Automation and innovation in home hemodialysis machines.

IF 2.2 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Current Opinion in Nephrology and Hypertension Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI:10.1097/MNH.0000000000001033

Osama El Shamy, James A Sloand

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引用次数: 0

Abstract

Purpose of review: In this review, we discuss the timeline of innovation and technologic development in home hemodialysis (HHD) in the United States and the legislative approvals that accompanied them.

Recent findings: The most recently FDA-approved home hemodialysis devices provide features that include on-demand and batch dialysate generation, access disconnect for venous needle dislodgement, touchscreen interface with visual and auditory prompts and animations, drop-in sterilized cartridges with prestrung tubing, hot water disinfection of tubing allowing extended-use, dialysate flow rates as high as 500 ml/min, as well as remote treatment monitoring capabilities. Furthermore, wearable/portable dialysis devices are currently under development to simplify dialysis delivery to patients with end-stage kidney disease.

Summary: Home hemodialysis devices providing longitudinal hemodialysis across different clinical settings, virtual reality headsets for more personalized training, automated patient support, as well as wearable device development and innovations give hope for a future where home hemodialysis is more accessible and seamless.

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家用血液透析机的自动化和创新。

回顾的目的：在这篇综述中，我们讨论了美国家庭血液透析（HHD）的创新和技术发展时间表，以及随之而来的立法批准情况：最近获得 FDA 批准的家用血液透析设备提供的功能包括：按需和批量透析液生成、静脉留置针脱落时的通路断开、带有视觉和听觉提示和动画的触摸屏界面、预绞管的滴入式灭菌血盒、可长时间使用的热水消毒管路、透析液流速高达 500 毫升/分钟以及远程治疗监控功能。此外，目前正在开发可穿戴/便携式透析设备，以简化终末期肾病患者的透析过程。小结：家庭血液透析设备可在不同的临床环境中提供纵向血液透析，虚拟现实头戴式设备可提供更加个性化的培训，自动患者支持以及可穿戴设备的开发和创新为未来家庭血液透析的可及性和无缝性带来了希望。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Nephrology and Hypertension 医学-泌尿学与肾脏学

CiteScore

5.70

自引率

6.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： A reader-friendly resource, Current Opinion in Nephrology and Hypertension provides an up-to-date account of the most important advances in the field of nephrology and hypertension. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including pathophysiology of hypertension, circulation and hemodynamics, and clinical nephrology. Current Opinion in Nephrology and Hypertension is an indispensable journal for the busy clinician, researcher or student.