WO2019162176A1 - Contenant de transport - Google Patents

Contenant de transport Download PDF

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Publication number
WO2019162176A1
WO2019162176A1 PCT/EP2019/053636 EP2019053636W WO2019162176A1 WO 2019162176 A1 WO2019162176 A1 WO 2019162176A1 EP 2019053636 W EP2019053636 W EP 2019053636W WO 2019162176 A1 WO2019162176 A1 WO 2019162176A1
Authority
WO
WIPO (PCT)
Prior art keywords
transport container
patient
dialysis solution
ized
character
Prior art date
Application number
PCT/EP2019/053636
Other languages
German (de)
English (en)
Inventor
Klaus Wolf
Zdenek Cerman
Stefan Weiss
Moritz KEIM
Tim GLÄSSER
Original Assignee
Fresenius Medical Care Deutschland Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fresenius Medical Care Deutschland Gmbh filed Critical Fresenius Medical Care Deutschland Gmbh
Publication of WO2019162176A1 publication Critical patent/WO2019162176A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2209/00—Ancillary equipment
    • A61M2209/06—Packaging for specific medical equipment

Definitions

  • the present invention relates to a transport container for peritoneal dialysis.
  • all the components required for peritoneal dialysis are contained in the transport container, wherein the transport container can be moved by a user and wherein the transport container also has identification means / an identification tag / an identification label which indicates the assignment of a transport container to allow for a specific patient.
  • the transport container is thus individualized and can thus be optimized for each patient, for example with regard to the number or content of the solution bag or the composition of the dialysis solution.
  • identification means / identification tag / identification label By means of the identification means / identification tag / identification label, it is possible to assign the transport container to a patient or to ensure that the correct transport container is used for the treatment of a specific patient.
  • the identification means / identification tag / identification label can be, for example, the name of the patient, his address, a photo of the patient, a patient card on which patient data are stored or a code, in particular a barcode or QR code or to act more of the aforementioned means of identification.
  • Identification via RFID or online identification by means of a smart device, in particular a smartphone or SMS TAN is conceivable and encompassed by the invention.
  • the transport container is reusable. It is preferred if the reusable transport container consists of a sterilizable and / or unbreakable material, such as stainless steel, polycarbonate, PET, etc.
  • the transport container can thus be partially or completely sterlized and then refilled.
  • the transport container made of a thermally insulating material, such as Styrofoam or has such a material, for example as a heat-insulating layer to keep a heated dialysis solution at the desired temperature until it is administered to the patient.
  • a transport container which has an outer wall made of stainless steel, which is lined or provided on its inner side completely or at least partially, eg, only in the first compartment with a heat-insulating material.
  • peritone dialysis treatment such as CAPD or APD
  • the component (s) required for peritoneal dialysis may be one of several solution containers filled with fresh dialysis solution.
  • the or in the solution containers are preferably flexible bags for receiving the fresh dialysis solution or containing the fresh dialysis solution and / or the transport container to a rigid preferably cuboidal outer packaging for the bag or bags, whereby the or the bags are well protected against mechanical influences.
  • Denbkar it is that the bag or bags are attached to at least one and preferably a plurality of inner walls of the outer packaging or the transport container, wherein it is preferably provided that on the or the inner walls of the transport container and the bag corresponding fasteners are provided, the reversibly detachable can be connected to each other.
  • the transport container has at least two compartments, the bag or another container to be filled or filled with fresh or used dialysis solution being arranged in a first of the two compartments and a medical connector for connecting the device a leading to a patient line or a hose with such a connector in a second of the two compartments is arranged.
  • the second compartment has a smaller volume than the first compartment.
  • the transport container may have a lid which releases an opening into the interior of the transport container. It is conceivable that said inner space is closed to the environment in a sterile manner before opening the lid.
  • the constituents required for peritoneal dialysis may be a tube system connectable to the solution container and the patient catheter and / or a valve arrangement for controlling the fluid flow of the dialysis solution and / or a drainage bag for receiving spent dialysis solution and / or a disinfectant cap and / or disinfectants and / or agents for dialysate sampling and / or a mouthguard and / or a medication to be administered to the patient. All or part of these components can / can be arranged in the above-mentioned second compartment of the transport container.
  • the transport container has a compartment or the like in which documents are stored which contain information on the treatment, etc.
  • the transport container preferably has communication means such as a transmitter and / or a receiver for data exchange from and / or to the transport container. It is thus possible, for example, to send information from a doctor or from a dialysis center to the transport container which can be perceived by the patient. It is likewise conceivable for information to be sent from the transport container to a doctor or to a dialysis center, for example information about the patient himself, about the course of the treatment, about a sample drawn out of the drain, etc.
  • communication means such as a transmitter and / or a receiver for data exchange from and / or to the transport container.
  • a memory chip may be used for this purpose, e.g. can be read with a smartphone NFD.
  • this information or other relevant information as slip, flyer, etc. i. in physical form in the transport container or as a replaceable imprint on the transport container.
  • any information is conceivable and encompassed by the invention.
  • the information important to the patient can already be present in a memory of the transport container or on a piece of paper in the transport container or can preferably be transmitted wirelessly to the latter.
  • This may include, inter alia, data relating to the peritoneal dialysis treatment carried out and / or to be performed and / or data relating to the fresh and / or used dialysis solution.
  • these communication means for example, data such as tracking, i. observation of the course of treatment or review of treatment outcomes, payment data in cashless counting, feedback to the patient or feedback from the patient.
  • data such as tracking, i. observation of the course of treatment or review of treatment outcomes, payment data in cashless counting, feedback to the patient or feedback from the patient.
  • the feedback from the patient may be that the treatment was good or problematic, what state the patient is in, etc.
  • These data may be associated with the result of analyzing the sample to establish a correlation if necessary to be able to.
  • the transport container prefferably has indicating means on which optically and / or acoustically perceptible data concerning the peritoneal dialysis treatment and / or the peritoneal dialysis treatment and / or data relating to the fresh and / or the patient can be perceived by the patient and / or the medical staff used dialysis solution or other information.
