Patent Application
20200114059
The present invention relates to a blood purification system including a blood purification apparatus capable of giving blood purification treatment to a patient, and a managing apparatus capable of communicating with the blood purification apparatus in such a manner as to transmit and receive information on the blood purification treatment to and from the blood purification apparatus.
A dialysis apparatus as a blood purification apparatus is used in dialysis treatment or the like. A dialysis room in a medical facility such as a hospital is provided with a plurality of dialysis apparatuses so that dialysis treatment (blood purification treatment) can be given to many patients in the dialysis room. As disclosed by PTL 1 for example, each of such dialysis apparatuses is connected to a central monitoring apparatus (a managing apparatus) including a server, and is capable of receiving various pieces of information on patients that are stored in the server. In recent cases, pieces of information on dialysis treatment (for example, patients' past treatment data and so forth) are stored in the server of the central monitoring apparatus, and any of those pieces of information is displayed on a display unit according to need so that a medical worker such as a doctor can grasp the information. PTL 1: Japanese Unexamined Patent Application Publication No. 2014-4194 the teachings of which are expressly incorporated by reference herein for all purposes.
Such a known blood purification system can display information stored in the server and can make the medical worker or the like grasp the information. However, depending on the purpose of extraction, pieces of information stored as histories from which any desired pieces of information are to be extracted may include histories that are not suitable as the object of search. In such a case, the pieces of information extracted and displayed may be inappropriate in terms of the purpose of extraction. Consequently, the reliability of information may be deteriorated. In contrast, if such histories are deleted from the storage, actually necessary pieces of information cannot be extracted when searching is performed for another purpose of extraction.
The present invention has been conceived in view of the above circumstances and provides a blood purification system that is capable of effectively utilizing histories stored during blood purification treatment and that helps realize history search suitable for individual purposes of extraction, thereby increasing the reliability of information to be extracted and displayed.
According to the teachings herein, there is provided a blood purification system including a blood purification apparatus that gives blood purification treatment to a patient; a managing apparatus that communicates with the blood purification apparatus in such a manner as to transmit and receive information on the blood purification treatment to and from the blood purification apparatus, the managing apparatus including a storage unit that stores the information on the blood purification treatment as a history for each treatment session in a time course with progress of the treatment; and a display unit provided to the blood purification apparatus or to the managing apparatus and that displays the information on the blood purification treatment. The blood purification system includes an extracting unit that searches for and extracts any history satisfying a predetermined condition from among the histories stored in the storage unit, an excluding unit that excludes any of the histories stored in the storage unit from an object of search performed by the extracting unit, and a display control unit that controls various pieces of information based on the history extracted by the extracting unit to be displayed on the display unit.
According to the teachings herein, in the blood purification system taught herein, the excluding unit is configured such that any item to be excluded from the object of search is specified.
According to the teachings herein, in the blood purification system taught herein, the excluding unit is configured such that the item to be excluded from the object of search is specified in units of one history.
According to the teachings herein, in the blood purification system taught herein, the excluding unit is configured such that the item to be excluded from the object of search is specified in units of one piece of data included in each of the histories.
According to the teachings herein, in the blood purification system taught herein, the histories each include a particular incident having occurred unsteadily in the blood purification treatment. Furthermore, the extracting unit is capable of extracting the particular incident by searching the histories stored in the storage unit except the history excluded by the excluding unit. Furthermore, the blood purification system includes a calculating unit that calculates a time when the particular incident extracted by the extracting unit occurs a predetermined or more number of times as a frequent-occurrence time slot. Furthermore, the display control unit controls the frequent-occurrence time slot calculated by the calculating unit to be displayed on the display unit during a current session of blood purification treatment.
According to the teachings herein, in the blood purification system taught herein, the histories each include a particular parameter related to the treatment and that changes with time during the blood purification treatment. Furthermore, the extracting unit is capable of searching the histories stored in the storage unit except the history excluded by the excluding unit and extracting, as an approximate history, a history including the particular parameter approximate to the particular parameter observed at a current time in a current session of blood purification treatment or a history including the particular parameter exhibiting a transition approximate to a transition of the particular parameter observed until the current time in the current session of blood purification treatment. Furthermore, the blood purification system includes an estimating unit that estimates a transition of the particular parameter to be observed after the current time in the current session of blood purification treatment from the approximate history extracted by the extracting unit. Furthermore, the display control unit controls the transition of the particular parameter estimated by the estimating unit and the transition of the particular parameter observed during the current session of blood purification treatment to be displayed simultaneously on the display unit.
According to the teachings herein, in the blood purification system taught herein the histories each include a particular incident having occurred unsteadily in the blood purification treatment or a particular parameter related to the treatment and that changes with time during the blood purification treatment. Furthermore, the extracting unit is capable of searching the histories stored in the storage unit except the history excluded by the excluding unit and extracting, as reference histories, a plurality of histories each including the particular incident having occurred during a current session of blood purification treatment or a plurality of histories each including the particular parameter approximate to the particular parameter observed during the current session of blood purification treatment. Furthermore, the blood purification system includes a list-creating unit that creates a list of the plurality of reference histories extracted by the extracting unit. Furthermore, the display control unit controls the list created by the list-creating unit to be displayed on the display unit.
According to the teachings herein, the blood purification system includes the extracting unit that searches for and extracts any history satisfying a predetermined condition from among the histories stored in the storage unit, the excluding unit that excludes any of the histories stored in the storage unit from the object of search performed by the extracting unit, and the display control unit that controls various pieces of information based on the history extracted by the extracting unit to be displayed on the display unit. Therefore, the histories stored during the blood purification treatment can be utilized effectively. Furthermore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased.
