WO2021106908A1 - Method for managing dialysis system, program, and management device - Google Patents

Method for managing dialysis system, program, and management device Download PDF

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Publication number
WO2021106908A1
WO2021106908A1 PCT/JP2020/043756 JP2020043756W WO2021106908A1 WO 2021106908 A1 WO2021106908 A1 WO 2021106908A1 JP 2020043756 W JP2020043756 W JP 2020043756W WO 2021106908 A1 WO2021106908 A1 WO 2021106908A1
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Prior art keywords
patient
information
management device
dialysis system
physical information
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PCT/JP2020/043756
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French (fr)
Japanese (ja)
Inventor
詩文 上田
拓 二階堂
紀和 岡谷
文泰 佐藤
龍助 齋藤
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ニプロ株式会社
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Priority to CN202080081526.0A priority Critical patent/CN114728115A/en
Priority to JP2021561440A priority patent/JPWO2021106908A1/ja
Priority to BR112022010045A priority patent/BR112022010045A2/en
Publication of WO2021106908A1 publication Critical patent/WO2021106908A1/en
Priority to JP2022085320A priority patent/JP7323009B2/en

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    • 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
    • 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
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • 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
    • A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration

Definitions

  • This disclosure relates to the management of fluid replacement volume and water removal volume in a dialysis system.
  • a nurse or the like identifies each patient before inputting the setting for each patient.
  • identification materials such as IC (Integrated Circuit) cards have been distributed to patients in advance, and by identifying each patient using the identification material during dialysis, work efficiency in the medical field has been improved. Is being tried. However, if a patient forgets to bring the above-mentioned identification material, a nurse or the like will eventually need to identify each patient. Therefore, in a dialysis system, there is a need for a technique that can surely improve work efficiency so that a patient does not need to bring a given material.
  • This disclosure was conceived in view of such circumstances, and its purpose is to provide a technique capable of reliably improving work efficiency in a dialysis system.
  • a method performed by a computer that authenticates a patient by matching the steps of obtaining biometric information with the input biometric information and the authentication information associated with the patient.
  • a method of managing a dialysis system is provided.
  • the management method of the dialysis system consists of a step of determining whether or not the physical information is normal and a step of outputting information prompting the doctor to confirm the physical information when it is determined that the physical information is not normal. You may also have more.
  • Physical information may include body temperature.
  • the biological information may include a facial image.
  • the body information includes the body temperature
  • the biological information includes the face image
  • the body temperature and the face image may be acquired from the image acquired from the image pickup device.
  • a program causes a computer to perform the above management method by being executed by a computer processor.
  • a management device comprising a memory configured to store the above program and a processor to execute the program stored in the memory.
  • each patient is authenticated by the acquired biometric information. This allows each patient to be identified without requiring the patient to bring a given material.
  • FIG. 1 It is a figure which shows typically an example of the structure of a dialysis system. It is a figure which shows an example of the hardware composition of management apparatus 200. It is a figure which shows an example of the display screen of the display 223. It is a figure which shows another example of the display screen of the display 223. 6 is a flowchart of a process executed by the management device 200 to generate setting information.
  • FIG. 1 is a diagram schematically showing an example of a configuration of a dialysis system.
  • the dialysis system includes a management device 200, a visible light camera 310, a thermography camera 320, and a weight sensor 330.
  • nurse 902 guides patient 901 to dialysis treatment.
  • the visible light camera 310 photographs the patient 901 and outputs the captured image to the management device 200.
  • the patient 901 then moves to the weight sensor 330.
  • the weight sensor 330 measures the weight of the patient 901 and outputs the measurement result to the management device 200.
  • the management device 200 identifies (authenticates) a person in the captured image by collating the captured image transmitted from the visible light camera 310 with the image registered for the patient.
  • the management device 200 reads out the chart of the identified person and generates setting information for dialysis treatment using the information in the chart and the weight of the patient 901 output from the weight sensor 330.
  • the management device 200 transmits the generated setting information to the controller of the dialysis machine (“control 340” in FIG. 2 described later).
  • the patient 901 can be authenticated without bringing a material such as an IC card.
  • the thermography camera 320 measures the body temperature of the patient 901 and outputs the measurement result to the management device 200.
  • the management device 200 may include a display 223 and display the measurement result from the thermography camera 320 on the display 223.
  • FIG. 2 is a diagram showing an example of the hardware configuration of the management device 200.
  • the management device 200 is realized by, for example, a general-purpose computer.
  • the management device 200 includes a CPU (Central Processing Unit) 211.
  • the CPU 211 realizes a given function by executing a program.
  • the program may include not only a program that can be directly executed by the CPU 211, but also a source program format program, a compressed program, an encrypted program, and the like.
  • the management device 200 includes a ROM (Read Only Memory) 212, an input interface 213, a RAM (Random Access Memory) 214, a hard disk 215, a media drive 216, a communication interface 217, and an output interface 218. Each component in the management device 200 is connected to each other by a bus.
  • ROM Read Only Memory
  • RAM Random Access Memory
  • the hard disk 215 can store authentication information and medical records for each patient.
  • An example of authentication information is a face image.
  • Another example is a fingerprint image.
  • Yet another example is a voiceprint.
  • the input interface 213 is connected to the keyboard 221 and the mouse 222.
  • the CPU 211 receives inputs from the keyboard 221 and the mouse 222 via the input interface 213.
