System and method for remote peritoneal dialysis exchanges

• US 10,350,343 B2
• Filed: 03/11/2014
• Issued: 07/16/2019
• Est. Priority Date: 03/14/2013
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Minkus, Marc Steven
• Primary Examiner(s): Morgan, Robert W
• Assistant Examiner(s): Winston, III, Edward B
• Application Number:
  US14/204,904
• Publication Number:
  US 20140276375A1
• Time in Patent Office: 1,953 Days
• CPC Class Codes: A61L 2/00 Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor for contact lenses A61L12/00; atomisers for disinfecting agents A61M; sterilisation of packages or package contents in association with packaging B65B55/00; treatment of water, waste water, sewage or sludge C02F; disinfecting paper D21H21/36; disinfecting devices for water closets E03D; articles having provision for disinfection, see the relevant subclasses for these articles, e.g. H04R1/12
• CPC Class Codes: A61L 9/00 Disinfection, sterilisation or deodorisation of air body deodorants A61Q15/00; purifying air by respirators A62B, A62D9/00; separating dispersed particles from gases or vapours B01D45/00 - B01D51/00, B03C3/00; chemical or biological purification of waste gases B01D53/34; production of ozone C01B13/10; air-conditioning systems incorporating sterilisation F24F3/16, F24F8/20
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• CPC Class Codes: A61M 1/1657 with centralised supply of dialysate or constituent thereof for more than one dialysis unit
• CPC Class Codes: A61M 1/1674 using UV radiation sources for sterilising the dialysate
• CPC Class Codes: A61M 1/168 Sterilisation or cleaning before or after use
• CPC Class Codes: A61M 1/1682 both machine and membrane module, i.e. also the module blood side
• CPC Class Codes: A61M 1/1686 by heat
• CPC Class Codes: A61M 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 1/282 Operational modes
• CPC Class Codes: A61M 1/284 Continuous flow peritoneal dialysis [CFPD]
• CPC Class Codes: A61M 1/288 Priming priming in extracorporeal blood circuits A61M1/3643
• CPC Class Codes: A61M 2205/11 with means for preventing cross-contamination when used for multiple patients
• CPC Class Codes: A61M 2205/84 for treating several patients simultaneously
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

A system and method is provided to allow multiple patients to receive peritoneal dialysis treatment at a walk-in facility without having to keep fresh dialysis solution on hand themselves. The walk-in facility is enabled to receive a peritoneal dialysis prescription from a patient, verify the prescription, determine the appropriate treatment for the patient, provide the patient with the appropriate dialysis solution in the appropriate amount, and enable the patient to undergo a dialysis treatment at the facility. The walk-in facility can also be enabled to monitor the patient'"'"'s home dialysis treatment and to adjust the patient'"'"'s treatment at the facility accordingly. The facility can be enabled to produce dialysis solution on demand by manufacturing the solution from solution components according to a patient'"'"'s prescription. Moreover, the facility can use a sorbent system to regenerate effluent dialysis solution into fresh dialysis solution.

Claims

1. A method for peritoneal dialysis comprising:

providing a peritoneal dialysis solution at a location outside of a peritoneal dialysis patient'"'"'s home and open to accommodating the patient'"'"'s schedule;

electronically accepting a computer readable medium from the patient at the location, the computer readable medium enabling the patient and a prescription for the patient to be identified;

electronically identifying a quantity of the peritoneal dialysis solution based on the identified prescription;

electronically identifying at least one peritoneal dialysis set from a plurality of peritoneal dialysis sets for use with the identified quantity of the peritoneal dialysis solution;

fluidly connecting the at least one peritoneal dialysis set to a dialysis solution container so that the identified quantity of the peritoneal dialysis solution can be metered from the dialysis solution container to the patient; and

performing a peritoneal dialysis treatment at the location using the identified quantity of the peritoneal dialysis solution and the retrieved at least one peritoneal dialysis set by metering the identified quantity of the peritoneal dialysis solution from the dialysis solution container to the patient using the at least one peritoneal dialysis set.

2. The method of claim 1, wherein electronically accepting includes electronically recalling the prescription from a computer reading the computer readable medium.

3. The method of claim 1, wherein electronically accepting includes electronically recalling the prescription from the computer readable medium.

4. The method of claim 1, wherein electronically accepting includes electronically verifying the prescription prior to identification of the quantity of the peritoneal dialysis solution and the at least one peritoneal dialysis set.

5. The method of claim 1, wherein the at least one peritoneal dialysis set includes a cassette operable with a peritoneal dialysis machine.

6. The method of claim 1, wherein the at least one peritoneal dialysis set includes a continuous ambulatory peritoneal dialysis catheter.

