Dialysis Dialysis yy
A PhotograA Photogragg
of Proof Pro
Vern Vern Taaffe Taaffe –– ©© 2011 Delivered a2011 Delivered a
Devices: Devices:
aphic Historyaphic Historyp yp y
ogressogressgg
at NANT 2011 National Symposiumat NANT 2011 National Symposium
Dialysis DeviDialysis Devi
• Dialyzersy
• Delivery Systems a
• Devices Used with
C i i• Concentrate Mixing
• Reprocessing SysteReprocessing Syste
• Primary Water Trea
ces Reviewed ces Reviewed
and Dialysis Machines
Delivery Systems
Sg Systems
ems & Germicidesems & Germicides
atment Devices
Dr. Will
Inventor f hof the
Artificial Kidney Kidney
Dr. Kolff and Gca. 1
em Kolff
George Rovegno g g1991
Original (Firg (
Kolff Rotating Drum, ca 1943 ca. 1943
Photos shown here are courtes
rst) Dialyzers ) y
Skeggs Leonards Plate, ca 1948 ca. 1948
sy of Home Dialysis Central
Second Generao
Travenol-Kolff Coil, 1956 ca. 1956
ation Dialyzerso y
Kiil Plate Dialyzer, ca. 1960
Third Generat
Stewart Capillary
First Hollow F
Stewart Capillary
ca. 196
tion Dialyzerso y
Cordis Dow CDAKs
Fiber Dialyzers,
Cordis Dow CDAKs
y64-1967
Evolution of P
Gambro Plate DialyzGambro Plate Dialyz
Plate Dialyzersy
zers, ca. 1967-1979 zers, ca. 1967 1979
Evolution of C
Coil Dialyzers
Travenol
Coil Dialyzers,
Coil Dialyzers
ca 1977 1978
Extracorporeal
, ca. 1977-1978
Evolution of Hollo
TravenAsahi
HF Di l
TravenCF Ser
AsahiAM Series
HF Dialyzer
ow Fiber Dialyzers
nol Terumo
1977
nol ries
TerumoClirans Series
rs, ca. 1977+
Evolution of Hollo
Baxter CA170High Efficiency
BaxterHigh
HF Dialyzer
ow Fiber Dialyzers
r CT190G h Flux
FMC F80 High Flux
rs, ca. 1985+
Evolution of Hollo
H ll Fib Di l
Gambro Revaclear Baxter
Hollow Fiber Dial
ow Fiber Dialyzers
l 2000+
FMC Optifluxr Xenium
lyzers, ca. 2000+
Manufacturing Rela
53S dd Sudden Patient Deaths
Perfluorocarbon Althin/Baxter
Caused Gas/Fo
ted Patient Disaster
Autumn ofAutumn of2001
Leak Test Agent A, AF, AX Series
goam Embolisms
Early Dialysy y
Travenol RSPTravenol RSP
Dialysate Delica. mid-
sis Machines
Drake-Willock 4002Drake-Willock 4002
ivery Systems, -1960s+
Early Dialysy y
Milton Roy Dialysatca. 19
sis Machines
Pressure MonitorMonitor
SarnsBloodBloodPump
BR
te Delivery Systems
BR
964+
Devices Used with
BloBlo
ca.Dialysate
ConductivityM tMeter
h Delivery Systems
ood Pumpood Pump
1975+
Air Detector
Photo credit: W. Carlson - Minntech
Dialysis Mac
Cobe C2/C2 RX
ca. 1
chine Evolution
Extracorporeal SPSand Tri-Ex Dialyzer
1978+
Dialysis Mach
Gamb
Cordis Dow Seratron ca 1979
Gambca.
