JP2014200331A - Automatic peritoneal dialyzer - Google Patents

Abstract

Provided is an automatic peritoneal dialysis apparatus that allows a peritoneal dialysis patient to cope with this alarm when an alarm is generated so that the peritoneal dialysis treatment cannot be continued. An automatic peritoneal dialysis device 1 is a procedure for coping with an alarm when a peritoneal dialysis treatment alarm is generated during a peritoneal dialysis treatment of a patient by sending a casing 1A and peritoneal dialysis fluid. The mounting unit 500 for mounting the storage medium MD storing the operation guide information indicating the display unit 10, the display unit 10 provided in the housing unit 1 </ b> A, and the housing unit 1, and the minimum required from the recording medium A control unit 200 that reads out the operation guide information and causes the display unit 10 to display the operation guide information. [Selection] Figure 8

Description

  The present invention relates to an improvement in an automatic peritoneal dialysis apparatus using a cassette.

For example, a patient who needs to undergo hemodialysis due to a decrease in kidney function visits the hospital three or four times a week and undergoes hemodialysis while being restrained by a hemodialysis apparatus for four to five hours.
On the other hand, from the viewpoint of patient convenience, an automatic peritoneal dialysis apparatus in which an automatic peritoneal dialysis apparatus is disposed at the patient's home and is operated by the patient himself is being used (see Patent Document 1). ). In such an automatic peritoneal dialysis device, a doctor must examine the degree and progress of the patient's illness and make the dialysis content based on the prescription that is the result of the diagnosis.

Therefore, in the hospital, a doctor gives a document describing the prescription contents to the patient, the patient returns home, and the peritoneal dialysis is performed by setting the contents as prescribed for the automatic peritoneal dialysis machine at home. I try to receive it.
In the conventional automatic peritoneal dialysis device, as its main operation part, a tube for feeding from the peritoneal dialysate bag, a switching part for feeding liquid such as a clamp, and a diaphragm pump for providing driving force for feeding, The heating part of the peritoneal dialysis solution is set together, and a cassette and a set of tubes attached to the set of tubes are used. This cassette was replaced every time it was used, and the used cassette body and tube set were discarded.

In dialysis treatment using such an automatic peritoneal dialysis device, a predetermined amount of peritoneal dialysis solution is delivered into the abdominal cavity of the patient, stored in the abdominal cavity for a predetermined time, subjected to dialysis treatment through the peritoneum, and then peritoneal cavity. The peritoneal dialysis treatment is performed by one cycle by feeding, storing, and draining the peritoneal dialysis fluid.
Patent Document 2 discloses an apparatus that displays a work procedure on a display unit so that an explanation corresponding to the work proficiency level can be made in explaining the work procedure of a patient. In Patent Document 3, even when treatment based on prescription is not actually performed, a work procedure is displayed on the display unit so that an explanation can be given to the patient according to the work procedure of actual treatment. An apparatus for displaying is disclosed.

Japanese Patent Laid-Open No. 2003-704 JP 2012-73847 A JP 2012-75451 A

  By the way, when a peritoneal dialysis patient is performing a peritoneal dialysis treatment using an automatic peritoneal dialysis device, an alarm is generated so that the peritoneal dialysis solution injection line may be blocked and the peritoneal dialysis treatment cannot be continued. If this is the case, it is desirable to allow peritoneal dialysis patients to respond to this alarm in an automatic peritoneal dialysis machine.

  Therefore, the present invention provides an automatic peritoneal dialysis apparatus that allows a peritoneal dialysis patient to cope with this alarm and solve the problem when an alarm is generated so that the peritoneal dialysis treatment cannot be continued. For the purpose.

The automatic peritoneal dialysis device of the present invention has a dialysate circuit including at least one dialysate container filled with dialysate and at least one drainage recovery container for collecting dialysate, and the dialysate container as a starting point. Or having a liquid feeding means for feeding dialysate with the drainage collection container as an end point, and a liquid feeding amount setting means for setting a liquid feeding amount by the liquid feeding means, An automatic peritoneal dialysis device that is controlled by a control unit so as to operate so as to collect and discharge the drainage, and in the case of peritoneal dialysis treatment of the patient by the housing part and the delivery of the peritoneal dialysate When an alarm relating to the peritoneal dialysis treatment occurs, a mounting unit for mounting a storage medium storing operation guide information indicating a procedure for coping with the alarm, and a display unit provided in the housing unit And provided in the housing portion, It reads the operation guide information from a recording medium, characterized by comprising a control unit for displaying on the display unit.
According to the above configuration, when the alarm regarding the peritoneal dialysis treatment occurs during the peritoneal dialysis treatment of the patient, the minimum necessary operation guide information indicating the procedure for coping with the alarm is recorded on the display unit. Can be read out and displayed on the display unit. For this reason, when an alarm is issued so that the peritoneal dialysis treatment cannot be continued, the peritoneal dialysis patient can cope with this alarm in the automatic peritoneal dialysis apparatus and solve the problem.

Preferably, the operation guide information is minimum required operation guide information in accordance with the content of the alarm and based on the structure of the automatic peritoneal dialysis apparatus.
According to the above configuration, “minimum necessary guide information” means that the automatic peritoneal dialysis apparatus has a display unit, and the apparatus uses the “image information” and “character information” to display the operation guide information. In the case of trying to display, if it can be estimated that the user can operate only with the explanation screen using the character information without displaying the image information, depending on the content of the guide information, the character information It is information whose content is to display only. As a result, the capacity of the stored data can be suppressed, the burden on the storage means can be reduced as much as possible, and the display speed can be improved.
Preferably, the housing unit is provided with a storage unit that stores the minimum necessary operation guide information as the operation guide information.
According to the above configuration, the storage medium stores the minimum necessary operation guide information that is the same as the minimum necessary operation guide information stored in the storage unit of the housing unit. The limited operation guide information can be used as a backup of the minimum necessary operation guide information stored in the storage unit of the housing unit.

  Preferably, the storage unit of the housing unit stores the minimum necessary operation guide information that allows the patient to cope with the alarm and image data indicating a more detailed operation procedure, In the storage medium, a minimum necessary operation guide capable of coping with a backup alarm having the same content as the minimum necessary operation guide information capable of coping with the alarm stored in the memory unit of the housing unit. Information and image data indicating a more detailed operation procedure for backup having the same contents as the image data indicating the more detailed operation procedure stored in the storage unit of the housing unit are separately stored. The control unit is configured so that each time the automatic peritoneal dialysis device is started, the operation guide information that can deal with the backup alarm of the storage medium and the backup And an image data showing a more detailed operating procedures, reads and characterized in that a structure to be displayed on the display unit.

  According to the above configuration, the control unit provides the minimum necessary operation guide information that can deal with a storage medium backup alarm and a more detailed operation procedure for backup each time the automatic peritoneal dialysis device is started. Since the displayed image data is read out and displayed on the display unit, both the minimum necessary operation guide information and the image data indicating a more detailed operation procedure can be displayed on the display unit. For this reason, the peritoneal dialysis patient is displayed on the display unit regardless of the quality of the image data indicating the minimum necessary operation guide information and the more detailed operation procedure stored in the storage unit of the housing unit. The problem can be solved by referring to the minimum operation guide information necessary to solve the problem. Moreover, the peritoneal dialysis patient can solve the problem more easily visually by referring to the image data showing the detailed operation procedure to solve the problem evaluated in the display unit.

Preferably, the operation guide information capable of coping with the alarm includes an alarm message, an operation button, and an error code, and the image data indicating the more detailed operation procedure is a pictorial diagram specifically showing the operation procedure. Features.
According to the above configuration, the peritoneal dialysis patient can reliably solve the problem by using the alarm message, operation button, and error code of the minimum operation guide information, and shows a more detailed operation procedure. The problem can be solved more visually and easily with the pictorial diagram of the image data.

Preferably, the image data indicating the more detailed operation procedure is not stored in advance in the storage unit of the housing unit, and the control unit is activated each time the automatic peritoneal dialysis device is activated. The operation guide information capable of coping with the backup alarm of the storage medium and the image data indicating the more detailed operation procedure for the backup are read out and displayed on the display unit. And
According to the above configuration, image data indicating a more detailed operation procedure is not stored in the storage unit of the casing unit in advance, so the storage unit of the casing unit having a small storage capacity is used. Can do. For this reason, cost reduction of an automatic peritoneal dialysis apparatus can be achieved.

Preferably, a telephone number of a call center is displayed on the display unit, and the control unit contacts the call center when the operation procedure displayed on the display unit cannot move to the next operation procedure. The notification is made to the patient by the notification means.
According to the above configuration, the notification by the notification means allows the patient to contact the call center with certainty, smoothly solve the problem, and continue the peritoneal dialysis treatment.
Preferably, the recording medium protection structure unit protects the storage medium mounted on the mounting unit from being taken out.
According to the above configuration, since the patient cannot access the recording medium and the service staff can access the recording medium, safety in use of the automatic peritoneal dialysis apparatus can be ensured.

  The present invention minimizes calls to the call center when an alarm is issued to prevent continued peritoneal dialysis treatment, so that the peritoneal dialysis patient himself or his caregiver can easily handle this alarm on an automatic peritoneal dialysis machine. An automatic peritoneal dialysis device that can be provided can be provided.