According to the teachings herein, the excluding unit is configured such that any item to be excluded from the object of search is specified. Therefore, the medical worker can precisely determine whether the exclusion of the item by the excluding unit matches the purpose of extraction. Consequently, the reliability of information to be extracted and displayed can be increased further.
According to the teachings herein, the excluding unit is configured such that the item to be excluded from the object of search is specified in units of one history. Therefore, the entirety of the history of a single treatment session can be excluded from the object of search. Hence, information that is unfavorable for performing highly accurate extraction can be excluded in units of one treatment session.
According to the teachings herein, the excluding unit is configured such that the item to be excluded from the object of search is specified in units of one piece of data included in each of the histories. Therefore, the object of exclusion can be specified more precisely.
According to the teachings herein, the histories each include the particular incident having occurred unsteadily in the blood purification treatment. Furthermore, the extracting unit is capable of extracting the particular incident by searching the histories stored in the storage unit except the history excluded by the excluding unit. Furthermore, the blood purification system includes the calculating unit that calculates the time when the particular incident extracted by the extracting unit occurs a predetermined or more number of times as the frequent-occurrence time slot. Furthermore, the display control unit controls the frequent-occurrence time slot calculated by the calculating unit to be displayed on the display unit during the current session of blood purification treatment. Therefore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased. Furthermore, the medical worker can grasp the frequent-occurrence time slot of the particular incident in advance.
According to the teachings herein, the histories each include the particular parameter related to the treatment and that changes with time during the blood purification treatment. Furthermore, the extracting unit is capable of searching the histories stored in the storage unit except the history excluded by the excluding unit and extracting, as an approximate history, a history including the particular parameter approximate to the particular parameter observed at the current time in the current session of blood purification treatment or a history including the particular parameter exhibiting a transition approximate to a transition of the particular parameter observed until the current time in the current session of blood purification treatment. Furthermore, the blood purification system includes the estimating unit that estimates a transition of the particular parameter to be observed after the current time in the current session of blood purification treatment from the approximate history extracted by the extracting unit. Furthermore, the display control unit controls the transition of the particular parameter estimated by the estimating unit and the transition of the particular parameter observed during the current session of blood purification treatment to be displayed simultaneously on the display unit. Therefore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased. Furthermore, whether the current transition of the particular parameter is normal when compared with the transition of the particular parameter estimated from the histories can be grasped quickly and accurately.
According to the teachings herein, the histories each include the particular incident having occurred unsteadily in the blood purification treatment or the particular parameter related to the treatment and that changes with time during the blood purification treatment. Furthermore, the extracting unit is capable of searching the histories stored in the storage unit except the history excluded by the excluding unit and extracting, as reference histories, a plurality of histories each including the particular incident having occurred during the current session of blood purification treatment or a plurality of histories each including the particular parameter approximate to the particular parameter observed during the current session of blood purification treatment. Furthermore, the blood purification system includes the list-creating unit that creates a list of the plurality of reference histories extracted by the extracting unit. Furthermore, the display control unit controls the list created by the list-creating unit to be displayed on the display unit. Therefore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased. Furthermore, an action in response to any particular incident that occurs unsteadily or any transition of a particular parameter can be taken quickly and appropriately.
Embodiments of the present invention will now be described specifically with reference to the drawings.
A blood purification system according to a first embodiment is capable of giving dialysis treatment as blood purification treatment to patients and includes, as illustrated in
As illustrated in
A pump chamber of the duplex pump 12 is divided by a single plunger, not illustrated, into a delivery-side pump chamber connected to the dialysate introduction line L1 and a drain-side pump chamber connected to the dialysate drain line L2. When the plunger undergoes a reciprocal motion, the dialysate or a cleaning solution delivered to the delivery-side pump chamber is supplied to the dialyzer 11, while the dialysate in the dialyzer 11 is taken into the drain-side pump chamber.
The dialysate drain line L2 is provided with a bypass line L3 that bypasses the duplex pump 12. The bypass line L3 is provided with an ultrafiltration pump 13 at a halfway position thereof. When the ultrafiltration pump 13 is activated, the blood of the patient that is flowing in the dialyzer 11 can be ultrafiltered. The duplex pump 12 may be replaced with a device of a so-called chamber type.
The blood purification apparatus 1 further includes a display unit 1a and various treatment units (for example, the blood pump, an infusion pump, a syringe pump, and so forth) related to blood purification treatment (hemodialysis treatment). The treatment units are not limited to actuators such as pumps and may include various general units intended for blood purification treatment: namely, clamping units such as electromagnetic valves, and monitoring units for monitoring hydraulic pressure and so forth.
The display unit 1a is capable of displaying predetermined information on the blood purification treatment (hemodialysis treatment) and accepts predetermined input. The display unit 1a according to the present embodiment is a touch panel that accepts predetermined input made by touching on a corresponding one of positions of a screen thereof. The information on the blood purification treatment that is displayed on the display unit 1a includes a setting value representing the flow rate of the blood pump 10, the ultrafiltration pump 13, the infusion pump, or the like; the venous pressure detected by a venous pressure sensor; and the hematocrit value or the like detected by a hematocrit sensor or the like.
