JP5594714B2 - Blood purification equipment - Google Patents

Description

  The present invention relates to a blood purification apparatus provided with display means for purifying blood of a patient who circulates extracorporeally and performing blood purification treatment, and performing display related to the blood purification treatment.

  A plurality of dialysis devices as blood purification devices used in dialysis treatment are installed in a dialysis room provided in a medical facility such as a hospital, and dialysis treatment (blood purification treatment) is performed on a large number of patients in the dialysis room. It has become so. In such a dialysis chamber, a server for storing patient management data related to dialysis treatment (blood purification treatment) is installed, and the management data (patient weight, blood pressure, etc. before treatment) is stored in each dialysis machine. It was possible to display.

  However, in a relatively large medical facility such as a hospital, a server of another system storing patient information outside the management range of blood purification treatment is often installed in a place other than the dialysis room. Other systems in this case are, for example, systems that store treatment information (electronic medical records) and medication information for other medical departments in the same hospital (such as internal medicine related to complications, which are different from the dialysis room), and patient care For example, a nursing support system or a reservation or accounting system.

  Conventionally, for example, in order to change conditions for dialysis treatment, a medical staff such as a doctor may have to grasp patient information outside the management range of blood purification treatment in another system. For medical personnel such as doctors in the dialysis room to refer to information of other systems, prepare a terminal (system client PC, etc.) separate from the dialysis machine and other systems, and display the information of the other systems at that terminal Or, the operator grasps the data contents of other systems by visual observation, and transmits them to a medical worker such as a doctor by oral or memo writing. In addition, since this prior art does not relate to the literature known invention, there is no prior art document information to be described.

  However, in the above conventional blood purification apparatus, a separate terminal is required to refer to patient information outside the management range of blood purification treatment in other systems, or information exchange is required through an operator. Therefore, there is a problem that it takes time and effort to refer to the patient information. Furthermore, the display required for the person who operates the dialysis machine in the dialysis room varies depending on the authority of the operator and the blood purification treatment process at that time. However, in the conventional blood purification apparatus, it is difficult to display in a timely manner a display necessary for a specific operator based on the blood purification treatment process, even if other than the display of another system. There was also.

  This invention is made in view of such a situation, and provides the blood purification apparatus which can make the display which would be required for a specific operator timely based on the blood purification treatment process. is there.

The invention according to claim 1 has an apparatus main body for purifying blood of a patient circulating outside the body and performing blood purification treatment, and display means for performing display related to the blood purification treatment is attached to the apparatus main body. In the blood purification apparatus, a browser capable of operating application software for causing the display means to perform a desired display, an input means capable of inputting operator information, and operator information input from the input means The blood purification treatment process being performed at the present time, and the judgment means for judging the matter that needs to be displayed and causing the display means to perform the display. while being able to receive patient information display is determined to be necessary by the determining means patient information out of control from the other system server storing, by said browser The patient information outside the management range of the blood purification treatment, characterized in that it can be displayed on the display means mounted on the apparatus body for blood purification treatment to purify the patient's blood.

  According to a second aspect of the present invention, in the blood purification apparatus according to the first aspect, patient information on which blood purification treatment is performed can be input by the input unit, and the determination unit takes into account the patient information. It is characterized by determining items that need to be displayed.

According to a third aspect of the present invention, in the blood purification apparatus according to the first or second aspect , the operator information input by the input means is an authority that the operator can operate in the blood purification treatment. Features.

According to the first aspect of the present invention, the determination means determines the matters that need to be displayed based on the operator information input from the input means and the blood purification treatment process currently performed, Since the display is performed by the display means, it is possible to perform a display that is necessary for a specific operator in a timely manner based on the blood purification treatment process.
Also, while being able to receive the patient information displayed is determined to be necessary by determination means from a server other system that stores patient information out of control of the blood purification treatment, by the browser, the management of the blood purification treatment Since patient information outside the range can be displayed on the display means attached to the main body for purifying the patient's blood and performing blood purification treatment , patient information outside the management range of blood purification treatment in the server of another system can be displayed. It can be referred to smoothly and easily.

  According to the invention of claim 2, it is possible to input patient information on which blood purification treatment is performed by the input means, and the determination means determines matters that need to be displayed in consideration of the patient information. In addition to the display that would be necessary for the operator, information on the patient who receives the blood purification treatment can also be displayed.

According to the invention of claim 3 , since the operator information input by the input means is the authority that the operator can operate in the blood purification treatment, the necessary display according to the authority of the operator is more appropriately displayed. Can be done.

