JP4904077B2 - Blood purification equipment - Google Patents

Description

  The present invention relates to a blood purification apparatus provided with a purification treatment means for purifying and treating blood of a patient circulating extracorporeally.

  A dialysis apparatus as a blood purification apparatus used in dialysis treatment or the like usually includes a dialyzer for purifying the blood of a patient circulating outside the body, a mixing means for preparing a dialysate having a predetermined concentration by mixing a dialysis solution. The dialysis fluid is supplied to the dialyzer. However, before the dialysis treatment, it is necessary to prepare a predetermined amount of dialysis solution in advance by the mixing means, and after the dialysis treatment (including both days with and without dialysis treatment) From the viewpoint, it is necessary to clean or disinfect the mixing means.

  The operation of the dialysate preparation, cleaning, and disinfection is required every time it is required, and it is troublesome because it requires frequent work by medical staff. There has been proposed a dialysis machine having That is, a dialysis treatment time is set for each day of the week (Monday to Sunday), and the dialysate is automatically prepared, washed, and disinfected according to the set treatment time. be able to. In addition, since this prior art does not relate to the literature known invention, there is no prior art document information to be described.

  However, in the above conventional blood purification apparatus, a dialysis treatment time is set for each day of the week, and a predetermined operation such as preparation of dialysate is automatically performed in accordance with the set treatment time. Therefore, there are the following problems. For example, it may be preferable to perform treatment every other day (every other day) or every few days from the viewpoint of therapeutic effect, but when trying to set such a schedule, one week consists of odd days (7 days) There was a problem that the treatment day shifted in the next week.

  In addition, in the conventional blood purification apparatus, in order to set a treatment day every other day or every few days, a complicated operation is required. There is also a problem that a predetermined operation is performed based on the setting. Furthermore, it is necessary to refer to a separate manual or the like in order to perform a complicated operation, and there is a problem that workability is significantly deteriorated.

  The present invention has been made in view of such circumstances, and facilitates the setting of operations every other day or every few days, and facilitates the setting work to avoid erroneous settings. To provide an apparatus.

The invention according to claim 1 is a blood purification apparatus comprising a purification processing means for purifying and treating a patient's blood circulating extracorporeally, wherein a calendar can be displayed and an arbitrary date can be selected. And a predetermined operation related to the treatment by the purification processing means on the condition that the date has been reached based on the content input on the date selected on the touch panel and the date selected on the touch panel. And a control means for performing cleaning or disinfection of the dialysis fluid used at the time of treatment or the purification treatment means, and inputting the number of periodic days to perform a predetermined operation related to the treatment on the touch panel, The calendar can be displayed on the calendar according to the cycle days, and the calendar is input with the cycle days input. Together may select a predetermined operation related to the treatment with specific date and purification treatment means the day, characterized in that could automatically adjust the subsequent schedule depending on the specific date.

According to a second aspect of the invention, the blood purification apparatus according to claim 1 Symbol placement, date corresponding to the date or period of days selected by the touch panel, that displays an icon corresponding to a predetermined operation set Features.

According to a third aspect of the present invention, in the blood purification apparatus according to the first or second aspect , the content of a predetermined operation performed by the control means or the purification processing means is performed for each date of the calendar. Storage means for storing predetermined treatment data related to the treatment, and when a past date in the calendar is selected, the contents of the predetermined operation or treatment data on the date stored in the storage means can be displayed. It is characterized by that.

According to the present invention, since the possible select any date to display the calendar on the screen of the touch panel, as well as the operation setting of every other or days period easily, Teido operation at the input to the touch panel Since the date on which the preparation of the dialysate used at the time of treatment or the cleaning or disinfection of the purification processing means should be performed can be selected, the setting operation can be easily performed to avoid erroneous setting.

In addition , when the number of periodic days for which a predetermined operation related to treatment is to be performed is input on the touch panel, a schedule corresponding to the periodic days can be displayed on the calendar of the screen on the touch panel, so that the setting work can be performed more easily. it can.

Furthermore , with the period days entered, you can select a specific date on the calendar and a specific action related to the treatment by the purification process on that day, and automatically adjust the schedule after that according to the specific date. Therefore, it is possible to easily cope with an irregular or unexpected schedule.

According to the invention of claim 2 , since the icon corresponding to the set predetermined operation is displayed on the date selected on the touch panel or the date corresponding to the number of cycles, the schedule can be easily grasped.

According to a third aspect of the present invention, there is provided storage means for storing, for each calendar date, the content of the predetermined operation performed by the control means or predetermined treatment data related to the treatment performed by the purification processing means. In addition, when a past date on the calendar is selected, the content of the predetermined operation or treatment data on the date stored in the storage unit can be displayed, so that the content of the predetermined operation or treatment data on any past date can be easily displayed. Can be referred to.