  • a CD-ROM 219, a USB (Universal Serial Bus) memory, and other recording media may be mounted on the media drive 216.
  • the communication interface 217 transmits / receives data to / from an external device by wire or wirelessly.
  • the CPU 211 communicates with an external device via the communication interface 217.
  • External devices include a visible light camera 310, a thermography camera 320, a weight sensor 330, and a controller 340.
  • the controller 340 can control the drive of various pumps and the opening and closing of valves in the dialysis machine.
  • the output interface 218 is connected to the display 223.
  • the CPU 211 controls the display of the display 223 via the output interface 218.
  • the display 223, the keyboard 221 and the mouse 222 may be realized by a touch panel.
  • the input interface 213 and the output interface 218 function as interfaces for communicating with the touch panel.
  • FIG. 3 is a diagram showing an example of a display screen of the display 223.
  • the screen 30 of FIG. 3 shows an example of setting information for dialysis treatment.
  • the CPU 211 may display the screen 30 on the display 223 by utilizing various information including the items described in the medical record and the output from the weight sensor 330.
  • Screen 30 includes items "Taro Yamada” and "DW: 65.0 kg”. These items are an example of the items described in the medical record of the person identified as patient 901. "Taro Yamada” represents the name of patient 901. DW (dry weight) represents the body weight with proper water content in the body.
  • Screen 30 includes the item "previous weight: 68.0 kg”. This item represents the measurement result by the weight sensor 330 before the start of the dialysis treatment this time.
  • Screen 30 includes the item "Increase amount: 3.0 kg”. This item is the value obtained by subtracting "DW" from "pre-weight”.
  • Screen 30 includes the item "addition amount: 0.20 kg”.
  • This item is the amount of replacement fluid or meal during dialysis, and represents the amount to be added in advance to the "water removal amount” which is an example of setting information.
  • the CPU 211 generates setting information so that the weight of the patient 901 is reduced by the weight derived as the sum of the "increased amount” and the "added amount” in the current dialysis treatment.
  • the setting information is generated so that the weight of the patient 901 is reduced by 3.20 kg (3.0 kg + 0.20 kg). That is, the setting information includes the "water removal amount", and the "water removal amount” is derived as the sum of the "increase amount” and the "addition amount”.
  • the screen 30 includes an OK button 31.
  • the patient 901 may look at the display content (for example, the name) on the screen 30 to confirm that the information is the patient 901, and operate the OK button 31.
  • the "increase amount” and the “addition amount” are examples of the setting information generated by the CPU 211.
  • FIG. 4 is a diagram showing another example of the display screen of the display 223.
  • the screen 40 of FIG. 4 further includes a pop-up 41 with respect to the screen 30 of FIG.
  • the CPU 211 may display a pop-up notifying the abnormality on the display 223.
  • the pop-up 41 contains the character string "fever: consult a doctor at the time of examination.” This string may be displayed based on the CPU 211 detecting that the body temperature of the patient 901 measured by the thermography camera 320 is higher than the reference range.
  • FIG. 5 is a flowchart of a process executed by the management device 200 to generate setting information.
  • the process of FIG. 5 may be executed by the CPU 211 (processor) executing a given program, or may be executed by a dedicated electric circuit such as an ASIC (Application Specific Integrated Circuit) in the management device 200. ..
  • step S10 the management device 200 acquires the patient's biological information.
  • biological information is an image output from the visible light camera 310.
  • step S12 the management device 200 authenticates the patient by collating the biometric information acquired in step S10 with the authentication information.
  • step S20 the management device 200 determines whether or not the patient authentication in step S12 was successful. In one implementation example, it is determined that the authentication is successful when the authentication information includes information matching the biometric information acquired in step S10. If the management device 200 determines that it succeeds (YES in step S20), it advances control to step S40, and if it determines that it fails (NO in step S20), it advances control to step S30.
  • step S30 the management device 200 notifies the error and ends the process of FIG.
  • An example of the notification is the display on the display 223.
  • the management device 200 measures the physical information of the patient.
  • Physical information includes weight.
  • the physical information may further include the patient's body temperature as measured by the thermography camera 320.
  • the physical information may further include the patient's blood pressure.
  • step S50 it is determined whether or not the physical information measured in step S40 is normal.
  • the management device 200 determines that the physical information is normal if the value of the increase or decrease in body weight this time with respect to the body weight at the end of the previous dialysis treatment is within a given range.
  • the management device 200 determines that the physical information is normal if the patient's body temperature is within the range registered as normal.
  • the management device 200 determines that the physical information is normal if the patient's blood pressure is within the range registered as normal.
  • step S50 determines that the physical information is normal (YES in step S50)
  • the control proceeds to step S70, and if not (NO in step S50), the control device proceeds to step S60.
  • the management device 200 may proceed to the control to step S60.
  • step S60 the management device 200 generates alert information.
  • the alert information is information for notifying physical information determined to be abnormal in step S50, for example, information for displaying the pop-up 41 of FIG.
  • step S70 the management device 200 generates setting information for dialysis treatment. At least the medical record of the patient authenticated in step S12 and the weight of the patient measured in step S40 are used for generating the setting information.
  • step S80 the management device 200 displays the setting information generated in step S70 on the display 223, and ends the process of FIG. If the alert information is generated in step S60, the alert information is displayed on the display 2223 in addition to the setting information in step S80.
