Transcript Chapter 14 – Communication System

Dialysis System
SW 8.09.13
Training module 12 – Communication
Ref: Operator’s Manual SW 8.09.13
- Chapter 1 – General Description
- Chapter 14 – Communication System
- Chapter 15 – Report Environment
Artis Communication System
Application to IT:
• Choice of advanced IT technologies enabling:
- Clinical staff to have simple access to
hemodialysis data
- Ensure efficient compatibility with external
clinical software
Important Notice:
Important:
This presentation does not relieve any user of
the Artis Dialysis System from his or her duty to
carefully read the full text of the Operator’s
Manual before using the system.
Please note that the SW change to
8.09.13 of this presentation does not
change the training of the Artis Dialysis
System for the users.
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Artis native IT - Standards and
technologies
•
RFID1: Radio Frequency IDentification
- The Artis Patient Card embeds the RFID technology
→ Data are transferred without physical contact
•
HL7: Health Level 7 > [HL7]
- The Artis dialysis system provides data coded under the HL7 V2.5 standard (XML encoding)
in conformity with standards for interoperability of Health Information Technology.
→ The Artis dialysis system is compatible to any Clinical Software under HL7 protocol
•
TCP/IP: Transmission Control Protocol / Internet Protocol
- Artis is compliant with the TCP/IP (Transmission Control Protocol/Internet Protocol)
communication protocol and therefore is compatible with common platforms:
→ The Artis dialysis system allows to transfer data through Internet
•
SMTP: Simple Mail Transfer Protocol
- SMTP is an Internet standard for electronic mail transmission across Internet Protocol (IP).
→ The Artis dialysis system can send out emails
1: Artis Operator’s Manual SW 8.09.13, Chap. 14
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Artis native IT - Standards and
Technologies
• RS232: Recommended Standard 232
- The Artis dialysis system offers RS 232 serial port
→ It offers an alternative for data acquisition, on top of the Ethernet connection
•
Ethernet
- The Artis dialysis system offers an Ethernet port
→ The Artis dialysis system can be connected to an external software application
• USB: Universal Serial Bus
- The Artis dialysis system offers a USB port
→ It offers a much easier serviceability through a standard USB stick
•
VNC: “Virtual Network Computing”
- The VNC client is already embedded into Mediartis.Web (see after)
→ VNC allows to remotely access data and the Artis Graphical User Interface. (read only)
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Artis connectivity panel
The connectivity panel at the rear of the machine is equipped with a large
range of communication ports
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Artis native IT features
The Contact-less Patient card
The Artis dialysis system allows to fully handle the card (format/read/write).
No other devices or software product are needed.
•
Patient identification
•
Prescription download to the Artis dialysis system
•
The contact-less technology makes it fast and secured
•
The Artis dialysis system reads the prescription from the network or from the
card.
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Patient Card handling
• The 3 operations “New – Modify – Erase Patient Card” can
be directly made on the machine (no other device or software
are needed)
• How to read: the Patient Card must be brought straight in
front of the reader (located above the EvaClean device).
• Download of the prescription is possible:
– When the Prescription screen is displayed and until
patient connection
– When machine is in standby (not being used)
Card
reader
• When the prescription is downloaded from the card to the
Artis, a review window is displayed. The operator must verify
the adequacy and confirm. The same mandatory parameters
(identified with an exclamation mark symbol) as the manual
prescription must be confirmed before patient connection.
• When Exalis is in use, the Patient Card can be configured as
a patient ID Card, allowing to download the patient
prescription from the network without any manual search/ID
typing.
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Artis native IT features
Universal Serial Bus
The Artis dialysis system hosts a USB port on its back-side. This port
allows to:
•
Use a USB key to copy settings from a machine to another
•
Retrieve black-box sessions
•
Perform software upgrades of the Artis dialysis system
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USB key handling
BlackBox
► BlackBox records a set of
technical and service parameters:
• Treatments parameters
• Alarms
• Operator actions
• Machine processes and phases
• Actuators information status
The BlackBox function – a Service Level 2 function- is accessible from the Report
screen; it requires a password to enter.
The BlackBox recorder runs automatically and keeps the sessions in its internal memory
(up to 24 sessions). It can be configured in different manner (list of parameters, sampling
time, number of sessions).
The analysis of the BlackBox data requires Mediartis.Tech
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USB key handling
1. In the BlackBox sub-screen
- Press <Close current session> button
- Press <Export BlackBox file> button
2. Press the <Export all> button
It is also possible to transfer single session
by selecting the file with the up/down arrows
and then pressing the <Export> button
3. Press the <Close> button
4. Exit the Service Mode by pressing the
<Exit Service Mode> button in the
Service Overview screen
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Artis native IT features
Exalis connectivity (V1.16)
The Artis dialysis system is natively able to be integrated with Exalis 1.16
The communication protocol between the Artis dialysis system and Exalis
is performed by means of a proprietary protocol that runs on TCP/IP.
Co-working of Artis with Exalis allows:
• Automatic data collection (treatment results, alarms and operating phases)
• Date management (patient history files, treatment report,..).
• Data export from Exalis to 3rd parties according to HL7 protocol
• Prescription download
• Data storage
• Pre/post dialysis recording
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Exalis handling
Exalis is a clinical software application and a data
base expanding the IT potential of Artis.