  • the display means may be arranged, for example, as a display, possibly as a touchscreen in or on the transport container.
  • the transport container has a sampling container for used dialysis solution. This may be a specially for the sample In this way, information on the used dialysis solution can be obtained.
  • a container in particular a bag for receiving used dialysis solution may be present. It is also conceivable that the transport container has an outlet for the used dialysis solution or that the used dialysis solution directly, i. without being caught in a container in which transport container is collected.
  • a pump to promote dialysis solution and / or a battery or other source of electrical energy may be present.
  • One or more sensors for detecting at least one parameter, in particular the temperature, can be arranged in or on the transport container.
  • the value and / or the course of the parameter measured by means of the sensor are stored. So it is possible, for example, to check whether the dialysis solution has always been stored in a suitable environment, whether there has been a shock or other mechanical effects, which may lead to a bag is no longer tight, etc.
  • the transport container is portable or provided with rollers by a patient or other person, such as a parcel carrier, so that it can be moved like a trolley. This facilitates the transport of new transport containers to the patient and the removal of used transport containers from the patient.
  • the transport container preferably has a tempering device for tempering the fresh dialysis solution to a specific temperature range.
  • the transport container or any outer packaging of the transport container can be thermally insulated, eg with Styrofoam or other heat-insulating material.
  • the container in the transport container for receiving or containing the fresh dialysis solution, in particular the bag, may have at least one removal connection for removing dialysis solution, which comprises a medical connector, wherein it is preferably provided that the transport container has a removal opening or removal perforation, wherein the removal connection and the removal opening or removal perforation are arranged relative to each other so that the removal connection can be accessed by the removal opening or removal perforation.
  • the bag, etc. is arranged in the transport container, that the removal port is arranged in at least one possible standing position of the transport container at the lowest point of the bag.
  • the transport container may have a hook-in device at a corner or side edge, the bag etc. being arranged in the transport container such that the removal connection lies on the opposite corner or side edge of the transport container.
  • the bag or another receptacle for receiving dialysis solution serving vessel may have at least one filling port for its filling with dialysis solution, wherein it is preferably provided that the transport container has a filling, wherein the filling and the filling are arranged so relative to each other that through the filling the filling port can be accessed.
  • the term "bag” is representative of any container with rigid or flexible walls.
  • the present invention further relates to a method for providing dialysis solution using a transport container according to any one of claims 1 to 17.
  • a transport container is preferably retrieved from the patient after the treatment and a new transport container containing fresh dialysis solution is delivered to the patient.
  • the retrieved transport container can contain the used dialysis solution or at least one sample of it, which can then be examined in a laboratory or at the doctor.
  • the transport container may be used in conjunction with a mobile or stationary "vending machine", i. Awarding device and preferably vomdgingsta- tion for transport containers or dialysis solutions are used.
  • a mobile or stationary "vending machine” i. Awarding device and preferably vomdgingsta- tion for transport containers or dialysis solutions are used.
  • This may be a motorized land, water or air vehicle, such as a motor vehicle. to act a drone.
  • a land vehicle for example, a truck is considered.
  • the transport container can have a geometry and / or handles, by means of which it can be grasped particularly well and safely by the means of transport.
  • the pump there may be the pump and a warm-keeping device with which the dialysis solution can be kept at a certain temperature level.
  • a procedure is conceivable in which, after the patient has been treated, the transport container is brought to an acceptance station and a new transport container containing fresh dialysis solution is dispensed to the patient through an awarding station.
  • the receiving station and the contracting station can be united in one device or else spatially separated from one another or accommodated in separate units.
  • the transport container is brought to a receiving station after treatment of the patient, is filled with all necessary components for treatment and is returned to the same patient. It is preferably provided that the transport container is at least partially sterilized before being filled with necessary components.
  • Figure 1 a schematic sectional view through a transport container and 2 shows a schematic view of the delivery of a new transport container to the patient and the collection of a used transport container from the patient.
  • FIG. 1 shows by the reference numeral 1 a transport container according to the invention.
  • Reference numeral 3 denotes a distributor which directs the fresh and the used dialysis solution in the desired manner to and from the patient.
  • the distributor 3 is manually adjustable.
  • the reference numeral 4 designates the connection of the transport container, by means of which it can be connected to the patient catheter, not shown, in order to introduce fresh dialysis solution into the abdomen and / or remove used dialysis solution from the abdomen.
  • the reference numeral 6 designates the drain bag, i. the bag for receiving used dialysis solution after the treatment. With 7 its expiry is marked to an outflow.
  • the sampling tank is identified by the reference numeral 5 and contains a volume of the used dialysis solution, e.g. can be analyzed by the doctor. This tank 5 is separated from the drain bag 6 by an openable clamp 8. In principle, it is also possible to dispense with the tank 5 and to take the sample directly from the drainbag 6 or out of the drain.
  • the used dialysis solution is collected directly in the transport container, ie not in a bag. Since this area of the transport container does not have to be sterile, there is also no need to sterilize the transport container after each treatment.
  • the container 2 and the distributor 3 may be part of the transport container, but can also be supplied separately.
  • FIG. 2 shows a flow chart for the delivery and collection of the transport containers to and from the patient.
  • 1 denotes a new transport container, i. a transport container with fresh dialysis solution
  • 2 denotes a transport container
  • the used dialysis solution i. contains the dialysis solution drained from the abdomen.
  • 3 indicates the patient and 4 the delivery service, which receives the used transport container 2 and delivers the new transport container 1 to the patient.
  • identification means are provided to ensure that the correct transport container is delivered to the designated patient.
  • the procedure shown in FIG. 2 has the advantage that the patient does not have to have any large inventories of fresh dialysis solution available and that the waste can be reduced, since no empty dialysis solution conditions occur on the patient side. This applies even more if no drainbag is used, as has been explained in more detail above.