The blood purification apparatus 1 further includes a speaker capable of generating any type of output (output such as a voice or a sound effect). The speaker makes it possible to generate an alarm or a warning for notifying anyone nearby of the occurrence of an abnormality in any of the devices operating for the blood purification treatment or in the patient, and to give the operator a guidance, with a voice or the like, on how to handle the blood purification apparatus or how to make various settings. The blood purification apparatus 1 further includes an external indicator lamp 14 (see
The managing apparatus 2 includes a server 3 and a client PC 4. The server 3 includes a communication module 3b for communication with the blood purification apparatuses 1 through the LAN cables L, a storage unit 3a serving as a database in which data is storable, a web-application module 3c that activates a client application 4b included in the client PC 4, an extracting unit 5, and a calculating unit 6a. The client PC 4 is provided in a treatment room in which the blood purification apparatuses 1 are installed. The server 3 is provided in another room (such as a computer room) separate from the treatment room.
The storage unit 3a is capable of communicating with each of the blood purification apparatuses 1 through the communication module 3b. The storage unit 3a is also capable of storing information on the blood purification treatment in a time course with the progress of the treatment and storing the information as a history for each treatment session. For example, information transmitted from the managing apparatus 2 to each blood purification apparatus 1 (information required for the current treatment session) includes setting information on the blood purification apparatus 1, master information that enables selection of a below-described particular incident that has occurred unsteadily, personal information (such as dry weight (DW), medication instructions, and test values) on the patient to be treated, and so forth.
Information (the history) transmitted from each blood purification apparatus 1 to the managing apparatus 2 includes monitoring information on the blood purification apparatus 1, warnings and notifications generated by the blood purification apparatus 1, a record of actions including a log of operations performed in response to the warnings and notifications, self-diagnostic information on the blood purification apparatus 1, information on the patient's blood pressure and pulse measured by a blood pressure monitor provided to the blood purification apparatus 1, information on the patient's temperature inputted to the blood purification apparatus 1 by the operator, identification codes selected from the master information by the medical worker, and so forth.
The history includes particular incidents that have occurred unsteadily (suddenly) during the blood purification treatment. The particular incidents include, for example, unsteady incidents related to the patient's behavior during the blood purification treatment (events such as food taking, the release of the patient for a bathroom break, and a change in body position; sudden incidents such as dislodgement of a puncture needle; and the like) or unsteady incidents related to the patient's condition (a drop in blood pressure, complaints such as feelings of discomfort and itching, and the like), and unsteady incidents occurring in the apparatus during the blood purification treatment (actions taken in response to warnings and notifications generated by the blood purification apparatus 1, and the like).
The storage unit 3a is capable of associating various pieces of information with one another and storing the pieces of information as a history for each treatment session. The pieces of information to be associated with one another include, in addition to the particular incidents occurred unsteadily, the name of the patient treated, the place of treatment, the blood purification apparatus used, information transmitted to and received from the blood purification apparatus 1 during the treatment, actual values such as the patient's body weights before and after the treatment and the volume and rate of ultrafiltration, treatment conditions, the record of medicines given during the treatment, the record of medical materials used for the treatment, the record of care, and so forth.
Any particular incident can be inputted during the blood purification treatment by selecting the kind thereof (whether it is an event during the treatment, a complaint from the patient, an action taken, or the like) through the display unit 1a (the touch panel) of the blood purification apparatus 1 or through an input unit 8 included in the client application 4b. In the present embodiment, the particular incidents are mastered with identification codes that are classified by kind. If a medical worker wants to input a certain particular incident, the medical worker can select, by inputting, an identification code corresponding to the particular incident of interest and then input the actual particular incident. Hence, the storage unit 3a can store particular incidents on the basis of the identification codes.
The warnings and notifications generated by the blood purification apparatus 1 during the blood purification treatment and the record of actions including the log of operations performed in response to the warnings and notifications are also mastered with identification codes that are classified by kind. If a medical worker wants to input a certain particular incident, the medical worker can select, by inputting, an identification code corresponding to the particular incident of interest and then input the actual particular incident.
Thus, as illustrated in
The extracting unit 5 is capable of searching the histories stored in the storage unit 3a except those excluded by an excluding unit (f) and extracting a desired one of the particular incidents. When a desired particular incident that needs to be grasped by the medical worker is selected (particular incidents of different kinds are also selectable) and is inputted (specifically, when an identification code corresponding to a desired particular incident is inputted) through the display unit 1a or the input unit 8, the extracting unit 5 according to the present embodiment can search the histories stored in the storage unit 3a except those excluded by the excluding unit (f) and can extract the selected particular incident. The number of particular incidents to be selected by the medical worker is not limited to one, and a plurality of kinds of particular incidents may be selected and inputted. The kinds of particular incidents to be paid attention to are different for different patients. Therefore, the extraction of such particular incidents by the extracting unit 5 may be performed patient by patient.
The present embodiment concerns a case where the range from which the extracting unit 5 extracts a particular incident is limited to the histories of the patient to whom the blood purification treatment is going to be given. Alternatively, the extracting unit 5 may extract a particular incident from a range including histories of other patients. In the latter case, the other patients acceptable as additional conditions include patients having a similar symptom, patients of the same sex, patients of the same or a close age, patients having the same or a similar primary disease, and patients having the same or a close DW (dry weight) or test value. In addition, the medical worker may arbitrarily include or exclude other patients into or from the object of extraction by the extracting unit 5. That is, the medical worker may select patients to be included as the object of extraction for each particular incident.
