EP2675495A1 - Medizinisches gerät mit mehrfunktionsdisplay - Google Patents

Medizinisches gerät mit mehrfunktionsdisplay

Info

Publication number
EP2675495A1
EP2675495A1 EP12706194.3A EP12706194A EP2675495A1 EP 2675495 A1 EP2675495 A1 EP 2675495A1 EP 12706194 A EP12706194 A EP 12706194A EP 2675495 A1 EP2675495 A1 EP 2675495A1
Authority
EP
European Patent Office
Prior art keywords
medical device
screen
patient
dialysis
detect
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
EP12706194.3A
Other languages
German (de)
English (en)
French (fr)
Inventor
Peter Kloeffel
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fresenius Medical Care Deutschland GmbH
Original Assignee
Fresenius Medical Care Deutschland GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fresenius Medical Care Deutschland GmbH filed Critical Fresenius Medical Care Deutschland GmbH
Publication of EP2675495A1 publication Critical patent/EP2675495A1/de
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06FELECTRIC DIGITAL DATA PROCESSING
    • G06F3/00Input arrangements for transferring data to be processed into a form capable of being handled by the computer; Output arrangements for transferring data from processing unit to output unit, e.g. interface arrangements
    • G06F3/01Input arrangements or combined input and output arrangements for interaction between user and computer
    • G06F3/03Arrangements for converting the position or the displacement of a member into a coded form
    • G06F3/041Digitisers, e.g. for touch screens or touch pads, characterised by the transducing means
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/60General characteristics of the apparatus with identification means
    • A61M2205/6063Optical identification systems
    • A61M2205/6072Bar codes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/60General characteristics of the apparatus with identification means
    • A61M2205/609Biometric patient identification means
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Definitions

  • the invention relates to a medical device with at least one screen and method for operating the medical device with at least one screen.
  • Medical devices are often equipped with screens such as LC screens, TFT screens or OLED screens, which may be implemented with or without touchscreen functionality.
  • touchscreens also offer a comfortable and variable input option for information by the operator's finger pressure on the touchscreen surface and, thanks to the flat design, an easy-to-clean and therefore hygienic surface.
  • Medical devices are often also equipped with a variety of other devices for information output and for information input. This is how acoustic signals are emitted from a loudspeaker.
  • optical sensors such as fingerprint scanners, or cameras for reading held documents, may be parts of medical devices.
  • Each of these devices is an independent component with controlling and evaluating hardware.
  • the equipment of the medical devices with devices of the aforementioned type means a high assembly cost, high costs and high maintenance costs in case of failure.
  • the surface of the medical device is often broken by the use of each separate components for the aforementioned devices, which makes the cleaning of the surface difficult and can also have aesthetic disadvantages.
  • the invention is based on the object of developing a gattunsconcees medical device such that it overcomes the disadvantages of the prior art.
  • this object is achieved by a medical device according to the preamble of claims 1, 2 or 3 in that the medical device has a screen that is designed to deliver audio signals and convert audio signals into electrical signals and / or Objects that are held at least parts of its screen surface to optically detect and / or transmit and receive electromagnetic signals.
  • the object is achieved by a method according to claim 19, according to which a medical device for outputting and detecting optical, acoustic and / or electromagnetic signals uses a single module.
  • TFT-LCD thin film transistor liquid crystal display
  • each pixel has its own drive transistor on a glass substrate with an applied layer of amorphous silicon.
  • This carrier extends over the entire extent of the screen, since each liquid crystal cell or each pixel is closely connected by a transistor.
  • the plane of polarization of the liquid crystal cell is rotated, whereby polarized light is either transmitted or blocked by a light source located behind it.
  • Amorphous silicon has comparatively poor semiconductor properties. So it has a relatively poor electron mobility, which is due to the many grain boundaries. While polysilicon has larger grain sizes than amorphous silicon, polysilicon also has poor semiconductor properties that make integration of complex electronics difficult. Recently, TFT-LCDs have come onto the market, using another form of silicon, the "continuous grain” silicon (CG-Si). This CG-Si is relatively close in its properties to monocrystalline silicon.
