title: The design of an optimized portable artificial kidney system using recirculation and regeneration of dialysate.
abstract: This paper is intended as an overview of the research carried out at Coventry University in the design of a portable artificial kidney system. It was seen that the key to the problem was the reduction in dialysate volume, and so it was decided to develop a prototype that would utilize the regeneration and recirculation of a small volume of dialysate. A prototype system has been produced and used to simulate a dialysis session. Activated carbon was used as a sorbent for the regeneration of the dialysate, circulating in a closed loop. For the purpose of this work, the adsorption of urea was investigated as this is, volumetrically, the major solute to be removed. Peltier effect cooling was used to vary the dialysate temperature down to 2 degrees C, as activated carbon will adsorb greater amounts of urea at lower temperatures. A series of tests was then carried out to investigate the effect of dialysate temperature, flowrate and volume on the amount of urea that could be dialysed. From the experimental results, a model of the system was derived, which made it possible to determine the implications of different operating conditions on the overall mass and size of a portable dialysis system. The output of this model was then used to establish a design specification and produce an optimum design solution for the system.
authors.affiliation: School of Engineering, Coventry University.
authors.forename: R J
authors.initials: RJ
authors.lastname: Bigsby
authors.forename: R J
authors.initials: RJ
authors.lastname: Rider
authors.forename: G N
authors.initials: GN
authors.lastname: Blount
mesh_terms: D000327:Adsorption; D000465:Algorithms; D002606:Charcoal / Q000627:therapeutic use*; D003663:Decision Trees; D015314:Dialysis Solutions / Q000627:therapeutic use*; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D006801:Humans; D007688:Kidneys, Artificial / Q000592:standards*; D013696:Temperature; D013997:Time Factors; D014508:Urea / Q000493:pharmacokinetics
chemical_list: D015314:Dialysis Solutions; D002606:Charcoal; D014508:Urea