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10009424
A Semi-Automatic Mechanism Used in the Peritoneal Dialysis Connection
Abstract:
In addition to kidney transplant, renal replacement therapy involves hemodialysis and peritoneal dialysis (PD). PD possesses advantages such as maintaining stable physiological blood status and blood pressure, alleviating anemia, and improving mobility, which make it an ideal method for at-home dialysis treatment. However, potential danger still exists despite the numerous advantages of PD, particularly when patients require dialysis exchange four to five times a day, during which improper operation can easily lead to peritonitis. The process of draining and filling is called an exchange and takes about 30 to 40 minutes. Connecting the transfer set requires sterile technique. Transfer set may require a new cap each time that it disconnects from the bag after an exchange. There are many chances to get infection due to unsafe behavior (ex: hand tremor, poor eyesight and weakness, cap fall-down). The proposed semi-automatic connection mechanism used in the PD can greatly reduce infection chances. This light-weight connection device is portable. The device also does not require using throughout the entire process. It is capable of significantly improving quality of life. Therefore, it is very promising to adopt in home care application.
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References:

[1] National Health Insurance Administration (2015). Information Disclosure Report on the Overall Medical Quality of Outpatient Dialysis.
[2] Wu, M. C. Hemodialysis Room, Taipei Veterans General Hospital. How Much do you Know about Hemodialysis? http://www.youth.com.tw/db/epaper/es002001/n980303-o.htm. (accessed date:20180122).
[3] Chiao-Yaung Lu Shu-Man Weng * Mei-Yueh Chiu, Shiow-Chin Tseng Ya-Fang Yang Chiung-Yao Chen, Decreasing The Incidence Of Peritonitis In Peritoneal Dialysis Patients: By Improving the Recognition and Technique. Journal of Taiwan Nephrology Nurses Association, Vol. 9 Issue 1, June 2010.
[4] Vlado Ivan Matkovich, Thomas J. Bormann, Gerard R. Delgiacco, Mkaden Franovic, Connector Assemblies, Fluid Systems, and Methods for Making a Connection. Pall Corporation, US 6,655,655 B1, Dec. 2003.
[5] Brian Connell, Bill Griswold, Raf Castellanos, Tom Johnson, Dalysis Connector and Cap Having an Integral Disinfectant, Baxter International Inc, Baxter Healthcare S. A. April, 2007, US 7,198,611 B2.
[6] Christopher T. Davey, Michael R. Sansoucy, Mattew N. McCarthy, High Flow Rate Dialysis Catherters and Related Methods, Scimed Life Systems, Inc., July, 2003 US 6,595,966 B2.
[7] Sobue, Katsuyoshi (Toyko, JP) Sato, Katsuo (Tokyo, JP) Kondo, Ko (Tokyo, JP) Yamaguchi, Akinori (Tokyo, JP) (2012), Peritoneal Dialysis Patient Connection System, 2012 April 17 US Patent 8157761B2.
[8] Robert W. Childers, Peritoneal Dialysis Machine, Dec.2, 2014, US 8900174 B2.
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