Biological information and blood treating device information control system, biological information and blood treating device information control device, and biological information and blood treating device information control method

• US 7,788,038 B2
• Filed: 12/27/2001
• Issued: 08/31/2010
• Est. Priority Date: 12/27/2000
• Status: Expired due to Fees

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Inventors: Kuroda, Yasuhiro, Ohnishi, Yoshiaki, Oshita, Shuzo, Okumura, Noriko, Okahisa, Toshiya
• Primary Examiner(s): Clow; Lori A
• Application Number:
  US10/450,648
• Publication Number:
  US 20050102165A1
• Time in Patent Office: 3,169 Days
• Field of Search: None
• US Class Current: 702/19
• CPC Class Codes: A61M 1/14 Dialysis systems; Artificial kidneys; Blood oxygenators semi-permeable membranes characterised by the material, manufacturing processes therefor B01D71/00 ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/707 Testing of filters for clogging
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

The invention comprises a patient information server device which automatically accumulates together with time information: biological information detected by a bedside monitoring device of a patient or a biological-measuring device; biological information and device information detected by a blood purification device which treats a blood sample taken from the patient; and blood information detected by a circulating blood volume measuring device that detects blood information about a circulating blood sample taken from the patient. A client device simultaneously and chronologically displays or records the patient information stored in the patient information server device. Through this arrangement, it is possible to obtain on a real time basis the biological information of a human body such as a patient'"'"'s body, and the device information, for example, of a blood treating device.

Claims

1. The management system for biological information and information about a blood-treating device comprising:

a blood purifying device which takes blood from a human body, purifies the blood, and returns the purified blood to the human body;

a server device which automatically accumulates and stores time information and

(a) biological information about a human body measured by a biological-measuring device,

(b) information about at least one of device information and biological information measured by the blood purification device, and

(c) blood information measured by a circulating blood volume measuring device that measures blood information about the blood taken from the human body; and

a control device which calculates an index value using a predetermined arithmetic expression based on at least one of the stored information or downloaded information, controls the blood purifying device in accordance with the calculated index value, and simultaneously and chronologically displays or records the calculated index value together with the information to be displayed or recorded,

wherein the index value is indicative of effects of the blood purification on the human body,

a client device which controls the control device to simultaneously and chronologically display or record the information stored in the server device and the calculated index value; and

an input means for entering additional biological information which is different from initial biological information, wherein

the control device simultaneously and chronologically displays or records the downloaded information and the additional biological information, wherein

the control device changes at least one additional time interval and a display scale in response to a predetermined variation in at least one of the downloaded information, the calculated index value, and the additional biological information.

2. A management system for biological information and information about a circulating blood purifying device that purifies blood from a human body comprising:

a server device which automatically accumulates and stores time information together with;

(a) biological information about the human body measured by a biological-measuring device,

(b) device information measured by the blood purifying device, and

(c) blood information measured by a circulating blood volume measuring device that measures blood information about the blood taken from the human body for purification;

the blood purification device taking blood from the human body, submitting the blood to filtration, dialysis or adsorption by the use of a filter, and returning the blood to the human body;

a control processor which simultaneously and chronologically displays or records the information stored in the server device, the control processor being programmed to;

calculate an estimate of a percent clogging of the filter attached to the blood purification device, based on the information stored in the server device,

control a predetermined value of the blood purification device based on the calculated percent clogging of the filter,

calculate an estimate of the amount of substances in blood removed by the blood purification device based on the information stored in the sever device and the calculated percent clogging of the filter,

calculate an estimate of the concentration of a specific substance in blood based on the information stored in the server device, the calculated percent clogging of the filter and the calculated amount of substances in blood removed by the blood purification device,

control, based on the calculated concentration of the specific substance, a dose of an administered substance administered to the human body; and

a client device for supplying the control processor with the information stored in the server device; and

wherein the device information includes at least one selected from the group consisting of;

items of a ledger, set values, pressure information, flow rate information, temperature information, anticoagulant dosage information (concentration, dosing rate), the amount of anticoagulant used, type, dosing rate, amount used and time of replacement of substituted liquid and dialyzed liquid, alarm information, trouble managing records, event information and safety check items; and

wherein the time information includes at least one selected from the group consisting of;

test time, current date and hour, registration time, current time, start time, end time, time of a condition, time of taking a specimen, time of a dosing, elapsed time, time of replacement of anticoagulant, time of replacement of substituted liquid and dialyzed liquid, time of replacement of a waste liquid tank, specified times, time zone, time of recording a report, time of displaying, time of inputting a vital sign, time of inputting information about a blood treatment, and time of end of a filter.

3. The management system for biological information and information about the blood purifying device as claimed in claim 2, wherein

the control processor further calculates an estimate of biological information regarding a balance between intra- and extra-cellular contents of bodily water in the human body based on the information stored in the server device.

4. The management system for biological information and information about the blood purification device as claimed in claim 3, wherein

the control processor further controls a predetermined value of the blood-purification device based on the calculated biological information estimate regarding the balance between the intra- and extra-cellular contents of bodily water in the human body.

5. The management system for biological information and information about the blood purification device as claimed in claim 2, wherein

the control processor further calculates an estimate of biological information regarding oxygen in the human body based on the information stored in the server device.

6. The management system for biological information and information about the blood purifying device as claimed in claim 5, wherein

the control processor further controls the blood-purification device and an artificial respirator attached to the human body, based on the calculated biological information regarding oxygen in the human body.

