The present invention relates to a blood purification apparatus and a blood purification management system that can purify the air in an ambient environment.
A treatment facility needs to be soundness as an environment to use a medical device, and particularly in a case of providing treatment for a long time, someone's health must never be deteriorated. For example, since purification treatment of blood, which is so-called dialysis treatment, takes time, an ambient environment needs to be comfortable, and it is necessary to collect dust floating in the air and also to sterilize or purify viruses, bacteria, and the like floating with the dust.
Therefore, for example, in a treatment facility in which a dialysis apparatus as described in PTLs 1 and 2 is disposed, it is necessary to dispose an air purification apparatus as described in PTLs 3 and 4.
It is cumbersome to dispose such blood purification apparatus and air purification apparatus in a treatment facility and operate them separately, and it is troublesome to drive both of them in a reliable and comfortable manner. For this reason, there is a possibility that the purification is not performed in the dialysis treatment.
However, there is a need to obviate the occurrence of a viral disease that occurs frequently in recent years, and it is necessary to secure a treatment environment that can reliably avoid particularly a patient undergoing the dialysis treatment being affected.
To this end, an object of the present invention is to provide a blood purification apparatus and a blood purification management system that can purify an ambient environment reliably and in a simple and easy manner in a case of providing the blood purification treatment.
An aspect of the invention of a blood purification apparatus that solves the above-mentioned problem is a blood purification apparatus including a blood purification unit that executes blood purification treatment, including: an air purification unit that sucks external air and discharges the sucked external air after purification; and a control unit that controls the blood purification unit and the air purification unit, in which the control unit drives the air purification unit in conjunction with running of the blood purification unit and allows the air purification unit to purify air around a patient subjected to the purification of blood by the blood purification unit.
An aspect of the invention of a blood purification management system that solves the above-mentioned problem is a system to which multiple blood purification apparatuses described above are connected and that manages a running schedule, in which a control signal to drive the air purification unit is transmitted to one or more separate blood purification apparatuses disposed around the blood purification apparatus in which the blood purification unit runs.
According to an aspect of the present invention as described above, it is possible to purify an ambient environment reliably and in a simple and easy manner in a case of providing blood purification treatment, and it is possible to secure a clean treatment facility and to provide a high-quality treatment environment.
Embodiments of the present invention are described below in detail with reference to the drawings.
In
This blood purification apparatus 100 includes a blood purification unit that performs dialysis processing by drive-controlling a blood pump 123 and a dual pump, a water removal pump, and the like (not illustrated) according to setting prescribed in advance or obtained various types of sensor information, the blood pump 123 pumping blood of the patient P so as to draw and circulate the blood of the patient P in a blood circuit passing through a not-illustrated dialyzer and thereafter return the blood, and the dual pump, the water removal pump, and the like pumping a dialysate so as to take the dialysate into a dialysis circuit passing through the dialyzer and drain after the dialysis processing.
Additionally, as illustrated in a simple block diagram in
As illustrated in a conventional structure in
In this control unit 150, since heating occurs due to electric power supply to the various drivers and driving mechanisms with the information processing by the CPU and the like, the printed substrates (heating portions) 153 and 155 are set in the upper space 101 and on the back surface side of the lower space 103 securing a spatial capacity in order to secure running within a desired temperature range that never exceeds an upper limit temperature to implement control processing with no malfunction. Additionally, this control unit 150 is provided with a cooling function to flow external air into the upper space 101 and the lower space 103 in order to suppress a temperature rise in the upper space 101 and the lower space 103 in a ventilation route in which the printed substrates 153 and 155 are set. As this cooling function, intake air ports 101i, 103i positioned at lower portions of the upper space 101 and the lower space 103 and opening in an apparatus back surface 100b and exhaust air ports 1010, 1030 positioned at upper portions thereof and opening in the apparatus back surface 100b are arranged, and out of those, intake air fans 16 are disposed in the intake air ports 101i, 103i.
Thus, as indicated by an arrow in
Additionally, as illustrated in
Additionally, the blood purification apparatus 100 is provided with a function of setting the control unit 150 by using the liquid crystal monitor 11 and the touch panel 13 of the operation display unit 110 to start driving and run in conjunction with the power-on of the intake air fans 16 of the intake air ports 101i, 103i and the purification unit 15.
