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DOI 10.1007/s10544-012-9638-7
1 Introduction
The hollow fiber based hemodialyzer made an extremely
important impact in hemodialysis practice in the last three
decades. Patients with renal diseases were able to improve
their life expectancy and maintain a somewhat improved
quality of life. In 2006 more than 1.6 million patients
worldwide (Kalorama Information 2007) were receiving
dialysis treatment for end stage renal disease and the number
of patients requiring treatment is growing at a rate of 7% per
year worldwide (Grassmann et al. 2005). At the present rate
the number of patients requiring dialysis will exceed 2
million by 2011. With the current growth rate and expected
improvement of health care in developing nations, current
dialysis treatment models and practices need new
approaches and above all new technical solutions to provide
higher quality patient care. It appears that hollow fiber
technology has met technical limitations in further development of dialysis practices and is limited to advancements in
membrane quality and production technology. The main
limitation in the conventional hollow fiber approach is the
non-uniformity of the dialysate flow path. The packing of
fibers within the dialyzer is not uniform, which leads to nonuniform dialysate flow. It has been shown that the most
significant hindrance on mass transfer is the stagnant
regions that can develop in the flow paths (Colton and
Lowrie 1981) and the path length for diffusion. In order to
compensate for this current designs typically increase the
dialysate flowrate, which is not practical for home dialysis.
The current practice of short, intensive hemodialysis sessions lead to significant fluctuations in blood chemistry and
elicit immune system responses from blood membrane contact (Goerke et al. 2002). The morbidity of patients has been
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2 Methods
2.1 Experimental setup
The dialyzers under consideration were of a parallel channel
configuration in a flat-plate design. Two flat plates are
assembled with channels aligned and separated with a 20
[m] Gambro AN69 ultrafiltration membrane. All data presented in this study is for the device operated in countercurrent flow. For these experiments a fluid with zero
concentration of the solute is pumped on one side of the
device, while on the other side a solution of known concentration is pumped through the opposing set of microchannels. The output for each side of the lamina was collected,
weighted, and the solute concentration measured. A detailed
description of the experimental methods and setup has been
previously reported (Warner-Tuhy 2009).
Two dialyzers were tested. One design consisted of 26
parallel channels which are 5.6 [cm] in length, with a cross
section of 100 [m] x 200 [m] (h x w) and was manufactured
by direct micro-machining of a polysulfone substrate using a
high RPM CNC. Figure 1 is a rendering of a single laminae
597
2.2 Analysis
Mass transfer results were evaluated at five different blood
flow rates corresponding to average fluid velocities between 1.0 [cm/s] and 5.0 [cm/s] with equal dialysate flow
rates and two nominal ultrafiltration pressures across the
membrane (Ptm 00.0 [Pa] and 10 000. [Pa]). One experiment was conducted with the dialysate flow rate being 75%
that of the blood flow rate and no nominal transmembrane
pressure.
2.3 Mathematical model for urea transport
To accurately analyze, and predict the mass transfer performance of the microchannel dialyzer a three-dimensional
numerical simulation algorithm was developed. Numerical
simulations are based on the mathematical model (Eqs. 1a,
1b, and 2), which is entirely built on the conservation
equations for mass and momentum transport with no adjustable parameters. Since each microchannel pair operates
identically to other parallel channels, only one channel pair
needs to be simulated to predict the performance of the
entire device.
The computational domain is comprised of three subdomains illustrated in Fig. 4. The two fluid domains are
separated by a porous membrane. The numerical solution of
the differential equations is third order accurate and were
solved using GMRES and preconditioned conjugate
gradients.
The steady state NavierStokes equations for isothermal and
incompressible fluid (Eq. 1a) were solved using the SIMPLE
method to generate the three-dimensional flow field within a
pair of microchannels. The boundary conditions for the Navier
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Stokes equations are provided in Table 1, where ub,o and ud,o are
average inlet blood and dialysate velocities respectively.
@u
u ru rp r2 u
@t
ru0
1a
1b
Outlet
pb;out
0
pjxL;htm <y<H;0<z<W pd;out
@u
@x xL;htm <y<H;0<z<W 0
pjx0;0<y<h;0<z<W
@u
@x x0;0<y<h;0<z<W
Wall
ujy0;yH;z0;zW 0
Membrane
ujyh um
ujyhtm um
Dj0<x<L;0<y<h;0<z<W Dab
Dj0<x<L;htm <y<H;0<z<W Dab
Dj0<x<L;h<y<htm ;0<z<W Deff
Cjx0;htm <y<H;0<z<W Cb;o
CjxL;0<y<h;0<z<W Cd;o
@C
@x x0;0<y<h;0<z<W 0
@C
@x xL;htm <y<H;0<z<W 0
@C
@y y0;yH 0
@C
@z z0;zW 0
599
1.0
Ko 0
Concentration (g/L)
0.4
0.2
0.0
0.1
Cinlet
Coutlet
mtrans
A t
QD;O CD;O
QB;I CB;I
0.8
1.5
2.1
2.8
3.5
4.1
4.8
5.5
3b
0.6
3a
@ Cinlet
Coutlet
A
ln
0.8
0.6
Fractional Removal
3 Results
0.5
0.4
0.3
0.2
0.1
0.0
600
Fractional Removal
0.6
0.5
0.4
0.3
0.2
0.1
0.0
0
Ko (cm/min)
0.7
0.12
0.08
0.04
0.00
601
25000
12000
20000
10000
Pressure (Pa)
15000
10000
5000
0
8000
6000
4000
2000
1
2
3
4
5
6
Fluid Velocity in Top (Blood) Channels (cm/s)
Fig. 9 Pressure drop (p) for each side (inletoutlet) for 9.9 [cm]
channel. () 1:1 blood-to-dialysate flow ratio, () 1:0.75 blood-todialysate flow ratio. (white) dialysate side (black) blood side
Fig. 11 Pressure drop for each side (inletoutlet) for 5.6 [cm] channel.
() Ptm 00 [Pa], () Ptm 010 000 [Pa], (black) blood side and (white)
dialysate side
0.12
Ko (cm/min)
0.10
0.08
0.06
0.04
0.02
0.00
0
602
4 Discussion
References