The perspective view which shows the state which closed the cover member of the cassette mounting part of preferable embodiment of the automatic peritoneal dialysis apparatus of this invention. The perspective view which shows the state which opened the cover member of the cassette mounting part of preferable embodiment of the automatic peritoneal dialysis apparatus of this invention. The perspective view which shows the preferable example of the lower housing | casing part and cassette of an automatic peritoneal dialysis apparatus. The top view of a cassette. The rear view of a cassette. The perspective view which shows the internal structure of a cassette. The perspective view which shows the back side of the automatic peritoneal dialysis apparatus shown in FIG. The figure which shows the structural example of the automatic peritoneal dialysis apparatus, the control unit, and the memory card for maintenance MD. The block diagram which shows the function of an automatic peritoneal dialysis apparatus. The block diagram which shows the electrical connection example of an automatic peritoneal dialysis apparatus. The perspective view which shows a mode that a cassette is mounted in a cassette mounting part. The figure which shows the pneumatic circuit of an automatic peritoneal dialysis apparatus. The figure which shows the example of a display of the coping procedure which a display part can display for the countermeasure when the peritoneal dialysis patient is performing peritoneal dialysis treatment, for example, when alarms, such as obstruction | occlusion of an injection line, generate | occur | produce. The figure which shows the example of a display of the coping procedure which a display part can display following FIG. The figure which shows the example of a display of the coping procedure which a display part can display following FIG. The figure which shows the example of a display of the coping procedure which a display part can display following FIG. The figure which shows the example of a display of the coping procedure which a display part can display following FIG. The figure which shows the example of a display of the coping procedure which a display part can display following FIG.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.
1 and 2 are perspective views showing a preferred embodiment of the automatic peritoneal dialysis apparatus of the present invention. 1 shows a state in which the lid member of the cassette mounting portion 100 of the automatic peritoneal dialysis apparatus 1 is closed, and FIG. 2 is a perspective view showing a state in which the lid member of the cassette mounting portion 100 of the automatic peritoneal dialysis apparatus 1 is opened. is there. FIG. 3 is a perspective view showing a preferred example of the lower casing 3 and the cassette 100 of the automatic peritoneal dialysis device 1.

The automatic peritoneal dialysis device 1 shown in FIGS. 1 and 2 has a housing portion 1A, and the housing portion 1A has an upper housing portion 2 and a lower housing portion 3. When the cassette 100 is not attached, the weight of the automatic peritoneal dialysis device 1 is 9 kg, which is light. Each of the upper housing 2 and the lower housing 3 is a box-shaped member made of, for example, plastic. The upper housing part 2 has a front surface part 4, an upper surface part 5, left and right side surface parts 6 and 7, and a back surface part 8 and covers the upper part of the lower housing part 3.
The shape of the front surface portion 4 of the upper housing portion 2 considers the use of a peritoneal dialysis patient who is a user. In order to make it easier for the peritoneal dialysis patient to see the information content displayed on the display unit 10 of the front unit 4 and to easily operate the start switch 11 and the stop switch 12, the front unit 4 has an angle with respect to the vertical line. Inclined obliquely at θ. A display unit 10 is disposed at the center of the front unit 4, and a start switch 11 and a stop switch 12 are disposed at the left and right positions of the display unit 10.

The display unit 10 has a touch panel type input screen. The display unit 10 can visually notify information content to a user such as a peritoneal dialysis patient, input necessary peritoneal dialysis conditions, and confirm peritoneal dialysis conditions. The display unit 10 allows a peritoneal dialysis patient to directly input various peritoneal dialysis conditions with a finger when the patient directly touches the finger. The peritoneal dialysis patient can notify the operation state of the automatic peritoneal dialysis device 1 by directly touching the screen of the display unit 10 with a finger. Here, the operating state of the automatic peritoneal dialysis device 1 refers to, for example, injecting peritoneal dialysis fluid into the abdominal cavity based on various peritoneal dialysis modes set in accordance with a patient to which peritoneal dialysis fluid to be described later is sent. The state during the injection process or the drainage process for draining the peritoneal dialysate from the abdominal cavity, the end of the peritoneal dialysis process, or the like.
The display unit 10 can display operation guide information and the like for coping with the alarm when an alarm occurs, and the peritoneal dialysis patient can deal with the alarm by directly touching the screen of the display unit 10 with a finger. This alarm can be cleared by direct operation.

  The display unit 10 can employ a color liquid crystal display device, an organic EL (electroluminescence) display device, or the like that allows a peritoneal dialysis patient to directly perform various operations by touching with a finger. On the screen of the display unit 10, for example, a plurality of touch-operated icons 10A to 10F that are relatively large and easy to operate are provided. As these icons, for example, a “return” icon 10A for returning the operation to the previous state, a “confirmation” icon 10B, icons 10C to 10F for setting peritoneal dialysis conditions, and the like are provided.

  The front surface portion 4 shown in FIGS. 1 and 2 has inclined portions 4 </ b> A to 4 </ b> D, and the inclined portions 4 </ b> A to 4 </ b> D are formed around the display unit 10. Therefore, the display unit 10 is arranged at a position slightly depressed from the surface of the front surface part 4. In the example of FIGS. 1 and 2, index protrusions 9D to 9F are formed on the upper inclined portion 4A at positions corresponding to the icons 10D to 10F. Similarly, index protrusions 9A to 9C are formed on the lower inclined portion 4C at positions corresponding to icons 10A to 10C having touch panel functions.

By the way, these index protrusions 9A to 9F indicate the positions of the icons 10A to 10F on the screen of the display unit 10, respectively. For example, even when the peritoneal dialysis patient is amblyopic or invisible, the index protrusions 9A to 9F touch the indicator protrusions 9A to 9F on the screen of the display unit 10. The positions of the icons 10A to 10F can be accurately confirmed. For this reason, the selection mistake of the patient for liquid feeding can be prevented.
The index protrusions 9A to 9F shown in FIGS. 1 and 2 are, for example, rectangular parallelepiped protrusions, but are not limited to this, and other shapes may be adopted. In addition, the index protrusions 9A to 9F may adopt “Braille” indicating the contents of the icons 10A to 10F instead of such a simple shape.

  As shown in FIG. 1 and FIG. 2, a start switch 11 is disposed on the front side 4 at the right position of the display unit 10, and a stop switch 12 is disposed at the left position of the display unit 10. Since the start switch 11 and the stop switch 12 are particularly important switches, they are not provided on the screen of the display unit 10 and, as will be described later, the peritoneal dialysis patient directly operates mechanically and clicks. It is formed in a large size so that you can feel it. The start switch 11 has a pilot lamp 11L, and the stop switch 12 has a pilot lamp 12L.

A cassette mounting portion 20 is provided on the lower front side of the lower housing portion 3 shown in FIG. A flat cassette 100 shown in FIG. 3 can be manually and detachably mounted on the cassette mounting portion 20. The lower housing part 3 includes a left side part 22, a right side part 23, a back part 24, and a bottom part 25.
As shown in FIGS. 1 to 3, the cassette mounting portion 20 has a substantially rectangular lid member 21 that can be opened and closed on the front side. The lid member 21 can be exposed to the inside of the cassette mounting portion 20 by opening and closing in the R direction using the hinges 26, 26 on both sides. The detailed structure of the cassette 100 shown in FIG. 3 will be described later.

  As shown in FIG. 2, the cassette mounting portion 20 includes a main body portion 30, a first latch 31, a second latch 32, and a shade 33. The main body 30 and the shade 33 are, for example, metal members. The first latch 31 and the second latch 32 guide the cassette 100 shown in FIG. 3 into the cassette mounting portion 20 or take it out from the cassette mounting portion 20. Thus, since the first latch 31 and the second latch 32 have a function of directly contacting the plastic cassette 100 shown in FIG. 3 and guiding the movement of the cassette 100, the cassette 100 side is damaged. Made of plastic so that there is no.

Next, an example of the structure of the cassette 100 will be described with reference to FIGS.
FIG. 4 is a top view of the cassette 100, and FIG. 5 is a rear view of the cassette 100. FIG. 6 is a perspective view showing the internal structure of the cassette 100. In FIG. 6, the entire first casing unit 101 is illustrated, but the second casing unit 102 is illustrated only in the lower portion for the sake of space. As shown in FIG. 4, the cassette 100 includes a plastic first housing portion 101, a second housing portion 102, a pump portion 103, heating portions 104A and 104B, a tube flow path switching portion 105, and the like. have.

  As shown in FIGS. 5 and 6, the first housing unit 101 includes a panel unit 106, a frame unit 107, an opening 108, and an extension unit 109. Similarly, as shown in FIG. 4, the second housing part 102 includes a panel part 110, a frame part 111, an opening part 112, and an extension part 113. The panel part 106 and the panel part 110 are overlapping parts, the frame part 107 and the frame part 111 are overlapping parts, and the extension part 109 and the extension part 113 are overlapping parts.

