Optimizing peritoneal dialysis using a patient hand-held scanning device

• US 10,449,284 B2
• Filed: 04/27/2015
• Issued: 10/22/2019
• Est. Priority Date: 10/16/2009
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter International Inc.
• Inventors: Elahi, Bijan, Lo, Ying-Cheng, Mehendale, Vikram Prabhakar
• Primary Examiner(s): Burgess, Joseph D
• Application Number:
  US14/697,022
• Publication Number:
  US 20150224243A1
• Time in Patent Office: 1,639 Days
• 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 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

A handheld personal communication apparatus for dialysis includes: a reader to (i) read a marking displayed on a dialysis fluid container to acquire data concerning at least one of a dialysis fluid type or a dialysis fluid volume from the marking, and/or (ii) receive a patient weight signal from a weight scale; a processor using at least one of the dialysis fluid type, dialysis fluid volume, or patient weight to determine a dialysis dwell time for at least one cycle of a dialysis therapy, the dialysis dwell time being a time to achieve, over the at least one cycle, at least one of (a) a specified ultrafiltrate level, (b) a urea removal level, or (c) a creatinine removal level; and an output interface providing an indication to the patient of a completion of the dialysis dwell time.

Claims

1. A handheld personal communication apparatus for a continuous ambulatory peritoneal dialysis (“

CAPD”

) treatment comprising;

a reader configured to perform at least one of (i) read a marking displayed on a dialysis fluid container to acquire data concerning at least one of a dialysis fluid type or a dialysis fluid volume from the marking, or (ii) receive a patient weight signal from a weight scale;

a processor configured to

use the at least two of the dialysis fluid type, the dialysis fluid volume, or the patient weight signal to determine a dialysis dwell time for a dialysis dwell of a single CAPD cycle of a dialysis therapy for a patient, the dialysis dwell time corresponding to a time to achieve at least one of (a) a specified ultrafiltrate level for the CAPD cycle, (b) a urea removal level for the CAPD cycle, or (c) a creatinine removal level for the CAPD cycle,

begin a timer upon a start of the dialysis dwell, and

after the timer has reached the dialysis dwell time, transmit an output signal; and

an output interface configured to, in response to the output signal, provide an indication to the patient of a completion of the dialysis dwell time,

wherein the indication includes at least one of (i) a display of a visual notification on a screen of the output interface, (ii) an audio notification via a speaker of the output interface, or (iii) a tactile actuation via an actuator of the output interface.

2. The handheld apparatus of claim 1, further comprising a transceiver configured to transmit at least one of the dialysis fluid type, the dialysis fluid volume, or the patient weight signal to a remotely located computer to enable the computer to use at least one of the dialysis fluid type, the dialysis fluid volume, the weight signal, or the dwell time to track a therapy progress of the patient.

3. The handheld apparatus of claim 2, wherein the transceiver is configured to receive a dialysis prescription from the computer and cause the output interface to display the dialysis prescription to the patient.

4. The handheld apparatus of claim 3, wherein the processor is configured to modify the dialysis therapy based on the received dialysis prescription.

5. The handheld apparatus of claim 2, wherein at least one of the processor and the output interface is housed with the reader.

6. The handheld apparatus of claim 1, wherein the reader includes (i) a barcode scanner, the marking displayed on the dialysis fluid container being a barcode, (ii) a radio frequency identification (“

RFID”

) reader, the marking displayed on the dialysis fluid container being an RFID tag, or (iii) a camera of a smart phone.

7. The handheld apparatus of claim 1, wherein the reader includes a wireless receiver to wirelessly receive the patient weight signal from the weight scale.

8. The handheld apparatus of claim 1, which is a smartphone.

9. A dialysis device for a continuous ambulatory peritoneal dialysis (“

CAPD”

) treatment comprising;

a handheld housing;

processor and memory located within the housing;

a reader included within the housing and in communication with the processor, the reader configured to read a marking displayed on a dialysis fluid container to acquire solution data concerning at least one of a dialysis fluid type or a dialysis fluid volume from the marking;

a transceiver included within the housing and in electrical communication with the processor, the transceiver configured to receive patient data from a medical sensor;

wherein the processor operating with the memory and the reader and/or the transceiver is configured to

use at least two of the dialysis fluid type, the dialysis fluid volume, or the patient data to determine a dialysis dwell time for a dialysis dwell of a single CAPD cycle of a dialysis therapy for the patient, the dialysis dwell time corresponding to a time to achieve at least one of (a) a specified ultrafiltrate level for the CAPD cycle, (b) a urea removal level for the CAPD cycle, or (c) a creatinine removal level for the CAPD cycle,

begin a timer upon a start of the dialysis dwell, and

after the timer has reached the dialysis dwell time, transmit an output signal; and

an output interface carried by the housing and configured to, in response to the output signal, provide an indication to a patient of a completion of the dialysis dwell time, wherein the indication includes at least one of (i) a display of a visual notification on a screen of the output interface, (ii) an audio notification via a speaker of the output interface, or (iii) a tactile actuation via an actuator of the output interface.