  • An example of the display including the alert information is the screen 40, and an example of the display not including the alert information is the screen 30.
  • the doctor can confirm the setting information displayed on the display 223 and input the given information to the management device 200.
  • the management device 200 can transfer the setting information to the controller 340.
  • the dialysis apparatus connected to the controller 340 can realize the dialysis treatment according to the setting information.
  • the management device 200 may further transfer the setting information to the controller 340 on condition that the patient is operating the OK button 31.
  • the setting information displayed on the display 223 can be transferred to the controller 340 after being confirmed not only by the doctor but also by the patient.
  • the management device 200 and the visible light camera 310 are arranged in the vicinity of the weight sensor 330 so that the patient whose weight is measured by the weight sensor 330 can easily check the display on the display 223 and operate the OK button 31. You may. This allows the patient's facial imaging and weight measurement to be performed at the same position. In addition, the patient may see the display 223 at the location where the imaging and measurement was performed.
  • a specific example of biological information may be an image taken by a visible light camera, a fingerprint image, a voice, or a combination thereof.
  • the management device 200 may include an appropriate device (fingerprint scanner, microphone, etc.) for acquiring biological information, or may be connected to the device.
  • An example of the authentication information may be information used for authenticating biometric information, that is, a face image, a fingerprint image, a voiceprint, or a combination thereof.

Abstract

This dialysis system includes a management device (200), a visible-light camera (310), a thermographic camera (320), and a weight sensor (330). In the dialysis system, a nurse (902) guides a patient (901) in dialysis treatment. The visible-light camera (310) photographs the patient (901) and outputs a captured image to the management device (200). The patient (901) then moves to the weight sensor (330). The weight sensor (330) measures the body weight of the patient (901) and outputs the result of measurement to the management device (200). The management device (200) specifies (recognizes) the person in the captured image transmitted from the visible-light camera (310) by collating the captured image with an image registered by the patient. The management device (200) reads the medical record of the specified person and generates setting information for dialysis treatment by using the information in the medical record and the body weight of the patient (901) as outputted from the weight sensor (330).

Description

透析システムの管理方法、プログラム、および管理装置Dialysis system management methods, programs, and management equipment
　本開示は、透析システムにおける補液量および除水量の管理に関する。 This disclosure relates to the management of fluid replacement volume and water removal volume in a dialysis system.
　従来、透析治療において、ろ過器を通過することにより失われた血液の水分を補給する「補液」、および、過剰になった体液を取り除く「除水」が行われている。たとえば、特開２０１６－１２９６４６号公報（特許文献１）は、血液浄化器への透析液の流入量および血液浄化器からの透析液の排出量を制御する透析システムにおいて、制御手段が補液および除水の設定を受け付ける技術を開示している。 Conventionally, in dialysis treatment, "replenishment fluid" for replenishing the water lost by passing through a filter and "water removal" for removing excess body fluid are performed. For example, in Japanese Patent Application Laid-Open No. 2016-129646 (Patent Document 1), in a dialysis system that controls the inflow amount of dialysate into a blood purifier and the discharge amount of dialysate from a blood purifier, the control means is replacement fluid and removal. It discloses a technology that accepts water settings.
特開２０１６－１２９６４６号公報Japanese Unexamined Patent Publication No. 2016-129646
　ところで、上記のような透析システムでは、各患者についての設定を入力する前に看護師等が各患者識別する。近年、患者にＩＣ（Integrated　Circuit）カードなどの識別用の素材を事前に配布し、透析の際に、当該識別用の素材を用いて各患者を識別することにより、医療現場における作業効率の向上が試みられている。しかしながら、患者が上記識別用の素材の持参を失念した場合、結局、看護師等が各患者の識別をする必要が生じる。したがって、透析システムにおいて、患者が所与の素材の持参を必要とされないような、確実に作業効率を向上できる技術が求められている。 By the way, in the above dialysis system, a nurse or the like identifies each patient before inputting the setting for each patient. In recent years, identification materials such as IC (Integrated Circuit) cards have been distributed to patients in advance, and by identifying each patient using the identification material during dialysis, work efficiency in the medical field has been improved. Is being tried. However, if a patient forgets to bring the above-mentioned identification material, a nurse or the like will eventually need to identify each patient. Therefore, in a dialysis system, there is a need for a technique that can surely improve work efficiency so that a patient does not need to bring a given material.
　本開示は、かかる実情に鑑み考え出されたものであり、その目的は、透析システムにおいて確実に作業効率を向上できる技術を提供することである。 This disclosure was conceived in view of such circumstances, and its purpose is to provide a technique capable of reliably improving work efficiency in a dialysis system.
　本開示のある局面に従うと、コンピュータによって実行される方法であって、生体情報を取得するステップと、入力された生体情報と患者に関連付けられた認証用情報とを照合することにより、患者を認証するステップと、体重を含む患者の身体情報を取得するステップと、入力された身体情報と認証された患者のカルテ内の情報とを用いて、患者の透析治療に関する設定情報を出力するステップと、を備える、透析システムの管理方法が提供される。 According to certain aspects of the disclosure, a method performed by a computer that authenticates a patient by matching the steps of obtaining biometric information with the input biometric information and the authentication information associated with the patient. A step to acquire the patient's physical information including the weight, a step to output setting information regarding the patient's dialysis treatment using the input physical information and the information in the authenticated patient's chart, and a step to output the setting information regarding the patient's dialysis treatment. A method of managing a dialysis system is provided.