In the control unit 150, various types of processing required at the time in accordance with a schedule of the dialysis treatment is executed while the blood purification apparatus 100 is powered on (ON) in the early morning and shut off (OFF) in the evening in a period of time of the running from opening to closing of the dialysis facility R. For example, as illustrated in
Specifically, the control unit 150 is configured to start the purification processing of the air around the bed B in use and continue it until the power is shut off by driving the purification unit 15 together with the intake air fans 16 of the intake air ports 101i, 103i in parallel with starting self-diagnosis to confirm the soundness of each apparatus unit of the blood purification apparatus 100 concurrently with the power-on and completing it before the dialysis treatment. Then, once completing the self-diagnosis as pre-treatment preparation of the blood purification apparatus 100, the control unit 150 performs processing of replacing the inside of the dialysis circuit with the dialysate and thereafter provides the dialysis treatment in which the blood is returned to the patient P with about four hours of the dialysis processing through the blood circuit and the dialysis circuit connected by puncture of a blood vessel of the patient P. The control unit 150 is configured to perform cleaning and disinfection processing of the dialysis circuit thereafter, and after completing the cleaning and disinfection processing along with this dialysis treatment for one day, the driving of the purification unit 15 is automatically stopped with the intake air fans 16 of the intake air ports 101i, 103i, the power to the blood purification apparatus 100 is shut off, and the series of the dialysis treatment processing ends. Note that, the blood purification apparatus 100 may be configured to not only drive the dialysis processing and the air purification function in conjunction with each other by using the operation display unit 110 but also input setting for driving uniquely in a desired timing, wind blowing amount, and light intensity, respectively, and it is favorable to be able to grasp the state by display-outputting a driving state of the dialysis processing, the air purification processing, and the like.
Thus, the blood purification apparatus 100 can suck the external air around the head Ph of the patient P on each bed B to replace with the purified air with no time and effort of disposing and operating a special individual air purification apparatus and also in conjunction with the dialysis processing without wasteful electric power consumption, and can provide the dialysis treatment in an ambient environment with the purified air subjected to the sterilization and inactivation processing of viruses and bacteria.
Thus, in the blood purification apparatus 100 of the present embodiment, it is possible to be provided with a purification function by diverting a cooling function of the control unit 150, and it is possible to efficiently prevent the infection of the patient P undergoing the dialysis treatment with viruses and bacteria in a simple and easy manner and to avoid the spread of an infectious disease from the patient P. Accordingly, it is possible to purify the dialysis treatment environment around the patient P at high quality by employing the blood purification apparatus 100.
In
As with the above-described embodiment, the air purification apparatus 20 includes an intake air port 21 and an exhaust air port 23 and is configured to be able to add the function of sterilizing and inactivating viruses, bacteria, and the like included in the flowing external air to the blood purification apparatus 100 by collecting the viruses, bacteria, and the like by the photocatalyst-bearing filter 18 forming the purification unit while sucking and discharging the external air flowing through an internal space in the housing with a not-illustrated fan, and functioning the photocatalyst by emitting the ultraviolet rays from the light emitter 17.
This air purification apparatus 20 is connected with wire (wireless connection may be applicable) to the control unit 150 of the blood purification apparatus 100, and as with the above-described embodiment, it is possible to attach and run the air purification apparatus 20 on either right or left beside the bed B of the patient P undergoing the dialysis treatment with no limitation and to set so as to start driving in conjunction with the running of the blood purification apparatus 100, and it is needless to say that, not only the driving in conjunction with the blood purification apparatus 100, the air purification apparatus 20 can be driven uniquely in a desired timing.
Thus, in the blood purification apparatus 100 of the present embodiment, it is possible to obtain the operation and effect similar to that of the above-described embodiment, and it is possible to implement purification of the dialysis treatment environment around the patient P more simply, easily, and inexpensively. Additionally, since it is possible to easily change an attachment position of the air purification apparatus 20, it is possible to flexibly set an air purification region in accordance with right and left arms to be punctured and a body position of the patient and to effectively purify the environment around the patient P.
