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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
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Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
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Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
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Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
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From portable dialysis to a bioengineered kidney.

Maaike K van Gelder1, Silvia M Mihaila1,2, Jitske Jansen2

  • 1a Department of Nephrology and Hypertension, University Medical Center Utrecht and Regenerative Medicine Utrecht , Utrecht University , Utrecht , The Netherlands.

Expert Review of Medical Devices
|April 11, 2018
PubMed
Summary

Major breakthroughs in dialysis are expected, including wearable devices for hemodialysis (HD) and peritoneal dialysis (PD), and the development of a bioartificial kidney. These innovations aim to improve patient mobility and treatment efficacy.

Keywords:
Bioartificial kidneyimplantable artificial kidneyprotein bound uremic toxinsrenal replacement therapywearable artificial kidney

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Area of Science:

  • Nephrology
  • Biomedical Engineering

Background:

  • Dialysis principles have remained largely unchanged since the 1970s.
  • Significant advancements in dialysis technology are anticipated in the coming decades.

Purpose of the Study:

  • To review upcoming breakthroughs in dialysis, including wearable devices and bioartificial kidneys.
  • To discuss the potential impact of these innovations on patient care and treatment outcomes.

Main Methods:

  • Review of current trends and future projections in dialysis technology.
  • Analysis of potential applications and challenges for novel dialysis devices and bioartificial kidneys.

Main Results:

  • Development of wearable and portable hemodialysis (HD) and peritoneal dialysis (PD) devices.
  • Advancement towards a bioartificial kidney for extracorporeal and potentially intracorporeal treatment.

Conclusions:

  • Wearable devices promise increased patient mobility and autonomy, while enhancing treatment effectiveness.
  • Bioartificial kidneys offer potential for partial or full replacement of renal functions, with challenges in cost-effectiveness and water reabsorption for intracorporeal applications.