Home dialysis machine network including walk-up service centers

Abstract

A home dialysis machine network is provided that includes home dialysis machines and one or more walk-up service centers, which may be equipped with diagnostic tools, parts, or supplies for the home dialysis machines. Also provided is a method for maintaining the home dialysis machines, as the service center may be equipped with a transportation service or office, a diagnostic department, an education and training department, a consultation department, an exercise and spa department, a recreation department, a sales department, a repair shop, a new technology department, a pharmacy, and a clinic.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

[0001]

[0001] This application claims priority to U.S. Provisional Patent Application No. 63 / 025,518, filed May 15, 2020, which is incorporated herein by reference in its entirety. [Technical Field]

[0002] The present invention relates to home dialysis machines, methods for using and maintaining home dialysis machines, and networks for medical equipment. [Background technology]

[0003]

[0003] Home dialysis machines are becoming increasingly common and practical. There is a need for better ways to use and maintain home dialysis machines. There is also a need to provide home dialysis machine use and maintenance facilities and networks to facilitate the use, maintenance, and maintenance of home dialysis machines. Summary of the Invention

[0004] The present invention provides a home dialysis machine network including home dialysis machines and one or more walk-up service centers. The one or more walk-up service centers can be equipped with diagnostic tools, parts and supplies for home dialysis machines, a parts and maintenance ordering system, a centralized dispatch center, or a combination thereof. Many home dialysis patients can register with or use the same walk-up service center. The walk-up service center and network can provide instruction and services on how to maintain home dialysis machines. The network can include a doctor, a pharmacy, a scheduling service, a prescription system, and instruction methods and means. Each service center can be equipped with one or more of the following: a transportation service department, a diagnostic department, an education department, a training department, a consultation department, an exercise department, a spa department, a recreation department, a sales department, a repair shop, a new technology department, a pharmacy, and a clinic. The service centers can be located within an existing store or office, such as an existing pharmacy, drug store, grocery store, or department store.

[0005] The parts and maintenance ordering and dispatch system can be part of an order and dispatch center, such as a centralized order and dispatch center. A home dialysis patient, care partner, or caregiver (e.g., a customer) can bring or send a home dialysis device to a network walk-up service center for diagnosis. The customer and / or walk-up service center can then use the centralized system to dispatch the repaired, upgraded, updated, or maintained device directly to the customer's home after the diagnosis and any necessary maintenance are completed. Alternatively or additionally, the customer and / or walk-up service center personnel can use the centralized system to order components, peripheral devices, supplies, software updates, or a combination thereof, which will be dispatched after the diagnosis and maintenance are completed. In some cases, one or more items can be addressed at the walk-up service center, and one or more items can be addressed remotely or at a different time. For example, a software update can be performed at the walk-up service center, and a new disposable tubing set can be ordered, dispatched to the customer's home, and installed by the customer or a technician. Shipment times, availability, and options may depend on shipping variables and the availability of requested parts, peripheral devices, disposables, consumables, software, and the like.

[0006] A walk-up service center can be configured to provide updates, upgrades, and patches for software, firmware, hardware, or a combination thereof (herein referred to as software) associated with, executed by, or stored on a home dialysis machine, its peripherals, or network, etc., to a patient, care partner, caregiver, or other customer. The software can be made available at the walk-up service center via an order and dispatch center, an app, a downloadable app, a kiosk, a self-service kiosk, or in response to a walk-up service center representative. Before, during, or after checking the software, the walk-up service center, order and dispatch center, or app, etc., can be configured to notify the patient, care partner, caregiver, or other customer that an update, upgrade, or patch is available for the software, firmware, hardware, or a combination thereof associated with, executed by, or stored on a home dialysis machine, its peripherals, or network, etc. The app can specify required updates, recommended updates, optional updates, etc.

[0007]

[0007] The present invention can be more fully understood with reference to the accompanying drawings, which are intended to illustrate, but not to limit, the present teachings. [Brief explanation of the drawings]

[0008] [Figure 1]

[0008] A flow diagram showing the various steps and sequences performed according to various methods implemented by a home dialysis machine network in accordance with one embodiment of the present invention. [Figure 2]

[0009] FIG. 1 is a schematic diagram illustrating various physical spaces, offices, and departments connected together physically and / or via the Internet that make up a home dialysis machine network according to an exemplary embodiment of the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0009]

[0010] According to one or more embodiments of the present invention, a network for home dialysis machines is provided. The network can include a home dialysis machine, one or more walk-up service centers, and a software interface, such as a website, software program, or mobile application (app), loaded on a home computer to facilitate communication between a home dialysis machine patient or caregiver and the one or more walk-up service centers. The walk-up service center can be equipped with diagnostic tools configured to diagnose the home dialysis machine, components of the home dialysis machine, peripheral devices used with the home dialysis machine, or a combination thereof. The diagnosis can include identifying at least one problem or component that causes the machine or procedure to operate at suboptimal performance or not at all.

[0010]

[0011] The diagnosis may comprise identifying at least one problem or component, e.g., a failed component, that causes the device or procedure to operate at suboptimal performance or not at all. The diagnosis may comprise receiving values, e.g., measured pressure, flow rate, and conductivity, and comparing such values ​​to thresholds, value ranges, minimum values, maximum values, or combinations thereof. The diagnosis may comprise comparing the received values ​​to values ​​stored in local memory, values ​​stored in a lookup table, values ​​obtained from a website, or the like. The diagnosis may comprise comparing the software edition stored on or executed by the home dialysis machine with the most recent or latest software edition available for the home dialysis machine. The diagnosis may comprise performing a second diagnostic step, e.g., a second diagnostic step selected from a plurality of possible diagnostic steps, in response to results obtained from the first diagnostic step.

[0011]

[0012] The walk-up service center may be equipped with parts for servicing home dialysis machines, repairing home dialysis machines, or both. The walk-up service center may be equipped with parts for servicing or repairing components of home dialysis machines, peripheral devices used with home dialysis machines, or a combination thereof. The walk-up service center may be equipped with supplies consumed before, during, or after operation of the home dialysis machine. Supplies that may be consumed during operation of the home dialysis machine may include at least one member selected from disposable components, plastic components, single-use components, tubing sets, dialysate, concentrated dialysate, powdered dialysate, packets of electrolytes formulated to mix with water to form dialysate, batteries, electrodes, cleaning supplies, and the like. For example, a customer can visit a walk-up service center to have their home dialysis machine serviced or to order supplies, and can use a centralized system at the walk-up service center to order a repaired or refurbished home dialysis machine, home dialysis machine components, home dialysis machine peripherals, home dialysis machine parts and / or supplies, home dialysis machine disposables, home dialysis machine consumables, or a combination thereof, to be shipped directly to the customer's home. For example, a customer can bring or send a home dialysis machine to a walk-up service center for diagnosis, and then the customer and / or a walk-up service center employee or other personnel can use the centralized system to order the repaired or refurbished machine, machine parts, and / or machine supplies or disposables to be shipped directly to the customer's home after diagnosis. Ordering delivery of a refurbished machine, machine parts, machine supplies, machine disposables, or a combination thereof can be enabled by an app owned by the customer or provided for use by the walk-up service center, such as an app on a smartphone, smartwatch, tablet, computer, phone, or web browser.

[0012]

[0013] The home computer may include a processor, memory, a user interface, and a data transmitter-receiver pair that can transmit and receive data wired or wirelessly and connect to the Internet, a wired network, a wireless network, or a combination thereof. A software interface, such as a software program, a website, or an app, may be loaded onto the home computer. For example, the home computer may be a desktop, laptop, or mobile computer, and a software program that interfaces with one or more walk-up service centers may be loaded onto the desktop, laptop, or mobile computer. The home computer may be a portable computer, smartphone, tablet, smartwatch, smart headset, wearable device, embedded device, or a combination thereof. An app that interfaces with one or more walk-up service centers may be loaded onto the home computer. Additionally, a website that interfaces with one or more walk-up service centers may be accessed by or through a web browser on the desktop, laptop, or mobile computer.

[0013]

[0014] The software interface facilitates communication between a home dialysis machine patient or caregiver and one or more walk-up service centers. For example, a patient or caregiver can schedule an appointment with one or more walk-up service centers for cleaning, servicing, maintenance, repair, programming, or a combination thereof. The patient or caregiver can use the software interface to request a new prescription, request consumables for the home dialysis machine, or both. The software interface can provide tracking information regarding the home dialysis machine repair process and provide estimated times for pickup, delivery, shipping, etc. An estimated arrival time can be provided. When the home dialysis machine is sent out from the walk-up service center for repair, the software interface can track the location of the home dialysis machine.