A particular incident extracted as above is presented as illustrated in
The calculating unit 6a is capable of calculating a time when the particular incident extracted by the extracting unit 5 occurs a predetermined or more number of times as a frequent-occurrence time slot. For example, as illustrated in
The client PC 4 is a personal computer and includes a display unit 4a and the client application 4b. The display unit 4a is a liquid-crystal screen or a touch panel that is capable of displaying information on the blood purification treatment. The client application 4b is connected to the web-application module 3c of the server 3, whereby information on the blood purification treatment can be inputted thereto and outputted therefrom. The client application 4b includes the excluding unit (f), a display control unit 7 and the input unit 8.
The input unit 8 accepts selective input of any of the plurality of particular incidents (for example, particular incidents of different kinds such as unsteady incidents related to the patient's behavior during the blood purification treatment or unsteady incidents related to the patient's condition, and unsteady incidents occurring in the apparatus during the blood purification treatment). In the present embodiment, the frequent-occurrence time slot of a particular incident inputted through the input unit 8 can be calculated by the calculating unit 6a and can be controlled to be displayed by the display control unit 7. The input may be made through the display unit 1a (a touch panel or the like) of the blood purification apparatus 1, instead of the input unit 8.
The display control unit 7 is capable of controlling various pieces of information based on the history extracted by the extracting unit 5 to be displayed on the display unit 4a. In the present embodiment, the display control unit 7 is capable of controlling the frequent-occurrence time slot calculated by the calculating unit 6a to be displayed on the display unit 4a during the current session of blood purification treatment. Specifically, as illustrated in
In particular, as illustrated in the drawing, the display control unit 7 according to the present embodiment is capable of controlling the frequent-occurrence time slot (R) calculated by the calculating unit 6a to be displayed as a band represented with reference to the time axis (the time axis of the current session of blood purification treatment). Since the frequent-occurrence time slot (R) is displayed as a band as described above, the start time and the end time of the frequent-occurrence time slot (R) can be grasped simultaneously and visually. Furthermore, about how much time is left from a current time W before the frequent-occurrence time slot (R) is reached can be grasped visually.
The display control unit 7 according to the present embodiment is capable of controlling information on the current session of blood purification treatment to be displayed as graphs with the progress of time, and is also capable of controlling the frequent-occurrence time slot (R) calculated by the calculating unit 6a to be displayed as a band represented with reference to the time axis of the graphs. Alternatively, as illustrated in
If a plurality of particular incidents are inputted through the input unit 8 (or the display unit 1a), the display control unit 7 may control respective frequent-occurrence time slots to be displayed such that the kinds of those particular incidents are identifiable. The kinds of the particular incidents can be made identifiable by displaying different frequent-occurrence time slots (represented as graphs or the like) in different colors (including different tones). Moreover, the display control unit 7 may control the frequent-occurrence time slots to be displayed such that the frequencies of occurrence of the respective particular incidents are identifiable. In such a case, frequent-occurrence time slots of higher frequencies and frequent-occurrence time slots of lower frequencies can be made identifiable for each of the particular incidents by displaying the frequent-occurrence time slots (represented as graphs or the like) of different frequencies in different colors (including different tones).
The extraction of a particular incident by the extracting unit 5 and the calculation of the frequent-occurrence time slot by the calculating unit 6a are preferably performed when the particular incident inputted through the input unit 8 is changed, when the recording of the patient's history for each treatment session is completed and determined, or in midnight hours or the like during which the blood purification system is out of operation. Needless to say, if a client PC 4 operating at an extremely high processing speed is employed, the extraction of a particular incident by the extracting unit 5 and the calculation of the frequent-occurrence time slot by the calculating unit 6a may be performed immediately before the blood purification treatment is started.
The client application 4b of the managing apparatus 2 according to the present embodiment includes the excluding unit (f). The excluding unit (f) is capable of excluding any of the histories stored in the storage unit 3a from the object of search to be performed by the extracting unit 5. Hence, the extracting unit 5 according to the present embodiment can extract any particular incident by searching histories stored in the storage unit 3a except those excluded by the excluding unit (f).
The excluding unit (f) according to the present embodiment allows the medical worker or the like to select and specify any item to be excluded from the object of search (i.e. from the histories stored in the storage unit 3a) by, for example, checking or unchecking relevant checkboxes on the client application 4b. Exemplary items to be excluded by the excluding unit (f) include histories except those of the current patient who is going to take blood purification treatment, patients other than the current patient and of a different sex or different ages, patients not having the same or a similar primary disease, patients not having the same or a close DW (dry weight) or test value, and so forth.
The excluding unit (f) may be configured such that items to be excluded from the object of search performed by the extracting unit 5 are specified in units of one history. In such a case, the entirety of the history of a single treatment session can be excluded from the object of search. Hence, information that is unfavorable for performing highly accurate extraction can be excluded in units of one treatment session. Furthermore, the excluding unit (f) is configured such that items to be excluded from the object of search are specified in units of one piece of data included in each of the histories (in the present embodiment, in units of one kind of particular incident). In such a case, the object of exclusion can be specified more precisely. In addition to the exclusion in units of one piece of data, exclusion in units of one treatment date or the like is also possible. In such a case, the object of exclusion may be specified on a matrix screen.
According to the present embodiment, the extracting unit 5 is capable of extracting a particular incident by searching the histories stored in the storage unit 3a except those excluded by the excluding unit (f). Furthermore, the blood purification system includes the calculating unit 6a capable of calculating a time when the particular incident extracted by the extracting unit 5 occurs a predetermined or more number of times as the frequent-occurrence time slot (R). Furthermore, the display control unit 7 is capable of controlling the frequent-occurrence time slot calculated by the calculating unit 6a to be displayed on the display unit during the current session of blood purification treatment. Therefore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased. Furthermore, the medical worker can grasp the frequent-occurrence time slot (R) of the particular incident in advance.