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

La présente invention concerne un contenant de transport qui contient tous les composants nécessaires à une dialyse péritonéale, ce contenant de transport pouvant être déplacé par un utilisateur et ledit contenant de transport présentant en outre un marquage d'identification au moyen duquel il peut être associé à un patient.
PCT/EP2019/053636 2018-02-21 2019-02-14 Contenant de transport WO2019162176A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102018103940.9A DE102018103940A1 (de) 2018-02-21 2018-02-21 Transportbehälter
DE102018103940.9 2018-02-21

Publications (1)

Publication Number Publication Date
WO2019162176A1 true WO2019162176A1 (fr) 2019-08-29

Family

ID=65516505

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2019/053636 WO2019162176A1 (fr) 2018-02-21 2019-02-14 Contenant de transport

Country Status (2)

Country Link
DE (1) DE102018103940A1 (fr)
WO (1) WO2019162176A1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0857076A1 (fr) * 1996-05-31 1998-08-12 Baxter International Inc. Systeme de distribution de solution utilisant un emballage integre individuel final, et son procede de formation
WO2011144355A1 (fr) * 2010-05-20 2011-11-24 Fresenius Medical Care Deutschland Gmbh Système de traitement médical
US9750863B2 (en) * 2013-03-14 2017-09-05 Baxter International Inc. System and method for peritoneal dialysis exchanges having reusable fill and drain containers

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0950422A1 (fr) * 1998-04-17 1999-10-20 Laura Matzke Système d'échange de dialysat pour patient sous dialyse péritonéale

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0857076A1 (fr) * 1996-05-31 1998-08-12 Baxter International Inc. Systeme de distribution de solution utilisant un emballage integre individuel final, et son procede de formation
WO2011144355A1 (fr) * 2010-05-20 2011-11-24 Fresenius Medical Care Deutschland Gmbh Système de traitement médical
US9750863B2 (en) * 2013-03-14 2017-09-05 Baxter International Inc. System and method for peritoneal dialysis exchanges having reusable fill and drain containers

Also Published As

Publication number Publication date
DE102018103940A1 (de) 2019-08-22

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