Hereinafter, embodiments of the present invention will be specifically described with reference to the drawings.
The blood purification apparatus according to this embodiment is applied to a dialysis apparatus equipped with purification treatment means (blood circuit, dialyzer, mixing means, etc.) for purifying the blood of a patient circulating outside the body and performing dialysis treatment. As shown in FIG. 4, the touch panel 1, the control unit 2, the purification processing unit 3, and the storage unit 4 are mainly configured.

  As shown in FIG. 2, the purification treatment means 3 is prepared by a mixing means 5 for preparing a dialysate having a predetermined concentration by mixing a dialysis stock solution composed of, for example, agent A and agent B, and the mixing means 5. Supply means 6 for supplying the dialysate 9 to the dialyzer 9, and blood circuits (7a, 7b) connected to the dialyzer 9 for circulating the patient's blood extracorporeally.

  The dialyzer 9 is formed with a blood introduction port 9a, a blood outlet port 9b, a dialysate inlet port 9c, and a dialysate outlet port 9d in the casing, and among these, the blood inlet port 9a has an arterial blood circuit 7a. However, the venous blood circuit 7b is connected to the blood outlet port 9b. The dialysate introduction port 9c and the dialysate lead-out port 9d are connected to a dialysate introduction line L1 and a dialysate discharge line L2 extending from the supply means 6, respectively.

  A plurality of hollow fibers are accommodated in the dialyzer 9, the inside of the hollow fibers is used as a blood flow path, and the flow of dialysate is between the hollow fiber outer peripheral surface and the inner peripheral surface of the housing. It is considered a road. A hollow fiber membrane is formed in the hollow fiber by forming a large number of minute holes (pores) penetrating the outer circumferential surface and the inner circumferential surface, and impurities in the blood are passed through the membrane in the dialysate. It is comprised so that it can permeate | transmit.

  On the other hand, a blood pump 8 is disposed in the arterial blood circuit 7a, and a drip chamber D is connected to the venous blood circuit 7b. And the venous puncture needle b is attached. When the blood pump 8 is driven with the patient punctured with the artery side puncture needle a and the vein side puncture needle b, the patient's blood passes through the artery side blood circuit 7a and reaches the dialyzer 9, Blood is purified by the dialyzer 9, and returned to the patient's body through the venous blood circuit 7b while being defoamed in the drip chamber D.

  Here, as shown in FIG. 3, the touch panel 1 according to the present embodiment has a screen 1a on which a calendar 10 is displayed and an arbitrary date can be selected, and a predetermined input can be performed on the date. is doing. The calendar 10 displays a week from Sunday to Saturday at the top, and the date for each day of the week is displayed at the bottom. Select the date by touching the part where the arbitrary date is displayed. It has come to be able to do.

  For example, when the part on which the date is displayed is touched and selected, the screen 1a is switched to the screen 1b as shown in FIG. 4 so that the operation content and operation start time can be set on that day. . Such operation contents are predetermined operations related to the treatment by the purification processing means 3 (dialysis solution preparation by the mixing means 5, washing of the mixing means 5 or the supply means 6 and disinfection, etc.), and can be set for each selected date. Has been.

  Furthermore, on the screen 1b in the present embodiment, icons corresponding to predetermined actions (for example, different icons corresponding to the days when the treatment is performed and the days when the treatment is not performed) are displayed. When an arbitrary icon is selected and touched, a desired predetermined operation to be performed on the date can be input. That is, the day when treatment is performed (for example, in addition to the preparation of dialysate, the mixing means 5 or the supply means 6 is cleaned or disinfected) and the day when treatment is not performed (for example, only cleaning or disinfection of the mixing means 5 is performed ), The predetermined actions to be performed are different, so the icons are made different to distinguish these days. Even when the set date is touched, the display as shown in the figure is made, and the setting can be confirmed and changed.

  After a predetermined operation related to treatment by the date selection and purification processing means 3 is set, touching the “save” display section on the screen 1b completes the setting and reflects the setting contents as shown in FIG. The completed calendar 10 is displayed on the screen 1c. In this calendar 10, icons representing predetermined operations input for the selected date are displayed, respectively, and the schedule management for one month is easy.

  When the display section “next month” on the screen 1a is touched, the calendar 10 for the next month (the next month is sequentially touched by further touching) is displayed. Is configured to be performed. Further, when the display section “Last Month” is touched, the calendar 10 in the previous month (the previous month is sequentially touched further) is displayed, and the past schedule can be displayed.

  On the other hand, by touching the display section (cycle setting section 11) of “cycle days” on the screen 1a, the number of cycle days (every other day every other day or a cycle of every two days or more) to perform a predetermined operation related to treatment is input. It is configured to be able to. In other words, in the present embodiment, instead of randomly selecting a date irregularly as described above, it is possible to set to repeat a predetermined operation at a predetermined cycle.

