Networked dialysis system

• US 9,582,645 B2
• Filed: 08/28/2013
• Issued: 02/28/2017
• 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, Childers, Robert W., Cizman, Borut
• Primary Examiner(s): DRODGE, JOSEPH W
• Application Number:
  US14/012,093
• Publication Number:
  US 20130346099A1
• Time in Patent Office: 1,280 Days
• Field of Search: 210/85, 210/96.1, 210/96.2, 210/141, 210/143, 210/321.6, 210/321.65, 210/321.71, 210645-647, 604/4.01, 604/5.01, 604/6.01, 604/6.05, 604/6.09, 604/29, 604/65, 604/67, 600/300, 700/273, 702/19, 705/2, 705/3, 706 45- 48, 706/61, 706/924
• 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

A dialysis system includes (i) a first home dialysis machine located at a first patient'"'"'s home; (ii) a second home dialysis machine located at a second patient'"'"'s home; (iii) a first modem in data communication with the first home dialysis machine; (iv) a second modem in data communication with the second home dialysis machine; (v) a clinician server associated with a dialysis center; (vi) a first clinician computer in data communication with the clinician server; (vii) a second clinician computer in data communication with the clinician server; (viii) a dialysis center modem in data communication with the clinician server; and (ix) a network in data communication with the first modem, the second modem and the dialysis center modem.

Claims

1. A dialysis system comprising:

a first home dialysis machine located at a first patient'"'"'s home;

a second home dialysis machine located at a second patient'"'"'s home;

a first modem in data communication with the first home dialysis machine;

a second modem in data communication with the second home dialysis machine;

a clinician server associated with a dialysis center, the dialysis center located remotely from the first and second home dialysis machines;

a first clinician computer in data communication with the clinician server;

a second clinician computer in data communication with the clinician server, the first and second clinician computers each configured to participate in the optimization and selection of at least one machine operating prescription;

a dialysis center modem in data communication with the clinician server; and

a network in data communication with the first modem, the second modem and the dialysis center modem, such that the machine operating prescription for a patient by either clinician computer can be delivered over the network to and operated on the first or second home dialysis machine, whichever is associated with the patient.

2. The dialysis system of claim 1, wherein the network is an internet, wide area network, or local area network.

3. The dialysis system of claim 1, wherein at least one of the first or second clinician computers is located within the dialysis center.

4. The dialysis system of claim 1, wherein at least one of the first home dialysis machine, the second home dialysis machine, or the clinician server is in wireless communication with the respective first modem, second modem or third modem.

5. The dialysis system of claim 1, wherein at least one of the first home dialysis machine, the second home dialysis machine, or the clinician server is in wired communication with the respective first modem, second modem or third modem.

6. The dialysis system of claim 1, wherein at least one of the first or second home dialysis machines is a home peritoneal dialysis machine.

7. The dialysis system of claim 1, which includes a doctor'"'"'s computer in data communication with a doctor'"'"'s office modem, and wherein the network is in further data communication with the doctor'"'"'s office modem.

8. The dialysis system of claim 7, which includes two-way communication between the home dialysis machines, the clinician computers and the doctor'"'"'s computer.

9. The dialysis system of claim 1, which includes inventory tracking software stored at the dialysis center.

10. The dialysis system of claim 1, which includes a service center connected to the network that tracks problems associated with the first and second home dialysis machines and/or provides new equipment for the first and second home dialysis machines.

11. The dialysis system of claim 1, wherein at least one of the first or second home dialysis machines is in data communication with at least one of a blood pressure monitor or a weight scale.

12. The dialysis system of claim 1, which is configured to require the machine operating prescription to be accepted by the patient.

