される、
請求項4に記載の中央制御された複数患者透析処置システム。 - 前記患者モジュールは、
ユーザインターフェース、好ましくはそれぞれの前記透析処置を制御/セットアップするためのタッチスクリーンをさらに備える、
請求項1〜11のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記患者モジュールは、小型デバイスとして構成されており、および/または、
前記患者モジュールは、格納式壁掛けまたは可動スタンド上に保持されるよう適応されるように構成されている、
請求項1〜12のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記透析液モジュールおよびそれぞれの前記患者モジュールは、ベッドサイド装置として統合されることができる、
請求項1〜13のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記中央制御された透析処置システムは、
処理済み水を前記透析液調製ユニットに供給するように構成された水処理ユニットをさらに備える、
請求項1〜14のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記水処理ユニットは、前記中央制御された複数患者透析処置システムと統合され、好ましくは、前記透析液調製ユニットと統合されることができる、
請求項1〜15のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 前記中央制御された複数患者透析処置システムは、
前記透析液モジュールを個別にすすぎ、および/または消毒することを可能にするために、前記処理済み水を前記透析液モジュールに供給するように構成された追加のループをさらに備える、請求項1〜16のいずれか一項に記載の中央制御された複数患者透析処置システム。 - 1人または複数人の患者の透析処置のための請求項1〜17のいずれか一項に記載の中央制御された複数患者透析処置システムの使用法。
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Citations (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS5165467A (ja) * | 1974-10-21 | 1976-06-07 | Baxter Laboratories Inc | |
JPH06245995A (ja) * | 1993-02-19 | 1994-09-06 | Wilfried Schal | 炭酸水素塩を含有する血液透析液の製造方法 |
JP2003175101A (ja) * | 1998-08-26 | 2003-06-24 | Aksys Ltd | 体外回路のための血液チューブ系セットの完全性試験 |
JP2004000479A (ja) * | 1995-02-13 | 2004-01-08 | Aksys Ltd | モジュラー型在宅透析システム |
JP2013017492A (ja) * | 2011-06-15 | 2013-01-31 | Nipro Corp | 多人数用透析装置における使用済透析液の排出方法 |
JP2013512012A (ja) * | 2009-11-26 | 2013-04-11 | フレゼニウス メディカル ケア ドイチュランド ゲゼルシャフト ミット ベシュレンクテル ハフトング | 体外血液処理において置換液の供給を調節するための方法、および置換液の供給を調節するためのデバイスを有する体外血液処理装置 |
JP2014004194A (ja) * | 2012-06-26 | 2014-01-16 | Nikkiso Co Ltd | 血液浄化装置及びその血液浄化装置を有する中央監視システム |
JP2014111131A (ja) * | 2013-12-24 | 2014-06-19 | Nikkiso Co Ltd | 血液浄化システム |
JP2014524766A (ja) * | 2011-06-01 | 2014-09-25 | フレセニウス メディカル ケア ホールディングス インコーポレーテッド | 透析装置入口管路の集中熱殺菌のための入口温度監視の方法およびシステム |
WO2015183981A2 (en) * | 2014-05-27 | 2015-12-03 | Deka Products Limited Partnership | Control systems and methods for blood or fluid handling medical devices |
US20160101225A1 (en) * | 2014-10-13 | 2016-04-14 | Purewater Therapeutics, LLC | Dialysis system |
JP2016512463A (ja) * | 2013-03-14 | 2016-04-28 | バクスター・インターナショナル・インコーポレイテッドBaxter International Incorp0Rated | 再使用可能な作動ユニットを有する腹膜透析交換のためのシステム及び方法 |
JP2018082904A (ja) * | 2016-11-24 | 2018-05-31 | 医療法人社団 誠仁会 | 透析システム |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2536421C (en) * | 2003-10-13 | 2012-03-13 | Gambro Lundia Ab | A device for carrying out a peritoneal dialysis treatment |
US8226595B2 (en) * | 2006-05-26 | 2012-07-24 | Baxter International Inc. | Automated dialysis system driven by gravity and vacuum |
DE102011008223B4 (de) | 2011-01-10 | 2019-07-04 | Fresenius Medical Care Deutschland Gmbh | Dialysebehandlungseinheit |
SG10201604167XA (en) * | 2011-05-24 | 2016-07-28 | Deka Products Lp | Blood treatment systems and methods |
US11351291B2 (en) * | 2016-03-14 | 2022-06-07 | Advitos Gmbh | Systems or apparatuses and methods for performing dialysis |
US10874790B2 (en) * | 2016-08-10 | 2020-12-29 | Medtronic, Inc. | Peritoneal dialysis intracycle osmotic agent adjustment |
-
2018
- 2018-07-20 JP JP2021502985A patent/JP7447078B2/ja active Active
- 2018-07-20 CN CN201880095790.2A patent/CN113474019A/zh active Pending
- 2018-07-20 EP EP18927030.9A patent/EP3823689A4/en active Pending
- 2018-07-20 WO PCT/CN2018/096358 patent/WO2020014937A1/en unknown
- 2018-07-20 US US17/261,662 patent/US20210268160A1/en active Pending
Patent Citations (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS5165467A (ja) * | 1974-10-21 | 1976-06-07 | Baxter Laboratories Inc | |
JPH06245995A (ja) * | 1993-02-19 | 1994-09-06 | Wilfried Schal | 炭酸水素塩を含有する血液透析液の製造方法 |
JP2004000479A (ja) * | 1995-02-13 | 2004-01-08 | Aksys Ltd | モジュラー型在宅透析システム |
JP2003175101A (ja) * | 1998-08-26 | 2003-06-24 | Aksys Ltd | 体外回路のための血液チューブ系セットの完全性試験 |
JP2013512012A (ja) * | 2009-11-26 | 2013-04-11 | フレゼニウス メディカル ケア ドイチュランド ゲゼルシャフト ミット ベシュレンクテル ハフトング | 体外血液処理において置換液の供給を調節するための方法、および置換液の供給を調節するためのデバイスを有する体外血液処理装置 |
JP2014524766A (ja) * | 2011-06-01 | 2014-09-25 | フレセニウス メディカル ケア ホールディングス インコーポレーテッド | 透析装置入口管路の集中熱殺菌のための入口温度監視の方法およびシステム |
JP2013017492A (ja) * | 2011-06-15 | 2013-01-31 | Nipro Corp | 多人数用透析装置における使用済透析液の排出方法 |
JP2014004194A (ja) * | 2012-06-26 | 2014-01-16 | Nikkiso Co Ltd | 血液浄化装置及びその血液浄化装置を有する中央監視システム |
JP2016512463A (ja) * | 2013-03-14 | 2016-04-28 | バクスター・インターナショナル・インコーポレイテッドBaxter International Incorp0Rated | 再使用可能な作動ユニットを有する腹膜透析交換のためのシステム及び方法 |
JP2014111131A (ja) * | 2013-12-24 | 2014-06-19 | Nikkiso Co Ltd | 血液浄化システム |
WO2015183981A2 (en) * | 2014-05-27 | 2015-12-03 | Deka Products Limited Partnership | Control systems and methods for blood or fluid handling medical devices |
US20160101225A1 (en) * | 2014-10-13 | 2016-04-14 | Purewater Therapeutics, LLC | Dialysis system |
JP2018082904A (ja) * | 2016-11-24 | 2018-05-31 | 医療法人社団 誠仁会 | 透析システム |
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