Nanoclay sorbents for dialysis

• US 9,821,105 B2
• Filed: 07/01/2008
• Issued: 11/21/2017
• Est. Priority Date: 07/01/2008
• Status: Active Grant

• Current Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Original Assignee: Baxter Healthcare SA (Baxter International Inc.), Baxter International Inc.
• Inventors: Yeh, Rosa H., Xie, Wei, Yang, Hsinjin E., Ling, Michael T. K., Lo, Ying-Cheng
• Primary Examiner(s): Sirmons, Kevin C
• Assistant Examiner(s): PATEL, SHEFALI DILIP
• Application Number:
  US12/166,063
• Publication Number:
  US 20100004588A1
• Time in Patent Office: 3,430 Days
• Field of Search: 604 27, 604 29
• CPC Class Codes: A61M 1/14 Dialysis systems; Artificial kidneys; Blood oxygenators semi-permeable membranes characterised by the material, manufacturing processes therefor B01D71/00 ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/154 with sensing means or components thereof
• CPC Class Codes: A61M 1/155 with treatment-fluid pumping means or components thereof
• CPC Class Codes: A61M 1/1565 Details of valves
• CPC Class Codes: A61M 1/159 specially adapted for peritoneal dialysis
• CPC Class Codes: A61M 1/16 with membranes
• CPC Class Codes: A61M 1/1619 Sampled collection of used dialysate, i.e. obviating the need for recovery of whole dialysate quantity for post-dialysis analysis
• CPC Class Codes: A61M 1/1696 with dialysate regeneration
• CPC Class Codes: A61M 1/28 Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
• CPC Class Codes: A61M 1/284 Continuous flow peritoneal dialysis [CFPD]
• CPC Class Codes: A61M 1/30 Single needle dialysis ; Reciprocating systems, alternately withdrawing blood from and returning it to the patient, e.g. single-lumen-needle dialysis or single needle systems for hemofiltration or pheresis
• CPC Class Codes: A61M 1/34 Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
• CPC Class Codes: A61M 1/3406 Physical characteristics of the filtrate, e.g. urea
• CPC Class Codes: A61M 1/3413 Diafiltration
• CPC Class Codes: A61M 1/3472 with treatment of the filtrate
• CPC Class Codes: A61M 1/3486 Biological, chemical treatment, e.g. chemical precipitation; treatment by absorbents
• CPC Class Codes: A61M 2202/0021 removed from and reintroduced into the body, e.g. after treatment
• CPC Class Codes: A61M 2202/0028 fluid entering a filter
• CPC Class Codes: A61M 2202/0078 changed by chemical action
• CPC Class Codes: A61M 2202/0498 Urea
• CPC Class Codes: A61M 2205/0211 : Ceramics
• CPC Class Codes: A61M 2205/12 : with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/125 : with incorporated filters
• CPC Class Codes: A61M 2205/126 : with incorporated membrane filters
• CPC Class Codes: A61M 2205/15 : Detection of leaks
• CPC Class Codes: A61M 2205/3331 : Pressure; Flow
• CPC Class Codes: A61M 2205/3368 : Temperature
• CPC Class Codes: A61M 2205/50 : with microprocessors or computers
• CPC Class Codes: A61M 2205/75 : with filters
• CPC Class Codes: A61M 2209/088 : on the body
• CPC Class Codes: A61M 2210/1017 : Peritoneal cavity
• CPC Class Codes: B29C 48/09 : Articles with cross-sections having partially or fully enclosed cavities, e.g. pipes or channels
• CPC Class Codes: B29C 48/152 : the inner surfaces thereof

Abstract

Dialysis is enhanced by using nanoclay sorbents to better absorb body wastes in a flow-through system. The nanoclay sorbents, using montmorillonite, bentonite, and other clays, absorb significantly more ammonium, phosphate, and creatinine, and the like, than conventional sorbents. The montmorillonite, the bentonite, and the other clays may be used in wearable systems, such as a wearable peritoneal dialysis system, in which a dialysis fluid is circulated through a filter with the nanoclay sorbents. Waste products are absorbed by the montmorillonite, the bentonite, and the other clays and the dialysis fluid is recycled to a patient'"'"'s peritoneum. Using an ion-exchange capability of the montmorillonite, the bentonite, and the other clays, waste ions in the dialysis fluid are replaced with desirable ions, such as calcium, magnesium, and bicarbonate. The nanoclay sorbents are also useful for refreshing a dialysis fluid used in hemodialysis and thus reducing a quantity of the dialysis fluid needed for the hemodialysis.

