JP6736744B2 - Blood purification device and blood purification system - Google Patents

Description

The present invention relates to a blood purification apparatus and a blood purification system for purifying a patient's blood and performing blood purification treatment.

A plurality of dialysis machines, which are used as blood purification systems for dialysis treatment, are installed in a dialysis room provided in a medical facility such as a hospital, and dialysis treatment (blood purification treatment) is applied to a large number of patients in the dialysis room. It has become so. Further, each dialysis device is connected to a central monitoring device composed of a server and a terminal, as disclosed in Patent Document 1, for example, and is capable of receiving various information regarding a patient held by the central monitoring device. It has been possible to set treatment conditions and operation settings for each patient.

JP-A-6-205827

However, the above-mentioned conventional blood purification device has the following problems.
In recent years, a large-capacity blood purifier (especially dialyzer) that has never existed before may be attached and used. When using such a large-capacity blood purifier, specific treatment conditions and operation settings are required. Therefore, it is necessary to change the settings individually, which causes a problem that the operator's labor is increased and the operability is deteriorated. It should be noted that such a problem occurs not only when using a blood purifier with a large capacity, but also when using a blood purifier that requires specific treatment conditions and operation settings.

The present invention has been made in view of such circumstances, and a blood purification apparatus capable of improving operability even when using a blood purification device for which specific treatment conditions and operation settings are required. It is to provide a blood purification system.

The invention according to claim 1 is a blood purifier for purifying a patient's blood to perform blood purification treatment, and an operation for performing the blood purification treatment based on a predetermined treatment condition or operation setting. In a blood purification apparatus comprising a control means for performing an operation related to the blood purification treatment, a registration means capable of pre-registering the treatment condition or operation setting according to the performance, nature or function of the blood purification device, According to the blood purifier used in the blood purification treatment, a change means for changing the treatment condition or operation setting to the treatment condition or operation setting registered by the registration means is provided, and is registered by the registration means. The treatment condition or operation setting to be performed is characterized in that it is a washing amount or washing time for priming or a priming method according to the blood purifier.

The invention according to claim 2 is capable of transmitting a plurality of blood purification devices to which a blood purification device for purifying a patient's blood and performing a blood purification treatment is attached, and a treatment condition or an operation setting to the blood purification device. A central monitoring device, and a control means for performing an operation for performing the blood purification treatment or an operation related to the blood purification treatment based on the treatment condition or the operation setting transmitted from the central monitoring device. In the blood purification system, the central monitoring device includes a registration means capable of pre-registering the treatment condition or operation setting according to the performance, property or function of the blood purification device, and a blood purification device used in the blood purification treatment. Accordingly, there is provided a changing unit capable of changing the treatment condition or operation setting to the treatment condition or operation setting registered by the registration unit, wherein the treatment condition or operation setting registered by the registration unit is the blood purification. It is characterized in that it is a cleaning amount or cleaning time of priming or a priming method according to the vessel.

According to the invention of claims 1 and 2, according to the registration means capable of pre-registering the treatment condition or operation setting according to the performance, nature or function of the blood purifier, and the blood purifier used in the blood purification treatment, Since the treatment condition or the operation setting is provided with a changing unit that can change the treatment condition or the operation setting to the treatment condition or the operation setting registered by the registration unit, even when a blood purifier requiring a unique treatment condition or operation setting is used. The operability can be improved.

Furthermore, since the treatment condition or operation setting registered by the registration means is the priming washing amount or washing time or the priming method according to the blood purifier, a blood purifier requiring a specific treatment condition or operation setting can be used. Even when it is used, the cleaning amount or cleaning time for priming or the priming method can be appropriately set.

Block diagram showing a blood purification apparatus and a central monitoring apparatus according to a first embodiment of the present invention The perspective view which shows the apparatus main body of the blood purification apparatus. Schematic diagram showing the blood purification device The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. The schematic diagram which shows the display content by the display means of the blood purification apparatus. Block diagram showing a blood purification apparatus and a central monitoring apparatus according to a second embodiment of the present invention

Hereinafter, embodiments of the present invention will be specifically described with reference to the drawings.
The blood purification apparatus according to the first embodiment is applied to a blood purification system that purifies blood of a patient who circulates extracorporeally and performs dialysis treatment, and the blood purification system, as shown in FIGS. A plurality of blood purification devices 1 to which a blood purification device (see FIG. 3) such as a dialyzer 4 for purifying the blood of a patient and performing a blood purification treatment is attached, and a central monitoring device connected to each blood purification device 1. 2 and.

