Dialysis apparatus including therapy prescription selection
An automated peritoneal dialysis apparatus includes at least one pump and a memory device configured to simultaneously store a first standard ultrafiltration (“UF”) therapy prescription with a longer duration and a lower dextrose concentration and a second standard UF therapy prescription with a shorter duration and a higher dextrose concentration. A logic implementer of the automated peritoneal dialysis apparatus is programmed to receive a patient weight value and determine a weight difference between the patient weight value and at least one prior patient weight value. When the weight difference is below a threshold, the logic implementer causes the first standard UF therapy prescription and the second standard UF therapy prescription to be displayed as possible options for selection and when the weight difference is above the threshold, the logic implementer prevents the second standard UF therapy prescription from being displayed as a possible option for selection.
1 . An automated peritoneal dialysis apparatus comprising:
at least one pump;
a memory device configured to simultaneously store a first standard ultrafiltration (“UF”) therapy prescription with a longer duration and a lower dextrose concentration and a second standard UF therapy prescription with a shorter duration and a higher dextrose concentration; and
a logic implementer programmed to:
receive a patient weight value,
determine a weight difference between the patient weight value and at least one prior patient weight value,
when the weight difference is below a threshold, cause the first standard UF therapy prescription and the second standard UF therapy prescription to be displayed as possible options for selection,
when the weight difference is above the threshold, prevent the second standard UF therapy prescription from being displayed as a possible option for selection,
receive, via a user interface, a selection of the first standard UF therapy prescription or the second standard UF therapy prescription, and
operate the at least one pump to perform the selected first standard UF therapy prescription or the second standard UF therapy prescription.
2 . The automated peritoneal dialysis apparatus of claim 1 , wherein the logic implementer is further programmed to:
display a prompt indicating that a first solution having a first formulation including a lower dextrose concentration is to be placed in fluid communication with the at least one pump when the first standard UF therapy prescription is selected via the user interface; and
display a prompt indicating that a second solution having a second formulation including a higher dextrose concentration is to be placed in fluid communication with the at least one pump when the second standard UF therapy prescription is selected via the user interface.
3 . The automated peritoneal dialysis apparatus of claim 1 , further comprising:
a first valve placed between the at least one pump and a first container including a first solution having a first formulation including a lower dextrose concentration; and
a second valve placed between the at least one pump and a second container including a second solution having a second formulation including a higher dextrose concentration.
4 . The automated peritoneal dialysis apparatus of claim 3 , wherein the logic implementer is further programmed to:
(i) open the first valve when the first standard UF therapy prescription is selected via the user interface; and
(ii) open the second valve when the second standard UF therapy prescription is selected via the user interface.
5 . The automated peritoneal dialysis apparatus of claim 3 , wherein at least one of a fluid carrying portion of the first and second valves or a fluid carrying portion of the at least one pump is provided in a disposable cassette.
6 . The automated peritoneal dialysis apparatus of claim 3 , wherein the first container includes a first unique identifier that is indicative of the first formulation and the second container includes a second unique identifier that is indicative of the second formulation,
the automated peritoneal dialysis apparatus further comprising a reader to read the first unique identifier and the second unique identifier.
7 . The automated peritoneal dialysis apparatus of claim 6 , wherein the logic implementer is further programmed to generate an alarm or an alert when the first formulation indicated by the first unique identifier cannot be used for the first standard UF therapy prescription or the second formulation indicated by second unique identifier cannot be used for to the second standard UF therapy prescription.
8 . The automated peritoneal dialysis apparatus of claim 1 , wherein the logic implementer is further programmed to:
receive the first standard UF therapy prescription and the second standard UF therapy prescription from a server; and
store the first standard UF therapy prescription and the second standard UF therapy prescription to the memory device.
9 . The automated peritoneal dialysis apparatus of claim 1 , wherein the memory device is further configured to store a low UF therapy prescription, a first high UF therapy prescription with a shorter duration and a higher dextrose concentration, and a second high UF therapy prescription with a shorter duration and a higher dextrose concentration.
10 . The automated peritoneal dialysis apparatus of claim 9 , wherein the logic implementer is further programmed to when the weight difference is above the threshold, prevent the first high UF therapy prescription and the second high UF therapy prescription from also being displayed as possible options for selection.
11 . The automated peritoneal dialysis apparatus of claim 9 , wherein the logic implementer is further programmed to after selection of the low UF therapy prescription via the user interface:
identify a formulation level of a third solution specified by the low UF therapy prescription;
determine a first amount of pumping by the at least one pump needed to pump a first solution to form the third solution having the specified formulation level, the first solution having a first formulation including a lower dextrose concentration;
determine a second amount of pumping by the at least one pump needed to pump a second solution to form the third solution having the specified formulation level, the second solution having a second formulation including a higher dextrose concentration; and
operate the at least one pump to proportionally perform the first amount of pumping and the second amount of pumping to form the third solution.
12 . The automated peritoneal dialysis apparatus of claim 11 , further comprising a patient line in fluid communication with the at least one pump, the logic implementer further programmed to pump the first and second solutions proportionally through the patient line to a patient's peritoneum.
13 . The automated peritoneal dialysis apparatus of claim 11 , wherein the first amount of pumping includes a first number of pump strokes and the second amount of pumping includes a second number of pump strokes.
14 . The automated peritoneal dialysis apparatus of claim 11 , wherein the first and second solutions are mixed in a container to form the third solution.
15 . The automated peritoneal dialysis apparatus of claim 11 , wherein the at least one pump moves the first solution or the second solution to a heating container that heats the first solution or the second solution to a temperature suitable for delivery to a patient.
16 . The automated peritoneal dialysis apparatus of claim 1 , wherein the first standard UF therapy prescription and the second standard UF therapy prescription are tidal dialysis therapies, continuous cycling peritoneal dialysis (“CCPD”) therapies, or hi-dose CCPD therapies.