[0014]

[0015] In an exemplary embodiment, the software interface can provide a geographical map showing the live location of the home dialysis machine. The software interface can provide an estimated arrival time for deliveries of a new home dialysis machine, a replacement dialysis machine, a replacement part, a peripheral part, a prescription, or consumables. The delivery can be to a walk-up service center and picked up by the patient, a care partner, or a caregiver. The delivery can be directly to the patient's home. The software interface can be an app. The software interface can be configured to order delivery of a refurbished machine, order machine parts, order machine supplies, order machine disposables, or a combination thereof. Ordering can be enabled by an app owned by the customer or provided for use by the walk-up service center, such as an app on a smartphone, smartwatch, tablet, computer, phone, or web browser. The software interface or app can interface with a centralized order and fulfillment center at one or more walk-up service centers. The app can show the user where the device part, disposable, or consumable is physically located, indicate the nearest available location of the device part, disposable, or consumable, and provide directions to that location. A specific delivery time or time frame can be arranged or specified by the software interface or app.

[0015]

[0016] The software interface can also facilitate diagnosis of the home dialysis machine. A patient, care partner, or caregiver can report a problem with the home dialysis machine through the software interface by doing one or more of the following: (1) selecting a general error prompt on the software interface; (2) selecting the problem from a list of common problems displayed by the software interface; (3) entering a specific text or voice message describing the problem; (4) a combination thereof; or (5) other. The software interface can prompt the patient, care partner, or caregiver to provide additional information by answering one or more questions. The information can relate to the problem with the home dialysis machine. The information can also prompt the patient, care partner, or caregiver to upload a photo or audio recording of the home dialysis machine for further diagnosis.

[0016]

[0017] If it is determined that the home dialysis system needs to be repaired, maintained, replaced, and / or cleaned at a walk-up service center, the software interface can prompt the patient, care partner, or caregiver to schedule and confirm an appointment. The software interface can further remind the patient, care partner, or caregiver of the appointment date and time.

[0017]

[0018] The home dialysis machine network may include at least one walk-up service center equipped with a staff consultation function configured to provide a meeting place for home dialysis machine patients, care partners, or caregivers to consult with staff knowledgeable in at least one of maintaining, servicing, cleaning, repairing, and using home dialysis machines. The staff consultation function may comprise an in-person consultation at the walk-up service center and may include at least one of a chair, a desk, a table, a counter, and a window. The staff consultation function may further include a remote consultation via live video and audio conferencing over the Internet or other wireless communications. The staff consultation function may include a staff computer at the walk-up service center or at the staff member's home in communication with the patient's or caregiver's home computer, wherein the staff consultation is conducted remotely.

[0018]

[0019] The network can include at least one walk-up service center located in a pharmacy, drug store, grocery store, department store, and / or shopping center. At least one walk-up service center can be located in a medical facility. For example, the network can include walk-up service centers located in a doctor's office, a dialysis treatment clinic, etc. A home dialysis machine network can include one or more walk-up service centers that include a help desk and a waiting area.

[0019]

[0020] The walk-up service center may be equipped with home dialysis machine components or peripheral devices for use with the home dialysis machine, such as wearable devices, scales, blood pressure monitors, body composition monitors, body composition monitor diagnostic kits, tubing sets, blood oxygen monitors, pulse oximeters, heart rate monitors, blood potassium monitors, blood potassium diagnostic kits, bioelectrodes, or combinations thereof. The components or peripheral devices may be for sale, rent, lease, loan, and / or use.

[0020]

[0021] The home dialysis machine may include a processor, a transmitter, and a receiver. At least one walk-up service center of the network may include a diagnostic tool configured to diagnose the home dialysis machine. The diagnostic tool may include a receiver configured to receive a status signal from the home dialysis machine, and the processor of the home dialysis machine may be configured to send a status signal regarding the status of the home dialysis machine via the transmitter. The status signal may be sent to the receiver of the diagnostic tool. The diagnostic tool may diagnose the home dialysis machine based on the received status signal; for example, the tool may identify at least one problem or component that is causing the machine or treatment to operate at suboptimal performance or not at all. The diagnostic tool may be programmed to perform a second diagnostic step selected from a plurality of possible diagnostic steps in response to results obtained from a first diagnostic step.

[0021]

[0022] The status signal can include an error code generated or generated by the home dialysis machine. The error code can include data regarding a fault or other warning that occurred during operation of the home dialysis machine. The error code can include data regarding at least one of an expiration date, elapsed time, a scheduled maintenance event, a component authentication failure, a faulty component, a worn component, an unlicensed component, an unlicensed supply, an expired software warning, a lockout event, a pressure reading, a transmembrane pressure reading, a kinked or clogged tubing, a fluid level value, or a fluid level warning, etc. The diagnostics can include comparing received or measured values, such as pressure, flow rate, and conductivity, and comparing such values ​​to thresholds, value ranges, minimum values, maximum values, or combinations thereof, etc. The diagnostics can include reviewing stored event history data. The diagnostics can include comparing received or measured values ​​to values ​​stored in local memory, values ​​stored in a lookup table, values ​​obtained from a website, etc. The diagnostic tool may include a display configured to display the status signal as an icon, text, an audible signal, an alarm, a set of recommended instructions, a set of mandatory instructions, or a combination thereof.

[0022]

[0023] The transmitter of the home dialysis machine can have a first port and the receiver of the diagnostic tool can have a second port. The network can be configured to transmit data from the home dialysis machine to the diagnostic tool via a wired connection between the first port and the second port. The home dialysis machine and the diagnostic tool can be connected via a wireless connection.

[0023]

[0024] The home computer can also be wirelessly paired with the home dialysis machine via a wireless connection, such as the Internet, Wi-Fi, or Bluetooth. The home computer can continuously receive status signals from the home dialysis machine, and the software interface can function as a diagnostic tool. Alternatively, the status signals can be sent from the home computer to a remote diagnostic tool at a walk-up service center. The status signals can include error codes generated by the home dialysis machine. If necessary, the software interface can prompt the user to schedule an appointment with the walk-up service center.

[0024]

[0025] At least one walk-up service center of the network may include a pharmacy. The pharmacy may include at least one of dialysate, dialysate concentrate, powdered dialysate, and packets of electrolytes formulated to mix with water to form dialysate. The pharmacy may include a prescription verification system configured to verify a dialysate prescription for use with the home dialysis machine. The pharmacy may include a prescription delivery system configured to deliver the dialysate prescription to a user for whom the dialysate prescription has been prescribed. At least one of the network walk-up service centers may include a doctor interface configured to enable a user to interface with a doctor and receive the dialysate prescription. A processor of the home dialysis machine may be configured to generate a patient information signal related to one or more patient parameters obtained from the patient's treatment with the home dialysis machine. The doctor interface may include a physician computer processor, the prescription verification system may include a pharmacy computer processor, and a transmitter of the home dialysis machine or home computer may be configured to wirelessly transmit the patient information signal to the physician computer processor. The physician computer processor may include a receiver for receiving the patient information signal and a transmitter for transmitting prescription information based on the patient information signal. The pharmacy computer processor can include a receiver for receiving prescription information. The doctor interface can include an interface transmitter configured to transmit the dialysis fluid prescription prescribed to the user to the pharmacy. The doctor interface can include a doctor's chair, a doctor, a nurse, an administrator, or a combination thereof. The prescription verification system can include a computer, a pharmacist, or both.

[0025]

[0026] The home dialysis machine network may further include a scheduling system. The scheduling system may include a telephone line, a software interface, or a combination thereof, capable of scheduling appointments. The appointments may be, for example, for (i) repair or maintenance of a home dialysis machine, a component of a home dialysis machine, a peripheral device used with a home dialysis machine, or a combination thereof, and / or (ii) an appointment with a doctor, pharmacist, nurse, home dialysis patient caregiver, clinician, technician, or a combination thereof. The scheduling system may be configured to schedule appointments at one of the network walk-up service centers. The scheduling system may be configured to schedule appointments at the home or other residence of a home dialysis machine user. The scheduling system may be automated so that a user is prompted to enter information via telephone or internet to schedule an appointment without the need for human intervention with the user.

