JP6716428B2 - 血液浄化治療支援システム - Google Patents
血液浄化治療支援システム Download PDFInfo
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- JP6716428B2 JP6716428B2 JP2016220799A JP2016220799A JP6716428B2 JP 6716428 B2 JP6716428 B2 JP 6716428B2 JP 2016220799 A JP2016220799 A JP 2016220799A JP 2016220799 A JP2016220799 A JP 2016220799A JP 6716428 B2 JP6716428 B2 JP 6716428B2
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Description
本実施形態に係る血液浄化治療支援システムは、血液浄化治療(具体的には血液透析治療)を支援し得るもので、図1に示すように、病院等の医療施設に設置された中央監視装置A及び透析装置Bと、患者の自宅に設置された検出手段5、入力手段6及び送信手段7とを有して構成されている。なお、医療施設には、患者の自宅における送信手段7から送信された信号やデータ等を受信し得る受信手段8が設置されており、送信手段7及び受信手段8は、インターネットや専用回線等を介して通信可能とされている。
リンの摂取量に基づいて判定する場合、図6に示すように、S1にてリン摂取量が多いか少ないか判断し、摂取量が多いと判断されると、S2にて投薬量が適正か否かが判断される。投薬量がない(すなわち、薬を飲んでいない)と判断されると、S3にて指導がなされた後、透析時間の延長や透析液の調製を変更すべきと判断する。なお、S3にて投薬量が適正と判断されると、処方通りの透析治療を行うべきと判断される。一方、S1にてリンの摂取量が少ないと判断されると、S4にて栄養指導を経た後、処方通りの透析治療を行うべきと判断される。
2 推定手段
3 判定手段
4 出力手段
5 検出手段
6 入力手段
7 送信手段
8 受信手段
9 血液浄化器(ダイアライザ)
10 血液ポンプ
11 複式ポンプ
12 除水ポンプ
A 中央監視装置
B 透析装置(血液浄化装置)
C サーバ
D (在宅用)透析装置
Claims (9)
- 血液浄化治療を支援し得る血液浄化治療支援システムであって、
少なくとも血液浄化治療が行われない非治療日を含む複数の日にて取得された患者固有の患者データを記憶する記憶手段と、
該記憶手段で記憶された複数の日の前記患者データを比較し、血液浄化治療に関わる治療開始前の患者の状態を推定する推定手段と、
該推定手段で推定された治療開始前の患者の状態に基づいて、血液浄化治療の治療条件を変更すべきか否か判定する判定手段と、
を具備したことを特徴とする血液浄化治療支援システム。 - 前記判定手段の判定結果を出力し得る出力手段を具備したことを特徴とする請求項1記載の血液浄化治療支援システム。
- 前記患者データは、患者の生活習慣に関するデータ又は患者の生体パラメータを含むことを特徴とする請求項1又は請求項2記載の血液浄化治療支援システム。
- 前記患者の生活習慣に関するデータは、少なくとも患者の食事内容又は運動量に関するデータを含むことを特徴とする請求項3記載の血液浄化治療支援システム。
- 前記患者の生活習慣に関するデータは、患者に対する投薬データ又は患者から採取された採取物に関するパラメータを含むことを特徴とする請求項3又は請求項4記載の血液浄化治療支援システム。
- 前記非治療日に取得された前記患者データを検出し得る検出手段と、
該検出手段で検出された前記患者データ又は操作者によって入力された前記患者データを前記記憶手段に送信し得る送信手段と、
を具備したことを特徴とする請求項1〜5の何れか1つに記載の血液浄化治療支援システム。 - 前記検出手段は、家庭用医療機器、ヘルスケアデバイス又はウェアラブル端末から成ることを特徴とする請求項6記載の血液浄化治療支援システム。
- 前記記憶手段は、医療施設に設置された血液浄化装置に血液浄化治療に関わる信号を送信可能とされた中央監視装置、又は当該中央監視装置に対して患者に関わる情報を送信可能とされたサーバに配設され、前記患者データに加え、血液浄化治療中に当該血液浄化装置で取得された患者のデータを記憶可能とされたことを特徴とする請求項1〜7の何れか1つに記載の血液浄化治療支援システム。
- 前記記憶手段で記憶された患者データを時系列的に表示可能とされたことを特徴とする請求項1〜8の何れか1つに記載の血液浄化治療支援システム。
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH11342198A (ja) | 1998-06-03 | 1999-12-14 | Green Joho Systems Kk | 人工透析診療支援システム |
JP3288348B2 (ja) * | 1999-08-23 | 2002-06-04 | 健 長谷川 | 検査日時自動決定機能組み込み検査予約システム及び検査予約方法 |
JP2002056099A (ja) * | 2000-08-11 | 2002-02-20 | Ntt Me Corp | 健康管理システム |
WO2002053209A1 (en) * | 2000-12-27 | 2002-07-11 | Philips Japan, Ltd. | Biological information and blood treating device information control system, biological information and blood treating device information control device, and biological information and blood treating device information control method |