Exalis provides 4 main functionalities:
1. Download the patient prescription to the machine
• In the prescription screen, press the <Patient ID> button
• Enter the Patient ID using the keyboard provided
• Confirm the ID entry; prescription is automatically downloaded
• A Prescription Review sub-screen is displayed, allowing the
operator to verify at one glance the settings and confirm
• Download of the prescription is possible only until the patient
connection
2. Record specific PRE and POST bpm (Auto BPM must be
activated during preparation and after disconnection)
3. Store synchronous data (according to a settable sampling
rate) and asynchronous data (alarms and events) at any time
between patient connection and patient disconnection
4. Export data to a third-party clinical SW, though the HL7
protocol
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Mediartis
Mediartis is the Gambro IT offering designed to expand IT
potential of Artis
Mediartis is a suite of software modules aiming at:
•
Improving the medical use of hemodialysis data to enhance clinical outcomes
•
Improving the use of resources to enhance operational efficiency
•
Expanding the added value of the dialysis system
The up-coming slides introduce the Mediartis modules existing today
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Mediartis. Physio
Mediartis.Physio Offline is a quality control tool that presents condensed and
easily accessible reports from an extensive hemodialysis database. Designed
for in-depth analysis of key aspects of dialysis, it effectively supports
physicians in monitoring dialysis quality indicators
Mediartis.Physio main features are:
•
Data extraction from Exalis
•
Automatic monitoring of the vascular access (Accesscan module)
•
Quality control of dialyis delivery
•
Intra and Inter patient variability assessments
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Mediartis. Physio
Mediartis. Physio is the clinical module of Mediartis software suite to improve
consistent achievement of clinical targets in reducing variability in treatment.
Historical graph of Clinical targets vs achieved values
Cross analysis of relevant combination
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Mediartis. Web
Mediartis.Web is a website hosted by the Artis dialysis system (embedded in
Artis software) and accessible by an Internet Explorer client before, during
and after the treatment. The protocol is HTTP on TCP/IP.
Mediartis. Web allows:
•
Remote access of the Artis Graphic User Interface (read only)
•
Treatment report (Patient data, Treatment prescription, Treatment results)
•
Treatment parameters (table or graphs)
•
Service pages
•
History of disinfections
•
History of alarms
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Mediartis.Web
Remote access to Artis
Graphical Interface
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Mediartis.Web
Treatment report
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Mediartis.Web
Treatment parameters
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Mediartis.Web
Disinfection history
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Mediartis.Web
Service pages
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Mails
The Artis dialysis system can send out emails to a pre-defined list of web
addresses using SMTP on TCP/IP.
The mails are sent out by means of Mediartis.Web and can contain
some attachments such as:
• Last BlackBox session
• Current screenshot of what’s displayed on the Artis Graphical User Interface
• The software identification that is running on the Artis dialysis system
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Mediartis.Tech
Mediartis.Tech is a software application dedicated for serviceability. A
private log-in permits the technician to access the application as well as
the BlackBox management tool for data download and data analysis.
Mediatis.Tech allows:
•
BlackBox management
•
Service-log to access instantaneous data (Troubleshooting)
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Mediartis.Tech
BlackBox Login Page
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Mediartis.Tech
BlackBox Main Page
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Mediartis.Tech
Service log
Multiple Graphs
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Nice to know
• Activation of the Card reader and of the Exalis connection is
done in Service 2
• Connection to Exalis, as well as Mediartis or any Clinical
Software, requires the network parameters to be preset
• In case of Exalis connection, the Patient Card shall be preset
as “ID Card only”
• The <Patient ID> button is displayed in the prescription screen
only if the machine is effectively connected to Exalis
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For the safe and proper use of the devices referenced within, refer to
Warnings, Precautions and the complete Instructions for Use or the
appropriate manual available by contacting customer support.
MediArtis and Exalis are Trademarks of Gambro AB.
Gambro is an indirect subsidiary of Baxter International Inc.
Back up slide:
•
List of the treatment parameters available for acquisition through the network:
Remaining Time
Venous Pressure
Acc. Online Bolus
Na Equivalent
Set UF volume
Acc UF Volume
Arterial Pressure
Accumulated Substitution
Volume
Forecast Na
Intake
Acc UF Rate
pH (optional)
Pre-dialyzer pressure
blood volume (blood
volume variation in %)
Event
Sodium Conductivity
Kt
Arterial flow SN
Forecast BV
Medication
Bicarbonate conductivity
QF/QB
Venous flow SN
Ionic Mass Balance
Temperature
QI/QF
Stroke volume
Ionic effactive dialysance
Fluid Flow Rate
TMP Set
Diastolic Pressure (BPM)
Real blood flow
Actual Substitution Rate
Scale weight
Systolic Pressure (BPM)
Plasma Conductivity
Heparin Pump Speed
K concentration
Heart Rate (BPM)
System Pressure
Accumulated Blood
Volume (accumulated
treated blood vol.)
Effective dialysis time
Plasma Na Conc
Set Blood Flow (DN and
SN)
TMP
Acc. Heparin
Bed Scale patient weight
Kt/V
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