Thus, the timing of frequent occurrence (the frequent-occurrence time slot) of a desired particular incident that is considered to be paid attention to by the medical worker can be grasped in advance during the current session of blood purification treatment. Therefore, preparations and confirmations for the particular incident of interest can be made in advance, and an action in response to the occurrence of the particular incident can be taken quickly and appropriately. Furthermore, since the frequent-occurrence time slots of particular incidents can be summarized automatically, not manually by the operator, the number of steps of operation can be reduced. Moreover, since factors such as the threshold for the frequent-occurrence time slot and the scanning time slot (T) can be set arbitrarily on the basis of viewpoints of experienced and high-skill medical workers, even unexperienced and low-skill medical workers can grasp the frequent-occurrence time slots of the particular incidents to be paid attention to.
Now, a second embodiment of the present invention will be described.
As with the case of the first embodiment, a blood purification system according to the present embodiment is capable of giving dialysis treatment as blood purification treatment to patients and includes, as illustrated in
The extracting unit 5 according to the present embodiment is capable of searching the histories stored in the storage unit 3a except those excluded by the excluding unit (f) and extracting, as an approximate history, a history including a particular parameter of interest approximate to that observed at the current time in the current session of blood purification treatment. When a particular parameter that needs to be grasped by the medical worker is selected (particular parameters of different kinds are also selectable) and is inputted (specifically, when an identification code corresponding to a desired particular parameter is inputted) through the display unit 1a or the input unit 8, the extracting unit 5 according to the present embodiment can search the histories stored in the storage unit 3a except those excluded by the excluding unit (f) and can extract a particular parameter that exhibits an approximate transition.
A specific method of extraction by the extracting unit 5 is as follows, for example. When a particular parameter (such as Kt/V or the like) desired to estimate and conditions relevant thereto are inputted through the input unit 8 or the like with a predetermined timing during the current session of blood purification treatment, the extracting unit 5 searches for a history (from the histories except those excluded by the excluding unit (f)) exhibiting an approximate value within a predetermined time range (a preset period) starting from the current time. The range (scanning range) for which judgement of approximation is to be made is set in advance for each of different kinds of particular parameters. For example, a period between a point where the value of the particular parameter is greater than the current value of the parameter by a predetermined amount (i.e. the upper limit of the threshold for scanning) and a point where the value of the particular parameter is smaller than the current value of the parameter by a predetermined amount (i.e. the lower limit of the threshold for scanning) may be set in advance as the scanning range.
Alternatively, the entire period of each of the histories stored in the storage unit 3a except any period excluded by the excluding unit (f) may be set as the range of search, or the range to be searched may be made specifiable. When a particular parameter (such as Kt/V or the like) desired to estimate and conditions relevant thereto are inputted through the input unit 8 or the like with a predetermined timing during the treatment, any of all histories within the above scanning range starting from the current time can be extracted as an approximate history.
As another method of extraction, the extracting unit 5 may be capable of searching the histories stored in the storage unit 3a except those excluded by the excluding unit f and extracting, as an approximate history, a history including the particular parameter of interest exhibiting a transition approximate to that observed until the current time in the current session of blood purification treatment. In such a case, as illustrated in
For example, the extracting unit 5 may be configured as follows. If the area of difference between the transition of the particular parameter (U) observed until the current time and the transition of the particular parameter E1 stored as the history (see
The present embodiment concerns a case where the range from which the extracting unit 5 extracts a particular parameter is limited to the histories of the patient to whom the blood purification treatment is going to be given. Alternatively, the extracting unit 5 may extract a particular parameter from a range including histories of other patients. In the latter case, the other patients acceptable as additional conditions include patients having a similar symptom, patients of the same sex, patients of the same or a close age, patients having the same or a similar primary disease, and patients having the same or a close DW (dry weight) or test value. In addition, the medical worker may arbitrarily include or exclude other patients into or from the object of extraction by the extracting unit 5. That is, the medical worker may select patients to be included as the object of extraction for each particular incident.
An estimating unit 6b estimates a transition of a particular parameter to be observed after the current time in the current session of blood purification treatment from the approximate history extracted by the extracting unit 5. Specifically, the estimating unit 6b according to the present embodiment is capable of analyzing all approximate histories extracted by the extracting unit 5, calculating upper limits and lower limits for respective time slots, and estimating as an estimated upper-limit transition by connecting the upper limits to one another and as an estimated lower-limit transition by connecting the lower limits to one another.
More specifically, if all of the extracted approximate histories are graphed with one specific time axis, the greatest value and the smallest value at every point in time can be identified. Accordingly, a graph as a series of the greatest values and a graph as a series of the smallest values are obtained. The transition of the upper limit and the transition of the lower limit that are obtained as above are estimated as a transition of the particular parameter to be observed after the current time in the current session of blood purification treatment. Such a transition of a particular parameter to be observed after the current time may alternatively be estimated by any other mathematical or graphical method.