[0026]

[0027] The network can include a pharmacy, and the pharmacy can include a pharmacy processor. The pharmacy processor can be configured to compare various prescribable consumables, compare deductible amounts for each of the various prescribable consumables, and compare reimbursable amounts received by the pharmacy for each of the various prescribable consumables. Based on the comparisons made, the pharmacy processor can determine and display the prescribable consumables that provide the best cost / benefit ratio to the pharmacy, the greatest savings to the patient, or both. The pharmacy processor can be configured to diagnose information about the patient, for example, evaluate physiological data about the patient, recommend consumables for the patient, or both. The pharmacy processor can compare physical characteristics of the various consumables, evaluate physiological data about the patient, and recommend specific consumables to the patient based on the comparison and evaluation. The pharmacy processor can be configured to determine appropriate interventions that can be used based on the diagnosis. The diagnosis can include comparing measured characteristics of the home dialysis machine, such as pressure and flow measurements, to characteristics stored in memory, and can make recommendations for consumables, settings, or both. The memory can be part of the pharmacy processor. The pharmacy processor may be configured to recommend product and service suggestions based on the diagnosis. The pharmacy processor may be configured to recommend insurance policies based on the recommended product and service suggestions. The pharmacy processor may be in communication with a home computer to provide the above information.

[0027]

[0028] The diagnostic tool may include a processor and may be configured to provide a course-of-action signal comprising instructions to be implemented during maintenance of the home dialysis machine. The course-of-action signal may be based on a status signal received from the home dialysis machine or the home computer. The course-of-action signal may comprise a forcing instruction. A receiver of the home dialysis machine may be configured to receive the forcing instruction, and the home dialysis machine may be configured to prevent treatment by or operation of the home dialysis machine until the forcing instruction is implemented. The home computer may be configured to receive the forcing instruction on a software interface, and the home computer may notify a user when the forcing instruction is received. The forcing instruction may be displayed on a display or played over a speaker of the home computer.

[0028]

[0029] The present invention also provides a method for maintaining a home dialysis machine, for example, a home dialysis machine in a network described herein. The method can include transmitting a status signal regarding the status of the machine to a diagnostic tool. The method can include generating a course of action signal using the diagnostic tool. The course of action signal can include instructions to be implemented during maintenance of the home dialysis machine. The method can involve generating the course of action signal based on a status signal received from the home dialysis machine. The method can include implementing the course of action at at least one of one or more walk-up service centers based on the course of action signal. The method can further involve displaying the course of action instruction generated based on the course of action signal. At least one of the walk-up service centers can include a walk-up service center display, and the method can include displaying the course of action instruction on the walk-up service center display. The home computer can be configured to receive the course of action instruction on a software interface, and the home computer can notify a user when the course of action instruction is received. The course of action instruction can be displayed on a display or played over a speaker of the home computer. The course of action instruction can include instructions for cleaning the home dialysis machine. The method may further comprise cleaning the home dialysis machine at at least one of one or more walk-up service centers or at the user's home. The method may involve generating course of action instructions including instructions for replacing the home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof. The method may further comprise replacing the home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof. The replacement may occur at at least one of the one or more walk-up service centers. Instructions may be sent to the home dialysis machine explaining how to perform the replacement at home.For example, a home computer can receive instructions on a software interface. Components of the home dialysis machine, peripheral devices used with the home dialysis machine, or a combination thereof can be shipped to the home. The patient or caregiver can follow the instructions on the home computer to make the replacement.

[0029]

[0030] The processor of the home dialysis machine may include a cache, and the processor may be configured to store the event information in the cache. The method may include analyzing the event information stored in the cache and generating a course of action signal based on the analysis of the event information. The course of action may include uploading a software update to the home dialysis machine, and the method may include uploading the update. The course of action instructions may include instructions for inputting a prescription into the home dialysis machine, and the method may further comprise inputting the prescription into the home dialysis machine. The input may occur at the user's home or at at least one of one or more walk-up service centers. The home dialysis machine may be a lightweight device, for example, weighing less than 25 pounds. The method may further comprise transporting the home dialysis machine from the patient's home to at least one of the one or more walk-up service centers.

[0030]

[0031] The method may comprise transmitting a status signal for the home dialysis machine to a desired one of one or more walk-up service centers. The desired walk-up service center may comprise a center transmitter. The method may involve receiving the transmitted status signal at the desired walk-up service center and determining whether a part is needed for the home dialysis machine at the desired walk-up service center. The determination may be made based on the transmitted status signal. The method may then comprise transmitting a signal from the desired walk-up service center to the home dialysis machine or the home computer via the center transmitter indicating that the part is needed and available. Alternatively, the method may comprise transmitting a signal from the desired walk-up service center to the home dialysis machine or the home computer via the center transmitter indicating that the part is not needed and available but has been ordered. Alternatively, the method may comprise transmitting a signal from the desired walk-up service center to the home dialysis machine or the home computer via the center transmitter indicating that the part is not needed. At least a portion of the transmission from the home dialysis machine or home computer to the desired walk-up service center can occur wirelessly, and the transmission can comprise direct transmission or indirect transmission via one or more intermediate devices. The transmission from the desired walk-up service center to the home dialysis machine or home computer can occur wirelessly, and the transmission can comprise direct transmission or indirect transmission via one or more intermediate devices.

[0031]

[0032] The method may involve transmitting a signal from a desired walk-up service center to a home dialysis machine or a home computer via a center transmitter indicating that a part is needed and available. The method may involve transporting the home dialysis machine to the desired walk-up service center. The method may involve replacing the part at the desired walk-up service center. The method may further comprise transmitting a status signal regarding the home dialysis machine to a desired one of one or more walk-up service centers, wherein the desired walk-up service center further comprises a center transmitter. The method may then involve receiving the transmitted status signal at the desired walk-up service center. The method may then involve determining, at the desired walk-up service center, whether a software update is needed and available for the home dialysis machine. The method may then involve transmitting a signal from the desired walk-up service center to the home dialysis machine or a home computer via the center transmitter indicating whether a software update is needed and available for the home dialysis machine. Transmitting via the center transmitter can further comprise transmitting a signal that a software update for the home dialysis machine is needed and available, and transmitting the needed and available software update to the home dialysis machine. Alternatively, when the home computer is paired with the home dialysis machine, the home computer can communicate with the home dialysis machine via a software interface to check whether a software update for the home dialysis machine is needed and update the home dialysis machine by uploading the software update to the home dialysis machine.

[0032]

[0033] Also provided is a network comprising a home dialysis machine, a home computer, and one or more walk-up service centers, wherein the home dialysis machine comprises a memory, a transmitter, and a control system. The control system, the home computer, or both may be configured to store treatment history information in the memory regarding treatments performed on patients using the home dialysis machine. The transmitter of the home dialysis machine or the home computer may be configured to wirelessly transmit the treatment history information to at least one of the one or more walk-up service centers, and the at least one walk-up service center may include a receiver for receiving the treatment history information. The home dialysis machine of the network may include a unique identifier, and the one or more walk-up service centers may include an integrated system configured to identify the home dialysis machine by reading the unique identifier of the home dialysis machine. The integrated system may be configured to match the unique identifier of the home dialysis machine with warranty information to determine whether the home dialysis machine is under warranty. The unique identifier may include a data storage device, and the control system may be configured to store maintenance and repair history information in the data storage device regarding a history of maintenance and repair procedures that have been or need to be performed on the home dialysis machine.

[0033]

[0034] A method for reporting treatment history information to at least one of one or more walk-up service centers of a network is also provided. The method can comprise transmitting the treatment history information from a transmitter of a home dialysis machine or a home computer to a desired one of the one or more walk-up service centers. At least a portion of the transmitting can be performed wirelessly, and the transmitting can comprise transmitting the data directly or indirectly via one or more intermediary devices. The method can involve receiving the transmitted treatment history information at the desired walk-up service center. The method can involve transmitting course of action instructions from the walk-up service center to the home dialysis machine or the home computer. The transmitted course of action instructions can include instructions to transport the home dialysis machine to at least one of the walk-up service centers for cleaning, servicing, maintenance, repair, programming, or a combination thereof.

[0034]

[0035] Also provided are methods for educating home dialysis patients or home dialysis patient caregivers. The education can be conducted at a home dialysis machine walk-up service center or at home via a home computer. For example, the education method can be conducted by live video and audio conferencing over the Internet or other wireless communications. The education method can include an educator computer at the walk-up service center or in the educator's home communicating with the home computer via a software interface, with the education being conducted remotely. The method can comprise demonstrating a home dialysis product to the home dialysis patient, home dialysis patient caregiver, or both, where the demonstration can be conducted by a nephrologist, clinician, technician, dietitian, or nutritionist at the home dialysis machine walk-up service center. The method can comprise conducting a nutrition seminar for the home dialysis patient, home dialysis patient caregiver, or both, where the demonstration can be conducted by a nephrologist, clinician, technician, dietitian, or nutritionist at the home dialysis machine walk-up service center. The method can include explaining the organ transplant procedure to a home dialysis patient, a home dialysis patient caregiver, or both, and the explanation can be provided by a nephrologist, clinician, technician, nurse, doctor, or surgeon at a home dialysis machine walk-up service center. The method can include assisting the home dialysis patient, a home dialysis patient caregiver, or both, in obtaining insurance benefits, and the assistance can be provided by a clinician, technician, social service worker, nurse, or insurance agent at a home dialysis machine walk-up service center or at home via a home computer. The method can include advising the home dialysis patient, a home dialysis patient caregiver, or both, on how to perform a dialysis treatment, and the advice can be provided by a nephrologist, clinician, technician, nurse, or doctor at a home dialysis machine walk-up service center or at home via a home computer.