  As shown in FIG. 4, the first housing portion 101 and the second housing portion 102 can be detachably fixed to each other by four connecting portions 114 and three connecting portions 115. The casing 101 and the second casing 102 can be reused repeatedly as necessary. Four connecting portions 114 are provided on the frame portion 107 and the frame portion 111, and three connecting portions 115 are provided on the insertion rear end portion 100 </ b> N side of the cassette 100.

The three connecting portions 115 shown in FIGS. 5 and 6 have a fitting projection 115A and a fitting recess 115B as shown in FIG. 6, and the fitting projection 115A is formed on the second housing portion 102 side. ing. A fitting recess 115B is formed on the first housing 101 side, and the fitting protrusion 115A is detachably fitted to the fitting recess 115B.
Further, the four connecting portions 114 shown in FIG. 4 have a fitting projection 114A and a fitting recess 114B, and the fitting projection 114A is formed on the second housing portion 102 side. A fitting recess 114B is formed in the first body portion 101, and the fitting protrusion 114A is detachably fitted to the fitting recess 114B.

  As shown in FIG. 6, the pump unit 103 indicated by a two-dot chain line is fixed so as to be sandwiched between the panel unit 106 of the first casing unit 101 and the panel unit 110 of the second casing unit 102. Has been. As will be described later, the pump unit 103 is a driving unit that exerts a driving force for feeding peritoneal dialysate, and a diaphragm pump, an intermittent pump, or the like is used as the pump unit 103 as described later. The diaphragm pump refers to a structure that is housed in a sealed state by a flange member and is pressurized or depressurized by air pressure. Thereby, in order to send peritoneal dialysate, the diaphragm pump contracts when pressurized and expands when decompressed.

As shown in FIG. 6, the tube flow path switching unit 105 is between the panel unit 106 of the first housing unit 101 and the panel unit 110 of the second housing unit 102, and next to the pump unit 103. It is fixed so as to be sandwiched between positions.
6 is a clamp disposed in the upper casing 2 of the automatic peritoneal dialysis apparatus 1 shown in FIG. 1 in the middle of the dialysate flow path disposed in the cassette 100. By switching, the flow path for peritoneal dialysis fluid is switched, and the flow path for liquid feeding processing or drainage processing is switched.

The tube flow path switching unit 105 shown in FIG. 6 is thinly formed in a film shape and includes flow paths 105A to 105G. One and the other dialysate heating portions 104A and 104B are formed in a film shape and are detachably disposed in the openings 108 and 112, respectively. In one and the other dialysate heating sections 104A and 104B, a flow path 120 for passing the dialysate is formed substantially continuously in an S shape.
As shown in FIGS. 4 and 5, one film-like warming portion 104 </ b> A is attached / detached to cope with the opening 108 using the plurality of protrusions 107 </ b> N and 107 </ b> M of the frame portion 107 of the first housing portion 101. Held possible. Similarly, as shown in FIG. 4, the other film-like warming portion 104 </ b> B uses the plurality of protrusions 111 </ b> N and 111 </ b> M of the frame portion 111 of the second housing portion 102 to cope with the opening portion 112. Removably held.

  One and the other heating parts 104A and 104B are fixed in the openings 108 and 112 so as to overlap each other, and the peritoneal dialysate passing through the flow path 120 of the one and the other heating parts 104A and 104B is Heating can be performed using an electric heater and a heat transfer member (for example, an aluminum member) described later. The heater includes the upper surface heater and the lower surface heater so as to sandwich the flow path 120 for liquid feeding treatment, so that the peritoneal dialysis solution can be efficiently heated so that the temperature of the abdominal cavity of the peritoneal dialysis patient is obtained.

  As shown in FIG. 6, the flow path 120 for injecting liquid processing in one heating section 104A has connection sections 120R and 120T, and the flow path 120 for drainage processing in the other heating section 104B is It has connection parts 120F and 120V. The connecting part 120F and the connecting part 120T are connected by a pipe 120K. The connecting portion 120R is connected to the flow paths 105F and 105G. The connection part 120V is connected to the flow paths 105E and 105G. The flow paths 105A to 105D are connected to the flow paths 105G and 105E. Each flow path 105A-105D is connected to the tubes 131-134, respectively. The flow path 105G is connected to the pump unit 103.

In addition, as shown in FIG. 4, a plurality of openings 105 </ b> S and groove portions 120 </ b> C are formed in the panel portion 110 of the second housing portion 102, in the lower portion inside the upper housing portion 2 shown in FIG. 1. A plurality of clamp members (not shown) are provided. These clamp members can switch the flow path through which the peritoneal dialysate can pass by appropriately pressing the flow paths 105A to 105D to be dealt with through the opening 105S and the groove 120C.
A connection target example to which the tubes 131 to 134 are connected will be described with reference to FIGS. 3 and 4. For example, the tube 131 is connected to the peritoneal dialysis patient MM, and is used to send peritoneal dialysate to the peritoneal MMR or drain peritoneal dialysate from the peritoneal MMR.
The tube 132 is an infusion line for peritoneal dialysis fluid, and is connected to a liquid feeding bag 138 for additional peritoneal dialysis fluid delivery. The tube 133 is an infusion line for peritoneal dialysis fluid, and is connected to a plurality of fluid delivery bags 139 for delivering peritoneal dialysis fluid. The tube 134 is a drainage line and is connected to the drainage tank 140.

FIG. 7 is a perspective view showing the back side of the automatic peritoneal dialysis apparatus 1 shown in FIG.
As shown in FIG. 7, a first mounting portion 500 for inserting and mounting the maintenance storage card MD is provided on the right side surface portion 7 of the upper housing portion 2. The maintenance storage card MD is an information recording medium managed by a service engineer who performs inspection and maintenance of the automatic peritoneal dialysis machine 1. Further, a second mounting portion 600 for inserting and mounting the patient memory card MC is provided on the back surface portion 8 of the upper housing portion 2. The patient storage card MC is an information recording medium on which information related to a peritoneal dialysis patient is recorded. The first mounting part 500 and the second mounting part 600 are also shown in FIGS.
Note that the maintenance storage card MD and the patient storage card MC are, for example, small card-type recording media capable of storing information, such as an SD memory card and a flash memory card. However, the maintenance storage card MD and the patient storage card MC are not limited to this.

The first mounting portion 500 shown in FIG. 7 is provided at a position slightly behind the side surface portion 7. The first mounting unit 500 includes, for example, an elongated slot 501, a lid member 502, and a fixing screw 503. A rectangular recess 7 </ b> A is formed in the right side surface portion 7 of the upper housing portion 2. A slot 501 is provided in the recess 7A along the horizontal direction. A reading / writing device 504 for exchanging information stored in the maintenance storage card MD is arranged near the slot 501.
Since these fixing screws 503 shown in FIG. 7 have a special screw head, they cannot be removed without using a special tool owned by a service engineer (maintenance manager). For this reason, the lid member 502 and the fixing screw 503 protect the maintenance storage card MD, which is a storage medium mounted in the slot 501 of the first mounting portion 500, so that only the service engineer can remove it. A recording medium protection structure 509 is configured.

The maintenance storage card MD shown in FIG. 7 can be detachably mounted in the slot 501. After the maintenance storage card MD is installed in the slot 501, the lid member 502 is fitted in the recess 7A, and the two screws 503 are screwed into the nut portion 7B in the recess 7A. Therefore, the cover member 502 can be covered so that the maintenance storage card MD cannot be taken out.
Thereby, when the service engineer performs maintenance and inspection of the automatic peritoneal dialysis device 1, the service engineer can remove the two screws 503 by using a tool to take out the maintenance storage card MD from the slot 501, or The maintenance storage card MD can be mounted in the slot 501 along the X1 direction.

By adopting a structure for protecting the maintenance memory card MD in this way, only a service engineer can access the maintenance memory card MD, but a peritoneal dialysis patient (user) cannot access the maintenance memory card MD. It has become.
Thus, the maintenance of the automatic peritoneal dialysis apparatus 1 by the service engineer and the safety when the peritoneal dialysis patient performs normal peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1 are ensured.

On the other hand, the second mounting portion 600 shown in FIG. 7 has a slot 601. When the peritoneal dialysis patient performs peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1, the patient memory card MC can be easily and detachably attached to the slot 601. The slot 601 is provided in the recess 8 </ b> A of the back surface portion 8. In the vicinity of the second mounting portion 600, a reading / writing device 604 for exchanging information on individual patients stored in the patient storage card MC is disposed.
Unlike the first mounting portion 500, the second mounting portion 600 is not provided with a lid member and is exposed at the back surface portion 8 of the upper housing portion 2. As a result, the peritoneal dialysis patient can easily insert the patient memory card MC into the slot 601 of the second mounting portion 600 along the Y1 direction during the peritoneal dialysis treatment, or from the slot 601 in the direction opposite to the Y1 direction. Can be easily removed. The read / write devices 504 and 604 are connected to the control unit.