The central monitoring device 2 is connected to the plurality of blood purification devices 1 via a LAN cable H, and the blood purification device 1 and the central monitoring device 2 are capable of bidirectional communication and capable of transmitting and receiving information to and from each other. There is. Further, the central monitoring device 2 is configured to have a terminal (not shown) including a server and a personal computer, and information (patient information, treatment conditions or operation settings) input by the terminal is stored in the server, The stored information can be transmitted from the server to each blood purification device 1.

The blood purification apparatus 1 comprises a dialysis apparatus for performing dialysis treatment, and as shown in FIG. 3, a blood circuit 3 having an arterial blood circuit 3a and a venous blood circuit 3b, and an arterial blood circuit 3a and a venous side. A dialyzer 4 (blood purifier) that is interposed between the blood circuits 3b to purify blood flowing in the blood circuit 3, a blood pump 5 that is disposed in the arterial blood circuit 3a and can deliver liquid by driving, and an artery Arterial side air trap chamber 6 connected to side blood circuit 3a, venous side air trap chamber 7 connected to venous side blood circuit 3b, dialysate introduction line L1 for introducing dialysate to dialyzer 4, and dialyzer 4 It is configured to have a dialysate discharge line L2 for discharging the drainage liquid, a control means 13, a registration means 14, and a changing means 15.

As shown in FIGS. 2 and 3, the blood purification apparatus 1 includes a dialyzer body 8, a blood purifier (dialyzer 4) attached to the dialyzer body 8, and blood connected to the blood purifier. The circuit 3 and the dialyzer main body 8 are provided with the display means M in addition to the blood pump 5. The display means M is composed of a touch panel, and is capable of performing a predetermined display relating to blood purification treatment, and is also capable of performing a predetermined input by touching a predetermined portion of the screen.

A connector c is connected to the tip of the arterial blood circuit 3a, an arterial puncture needle a can be connected through the connector c, and a squeezing type blood pump 5 and an arterial air trap are provided on the way. A chamber 6 is provided. On the other hand, the vein side blood circuit 3b is connected to the connector d at its tip, and the vein side puncture needle b can be connected via the connector d, and the vein side air trap chamber 7 is connected midway. ing.

Then, when the patient is punctured with the arterial puncture needle a connected to the tip of the arterial blood circuit 3a and the venous puncture needle b connected to the tip of the venous blood circuit 3b, the blood pump 5 is driven. The patient's blood passes through the arterial blood circuit 3a to the dialyzer 4 while being defoamed (removed of air bubbles) in the arterial air trap chamber 6, and after the blood is purified by the dialyzer 4, the vein side While defoaming (removing bubbles) in the air trap chamber 7, it returns to the body of the patient through the vein side blood circuit 3b. As a result, the patient's blood can be purified by the dialyzer 4 while being extracorporeally circulated from the tip of the arterial blood circuit 3a of the blood circuit 3 to the tip of the venous blood circuit 3b.

A venous pressure sensor P capable of detecting the venous pressure based on the fluid pressure in the venous side blood circuit 3b is connected to the venous side air trap chamber 7, and the venous pressure sensor P detects blood circulated outside the body. It is configured to detect fluid pressure (venous pressure). As a result, the venous pressure of blood that circulates extracorporeally in the blood circuit 3 can be monitored, and changes in the patient's condition during treatment can be understood.

The dialyzer 4 has a housing with a blood inlet 4a (blood inlet port), a blood outlet 4b (blood outlet port), a dialysate inlet 4c (dialysate inlet: dialysate inlet) and a dialysate. An outlet 4d (dialysate passage outlet: dialysate outlet) is formed, of which the blood inlet 4a is connected to the arterial blood circuit 3a and the blood outlet 4b is connected to the vein blood circuit 3b. Has been done. The dialysate inlet 4c and the dialysate outlet 4d are connected to the dialysate introduction line L1 and the dialysate discharge line L2, respectively.

