Abstract

During hemodialysis (HD), blood is circulated through an extracorporeal tubing system (bloodline) made of medical-grade polymeric material. Sensors of various types that do not come into contact with blood (optical, electromagnetic, etc.) are applied directly across the bloodline for clinical purposes and for therapy customization. Thus, a detailed knowledge of the bloodline’s physical properties is useful for the development of next-generation HD sensors. In this work, we performed a novel comparative analysis of the materials used by the manufacturers of the bloodlines. We focused on signals and characterization techniques matching those of the abovementioned sensors; consequently, this is an application-specific study of the optical and electrical characterization of bloodline material. Such properties are analyzed and compared for bloodlines from seven different manufacturers by optical absorbance spectroscopy and electrical impedance spectroscopy (EIS). Absorbance spectrum measurements are carried out in the VIS-NIR range. Absorbance spectra are pre-processed and data from both types of analyses are normalized with respect to sample thickness. Optical analysis shows that all bloodlines except one have similarly shaped spectra with slight quantitative differences. In all optical spectra, we find a decreasing trend of specific absorption from 0.14 mm−1 at 400 nm to 0.06 mm−1 at 1000 nm, with an absorption peak at 915 nm. In one case, a large absorption peak centered at ≃600 nm is found. Electrical analysis shows that all bloodlines have the electrical properties of a constant-phase element (CPE), with statistically significant differences in parameters’ values. Estimation of electrical CPE parameters for all bloodline returns a range of 0.942–0.957 for parameter n and a range of 12.41–16.64 for parameter Q0’. In conclusion, we find that, although some statistically significant differences are present, bloodlines from a representative group of manufacturers share similar electrical and optical properties. Therefore, contactless sensing devices developed for HD will work on different bloodlines if a simple recalibration is performed.

Highlights

  • IntroductionDistinct types of machines exist to treat patients with acute kidney injury (AKI) (caused, for example, by poisoning), and patients with chronic kidney disease (CKD), who have no chance to recover renal function without a transplant

  • Hemodialysis (HD) is a blood purification therapy developed as a partial surrogate for kidney activity in nephropathic patients—that is, patients with low or no residual renal function [1,2].HD is performed through apposite machines

  • For each of the seven manufacturers considered in this study, a disposable bloodline kit was collected from a local hospital or hemodialysis company

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Summary

Introduction

Distinct types of machines exist to treat patients with acute kidney injury (AKI) (caused, for example, by poisoning), and patients with chronic kidney disease (CKD), who have no chance to recover renal function without a transplant. Whereas AKI is usually an emergency one-time treatment performed until renal function is recovered, CKD requires. Materials 2018, 11, x FOR PEER REVIEW ongoing, four-hour-long ongoing, periodic periodic treatment. CKD patient patient will will receive receive four-hour-long treatments three times a week. This study focuses on analyzing some specific properties treatments three times a week. This study focuses on analyzing some specific properties of of the the disposable material involved in treatment of CKD patients by chronic

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