Here, the above-described patient storage card MC and maintenance storage card MD shown in FIG. 7 will be further described.
First, the patient storage card MC shown in FIG. 7 will be described.
The patient storage card MC is a storage medium for storing information about the patient. When the peritoneal dialysis patient performs peritoneal dialysis treatment using the automatic peritoneal dialysis device 1, the peritoneal dialysis patient inserts this patient memory card MC into the slot 601 of the second mounting portion 600, thereby the patient memory card. The information on the patient in the MC can be read by the reading / writing device 604. For example, the patient memory card MC includes prescription information for peritoneal dialysis, patient information (peritoneal function: residual kidney Kt / V, PD · Kt / V (Kt / V by peritoneal dialysis), Cr · D / based on PET test. P (including the ratio of the creatinine concentration P in the serum to the creatinine concentration D in the peritoneal dialysis drainage) and the like are stored.
The prescription information for peritoneal dialysis includes treatment pattern (NPD / CCPD and Tidal (TPD)), initial drainage volume (mL), injection volume (mL), storage time (minutes), final injection volume (mL ), Final concentration change, dialysis time, total dialysate volume (mL), total water removal volume (mL), number of cycles, initial injection volume (mL), Tidal volume (mL), Tidal volume water removal (mL), used There are various types of peritoneal dialysis fluid.
NPD is peritoneal dialysis performed at night. In NPD, dialysate is not retained in the peritoneum during the day. That is, in NPD, treatment is started from the injection, and the treatment is terminated by drainage (initial drainage and final injection described later are not performed).
CCPD refers to continuous peritoneal dialysis. In CCPD, treatment starts from drainage and ends with injection (initial drainage and final injection described later are performed).
Tidal is peritoneal dialysis in which a part of dialysate is left in the peritoneum during drainage, and in this state, the liquid is injected in the next cycle. Conditioning is a condition in which only peritoneal dialysis fluid is fed and drained for conditioning in the initial stage of introduction.
The initial drainage is the first drainage when treatment is started from the drainage. The initial drainage volume is the first predicted drainage volume when treatment is started from drainage. The injection volume is the volume of dialysate injected in each cycle. The storage time is the time during which the dialysate injected in each cycle stays in the peritoneum. However, the time required for liquid injection (liquid injection time) and the time required for liquid discharge (drainage time) are not included.
Further, the final injection is the final injection when the treatment is completed with the injection. The final liquid injection volume is the final liquid injection volume when treatment is terminated with liquid injection. The final concentration change means that a dialysate having a concentration different from that used in each cycle is used in the final injection. The dialysis time is the time required for one treatment. However, when final injection and initial drainage are performed, these final injection time and initial drainage time are included. The total dialysate volume is the total dialysate volume used for one treatment. However, when the final injection is performed, the final injection volume is included. The total water removal amount is the total amount of water removal predicted for Tidal. However, the water removal amount calculated from the initial liquid discharge amount and the final liquid injection amount is not included. The number of cycles is the number of cycles in one treatment when injection, storage, and drainage are defined as one cycle. However, initial drainage and final injection are not included. The initial liquid injection volume is the volume of dialysate injected for the first time in the case of Tidal. The amount of Tidal is the amount of dialysate injected in each cycle after the second time in the case of Tidal. Tidal water removal is the estimated water removal in each cycle for Tidal.

Next, the maintenance storage card MD shown in FIG. 7 will be described.
Since the maintenance storage card MD is used when performing peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1 as described above, it is always mounted in the slot 501 of the first mounting unit 500. In addition, when the maintenance storage card MD is mounted in the slot 501, the lid member 502 is fitted into the recess 7 </ b> A and fixed by the two screws 503. Therefore, peritoneal dialysis patients other than service engineers cannot take out the storage card for maintenance MD for safety. When the service engineer performs maintenance and inspection on the automatic peritoneal dialysis machine 1, the maintenance memory card MD can be taken out from the slot 501 by removing the two screws 503 using a tool.

FIG. 8 shows a configuration example of the automatic peritoneal dialysis device 1, the control unit 280, and the maintenance storage card MD.
The control unit 280 shown in FIG. 8 has a hardware configuration arranged in the automatic peritoneal dialysis device 1, and the control unit 280 includes a control unit 200, a ROM (read only memory) 290, and a RAM (random access memory). ) 291.
The control unit 200 determines and controls the operation of the entire automatic peritoneal dialysis machine 1 and has a CPU (Central Processing Unit) such as a microcomputer. The ROM 290 stores an overall control program and various data of the automatic peritoneal dialysis apparatus 1 executed by the CPU. Specifically, the ROM 290 generates a minimum required operation guide information 310 and a problem such as blockage of the injection line in order to cope with an alarm such as blockage of the injection line (peritoneal line). When an alarm is generated, the image data 330 of a more detailed operation procedure, operation data, a program, and the like are included in order to deal with the problem in which the alarm has occurred.

  Here, the above-mentioned minimum necessary operation guide information 310 is an alarm when a peritoneal dialysis patient performs a peritoneal dialysis treatment using the automatic peritoneal dialysis device 1 and a problem such as occlusion of an injection line occurs. This information is displayed to perform the minimum necessary operation guide on the display unit 10 in order to cope with the problem in which the alarm has occurred. If the minimum necessary operation guide information 310 is present, the minimum necessary operation guide information 310 is displayed on the display unit and expanded, so that a peritoneal dialysis patient may have problems such as occlusion of an injection line. This is information for resolving the problem that caused the alarm and enabling safe operation until the power is turned off.

As shown in FIG. 8, the minimum necessary operation guide information 310 is the minimum necessary for coping with the problem that the alarm has occurred when a problem such as blockage of the injection line occurs and the alarm is generated. And at least the character information data 320 of the operation procedure, and the image data 321 of the operation procedure used when more detailed guidance is required.
That is, “minimum necessary guide information” means that the automatic peritoneal dialysis apparatus has a display unit, and this apparatus tries to display operation guide information by “image information” and “character information”. In some cases, depending on the content of the guide information, if it can be estimated that the user can operate only with the explanation screen using the character information without displaying the image information, only the character information is displayed. It is information that has contents. As a result, the capacity of the stored data can be suppressed, the burden on the storage means can be reduced as much as possible, and the display speed can be improved.
Here, the character information data 320 of the minimum necessary operating procedure means that when a peritoneal dialysis patient performs peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1, problems such as blockage of an injection line occur. For example, an alarm message or an alarm is displayed to display the minimum necessary operation procedure in characters on the display unit 10 in order to deal with the problem in which the alarm has occurred when an alarm occurs. Further, the image data 321 of the minimum necessary operation procedure is that when a peritoneal dialysis patient performs peritoneal dialysis treatment using the automatic peritoneal dialysis device 1, a problem such as a blockage of an injection line occurs and an alarm is issued. In order to deal with the problem that the alarm has occurred when it occurs, the display unit 10 is a pictorial diagram for showing a minimum necessary operation procedure, for example, an operation button shown as an image.

As described above, the minimum necessary operation guide information 310 is a guide display that can be operated safely until the power is turned off, for example, only by displaying alarm messages and alarms displayed in characters and operation buttons.
On the other hand, the image data 330 of a more detailed operation procedure is the display unit 10 for coping with the problem that the alarm has occurred when a problem such as blockage of the injection line occurs and the alarm is generated. Is a information for displaying a more detailed operation procedure in a more detailed explanation picture (image).
The RAM 291 can temporarily store measurement data as a work area in cooperation with the ROM 290, minimum operation guide information 1310 described later, and image data 1330 of a more detailed operation procedure.

  In FIG. 8, the automatic peritoneal dialysis device 1 can be detachably connected to the external computer 1000 using a cable 1001. When the service engineer performs maintenance and inspection work on the automatic peritoneal dialysis machine 1, the external computer 1000 is connected to the control unit 280 of the automatic peritoneal dialysis machine 1 using the cable 1001 to update the number display information necessary for maintenance. Command MF can be sent.

On the other hand, in the maintenance storage card MD shown in FIG. 8, the update data 410, the maintenance record data 420, and the problem that the alarm occurred when a problem such as a blockage of a liquid injection line occurred. For coping, the minimum necessary operation guide information 1310 and more detailed operation procedure image data 1330 are stored.
The maintenance memory card MD stores update data 410 and maintenance record data 420 only when necessary, and is deleted during peritoneal dialysis treatment. The update data 410 is used for changing software. The update data 410 is sent from the control unit 200 to the ROM 290 when the automatic peritoneal dialysis device 1 is updated. The maintenance record data 420 records an operation history and an event log for each peritoneal dialysis patient, and is sent from the control unit 200 to the RAM 291 when the service engineer maintains the automatic peritoneal dialysis apparatus 1.

The minimum operation guide information 1310 stored in the maintenance storage card MD in FIG. 8 is the same data as the minimum necessary operation guide information 310 stored in the ROM 290. The minimum operation guide information 1310 is character information data 1320 of the minimum necessary operation procedure for coping with the problem that the alarm has occurred when a problem such as blockage of the injection line occurs and the alarm is generated. And image data 1321 of the minimum necessary operation procedure.
Similarly, image data 1330 of a more detailed operation procedure stored in the maintenance storage card MD is the same data as the image data 330 of a more detailed operation procedure stored in the ROM 290.