A plurality of hollow fiber membranes (not shown) are accommodated in the dialyzer 4, and the hollow fibers constitute a blood purification membrane for purifying blood. In the dialyzer 4, a blood flow path (flow path between the blood inlet 4a and the blood outlet 4b) through which a patient's blood flows via a blood purification membrane and a dialysate flow path (dialysate) through which a dialysate flows. A flow path) is formed between the inlet 4c and the dialysate outlet 4d. The hollow fiber membrane that constitutes the blood purification membrane is formed with a large number of minute holes (pores) penetrating the outer peripheral surface and the inner peripheral surface to form the hollow fiber membrane. It is configured so that impurities and the like in blood can permeate into the dialysate.

Furthermore, the tip portion of the arterial blood circuit 3a (near the connector c) and the tip portion of the vein side blood circuit 3b (near the connector d) according to the present embodiment are provided with the arterial blood circuit 3a or the vein side during blood purification treatment. Bubble detectors (B1, B2) capable of detecting gas (bubbles) in blood flowing through the blood circuit 3b are connected. Clamping means Va and Vb capable of closing or opening the flow path by opening and closing are attached to the tip of the arterial blood circuit 3a (near the connector c) and the tip of the vein blood circuit 3b (near the connector d). ing.

On the other hand, the dialysate introduction line L1 and the dialysate discharge line L2 send the dialysate adjusted to a predetermined concentration to the dialyzer 4 and discharge the waste products (drainage) together with the dialysate 4 from the dialyzer 4. A compound pump 9 is connected. That is, the double pump 9 is disposed across the dialysate introduction line L1 and the dialysate discharge line L2, and by driving the double pump 9, the dialysate is introduced to the dialyzer 4 at the dialysate introduction line L1. Is introduced and the dialysate (drainage) can be discharged through the dialysate discharge line L2.

Further, the dialysate introduction line L1 is connected to solenoid valves V1 and V3 and filtration filters F1 and F2, so that the dialysate introduced into the dialyzer 4 can be filtered by the filtration filters F1 and F2 and the solenoid valve V1. , V3, the flow path can be blocked or opened at any timing. The dialysate introduction line L1 is connected to the dialysate discharge line L2 by bypass lines L4 and L5, and solenoid valves V4 and V5 are connected to these bypass lines L4 and L5, respectively.

Further, bypass lines L3 and L6 that bypass the dual pump 9 are connected to the dialysate discharge line L2, a solenoid valve V6 is connected to the bypass line L6, and a dewatering pump 10 is connected to the bypass line L3. Are connected. As a result, the water removal pump 10 is driven in the process of extracorporeally circulating the blood of the patient in the blood circuit 3, thereby removing water from the blood flowing through the dialyzer 4 to remove water.

Further, a pressure pump 11 for adjusting the fluid pressure of the dialysate discharge line L2 of the compound pump 9 is connected to the upstream side (right side in FIG. 3) of the compound pump 9 in the dialysate discharge line L2. A detour line L7 extends from between the pressurizing pump 11 and the double pump 9 via the degassing chamber 12. Electromagnetic valves V2 and V7 are connected to the dialysate discharge line L2 and the bypass line L7 branching from the dialysate discharge line L2 so that the flow path of the dialysate can be blocked or opened at an arbitrary timing.

The control means 13 is composed of a microcomputer electrically connected to various actuators, sensors and the like included in the blood purification device 1, and has a predetermined treatment condition or operation setting (in the present embodiment, the central monitoring device 2). Based on the treatment condition or operation setting transmitted from the device, an operation for performing blood purification treatment (blood purification treatment step) or an operation related to the blood purification treatment (dialysis preparation step, blood return step, etc.) is performed. It is a thing.

More specifically, the control means 13 controls various actuators, sensors, etc. based on the treatment condition or operation setting transmitted from the central monitoring device 2 to, for example, the dialysate flow in the blood circuit 3 and the dialyzer 4. Priming to fill the inside of the passage with a priming solution (dialysis preparation step), blood purification treatment step to purify the blood of the patient in the blood circuit 3 while extracorporeally circulating it in the dialyzer 4, and return blood in the blood circuit 3 to the patient. It is possible to control the blood process and the like sequentially.