7. A management apparatus for biological information and information about a blood-treating device comprising:

a server device for automatically accumulating and storing time information together with;

(a) biological information measured by a biological-measuring device about a patient whose blood is to be treated,

(b) device information measured by a blood-treating device that treats the blood from the patient and returns the treated blood to the patient, and

(c) blood information measured by a circulating blood volume measuring device that measures blood information about the blood in the blood treating device;

a client device for simultaneously and chronologically displaying or recording the information stored in the server device,

a local area network, the server device and the client device communicating using the local area network; and

a control device which calculates an index value using a predetermined arithmetic expression based on at least the stored information and controls the client device to simultaneously and chronologically display or record the calculated index value together with the information stored in the server device,

wherein the index value is indicative of a current medical state of the patient,

wherein the control device calculates an estimate of a balance between intra- and extra-cellular contents of bodily water in the patient based on the information stored in the server device.

8. The management apparatus for biological information and information about a blood-treating device as claimed in claim 7, wherein

the control device controls a predetermined value of the blood purification device based on the calculated estimate of the balance between the intra- and extra-cellular contents of bodily water in the patient.

9. A management method for biological information and information about a blood-treating device, comprising:

automatically accumulating

(a) biological information about a human body when blood from the human body is being treated, the biological information being measured by a biological-measuring device and/or a blood-treating device,

(b) device information about the blood-treating device that treats blood taken from the human body, and

(c) blood information measured by a circulating blood volume measuring device in the blood taken from the human body, and

storing the information, the device information, the blood information, and time information;

calculating an index value using a predetermined arithmetic expression based on at least the biological information, the device information, the blood information, and the time information;

wherein the index value is indicative of a condition of the human body whose blood is being treated;

simultaneously and chronologically displaying or recording the biological information, the device information, the blood information, and the calculated index,

the device information including at least;

a blood pressure, a blood pressure in the device, a blood flow rate in the device, a blood temperature in the device, an amount of anticoagulant used, a type of anticoagulant used, and an anticoagulant dosing rate; and

a local area network over which local area network the server device and the client device communicate.

10. The management method for biological information and information about a blood-treating device as claimed in claim 9 further comprising:

measuring the biological information about the human body and outputting the measured biological information;

treating the blood sample taken from the human body and measuring at least one of the biological information and the blood information, followed by outputting the measured biological information;

measuring and outputting the blood information using a circulating blood volume measuring device;

automatically and periodically incorporating the output information at predetermined intervals and storing the output information together with the time information into a server device; and

downloading the stored information together with the stored time information by periodically accessing the server device at predetermined time intervals, and simultaneously and chronologically displaying or recording the downloaded information.

11. The management method for biological information and information about a blood-treating device as claimed in claim 9, further comprising the steps of:

storing diagnostic information, therapeutic information and test information into the server device; and

simultaneously and chronologically displaying or recording at least one of the diagnostic information, the therapeutic information and the test information.

12. The management method for biological information and information about a blood-treating device as claimed in claim 9 further including:

from the index, calculating one or more scores for comprehensively judging the condition of the human body; and

at least one of displaying and recording the scores.

13. A management system for biological information and information about a blood-treating device including:

a server device which automatically accumulates and stores time information and;

(a) biological information about a human body measured by a biological-measuring device,

(b) device information about a blood-treating device that treats a blood from the human body, and

(c) blood information measured by a circulating blood volume measuring device that measures blood information about a circulating blood sample taken from the human body; and

a control device which calculates an index value and a rate of change of the index;

using a predetermined arithmetic expression based on at least one of the stored information or downloaded information and then simultaneously and chronologically displays or records the calculated index value together with the information to be displayed or recorded, wherein the index value is indicative of hypovolemia;

a client device which controls the control device to simultaneously and chronologically display or record the information stored in the server device and the calculated index rate of change; and

wherein the server device and the client device communicate using a local area network.

14. A management system for biological information and information about a blood-treating device as claimed in claim 13,

wherein the device information includes:

blood pressure information, blood flow rate information, blood temperature information, an amount of anticoagulant used, a type of anticoagulant used, an anticoagulant dosing rate, amount of substituted liquid used, an amount of used dialyzed liquid, alarm information, event information and safety check items; and

wherein the time information includes;

test time, current date and hour, registration time, current time, start time, end time, time of a condition, time of taking a specimen, time of a dosing, elapsed time, time of replacement of anticoagulant, time of replacement of substituted liquid and dialyzed liquid, time of replacement of a waste liquid tank, time of recording a report, time of inputting a vital sign, and time of end of a filter.

15. The management system for biological information and information about a blood-treating device, as claimed in claim 13 further comprising:

a biological-measuring device for measuring the biological information about the human body and outputting the measured biological information;

a blood purification device for purifying the blood sample taken from the human body and for measuring and outputting at least the device information;

a circulating blood volume measuring device for measuring the blood information about the circulating blood sample taken from the human body and outputting the measured blood information.

16. A management apparatus for biological information and information about a blood-treating device, comprising:

a server device for automatically accumulating and storing time information together with;

(a) biological information measured by a biological-measuring device about a patient whose blood is to be treated,

(b) device information measured by a blood-treating device that treats the blood from the patient and returns the treated blood to the patient, and

(c) blood information measured by a circulating blood volume measuring device that measures blood information about the blood in the blood treating device;

a client device for simultaneously and chronologically displaying or recording the information stored in the server device;

a local area network, the server device and the client device communicating using the local area network; and

a control device which calculates an index value using a predetermined arithmetic expression based on at least the stored information and controls the client device to simultaneously and chronologically display or record the calculated index value together with the information stored in the server device,

wherein the index value is indicative of a current medical state of the patient,

wherein the control device further calculates and at least one of displays or records a correlation coefficient between at least one of a pair of the index values or a rate of change of the index values.