  • Si has larger and more uniform crystals compared to amorphous silicon or polysilicon, which makes the electron mobility up to 600 times higher than with amorphous silicon, which means that the conductivity of integrated components can be made much smaller while maintaining the same performance
  • Transistor sizes of 3 ⁇ minimum gate length of a field effect transistor
  • the minimum transistor size will continue to decrease.
  • CG-Si in addition to the driving transistors for the liquid crystal cells and complex electronics groups and sensors can be integrated on the carrier glass
  • US2003151600A discloses, for example, such a display with continuous grain technology, where at least parts of a transceiver and at least parts of a system controller are integrated together with the control electronics of the liquid crystal cells of a LC display on a substrate.
  • Multifunction display Screens that include additional functions besides the display of optical information and conventional touch screen functionality are referred to below as a multifunction display. It does not matter whether the multifunction display is based on CG-Si technology. What is essential is that the underlying technology makes it possible to integrate further electronic components on the same semiconductive layer on which the drive components for controlling the image-generating devices are also integrated. These other electronic components can be used to drive a variety of devices other than the imaging devices.
  • the image-forming devices are all devices used to display an image, for example, in the case of an LCD, the transistors that drive the liquid crystal cells and all the other necessary devices, such as driver circuits. This opens up a variety of applications for medical devices.
  • a dialysis machine which may be designed as a hemodialysis machine or as a device for automatic peritoneal dialysis stand. It is clear to the person skilled in the art that the invention can be used without any further intervention in any medical device.
  • a dialysis machine is used to treat a person suffering from renal insufficiency. Toxins and water are removed from the patient's blood by a technical procedure. An essential task of the kidneys of humans is the separation of urine-containing substances from the blood and the regulation of water excretion and the electrolyte balance. Hemodialysis is a treatment method to compensate for malfunctions.
  • the blood is passed in hemodialysis in an extracorporeal circuit through the blood chamber of a dialyzer, which is separated by a semipermeable membrane of a dialysis fluid chamber.
  • the dialysis fluid chamber is flowed through by a dialysis fluid containing the blood electrolytes in a specific concentration.
  • the substance concentration of the dialysis fluid corresponds to the concentration of the blood of a healthy person.
  • the patient's blood and the dialysis fluid on both sides of the membrane are generally passed countercurrently at a predetermined flow rate.
  • the urinary substances diffuse through the membrane from the blood chamber into the dialysis fluid chamber, while at the same time electrolytes present in the blood and in the dialysis fluid diffuse from the chamber of higher concentration to the chamber of lower concentration.
  • peritoneal dialysis the abdominal cavity of a patient is filled via a guided through the abdominal wall catheter with a dialysis fluid, which has a concentration gradient with respect to the body's own fluids. Via the peritoneum acting as a membrane, the toxins present in the body pass into the abdominal cavity. After a few hours, the now spent dialysis fluid in the abdominal cavity of the patient is exchanged. For one at least In some cases automation of this process is used in practice for special machines, such as the Sleep-Safe device from Fresenius Medical Care.
  • Dialysis machines are upgraded with dialysis-specific solutions or powders prior to treatment with disposables (disposable medical items) such as dialysis filters, tubing sets or storage containers. These can be equipped with a barcode for their verification. Other graphic features such as the color scheme are also conceivable.
  • the dialysis machine is equipped with different disposables. For example, the dialysis filter for treating an adult differs from the dialysis filter for treating a child.
  • the data of the patient to be treated as well as the treatment arranged by the attending physician are made known to the dialysis machine. This is often done manually by entering the treatment parameters.
  • the touchscreen functionality of such a equipped multifunction display is used.
  • the patient may also have an individual patient card having, for example, a barcode for unambiguous identification of the patient.
  • the parameters for the currently arranged dialysis treatment can be stored for each dialysis treatment of the specific patient.
  • the patient card can then be kept on the screen of the dialysis machine, which is designed as a multifunction display with scanner functionality, whereby the bar code can be read.
  • the dialysis machine By means of a data connection to a central computer on which the patient and treatment data are stored, which are assigned to the barcode which has been read in, it is thus possible for the dialysis machine to adjust itself automatically to the treatment.