Thereby, the minimum operation guide information 1310 stored in the maintenance storage card MD and the more detailed operation procedure image data 1330 are more detailed in the minimum necessary operation guide information 310 stored in the ROM 290. It can be used as backup information for image data 330 of various operating procedures.
The maintenance storage card MD always stores and stores minimum operation guide information 1310 and image data 1330 of a more detailed operation procedure. The minimum operation guide information 1310 of the maintenance storage card MD and the image data 1330 of a more detailed operation procedure are taken into the RAM 291 and expanded in the control unit 200 every time the automatic peritoneal dialysis apparatus 1 is activated. ing.

As described above, the minimum necessary operation guide information 310, 1310 indicates that the alarm is generated when a peritoneal dialysis patient generates a warning due to a problem such as occlusion of an injection line during peritoneal dialysis treatment. It is important data for displaying the operation procedure for dealing with the problem and taking it somehow before the power is turned off, together with an alarm message and an error code. On the other hand, the image data 330 and 1330 of the more detailed operation procedure is that the alarm occurred when the peritoneal dialysis patient had a problem such as blockage of the injection line in the peritoneal dialysis treatment and the alarm was generated. This is low-important data for displaying an operation procedure for coping with the problem as a pictorial diagram for a peritoneal dialysis patient.
For example, when it is desired to reduce the storage capacity of the ROM 290 and reduce the cost of the control unit 280, the image data 330 of a more detailed operation procedure is not always stored in the ROM 290. When the automatic peritoneal dialysis device 1 is activated, if the minimum necessary operation guide information 1310 and image data 1330 of a more detailed operation procedure are expanded in the RAM 291 from the maintenance storage card MD, the control unit 200 displays The unit 10 can display a picture of the image data 1330 of a more detailed operation procedure.

Next, functional blocks of the automatic peritoneal dialysis apparatus 1 shown in FIGS. 1 and 2 will be described with reference to FIGS. 9 and 10. FIG. 9 is a block diagram showing functions of the automatic peritoneal dialysis device 1, and FIG. 10 is a block diagram showing an electrical connection example of the automatic peritoneal dialysis device 1.
First, referring to FIG. 9, an automatic peritoneal dialysis apparatus 1 includes a CPU (central processing unit) such as a microcomputer, a control program for the entire apparatus executed by the CPU, a ROM for storing various data, and measurement data as a work area. It has the control part 200 provided with RAM etc. which temporarily memorize | store various data, the pump drive part 201, the clamp control part 202, the heating control part 203, and the clamp part 204.
The cassette 100 of FIG. 9 is detachably mounted in the cassette mounting portion 20 (see FIGS. 2 and 3) of the automatic peritoneal dialysis apparatus 1, but the cassette 100 has already been mounted in FIGS. As described above, the tube flow path switching unit 105, the pump unit 103, and the liquid feeding heating units 104A and 104B are incorporated.

The clamp part 204 provided in the automatic peritoneal dialysis apparatus 1 shown in FIG. 9 includes the flow paths 105A to 105D of the tubes 131 to 134 disposed in the tube flow path switching part 105 on the cassette 100 side (see FIG. 6). ) Can be selectively switched to switch the flow path through which the peritoneal dialysate flows. For this reason, the switching unit 105 of the tube flow channel sends the peritoneal dialysate to the abdominal MMR side of the peritoneal dialysis patient MM, or drains the dialysate once stored in the peritoneal MMR from the abdominal MMR side. .
When the cassette 100 is mounted in the cassette mounting unit 20, the pump driving unit 201 controls the operation of the pump unit 103 according to a command from the control unit 200. The clamp control unit 202 controls the operation of each clamp member of the clamp unit 204 according to a command from the control unit 200. The warming control unit 203 controls the operation of the warming units 104 </ b> A and 104 </ b> B for feeding liquids according to instructions from the control unit 200.

Next, referring to FIG. 10, the control unit 200 includes a display unit 10, a start switch 11, a stop switch 12, a pump drive unit 201, a clamp control unit 202, a heating control unit 203, and a cassette use. It is electrically connected to the finished detection unit 220. Each of these elements receives power supply from the power supply circuit unit 213.
FIG. 10 illustrates the control unit 280 illustrated in FIG. 8, and the control unit 280 includes a ROM 290, a RAM 291, and a control unit 200. The display unit 10, the start switch 11, and the stop switch 12 shown in FIGS. 1 and 2 constitute the operation unit shown in FIG. When the cut 100 is mounted on the cassette mounting unit 20 as shown in FIG. 3, the cassette used detection unit 220 detects whether the mounted cassette 100 has already been used or is new. The control unit 200 is notified. The read / write devices 504 and 604 are connected to the control unit 200.

FIG. 11 is a perspective view showing how the cassette 100 is mounted in the cassette insertion space SP of the cassette mounting unit 20.
As shown in FIG. 11A, the lid member 21 is opened, the cassette mounting portion 20 is opened, and the cassette 100 is started to be pushed in the insertion direction SS by the finger F of the peritoneal dialysis patient. In this state, the shutter 28 is not moved in the Y1 direction, and the opening 27 is closed.
In FIG. 11B to FIG. 11C, when the cassette 100 is further pushed in the insertion direction SS, the extension portions 109 and 113 of the cassette 100 push the abutting surface portion 28A of the shutter 28 in the Y1 direction. The shutter 28 is pushed in the Y1 direction, and the opening 27 is opened. As a result, the tubes 131 to 134 can be led out from the extension portions 109 and 113 of the cassette 100 to the side of the automatic peritoneal dialysis apparatus 1 from the opening portion 27.

Next, with reference to FIG. 12, the pressure-intensification circuit 450 of the automatic peritoneal dialysis apparatus 1 will be described.
12 includes a pump driving unit 201, a first filter 451, a valve 452, a positive pressure tank 453, a valve 454, a negative pressure tank 455, a valve 456, a second filter 457, a valve 458, and a pressure sensor 459. ˜462 and a pump chamber 463. Each valve 453, 456, 458 has an air release portion 464. The pressure sensors 459 and 461 are sensors for protecting the pressure increasing / decreasing circuit 450, and the pressure sensors 460 and 462 are sensors for controlling the pressure increasing / decreasing circuit 450.

A filter 451 is connected to the outlet of the pump drive unit 201 shown in FIG. 12, and this filter 451 is connected to a positive pressure tank 453 via a valve 452. The positive pressure tank 453 is connected to the negative pressure tank 455 via a valve 454, and the negative pressure tank 455 is connected to the inlet side of the pump drive unit 201 via a valve 456.
Another filter 457 is connected to the valve 454, and the valve 454 is connected to the pump chamber portion 463 through this filter 457. The pump chamber portion 463 includes a fixed portion 470, a movable portion 471, and a spring 472. The spring 472 is disposed between the fixed portion 470 and the movable portion 471. The movable part 471 can move relative to the fixed part 470 against the force of the spring 472. The movable part 471 is in close contact with the diaphragm 103D of the pump part 103 on the cassette 100 side.

When the pump drive unit 201 operates, the movable part 471 of the pump chamber part 463 resists the force of the spring 472 against the fixed part 470 due to the positive pressure from the positive pressure tank 453 and the negative pressure from the negative pressure tank 456. By moving, the diaphragm 103D of the pump unit 103 on the cassette 100 side can be moved in the direction of arrow Z, and the peritoneal dialysate can be added to the abdominal cavity MMB and discharged or aspirated.
A valve 454 shown in FIG. 12 is a switching valve for alternately switching the pump chamber 463 between the positive pressure tank 453 and the negative pressure tank 455.

Under the control of the control unit 200 shown in FIG. 9, the clamp unit 204 controls the flow paths 105 </ b> A to 105 </ b> D (see FIG. 6) of the tubes 131 to 134 arranged in the tube flow path switching unit 105 on the cassette 100 side. By selectively pressing in the programmed order, the flow path through which the peritoneal dialysate flows can be switched. As a result, the peritoneal dialysate can be sent to the peritoneal MMR side of the peritoneal dialysis patient, or the dialysate once stored in the peritoneal MMR can be drained from the peritoneal MMR side.
Returning to FIG. 12, a filter 451 and a filter 457 are arranged in two places in the air circuit 450, and air is passed through the filter material 634 using the pipe 631 </ b> H and the pipe 632 </ b> H, so that the filter material 634 of the filter 451. The filter material 634 of the filter 457 is, for example, a bronze sintered filter material, and can remove dust of 5 μm or more in the air, so that a clogging phenomenon due to dust can be prevented in the pressure-reducing circuit 450.

FIGS. 13 to 18 show, for example, as one example of various alarms generated when a peritoneal dialysis patient is performing peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1 described above. A display example is shown that shows a coping procedure that can be displayed by the display unit 10 in order to deal with a problem that caused the alarm when a problem such as a blockage occurs and an alarm is generated.
The liquid injection line is, for example, a tube 133 shown in FIG. 4, and the tube 133 as the liquid injection line is connected to a plurality of liquid supply bags 139 for supplying peritoneal dialysate.

  Here, a display example displayed on the display unit 10 will be described. For example, refer to FIG. In the display unit 10 shown in FIG. 13B, the alarm message character information “injection line blockage” 700 and the alarm message character information “Let's check the cause of the alarm. “701” and “010” 702 as the alarm type display number information NF are displayed. The alarm type display number information NF is an error code number indicating the type of alarm.