[0035]

[0036] The method may further comprise transporting the home dialysis patient to or from the home dialysis machine walk-up service center. The one or more home dialysis machine walk-up service centers may comprise one or more local home dialysis machine walk-up service centers. Each local home dialysis machine walk-up service center may be equipped with a diagnostic tool configured to diagnose a home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof. The diagnostic tool may diagnose by receiving or measuring values ​​such as measured pressure, flow rate, and conductivity, and comparing such values ​​to thresholds, value ranges, minimum values, maximum values, or combinations thereof. The diagnostic tool may diagnose by comparing the received or measured values ​​with values ​​stored in local memory, values ​​stored in a look-up table, values ​​obtained from a website, or values ​​obtained from a physical table or chart, or the like. Each local home dialysis machine walk-up service center may be equipped with parts for servicing, repairing, or both, a home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof. Each local home dialysis machine walk-up service center can be equipped with supplies that are consumed before, during, or after operation of the home dialysis machine.

[0036]

[0037] Each local home dialysis machine walk-up service center may also be equipped with at least one of a gym, a spa, a lounge, one or more dialysis treatment rooms with dialysis machines configured for patient treatment, one or more conference rooms, one or more stations stocked with food and beverages for dialysis treatment patients, and one or more kiosks. The home dialysis machine walk-up service center may include one or more conference rooms. At least one conference room may include a computing device and a screen configured to demonstrate new products to home dialysis patients, home dialysis patient caregivers, or both. The home dialysis machine walk-up service center may include at least one conference room including a display configured to demonstrate new treatments to home dialysis patients, home dialysis patient caregivers, or both. The home dialysis machine walk-up service center may include one or more conference rooms including a computing device and a screen configured to provide seminars on new home dialysis techniques, surgical techniques, or both, which may be provided to home dialysis patients, home dialysis patient caregivers, or both. The home dialysis machine walk-up service center may include at least one conference room containing educational materials configured to provide nutritional information to home dialysis patients, home dialysis patient caregivers, or both. The home dialysis machine walk-up service center may include at least one conference room containing educational materials configured to provide organ transplant consultations to home dialysis patients, home dialysis patient caregivers, or both. The home dialysis machine walk-up service center may include at least one conference room containing educational materials configured to provide insurance assistance to home dialysis patients, home dialysis patient caregivers, or both. The home dialysis machine walk-up service center may include at least one conference room containing educational materials configured to provide mental health treatment education to home dialysis patients, home dialysis patient caregivers, or both.

[0037]

[0038] The home dialysis machine walk-up service center can include a gym. The gym can include mirrors, a programmable treadmill, a programmable rowing machine, a programmable pedal exerciser, a treadmill, a rowing machine, a pedal exerciser, an exercise bike, a weight lift set, a sauna, a hot tub, or a Jacuzzi. The home dialysis machine walk-up service center can include a repair workshop. The repair workshop can include a work bench and tools. The tools can be configured to service the home dialysis machine.

[0038]

[0039] The home dialysis machine walk-up service center can include a videoconferencing center. The videoconferencing center can be networked to a nephrologist clinic and configured to allow videoconferencing with a nephrologist. The home dialysis machine walk-up service center can further include a theater and theater seating to allow a person to watch a movie or other entertainment while waiting for their home dialysis machine to be analyzed, serviced, maintained, repaired, replaced, programmed, updated, or a combination thereof. The home dialysis machine walk-up service center can further include a mobile vehicle programmed to shuttle people to and from the home dialysis machine service center, to the home dialysis service center, or both. The mobile vehicle can include an autonomous vehicle control system. The mobile vehicle can include an integrated dialysis machine.

[0039]

[0040] The home dialysis machine walk-up service center can include one or more kiosks, at least one of which can include a display unit including a display screen, and at least one of which can include demonstrations including a home dialysis machine, components of a home dialysis machine, or both.

[0040]

[0041] The home dialysis machine walk-up service center may include at least one local home dialysis machine walk-up service center including a reader. The reader may be configured to read a device identifier located on or within a home dialysis machine. The reader may be configured to read a device identifier located on or within a component of the home dialysis machine. The reader may be configured to read a device identifier located on or within a peripheral device used with the home dialysis machine. The reader may include a radio frequency identification (RFID) reader, a bar code reader, a two-dimensional bar code reader, a scanner, or the like. The local home dialysis machine walk-up service center may further include a processor programmed to compare the read device identifier read by the reader with information such as warranty, recall, notification, repair or maintenance history, or a combination thereof. The local home dialysis machine walk-up service center may include a diagnostic tool including a processor and an input unit, wherein the processor may be programmed with predictive analytics software that recommends a suggested course of action based on symptom information entered into the input unit. A method is provided that involves inputting symptom information into an input unit of a diagnostic tool, processing the input information using predictive analytics software, and recommending a suggested course of action based on the processing. The method can further comprise implementing the suggested course of action.

[0041]

[0042] The home dialysis machine walk-up service center can include a diagnostic tool that includes an artificial intelligence (AI) system. The AI ​​system can be programmed to use information obtained from the diagnostic tool to build a database and learn how to best predict the course of action necessary to service the home dialysis machine diagnosed by the diagnostic tool. The diagnosis can include the AI ​​system identifying at least one problem or component that causes the machine or procedure to operate at suboptimal performance or not operate at all. The AI ​​system can be programmed with a learning and evaluation program that triages maintenance issues related to the home dialysis machine, either remotely or at the home dialysis machine walk-up service center. The AI ​​system can learn from past diagnoses and become better equipped to diagnose home dialysis machines more efficiently and quickly over time. The AI ​​system can select a second diagnostic step in response to results obtained from a first diagnostic step.

[0042]

[0043] The home dialysis machine walk-up service center network may further include a robot at one or more local home dialysis machine walk-up service centers. The robot may be configured with an artificial intelligence (AI) system and may be configured to assist home dialysis patients, home dialysis patient caregivers, service providers, or a combination thereof, with methods performed at one or more of the local home dialysis machine walk-up service centers. A method that the robot may be configured to assist may include demonstrating home dialysis products to home dialysis patients, home dialysis patient caregivers, or both, the demonstration being performed by a nephrologist, clinician, technician, dietitian, or nutritionist at the home dialysis machine walk-up service center. A method that the robot may be configured to assist may include hosting a nutrition seminar for home dialysis patients, home dialysis patient caregivers, or both, the demonstration being performed by a nephrologist, clinician, technician, dietitian, or nutritionist at the home dialysis machine walk-up service center. A method that the robot may be configured to assist may comprise explaining an organ transplant procedure to a home dialysis patient, a home dialysis patient caregiver, or both, the explanation being provided by a nephrologist, clinician, nurse, doctor, or surgeon at a home dialysis machine walk-up service center. A method that the robot may be configured to assist may comprise assisting a home dialysis patient, a home dialysis patient caregiver, or both, with obtaining insurance benefits, the assistance being provided by a clinician, technician, social service worker, nurse, or insurance agent at a home dialysis machine walk-up service center. A method that the robot may be configured to assist may comprise advising a home dialysis patient, a home dialysis patient caregiver, or both, on how to perform a dialysis treatment, the advice being provided by a nephrologist, clinician, technician, nurse, or doctor at a home dialysis machine walk-up service center.

[0043]

[0044] The home dialysis machine walk-up service center may further be equipped with a contactless service feature, which may be implemented via an app loaded on a mobile computer or via a website accessed via a web browser on the mobile computer. The contactless service feature may be used to prevent patients, care partners, or caregivers from exposing themselves to environments that may be conducive to contracting illnesses such as COVID-19 infection, e.g., viral or bacterial infections. The app may enable patients, care partners, or caregivers to communicate with the home dialysis machine walk-up service center, doctors, clinicians, technicians, physicians, or repair specialists, among other things, to facilitate repair, maintenance, replacement, cleaning, or other service of the home dialysis machine through contactless procedures. Using the contactless service feature, patients, care partners, or caregivers can report problems with their home dialysis machines, which may be reported via prompts, text messages, voice messages, or combinations thereof. For example, notifications informing customers that software updates are available or that recall notices have been issued may be sent via the contactless service feature.