　透析システムの管理方法は、身体情報が正常であるか否かを判断するステップと、身体情報が正常ではないと判断した場合に、医師による身体情報の確認を促す情報を出力するステップと、をさらに備えていてもよい。 The management method of the dialysis system consists of a step of determining whether or not the physical information is normal and a step of outputting information prompting the doctor to confirm the physical information when it is determined that the physical information is not normal. You may also have more.
　身体情報は体温を含んでいてもよい。
　生体情報は顔画像を含んでいてもよい。 Physical information may include body temperature.
The biological information may include a facial image.
　身体情報は体温を含み、生体情報は顔画像を含み、体温と顔画像を撮像装置から取得した画像から取得してもよい。 The body information includes the body temperature, the biological information includes the face image, and the body temperature and the face image may be acquired from the image acquired from the image pickup device.
　本開示の他の局面に従うと、コンピュータのプロセッサによって実行されることにより、コンピュータに上記管理方法を実施させる、プログラムが提供される。 According to another aspect of the present disclosure, a program is provided that causes a computer to perform the above management method by being executed by a computer processor.
　本開示のさらに他の局面に従うと、上記プログラムを格納するように構成されたメモリーと、メモリーに格納されたプログラムを実行するプロセッサと、を備える、管理装置が提供される。 According to still another aspect of the present disclosure, a management device comprising a memory configured to store the above program and a processor to execute the program stored in the memory is provided.
　本開示のある局面に従うと、取得された生体情報によって各患者が認証される。これにより、患者に所与の素材の持参を必要とすることなく各患者が識別され得る。 According to certain aspects of this disclosure, each patient is authenticated by the acquired biometric information. This allows each patient to be identified without requiring the patient to bring a given material.
透析システムの構成の一例を概略的に示す図である。It is a figure which shows typically an example of the structure of a dialysis system. 管理装置２００のハードウェア構成の一例を示す図である。It is a figure which shows an example of the hardware composition of management apparatus 200. ディスプレイ２２３の表示画面の一例を示す図である。It is a figure which shows an example of the display screen of the display 223. ディスプレイ２２３の表示画面の他の例を示す図である。It is a figure which shows another example of the display screen of the display 223. 管理装置２００が設定情報を生成するために実行する処理のフローチャートである。6 is a flowchart of a process executed by the management device 200 to generate setting information.
　以下、図面を参照しつつ、本開示に従った透析システムの管理装置の実施の形態について説明する。以下の説明では、同一の部品には同一の符号を付してある。それらの名称および機能も同じである。したがって、それらについての詳細な説明は繰り返さない。 Hereinafter, an embodiment of a dialysis system management device according to the present disclosure will be described with reference to the drawings. In the following description, the same parts are designated by the same reference numerals. Their names and functions are the same. Therefore, the detailed description of them will not be repeated.
　［１．透析システムの概要］
　図１は、透析システムの構成の一例を概略的に示す図である。透析システムは、管理装置２００と、可視光カメラ３１０と、サーモグラフィカメラ３２０と、重量センサ３３０とを含む。透析システムでは、看護師９０２が患者９０１を透析治療に案内する。 [1. Overview of dialysis system]
FIG. 1 is a diagram schematically showing an example of a configuration of a dialysis system. The dialysis system includes a management device 200, a visible light camera 310, a thermography camera 320, and a weight sensor 330. In the dialysis system, nurse 902 guides patient 901 to dialysis treatment.
　可視光カメラ３１０は、患者９０１を撮影し、撮像画像を管理装置２００へ出力する。その後、患者９０１は重量センサ３３０へと移動する。重量センサ３３０は、患者９０１の体重を計測し、計測結果を管理装置２００へ出力する。 The visible light camera 310 photographs the patient 901 and outputs the captured image to the management device 200. The patient 901 then moves to the weight sensor 330. The weight sensor 330 measures the weight of the patient 901 and outputs the measurement result to the management device 200.
　管理装置２００は、可視光カメラ３１０から送信された撮像画像を、患者用に登録されている画像と照合することによって撮像画像内の者を特定（認証）する。管理装置２００は、特定された者のカルテを読み出し、カルテ内の情報と重量センサ３３０から出力された患者９０１の体重とを用いて透析治療のための設定情報を生成する。管理装置２００は、透析装置の制御器（後述する図２の「制御器３４０」）に、生成された設定情報を送信する。 The management device 200 identifies (authenticates) a person in the captured image by collating the captured image transmitted from the visible light camera 310 with the image registered for the patient. The management device 200 reads out the chart of the identified person and generates setting information for dialysis treatment using the information in the chart and the weight of the patient 901 output from the weight sensor 330. The management device 200 transmits the generated setting information to the controller of the dialysis machine (“control 340” in FIG. 2 described later).
　これにより、透析システムでは、患者９０１はＩＣカードなどの素材を持参することなく認証され得る。 Thereby, in the dialysis system, the patient 901 can be authenticated without bringing a material such as an IC card.
　サーモグラフィカメラ３２０は、患者９０１の体温を計測し、計測結果を管理装置２００へ出力する。管理装置２００は、ディスプレイ２２３を含み、サーモグラフィカメラ３２０からの計測結果をディスプレイ２２３に表示してもよい。 The thermography camera 320 measures the body temperature of the patient 901 and outputs the measurement result to the management device 200. The management device 200 may include a display 223 and display the measurement result from the thermography camera 320 on the display 223.