  Specifically, when the cycle setting unit 11 is touched, as shown in FIG. 6, the screen is switched to the cycle day selection display screen 1 d, so that the display unit having an arbitrary cycle day among the displayed cycle days is touched. After that, touch the “Next” display to enter it. As a result, the screen 1d is switched to the screen 1e as shown in FIG. 7. By touching the display portions "schedule for the first day" and "schedule for the second day", the predetermined operations to be performed on each date are input. can do.

  For example, after touching the display part “scheduled for the first day” in the figure and touching the display part “end of input”, the display as shown in FIG. 4 is made. The predetermined operation concerned can be input, and when the input is completed, the display returns to the display of FIG. In this display, touching the display section “scheduled for the second day”, the display as shown in FIG. 4 is made again. Similarly, a predetermined operation related to the treatment on the second day (a predetermined operation different from the first day) is input. It is possible.

  When each input is completed, as shown in FIG. 8, the screen is switched to a screen 1f, and an icon indicating a predetermined action scheduled for the first day and an icon indicating the predetermined action scheduled for the second day are displayed. It will be. Then, by touching the “input end” display section in the same figure, the setting for the cycle days every other day (every other day) is completed, and as shown in FIG. A schedule (a state in which each icon is displayed alternately) corresponding to is displayed on the calendar 10.

  When the number of cycles is set every 2 days (3-day cycle), every 3 days (4-day cycle), every 4 days (5-day cycle), or every 5 days (6-day cycle), the display shown in FIG. , The corresponding parts are touched, and predetermined operations to be performed on the first day to the sixth day are respectively input and set. In addition, a predetermined operation to be performed every other month can be set, and for example, an operation such as calcium removal for the mixing unit 5 may be performed every month.

  However, in a state where the number of days in the cycle is input and a schedule with a predetermined cycle is set, a specific date of the calendar 10 and a predetermined operation related to the treatment by the purification processing means 3 on that day can be selected, and the specific date can be selected. Accordingly, the subsequent schedule may be automatically adjusted. In this case, it is possible to easily cope with an irregular or abrupt schedule according to the convenience of a medical institution such as a hospital where a blood purification apparatus is installed or the patient. It is preferable to display a specific icon on the set specific date.

  Based on the contents (operation start time or predetermined operation) input on the date selected on the touch panel 1, the control unit 2 performs the purification processing unit on the condition that the date (set time) has been reached. 3 to perform a predetermined operation related to the treatment by 3 and is constituted by, for example, a microcomputer. That is, the control means 2 has a function for instructing the purification processing means 3 to perform a predetermined operation based on the schedule set on the touch panel 1.

  The storage unit 4 stores, for each date of the calendar 10, the content of the predetermined operation performed by the control unit 2 or the predetermined treatment data related to the treatment performed by the purification processing unit 3, for example, a memory Etc. Further, in the present embodiment, as in the screen 1h shown in FIG. 10, the background of the past date of the calendar 10 is made different to facilitate discrimination, and the past date is selected and touched. As shown in FIG. 11, the screen is switched to the screen 1 i so that the contents of the predetermined operation or treatment data on the date stored in the storage unit 4 can be displayed.

  In the figure, in addition to the icons indicating the predetermined operation performed on the day, the operation content, the content of the predetermined operation such as the operation start time, the treatment data for the day, the record (log) indicating the device operation, or the treatment data Treatment data such as a graph based on the above is displayed. The treatment data can include vital signs such as blood pressure, alarm occurrence status, and the like in addition to venous pressure and water removal amount. As described above, when the past date of the calendar 10 is selected, the content of the predetermined operation or treatment data on the date stored in the storage unit 4 can be displayed. Therefore, the content of the predetermined operation or treatment data on any past date Can be easily referred to.

  According to the above embodiment, the calendar 10 is displayed on the screen of the touch panel 1 so that an arbitrary date can be selected. Therefore, it is easy to set operation every other day or every several days as compared with the conventional setting for each day of the week. can do. In addition, since a date on which a predetermined operation is to be performed can be selected by an input to the touch panel 1, an erroneous setting can be avoided by making the setting operation easy.

  Furthermore, when the number of periodic days for which a predetermined operation related to treatment is to be performed is input on the touch panel 1, a schedule corresponding to the number of periodic days can be displayed on the calendar 10 of the screen on the touch panel 1. Can be made. Furthermore, since the icon corresponding to the set predetermined operation is displayed on the calendar 10 on the date selected on the touch panel 1 or the date corresponding to the number of cycles, the schedule can be easily grasped.