[0044]

[0045] The app can be configured to provide updates, upgrades, and patches to patients, care partners, caregivers, or other customers for software, firmware, hardware, or combinations thereof associated with, executed by, or stored on the home dialysis machine, its peripherals, or network, etc. The app can be configured to notify patients, care partners, caregivers, or other customers of available updates, upgrades, or patches to software, firmware, hardware, or combinations thereof associated with, executed by, or stored on the home dialysis machine, its peripherals, or network, etc. The app can specify required updates, recommended updates, optional updates, etc.

[0045]

[0046] As an example, the app may prompt the patient, care partner, or caregiver to answer questions and / or provide additional information regarding a problem with or related to the home dialysis machine. The app may prompt the patient, care partner, or caregiver to upload a photo or audio recording of the home dialysis machine for further diagnosis. If it is determined that the home dialysis machine needs to be repaired, maintained, replaced, and / or cleaned at a walk-up service center, the app may prompt the patient, care partner, or caregiver to schedule an appointment. On the appointment date, the patient, care partner, or caregiver may drive to the walk-up service center. The app may track the person or vehicle and notify the walk-up service center when the person arrives at the walk-up service center, or notify the walk-up service center via the app or another form of communication (e.g., via phone) that the person has arrived at the walk-up service center. Walk-up service center staff may meet the patient, care partner, or caregiver outside the walk-up service center, for example, in the patient's, care partner's, or caregiver's car or transport vehicle. Thus, convenient, contactless pickup, drop-off, or exchange of home dialysis machines, replacement dialysis machines, home dialysis machine components, peripheral devices used with home dialysis machines, or combinations thereof may be implemented. The app may provide curbside delivery of prescriptions, consumables, and other supplies. The app may provide links to software updates, tracking status of shipping orders, and the like.

[0046]

[0047] The home dialysis machine may have a user interface that the patient can use to send and receive information, instructions, and software. The user interface may include a device for inputting information, such as a touchscreen or keypad. The user interface may be used to transmit information to the user and may include, for example, a monitor, display screen, LCD display, speaker, or vibrating alarm. The user interface may be paired with or otherwise integrated with a home computer, such as a smartphone, tablet, smartwatch, smart headset, wearable device, embedded device, desktop, or laptop. The user interface assembly may be in continuous or intermittent data communication with the home dialysis machine, for example, via wireless radio frequency transmission (e.g., via standard wireless protocols such as LF, RF, or Bluetooth), but may alternatively or additionally be connected via a data cable, optical connection, or another suitable data connection. The user interface may communicate with the processor to input parameters or other data and receive status and function updates, such as the presence of any error conditions, the need for maintenance, expiration dates, remaining prescription amounts, or the presence of unauthorized disposable components. The interface may transmit an error signal to a walk-up service center, a doctor, the patient's guardian or medical professional, or the patient via telephone, email, pager, instant messaging, or other suitable communication device or medium.

[0047]

[0048] FIG. 1 is a flow diagram illustrating various steps and sequences performed according to an exemplary method implemented by a home dialysis machine network in accordance with an exemplary embodiment of the present invention. As shown in FIG. 1, the home dialysis machine sends prescription and treatment details to a walk-up service center. The center alerts a physician when necessary to request an updated or new prescription or instructions for the patient and the patient's home dialysis treatment. The physician sends the new prescription, new treatment instructions, or both, to the home dialysis machine. The home dialysis machine then administers the dialysis treatment to the patient. If physician interaction is not required, such as a maintenance reminder or cleaning instructions, the walk-up service center can send instructions directly to the home dialysis machine, the patient, or both. Prescriptions dispensed by the pharmacy system and provided instructions can be sent directly to the patient or the walk-up service center. An app can provide many of the same services as a service center. The home dialysis machine sends prescription and treatment details to the walk-up service center. The app can alert a physician when necessary to request an updated or new prescription or instructions for the patient and the patient's home dialysis treatment. A physician can send a new prescription, new treatment instructions, or both to the app. The app can then communicate with the home dialysis machine to administer the dialysis treatment to the patient. If physician interaction is not required, such as a maintenance reminder or cleaning instructions, the app can send instructions directly to the home dialysis machine, the patient, or both. Notifications regarding prescriptions dispensed by the pharmacy system and instructions provided can be sent directly to the patient or to a walk-up service center via the app.

[0048]

[0049] Figure 2 is a schematic diagram illustrating various physical or virtual spaces connected together physically and / or via the Internet that comprise a home dialysis machine network in accordance with an exemplary embodiment of the present invention. As shown in Figure 2, home dialysis machines are linked to a walk-up service center, a clinic, a pharmacy, a scheduling service, and a clinic or hospital via the Internet and wireless cloud-based computing and communications. The walk-up service center, as described herein, houses many functions, including a transportation service or office, a diagnostic department, an education and training department, a consultation department, an exercise and spa department, a recreation department, a sales department, a repair shop, an order and fulfillment center, a new technology department, a pharmacy, and a medical clinic. Each of the medical clinics and pharmacies physically connected to and part of the walk-up service center can be replaced by a separate medical clinic and pharmacy linked to the network only via the Internet. Alternatively, if the medical clinic, pharmacy, order and fulfillment center, or a combination thereof, is available via an Internet connection in a remote location, the walk-up service center need not be a location.

[0049]

[0050] The entire contents of all references cited in this disclosure are incorporated herein by reference in their entirety.Furthermore, when an amount, concentration, or other value or parameter is given as a range, a preferred range, or a list of a preferred upper limit and a preferred lower limit, this should be understood as specifically disclosing all ranges formed from any pair of any upper range or preferred upper limit and any lower range or preferred lower limit, regardless of whether such ranges are separately disclosed.When a range of numerical values ​​is described herein, unless otherwise stated, it is intended that the range includes its endpoints, and all integers and fractions within the range.It is not intended that the scope of the present invention be limited to the specific values ​​described when defining a range.

[0050]

[0051] All patents, patent applications, and published applications mentioned herein are incorporated by reference in their entirety unless otherwise indicated.

[0051]