10. The dialysis device of claim 9, further comprising a start dwell input device configured to receive an input from the patient for beginning the timer.

11. The dialysis device of claim 10, wherein the start dwell input device is provided by the output interface.

12. The dialysis device of claim 9, wherein the reader is a camera and the transceiver is wireless.

13. The dialysis device of claim 9, wherein the data is patient weight data.

14. The dialysis device of claim 9, wherein the output interface is configured to provide the dialysis dwell time to the patient in addition to the dialysis dwell time completion.

15. The dialysis device of claim 9, which is a smart phone.

16. A handheld personal communication apparatus for a continuous ambulatory peritoneal dialysis (“

CAPD”

) treatment comprising instructions, which when executed, cause the personal communication apparatus to;

instruct a reader to perform at least one of (i) read a marking displayed on a dialysis fluid container to acquire data concerning at least one of a dialysis fluid type or a dialysis fluid volume from the marking, or (ii) receive a patient weight signal from a weight scale;

determine, via a processor, a dialysis dwell time for a dialysis dwell of a single CAPD cycle of a dialysis therapy for a patient using the acquired data, including the at least two of the dialysis fluid type, the dialysis fluid volume, or the patient weight signal, the dialysis dwell time corresponding to a time to achieve at least one of (a) a specified ultrafiltrate level for the CAPD cycle, (b) a urea removal level for the CAPD cycle, or (c) a creatinine removal level for the CAPD cycle;

begin, via the processor, a timer upon a start of the dialysis dwell;

after the timer has reached the dialysis dwell time, transmit, via the processor, an output signal; and

instruct, via the processor in response to the output signal, an output interface to provide an indication to the patient of a completion of the dialysis dwell time.

17. The handheld personal communication apparatus of claim 16, further comprising instructions, which when executed by the processor, cause the personal communication apparatus to:

receive a container indication that a new dialysis fluid container is to be used;

instruct the reader to read a marking displayed on the new dialysis fluid container to acquire second data concerning at least one of the dialysis fluid type or the dialysis fluid volume from the marking;

determine, via the processor, a second dialysis dwell time for at least one cycle of the dialysis therapy for the patient using the acquired second data, or the patient weight signal; and

instruct the output interface to provide a second indication to the patient of a completion of the second dialysis dwell time.

18. The handheld personal communication apparatus of claim 16, further comprising instructions, which when executed by the processor, cause the personal communication apparatus to:

receive an indication that each of a plurality of dialysis fluid containers has a same dialysis fluid volume;

instruct the reader to read a marking displayed on each of the dialysis fluid containers to acquire data concerning at least one of the dialysis fluid type or the dialysis fluid volume from the respective marking; and

instruct the output interface to provide the indication to the patient of the completion of the dialysis dwell time for each dialysis fluid container.

19. The handheld personal communication apparatus of claim 16, further comprising instructions, which when executed by the processor, cause the personal communication apparatus to:

receive an indication that each of a plurality of dialysis fluid containers has at least one of a different dialysis fluid volume or different dialysis fluid type;

instruct the reader to read a marking displayed on each of the dialysis fluid containers to acquire the data concerning at least one of the dialysis fluid type or the dialysis fluid volume from the respective marking;

determine, via the processor, the dialysis dwell time for each of the dialysis fluid containers using the respective acquired data, including the at least one of the dialysis fluid type or the dialysis fluid volume;

instruct the output interface to provide an indication to the patient regarding which of the dialysis fluid containers should be used; and

instruct the output interface to provide the indication to the patient of the completion of the dialysis dwell time for the specified dialysis fluid container.

20. The handheld personal communication apparatus of claim 16, further comprising instructions, which when executed by the processor, cause the personal communication apparatus to:

instruct the reader to receive the patient weight signal from the weight scale before each fill of the dialysis fluid;

determine, via the processor, an ultrafiltration trend based on multiple patient weight signals for multiple fills; and

instruct the output interface to display the ultrafiltration trend.

21. The handheld personal communication apparatus of claim 20, wherein the patient weight signals include at least one of an actual patient weight or a weight of a dialysis fluid drain volume.