  • Typical treatment parameters are, for example, blood flow rate and dialysate flow rate.
  • the dialysis machine can also be made aware of the disposables to be used, e.g. the dialysis filter to use.
  • the dialysis machine After recognizing the patient and the type of treatment, which can be displayed on the multifunction display, the operator who upgrades the dialysis machine, the used Aufrüstmaschine or disposables and also the manner of the upgrade. To make upgrading safer and more convenient, the dialysis machine can prompt you to place the barcode of the upgrading part you need in front of the multifunction display, by means of an appropriate visual display on the screen. Here, the barcode of the corresponding upgrade part is read in and verified whether the right upgrade part is available. If there is an upgrade part that does not fit the selected treatment, or an upgrade part without a barcode, the dialysis machine may refuse treatment. In this way, faulty upgrades can be avoided or the use of disposables of a non-certified manufacturer can be ruled out.
  • parts of the screen are not equipped with liquid crystal cells.
  • more phototransistors can then be arranged per area in order to increase the scanner resolution there. In this way, even finely divided structures, such as fingerprints, can be scanned and recognized.
  • a screen designed in this way additionally acts on a partial surface of the screen surface as a high-resolution scanner, in particular as a fingerprint scanner.
  • a high-resolution scanner in particular as a fingerprint scanner.
  • this results in further advantages.
  • These advantages include all the advantages of the previously described combination of a dialysis machine with a multifunction display with scarem functionality, since all scanner functions also work with higher resolution.
  • the high resolution for example, fingerprints are recognized.
  • persons associated with dialysis treatment can be identified by their fingerprint.
  • the patient's fingerprint can now be used for unambiguous identification.
  • the operator can be recognized by their fingerprint.
  • the dialysis machine can only be provided for operator intervention by specific persons (medical personnel).
  • the dialysis machine can allow the operating options, deny or allow only certain parts. It is also advantageous that based on the Fingerprint can be stored, which person has selected which operating option. Persons not authorized to operate the dialysis machine, ie either unknown persons or known persons without operating rights, can be denied all operating options.
  • the scanner functionality of a high-resolution multifunction display also allows so-called 2D commodity codes to be recognized when used with a dialysis machine.
  • These 2D commodity codes have finer structures than conventional barcodes and provide more options for coding commodity characteristics.
  • a lens in front of such a high-resolution partial surface of the screen projects the image of an object located at some distance from the display onto the phototransistors.
  • the lens is an automatically focusing optic, which automatically adjusts itself to the object in front of it by appropriate autofocusing devices known to the person skilled in the art.
  • a screen designed in this way also acts as a camera. In connection with the application with a dialysis machine, this results in further advantages.
  • objects and persons can be evaluated and recognized by a camera system.
  • the persons alone are already recognized on the basis of their camera image of the dialysis machine and appropriate measures, as already stated above, made.
  • objects such as the disposable disposables
  • appropriate actions eg refusal or allowing treatment
  • the camera functionality of the multifunction display also the infrared radiation of a Object or a person to detect their surface temperature or body temperature.
  • analog and / or digital electronics integrated on the semiconductive layer of the glass carrier may be configured to drive an electromechanical transducer.
  • An electromechanical transducer is, for example, a device which converts electrical signals into a mechanical movement, or conversely mechanical movement into electrical signals.
  • Speakers and microphones actuators, e.g. Motors and sensors, e.g. Pressure or force sensors.
  • the integrated electronics on the glass carrier layer of a screen can be designed to control, for example, loudspeakers and / or microphones. Loudspeakers may moreover be used simultaneously as a microphone, since sound acting on the diaphragm of a dynamic loudspeaker causes movement of the diaphragm and thus movement of the voice coil of the loudspeaker in a magnetic field which generates an electrical signal proportional to the acoustic input Signal is.
  • speaker and / or microphone are also an integral part of the multi-function display to further reduce the number of modules used.
  • an additional piezoelectric layer which can act as a single or multiple piezoelectric element, is applied to the multifunction display.