[0052] Other embodiments of the invention will be apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. It is intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the invention being indicated by the following claims and equivalents thereof. The inventions described in the claims of the present application as originally filed are set forth below. [C1] 1. A home dialysis machine network comprising a home dialysis machine and one or more walk-up service centers, and (iii) supplies consumed before, during, or after operation of the home dialysis machine. [C2] 10. The home dialysis machine network of claim 1, wherein the supplies consumed during operation of the home dialysis machine comprise at least one member selected from disposable components, plastic components, single-use components, tubing sets, dialysate, concentrated dialysate, powdered dialysate, packets of electrolytes formulated to mix with water to form dialysate, batteries, electrodes, and cleaning supplies. [C3] The home dialysis machine network of claim 1, wherein at least one of the one or more walk-up service centers is further equipped with a staff consultation function configured to provide a meeting place for users of the home dialysis machine to consult with staff knowledgeable in at least one of maintenance, servicing, cleaning, repair, and use of the home dialysis machine. [C4] 10. The home dialysis machine network of claim 1, wherein the diagnostic tool comprises an app downloaded onto a remote device, the remote device configured to execute the app to upload information to the one or more walk-up service centers, the information relating to at least one of maintaining, servicing, cleaning, repairing, updating, controlling, and using the home dialysis machines. [C5] The home dialysis machine network of C1, wherein at least one of the one or more walk-up service centers is located within a pharmacy or drug store. [C6] 3. The home dialysis machine network of claim 1, wherein at least one of the one or more walk-up service centers is located within a medical facility. [C7] 3. The home dialysis machine network of claim 1, wherein at least one of the one or more walk-up service centers is located within a clinic. [C8] 3. The home dialysis machine network of claim 1, wherein at least one of the one or more walk-up service centers is located within a dialysis treatment clinic. [C9] 10. The home dialysis machine network of claim 1, wherein the component of the home dialysis machine or the peripheral device used with the home dialysis machine comprises a wearable device, a weight scale, a blood pressure monitor, a body composition monitor, a body composition monitor diagnostic kit, a tubing set, a blood oxygen monitor, a pulse oximeter, a heart rate monitor, a blood potassium monitor, a blood potassium diagnostic kit, a bioelectrode, or a combination thereof. [C10] 1. A home dialysis machine network comprising a home dialysis machine and one or more walk-up service centers, the home dialysis machine includes a processor, a transmitter, and a receiver; At least one of the one or more walk-up service centers comprises a diagnostic tool configured to diagnose the home dialysis machine, the diagnostic tool comprising a receiver configured to receive a status signal from the home dialysis machine; The home dialysis machine network, wherein the processor of the home dialysis machine is configured to send, via the transmitter, a status signal regarding a status of the home dialysis machine to the receiver of the diagnostic tool. [C11] The home dialysis machine network of C10, wherein the status signal comprises an error code generated by the home dialysis machine, the error code including data regarding a fault that occurred during operation of the home dialysis machine. [C12] The home dialysis machine network of C11, wherein the error code comprises data regarding at least one of an expiration date, an elapsed time, and a component authentication failure. [C13] The home dialysis machine network of C10, wherein the diagnostic tool comprises a display configured to display the status signal as an icon, text, or both. [C14] 10. The home dialysis machine network of claim 10, wherein the transmitter of the home dialysis machine has a first port and the receiver of the diagnostic tool has a second port, and the network is configured to transmit data from the home dialysis machine to the diagnostic tool via a wired connection between the first port and the second port. [C15] At least one of the one or more walk-up service centers comprises a pharmacy, the pharmacy comprising: at least one of a dialysate solution, a dialysate concentrate, a dialysate powder, and a packet of electrolytes formulated to mix with water to form the dialysate solution; a prescription verification system configured to verify a prescription of a dialysis fluid used in the home dialysis machine; a prescription delivery system that delivers the dialysate prescription to a user for whom the dialysate prescription has been prescribed; The home dialysis machine network of C10, comprising: [C16] 16. The home dialysis machine network of claim 15, wherein at least one of the one or more walk-up service centers comprises a doctor interface configured to enable a user to interface with a doctor and receive a dialysate prescription. [C17] The home dialysis machine network of C16, wherein the processor of the home dialysis machine is configured to generate a patient information signal related to one or more patient parameters obtained from treatment of the patient by the home dialysis machine. [C18] 19. The home dialysis machine network of claim 17, wherein the doctor interface comprises a physician computer processor, the prescription verification system comprises a pharmacy computer processor, the transmitter of the home dialysis machine is configured to wirelessly transmit patient information signals to the physician computer processor, the physician computer processor comprises a receiver for receiving the patient information signals and a transmitter for transmitting prescription information based on the patient information signals, and the pharmacy computer processor comprises a receiver for receiving the prescription information. [C19] The home dialysis machine network of C16, wherein the doctor interface comprises an interface transmitter and is further configured to transmit a prescription of dialysis fluid prescribed for the user to the pharmacy. [C20] The home dialysis machine network of C16, wherein the doctor interface comprises a doctor's chair, a doctor, or both. [C21] The home dialysis machine network of C15, wherein the prescription verification system comprises a computer, a pharmacist, or both. [C22] 10. The home dialysis machine network of claim 10, further comprising a scheduling system, the scheduling system comprising a telephone line, a website, or both, by which appointments can be scheduled for (i) repair or maintenance of the home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof, or (ii) an appointment with a doctor, pharmacist, nurse, home dialysis patient caregiver, clinician, technician, or a combination thereof, or (i) and (ii). [C23] 23. The home dialysis machine network of claim 22, wherein the scheduling system is configured to schedule appointments at one of the one or more walk-up service centers. [C24] 23. The home dialysis machine network of claim 22, wherein the scheduling system is configured to schedule appointments at the home of a user of the home dialysis machine. [C25] 23. The home dialysis machine network of claim 22, wherein the scheduling system is automated such that a user is prompted to enter information via telephone or internet to schedule an appointment without the need for human intervention with the user. [C26] The pharmacy includes a processor, the processor comprising: comparing various prescribeable consumables, a deductible amount for each of the various prescribeable consumables, and a reimbursable amount received by the pharmacy for each of the various prescribeable consumables; determining and displaying a prescribable consumable that offers the best cost / benefit ratio to the pharmacy based on the comparison made; The home dialysis machine network of C15, configured to perform the following: [C27] The pharmacy includes a processor, the processor comprising: Diagnosing patient information; determining an appropriate intervention that can be used based on said diagnosis; recommending product and service suggestions based on said diagnosis; recommending insurance policies based on the recommended product and service suggestions; The home dialysis machine network of C15, configured to perform the following: [C28] The home dialysis machine network of C10, wherein the diagnostic tool includes a processor and is configured to provide an action course signal including instructions to be performed during maintenance of the home dialysis machine based on a status signal received from the home dialysis machine. [C29] 20. The home dialysis machine network of claim 18, wherein the action policy signal comprises a forcing instruction, the receiver of the home dialysis machine is configured to receive the forcing instruction, and the home dialysis machine is configured to prevent treatment operation of the home dialysis machine until the forcing instruction is implemented. [C30] The home dialysis machine network of C10, wherein at least one of the one or more walk-up service centers comprises a help desk and a waiting area. [C31] A method for maintaining the home dialysis machines of the home dialysis machine network according to C10, comprising: transmitting a status signal to the diagnostic tool regarding the status of the device; generating an action course signal using the diagnostic tool, the action course signal comprising instructions to be implemented during maintenance of the home dialysis machine, the action course signal being generated based on the status signal received from the home dialysis machine; implementing a course of action at at least one of the one or more walk-up service centers based on the course of action signal; A method comprising: [C32] The method of C31, further comprising displaying a course of action indication generated based on the course of action signal. [C33] The method of C32, wherein at least one of the one or more walk-up service centers comprises a walk-up service center display, the method comprising displaying the course of action instructions on the walk-up service center display. [C34] The method of claim 31, wherein the course of action instructions include instructions for cleaning the home dialysis machine, the method further comprising cleaning the home dialysis machine at at least one of the one or more walk-up service centers. [C35] The method of claim 31, wherein the course of action instructions include instructions to replace the home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof, and the method further comprises replacing the home dialysis machine, a component of the home dialysis machine, a peripheral device used with the home dialysis machine, or a combination thereof at at least one of the one or more walk-up service centers. [C36] The processor of the home dialysis machine includes a cache, and the processor is configured to store event information in the cache, and the method includes: analyzing the event information stored in the cache; generating the course of action signal based also on the analysis of the event information; The method of C31, further comprising: [C37] The method of C31, wherein the course of action comprises uploading a software update to the home dialysis machine. [C38] The method of claim 31, wherein the course of action instructions include instructions for inputting a prescription into the home dialysis machine, the method further comprising inputting the prescription into the home dialysis machine at at least one of the one or more walk-up service centers. [C39] 3. The method of claim 2, wherein the home dialysis machine weighs less than 25 pounds, and the method further comprises transporting the home dialysis machine from a patient's home to at least one of the one or more walk-up service centers. [C40] The method comprises: transmitting a status signal regarding the home dialysis machine to a desired walk-up service center of the one or more walk-up service centers, the desired walk-up service center further comprising a center transmitter; receiving the transmitted status signal at the desired walk-up service center; determining whether a part is needed for the home dialysis machine at the desired walk-up service center, said determination being based on the transmitted status signal; (i) transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is needed and available, or (ii) transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is needed and not available but has been ordered, or (iii) transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is not needed; The method of claim C31, comprising: [C41] The method of claim 40, wherein at least a portion of the transmitting from the home dialysis machine to the desired walk-up service center is performed wirelessly, and the transmitting comprises transmitting directly or indirectly via one or more intermediate devices. [C42] The method of claim 40, wherein at least a portion of the transmitting from the desired walk-up service center to the home dialysis machine is performed wirelessly, and the transmitting comprises transmitting directly or indirectly via one or more intermediate devices. [C43] The method comprises: transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is needed and available; transporting the home dialysis machine to the desired walk-up service center; replacing the part at the desired walk-up service center; The method of claim C40, comprising: [C44] transmitting a status signal regarding the home dialysis machine to a desired walk-up service center of the one or more walk-up service centers, the desired walk-up service center further comprising a center transmitter; receiving the transmitted status signal at the desired walk-up service