　［２．管理装置のハードウェア構成］
　図２は、管理装置２００のハードウェア構成の一例を示す図である。 [2. Management device hardware configuration]
FIG. 2 is a diagram showing an example of the hardware configuration of the management device 200.
　管理装置２００は、たとえば汎用のコンピュータによって実現される。管理装置２００は、ＣＰＵ（Central　Processing　Unit）２１１を含む。ＣＰＵ２１１は、プログラムを実行することにより、所与の機能を実現する。プログラムとは、ＣＰＵ２１１により直接実行可能なプログラムだけでなく、ソースプログラム形式のプログラム、圧縮処理されたプログラム、暗号化されたプログラム等を含み得る。 The management device 200 is realized by, for example, a general-purpose computer. The management device 200 includes a CPU (Central Processing Unit) 211. The CPU 211 realizes a given function by executing a program. The program may include not only a program that can be directly executed by the CPU 211, but also a source program format program, a compressed program, an encrypted program, and the like.
　管理装置２００は、ＲＯＭ（Read　Only　Memory）２１２、入力インターフェイス２１３、ＲＡＭ（Random　Access　Memory）２１４、ハードディスク２１５、メディアドライブ２１６、通信インターフェイス２１７、および、出力インターフェイス２１８を含む。管理装置２００における各構成要素は、相互にバスによって接続されている。 The management device 200 includes a ROM (Read Only Memory) 212, an input interface 213, a RAM (Random Access Memory) 214, a hard disk 215, a media drive 216, a communication interface 217, and an output interface 218. Each component in the management device 200 is connected to each other by a bus.
　ハードディスク２１５には、各患者の認証用情報とカルテとが格納され得る。認証用情報の一例は、顔画像である。他の例は、指紋画像である。さらに他の例は、声紋である。 The hard disk 215 can store authentication information and medical records for each patient. An example of authentication information is a face image. Another example is a fingerprint image. Yet another example is a voiceprint.
　入力インターフェイス２１３は、キーボード２２１およびマウス２２２と接続される。ＣＰＵ２１１は、入力インターフェイス２１３を介して、キーボード２２１およびマウス２２２からの入力を受け付ける。メディアドライブ２１６には、ＣＤ－ＲＯＭ２１９、ＵＳＢ（Universal　Serial　Bus）メモリー、その他の記録媒体が装着され得る。 The input interface 213 is connected to the keyboard 221 and the mouse 222. The CPU 211 receives inputs from the keyboard 221 and the mouse 222 via the input interface 213. A CD-ROM 219, a USB (Universal Serial Bus) memory, and other recording media may be mounted on the media drive 216.
　通信インターフェイス２１７は、外部の機器と有線または無線でデータを送受信する。ＣＰＵ２１１は、通信インターフェイス２１７を介して外部機器と通信する。外部機器は、可視光カメラ３１０、サーモグラフィカメラ３２０、重量センサ３３０、制御器３４０を含む。制御器３４０は、透析装置における、各種のポンプの駆動および弁の開閉を制御し得る。 The communication interface 217 transmits / receives data to / from an external device by wire or wirelessly. The CPU 211 communicates with an external device via the communication interface 217. External devices include a visible light camera 310, a thermography camera 320, a weight sensor 330, and a controller 340. The controller 340 can control the drive of various pumps and the opening and closing of valves in the dialysis machine.
　出力インターフェイス２１８は、ディスプレイ２２３と接続されている。ＣＰＵ２１１は、出力インターフェイス２１８を介してディスプレイ２２３の表示を制御する。 The output interface 218 is connected to the display 223. The CPU 211 controls the display of the display 223 via the output interface 218.
　ディスプレイ２２３とキーボード２２１とマウス２２２とは、タッチパネルによって実現されてもよい。この場合、入力インターフェイス２１３および出力インターフェイス２１８は、タッチパネルと通信するためのインターフェイスとして機能する。 The display 223, the keyboard 221 and the mouse 222 may be realized by a touch panel. In this case, the input interface 213 and the output interface 218 function as interfaces for communicating with the touch panel.
　［３．設定内容の具体例］
　図３は、ディスプレイ２２３の表示画面の一例を示す図である。図３の画面３０は、透析治療のための設定情報の一例を表す。ＣＰＵ２１１は、カルテにおける記載事項および重量センサ３３０からの出力を含む種々の情報を利用して、ディスプレイ２２３に画面３０を表示し得る。 [3. Specific example of setting contents]
FIG. 3 is a diagram showing an example of a display screen of the display 223. The screen 30 of FIG. 3 shows an example of setting information for dialysis treatment. The CPU 211 may display the screen 30 on the display 223 by utilizing various information including the items described in the medical record and the output from the weight sensor 330.
　画面３０は、項目「山田太郎」および「DW:65.0kg」を含む。これらの項目は、患者９０１として特定された者のカルテに記載された事項の一例である。「山田太郎」は、患者９０１の名前を表す。DW（ドライウェイト）は、体内の水分が適正な状態の体重を表す。 Screen 30 includes items "Taro Yamada" and "DW: 65.0 kg". These items are an example of the items described in the medical record of the person identified as patient 901. "Taro Yamada" represents the name of patient 901. DW (dry weight) represents the body weight with proper water content in the body.
