System and method for selection of stored dialysis therapy prescriptions

• US 9,141,760 B2
• Filed: 07/22/2013
• Issued: 09/22/2015
• 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:
  US13/947,771
• Publication Number:
  US 20130310735A1
• Time in Patent Office: 792 Days
• Field of Search: 210/85, 210/87, 210/96.1, 210/96.2, 210/138, 210/141, 210/143, 210/321.6, 210/321.65, 210/321.71, 210645-647, 210/94, 604/4.01, 604/5.01, 604/6.01, 604/6.09, 604/6.11, 604/29, 604/65, 604/67, 600/300, 700/273, 702/19, 706 45- 48, 706/61, 706/924, 703/6, 703/9, 703/11, 703/12
• US Class Current: 1/1
• 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. A dialysis system comprising:

a dialysis machine including (i) at least one pump configured to pump dialysis fluid, and (ii) a volume control system configured to control the amount of dialysis fluid pumped by the at least one pump;

a regimen generation module configured to generate a plurality of therapy prescriptions approved by a doctor/clinician for a particular patient treated by the dialysis machine, at least two of the plurality of therapy prescriptions having different overall durations preset prior to treatment set-up;

a communications module configured to transfer the plurality of therapy prescriptions that have been approved by the doctor/clinician for the particular patient from the regimen generation module to a logic implementer, the logic implementer storing the plurality of therapy prescriptions for use in operating the dialysis machine; and

wherein the logic implementer is configured to make a selection, for a given time period, of (i) a first therapy prescription from the plurality of therapy prescriptions to be performed a certain number of times over the time period and (ii) a second therapy prescription from the plurality of therapy prescriptions to be performed a certain number of times over the time period, and

wherein the at least one pump of the dialysis machine is thereafter operated based upon the selection of (i) and (ii) made by the logic implementer.

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

3. The dialysis system of claim 1, which includes at least three therapy prescriptions, including a standard ultrafiltration (“

UF”

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

4. The dialysis system of claim 1, wherein the logic implementer is part of the doctor/clinician'"'"'s computer.

5. The dialysis system of claim 1, wherein the logic implementer is part of the dialysis machine.

6. The dialysis system of claim 1, wherein each pre-approved therapy prescription is delivered remotely to the logic implementer via the communications module.

7. The dialysis system of claim 1, wherein the logic implementer is configured to send therapy data from the machine.

8. A dialysis system comprising:

a dialysis machine including (i) at least one pump configured to pump dialysis fluid, and (ii) a volume control system configured to control the amount of dialysis fluid pumped by the at least one pump;

a regimen generation module configured to generate a plurality of predetermined therapy prescriptions approved by a doctor/clinician for a particular patient treated by the dialysis machine, at least two of the plurality of predetermined therapy prescriptions having different overall durations preset prior to treatment set-up;

a communications module configured to transfer the plurality of predetermined therapy prescriptions that have been approved by the doctor/clinician for the particular patient from the regimen generation module to a logic implementer, the logic implementer storing the plurality of predetermined therapy prescriptions for use in operating the dialysis machine; and

which is configured to allow a selection of (i) a first duration therapy prescription from the plurality of therapy prescriptions to be performed for a plurality of upcoming therapies or (ii) the first duration therapy prescription from the plurality of therapy prescriptions to be performed for an upcoming therapy and a second duration therapy prescription from the plurality of therapy prescriptions to be performed for at least one subsequent upcoming therapy, and

wherein the at least one pump of the dialysis machine is thereafter operated based upon the selected first or second duration therapy prescriptions.

9. The dialysis system of claim 8, wherein the logic implementer is configured to enable the therapy prescription selection to be made by the patient.

10. The dialysis system of claim 8, wherein each of the first and second duration therapy prescriptions can be a standard ultrafiltration (“

UF”

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

11. The dialysis system of claim 8, wherein the logic implementer is part of the dialysis machine.

12. The dialysis system of claim 8, wherein the logic implementer is configured in (i) to enable the selection to specify a same one of the therapy prescriptions for multiple consecutive days.

13. The dialysis system of claim 8, wherein the logic implementer is configured to send therapy data from the machine.

14. The dialysis system of claim 13, wherein the therapy data is sent from the machine to another structure within the system.

15. The dialysis system of claim 8, which includes a plurality of different types of therapy prescriptions, the first and second therapy prescriptions falling into any of the types of prescriptions, and wherein any one of the types of prescriptions may have multiple therapy prescriptions from which to choose.

16. The dialysis system of claim 8, wherein the first and second duration therapy prescriptions each include at least one machine operating parameter and at least one dialysis solution specification.

17. A dialysis method comprising:

providing a dialysis machine including (i) at least one pump configured to pump dialysis fluid, and (ii) a volume control system configured to control the amount of dialysis fluid pumped by the at least one pump;

providing a regimen generation module enabling a doctor/clinician to generate and approve multiple predetermined therapy prescriptions for a dialysis patient, each of the multiple predetermined therapy prescriptions including a time of therapy component preset prior to treatment set-up or an amount of ultrafiltration (“

UF”

) removed component preset prior to treatment set-up;

providing a communications module enabling the doctor/clinician to transfer the multiple predetermined therapy prescriptions from the regimen generation module to a logic implementer;

enabling the logic implementer to store the multiple predetermined therapy prescriptions for use in operating the dialysis machine;

enabling the dialysis patient to choose which of the multiple predetermined therapy prescriptions to run by entering a selection into the logic implementer, the selection specifying (i) a first therapy prescription from the multiple therapy prescriptions to be performed for a plurality of upcoming therapies, or (ii) the first therapy prescription from the multiple therapy prescriptions to be performed for an upcoming therapy and a second therapy prescription from the multiple therapy prescriptions to be performed for at least one subsequent upcoming therapy; and

enabling the at least one pump of the dialysis machine to be operated according to the selection.

18. The dialysis method of claim 17, wherein the time of therapy component includes a total time of therapy.

19. The dialysis method of claim 17, wherein each of the multiple therapy prescriptions also includes a number of drain, fill and dwell cycles performed during the therapy.

20. The dialysis method of claim 17, wherein the UF removed component includes low, medium and high UF removed options.