US7756722B2 (en) * | 2001-02-01 | 2010-07-13 | Georgetown University | Clinical management system from chronic illnesses using telecommunication |
JP4049550B2 (ja) * | 2001-05-31 | 2008-02-20 | 株式会社ジェイ・エム・エス | 医療データの遠隔収集装置及び方法 |
JP4028776B2 (ja) * | 2002-07-15 | 2007-12-26 | 株式会社ジェイ・エム・エス | 医療データ警告通知システム及び方法 |
JP4129866B2 (ja) * | 2002-07-18 | 2008-08-06 | 日機装株式会社 | 血液処理装置 |
JP2005267364A (ja) * | 2004-03-19 | 2005-09-29 | Asahi Kasei Medical Co Ltd | 治療支援システム |
JP2006285488A (ja) | 2005-03-31 | 2006-10-19 | Asahi Kasei Medical Co Ltd | 透析管理システム |
JP4726045B2 (ja) * | 2005-04-08 | 2011-07-20 | 日機装株式会社 | 血液透析装置 |
DE102005025516A1 (de) * | 2005-06-03 | 2006-12-07 | Fresenius Medical Care Deutschland Gmbh | Medizinisches Behandlungssystem mit einer Vorrichtung zum Bereitstellen von patientenbezogenen Daten |
JP5158830B2 (ja) * | 2005-06-22 | 2013-03-06 | 日機装株式会社 | 透析治療装置 |
EP1976579B1 (en) * | 2006-01-06 | 2013-08-07 | Renal Solutions, Inc. | Dual purpose acute and home treatment dialysis machine |
US8062513B2 (en) * | 2008-07-09 | 2011-11-22 | Baxter International Inc. | Dialysis system and machine having therapy prescription recall |
US10089443B2 (en) * | 2012-05-15 | 2018-10-02 | Baxter International Inc. | Home medical device systems and methods for therapy prescription and tracking, servicing and inventory |
US9370324B2 (en) * | 2008-11-05 | 2016-06-21 | Fresenius Medical Care Holdings, Inc. | Hemodialysis patient data acquisition, management and analysis system |
US10799117B2 (en) * | 2009-11-05 | 2020-10-13 | Fresenius Medical Care Holdings, Inc. | Patient treatment and monitoring systems and methods with cause inferencing |
US9199024B2 (en) * | 2010-07-14 | 2015-12-01 | Asahi Kasei Medical Co., Ltd. | Hemodialysis system |
US9561316B2 (en) * | 2011-04-29 | 2017-02-07 | Medtronic, Inc. | Intersession monitoring for blood fluid removal therapy |
DE102012017432A1 (de) * | 2012-09-04 | 2014-03-06 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung zum Quantifizieren und Darstellen eines Zeitpuffers eines Patienten. Blutbehandlungsvorrichtung und Verfahren |
JP6418624B2 (ja) | 2013-05-07 | 2018-11-07 | ゴールドウェル株式会社 | 透析治療支援システム、透析治療支援システムの作動方法、及びプログラム |
WO2015026542A1 (en) * | 2013-08-16 | 2015-02-26 | Baxter International Inc. | Therapy prediction and optimization of serum potassium for renal failure blood therapy, especially home hemodialysis |
JP6147146B2 (ja) * | 2013-09-02 | 2017-06-14 | 日機装株式会社 | 血液浄化装置 |
JP6207019B2 (ja) * | 2014-03-24 | 2017-10-04 | 日機装株式会社 | 血液浄化システム |
US10842926B2 (en) * | 2015-01-14 | 2020-11-24 | Fresenius Medical Care Deutschland Gmbh | Medical fluid treatment machines and related systems and methods |
JP6716428B2 (ja) | 2016-11-11 | 2020-07-01 | 日機装株式会社 | 血液浄化治療支援システム |
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