ca. 1979
hine Evolution
ro AK-10ro AK-10 1977
FMC 2008A1984ca. 1984
Dialysis Mac
Baxter 550 Baxte
ca. 1
hine Evolution
r 1550 FMC 2008E
987+
Dialysis Mach
Cobe C3 Hospal
First “Screen” Ma
hine Evolution
Integra Braun HD-secura
achines, ca. 1986+
Dialysis Mach
Drake Willock System 1000
k / l h
Drake-Willock System 1000ca. 1991+
Drake/Alth
hine Evolution
0 Althi Ti S t 1000
hi /
0 Althin Tina System 1000ca. 1997+
hin/Baxter
Dialysis Machy
AuroMeridian Auroca. 200
Meridianca. 2000+
Bax
hine Evolution
ora Arenaora02+
Arenaca. 2003+
xter
Dialysis Macy
FMC 2008K Braun D
P l t i Prevalent in
chine Evolution
Dialog+ Gambro Phoenix
USA i 2010 USA in 2010
Dialysis Mach
FMC 20
F i i UFresenius in U
hine Evolution
008T
USA i 2011+ USA in 2011+
Dialysis Machine
Braun Dialog Plus w/ For Continuous MonitorinFor Continuous Monitorin
Beginning of Rx MiddleBeginning of Rx Middle
B Braun in USB. Braun in US
e Evolution
Adimea Systemng of Dialysis Doseng of Dialysis Dose
e of Rx End of Rxe of Rx End of Rx
SA in 2011+ SA in 2011+
Concentrate M
Minntech Renapakca. 1989+
Renca.
Mixing Systemsg y
napak 22000+
Rockwell CMSca. 2000+
Reprocessinp
Kiil W MKiils Were Manua
ng Systems g y
Too time consuming
and expensive expensive to rebuild.
ll R d ally Reprocessed
Reprocessing Sysp g y
M l RManual Reu
stems Evolution
Designed for use with for use with hollow fiber dialyzers.
S t use System
Reprocessing Sysp g y
Lixivitronca. 1979+
Fi t F ll A tFirst Fully Auto
stems Evolution
System was leased leased
rather than purchased outright.
t d S t omated System
Reprocessing Sysp g y
Mesa Echo Rena
d S
Mesa Echo RenaRe
Automated System
stems Evolution
al Systems Seratronics
l 980
al Systemsenatron
SeratronicsDRS-4
ms, ca. Early 1980s+
Reprocessing Sys
Mes&&
Renal SyRenatroRenalogRenalog
ca.
stems Evolution
sa Echo& DMS & DMS
ystemson II &g DMS S t ig DMS Seratronics
DRS-4 & DMS
early 1990s+
Reprocessing Sys
Alcavis ARM
ca early
Alcavis ARM
ca. early
stems Evolution
HDC Maky
y 2000s+
HDC Maky
y 2000s+
Reprocessing Sys
ca 20ca. 20Not Esta
in Uin U.
stems Evolution
005+005+ablished S A .S.A.
Reprocessing Germici
Formaldehyde Puris
RenaGlutaraldehyde
ide Evolution (U.S.A.)
steril Peracidin PAAs
alin Micro-X
A Few Reproce
ca.
essing Veterans
1989
A Few Reproce
1992ca. 1992
essing Veterans
ca 2000ca. 2000
Primary Water Tr
DeionizatioDeionizatio
reatment Devices
on Systems on Systems
Primary Water Tr
R O
Osmonics 19Cca. 1970s+
Reverse Osm
reatment Devices
Also:Millipore, M dMedro,
etc.ca.
GEM W t
1980s+
i S
GEM Waterca. 1980s+
mosis Systems
Primary Water T
Osmonics/Mar Cor 23Gca. 1994+
Reverse Osm
reatment Devices
G Mar Cor M4 seriesca. 1996+
mosis Systems
Primary Water Tr
Bi /M C 4400
R O
Biopure/Mar Cor 4400ca. 1996+
Reverse Osm
reatment Devices
i S
Zyza/Mar Cor V/Zca. 1997+
mosis Systems
Primary Water Tr
G b WRO i
R O
Gambro WRO seriesca. 1998+
Reverse Osm
reatment Devices
i S
US Filter Med-ROca. 1998+
mosis Systems
Primary Water Tr
Isopure MD440 & 470 Du
R O
Isopure MD440 & 470 Duca. 2000+
Reverse Osm
reatment Devices
ual Better Water Matrix
i S
ual Better Water Matrixca. 2005+
mosis Systems
Clinical & Technical A Very Important
Past, Presen
Support Personnel:t Part of Dialysis,nt & Future!