In
As with the air purification apparatus 20 of the above-described embodiment, the air purification apparatus 30 is configured to suck the external air from a not-illustrated intake air port opening in a lower portion and to discharge the air from an exhaust air port 33 in an upper portion after sterilizing and inactivating viruses, bacteria, and the like included in the flowing external air.
As with the air purification apparatus 20 of the above-described embodiment, this air purification apparatus 30 is also connected with wire (wireless connection may be applicable) to the control unit 150 of the blood purification apparatus 100, it is possible to attach and run the air purification apparatus 30 on either right or left beside the bed B of the patient P undergoing the dialysis treatment with no limitation and to set so as to start driving in conjunction with the running of the blood purification apparatus 100, and it is needless to say that, not only this driving in conjunction with the blood purification apparatus 100, the air purification apparatus 30 can be driven uniquely in a desired timing.
Thus, in the blood purification apparatus 100 of the present embodiment, it is possible to obtain the operation and effect similar to that of the above-described second embodiment by using the air purification apparatus 30 that is a separated body by, for example, only updating a control program of the control unit 150 without changing a design of a main body structure of the blood purification apparatus 100, and it is possible to implement purification of the dialysis treatment environment around the close vicinity of the patient P more simply, easily, and inexpensively.
In
The flow route unit 40 includes an aggregated intake air port 41 communicating with the intake air ports 101i, 103i and an aggregated exhaust air port 43 communicating with the exhaust air ports 1010, 1030. As indicated by an arrow in
Thus, the blood purification apparatus 100 can aggressively suck the expired air exhaled from the patient P lying on the bed B from the intake air port 41 positioned at a height of the head Ph of the patient P, can discharge the air after the sterilization and inactivation to purify viruses, bacteria, and the like that may be included in a cough, a sneeze, a conversation, an expired air, and the like thereof, and can form a flow of the circulating air by discharging under the bed B the purified exhaust air from the exhaust air port 43 in the lower portion.
Thus, in the blood purification apparatus 100 of the present embodiment, in addition to the operation and effect similar to that of the above-described embodiment, it is possible to forcibly suck the expired air of the patient P and the like and discharge the air after the purification processing, and it is possible to implement aggressive purification of the dialysis treatment environment around the patient P.
In
In the flow route unit 50, an exhaust air duct 52 that passes under the bed B to stand up from the opposite side to extend the ventilation flow route to the extending exhaust air port 53 at a height facing the aggregated intake air port 41 and that discharges the air to the outside is continuously attached to the aggregated exhaust air port 43. Here, in the present embodiment, a case of disposing on the apparatus left side surface 100s is described as an example: however, it is needless to say that the ventilation flow route may be laid out to be disposable on the apparatus right side surface on the opposite side, and also, it may be disposable on an intake air port side, and additionally, the duct may be deformable so as to be able to arbitrarily adjust an extending position.
Thus, as indicated by an arrow in
Thus, in the blood purification apparatus 100 of the present embodiment, in addition to the operation and effect similar to that of the above-described embodiment, it is possible to forcibly suck the expired air of the patient P and the like and to discharge the purified air subjected to the purification processing around the patient P, and it is possible to implement further aggressive purification of the dialysis treatment environment.
In
Thus, in a case where a shielding curtain C is disposed around the bed B of the patient P undergoing the dialysis treatment in the dialysis facility R, the blood purification apparatus 100 can discharge the external air, which is sucked from the intake air ports 101i, 103i on the apparatus back surface 100b side, from the exhaust air ports 610, 630 on the apparatus front surface 100f side after the purification processing. Therefore, the exhaust air can go around in a horizontal direction along an inner side of the curtain C around the bed B to reach the apparatus back surface 100b side, and it is possible to circulate the air in a space partitioned by the curtain C and to purify the treatment environment repeatedly.
Thus, in the blood purification apparatus 100 of the present embodiment, in addition to the operation and effect similar to that of the above-described embodiment, it is possible to forcibly perform the purification processing of the air in the treatment environment by using the curtain C partitioning the treatment environment of the patient P, and it is possible to implement aggressive purification of the dialysis treatment environment around the patient P.