　画面３０は、項目「前体重：68.0kg」を含む。この項目は、今回の透析治療開始前の、重量センサ３３０による計測結果を表す。 Screen 30 includes the item "previous weight: 68.0 kg". This item represents the measurement result by the weight sensor 330 before the start of the dialysis treatment this time.
　画面３０は、項目「増加量：3.0kg」を含む。この項目は、「前体重」から「ＤＷ」を差し引いた値である。 Screen 30 includes the item "Increase amount: 3.0 kg". This item is the value obtained by subtracting "DW" from "pre-weight".
　画面３０は、項目「加算量：0.20kg」を含む。この項目は、透析中の補液や食事分の量であり、設定情報の一例である「除水量」に予め加算する量を表す。一実現例では、ＣＰＵ２１１は、今回の透析処理において「増加量」と「加算量」との和として導出される重量だけ患者９０１の体重が減少するように、設定情報を生成する。図３の例では、3.20kg（3.0kg＋0.20kg）だけ患者９０１の体重が減少するように設定情報が生成される。すなわち、設定情報は「除水量」を含み、「除水量」は「増加量」と「加算量」との和として導出される。 Screen 30 includes the item "addition amount: 0.20 kg". This item is the amount of replacement fluid or meal during dialysis, and represents the amount to be added in advance to the "water removal amount" which is an example of setting information. In one implementation example, the CPU 211 generates setting information so that the weight of the patient 901 is reduced by the weight derived as the sum of the "increased amount" and the "added amount" in the current dialysis treatment. In the example of FIG. 3, the setting information is generated so that the weight of the patient 901 is reduced by 3.20 kg (3.0 kg + 0.20 kg). That is, the setting information includes the "water removal amount", and the "water removal amount" is derived as the sum of the "increase amount" and the "addition amount".
　画面３０は、ＯＫボタン３１を含む。一実現例では、患者９０１は、画面３０における表示内容（たとえば、名前）を見て、当該患者９０１の情報であること確認し、ＯＫボタン３１を操作してもよい。 The screen 30 includes an OK button 31. In one implementation example, the patient 901 may look at the display content (for example, the name) on the screen 30 to confirm that the information is the patient 901, and operate the OK button 31.
　図３の例では、「増加量」と「加算量」とが、ＣＰＵ２１１によって生成される設定情報の一例である。 In the example of FIG. 3, the "increase amount" and the "addition amount" are examples of the setting information generated by the CPU 211.
　図４は、ディスプレイ２２３の表示画面の他の例を示す図である。図４の画面４０は、図３の画面３０に対してさらにポップアップ４１を含む。 FIG. 4 is a diagram showing another example of the display screen of the display 223. The screen 40 of FIG. 4 further includes a pop-up 41 with respect to the screen 30 of FIG.
　ＣＰＵ２１１は、患者９０１に関する計測結果において異常が認められた場合、異常を報知するポップアップをディスプレイ２２３に表示してもよい。図４の例では、ポップアップ４１は文字列「発熱：診察時に医師にご相談下さい。」を含む。この文字列は、ＣＰＵ２１１が、サーモグラフィカメラ３２０によって計測された患者９０１の体温が基準範囲よりも高いことを検出したに基づいて表示され得る。 When an abnormality is found in the measurement result regarding the patient 901, the CPU 211 may display a pop-up notifying the abnormality on the display 223. In the example of FIG. 4, the pop-up 41 contains the character string "fever: consult a doctor at the time of examination." This string may be displayed based on the CPU 211 detecting that the body temperature of the patient 901 measured by the thermography camera 320 is higher than the reference range.
　［４．処理の流れ］
　図５は、管理装置２００が設定情報を生成するために実行する処理のフローチャートである。図５の処理は、ＣＰＵ２１１（プロセッサ）が所与のプログラムを実行することによって実施されてもよいし、管理装置２００におけるＡＳＩＣ（Application　Specific　Integrated　Circuit）等の専用の電気回路によって実施されてもよい。 [4. Process flow]
FIG. 5 is a flowchart of a process executed by the management device 200 to generate setting information. The process of FIG. 5 may be executed by the CPU 211 (processor) executing a given program, or may be executed by a dedicated electric circuit such as an ASIC (Application Specific Integrated Circuit) in the management device 200. ..
　ステップＳ１０にて、管理装置２００は、患者の生体情報を取得する。生体情報の一例は、可視光カメラ３１０から出力される画像である。 In step S10, the management device 200 acquires the patient's biological information. An example of biological information is an image output from the visible light camera 310.
　ステップＳ１２にて、管理装置２００は、ステップＳ１０において取得された生体情報を認証用情報と照合することにより、患者を認証する。 In step S12, the management device 200 authenticates the patient by collating the biometric information acquired in step S10 with the authentication information.
　ステップＳ２０にて、管理装置２００は、ステップＳ１２における患者の認証が成功したか否かを判断する。一実現例では、認証用情報がステップＳ１０において取得された生体情報に適合する情報を含む場合に、認証が成功したと判断される。管理装置２００は、成功したと判断すると（ステップＳ２０にてＹＥＳ）、ステップＳ４０へ制御を進め、失敗したと判断すると（ステップＳ２０にてＮＯ）、ステップＳ３０へ制御を進める。 In step S20, the management device 200 determines whether or not the patient authentication in step S12 was successful. In one implementation example, it is determined that the authentication is successful when the authentication information includes information matching the biometric information acquired in step S10. If the management device 200 determines that it succeeds (YES in step S20), it advances control to step S40, and if it determines that it fails (NO in step S20), it advances control to step S30.