The front view which shows the blood purification apparatus which concerns on embodiment of this invention The block diagram which shows the connection state of the server etc. of the blood purification apparatus and other systems The schematic diagram which shows the display form by the display means of the blood purification apparatus The block diagram which shows the connection state of the server etc. of the blood purification apparatus which concerns on other embodiment of this invention, and another system.

Hereinafter, embodiments of the present invention will be specifically described with reference to the drawings.
The blood purification apparatus according to the present embodiment is applied to a hemodialysis apparatus that purifies the blood of a patient circulating outside the body and performs dialysis treatment. As shown in FIGS. 1 and 2 , the blood purification apparatus 4 and the replacement fluid pump 4 are used. Dialysis apparatus main body 1 (monitoring apparatus) provided with the above, display means 2 for performing display related to blood purification treatment (dialysis treatment), browser 8, input means 9 and determination means 10 are mainly configured. ing. In addition, a dialyzer (blood purifier) is connected to the dialysate introduction line and the dialysate discharge line in the dialyzer main body 1, and a blood circuit for extracorporeally circulating the patient's blood is connected to the dialyzer. .

  The display means 2 is composed of a touch panel that allows a predetermined input by touching a desired position on the screen. In addition to the display related to blood purification treatment (for example, a graph display such as a change in ΔBV over time), the display means 2 It is possible to input related parameters (for example, the driving speed of the blood pump 3 or the driving speed of a water removal pump (not shown)). Such display means 2 is attached to the upper part of the dialyzer main body 1 so as to face the front, and a medical worker such as a doctor can visually observe the display and perform a predetermined input operation (operation on the touch panel).

  The input means 9 can input operator information and patient information for blood purification treatment, and can be input by touching the screen of the touch panel. As the input unit 9, for example, a virtual keyboard or a virtual numeric keypad may be displayed on the screen of the display unit 2, and an input operation may be performed using the virtual keyboard or the virtual numeric keypad. Further, a pull-down menu may be displayed when a predetermined part on the display screen is touched, and an input operation may be performed by selecting and touching one of the menus. Furthermore, a separate input unit may be provided, and input may be performed by manual input using a bar code, card, biometrics, etc., automatic recognition by image recognition, or voice recognition.

  Items input from the input means 9 are at least operator information (authorization based on the operator's job type and roles during the treatment of an examination clerk, patient guidance clerk, etc.). Input items include blood purification treatment steps (priming, puncture, dialysis preparation, dialysis treatment, blood return, washing, etc.) currently performed. However, in addition to this, patient information and other information that may be necessary may be input as necessary. The operator information may be a unique staff ID assigned to each operator in addition to the operator's authority (a range in which the operator can operate).

The browser 8 is capable of operating application software for causing the display means 2 to perform a desired display. The browser 8 can be used to display patient information (patient information outside the management range of blood purification treatment and information related to blood purification treatment). Etc.) and information that would be necessary for a specific operator can be displayed on the screen of the display means 2. For example, when a medical staff such as a doctor performs a predetermined operation, as shown in FIGS. 2 and 3, the display unit A displaying the patient information stored in the server 7 of another system is displayed on the screen of the display unit 2. It is possible to display the above and grasp the contents of the patient information. Although the display part A has a plurality of parts Aa where specific patient information outside the management range of blood purification treatment is described, the number of the part Aa may be one.

  The display unit A in the present embodiment is configured as an input screen on which patient information (patient information outside the management range of blood purification treatment) is displayed and predetermined input for the patient information can be performed. That is, patient information can be input to the server 7 of another system by operating the touch panel as the display means 2. Thereby, patient information outside the management range of blood purification treatment can be grasped in real time while in the dialysis room, and information grasped by the display can be changed or added.

  The determination means 10 determines the items that need to be displayed based on the operator information input from the input means 9 and the blood purification treatment process currently performed, and displays the display on the display means 2. It is something to be done. That is, the “matter that needs to be displayed” determined by the determination means 10 is selected in consideration of the operator information, the blood purification treatment process currently performed, and further patient information. It is what is done. The item that needs to be displayed may be information held in the same dialysis room (for example, information held in the system server 5 in the dialysis room) in addition to the information of the server 7 of another system. . However, it is preferable that the determination unit 10 is capable of determining the priority order to be displayed on the display unit 2 and further has a function of changing the priority order according to the access situation.

  The display by the display means 2 may require a plurality of information depending on the situation of the dialyzer body 1. In that case, priority is given to display, and display with higher priority is given priority, while display with lower priority is arranged with a menu that can transition on the screen, and multiple displays You may be able to see all at once. In addition, an item such as a medical staff may display information to be transmitted to the patient, and the item may be checked on condition that the operator has transmitted to the patient. In that case, it is preferable not to display the same item from the next time (however, it is more preferable to make it re-readable later) in order to avoid performing duplicate transmission to the same patient.