The display control unit 7 is capable of controlling the transition of the particular parameter estimated by the estimating unit 6b and the transition of the particular parameter observed during the current session of blood purification treatment to be displayed simultaneously on the display unit 4a. Specifically, as illustrated in
That is, as illustrated in the drawing, the transition of Kt/V observed during the current session of blood purification treatment is displayed as a transition of a particular parameter. Simultaneously, with a current time (W) in the graph being defined as the start point, a transition of the particular parameter (Kt/V in this case) estimated by the estimating unit 6b is displayed. In particular, as illustrated in the drawing, the display control unit 7 according to the present embodiment controls an upper-limit transition V1 and a lower-limit transition V2 of the particular parameter that are estimated by the estimating unit 6b to be displayed as graphs such that the transition (V) (including the upper-limit transition V1 and the lower-limit transition V2) of the particular parameter estimated by the estimating unit 6b is distinguishable (in the present embodiment, the transition (V) is represented by dotted lines).
Furthermore, in the present embodiment, a past time before the current time W in the current session of blood purification treatment is specifiable through the input unit 8. Therefore, the extracting unit 5 can search the histories except those excluded by the excluding unit (f) for any history including the particular parameter of interest approximate to that observed at the point inputted through the input unit 8, and can then extract that history as an approximate history. For example, as illustrated in
When a past time Wa is specified by using the time-shift bar (B), the extracting unit 5 searches for any history including the particular parameter of interest approximate to that observed at the past time Wa and extracts that history as an approximate history. Then, the estimating unit 6b estimates a transition of the particular parameter to be observed after the time Wa from the extracted approximate history. A transition (V′) of the particular parameter estimated as above by the estimating unit 6b is displayed as a graph starting from the specified past time Wa. In such a case as well, the transition (V′) of the particular parameter estimated by the estimating unit 6b includes an upper-limit transition V′1 and a lower-limit transition V′2, which are displayed in such a manner as to be distinguishable (in the present embodiment, represented by dotted lines) from the transition (U) of the particular parameter.
The display control unit 7 according to the present embodiment is capable of controlling the information on the current session of blood purification treatment to be displayed as a graph (the transition (U)) with the progress of time, and the transition ((V) or (V′)) of the particular parameter estimated by the estimating unit 6b to be displayed as the upper-limit transition (V1 or V′1) and the lower-limit transition (V2 or V′2). Alternatively, the information may be displayed in any other form (for example, as a transition of the average value or the like).
The extraction of an approximate history by the extracting unit 5 and the estimation of the transition of a particular parameter by the estimating unit 6b are preferably performed when a particular parameter desired to estimate is specified through the input unit 8, or when a past time Wa is specified with the time-shift bar (B) operated through the input unit 8. While the present embodiment concerns a case where Kt/V is specified as the particular parameter, another particular parameter may be specified through the input unit 8 so that the transition of that particular parameter can be estimated. Furthermore, while the present embodiment concerns a case where the particular parameter estimated by the estimating unit 6b is made distinguishable by being displayed as a dotted line, the estimated particular parameter may be made distinguishable in any other way, for example, by being displayed in a different color.
According to the above embodiment, the extracting unit 5 is capable of searching the histories stored in the storage unit 3a except those excluded by the excluding unit f and extracting, as an approximate history, a history including the particular parameter approximate to the particular parameter observed at the current time in the current session of blood purification treatment or a history including the particular parameter exhibiting a transition approximate to the transition of the particular parameter observed until the current time in the current session of blood purification treatment. Furthermore, the blood purification system includes the estimating unit 6b that estimates a transition of the particular parameter to be observed after the current time in the current session of blood purification treatment from the approximate history extracted by the extracting unit 5. Furthermore, the display control unit 7 is capable of controlling the transition of the particular parameter estimated by the estimating unit 6b and the transition of the particular parameter observed in the current session of blood purification treatment to be displayed simultaneously on the display unit. Therefore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased. Furthermore, whether the current transition of the particular parameter is normal when compared with the transition of the particular parameter estimated from the histories can be grasped quickly and accurately.
Now, a third embodiment of the present invention will be described.
As with the cases of the first and second embodiments, a blood purification system according to the present embodiment is capable of giving dialysis treatment as blood purification treatment to patients and includes, as illustrated in
As illustrated in
As illustrated in
If any particular incident occurs during the blood purification treatment, a symbol (such as a black dot, a white dot, a star mark, a triangular mark, or the like) corresponding to the kind of that particular incident is displayed in a corresponding one of the lines of the event bar (I), whereby the kind of the particular incident can be identified. While the present embodiment concerns a case where the kind of each particular incident is identifiable by the symbol, the kind of each particular incident may be made identifiable by the color, character, or the like. Thus, not only the transition of a particular parameter observed but also a particular incident occurred during the current session of blood purification treatment can be displayed on the display unit 4a.
The input unit 8 accepts selective input of any of the plurality of particular incidents (for example, particular incidents of different kinds such as unsteady incidents related to the patient's behavior during the blood purification treatment or unsteady incidents related to the patient's condition, and unsteady incidents occurring in the apparatus during the blood purification treatment). In the present embodiment, any of the particular incidents in the event bar (I) displayed on the display unit 4a is selectable, and any of the particular parameters displayed on the display unit 4a is selectable. The input may be made through the display unit 1a (a touch panel or the like) of the blood purification apparatus 1, instead of the input unit 8.