7. The method of claim 1, wherein the dialysis solution container is configured to be connected to a plurality of peritoneal dialysis sets at the same time.

8. The method of claim 7, wherein the container is configured to meter dialysis solution to the plurality of peritoneal dialysis sets at the same time.

9. The method of claim 1, wherein the at least one peritoneal dialysis set enables the patient to manually drain used dialysis fluid.

10. A method for peritoneal dialysis comprising:

providing a plurality of peritoneal dialysis solution containers at a location open to accommodating a peritoneal dialysis patient'"'"'s schedule;

electronically accepting a computer readable medium at the location from the peritoneal dialysis patient, the patient registered at a clinic or hospital located differently from the location, the computer readable medium enabling the patient and a prescription for the patient to be identified;

electronically matching the patient to one of the peritoneal dialysis solution containers based on the identified prescription;

electronically identifying a peritoneal dialysis set from a plurality of peritoneal dialysis sets, the identified peritoneal dialysis set configured to be connected to the matched peritoneal dialysis solution container;

fluidly connecting the peritoneal dialysis set to the matched peritoneal dialysis solution container so that peritoneal dialysis solution can be delivered from the matched peritoneal dialysis solution container to the patient; and

delivering a quantity of the peritoneal dialysis solution from the matched peritoneal dialysis solution container to the patient using the peritoneal dialysis set.

11. The method of claim 10, wherein the patient is electronically accepted by accessing information provided by the clinic or hospital.

12. The method of claim 10, wherein the prescription is provided by the clinic or hospital.

13. The method of claim 10, wherein electronically accepting includes electronically entering information provided by the patient and obtaining the matched peritoneal dialysis solution based on the entered information.

14. A method for peritoneal dialysis self-treatment comprising:

providing a plurality of peritoneal dialysis machines capable of dispensing dialysis solutions of varying quantities at a location open to accommodating a peritoneal dialysis patient'"'"'s schedule for self-treatment, the plurality of peritoneal dialysis machines connected to a same data network as the patient'"'"'s home peritoneal dialysis machine;

when the patient arrives at the location, selecting a prescription for the patient from the home peritoneal dialysis machine data network and electronically matching the patient to a dialysis solution quantity based upon the prescription selected for the patient; and

enabling at least one fluid connection to be made to deliver the quantity of dialysis solution to the patient; and

performing a peritoneal dialysis treatment by operating one of the plurality of peritoneal dialysis machines according to the selected prescription to deliver the quantity of the dialysis solution to the patient to perform the self-treatment.

15. The method of claim 14, which includes electronically matching the patient to a dialysis solution quantity based on information obtained from a computer readable medium provided by the patient.

16. A facility for providing peritoneal dialysis exchanges outside of a peritoneal dialysis patient'"'"'s home comprising:

a computerized patient identification system configured to electronically identify the patient and a treatment prescribed for the patient to allow the patient to make a visit to the facility for self-treatment;

a solution supply system configured to provide the patient with a volume of peritoneal dialysis solution prescribed by the prescribed treatment, the solution supply system including at least one dialysis solution container configured to be fluidly connected to a peritoneal dialysis set selected from a plurality of peritoneal dialysis sets; and

a plurality of treatment stations configured to allow the patient to self-perform the prescribed treatment using the prescribed volume of peritoneal dialysis solution by fluidly connecting the peritoneal dialysis set to one of the at least one dialysis solution containers and metering the prescribed volume from the connected container, via the peritoneal dialysis set, to the patient.

17. The facility of claim 16, wherein the computerized patient identification system is configured to electronically identify the patient and the treatment prescribed for the patient by reading a computer readable medium.

18. A facility for peritoneal dialysis self-treatment comprising:

a plurality of peritoneal dialysis machines connected to a same data network as a patient'"'"'s home peritoneal dialysis machine, the data network further connected to a system hub configured to obtain patient data from the patient'"'"'s home peritoneal dialysis machine and adjust a treatment prescription for the patient based on the patient data;

a computerized patient identification system configured to obtain the patient'"'"'s identity and the adjusted treatment prescription from the system hub; and

a plurality of treatment stations configured to allow the patient to self-perform the treatment according to the prescription using a volume of dialysis solution specified by the adjusted treatment prescription, wherein at least one fluid connection is provided to enable one of the peritoneal dialysis machines to meter the specified volume to the patient.

19. The facility of claim 18, wherein the treatment is prescribed by a hospital or clinic associated with the facility.

20. The facility of claim 18, wherein the treatment is prescribed by a hospital or clinic under different ownership than the facility.