  As described above, a plurality of dialysis machine main bodies 1 provided with the display means 2 are installed in a dialysis room in a medical facility such as a hospital, and a bed in which a patient can sit or lie down in a position adjacent to each dialysis machine main body 1. Etc. are arranged. Each dialysis machine main body 1 is electrically connected to a page conversion server 11, a proxy server 12, a router 6, and a system server 5 as shown in FIG. Information displayed on each display unit 2 or input from the input unit 9 can be stored in the system server 5. The page conversion server 11 and the proxy server 12 may be formed on independent hardware, or may be formed on the system server 5. Further, the judging means 10 may be formed in the dialysis apparatus main body 1 as shown, or may be formed in, for example, the system server 5 instead.

  The system server 5 is connected to the dialysis machine body 1 via the router 6, the proxy server 12, and the page conversion server 11, and is configured to transmit / receive predetermined information of the own system (system in the dialysis room). . On the other hand, the dialysis machine main body 1 is connected to a server 7 of another system outside the dialysis room via a router 6, and the system server 5 is connected between the server 7 of the other system and each dialysis machine main body 1. Instead, it is configured to transmit and receive predetermined information. Here, the server 7 of the other system is, for example, a system storing treatment information (electronic medical record) and medication information of other medical departments in the same hospital (a room different from the dialysis room such as internal medicine related to complications), Examples include a nursing support system for the purpose of nursing a patient, a reservation or accounting system, and the like.

  That is, in the server 7 of the other system, patient information outside the management range of blood purification treatment (treatment information and medication information related to complications, electronic medical record information, nursing support information in hospital visit or hospitalization, reservation in medical treatment or hospitalization, etc. (Or accounting information) is stored, while the system server 5 in the dialysis room exclusively stores patient information within the management range of blood purification treatment. Thus, the router 6 is configured to receive the information of the server 7 of the other system and display it on the display means 2 of each dialyzer body 1.

  The page conversion server 11 is a server that performs conversion processing that is compact and can be interpreted by the browser 8 of the dialysis machine so as to convert the screen on the web into portable DHTML. The proxy server 12 A server (computer or software that implements its function) that connects to another network as a “proxy” on behalf of a computer on the internal network that cannot be directly connected to another network at the boundary. The proxy server 12 can centrally manage access to and from the internal network, permit only a specific type of connection from the internal network, or block unauthorized access from another network. Note that the proxy server 12 has a cache function for storing a file once read for a while for the purpose of reducing the load on the line with the external network.

  In the above embodiment, the determination means 10 is disposed in each dialysis machine main body 1, but instead of this, as shown in FIG. 4, between each dialysis machine main body 1 and the system server 5 (more Specifically, it may be formed between the page conversion server 11 and the proxy server 12. In this case, on the basis of the operator information input from the input means 9 and the blood purification treatment process being performed at the present time, the matter that needs to be displayed is either server (system server 5 in the dialysis chamber or It is determined whether it is in one of the servers 7 of a plurality of other connected systems. According to such another embodiment, it is not necessary to provide the determination means 10 in each dialyzer body 1.

Next, the display content by the display means 2 under various situations will be described below.
While the patient is in bed (puncture, dialysis treatment, blood return or waste liquid process), if the operator information is a medical worker such as a nurse or a technician, the information is stored in the system server 5 in the dialysis room The information (patient information desired to be transmitted to a doctor or the like) is read and displayed on the display means 2. During the dialysis treatment, when the operator information is an assistant to be arranged, the display means 2 reads the display of the meal contents and the request from the lunch system as the server 7 of the other system. During blood return, when the operator information is a medical worker such as a nurse or a technician, the time of the return bus and the time of the pick-up person are read from the pick-up system as the server 7 of the other system and displayed on the display means 2 To do.

  In the blood return process, if the operator information is a health care worker such as a nurse or a technician, the information is received from the pharmacy system as the server 7 of the other system, and the indication “Drug is out and please receive on return” Is performed by the display means 2. In the puncture process, if the operator information is a health care worker such as a nurse or a technician, the information is received from the test system as the server 7 of another system. “There is a blood test before dialysis. Collect blood in Spitz. Is displayed on the display means 2. In the blood return process, if the operator information is a health care worker such as a nurse or a technician, the information is received from the inspection system as the server 7 of another system. “Today, there is an inspection. Please display "on the display means 2.