Here, the blood purification device 1 according to the present embodiment includes a registration unit 14 and a changing unit 15. The registration means 14 is capable of pre-registering treatment conditions or operation settings according to the performance, nature or function of the blood purifier. In the present embodiment, registration is possible by inputting on the display means M. ing. For example, as the blood purifier registered by the registration means 14, the performance based on the difference in the membrane area of the purification membrane, UFR, etc., the property based on the presence or absence of the coating material applied to the purification membrane and the amount, and the purification of hollow fibers. Membranes are classified according to their functions such as hollow fiber type and laminated type, which are based on the difference in form, and it is possible to register treatment conditions or operation settings according to their performance, nature or function.

The changing unit 15 registers the treatment condition or operation setting (the treatment condition or operation setting transmitted from the central monitoring device 2) by the registration unit 14 according to the blood purifier (dialyzer 4 etc.) used in the blood purification treatment. The treatment conditions or operation settings can be changed. That is, when the blood purifier to be used is entered on the display means M, the blood purifier is compared with the blood purifier registered by the registration means 14, and the blood purifier registered by the registration means 14 by the changing means 15. The treatment conditions or operation settings according to the above are collectively and automatically changed.

Furthermore, for example, as the treatment condition or operation setting registered by the registration means 14, in the dialysis preparation step, the washing amount or washing time of priming or the priming method can be mentioned, and in the blood purification treatment step, the anticoagulant can be added. Amount of use (injection speed and amount of anticoagulant, etc.), alarm monitoring (venous pressure, inlet pressure of dialyzer 4, dialysate pressure, pressure warning points such as TMP (transmembrane pressure difference), and decrease in UFR Monitoring, etc.), blood flow (driving speed of blood pump 5), clearance of dialyzer 4 detected by the dialysis amount monitor, and the like. Further, as the treatment condition or operation setting registered by the other registration means 14, the blood return amount in the blood return step (the amount when returning blood after the blood purification treatment, which is determined by the rotation speed of the blood pump or the like). Etc.

In particular, the registration means 14 according to the present embodiment is supposed to register the treatment condition or operation setting according to the membrane area of the blood purifier (dialyzer 4 etc.) used in the blood purification treatment. In other words, a large-capacity blood purifier tends to have an increased amount of priming washing and a corresponding increase in the priming washing time as compared to a normal blood purifier. The parameters with increased time are registered.

When using a blood purifier having a coating agent applied to a purification membrane such as a hollow fiber membrane (glycerin for protecting the purification membrane or PVP as a hydrophilizing agent), the coating agent does not remain when used. By doing so, the parameters in which the cleaning amount for priming and the cleaning time are increased are registered. In addition, since a large-capacity blood purifier tends to increase the amount of anticoagulant used, the parameters for increasing the amount of anticoagulant used compared to normal conditions are registered treatment conditions or operation settings. be registered.

Here, UFR refers to the water removal rate in ultrafiltration, and is made up of parameters that quantify how much water permeates with time and pressure. Thereby, the water permeability of the dialyzer 4 can be represented, and the higher the UFR, the higher the water permeability. However, in order to detect clogging of the purification membrane (hollow fiber membrane) of the dialyzer 4, the blood purification device (dialysis device) measures the UFR immediately after the start of treatment and detects that the UFR has decreased by a predetermined value. There is a monitoring method (UFR monitoring). Most of the large-capacity blood purifiers (such as the dialyzer 4 having a large membrane area) are often used for patients who want to have a large removal effect, and have a high UFR. When using such a large-volume blood purifier having a high UFR, if the UFR is measured immediately after the start of treatment in order to carry out the UFR monitoring, the UFR may be too high and the measurement may be difficult. Therefore, when a large capacity blood purifier is used, the treatment condition or operation setting registered by the registration means 14 is changed to another appropriate monitoring method without performing UFR monitoring.

Furthermore, the registration unit 14 according to the present embodiment is configured so that the registered treatment condition or operation setting is restricted or recommended according to the performance, nature, or function of the blood purifier. That is, the blood purifier registered by the registration unit 14 and the treatment condition or operation setting corresponding to the blood purifier are preferably appropriate parameters according to the performance, property, or function of the blood purifier, and thus, for example, the display unit. At the time of registration by M, the recommended treatment condition or operation setting is displayed and selectively registered, or the treatment condition or operation setting is restricted so that it is impossible to input the restricted parameter. Has become.