13. A dialysis system comprising:

a first home dialysis machine located at a first patient'"'"'s home;

a second home dialysis machine located at a second patient'"'"'s home;

a first network connection apparatus in data communication with the first home dialysis machine;

a second network connection apparatus in data communication with the second home dialysis machine;

a clinician server located remotely from the first and second home dialysis machines;

a first clinician computer in data communication with the clinician server;

a second clinician computer in data communication with the clinician server, the first and second clinician computers each configured to participate in the optimization and selection of at least one machine operating prescription;

a dialysis center network connection apparatus in data communication with the clinician server; and

a network in data communication with the first network connection apparatus, the second network connection apparatus and the dialysis center network connection apparatus, such that the machine operating prescription for a patient by either clinician computer can be delivered over the network to and operated on the first or second home dialysis machine, whichever is associated with the patient.

14. The dialysis system of claim 13, wherein at least one of the first dialysis center network connection apparatus, the second dialysis center network connection apparatus, or the dialysis center network connection apparatuses includes a modem.

15. The dialysis system of claim 13, which is configured to require the machine operating prescription to be accepted by the patient.

16. A dialysis system comprising:

a first home dialysis machine located at a first patient'"'"'s home;

a second home dialysis machine located at a second patient'"'"'s home;

a first clinician server associated with a first dialysis center, the first clinician server located remotely from the first and second home dialysis machines;

a first clinician computer in data communication with the first clinician server;

a second clinician computer in data communication with the first clinician server, the first and second clinician computers communicating with the first clinician server each configured to participate in the optimization and selection of at least one machine operating prescription;

a second clinician server associated with a second dialysis center, the second dialysis center located remotely from the first and second home dialysis machines;

a first clinician computer in data communication with the second clinician server;

a second clinician computer in data communication with the second clinician server, the first and second clinician computers communicating with the second clinician computer each configured to participate in the optimization and selection of at least one machine operating prescription; and

a network in data communication with the first home dialysis machine, the second home dialysis machine, the first clinician server and the second clinician server, such that any of the machine operating prescriptions for a patient by any of the clinician computers can be delivered over the network to and operated on the first or second home dialysis machine, whichever is associated with the patient.

17. The dialysis system of claim 16, wherein at least one of the first clinician server, the first clinician computer in data communication with the first clinician server, or second clinician computer in data communication with the first clinician server is located at the first dialysis center.

18. The dialysis system of claim 16, which includes a central server, the first and second home dialysis machines and the first and second clinician servers in data flow communication with the central server.

19. The dialysis system of claim 18, wherein the central server stores software useable by at least one of the first or second home dialysis machines, the first or second clinician computers in data communication with the first clinician server, or the first or second clinician computers in data communication with the second clinician server.

20. The dialysis system of claim 16, which is configured to require the machine operating prescription to be accepted by the patient.

21. A dialysis system comprising:

a first home dialysis machine located at a first patient'"'"'s home;

a second home dialysis machine located at a second patient'"'"'s home;

a first clinician computer associated with a first dialysis center;

a second clinician computer associated with a second dialysis center, the first and second clinician computers each configured to participate in the optimization and selection of at least one machine operating prescription; and

a central server in data communication with the first home dialysis machine, the second home dialysis machine, the first clinician computer and the second clinician computer, such that the machine operating prescription for a patient by the first or second clinician computers can be delivered via the central server to and operated on the first or second home dialysis machine, whichever is associated with the patient.

22. The dialysis system of claim 21, which includes a first clinician server associated with the first dialysis center, the first clinician server in data communication with the first clinician computer and the central server.

23. The dialysis system of claim 21, wherein the central server is located at one of the first or second dialysis centers.

24. The dialysis method of claim 21, wherein the central server is located separately from the first and second dialysis centers.

25. The dialysis method of claim 21, wherein the central server includes multiple servers linked together.

26. The dialysis system of claim 21, wherein the central server stores software accessible via at least one of the first home dialysis machine, the second home dialysis machine, the first clinician computer, or the second clinician computer.

27. The dialysis system of claim 21, which includes a network, and wherein the first home dialysis machine, the second home dialysis machine, the first clinician computer and the second clinician computer are in data communication via the network.

28. The dialysis system of claim 21, which is configured to require the machine operating prescription to be accepted by the patient.