Dialysis Device Dynamic Treatment Re-evaluation
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Solution Overview
Problem
Current dialysis devices lack the ability to dynamically adjust treatment settings to achieve therapeutic objectives while allowing flexibility in individual treatment sessions, particularly in response to patient modifications or clinical conditions, and do not effectively re-evaluate treatment options based on measured parameters.
Innovation Solution
A dialysis device with a prescriber interface for inputting therapeutic objectives and a re-evaluation means that suggests treatment options by adjusting settings such as duration, blood flow, fluid removal rate, and dialysis fluid composition, allowing patient modifications and measuring clinical parameters to ensure therapeutic objectives are met, with a graphical interface for displaying treatment results.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If treatment settings are modified by the patient via patient interface, then flexibility and ease of operation are improved, but reliability of achieving therapeutic objectives deteriorates
Solution Approach 1:
The re-evaluation means continuously monitors treatment parameters and compares actual treatment delivery against therapeutic objectives, providing feedback to both the control means and patient interface. This feedback loop ensures that when patients modify settings, the system detects deviations and alerts prescribers or suggests corrective actions, maintaining reliability while preserving patient flexibility.
Solution Approach 2:
The re-evaluation means acts as an intermediary between the patient interface and the treatment delivery system. It evaluates proposed or actual treatment modifications against therapeutic objectives before implementation, or after implementation to detect deviations. This intermediary layer ensures patient flexibility does not compromise therapeutic reliability.
2Reliability
If treatment parameters are strictly programmed by prescriber, then reliability of achieving therapeutic objectives is improved, but adaptability to patient needs and clinical conditions deteriorates
Solution Approach 1:
The system transitions from static prescriber-programmed parameters to dynamic treatment management. The re-evaluation means continuously assesses treatment progress against therapeutic objectives and can trigger adaptive responses through the control means, allowing treatment parameters to dynamically adjust based on actual treatment delivery and patient needs while maintaining therapeutic reliability.
Solution Approach 2:
The re-evaluation means enables the treatment system to self-monitor and self-adjust within predefined boundaries. By automatically evaluating treatment parameters and comparing them against therapeutic objectives, the system can identify deviations and initiate corrective actions without requiring constant prescriber intervention, thus maintaining reliability while improving adaptability.
3Reliability
If re-evaluation means continuously monitors and suggests treatment options, then reliability of achieving therapeutic objectives is improved, but device complexity increases
Solution Approach 1:
The re-evaluation means extracts and isolates the complex monitoring and evaluation functions from the core treatment delivery system. By separating the evaluation logic into a dedicated module that interfaces with both the prescriber interface and patient interface, the system achieves reliable therapeutic monitoring without significantly complicating the overall device architecture or operation.
4Adaptability or versatility
If multiple treatment options are suggested based on measured parameters, then adaptability to clinical conditions is improved, but ease of operation deteriorates
Solution Approach 1:
The re-evaluation means serves as an intermediary that processes complex treatment optimization calculations and presents simplified, clinically relevant treatment options to patients through the patient interface. It translates multiple possible treatment adjustments into understandable options with clear rationale, maintaining adaptability while preserving ease of operation.
Data Source
AI summary
A dialysis device comprising a prescriber interface and a programming means configured to allow, via the prescriber interface, input of a set of therapeutic objectives and a treatment plan and a re-evaluation means configured to, as a function of the therapeutic objectives and the treatment plan, suggest at least one treatment option comprising a set of settings of a treatment session to achieve said set of therapeutic objectives.