Next, a registration method and a setting method of the blood purifier according to the present embodiment will be described.
First, as the initial screen of the display means M, as shown in FIG. 4, various displays of the preparation stage of blood purification treatment are displayed, and operation buttons Ma and Mb for input are also displayed. Since the registration is performed by the registration means 14, when the operator touches the operation button Mb, a small screen shown in FIG. 5 is displayed. Then, when the operator touches the operation button Mc in the small screen, another small screen is displayed as shown in FIG. 6, and by touching the operation button Md of the small screen, selection as shown in FIG. The display screen for is displayed.

On the display screen for such selection, when the operation button Me of the display "dialyzer information" (see FIG. 8) is touched, the registration screen is displayed as shown in FIG. 9, and the information for identifying the blood purifier is displayed. Items such as (commodity name) and its type (hollow fiber membrane type or laminated type), and treatment condition or operating condition (priming time and washing time in the present embodiment) are displayed, respectively. When a display (for example, a predetermined display Mf) is touched, an input screen in which input is possible is displayed as shown in FIG.

In such an input screen, it is possible to change the parameter relating to the predetermined display Mf. In this case, when using the blood purifier set as "dialyzer 1", the amount of the cleaning liquid used in the priming step ( The amount of dialysate) can be set. That is, the treatment condition or the operation condition corresponding to the blood purifier registered as "Dializer 1" can be associated and registered. Of course, other blood purifiers can be registered by touching a predetermined display indicating "name" on the screen of FIG.

On the other hand, before the blood purification treatment is performed, when the initial screen shown in FIG. 4 is displayed, the blood purifier (dialyzer 4 or the like) and the blood circuit 3 are attached to the apparatus body 8. Then, for example, when the operation button Ma is touched to perform an input operation, a new small screen is displayed as shown in FIG. 11. Therefore, when the blood purifier to be used is not selected, the input button Mg in the small screen is touched. When input, the priming is started based on the preset treatment condition or operation setting (treatment condition or operation setting transmitted from the central monitoring device 2).

However, when the operation button Mh is touched on the small screen shown in FIG. 11, a new small screen is displayed as shown in FIG. 12, and when the operation button Mi on the small screen is touched, as shown in FIG. A small screen for selection is displayed. On this small screen, a plurality of names (product names, etc.) of blood purifiers registered in advance by the registration means 14 are displayed, and when the blood purifier to be used is touched, the change means 15 causes the registration means 14 to register. It will be changed to the registered treatment condition or operation condition. In this case, the dialyzer with the name "FDX-150GW" was selected as the blood purifier to be used, and was selected on condition that the operation button Mg was touched on the display screen shown in FIG. The priming is performed according to the treatment condition or operation setting according to the blood purifier.

According to this embodiment, depending on the registration means 14 capable of pre-registering the treatment condition or operation setting according to the performance, nature or function of the blood purifier, and the blood purifier (dialyzer 4 etc.) used in the blood purification treatment. In addition, when using a blood purifier requiring a specific treatment condition or operation setting, since the treatment condition or operation setting is changed to the treatment condition or operation setting registered by the registration means 14. Even in this case, the operability can be improved.

Further, since the treatment condition or operation setting registered by the registration means 14 is the priming washing amount or washing time or the priming method according to the blood purifier, a blood purifier requiring specific treatment conditions or operation settings. Even when using, the priming washing amount or washing time, or the priming method can be appropriately set. Furthermore, since the registration means 14 registers the treatment condition or the operation setting according to the membrane area of the blood purifier used in the blood purification treatment, the blood purifier in which a specific treatment condition or operation setting is required depending on the membrane area is used. Even in the case of performing, operability can be improved. Furthermore, since the registration means 14 limits or recommends the registered treatment condition or operation setting according to the performance, nature or function of the blood purifier, the registration operation by the registration means 14 is facilitated. In addition, it is possible to prevent erroneous settings.