This error code number is displayed as “010”, for example, and is always displayed on the display unit 10 until the processing for dealing with the problem of dealing with the alarm is completed. Thereby, the peritoneal dialysis patient can visually check the type of the problem by visually checking “010” 702 as the alarm type display number information NF displayed on the display unit 10, and whether or not the problem is finished. Can be judged.
These pieces of information 700, 701, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 13B displays image data “next: touch panel button” 703 indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703 indicating the minimum operation procedure is included in the image data 321 and 1321 indicating the minimum operation procedure shown in FIG. Further, a nurse's picture 800 is displayed on the display unit 10 shown in FIG. The nurse's picture 800 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG.

Next, a procedure example of dialysis treatment by the above-described automatic peritoneal dialysis apparatus 1 will be described.
As shown in FIG. 3, the peritoneal dialysis patient opens the lid member 21 of the automatic peritoneal dialysis apparatus 1 to open the cassette mounting unit 20, and the cassette 100 is inserted into the cassette mounting unit 20 along the insertion direction SS (Y1 direction). Attach to. Then, the peritoneal dialysis patient closes the lid member 21 shown in FIG. 3 to the state shown in FIG. 4 are connected in advance to the peritoneal dialysis patient's abdominal cavity MMR, bags 138, 139, and drainage bag 140, respectively.
The peritoneal dialysis patient installs the patient memory card MC shown in FIG. 8 in which information of the peritoneal dialysis patient is stored in the slot 601 of the second mounting unit 00, so that the patient information of the peritoneal dialysis patient is shown in FIG. 8 is loaded into the RAM 280 through the control unit 200. Thereby, the automatic peritoneal dialysis apparatus 1 can perform peritoneal dialysis treatment based on the patient information of the peritoneal dialysis patient.

  When the service engineer installs the maintenance storage card MD in the slot 501 of the first installation unit 500 shown in FIG. 8, only when the number display update command MF is transmitted from the external computer 1000, the maintenance engineer uses the maintenance storage card MD. The minimum necessary operation guide information 1310 and more detailed operation procedure image data 1330 are transferred to the control unit 200. At the time of this transfer, the external computer 1000 confirms that it is the determined data (character type, data length). If the minimum necessary operation guide information 1310 to be transferred and the image data 1330 of a more detailed operation procedure are not determined data, they are not adopted. That is, if there is only data in the maintenance storage card MD, it is not reflected on the display unit 10. When it is necessary to call the call center by this number display update command MF (for example, when the time (seconds) until the “next” touch panel button is pressed on the screens of FIGS. If it is determined, the telephone number of the call center can be displayed on the display unit 10. However, the telephone number of this call center can always be displayed at the bottom of the screen of the display unit 10.

  The lid member 502 is covered and hidden so that the maintenance storage card MD cannot be taken out. By adopting a structure for protecting the maintenance memory card MD in this way, only a service engineer can access the maintenance memory card MD, but a peritoneal dialysis patient (user) cannot access the maintenance memory card MD. For this reason, the ease of maintenance of the automatic peritoneal dialysis device 1 by the service engineer and the safety when the peritoneal dialysis patient performs normal peritoneal dialysis treatment using the automatic peritoneal dialysis device 1 are ensured.

The control unit 200 in FIG. 10 can obtain the peritoneal prescription information content of the patient information for the peritoneal dialysis patient and start the peritoneal dialysis operation.
By the way, when a peritoneal dialysis patient is performing normal peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1, for example, the tube 133 shown in FIG. A case where a problem that cannot be performed occurs will be described with reference to FIGS.
When a peritoneal dialysis patient is performing peritoneal dialysis treatment using the automatic peritoneal dialysis apparatus 1 described above, for example, when an alarm is generated due to a problem such as blockage of an injection line, the alarm is generated. For coping with the problem, FIGS. 13 to 18 sequentially show coping procedures that the display unit 10 can display.

First, as shown in FIG. 13 (A), the display unit 10 has alarm message character information “injection line blocking” 700 and alarm message character information “Press the stop switch to stop the alarm sound.” 691 , “010” 702 as the alarm type display number information (error code) NF is displayed. These pieces of information 700, 691, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG.
In addition, the display unit 10 shown in FIG. 13A displays a pictorial diagram 790 indicating “pushing the stop switch 12 of the automatic peritoneal dialysis device 1 with a finger”. This pictorial diagram 790 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. When the peritoneal dialysis patient presses the stop switch 12, the countermeasure content displayed on the display unit 10 in FIG. 13A is automatically changed to the countermeasure content displayed on the display unit 10 shown in FIG. change.

Next, on the display unit 10 shown in FIG. 13B, the alarm message character information “injection line blockage” 700 and the alarm message character information “Let's check the cause of the alarm. Let's remove the cause. “701” and “010” 702 as alarm type display number information (error code) NF are displayed. These pieces of information 700, 701, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 13B displays image data “next: touch panel button” 703 indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703 indicating the minimum operation procedure is included in the image data 321 and 1321 indicating the minimum operation procedure shown in FIG.
In addition, a picture 800 of “nurse” is displayed on the display unit 10 illustrated in FIG. This picture 800 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. When the peritoneal dialysis patient understands the content of the warning message character information 701 and the peritoneal dialysis patient touches the touch panel operation button 703, the content displayed on the display unit 10 in FIG. Specifically, the countermeasure contents displayed on the display unit 10 shown in FIG.

In the display unit 10 shown in FIG. 14A, the alarm message character information “injection line blockage” 700 and the alarm message character information “Check the tube with the blue clamp.” 711 and the type of alarm Display number information (error code) “010” 702 as NF is displayed. These pieces of information 700, 711, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 14A displays image data “next: touch panel button” 703A indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703A indicating the minimum necessary operation procedure is included in the image data 321 and 1321 indicating the minimum necessary operation procedure shown in FIG.
14A displays a pictorial diagram 801 showing an automatic peritoneal dialysis device and a bag. This pictorial diagram 801 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient confirms the action content of the alarm message character information 711 and the peritoneal dialysis patient touches the touch panel operation button 703A, the action content displayed on the display unit 10 in FIG. Specifically, the countermeasure content displayed on the display unit 10 shown in FIG.

In the display section 10 shown in FIG. 14B, the alarm message character information “injection line blockage” 700 and the alarm message character information “If the tube is crushed or twisted, fix it.” 721 “010” 702 as the alarm type display number information (error code) NF and the character information “when completed” 721A are displayed. These pieces of information 700, 721, 702, 721A are included in the character information data 320.1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 14B displays image data “next: touch panel button” 703B indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703B indicating the minimum operation procedure is included in the image data 321 and 1321 indicating the minimum operation procedure shown in FIG.
In addition, a pictorial diagram 802 showing a tube is displayed on the display portion 10 shown in FIG. This picture 802 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient confirms the content of the warning message character information 721 and the peritoneal dialysis patient touches the touch panel operation button 703B, the content displayed on the display unit 10 in FIG. Specifically, the countermeasure contents displayed on the display unit 10 shown in FIG.

Next, on the display unit 10 shown in FIG. 15A, alarm message character information “injection line blockage” 700 and alarm message character information “Check the blue clamp of the tube connected to the dialysate.” 731 and “010” 702 as the alarm type display number information (error code) NF are displayed. These pieces of information 700, 731, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 15A displays image data “next: touch panel button” 703 </ b> C indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703C indicating the minimum necessary operation procedure is included in the image data 321 and 1321 indicating the minimum necessary operation procedure shown in FIG.
In addition, the display unit 10 shown in FIG. 15A displays a pictorial diagram 803 showing an automatic peritoneal dialysis device and a bag. This pictorial diagram 803 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient confirms the countermeasure content of the alarm message character information 731 and the peritoneal dialysis patient touches the touch panel operation button 703C, the countermeasure content displayed on the display unit 10 in FIG. Specifically, the countermeasure content displayed on the display unit 10 shown in FIG.

Next, on the display unit 10 shown in FIG. 15B, the alarm message character information “injection line occlusion” 700 and the alarm message character information “open when the blue clamp of the tube connected to the dialysate is closed” are displayed. 741, “010” 702 as alarm type display number information (error code) NF, and character information “When completed” 741A are displayed. These pieces of information 700, 741, 702, and 741A are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 15B displays image data “next: touch panel button” 703D indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703D indicating the minimum operation procedure is included in the image data 321 and 1321 indicating the minimum operation procedure shown in FIG.
In addition, on the display portion 10 shown in FIG. 15B, a picture 804 showing a tube and its clip is displayed. This picture 804 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. When the peritoneal dialysis patient executes the countermeasure content of the alarm message character information 741 and the peritoneal dialysis patient touches the touch panel operation button 703D, the countermeasure content displayed on the display unit 10 in FIG. Specifically, the countermeasure contents displayed on the display unit 10 shown in FIG.