The extracting unit 5 according to the present embodiment is capable of searching the histories stored in the storage unit 3a except those excluded by the excluding unit (f) and extracting a desired one of the particular incidents. When a desired particular incident or particular parameter that needs to be grasped by the medical worker is selected (particular incidents or particular parameters of different kinds are also selectable) and is inputted (specifically, when an identification code corresponding to a desired particular incident is inputted) through the display unit 1a or the input unit 8, the extracting unit 5 according to the present embodiment can search the histories stored in the storage unit 3a except those excluded by the excluding unit (f) and extract, as reference histories, a plurality of histories each including the inputted particular incident (the particular incident occurred during the current session of blood purification treatment) or a plurality of histories each including the particular parameter approximate to the inputted particular parameter (the particular parameter observed during the current session of blood purification treatment). The number of particular incidents and particular parameters to be selected by the medical worker is not limited to one, and a plurality of kinds of particular incidents and particular parameters may be selected and inputted. The kinds of particular incidents to be paid attention to are different for different patients. Therefore, the extraction of such particular incidents by the extracting unit 5 may be performed patient by patient.
The present embodiment concerns a case where the range from which the extracting unit 5 extracts a particular incident or a particular parameter is limited to the histories of the patient to whom the blood purification treatment is going to be given. Alternatively, the extracting unit 5 may extract a particular incident or a particular parameter from a range including histories of other patients. In the latter case, the other patients acceptable as additional conditions include patients having a similar symptom, patients of the same sex, patients of the same or a close age, patients having the same or a similar primary disease, and patients having the same or a close DW (dry weight) or test value. In addition, the medical worker may arbitrarily include or exclude other patients into or from the object of extraction by the extracting unit 5. That is, the medical worker may select patients to be included as the object of extraction for each particular incident.
More specifically, the object of extraction by the extracting unit 5 includes histories each including any particular incident occurred during the current session of blood purification treatment, and histories each including any particular parameter of interest approximate to that observed during the current session of blood purification treatment. Histories each including any particular incident occurred during the current session of blood purification treatment are extracted as follows, for example. When a particular incident is specified by inputting a corresponding one of symbols displayed on the event bar (I), a plurality of histories each including the specified particular incident are extracted as reference histories, with the particular incident being associated with information on the time in each of the past treatment sessions. Hence, with what timing in each of the past treatment sessions (dialysis days) the particular incident has occurred can be grasped.
Histories each including any particular parameter of interest approximate to that observed during the current session of blood purification treatment are extracted as follows, for example. When a particular parameter (such as Kt/V or the like) desired to display as a list is inputted through the input unit 8 or the like (for example, when any particular parameter displayed as a graph (G) is specified through the input unit 8) with a predetermined timing during the current session of blood purification treatment, the extracting unit 5 searches for histories (except those excluded by the excluding unit f) each including the particular parameter exhibiting an approximate value within a predetermined time range (a preset period) starting from the current time. The range (scanning range) for which judgement of approximation is to be made is set in advance for each of different kinds of particular parameters. For example, a period between a point where the value of the particular parameter is greater than the current value of the particular parameter by a predetermined amount (i.e. the upper limit of the threshold for scanning) and a point where the value of the particular parameter is smaller than the current value of the particular parameter by a predetermined amount (i.e. the lower limit of the threshold for scanning) may be set in advance as the scanning range.
Thus, the extracting unit 5 can search for and extract, as reference histories, a plurality of histories each including any particular parameter of interest exhibiting a value approximate to that observed at the current time in the current session of blood purification treatment. Note that the entire period, except the period excluded by the excluding unit f, of each of the histories stored in the storage unit 3a may be set as the range of search, or the range to be searched may be made specifiable. When a particular parameter (such as Kt/V or the like) desired to list is inputted through the input unit 8 or the like with a predetermined timing during the treatment, any of all histories within the above scanning range starting from the current time can be extracted as histories for reference.
As another method of extraction, the extracting unit 5 may be capable of searching the histories stored in the storage unit 3a and extracting, as reference histories, histories each including the particular parameter of interest exhibiting a transition approximate to that observed until the current time in the current session of blood purification treatment. In such a case, as described in the second embodiment with reference to
For example, the extracting unit 5 may be configured as follows. If the area of difference between the transition of the particular parameter (U) observed until the current time and the transition of the particular parameter E1 stored as the history (see
In the present embodiment, a past time before the current time in the current session of blood purification treatment is specifiable through the input unit 8, and the extracting unit 5 is capable of searching for and extracting, as reference histories, histories each including a particular parameter of interest approximate to that observed at the time inputted through the input unit 8. Specifically, when a past time instead of the current time is specified, the extracting unit 5 can search the histories except those excluded by the excluding unit (f) for histories each including a particular parameter of interest approximate to that observed at the specified time, and extract the histories as reference histories.
A list-creating unit 6c is capable of creating a list of the plurality of reference histories extracted by the extracting unit 5. The list includes a plurality of lines for the respective reference histories. The lines each provide information such as treatment date, treatment time, a particular incident, and so forth. When histories each including any particular incident occurred during the current session of blood purification treatment are extracted as reference histories by the extracting unit 5, the list-creating unit 6c sets the order of the list in accordance with the degree of approximation in the timing of occurrence of the particular incident (for example, the list is created in descending order of closeness in the timing of occurrence). Furthermore, on condition that any warning or notification is generated during the current session of blood purification treatment, the extracting unit 5 may be allowed to extract, as reference histories, histories each including the warning or notification as a particular incident so that the extracted reference histories are included in the list to be created by the list-creating unit 6c.
Furthermore, when histories each including any particular parameter of interest approximate to that observed during the current session of blood purification treatment are extracted as reference histories by the extracting unit 5, the list-creating unit 6c sets the order of the list in accordance with the degree of approximation in the particular parameter (for example, the list is created in descending order of closeness in the degree of approximation). The order of the list to be displayed may be changeable in any way. For example, the order of the list may be set with a sort key composed of a plurality of parameters, or the order of display may be set initially as desired.