Next, a second embodiment according to the present invention will be described.
The blood purification apparatus according to this embodiment is applied to a blood purification system for purifying blood of a patient who circulates extracorporeally and performing dialysis treatment, as in the first embodiment. The blood purification system is shown in FIG. As shown, a plurality of blood purification devices 1 to which blood purification devices (see FIG. 3) such as a dialyzer 4 for purifying the blood of a patient and performing blood purification treatment are attached, and are connected to the respective blood purification devices 1. And a central monitoring device 2. The same components as those in the first embodiment are designated by the same reference numerals, and detailed description thereof will be omitted.

The blood purification system according to the present embodiment, the registration means 14 capable of pre-registering the treatment condition or operation setting according to the performance, nature or function of the blood purifier, and the blood purifier used in the blood purification treatment, The changing means 15 capable of changing the treatment condition or operation setting to the treatment condition or operation setting registered by the registration means 14 is set in the central monitoring device 2. Thereby, the registration work by the registration means 14 and the setting work such as the treatment condition or the operation setting can be performed in the central monitoring device 2, so that it is not necessary to perform the work in each blood purification device 1.

Although the present embodiment has been described above, the present invention is not limited to these, and may be applied to, for example, a personal dialysis device that is not connected to the central monitoring device 2, and in this case, the treatment condition or operation. The settings are set in advance in the blood purification apparatus, and the treatment conditions or operation settings corresponding to the performance, nature, or function of the blood purification device are registered. Then, the preset treatment condition or operation setting is changed in accordance with the blood purifier to be used, and control by the control means 13 (operation for performing liquid purification treatment or operation related to the blood purification treatment is performed. Control) will be performed.

In addition, it is one that connects each blood purification device 1 and the central monitoring device 2 without passing through a wire such as a LAN cable H (for example, one that is not capable of two-way communication or one that is capable of wireless communication). May be. It should be noted that although the present embodiment is applied to a hemodialysis device capable of a treatment form such as hemodialysis (HD), ECUM or HDF (hemodiafiltration), it is replaced with another blood purification treatment. (For example, treatment such as hemofiltration (HF) or continuous slow hemofiltration (CHF)) may be applied to a blood purification device.

The registration means capable of pre-registering treatment conditions or operation settings according to the performance, nature or function of the blood purifier, and the treatment conditions or operation settings registered by the registration means according to the blood purifier used in the blood purification treatment. As long as the blood purification apparatus and the blood purification system are provided with the changing means that can change the treatment condition or the operation setting, the blood purification apparatus and the blood purification system can be applied to those having different external shapes or those having other functions.

1 blood purification device 2 central monitoring device 3 blood circuit 4 dialyzer (blood purification device)
5 Blood Pump 6 Arterial Air Trap Chamber 7 Vein Air Trap Chamber 8 Device Main Body 9 Dual Pump 10 Water Removal Pump 11 Pressurizing Pump 12 Degassing Chamber 13 Control Means 14 Registration Means 15 Change Means

Claims (2)

A blood purifier for purifying the patient's blood and performing blood purification treatment,
Based on a predetermined treatment condition or operation setting, control means for performing an operation for performing the blood purification treatment or an operation related to the blood purification treatment,
In a blood purification device equipped with
Registration means capable of pre-registering the treatment condition or operation setting according to the performance, nature or function of the blood purifier,
Depending on the blood purifier used in the blood purification treatment, changing means capable of changing the treatment condition or operation setting to the treatment condition or operation setting registered by the registration means,
The blood purification apparatus comprising: a treatment condition or operation setting registered by the registration means, which is a priming washing amount or washing time or a priming method according to the blood purifier. A plurality of blood purification devices to which a blood purification device for purifying a patient's blood and performing blood purification treatment is attached;
A central monitoring device capable of transmitting treatment conditions or operation settings to the blood purification device,
Based on the treatment condition or operation setting transmitted from the central monitoring device, a control means for performing an operation for performing the blood purification treatment or an operation related to the blood purification treatment,
In a blood purification system equipped with
The central monitoring device is
Registration means capable of pre-registering the treatment condition or operation setting according to the performance, nature or function of the blood purifier,
Depending on the blood purifier used in the blood purification treatment, changing means capable of changing the treatment condition or operation setting to the treatment condition or operation setting registered by the registration means,
The blood purification system, comprising: a treatment condition or operation setting registered by the registration means, which is a cleaning amount or cleaning time for priming according to the blood purifier, or a priming method.

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