Thermally enhanced dialysis/diafiltration system

B - Operations – Transporting – 01 – D

Patent

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Details

B01D 61/24 (2006.01) A61M 1/34 (2006.01) A61M 1/36 (2006.01) B01D 61/26 (2006.01) B01D 61/28 (2006.01)

Patent

CA 2396853

The present invention provides a hemodialysis or hemodiafiltration system and method using two dialyzer stages (122, 138), wherein the temperature of a dialysate fluid stream of the first cartridge (122) is increased such that the blood in the first cartridge (122) is dialyzed or diafiltered at an elevated temperature, while blood in the second cartridge (138) is dialyzed or diafiltered against a dialysate stream at normal blood temperature. This results in an increased solute diffusivity and a corresponding increase in removal of blood substances by diffusion. When diafiltration is performed, an additional removal of substances occurs by convection as a larger portion of plasma water from a blood compartment (142) can be filtered across a semi- permeable membrane (140) at the same transmembrane pressure due to the reduced viscosity of the heated blood and plasma water.

La présente invention se rapporte à un système d'hémodialyse ou d'hémofiltration et à un procédé correspondant mettant en oeuvre deux étages de reins artificiels (122, 138), où la température d'un courant fluide de dialysat de la première cartouche (122) est accrue de sorte que le sang dans cette première cartouche (122) est dialysé ou diafiltré à une température élevée, tandis que le sang de la seconde cartouche (138) est dialysé ou diafiltré en opposition à un courant de dialysat à température normale du sang. Ceci se traduit par une augmentation de la diffusivité du soluté et un accroissement correspondant du retrait des substances sanguines par diffusion. Lorsque la diafiltration est effectuée, une autre extraction de substances se produit par convection du fait qu'une plus grande partie du liquide plasmatique provenant du compartiment (142) pour le sang peut être filtré à travers une membrane semi-perméable (140) à la même pression transmembranaire en raison de la viscosité réduite du sang réchauffé et du liquide plasmatique.

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