　ステップＳ３０にて、管理装置２００は、エラーを報知して、図５の処理を終了させる。報知の一例は、ディスプレイ２２３における表示である。 In step S30, the management device 200 notifies the error and ends the process of FIG. An example of the notification is the display on the display 223.
　ステップＳ４０にて、管理装置２００は、患者の身体情報を計測する。身体情報は体重を含む。身体情報は、さらに、サーモグラフィカメラ３２０によって計測される、患者の体温を含んでもよい。身体情報は、さらに、患者の血圧を含んでもよい。 In step S40, the management device 200 measures the physical information of the patient. Physical information includes weight. The physical information may further include the patient's body temperature as measured by the thermography camera 320. The physical information may further include the patient's blood pressure.
　ステップＳ５０にて、ステップＳ４０にて計測された身体情報が正常であるか否かを判断する。一例では、管理装置２００は、前回の透析治療の終了時の体重に対する今回の体重の増減の値が所与の範囲内であれば、身体情報が正常であると判断する。他の例では、管理装置２００は、患者の体温が正常として登録されている範囲内であれば、身体情報が正常であると判断する。さらに他の例では、管理装置２００は、患者の血圧が正常として登録されている範囲内であれば、身体情報が正常であると判断する。 In step S50, it is determined whether or not the physical information measured in step S40 is normal. In one example, the management device 200 determines that the physical information is normal if the value of the increase or decrease in body weight this time with respect to the body weight at the end of the previous dialysis treatment is within a given range. In another example, the management device 200 determines that the physical information is normal if the patient's body temperature is within the range registered as normal. In yet another example, the management device 200 determines that the physical information is normal if the patient's blood pressure is within the range registered as normal.
　管理装置２００は、身体情報が正常であると判断すると（ステップＳ５０にてＹＥＳ）、ステップＳ７０へ制御を進め、そうでなければ（ステップＳ５０にてＮＯ）、ステップＳ６０へ制御を進める。管理装置２００は、身体情報が複数存在する場合であって、少なくとも１つの項目について身体情報が正常ではないと判断した場合に、ステップＳ６０へ制御を進めても良い。 If the management device 200 determines that the physical information is normal (YES in step S50), the control proceeds to step S70, and if not (NO in step S50), the control device proceeds to step S60. When the management device 200 determines that the physical information is not normal for at least one item when a plurality of physical information exists, the management device 200 may proceed to the control to step S60.
　ステップＳ６０にて、管理装置２００は、アラート情報を生成する。アラート情報とは、ステップＳ５０において正常ではないと判断された身体情報を報知するための情報であり、たとえば図４のポップアップ４１を表示するための情報である。 In step S60, the management device 200 generates alert information. The alert information is information for notifying physical information determined to be abnormal in step S50, for example, information for displaying the pop-up 41 of FIG.
　ステップＳ７０にて、管理装置２００は、透析治療のための設定情報を生成する。設定情報の生成には、少なくとも、ステップＳ１２において認証された患者のカルテと、ステップＳ４０において計測された患者の体重とが利用される。 In step S70, the management device 200 generates setting information for dialysis treatment. At least the medical record of the patient authenticated in step S12 and the weight of the patient measured in step S40 are used for generating the setting information.
　ステップＳ８０にて、管理装置２００は、ステップＳ７０において生成された設定情報をディスプレイ２２３に表示して、図５の処理を終了させる。ステップＳ６０にてアラート情報が生成されている場合には、ステップＳ８０では設定情報に加えてアラート情報がディスプレイ２２２３に表示される。アラート情報を含む表示の一例は画面４０であり、含まない表示の一例は画面３０である。 In step S80, the management device 200 displays the setting information generated in step S70 on the display 223, and ends the process of FIG. If the alert information is generated in step S60, the alert information is displayed on the display 2223 in addition to the setting information in step S80. An example of the display including the alert information is the screen 40, and an example of the display not including the alert information is the screen 30.
　その後、医師は、ディスプレイ２２３に表示された設定情報を確認し、管理装置２００に所与の情報を入力し得る。これにより、管理装置２００は、制御器３４０へ設定情報を転送し得る。これにより、制御器３４０に接続された透析装置は、設定情報に従って透析治療を実現し得る。 After that, the doctor can confirm the setting information displayed on the display 223 and input the given information to the management device 200. As a result, the management device 200 can transfer the setting information to the controller 340. Thereby, the dialysis apparatus connected to the controller 340 can realize the dialysis treatment according to the setting information.
　管理装置２００は、さらに患者がＯＫボタン３１を操作していることを条件として制御器３４０へ設定情報を転送してもよい。これにより、ディスプレイ２２３に表示された設定情報は、医師だけでなく患者によっても確認された上で、制御器３４０へ転送され得る。 The management device 200 may further transfer the setting information to the controller 340 on condition that the patient is operating the OK button 31. As a result, the setting information displayed on the display 223 can be transferred to the controller 340 after being confirmed not only by the doctor but also by the patient.