  In the blood return process, if the operator information is a health care worker such as a nurse or a technician, the information is received from the accounting system as the server 7 of the other system, “There is accounting on the way home. The display is performed by the display means 2. In the processes other than the dialysis treatment process, when the operator information is a technician, the starter inspection and the contents of the inspection are displayed on the display means 2 from the device management system as the server 7 of the other system.

  According to the above-described embodiment, the determination unit 10 determines matters that need to be displayed based on the operator information input from the input unit 9 and the blood purification treatment process currently performed. Since the display is performed by the display means 2, it is possible to perform a display that is necessary for a specific operator in a timely manner based on the blood purification treatment process. In addition, it is possible to input patient information on which blood purification treatment is performed by the input unit 9 and the determination unit 10 determines items that need to be displayed in consideration of the patient information, which is necessary for a specific operator. In addition to the display that would be displayed, information about the patient receiving the blood purification treatment can also be displayed.

  Furthermore, since the patient information can be received from the server 7 of the other system storing the patient information outside the management range of the blood purification treatment, and the patient information can be displayed on the display means 2 by the browser 8, the other system Patient information outside the management range of blood purification treatment in the server 7 can be referred to smoothly and easily. Furthermore, since the display means 2 is composed of a touch panel that allows predetermined input by touching a desired position on the screen, in addition to displaying the patient information, the input to the server 7 of another system can be performed smoothly and easily. Can do. Further, since the operator information input by the input means 9 is an authority that can be operated by the operator in the blood purification treatment, the necessary display according to the authority of the operator can be performed more appropriately.

  Although the present embodiment has been described above, the present invention is not limited to this. For example, an antenna that includes an RFID that can transmit stored operator information and patient information by radio waves or the like and that receives the radio waves is provided. In this case, the input operation by the operator is unnecessary, so that the operability can be improved and the safety can be improved by suppressing erroneous operations and illegal acts. it can.

  Furthermore, in the present embodiment, the operator's authority set in advance can be input, but based on the operator's information (authority), the input operation by the touch panel as the display unit 2 may be limited. . In other words, information indicating the authority of the operator (doctor, nurse, maintenance worker, etc.) is added to the operator information. For example, even if an input operation is possible for a doctor or nurse, a maintenance worker is impossible. It is supposed to be. As a result, it is possible to limit the input operation using the touch panel based on the operator's authority set in advance, so that it is possible to suppress the input of incorrect information that is not based on the authority, and the safety is further improved. Can be made.

  In this embodiment, the present invention is applied to a hemodialysis apparatus in hemodialysis (HD), but instead of this, other blood purification treatments (for example, hemodiafiltration (HDF), blood filtration (HF), or continuous The present invention may be applied to a blood purification apparatus capable of performing treatment such as slow blood filtration (CHF).

Browser capable of operating application software for causing display to be displayed on display means, input means capable of inputting operator information, operator information input from input means, and blood currently being performed A judgment means for judging a matter that needs to be displayed on the basis of the purification treatment process and causing the display means to perform the display, and patient information outside the management range of the blood purification treatment. while being able to receive patient information deemed necessary display by determination means from a server storing other systems, by the browser, the patient information of out of control of the blood purification treatment, to purify a patient's blood applied to any blood purification apparatus which can be displayed on the display unit attached to an apparatus body for blood purification treatment, even such as those exterior shape is added different or other features Te Rukoto can.

1 Dialysis machine body 2 Display means (touch panel)
3 Blood pump 4 Fluid replacement pump 5 System server 6 Router 7 Other system server 8 Browser 9 Input means 10 Determination means 11 Page conversion server 12 Proxy server A Display section

Claims (3)

In the blood purification apparatus having a device main body for purifying the blood of a patient circulating outside the body and performing blood purification treatment, and display means for performing display related to the blood purification treatment is attached to the device main body,
A browser capable of operating application software for causing the display means to perform a desired display;
An input means capable of inputting operator information;
Judgment means for judging a matter that needs to be displayed based on the operator information input from the input means and the blood purification treatment process currently performed, and causing the display means to perform the display. When,
And is configured to receive patient information determined to be displayed by the determination means from a server of another system that stores patient information outside the management range of blood purification treatment. The blood purification apparatus , wherein the patient information outside the management range of the blood purification treatment can be displayed on the display means attached to the apparatus main body for purifying the patient's blood for blood purification treatment .   The patient information on which blood purification treatment is performed can be input by the input means, and the determination means determines an item that needs to be displayed in consideration of the patient information. Blood purification device. 3. The blood purification apparatus according to claim 1, wherein the operator information input by the input means is an authority that can be operated by the operator in blood purification treatment.

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