Claims

1. A wearable system for removing body wastes from a peritoneal dialysis fluid, comprising:

a closed fluid loop for circulating the peritoneal dialysis fluid to and from a peritoneum of a patient;

at least one pump attached to the loop for circulating the peritoneal dialysis fluid into and out of the peritoneum and through the fluid loop;

a replaceable cartridge housing connected to the closed fluid loop, the housing having a first end including an inlet, and a second end including an outlet;

a filter with nanoclay particles, the filter attached to the fluid loop for removing the body wastes from the peritoneal dialysis fluid, wherein the nanoclay particles comprise a processed clay having at least one dimension from 1 nm to 200 nm, and wherein the nanoclay particles have been chemically enhanced with an acid to increase an acidity such that urea uptake is increased; and

a drain container connected to the closed fluid loop for removing an excess fluid.

2. The wearable system according to claim 1, further comprising an access device for providing inflow and outflow to and from the peritoneum.

3. The wearable system according to claim 1, wherein the processed clay is selected from the group consisting of expanded clays, exfoliated clays, intercalated clays, and substituted clays.

4. The wearable system according to claim 1, wherein the processed clay is selected from the group consisting of processed montmorillonite clay, processed bentonite clay, processed kaolin, processed talc, and processed vermiculite.

5. The wearable system according to claim 1, further comprising a sensor for measuring the urea or a urea by-product in the peritoneal dialysis fluid.

6. A wearable system for removing body wastes from a peritoneal dialysis fluid, comprising:

a catheter having an inflow lumen and an outflow lumen in communication with a peritoneal cavity of a patient;

a fluid circuit for circulating the peritoneal dialysis fluid to and from the peritoneal cavity;

a quantity of the peritoneal dialysis fluid within the fluid circuit;

at least one pump attached to the fluid circuit for circulating the peritoneal dialysis fluid into and out of the peritoneal cavity and through the fluid circuit;

a replaceable cartridge housing coupled to the fluid circuit, the housing having a first end including an inlet, and a second end including an outlet;

a filter with processed nanoclay particles, the filter coupled to the fluid circuit for removing the body wastes from the peritoneal dialysis fluid, wherein the processed nanoclay particles comprise a processed clay having at least one dimension from 1 nm to 200 nm, and wherein the processed nanoclay particles have been chemically enhanced with an acid to increase an acidity such that urea uptake is increased; and

a discharge path coupled to the fluid circuit allowing the peritoneal dialysis fluid to be drained after a treatment period.

7. The wearable system according to claim 6, wherein the processed clay is selected from the group consisting of processed montmorillonite clay, processed bentonite clay, processed kaolin, processed talc, and processed vermiculite.

8. The wearable system according to claim 6, wherein the replaceable cartridge housing further comprises at least one of carbon, charcoal, and a zirconium compound.

9. The wearable system according to claim 6, wherein the processed clay is a cationic ion exchange compound.

10. The wearable system according to claim 6, further comprising a controller and a connector block for controlling flows of the peritoneal dialysis fluid within the fluid circuit.

11. A wearable replaceable cartridge, comprising:

a housing having a first end including an inlet and a second end including an outlet, the housing suitable for wearing by a person; and

a filter with nanoclay particles for removing at least one body waste from a fluid, wherein the nanoclay particles comprise a processed clay having at least one dimension from 1 nm to 200 nm, wherein the nanoclay particles have been chemically enhanced with an acid to increase an acidity such that urea uptake is increased.

12. The wearable replaceable cartridge of claim 11, wherein the fluid comprises a peritoneal dialysis fluid.

13. The wearable replaceable cartridge of claim 11, wherein the processed clay comprises at least one of a smectite, a kaolin, an illite, a chlorite, an attapulgite, and a combination of one or more thereof.

14. The wearable replaceable cartridge of claim 11, wherein the processed clay comprises swellable nanoclays selected from the group consisting of smectite nanoclays, sepiolite nanoclays, zeolite nanoclays, palygorskite nanoclays, and mixtures thereof.

15. The wearable replaceable cartridge of claim 11, wherein the processed clay comprises a layered clay selected from the group consisting of a montmorillonite, a bentonite, a pyrophyllite, a hectorite, a saponite, a sauconite, a nontronite, a talc, a beidellite, a volchonskoite, a stevensite, and a vermiculite.

16. The wearable replaceable cartridge of claim 11, further comprising at least one of carbon, charcoal and activated charcoal.

17. The wearable replaceable cartridge of claim 11, further comprising a sensor for detecting ammonia or an ammonia by-product in a dialysis fluid used in removing the at least one body waste.