  • Piezoelectric elements use the piezoelectric effect to carry out a movement either by applying an electrical voltage, or to generate an electrical voltage when a force is applied. Piezo elements can therefore be set up as sound transducers, actuators and / or as force sensors. Piezo elements may be certain crystals (piezocrystals) or piezoelectric ceramics, ie polycrystalline materials.
  • Translucent electrodes which preferably consist of indium tin oxide (ITO), in each case contact the top and bottom of a piezoelectric layer.
  • ITO indium tin oxide
  • a piezoelectric element is created by the intersection of upper and lower electrodes with an intervening piezoelectric layer.
  • the piezoelectric element changes its extent in the direction of the electrodes in analogy to the applied electrical voltage. In this way, sound is radiated, the louder the larger the surface of the piezoelectric element and the higher the driving voltage, which is an AC voltage when an audio signal is to be delivered.
  • the amplitude of the possible deformation of piezoelectric elements is comparatively small compared to dynamic loudspeakers, but since the radiating surface can occupy the entire surface of the screen, it can be substantially larger than that of the conventionally used loudspeakers, so that the maximum radiated sound level can be sufficient , It is also possible to use part or all of the piezoelectric layer of the screen as a microphone.
  • the piezoelectric effect according to which an electric voltage is generated when a force is applied, is used to convert sound into an electrical signal.
  • a sound signal acting on a corresponding piezoelectric element imparts this to a vibration proportional to the sound signal, whereby an electrical signal is obtained which is applied to the contacting electrodes and can be further processed by an electronic circuit likewise integrated on the semiconductive layer of the glass carrier of the screen.
  • the piezo elements act as sound transducers, which can both emit sound and convert sound into electrical signals.
  • a multifunction display designed in this way thus acts as a loudspeaker and / or microphone.
  • the dialysis machine no longer has to be equipped with separate loudspeakers or microphones and their control devices. This reduces installation and maintenance costs and allows easier sanitation of the dialysis machine, as the multifunction display with speakers and / or
  • Microphone functionality provides a flat and smooth surface, while speakers and microphones require at least small openings of the device surface to be effective. If speaker and microphone functionality combined with the previously presented camera functionality, which is possible at any time, and the multifunction display is movably connected to the dialysis machine, a bidirectional visual and acoustic communication with the patient can be realized. This enables the patient to simultaneously monitor entertainment content on the screen during dialysis, which also serves as a speaker for speech or music (eg for movie playback). Thanks to the camera functionality integrated in the multifunction display, the patient can also be monitored by the medical staff as described above. In addition, a microphone functionality built into the multifunction display can be used to verbally communicate with the patient remotely.
  • electromagnetic transducers can be used, such as antennas or coils.
  • the electromagnetic converters may be configured to convert electromagnetic waves into electrical signals and / or electrical signals into electromagnetic waves. They are therefore used for input and output of data or information and / or energy.
  • data and / or energy from a coil for example, on the bottom of the glass slide of the screen and a corresponding functional electronics, which is monolithically integrated on the semiconductive layer on the glass substrate of the screen, transmitted by electromagnetic radiation to a device which is kept close to the screen and which is arranged to receive the thus electromagnetically transmitted energy and information.
  • RF-ID technology The person skilled in the art knows such systems from RF-ID technology.
  • RF-ID based data and / or energy from a device that is held in the vicinity of the screen are transmitted from this device to the screen with the described electronics.
  • the use of such a designed multifunction display in conjunction with the application in a dialysis machine there are further advantages.
  • the previously presented patient card is often implemented in RF-ID technology.
  • a multifunction display with the functionality of an inductive data and energy transmission can communicate with this patient card in a known manner.
  • this also includes the writing of current treatment data to or from the patient card during or after the dialysis treatment, such as the duration of dialysis or the amount of water withdrawn by ultrafiltration or the occurrence of particular occurrences, such as a body temperature increase in turn can be detected by the same multifunction display, which can be designed so that in addition pyrometric measurements can be carried out in the manner already described.
  • Figure 1 A first embodiment of a medical device according to the invention with a screen with scanner and camera functionality
  • Figure 2 A second embodiment of a medical device according to the invention with a movable screen, which is designed as a multi-function screen, and a dental chair.
