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Technical Aspects of Reuse in Europe

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Guide to Reprocessing of Hemodialyzers

Part of the book series: Developments in Nephrology ((DINE,volume 15))

Abstract

The feasibility of maintenance hemodialysis as a mode of treatment for chronic renal failure was established in the early 1960s [1]. By the end of that decade, 217 centers in Europe were treating 2816 patients by this technique. Patients used principally the Kiil type nondisposable (56.4%) and coil (26.2%) disposable dialyzers. Although both were reused, the rationale behind their reuse differed. In the case of the Kiil and its later multipoint variants [2], reuse was on the basis of convenience rather than cost since such dialyzers were built for use on each occasion. After building, they required sterilization, which was undertaken by the filling of the blood and dialysate compartments with formaldehyde and, prior to each use, the formaldehyde was rinsed out. As these procedures were time consuming, reuse of such devices became common and grew from the desire to reduce the time spent in assembling and preparing the devices. In the case of the disposable coil dialyzer, which was supplied in a presterilized package, cost was the primary consideration in reusing [3].

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© 1986 Martinus Nijhoff Publishing

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Hoenich, N.A., Goodship, T.H.J., Ward, M.K., Ringoir, S. (1986). Technical Aspects of Reuse in Europe. In: Deane, N., Wineman, R.J., Bemis, J.A. (eds) Guide to Reprocessing of Hemodialyzers. Developments in Nephrology, vol 15. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2313-6_8

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  • DOI: https://doi.org/10.1007/978-1-4613-2313-6_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9423-8

  • Online ISBN: 978-1-4613-2313-6

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