Next, on the display unit 10 shown in FIG. 16 (A), alarm message character information “injection line occlusion” 700 and alarm message character information “Please check the connected dialysate clip chip.” 751; “010” 702 as the alarm type display number information (error code) NF is displayed. These pieces of information 700, 751, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. Moreover, the display unit 10 shown in FIG. 16A displays image data “next: touch panel operation button” 703E indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703E indicating the minimum necessary operation procedure is included in the image data 321 and 1321 indicating the minimum necessary operation procedure illustrated in FIG.
In addition, a pictorial diagram 805 showing an automatic peritoneal dialysis device and a bag is displayed on the display unit 10 shown in FIG. This pictorial diagram 805 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient confirms the content of the warning message character information 751 and the peritoneal dialysis patient touches the touch panel operation button 703E, the content displayed on the display unit 10 in FIG. Specifically, the countermeasure content displayed on the display unit 10 shown in FIG.

Next, on the display unit 10 shown in FIG. 16B, alarm message character information “injection line blockage” 700 and alarm message character information “If the clip chip is not broken, please fold.” 761 “010” 702 as the alarm type display number information (error code) NF and the character information “On completion” 761A are displayed. These pieces of information 700, 761, 702, 761A are included in the character information data 320, 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 16B displays image data “next: touch panel button” 703 </ b> F indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703F indicating the minimum operation procedure is included in the image data 321 and 1321 indicating the minimum operation procedure shown in FIG.
In addition, a pictorial diagram 806 showing a clip chip of a bag is displayed on the display portion 10 shown in FIG. This pictorial diagram 806 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient executes the countermeasure content of the alarm message character information 761 and the peritoneal dialysis patient touches the touch panel operation button 703F, the countermeasure content displayed on the display unit 10 in FIG. Specifically, the countermeasure content displayed on the display unit 10 shown in FIG.

Next, on the display unit 10 shown in FIG. 17A, the alarm message character information “injection line blockage” 700 and the alarm message character information “Check the number and total amount of connected dialysate.” 771 "010" 702 as the alarm type display number information (error code) NF is displayed. These pieces of information 700, 771, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. Moreover, the display unit 10 shown in FIG. 17A displays image data “next: touch panel operation button” 703G indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703G indicating the minimum operation procedure is included in the image data 321 and 1321 indicating the minimum operation procedure shown in FIG.
In addition, a pictorial diagram 807 showing an automatic peritoneal dialysis device and a bag is displayed on the display unit 10 shown in FIG. This pictorial diagram 807 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient confirms the action content of the alarm message character information 771 and the peritoneal dialysis patient touches the touch panel operation button 703G, the action content displayed on the display unit 10 in FIG. Specifically, the countermeasure content displayed on the display unit 10 shown in FIG.

Next, to the display unit 10 shown in FIG. 17 (B), connect the alarm message character information “injection line blocked” 700 and the alarm message character information “If dialysate is insufficient, connect the dialysate additionally. "781,""010" 702 as alarm type display number information (error code) NF, and character information "On completion" 781A are displayed. These pieces of information 700, 781, 702, 781A are included in the character information data 320, 1320 of the minimum necessary operation procedure shown in FIG. Moreover, the display unit 10 shown in FIG. 17B displays image data “next: touch panel operation button” 703H indicating the minimum necessary operation procedure. The image data “next: touch panel operation button” 703H indicating the minimum necessary operation procedure is included in the image data 321 and 1321 indicating the minimum necessary operation procedure shown in FIG.
In addition, a pictorial diagram 808 showing an automatic peritoneal dialysis device and an additional bag is displayed on the display unit 10 shown in FIG. This pictorial diagram 808 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient executes the countermeasure content of the warning message character information 781 and the peritoneal dialysis patient touches the touch panel operation button 703H, the countermeasure content displayed on the display unit 10 in FIG. Specifically, the countermeasure contents displayed on the display unit 10 shown in FIG.

Next, on the display unit 10 shown in FIG. 18A, the alarm message character information “injection line occlusion” 700, the alarm message character information “The cause of the alarm has been confirmed.” 791, and the type of alarm “010” 702 as the display number information (error code) NF is displayed. These pieces of information 700, 791, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. Moreover, the display unit 10 shown in FIG. 18A displays image data “confirmation: touch panel operation button” 703K, a down operation button 730, and an up operation button 740 indicating the minimum necessary operation procedure. . The image data “next: touch panel operation button” 703K, the down operation button 730, and the up operation button 740 indicating the minimum necessary operation procedure are the image data 321 and the minimum operation procedure illustrated in FIG. 1321.
In addition, the display unit 10 shown in FIG. 18A includes a pictorial diagram 800 showing a nurse, “start treatment, stop treatment, pass and move to the next operation, and check each treatment setting.” A pictorial diagram 809 indicating "the number of times of liquid injection" is displayed. The pictorial diagrams 800 and 809 are included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient confirms the countermeasure content of the warning message character information 791 and the peritoneal dialysis patient touches the touch panel operation button 703K, the countermeasure content displayed on the display unit 10 in FIG. Specifically, the countermeasure content displayed on the display unit 10 shown in FIG.

Finally, on the display unit 10 shown in FIG. 18 (B), the alarm message character information “injection line occlusion” 700 and the alarm message character information “Pressing the start switch restarts the treatment.” 792 Type display number information (error code) “010” 702 as NF is displayed. These pieces of information 700, 792, and 702 are included in the character information data 320 and 1320 of the minimum necessary operation procedure shown in FIG. In addition, the display unit 10 shown in FIG. 18B displays image data “return: touch panel operation button” 703L indicating the minimum necessary operation procedure. The image data “return: touch panel operation button” 703L indicating the minimum necessary operation procedure is included in the image data 321 and 1321 indicating the minimum necessary operation procedure illustrated in FIG.
In addition, the display unit 10 shown in FIG. 18B displays a pictorial diagram 810 indicating “start switch of automatic peritoneal dialysis device”. This picture 810 is included in the image data 330 and 1330 of the more detailed operation procedure shown in FIG. Then, when the peritoneal dialysis patient presses the start switch 11 of the automatic peritoneal dialysis device 1 and touches the image data “return: touch panel operation button” 703L indicating the minimum operation procedure shown in FIG. 18B, FIG. 1) is automatically restored to the normal display content shown in FIG.

When the operation procedure screen displayed on the display unit 10 shown in FIGS. 13 to 18 cannot move to the next operation procedure screen, a notification means, for example, a sound alarm by the speaker 296 shown in FIG. The alarm sound can notify the peritoneal dialysis patient of “notifying the call center”. Thereby, the peritoneal dialysis patient can call the call center and reliably move from the operation procedure displayed on the display unit 10 to the next operation procedure while receiving advice from the call center staff.
The telephone number of the call center is exemplified in FIG. 16A when the operation procedure screen of the display unit 10 shown in FIG. 16A cannot be transferred to the operation procedure screen of the display unit 10 shown in FIG. As described above, the control unit 200 displays the call center number 880 on the display unit 10. This can prompt the patient to make an inquiry to the peritoneal dialysis patient. The call center number 880 may be always displayed on the screen of the display unit 10. This gives a sense of security when the peritoneal dialysis patient deals with the problem.

  If the peritoneal dialysis patient (or a guardian) presses the stop switch 12 shown in FIG. 1 or the peritoneal dialysis control is automatically terminated in the automatic peritoneal dialysis device 1, this is regarded as one peritoneal dialysis treatment. When one peritoneal dialysis treatment is completed, the cassette 100 is discarded only by one dialysis treatment from the viewpoint of hygiene. However, only the first casing 101 and the second casing 102 of the cassette 100 shown in FIG. 6 can be reused as necessary from the consideration of the environment after removing the dialysis circuit section. The dialysis circuit is completely discarded and not reused.

  By the way, in the automatic peritoneal dialysis apparatus 1 of the embodiment of the present invention, a glucose solution containing an electrolytic solution as a main component is usually used as the peritoneal dialysis solution in the injection bags 138 and 139 shown in FIG. In the automatic peritoneal dialysis apparatus 1, the peritoneal dialysis solution heated to a predetermined temperature is sent to the peritoneal cavity of a peritoneal dialysis patient. The peritoneal dialysis fluid stored in the abdominal cavity takes in the peritoneal fluid into the peritoneal fluid using the osmotic pressure of the peritoneum, and is discarded in the drainage tank 140 together with water.

In such peritoneal dialysis treatment, a predetermined amount of peritoneal dialysis solution is fed into the abdominal cavity, stored for a predetermined time, and then drained, and this feeding, storing, and draining constitute one cycle. Based on such a technique, there are roughly two types of prescriptions for performing peritoneal dialysis treatment.
One of them is a type in which each retention time in one cycle of peritoneal dialysis fluid in the abdominal cavity is set as a fixed time and is adjusted by the dialysis time (A type). The other one is a type in which the entire dialysis time (for example, 4 cycles) is set as a fixed time, and the storage period in each cycle is adjusted so as to match (B type).
The automatic peritoneal dialysis apparatus 1 of the present invention can be used for any type of peritoneal dialysis treatment prescription.