center; determining whether a software update is required and available for the home dialysis machine at the desired walk-up service center; transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating whether a software update for the home dialysis machine is needed and available; The method of C40, further comprising: [C45] The transmitting via the center transmitter includes: transmitting a signal that a software update for the home dialysis machine is needed and available; transmitting the software updates to the home dialysis machine as needed and available; The method of C44, further comprising: [C46] 1. A network comprising a home dialysis machine and one or more walk-up service centers, the home dialysis machine includes a memory, a transmitter, and a control system, the control system is configured to store treatment history information in the memory regarding treatments performed on patients using the home dialysis machine, the transmitter is configured to wirelessly transmit the treatment history information to at least one of the one or more walk-up service centers, the at least one of the one or more walk-up service centers including a receiver for receiving the treatment history information. [C47] 46. ​​The network of claim 45, wherein the home dialysis machine comprises a unique identifier, and the one or more walk-up service centers comprise an integrated system configured to identify the home dialysis machine by reading the unique identifier of the home dialysis machine, and the integrated system compares the unique identifier of the home dialysis machine with warranty information to determine whether the home dialysis machine is under warranty. [C48] 48. The network of claim 47, wherein the unique identifier comprises a data storage device, and wherein the control system is configured to store maintenance and repair history information in the data storage device regarding a history of maintenance and repair procedures that have been or need to be performed on the home dialysis machine. [C49] 10. A method of reporting treatment history information to at least one of the one or more walk-up service centers of the network as described in C46, ​​comprising: transmitting treatment history information from the transmitter of the home dialysis machine to a desired one of the one or more walk-up service centers, wherein at least a portion of the transmitting is performed wirelessly and the transmitting comprises transmitting directly or indirectly via one or more intermediate devices; receiving the transmitted treatment history information at the desired walk-up service center; transmitting a course of action instruction from the walk-up service center to the home dialysis machine; A method comprising: [C50] The method of claim 49, wherein the transmitted course of action instructions include instructions to transport the home dialysis machine to at least one of the walk-up service centers for cleaning, servicing, maintenance, repair, programming, or a combination thereof. [C51] 1. A method for educating home dialysis patients or caregivers at a home dialysis machine walk-up service center, comprising: demonstrating a home dialysis product to a home dialysis patient, a home dialysis patient caregiver, or both, said demonstrating being performed by a nephrologist, clinician, technician, dietician, or nutritionist at said home dialysis machine walk-up service center; conducting nutrition seminars for home dialysis patients, home dialysis patient caregivers, or both, said conducting being conducted by a nephrologist, clinician, technician, dietitian, or nutritionist at said home dialysis machine walk-up service center; explaining the organ transplant procedure to a home dialysis patient, a home dialysis patient caregiver, or both, said explaining being performed by a nephrologist, clinician, technician, nurse, doctor, or surgeon at said home dialysis machine walk-up service center; assisting a home dialysis patient, a home dialysis patient caregiver, or both, in obtaining insurance benefits, said assisting being performed by a clinician, technician, social service worker, nurse, or insurance agent at said home dialysis machine walk-up service center; advising a home dialysis patient, a home dialysis patient caregiver, or both, on how to perform a dialysis treatment, said advising being performed by a nephrologist, clinician, technician, nurse, or doctor at said home dialysis machine walk-up service center; The method comprising one or more of: [C52] The method of C51, further comprising transporting a home dialysis patient to or from the home dialysis machine walk-up service center. [C53] 1. A home dialysis machine walk-up service center, comprising: one or more local home dialysis machine walk-up service centers, wherein each local home dialysis machine walk-up service center is equipped with (i) diagnostic tools configured to diagnose home dialysis machines, home dialysis machine components, peripheral devices used with the home dialysis machines, or combinations thereof; (ii) parts for servicing, repairing, or both, the home dialysis machines, home dialysis machine components, peripheral devices used with the home dialysis machines, or combinations thereof; and (iii) supplies consumed before, during, or after operation of the home dialysis machines; Gym and Spa and The lounge and one or more dialysis treatment rooms comprising a dialysis machine configured for treatment of patients; One or more conference rooms; one or more stations stocked with food and beverages for dialysis treatment patients; One or more kiosks; and at least one of A home dialysis machine walk-up service center comprising: [C54] 10. A home dialysis equipment walk-up service center as described in C53, comprising one or more conference rooms, at least one of said conference rooms comprising a computing device and a screen configured to demonstrate new products to home dialysis patients, home dialysis patient caregivers, or both. [C55] A home dialysis machine walk-up service center as described in C54, wherein at least one of the conference rooms is equipped with a display configured to demonstrate new treatments to home dialysis patients, home dialysis patient caregivers, or both. [C56] A home dialysis machine walk-up service center as described in C54, wherein each of the one or more conference rooms comprises a computing device and a screen configured to provide seminars to home dialysis patients, home dialysis patient caregivers, or both, on new home dialysis techniques, surgical techniques, or both. [C57] The home dialysis machine walk-up service center of C54, wherein at least one of the conference rooms comprises educational materials configured to provide nutritional information to home dialysis patients, home dialysis patient caregivers, or both. [C58] 5. The home dialysis machine walk-up service center of claim 4, wherein at least one of the conference rooms comprises educational materials configured to provide organ transplant consultations to home dialysis patients, home dialysis patient caregivers, or both. [C59] 5. The home dialysis machine walk-up service center of claim 4, wherein at least one of the conference rooms comprises educational materials configured to provide insurance assistance to home dialysis patients, home dialysis patient caregivers, or both. [C60] The home dialysis machine walk-up service center of C54, wherein at least one of the conference rooms comprises educational materials configured to provide mental health treatment education to home dialysis patients, home dialysis patient caregivers, or both. [C61] The home dialysis machine walk-up service center of C53, further comprising a gym, the gym comprising a mirror. [C62] 5. The home dialysis machine walk-up service center of claim 3, further comprising a gym, the gym comprising a programmable treadmill. [C63] 5. The home dialysis machine walk-up service center of claim 3, further comprising a gym, the gym comprising a programmable rowing machine. [C64] 5. The home dialysis machine walk-up service center of claim 3, further comprising a gym, the gym comprising a programmable pedal exercise machine. [C65] The home dialysis machine walk-up service center of C53, further comprising a gym, the gym comprising an exercise bike. [C66] 54. The home dialysis machine walk-up service center of claim 53, comprising a repair workshop, the repair workshop comprising a workbench and tools, the tools configured to service the home dialysis machine. [C67] The home dialysis machine walk-up service center of C53, further comprising a videoconferencing center, the videoconferencing center being networked to a nephrologist clinic and configured to enable videoconferencing with a nephrologist. [C68] The home dialysis machine walk-up service center of C53, further comprising a theater and theater seating to allow persons to watch movies or other entertainment while waiting for the home dialysis machine to be analyzed, serviced, maintained, repaired, replaced, programmed, or a combination thereof. [C69] 5. The home dialysis machine walk-up service center of claim 3, further comprising a mobile vehicle programmed to transport people to and from the home dialysis machine walk-up service center. [C70] The home dialysis machine walk-up service center described in C69, wherein the mobile vehicle is equipped with an autonomous vehicle control system. [C71] The home dialysis machine walk-up service center described in C69, wherein the mobile vehicle has an integrated dialysis machine. [C72] 5. The home dialysis machine walk-up service center of claim 3, comprising one or more kiosks, at least one of the kiosks comprising a display unit including a display screen. [C73] A home dialysis machine walk-up service center as described in C53, comprising one or more kiosks, at least one of said kiosks comprising demonstration instructions including a home dialysis machine, components of a home dialysis machine, or both. [C74] The home dialysis machine walk-up service center of C53, wherein at least one of the one or more local home dialysis machine walk-up service centers further comprises a reader configured to read a device identifier located on or within a home dialysis machine, a component of a home dialysis machine, or a peripheral device used with the home dialysis machine. [C75] The home dialysis machine walk-up service center of C74, wherein the reader comprises a radio frequency identification (RFID) reader. [C76] The home dialysis machine walk-up service center of C74, wherein the reader comprises a barcode reader. [C77] The home dialysis machine walk-up service center of C74, wherein at least one of the one or more local home dialysis machine walk-up service centers further comprises a processor programmed to compare the read device identifier read by the reader with information regarding warranty, recall, notification, repair or maintenance history, or a combination thereof. [C78] The home dialysis machine walk-up service center described in C53, wherein the diagnostic tool comprises a processor and an input unit, the processor being programmed with predictive analytics software that recommends a suggested course of action based on symptom information entered into the input unit. [C79] inputting symptom information into the input unit of the diagnostic tool of the home dialysis machine walk-up service center described in C78; processing the input information using the predictive analytics software; and recommending a proposed course of action based on said processing; and implementing said proposed course of action; and A method comprising: [C80] The home dialysis machine walk-up service center described in C53, wherein the diagnostic tool includes an artificial intelligence (AI) system, the AI ​​system being programmed to use information obtained from the diagnostic tool to build a database and learn how to best predict the course of action required to service the home dialysis machine diagnosed by the diagnostic tool. [C81] The home dialysis machine walk-up service center described in C80, wherein the AI ​​system is programmed with a learning capture and evaluation program that screens for maintenance issues related to home dialysis machines at the home dialysis machine walk-up service center. [C82] The home dialysis machine walk-up service center described in C53, further comprising a robot at one or more of the local home dialysis machine walk-up service centers, the robot configured with an artificial intelligence (AI) system and configured to assist a home dialysis patient, a home dialysis patient caregiver, a service provider, or a combination thereof, with a method performed at one or more of the local home dialysis machine walk-up service centers. [C83] The method includes: demonstrating a home dialysis product to a home dialysis patient, a home dialysis patient caregiver, or both, said demonstrating being performed by a nephrologist, clinician, technician, dietician, or nutritionist at said home dialysis machine walk-up service center; conducting nutrition seminars for home dialysis patients, home dialysis patient caregivers, or both, said conducting being conducted by a nephrologist, clinician, technician, dietitian, or nutritionist at said home dialysis machine walk-up service center; explaining the organ transplant procedure to a home dialysis patient, a home dialysis patient caregiver, or both, said explaining being performed by a nephrologist, clinician, nurse, doctor, or surgeon at said home dialysis machine walk-up service center; assisting a home dialysis patient, a home dialysis patient caregiver, or both, in obtaining insurance benefits, said assisting being performed by a clinician, technician, social service worker, nurse, or insurance agent at said home dialysis machine walk-up service center; advising a home dialysis patient, a home dialysis patient caregiver, or both, on how to perform a dialysis treatment, said advising being performed by a nephrologist, clinician, technician, nurse, or doctor at said home dialysis machine walk-up service center; 8. The home dialysis machine walk-up service center of claim 7, further comprising:

