Dialysis treatment prescription system and method

• US 9,690,905 B2
• Filed: 08/28/2013
• Issued: 06/27/2017
• 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, Cizman, Borut, Childers, Robert W.
• Primary Examiner(s): DRODGE, JOSEPH W
• Application Number:
  US14/012,578
• Publication Number:
  US 20130346102A1
• Time in Patent Office: 1,399 Days
• Field of Search: 210 85, 210 961, 210 962, 210141, 210143, 2103216, 21032165, 21032171, 210645-647, 604 401, 604 501, 604 601, 604 605, 604 609, 604 29, 604 65, 604 67, 600300, 700273, 702 19, 705 2, 705 3, 706 45- 48, 706 61, 706924
• 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

A dialysis system includes: a home dialysis machine located at a patient'"'"'s home; a clinician computer associated with a dialysis center, the dialysis center located remotely from the home dialysis machine; a server in data communication with the home dialysis machine and the clinician computer; and wherein the system is configured and arranged for (i) treatment data to be sent by the home dialysis machine to the clinician computer via the server, and (ii) the treatment data to be analyzed to form a treatment prescription that is delivered to and used by the home dialysis machine to perform a subsequent treatment.

Claims

1. A dialysis system comprising:

a home dialysis machine located at a patient'"'"'s home, the home dialysis machine including a user interface and a control unit;

a clinician computer associated with a dialysis center, the dialysis center located remotely from the home dialysis machine;

a server in data communication with the control unit of the home dialysis machine and the clinician computer; and

wherein the system is configured and arranged for (i) a treatment prescription to be delivered to the control unit of the home dialysis machine, (ii) treatment data generated via the home dialysis machine operating the treatment prescription from multiple dialysis treatments to be sent by the home dialysis machine to the clinician computer via the server, and (iii) the treatment data to be analyzed with respect to at least one therapy target to determine whether to modify the treatment prescription or form a new treatment prescription for use by the control unit of the home dialysis machine to perform a subsequent treatment.

2. The dialysis system of claim 1, wherein the treatment prescription is delivered to the home dialysis machine via the server.

3. The dialysis system of claim 1, wherein software located on the clinician computer is used to form the treatment prescription.

4. The dialysis system of claim 1, wherein software located on the server is used to form the treatment prescription.

5. The dialysis system of claim 4, wherein the software stored on the server is accessed by the clinician computer to form the treatment prescription.

6. The dialysis system of claim 4, which further includes a doctor computer associated with a doctor'"'"'s office located remotely from the home dialysis machine, and wherein the software stored on the server is accessed by the doctor computer to form the treatment prescription.

7. The dialysis system of claim 1, which further includes a doctor computer associated with a doctor'"'"'s office located remotely from the home dialysis machine, and wherein software located on the doctor computer is used to form the treatment prescription.

8. The dialysis system of claim 1, wherein the server is at least one of:

(i) located separately from the dialysis center, (ii) located at the dialysis center, (iii) in data communication with multiple dialysis servers, or (iv) comprised of multiple servers linked together.

9. The dialysis system of claim 1, wherein the treatment data includes at least one of real-time daily treatment data, ultrafiltration removed data, blood pressure data, or body weight data.

10. The dialysis system of claim 1, which is configured to analyze the data by tracking a plurality of data points taken over multiple days to form the treatment prescription.

11. The dialysis system of claim 10, which is configured to fit a curve to the plurality of data points.

12. The dialysis system of claim 1, which is configured to analyze the treatment data in (iii) by comparing the data to at least one limit.

13. The dialysis system of claim 1, which is configured in (iii) to determine if a problem with the treatment data persists before modifying the treatment prescription or forming the new prescription.

14. The dialysis system of claim 1, wherein the treatment data is generated by a peripheral device in data communication with the home dialysis machine.

15. The dialysis system of claim 1, wherein multiple treatment prescriptions are sent to and used by the home dialysis machine.