  • FIG. 1 shows a first embodiment of a medical device according to the invention with a multifunction display with additional scanner functionality.
  • the medical device is designed here as a hemodialysis machine. It is clear to the person skilled in the art that the invention can be applied without restriction to any medical device, in particular to blood treatment devices, eg to devices for automatic peritoneal dialysis, hemofiltration, hemodiafiltration, plasmapheresis or similar procedures.
  • the hemodialysis machine 110 schematically shows parts of an extracorporeal blood circuit with an arterial blood line 101, which discharges blood of a patient (not shown).
  • the blood pump 102 delivers the blood through a dialysis filter 103 equipped with a semipermeable membrane which separates the extracorporeal blood circuit from a dialysate circuit in a semi-permeable manner.
  • the treated blood is returned to the patient.
  • Dialysate is pumped through the dialysis filter 103 via the dialysate lines 105 and 106, where it passes through the semipermeable membrane of the dialysis filter 103 to a diffusive mass transfer with the blood of the patient.
  • a pressure gradient is built up from the blood side of the dialysis filter to the dialysate side of the patient, plasma water from the blood is pressed into the dialysate.
  • the blood of the patient can be dehydrated.
  • the dialysate is prepared in the hemodialysis machine 10 and discarded after use.
  • the screen 100a in Figure 1 is equipped as a multifunction display with additional phototransistors in the manner already described. As a result, objects that are held directly to the screen, can be detected. By way of example, a typical image content which may occur during a dialysis treatment is shown on the screen 100a.
  • the scanner functionality of the screen 100a makes it possible, for example, to detect one or more finger touches with the screen and to determine their position on the screen.
  • the functionality of a touch screen can be achieved without the necessary presence of a touch-sensitive layer, as in conventional touch screens.
  • the image-technical position determination determines the positions of several fingers that simultaneously touch the screen.
  • Such multitouch functionality is only complicated to implement in conventional touchscreens, which are generally equipped with capacitive measuring methods.
  • the Multi-touch functionality can be used, for example, to use two fingers to span an interval of values, for example on a scale of values, for example, to conveniently enter the lower and upper limits of a parameter. It is also conceivable that with the movement of two fingers on the touch screen, an enlarged or reduced representation of the touch screen display is triggered below the finger movement.
  • the screen 100a is equipped with a fingerprint sensor 109, in the area of which there are no liquid crystal cells and consequently no image content. In this area, the resolution of the phototransistors or other photosensitive sensors may be much larger than in the area of the remaining screen.
  • the operating personnel, treating physicians or patients can be easily and conveniently recognized, in which the person presses a finger, for example the thumb, on the fingerprint sensor 109.
  • patients can be identified and treatment parameters for this specific patient can be adopted in the manner already described.
  • the medical staff can be identified.
  • operator intervention only known and suitable people are allowed.
  • the characteristics (patient, doctor, medical personnel) associated with each of the known persons may be located either in the dialysis machine or in a remote location, e.g. a central computer, be stored. Before entering operator input, the operator must first identify with his fingerprint. The safety of the treatment is thereby increased.
  • a bar code detection can be realized with the scanner functionality of the screen 100a of Figure 1.
  • the dialysis filter 103 is marked unmistakably in FIG. 1 with a barcode 107.
  • this tag may include the exact type of dialysis filter.
  • the dialysis machine can uniquely identify the upgrade part and display this to the upgrading medical staff on the screen 100a and verify at the same time the upgrade part is suitable for the treatment.
  • the dialysis machine may refuse treatment unless it has been provided with suitable upgrade parts for scanning.
  • the dialysis machine can also check in this way, if all the necessary parts for upgrading are available and take appropriate action if too few upgrade parts have been presented for the upcoming treatment.
  • the device can point out that, for example, a certain venous drip chamber has not yet been scanned, but this is absolutely necessary for the upcoming treatment. In this way, the safety of the treatment is increased.