The display control unit 7 is capable of controlling the list created by the list-creating unit 6c to be displayed on the display unit 4a. For example, as illustrated in
When a medical worker selects and inputs any of the reference histories displayed in the list (D), a graph Ga illustrated in
The extraction of approximate histories by the extracting unit 5 and the creation of a list by the list-creating unit 6c are preferably performed when any particular incident or any particular parameter desired to list is specified through the input unit 8 or when a past point is specified through the input unit 8. While the present embodiment concerns a case where Kt/V is specified as the particular parameter, any other particular parameter may be specified through the input unit 8, and reference histories each including that particular parameter approximate thereto may be extracted.
According to the present embodiment, the extracting unit 5 is capable of searching the histories stored in the storage unit 3a except those excluded by the excluding unit (f) and extracting, as reference histories, a plurality of histories each including any particular incident having occurred during the current session of blood purification treatment or a plurality of histories each including any particular parameter approximate to that observed during the current session of blood purification treatment. Furthermore, the blood purification system includes the list-creating unit 6c capable of creating a list of the plurality of reference histories extracted by the extracting unit 5. Furthermore, the display control unit 7 is capable of controlling the list created by the list-creating unit 6c to be displayed on the display unit 4a. Therefore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased. Furthermore, an action in response to any particular incident that occurs unsteadily or any transition of a particular parameter can be taken quickly and appropriately.
According to each of the first to third embodiments, the blood purification system includes the extracting unit 5 capable of searching for and extracting any history satisfying a predetermined condition from among the histories stored in the storage unit 3a, the excluding unit f capable of excluding any of the histories stored in the storage unit 3a from the object of search performed by the extracting unit 5, and the display control unit 7 capable of controlling various pieces of information based on the history extracted by the extracting unit 5 to be displayed on the display unit 4a. Therefore, the histories stored during the blood purification treatment can be utilized effectively. Furthermore, history search suitable for individual purposes of extraction is realized, whereby the reliability of information to be extracted and displayed can be increased.
For example, if an action that is being taken in response to a warning generated by the blood purification apparatus 1 is inappropriate, the warning may be generated repeatedly. In such a case, although it should be recorded that a particular incident (generation of a warning) has occurred once, it is actually recorded in the history that the particular incident has occurred the number of times of repetition. To avoid such a situation, if the second and subsequent occurrences of the particular incident are excluded by the excluding unit (f), the extraction by the extracting unit 5 can be performed accurately. Consequently, the reliability of frequent-occurrence time slots to be displayed can be increased.
The excluding unit f according to each of the embodiments is configured such that any item is selectable and specifiable to be excluded from the object of search. Therefore, the medical worker can precisely determine whether the exclusion of the items by the excluding unit (f) matches the purpose of extraction. Consequently, the reliability of information to be extracted and displayed can be increased further. In particular, if the excluding unit f is configured such that items to be excluded from the object of search are specified in units of one history, the entirety of the history of a single treatment session can be excluded from the object of search. Hence, information that is unfavorable for performing highly accurate extraction can be excluded in units of one treatment session. Furthermore, the excluding unit (f) is configured such that items to be excluded from the object of search are specified in units of one piece of data included in each of the histories. Therefore, the object of exclusion can be specified more precisely.
While some embodiments have been described above, the present invention is not limited thereto. For example, the blood purification apparatuses 1 may be connected to the server 3 of the managing apparatus 2 without using wires such as the LAN cables (L) (for example, the blood purification apparatuses 1 and the server 3 may be capable of wireless communication with each other). Moreover, the server 3 of the managing apparatus 2 that is connected to the blood purification apparatuses 1 may also be connected to any other independent server installed in a room other than the room related to dialysis treatment (for example, to a server included in any of various systems such as a system storing treatment information (electronic medical charts) and medication information of any other department in the same hospital (in a room different from the dialysis room, such as a room of an internal medicine concerning complications), a nursing support system provided for the nursing of patients, or a reservation or accounting system), so that the server 3 and the other server can transmit and receive various pieces of patient information to and from each other.
The display control unit 7 according to each of the above embodiments is capable of controlling information to be displayed on the display unit 4a of the client PC 4 during the current session of blood purification treatment. Alternatively, the display control unit 7 may control information to be displayed on the display unit 1a of a corresponding one of the blood purification apparatuses 1 during the current session of blood purification treatment. Furthermore, while each of the above embodiments concerns a case where the web-application module 3c for activating the client application 4b is provided in the server 3, the web-application module 3c may alternatively be provided in the client PC 4.
The above embodiments each concern a hemodialysis apparatus capable of performing a treatment such as hemodialysis (HD), ECUM, or HDF (hemodiafiltration). Alternatively, the present invention may be applied to a blood purification apparatus capable of performing another kind of blood purification treatment (such as hemofiltration (HF), continuous slow hemofiltration (CHF), or the like).
The present invention is applicable to any blood purification system, including those having other additional functions and so forth, as long as the blood purification system includes an extracting unit that searches for and extracts any history satisfying a predetermined condition from among histories stored in a storage unit, an excluding unit that excludes any of the histories stored in the storage unit from an object of search performed by the extracting unit, and a display control unit that controls various pieces of information based on the history extracted by the extracting unit to be displayed on a display unit.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2017-116956 | Jun 2017 | JP | national |
| Number | Date | Country | |
|---|---|---|---|
| Parent | PCT/JP2018/022705 | Jun 2018 | US |
| Child | 16711719 | US |
