Dialyzer Reuse — Techniques And Controversy

  • Anne Marie V. Miles
  • Eli A. Friedman


Hemodialyzer reuse refers to the processing of a used dialyzer cartridge with or without connecting tubing, for repeated hemodialysis in the same patient. Dialyzer reuse was first described in 1964 by Shaldon (1), who refrigerated coil dialyzers containing the patient’s heparinized blood until the next dialysis. Reuse of dialyzers then underwent a series of refinements and became progressively widespread, initially for reasons of convenience in home hemodialysis programs to reduce the need for rebuilding of Kiil dialyzers, and later for cost containment and improved dialyzer biocompatibility. Dialyzer reuse today is largely limited to hollow fiber capillary dialyzers because of their near universal use, and because of difficulty in assessing the efficacy of reprocessing in parallel plate dialyzers. Automated reprocessing machines were introduced in 1980–1981 and contributed to the increasing trend to reuse dialyzers. In an effort to contain the burgeoning cost of health care in the United States, in 1983, the Federal Government discontinued the previous Medicare system of reimbursing 80% of the actual cost of each dialysis session and instituted a composite rate of reimbursement for each hemodialysis treatment, i.e.: a limited, fixed amount was paid for each dialysis


Peracetic Acid Blood Compartment Dialysis Center Formaldehyde Level Dialyzer Clearance 
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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Anne Marie V. Miles
    • 1
  • Eli A. Friedman
    • 2
  1. 1.SUNY-Health Science Center at BrooklynBrooklynUSA
  2. 2.SUNY Health Science CenterBrooklynUSA

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