Dialysis system and machine having therapy prescription recall

• US 8,257,582 B2
• Filed: 10/03/2011
• Issued: 09/04/2012
• Est. Priority Date: 07/09/2008
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Yu, Anping, Childers, Robert W., Cizman, Borut
• Primary Examiner(s): DRODGE, JOSEPH W
• Application Number:
  US13/251,901
• Publication Number:
  US 20120022442A1
• Time in Patent Office: 337 Days
• Field of Search: 210/96.1, 210/96.2, 210/141, 210/143, 210/321.65, 210645-647, 210/138, 210/321.6, 210/321.71, 604/29, 604/65, 604/67, 604/5.01, 604/6.01, 604/6.05, 604/6.09, 600/300, 702/19, 705/2, 705/3, 706 45- 48, 706/61, 706/924, 700/273, 700/17
• US Class Current: 210/138
• CPC Class Codes: A61M 1/152 Details related to the interface between cassette and machine
• 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 1/1601 Control or regulation
• CPC Class Codes: A61M 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 1/281 Instillation other than by gravity
• CPC Class Codes: A61M 1/282 Operational modes
• CPC Class Codes: A61M 1/287 Dialysates therefor
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3584 using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2209/01 Remote controllers for specific apparatus
• CPC Class Codes: A61N 1/0412 Specially adapted for transcutaneous electroporation, e.g. including drug reservoirs
• CPC Class Codes: A61N 1/0541 Cochlear electrodes
• CPC Class Codes: A61N 1/327 for enhancing the absorption properties of tissue, e.g. by electroporation
• CPC Class Codes: A61N 1/36038 Cochlear stimulation
• CPC Class Codes: A61N 1/3787 from an external energy source
• CPC Class Codes: A61N 1/39044 in combination with cardiopulmonary resuscitation [CPR] therapy
• CPC Class Codes: A61N 1/3968 Constructional arrangements, e.g. casings A61N1/375 takes precedence
• CPC Class Codes: A61N 1/3993 : User interfaces for automatic external defibrillators
• CPC Class Codes: B01D 61/32 : Controlling or regulating
• 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
• CPC Class Codes: G16H 40/60 : for the operation of medical equipment or devices

Abstract

In an embodiment, an automated peritoneal dialysis (“APD”) machine includes at least one pump, a logic implementer storing a plurality of therapy prescriptions by which to operate the at least one pump, each therapy prescription pre-approved for a particular patient, and an input device operating with the logic implementer to allow the patient to select one of the therapy prescriptions for a particular therapy. In another embodiment, the input device operating with the logic implementer allows a doctor/clinician to select or approve one of the therapy prescriptions to be run on the APD machine. In a further embodiment, the logic implementer is programmed to select or suggest one of the therapy prescriptions to be run on the APD machine.

Claims

1. An automated peritoneal dialysis (“

APD”

) system comprising;

an APD machine including at least one pump;

a logic implementer storing a plurality of therapy prescriptions by which to operate the at least one pump, each therapy prescription pre-approved for a particular patient; and

an input device operating with the logic implementer to allow a doctor/clinician to select, for a given time period, (i) a first therapy prescription of the plurality of therapy prescriptions to be run a certain number of times during the time period and (ii) a second therapy prescription of the plurality of therapy prescriptions to be run a certain number of times during the time period.

2. The APD system of claim 1, wherein the therapy prescriptions include a standard ultrafiltration (“

UF”

) prescription, a low UF prescription and a high UF prescription.

3. The APD system of claim 1, wherein the therapy prescriptions each prescribe detail'"'"'s for at least one of a day treatment and a night treatment.

4. The APD system of claim 3, wherein the details for each treatment include at least one of:

(i) total volume of the treatment, (ii) volume per fill of the treatment, (iii) number of exchanges for the treatment, (iv) treatment time and (v) percent dextrose for dialysate used for the treatment.

5. The APD system of claim 1, wherein the therapy prescriptions each set forth at least one expected therapy result.

6. The APD system of claim 5, wherein the expected therapy result includes at least one of:

(i) urea removed, (ii) creatinine cleared, (iii) urea Kt/V, (iv) ultrafiltrate removed, (v) glucose absorbed, (vi) steady state urea and (vii) steady state creatinine.

7. The APD system of claim 1, wherein at least one of the logic implementer or the input device is part of a doctor/clinician'"'"'s computer.