　重量センサ３３０において体重を計測された患者が、容易に、ディスプレイ２２３の表示を確認し、ＯＫボタン３１を操作できるように、管理装置２００および可視光カメラ３１０は、重量センサ３３０の近傍に配置されてもよい。これにより、患者の顔画像撮影と体重計測とが同じ位置で行なわれ得る。さらに、患者は、当該撮影および計測が行なわれた場所で、ディスプレイ２２３の表示を確認し得る。 The management device 200 and the visible light camera 310 are arranged in the vicinity of the weight sensor 330 so that the patient whose weight is measured by the weight sensor 330 can easily check the display on the display 223 and operate the OK button 31. You may. This allows the patient's facial imaging and weight measurement to be performed at the same position. In addition, the patient may see the display 223 at the location where the imaging and measurement was performed.
　図５の処理には、種々の変更が想定される。たとえば、生体情報の具体例は、可視光カメラによって撮影される画像、指紋画像、音声、またはこれらの組み合わせであってもよい。管理装置２００は、生体情報を取得するための適切な機器（指紋スキャナ、マイクロフォン、等）を内蔵し得、または、当該機器に接続され得る。認証用情報の一例は、生体情報を認証するために利用される情報、すなわち、顔画像、指紋画像、声紋、またはこれらの組み合わせであってもよい。 Various changes are expected in the processing of FIG. For example, a specific example of biological information may be an image taken by a visible light camera, a fingerprint image, a voice, or a combination thereof. The management device 200 may include an appropriate device (fingerprint scanner, microphone, etc.) for acquiring biological information, or may be connected to the device. An example of the authentication information may be information used for authenticating biometric information, that is, a face image, a fingerprint image, a voiceprint, or a combination thereof.
　今回開示された実施の形態およびその変形例はすべての点で例示であって制限的なものではないと考えられるべきである。本開示の範囲は上記した説明ではなくて請求の範囲によって示され、請求の範囲と均等の意味および範囲内でのすべての変更が含まれることが意図される。 It should be considered that the embodiments disclosed this time and examples thereof are examples in all respects and are not restrictive. The scope of the present disclosure is indicated by the scope of claims rather than the above description, and is intended to include all modifications within the meaning and scope of the claims.
　３０，４０　画面、３１　ＯＫボタン、４１　ポップアップ、２００　管理装置、３１０　可視光カメラ、３２０　サーモグラフィカメラ、３３０　重量センサ、９０１　患者、９０２　看護師。 30, 40 screens, 31 OK buttons, 41 pop-ups, 200 management devices, 310 visible light cameras, 320 thermography cameras, 330 weight sensors, 901 patients, 902 nurses.

Claims (7)

  1. 　コンピュータによって実行される方法であって、
    　生体情報を取得するステップと、
    　入力された前記生体情報と患者に関連付けられた認証用情報とを照合することにより、患者を認証するステップと、
    　体重を含む患者の身体情報を取得するステップと、
    　入力された前記身体情報と認証された前記患者のカルテ内の情報とを用いて、前記患者の透析治療に関する設定情報を出力するステップと、を備える、透析システムの管理方法。     The method performed by the computer
    Steps to get biometric information and
    A step of authenticating a patient by collating the input biometric information with the authentication information associated with the patient.
    Steps to get physical information of the patient including weight,
    A method for managing a dialysis system, comprising a step of outputting setting information regarding dialysis treatment of the patient using the input physical information and the authenticated information in the patient's medical record.
  2. 　前記身体情報が正常であるか否かを判断するステップと、
    　前記身体情報が正常ではないと判断した場合に、医師による前記身体情報の確認を促す情報を出力するステップと、をさらに備える、請求項１に記載の透析システムの管理方法。     The step of determining whether or not the physical information is normal, and
    The method for managing a dialysis system according to claim 1, further comprising a step of outputting information prompting a doctor to confirm the physical information when it is determined that the physical information is not normal.
  3. 　前記身体情報は体温を含む、請求項２に記載の透析システムの管理方法。 The method for managing a dialysis system according to claim 2, wherein the physical information includes body temperature.
  4. 　前記生体情報は顔画像を含む、請求項１～請求項３のいずれか１項に記載の透析システムの管理方法。 The method for managing a dialysis system according to any one of claims 1 to 3, wherein the biological information includes a facial image.
  5. 　前記身体情報は体温を含み、
    　前記生体情報は顔画像を含み、
    　前記体温と前記顔画像を撮像装置から取得した画像から取得する、請求項３に記載の透析システムの管理方法。     The physical information includes body temperature
    The biological information includes a facial image and includes a facial image.
    The management method of a dialysis system according to claim 3, wherein the body temperature and the face image are acquired from an image acquired from an imaging device.
  6. 　コンピュータのプロセッサによって実行されることにより、前記コンピュータに請求項１～請求項５のいずれか１項に記載の管理方法を実施させる、プログラム。 A program that causes the computer to implement the management method according to any one of claims 1 to 5, which is executed by a processor of the computer.
  7. 　請求項６に記載のプログラムを格納するように構成されたメモリーと、
    　前記メモリーに格納されたプログラムを実行するプロセッサと、を備える、管理装置。     A memory configured to store the program according to claim 6 and
    A management device comprising a processor that executes a program stored in the memory.
PCT/JP2020/043756 2019-11-26 2020-11-25 Method for managing dialysis system, program, and management device WO2021106908A1 (en)

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BR112022010045A BR112022010045A2 (en) 2019-11-26 2020-11-25 METHOD TO MANAGE DIALYSIS SYSTEM, MEANS AND MANAGEMENT DEVICE
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