Claims

1. A system for maintaining a home dialysis device, comprising: a home dialysis machine; one or more walk-up service centers; and a robot at one or more of the one or more walk-up service centers; Each walk-up service center is equipped with (i) diagnostic tools configured to diagnose the home dialysis machine, components of the home dialysis machine, peripheral devices used with the home dialysis machine, or combinations thereof; (ii) parts for servicing, repairing, or both the home dialysis machine, components of the home dialysis machine, peripheral devices used with the home dialysis machine, or combinations thereof; and (iii) supplies consumed before, during, or after operation of the home dialysis machine; the robot is configured with an artificial intelligence (AI) system and configured to assist a home dialysis patient, a home dialysis patient caregiver, a service provider, or a combination thereof with a method performed at one or more of the one or more walk-up service centers; system.

2. 10. The system of claim 1, wherein at least one of the one or more walk-up service centers further comprises a staff consultation function configured to provide a meeting place for users of the home dialysis equipment to consult with staff knowledgeable in at least one of maintenance, servicing, cleaning, repair, and use of the home dialysis equipment.

3. 10. The system of claim 1, wherein the diagnostic tool comprises an app downloaded onto a remote device, the remote device configured to execute the app to upload information to the one or more walk-up service centers, the information relating to at least one of maintenance, servicing, cleaning, repair, and use of the home dialysis machine.

4. 1. A system for servicing a home dialysis machine, the system comprising: a home dialysis machine; one or more walk-up service centers; and a robot at one or more of the one or more walk-up service centers, the system comprising: the home dialysis machine includes a processor, a transmitter, and a receiver; At least one of the one or more walk-up service centers comprises: (i) a staff consultation function that provides a meeting place for consultation with staff familiar with the home dialysis machine; (ii) a diagnostic tool configured to diagnose the home dialysis machine, the diagnostic tool including a diagnostic tool receiver configured to receive status signals from the home dialysis machine; (iii) parts for servicing, repairing, or both the home dialysis machine; and (iv) a repair workshop, the repair workshop including a workbench and tools, the tools configured to service the home dialysis machine; the processor of the home dialysis machine is configured to send a status signal to the diagnostic tool receiver via the transmitter regarding a status of the home dialysis machine; the robot is configured with an artificial intelligence (AI) system and configured to assist a home dialysis patient, a home dialysis patient caregiver, a service provider, or a combination thereof with a method performed at one or more of the one or more walk-up service centers; system.

5. 5. The system of claim 4, wherein the status signal comprises an error code generated by the home dialysis machine, the error code including data regarding a fault encountered during operation of the home dialysis machine.

6. At least one of the one or more walk-up service centers comprises a pharmacy, the pharmacy comprising: at least one of a dialysate solution, a dialysate concentrate, a dialysate powder, and a packet of electrolytes formulated to mix with water to form the dialysate solution; a prescription verification system configured to verify a prescription of a dialysis fluid used in the home dialysis machine; a prescription delivery system that delivers the dialysate prescription to a user for whom the dialysate prescription has been prescribed; The system of claim 4 , comprising:

7. 7. The system of claim 6, wherein at least one of the one or more walk-up service centers comprises an interface configured to enable a user to receive a dialysate prescription, the processor of the home dialysis machine is configured to generate patient information signals related to one or more patient parameters obtained from treatment of the patient with the home dialysis machine, the interface comprises a physician computer processor, the prescription verification system comprises a pharmacy computer processor, the transmitter of the home dialysis machine is configured to wirelessly transmit patient information signals to the physician computer processor, the physician computer processor comprises a receiver for receiving the patient information signals and a transmitter for transmitting prescription information based on the patient information signals, and the pharmacy computer processor comprises a receiver for receiving the prescription information.

8. the diagnostic tool comprises a processor and is configured to provide, based on a status signal received from the home dialysis machine, a course of action signal comprising instructions to be performed during maintenance of the home dialysis machine; 5. The system of claim 4, wherein the course of action signal comprises a forcing instruction, the receiver of the home dialysis machine is configured to receive the forcing instruction, and the home dialysis machine is configured to prevent treatment operation of the home dialysis machine until the forcing instruction is implemented.

9. 5. A method of maintaining the system of claim 4, comprising: transmitting a status signal to the diagnostic tool regarding the status of the device; generating an action course signal using the diagnostic tool, the action course signal comprising instructions to be implemented during maintenance of the home dialysis machine, the action course signal being generated based on the status signal received from the home dialysis machine; implementing a course of action at at least one of the one or more walk-up service centers based on the course of action signal; A method comprising:

10. The processor of the home dialysis machine includes a cache, and the processor is configured to store event information in the cache, and the method includes: analyzing the event information stored in the cache; generating the course of action signal based also on the analysis of the event information; The method of claim 9 further comprising:

11. The method comprises: transmitting a status signal regarding the home dialysis machine to a desired walk-up service center of the one or more walk-up service centers, the desired walk-up service center further comprising a center transmitter; receiving the transmitted status signal at the desired walk-up service center; determining whether a part is needed for the home dialysis machine at the desired walk-up service center, said determination being based on the transmitted status signal; (i) transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is needed and available, or (ii) transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is needed and not available but has been ordered, or (iii) transmitting a signal from the desired walk-up service center to the home dialysis machine via the center transmitter indicating that a part is not needed; The method of claim 9 comprising:

12. 5. The system of claim 4, wherein the home dialysis machine includes a memory and a control system, the control system configured to store treatment history information regarding treatments performed on patients using the home dialysis machine in the memory, and the transmitter configured to wirelessly transmit the treatment history information to the diagnostic tool receiver.

13. 13. The system of claim 12, wherein the home dialysis machine comprises a unique identifier, the one or more walk-up service centers comprise an integrated system configured to identify the home dialysis machine by reading the unique identifier of the home dialysis machine, the integrated system matching the unique identifier of the home dialysis machine with warranty information to determine whether the home dialysis machine is under warranty, the unique identifier comprises a data storage device, and the control system is configured to store maintenance and repair history information in the data storage device regarding a history of maintenance and repair procedures that have been or need to be performed on the home dialysis machine.

14. 13. A method for reporting treatment history information to at least one of the one or more walk-up service centers of the system of claim 12, comprising: transmitting treatment history information from the transmitter of the home dialysis machine to a desired one of the one or more walk-up service centers, wherein at least a portion of the transmitting is performed wirelessly and the transmitting comprises transmitting directly or indirectly via one or more intermediate devices; receiving the transmitted treatment history information at the desired walk-up service center; transmitting a course of action instruction from the walk-up service center to the home dialysis machine; A method comprising:

15. The at least one or more walk-up service centers equipped with the diagnostic tool, Gym and Spa and The lounge and one or more dialysis treatment rooms comprising a dialysis machine configured for treatment of patients; one or more conference rooms; one or more stations stocked with food and beverages for dialysis treatment patients; one or more kiosks; and at least one of The system of claim 4 further comprising:

16. 16. The system of claim 15, wherein the diagnostic tool comprises a processor and an input unit, the processor programmed with predictive analytics software that recommends a suggested course of action based on symptom information entered into the input unit.

17. 16. The system of claim 15, wherein the diagnostic tool comprises an artificial intelligence (AI) system, the AI ​​system being programmed to use information obtained from the diagnostic tool to build a database and learn how to best predict a course of action required to maintain a home dialysis machine diagnosed by the diagnostic tool.

Images