  Although the present embodiment has been described above, the present invention is not limited to this. For example, calendars of a plurality of months are displayed on the same screen, date selection, input of a predetermined operation, and schedule are performed across the plurality of calendars. You may comprise so that a display may be performed. The operation start time set for each date may be set over a plurality of time zones, for example, morning, afternoon, and midnight. Furthermore, the form of the calendar and icons can be arbitrarily changed.

Further, the predetermined operation to be set for each date, in addition to setting for each date, at the option of the operator, may be configured to be set for each day of the week. In addition, the blood purification apparatus provided with the said component may be for home use installed in a medical institution such as a hospital, or in a patient's house, and is not limited to a dialysis apparatus. As long as it purifies and treats blood, it may be applied to other devices (for example, blood filtration dialysis method, blood filtration method, blood purification device used in AFBF, plasma adsorption device, etc.).

A calendar is displayed, and an arbitrary date can be selected, and a touch panel having a screen on which a predetermined input can be performed on the date, and contents input on the date selected on the touch panel, On the condition that the date has been reached, the control means for making the dialysate used at the time of treatment as a predetermined operation related to the treatment by the purification treatment means or cleaning or disinfecting the purification treatment means , When the number of cycle days for which a predetermined operation related to treatment is to be performed is input, it is possible to display a schedule corresponding to the number of cycle days on the calendar, and in the state where the cycle days are input, the specific date of the calendar and the date Can select a predetermined action related to treatment by the purification processing means, and the schedule after that according to the specific date If automatically adjust may blood purification device can be external shape of the device and the components are applied to such different or what other functions are added.

The block diagram which shows the structure of the blood purification apparatus which concerns on embodiment of this invention. Schematic diagram showing an example of purification treatment means in the blood purification apparatus The schematic diagram which shows the screen display of the touchscreen in the blood purification apparatus, Comprising: The figure which shows the calendar before being set The schematic diagram which shows the screen display of the touchscreen in the blood purification apparatus, Comprising: The figure which shows the display for inputting and setting a predetermined operation | movement It is a schematic diagram which shows the screen display of the touch panel in the blood purification apparatus, Comprising: The figure which shows the calendar which the predetermined operation | movement was input for every arbitrary date, and displayed the schedule It is a schematic diagram which shows the screen display of the touchscreen in the blood purification apparatus, Comprising: The figure which shows the display for inputting and setting a period day It is a schematic diagram which shows the screen display of the touchscreen in the blood purification apparatus, Comprising: The figure which shows the display at the time of selecting a 2-day period It is a schematic diagram which shows the screen display of the touchscreen in the blood purification apparatus, Comprising: The figure which shows the display in the state which each input the predetermined operation | movement of the 1st day and the 2nd day of a 2-day cycle The schematic diagram which shows the screen display of the touchscreen in the blood purification apparatus, Comprising: The figure which shows the calendar which displayed the schedule repeated by a 2-day cycle The schematic diagram which shows the screen display of the touch panel in the blood purification apparatus, Comprising: The figure which shows the schedule which displays the schedule repeated in a 2-day cycle, and used the past date as a different background It is a schematic diagram which shows the screen display of the touch panel in the blood purification apparatus, Comprising: The figure which shows the display content at the time of selecting the past date

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Touch panel 1a-1i Screen 2 Control means 3 Purification process means 4 Memory | storage means 5 Mixing means 6 Supply means 7a Arterial side blood circuit 7b Vein side blood circuit 8 Blood pump 9 Dializer 10 Calendar 11 Period setting part

Claims (3)

In a blood purification apparatus provided with a purification treatment means for purifying and treating the blood of a patient circulating outside the body,
A touch panel having a screen on which a calendar can be displayed and an arbitrary date can be selected and a predetermined input can be performed on the date;
Based on the contents input on the date selected on the touch panel, on the condition that the date has been reached, the preparation of the dialysate used at the time of treatment as the predetermined operation related to the treatment by the purification means or the purification process Control means for cleaning or disinfecting means;
When a period number of days on which the predetermined operation related to the treatment is to be performed is input on the touch panel, a schedule corresponding to the period days can be displayed on the calendar, and the period days are input. A specific date of the calendar and a predetermined operation related to treatment by the purification processing means on the day can be selected, and a schedule thereafter can be automatically adjusted according to the specific date. Blood purification device. The date corresponding to the date or period of days selected by the touch panel, according to claim 1 Symbol placement of the blood purification apparatus, characterized in that to display an icon corresponding to a predetermined operation set. For each date of the calendar, the storage unit stores a content of a predetermined operation performed by the control unit or predetermined treatment data related to a treatment performed by the purification processing unit, and the past of the calendar The blood purification apparatus according to claim 1 or 2 , wherein when the date is selected, the content of the predetermined operation or treatment data on the date stored in the storage means can be displayed.

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