  • the screen 100a of FIG. 1 is equipped with a camera device 108 already described. Set up in this way, the dialysis machine can now recognize persons or objects that are not directly in front of the screen. It is conceivable that the area of the screen onto which the camera apparatus projects an image has a multiplicity of phototransistors whose resolution is higher than the pixel resolution of the screen of the remaining screen area. Such a sufficient resolution of the camera device can be achieved. It is also conceivable that the phototransistors or other photosensitive sensors in this area are sensitive to infrared light and / or to visible light. Due to this configuration of the screen, it is possible to recognize persons or objects alone by their visual appearance. Thus, upgrade parts can be recognized solely on the basis of their projected image. Likewise, the persons involved in the dialysis treatment can be recognized by their image. For use in the identification of persons and objects known in the art methods of image recognition can come.
  • a further application results from the design of the camera device 108, in which the sensors on which an image is projected are sensitive to infrared radiation.
  • the sensors on which an image is projected are sensitive to infrared radiation.
  • the dialysate temperature can be slightly increased in order to be able to achieve heating of the blood of the patient via the mass transfer in the dialysis filter between blood and dialysate.
  • a slight lowering of the temperature of the boiler may cause a lowering of the dialysate temperature.
  • the dialysis machine makes known the presence of fever in the current patient via existing means of communication (notification to an alarm system, central computer, beekeeper of the attending physician or issuing a visual and / or audible and / or haptic warning). This can also happen during a treatment.
  • the multifunction display with camera function can advantageously be movably attached to the dialysis machine, as shown in FIG. During dialysis, which can last for several hours, entertainment content can be offered to the patient via the screen. At the same time, the camera implemented in the multifunction display can observe the patient and, for example, transmit the camera image to a remote monitor which the medical staff can monitor.
  • the medical staff can find out about the visual impression of the patient without having to move to the patient.
  • the multifunction display is set to To detect infrared radiation of the patient, the body temperature of the patient can also be determined simply and efficiently during dialysis.
  • FIG. 2 shows a preferred embodiment of a medical device 220.
  • the patient is available for safe and convenient storage during treatment, a patient support device 210, executed in Figure 2 as an adjustable patient chair available.
  • the multifunction display 100b is movably connected to the medical device 220 with the coupling device 111, which is only indicated in FIG. 2 and is adjustable in multiple directions.
  • the coupling device 111 which is only indicated in FIG. 2 and is adjustable in multiple directions.
  • the multifunction display in FIG. 2 is designed such that it simultaneously combines the screen, loudspeaker, microphone and camera in an assembly in the manner already described. So configured can be realized with only a single module, namely the multifunction display, a complete communication and entertainment system. For example, during its treatment, the patient may follow a conversation movie shown on the multifunction display 100b. The sound for this entertainment film can also be reproduced by the multifunction display 100b, namely by the fact that the multifunction display surface have corresponding actuators which are actuated by an electronics which are likewise integrated in the multifunction display.
  • a partial surface of the multifunction display 100b can be configured as a microphone in the manner already described so that the patient can, if necessary, acoustically communicate with a person who is located at a distance.
  • the patient can press a corresponding operating switch 211 to activate the microphone functionality.
  • Other operating switches 211 may control other functions, such as the volume of the multifunction display.
  • the control switches are exemplary embedded in an armrest of the patient support device 210.
  • the task of this switch can also take a remote control.
  • An optional camera 108 may be the patient during the treatment, in which the patient image is transmitted to a central monitoring station. The medical staff can convince themselves there at any time of the visual impression of the patient, without having to move to him.
  • monitoring of the body temperature of the patient by the camera 108 can be realized in the manner already described. This information can also be transmitted to a central monitoring station and possibly also cause an alarm message there if the body temperature deviates too much from the normal body temperature.

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EP12706194.3A 2011-02-18 2012-02-17 Medizinisches gerät mit mehrfunktionsdisplay Ceased EP2675495A1 (de)

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DE102011011767A1 (de) 2012-08-23
KR101923240B1 (ko) 2018-11-28
WO2012110251A1 (de) 2012-08-23
CN103354751A (zh) 2013-10-16
US20120212455A1 (en) 2012-08-23
JP2014512880A (ja) 2014-05-29

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