8. The APD system of claim 1, wherein at least one of the logic implementer or the input device is part of the APD machine.

9. The APD system of claim 1, wherein the logic implementer is located at a server computer in communication with the APD machine.

10. The APD system of claim 1, which includes an alert generated to prompt the doctor/clinician to select the therapy prescription.

11. The APD system of claim 10, wherein the alert is generated at the APD machine and sent to the logic implementer.

12. The APD system of claim 10, wherein the alert is generated at the logic implementer based on data sent from the APD machine to the server computer.

13. The APD system of claim 10, wherein the alert is generated based on a trend of a peritoneal dialysis performance characteristic.

14. An automated peritoneal dialysis (“

APD”

) system comprising;

an APD machine;

a logic implementer storing a plurality of therapy prescriptions by which to operate the APD machine, each therapy prescription pre-approved for a particular patient treated by the APD machine; and

the logic implementer configured to select, for a given time period, (i) a first therapy prescription of the plurality of therapy prescriptions to be run a certain number of times over the time period and (ii) a second therapy prescription of the plurality of therapy prescriptions to be run a certain number of times over the time period.

15. The APD system of claim 14, the logic implementer located at a server computer in communication with the APD machine.

16. The APD system of claim 14, wherein the therapy prescriptions include a standard ultrafiltration (“

UF”

) prescription, a low UF prescription and a high UF prescription.

17. The APD system of claim 14, wherein the logic implementer is part of a doctor/clinician'"'"'s computer.

18. The APD system of claim 14, wherein the logic implementer is part of the APD machine.

19. The APD system of claim 14, wherein the logic implementer is configured to accept a suggested prescription to be run for the patient, the doctor/clinician approving or disapproving the suggested prescription.

20. The APD system of claim 14, which includes a video monitor operable with the logic implementer to display a therapy trend, and wherein the logic implementer is configured to allow a doctor/clinician to pre-approve one of the therapy prescriptions based upon the trend.

21. The APD system of claim 19, the logic implementer configured to suggest one of the plurality of therapy prescriptions to the patient, the suggested one of the plurality of therapy prescriptions pre-approved by a doctor/clinician for the patient.

22. An automated peritoneal dialysis (“

APD”

) system comprising;

an APD machine;

a logic implementer storing a plurality of therapy prescriptions by which to operate the APD machine, each therapy prescription pre-approved for a particular patient treated by the APD machine; and

the logic implementer configured to select, or allow a patient to select, for a given time period, (i) a first therapy prescription of the plurality of therapy prescriptions to be run a certain number of times during the time period and (ii) a second therapy prescription of the plurality of therapy prescriptions to be run a certain number of times during the time period.

23. An automated peritoneal dialysis (“

APD”

) system comprising;

an APD machine including at least one pump;

a logic implementer storing a plurality of therapy prescriptions by which to operate the at least one pump, each therapy prescription pre-approved for a particular patient; and

an input device operating with the logic implementer to allow a doctor/clinician to select, for a given time period, (i) a first therapy prescription of the plurality of therapy prescriptions to be run for a certain percentage of therapies performed during the time period and (ii) a second therapy prescription of the plurality of therapy prescriptions to be run for a certain percentage of therapies performed during the time period.

24. An automated peritoneal dialysis (“

APD”

) system comprising;

an APD machine;

a logic implementer storing a plurality of therapy prescriptions by which to operate the APD machine, each therapy prescription pre-approved for a particular patient treated by the APD machine; and

the logic implementer configured to select, for a given time period, (i) a first therapy prescription of the plurality of therapy prescriptions to be run for a certain percentage of therapies performed over the time period and (ii) a second therapy prescription of the plurality of therapy prescriptions to be for a certain percentage of therapies performed over the time period.

25. An automated peritoneal dialysis (“

APD”

) system comprising;

an APD machine;

a logic implementer storing a plurality of therapy prescriptions by which to operate the APD machine, each therapy prescription pre-approved for a particular patient treated by the APD machine; and

the logic implementer configured to select, or allow a patient to select, for a given time period, (i) a first therapy prescription of the plurality of therapy prescriptions to be run for a certain percentage of therapies performed during the time period and (ii) a second therapy prescription of the plurality of therapy prescriptions to be for a certain percentage of therapies performed during the time period.