16. The dialysis system of claim 15, wherein the multiple treatment prescriptions include a low ultrafiltration (“

UF”

) removed prescription, a medium UF removed prescription, and a high UF removed prescription.

17. A dialysis system comprising:

a home dialysis machine located at a patient'"'"'s home, the home dialysis machine including a user interface and a control unit;

a dialysis center located remotely from the home dialysis machine;

a server in data communication with the control unit of the home dialysis machine and the dialysis center; and

wherein the system is configured and arranged for (i) a treatment prescription to be delivered to the control unit of the home dialysis machine via the server, (ii) treatment data generated via the home dialysis machine operating the treatment prescription from multiple dialysis treatments to be delivered from the home dialysis machine to the dialysis center, and (iii) the treatment data to be analyzed with respect to at least one therapy target at the dialysis center to determine whether to modify the treatment prescription or form a new treatment prescription.

18. A dialysis system comprising:

a home dialysis machine located at a patient'"'"'s home, the home dialysis machine including a user interface and a control unit;

a clinician computer associated with a dialysis center, the dialysis center located remotely from the home dialysis machine;

a doctor computer associated with a doctor'"'"'s office, the doctor'"'"'s office located remotely from the patient'"'"'s home;

a network enabling data communication between the home dialysis machine and at least one of the clinician computer or the doctor computer; and

wherein the system is configured and arranged for (i) a treatment prescription to be delivered to the control unit of the home dialysis machine, (ii) treatment data generated via the home dialysis machine operating the treatment prescription from multiple dialysis treatments to be sent by the home dialysis machine via the network to at least one of the dialysis center or the doctor'"'"'s office, and (iii) the treatment data to be analyzed with respect to at least one therapy target to determine whether to modify the treatment prescription or form a new treatment prescription for use by the control unit of the home dialysis machine to perform a subsequent treatment.

19. The dialysis system of claim 18, wherein the treatment prescription is formed using the clinician computer and sent via the network to the doctor computer for approval, and wherein the treatment prescription is thereafter sent via the network, from either the doctor computer or the clinician computer, to the home dialysis machine.

20. A dialysis method comprising:

performing multiple dialysis treatments on a home dialysis machine using a user interface and a control unit of the home dialysis machine;

sending treatment data from the multiple dialysis treatments from the home dialysis machine over a network to a remote location;

analyzing the treatment data concerning the multiple dialysis treatments in combination with at least one dialysis therapy target;

generating at least one treatment prescription based upon the analysis of the treatment data and the at least one dialysis therapy target;

delivering the at least one treatment prescription to the control unit of the home dialysis machine; and

performing under control of the control unit at least one treatment using the at least one treatment prescription.

21. The dialysis method of claim 20, which includes approving the at least one treatment prescription before sending the at least one treatment prescription to the home dialysis machine.

22. The dialysis method of claim 20, which includes modifying the at least one treatment prescription before sending the at least one treatment prescription to the home dialysis machine.

23. The dialysis method of claim 20, which includes analyzing the treatment data with the at least one dialysis therapy target and at least one therapy parameter input, and generating the at least one treatment prescription based upon the analysis of the treatment data, the at least one dialysis therapy target, and the at least one therapy parameter input.

24. A dialysis method comprising:

performing multiple dialysis treatments on a home dialysis machine;

sending treatment data concerning the multiple dialysis treatments from the home dialysis machine over a network to a remote location;

analyzing the treatment data from the multiple dialysis treatments in combination with at least one therapy parameter input;

generating at least one treatment prescription based upon the analysis of the treatment data and the at least one therapy parameter input;

delivering the at least one treatment prescription to the home dialysis machine; and

causing the home dialysis machine under its own control to perform at least one treatment using the at least one treatment prescription.

25. The dialysis method of claim 24, which includes approving the at least one treatment prescription before sending the at least one treatment prescription to the home dialysis machine.

26. The dialysis method of claim 24, which includes modifying the at least one treatment prescription before sending the at least one treatment prescription to the home dialysis machine.