In
Thus, for example, with the wind direction plate 71, the blood purification apparatus 100 can aggressively suck and discharge the external air in a space at a height of the bed B on which the patient P is lying and at a desired height in accordance with a treatment chair and the like on which the patient P is sitting and can secure the purified treatment environment.
Thus, in the blood purification apparatus 100 of the present embodiment, in addition to the operation and effect similar to that of the above-described embodiment, it is possible to perform the purification processing while targeting a desired position in the treatment environment by disposing the wind direction plate 71 to the intake air port and the exhaust air port, and it is possible to implement aggressive purification of the dialysis treatment environment around the patient P.
In
Thus, for example, with the bellows 81, the blood purification apparatus 100 can aggressively suck and discharge the external air in the space at the height of the bed B on which the patient P is lying and at a desired height in accordance with the treatment chair and the like on which the patient P is sitting and can secure the purified treatment environment.
Thus, in the blood purification apparatus 100 of the present embodiment, in addition to the operation and effect similar to that of the above-described embodiment, it is possible to perform the purification processing while targeting a desired position in the treatment environment by disposing the bellows 81 to the intake air port and the exhaust air port, and it is possible to implement aggressive purification of the dialysis treatment environment around the patient P.
In
As the light sensor 91, for example, a photoelectric sensor that detects a brightness in accordance with ON and OFF of a lighting in the dialysis facility R is employed and disposed, and assuming that the dialysis treatment is started once receiving luminosity information exceeding a threshold detecting that the lighting is ON, the control unit 150 starts the driving of the intake air fans 16 of the intake air ports 101i, 103i and the purification unit 15.
As the human detection sensor 93, for example, an infrared sensor that perceives the patient P using the bed B, a doctor who performs the input operation of the operation display unit 110, and the like is employed and disposed, and assuming that the dialysis treatment is started once receiving human detection information that determines it is the perception, the control unit 150 starts the driving of the intake air fans 16 of the intake air ports 101i, 103i and the purification unit 15.
As the sound sensor 95, a microphone, an amplifier, or the like that detects a conversation of the patient P using the bed B, the doctor who performs the input operation of the operation display unit 110, and the like and activity sounds such as installation sound of equipment is disposed, and assuming that the dialysis treatment is started once receiving the sound information, the control unit 150 starts the driving of the intake air fans 16 of the intake air ports 101i, 103i and the purification unit 15.
Particularly, the control unit 150 can also make adjustment such as increasing the processing capability by increasing an air amount sucked by the intake air fans 16 of the intake air ports 101i, 103i in accordance with the magnitude of the sound information of the sound sensor 95, and for example, it is possible to perform setting to forcibly perform suction processing of an airborne droplet spread during a conversation and the like depending on whether the volume of the sound information exceeds 60 dB based on a noise level of 45 dB in a normal hospital facility (Healthcare Engineering Association of Japan: Hospital Air Conditioning Design Guideline) and around a noise level of 60 dB in a normal conversation. Note that, it is possible to perform setting not to start the driving in a case of exceeding a noise level equal to or greater than a predetermined level to prevent a reaction to warning sound and notification sound during the treatment.
Additionally, this sound sensor 95 may be set in a direction to the patient P as a directional microphone so as to purify the treatment environment into clean air in conjunction with the conversation and the like effectively.
Thus, the blood purification apparatus 100 can automatically intensify the purification capability in a case where there is a high possibility that the spread of viruses and the like occurs more often like a case of a cough, a sneeze, and a loud voice of a person in the room including the patient P.
Thus, in the blood purification apparatus 100 of the present embodiment, in addition to the operation and effect of the above-described embodiment, it is possible to automatically start the driving of the intake air fans 16 of the intake air ports 101i, 103i and the like and run the purification processing in accordance with the treatment environment, and it is possible to execute the purification processing of the treatment environment while suppressing occurrence of the noise and the electric power consumption along with the driving.
In
The management device Mpc is configured to transmit and receive the control signal mutually with each control unit 150 of the blood purification apparatus 100 to cooperate therewith, and is also configured to be able to make not only an operation input from the management device Mpc but also to make an operation input from the operation display unit 110 of the individual blood purification apparatus 100.