The above-described automatic peritoneal dialysis apparatus 1 according to the embodiment of the present invention copes with an alarm when a peritoneal dialysis treatment alarm is generated during the peritoneal dialysis treatment of the patient by the casing 1A and the delivery of peritoneal dialysis fluid. A mounting unit 500 for mounting a storage medium MD storing minimum necessary operation guide information indicating a procedure for performing the operation, a display unit 10 provided in the housing unit 1A, and a housing unit 1 are provided. And a control unit 200 that reads the minimum necessary operation guide information from the recording medium and displays the operation guide information on the display unit 10.
Thus, when an alarm regarding the peritoneal dialysis treatment occurs during the peritoneal dialysis treatment of the patient, the minimum necessary operation guide information indicating the procedure for coping with the alarm is read from the recording medium. Can be displayed on the display. For this reason, when an alarm is issued so that the peritoneal dialysis treatment cannot be continued, the peritoneal dialysis patient can deal with this alarm in the automatic peritoneal dialysis apparatus to solve the problem.

  The housing unit 1A is provided with a storage unit (ROM) 290 that stores the minimum necessary operation guide information that is the same as the minimum necessary operation guide information of the storage medium MD. As a result, the minimum required operation guide information that is the same as the minimum required operation guide information stored in the storage unit 290 of the housing unit is stored in the storage medium MD. The operation guide information can be used as a backup of the minimum required operation guide information stored in the storage unit of the housing unit.

  The storage unit 290 of the housing unit stores the minimum necessary operation guide information that allows the patient to cope with the alarm, and image data indicating a more detailed operation procedure. The minimum necessary operation guide information that can cope with the backup alarm having the same content as the minimum necessary operation guide information that can cope with the alarm stored in the storage unit 290 and the storage unit 290 of the housing unit The stored image data indicating a more detailed operation procedure and the image data indicating the more detailed operation procedure for backup having the same contents are divided into areas to be stored separately. Each time the peritoneal dialysis device 1 is started, the minimum necessary operation guide information that can deal with the alarm for backup of the storage medium MD and image data showing a more detailed operation procedure for backup are read out and displayed. It is configured to be displayed on the section 10.

Thereby, every time the automatic peritoneal dialysis machine is started, the control unit is required to be able to cope with the alarm for backup of the storage medium, and image data indicating a more detailed operation procedure for backup. Are read out and displayed on the display unit, so that both the minimum necessary operation guide information and image data indicating a more detailed operation procedure can be displayed on the display unit.
For this reason, the peritoneal dialysis patient is displayed on the display unit regardless of the quality of the image data indicating the minimum necessary operation guide information and the more detailed operation procedure stored in the storage unit of the housing unit. The problem can be solved by referring to the minimum operation guide information necessary to solve the problem. Moreover, the peritoneal dialysis patient can solve the problem more easily visually by referring to the image data showing the detailed operation procedure to solve the problem evaluated in the display unit.

  The minimum necessary operation guide information that can deal with an alarm includes an alarm message, an operation button, and an error code, and the image data indicating a more detailed operation procedure is a pictorial diagram specifically showing the operation procedure. As a result, the peritoneal dialysis patient can solve the problem by using the alarm message, operation button, and error code of the minimum necessary operation guide information. It is easy to understand visually and can solve the problem.

  Image data indicating a more detailed operation procedure is not stored in advance in the storage unit 290 of the housing unit, and the control unit 200 is used for backup of the storage medium every time the automatic peritoneal dialysis device 1 is activated. The minimum necessary operation guide information that can cope with this alarm and image data indicating a more detailed operation procedure for backup are read out and displayed on the display unit. As a result, image data indicating a more detailed operation procedure is not stored in advance in the storage unit of the housing unit, and thus the storage unit of the housing unit having a small storage capacity can be used. For this reason, cost reduction of an automatic peritoneal dialysis apparatus can be achieved.

  The call center telephone number 880 is displayed on the display unit, and if the control unit cannot move from the operation procedure displayed on the display unit 10 to the next operation procedure, the notification means 296 notifies the call center. , 297, the patient is notified. As a result, the notification by the notification means allows the patient to reliably contact the call center, solve the problem smoothly, and continue the peritoneal dialysis treatment.

  A recording medium protection structure portion 509 is provided to protect the storage medium attached to the attachment portion from being taken out. Thereby, since the patient cannot access the recording medium and the service staff can access the recording medium, safety in use of the automatic peritoneal dialysis apparatus can be ensured.

By the way, the present invention is not limited to the above-described embodiments, and various modifications and changes can be made to the present invention, and various modifications can be made within the scope described in the claims.
In the embodiment of the present invention, when a peritoneal dialysis patient is performing peritoneal dialysis treatment using the automatic peritoneal dialysis device 1, an alarm is generated when the peritoneal dialysis patient is performing peritoneal dialysis treatment at home or the like. As a situation to be dealt with, the blockage of the liquid injection line is described as an example. However, the embodiment of the present invention is not limited to this, and alarms may occur in the following situations: peritoneal line occlusion, drainage failure, liquid injection failure, drainage line occlusion, drainage volume shortage, power failure, bubble detection It can also be applied to problems such as air leak abnormality, system abnormality, outside air temperature drop, liquid injection temperature abnormality, liquid leakage abnormality, and battery voltage drop.
The automatic peritoneal dialysis apparatus of the present invention operates by setting a treatment pattern, a single liquid supply amount, a single drainage amount, a time for performing dialysis, and a total dialysis amount for ending dialysis as a prescription. The dialysis prescription can be displayed on the display unit 10. The setting of the dialysis prescription can be set and changed by an operator such as a peritoneal dialysis patient using the display unit 10.

  DESCRIPTION OF SYMBOLS 1 ... Automatic peritoneal dialysis apparatus 1A ... Housing | casing part, 2 ... Upper housing | casing part, 3 ... Lower housing | casing part, 10 ... Display part, 20 ... Cassette mounting part, 21 ... Lid member, 30 ... Main body, 100 ... Cassette, 200 ... Control unit, 280 ... Control unit, 290 ... ROM (Storage unit), 296 ... Speaker (Notification means) 297 ... Buzzer (notification means), 500 ... first mounting portion, 509 ... recording medium protection structure portion, 310, 1310 ... minimum necessary operation guide information, 320, 1320,.・ Characteristic information data of minimum necessary operation procedure, 321, 1321 ... Image data of minimum necessary operation procedure, 330, 1330 ... Image data of more detailed operation procedure, MM ... Peritoneal dialysis patient , MD: Maintenance storage card (recording medium), MC Patients storage card

Claims (8)

A dialysate circuit including at least one dialysate container filled with dialysate and at least one drainage recovery container for recovering dialysate; and starting from the dialysate container; or As an end point, it has a liquid feeding means for feeding dialysate and a liquid feeding amount setting means for setting the liquid feeding amount by the liquid feeding means, supplying dialysate to the patient side and collecting the drainage An automatic peritoneal dialysis device that is controlled by the control unit so as to operate,
A housing part;
When an alarm regarding the peritoneal dialysis treatment occurs during the peritoneal dialysis treatment of the patient by feeding the peritoneal dialysis fluid, a storage medium storing operation guide information indicating a procedure for dealing with the alarm A mounting part to be mounted;
A display unit provided in the housing unit;
An automatic peritoneal dialysis device, comprising: a control unit provided in the housing unit, for reading the operation guide information from the recording medium and displaying the operation guide information on the display unit.   2. The automatic peritoneal dialysis according to claim 1, wherein the operation guide information is minimum necessary operation guide information according to the content of the alarm and based on the structure of the automatic peritoneal dialysis apparatus. apparatus.   The automatic peritoneal dialysis device according to claim 1 or 2, wherein the housing unit is provided with a storage unit that stores the minimum necessary operation guide information as the operation guide information. .   The storage unit of the housing unit stores the minimum necessary operation guide information that the patient can handle the alarm and image data indicating a more detailed operation procedure, and the storage medium Then, the minimum necessary operation guide information that can deal with a backup alarm having the same content as the minimum necessary operation guide information that can deal with the alarm stored in the storage unit of the housing unit, In an area for separately storing the image data indicating the more detailed operation procedure stored in the storage unit of the housing unit and the image data indicating the more detailed operation procedure for backup having the same contents. The control unit is configured so that each time the automatic peritoneal dialysis device is activated, the operation guide information that can deal with the backup alarm of the storage medium and the more detailed backup And image data representing the work procedure, reads automated peritoneal dialysis apparatus according to any one of 3 claims 1, characterized in that it has a structure to be displayed on the display unit.   The operation guide information capable of coping with the alarm includes an alarm message, an operation button, and an error code, and the image data indicating the more detailed operation procedure is a pictorial diagram specifically showing the operation procedure. The automatic peritoneal dialysis device according to any one of claims 1 to 4.   The image data indicating the more detailed operation procedure is not stored in advance in the storage unit of the housing unit, and the control unit is configured to store the storage medium every time the automatic peritoneal dialysis device is activated. The operation guide information capable of coping with the backup alarm and the image data indicating the more detailed operation procedure for the backup are read out and displayed on the display unit. Item 6. The automatic peritoneal dialysis device according to Item 5.   The display unit displays a call center telephone number, and the control unit notifies the call center when the operation procedure displayed on the display unit cannot move to the next operation procedure. The automatic peritoneal dialysis apparatus according to claim 1, wherein the patient is notified by a notification means.   8. The automatic peritoneal dialysis apparatus according to claim 1, further comprising a recording medium protection structure that protects the storage medium attached to the attachment from being removed.

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