Specifically, the management device Mpc is configured to transmit a dialysis control signal to the blood purification apparatus 100 beside the bed B of the patient P undergoing the dialysis treatment in the dialysis facility R and start the dialysis treatment processing and the air purification processing, and additionally to start the purification processing of the ambient air by transmitting a purification control signal to the control unit 150 of the blood purification apparatus 100 beside an adjacent vacant bed B around the bed B of the patient P.
For example, as illustrated in
In this case, as illustrated in
To be specific, blood purification apparatuses 100A and 100C of the bed Bp for the patients P1 and P2 and the adjacent vacant bed Bvn run from power-on (ON) to shutoff (OFF), while the blood purification apparatus 100A beside the bed Bp used by the patients P1 and P2 receives the dialysis control signal at the time according to the schedules of the dialysis treatment of the two patients in the morning and the afternoon and executes the various types of required processing, and on the other hand, the blood purification apparatus 100C beside the adjacent vacant bed Bvn receives the purification control signal in the start of the dialysis treatment and drives the purification unit 15 with the intake air fans 16 of the intake air ports 101i, 103i to start the purification processing of the ambient air in a wide range including the surrounding bed Bvn around the bed Bp in use and continue until the dialysis treatment ends and the power is shut off.
Additionally, in a case where four hours of the dialysis treatment is provided to the one patient P3 in the afternoon, the driving control of the blood purification apparatus 100 is properly executed according to the schedule of the dialysis treatment.
To be specific, blood purification apparatuses 100B and 100D of the bed Bp for the patient P3 and the adjacent vacant bed Bvn run from power-on (ON) to shutoff (OFF), while the blood purification apparatus 100B beside the bed Bp used by the patient P3 receives the dialysis control signal at the time according to the schedule of the dialysis treatment of the one patient in the afternoon and executes the various types of required processing, and on the other hand, the blood purification apparatus 100D beside the adjacent vacant bed Bvn receives the purification control signal in the start of the dialysis treatment and drives the purification unit 15 with the intake air fans 16 of the intake air ports 101i, 103i to start the purification processing of the ambient air in a wide range including the surrounding bed Bvn around the bed Bp in use and continue until the dialysis treatment ends and the power is shut off.
Thus, in the dialysis facility R of the present embodiment, it is possible to establish cooperation only by setting the running of the blood purification apparatus 100 used by the patient P with no time and effort of individually setting various driving conditions and the like, and it is possible to provide the dialysis treatment in an ambient environment of the already purified air subjected to the sterilization and inactivation processing of viruses and bacteria in a wide range including the ambient air adjacent to the vicinity of the bed B.
Next, matters specifying the invention forming the present invention are described continuously by incorporating the reference signs and the like in the above-described embodiments. Note that, each reference sign and the like described below are merely for describing a constituent within the scope of a claim by incorporating the descriptions of the embodiments, and it is needless to say that it is not intended to limit the constituent to a specific member and the like.
In a case of the above-described “1” to “12”, it is possible to clean the air around the patient with no time and effort in a simple and easy manner by performing not only the blood purification but also the air purification in the treatment environment.
In a case of the above-described “7” and “8”, it is possible to set intake and exhaust air ports to arbitrary positions and to achieve the purification of the ambient air in the treatment environment effectively.
In a case of the above-described “9”, it is possible to automatically perform the air purification in accordance with the running schedule of the blood purification apparatus and to purify the ambient air in the treatment environment unconsciously.
In a case of the above-described “10” and “11”, it is possible to achieve the purification of the ambient air in the treatment environment effectively in conjunction with a person related to the treatment and additionally in conjunction with a conversation and the like of the person.
In a case of the above-described “12”, it is possible to automatically perform the air purification in cooperation with the surrounding disposed blood purification apparatus in accordance with the running schedule of the blood purification apparatus and to purify the ambient air in a wider range in the treatment environment unconsciously.
The scope of the present invention is not limited to the exemplified embodiment illustrated and described and includes also all the embodiments that provide an effect equivalent to an object of the present invention. Additionally, the scope of the present invention is not limited to a combination of the characteristics of the invention defined by each claim and can be defined by any desired combination of specific characteristics out of all the respective characteristics disclosed.
Number | Date | Country | Kind |
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2021-090054 | May 2021 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2022/015005 | 3/28/2022 | WO |