Polysulfone hemodialyzer
An object of the present invention is to provide a polysulfone hemodialyzer with large membrane area that exhibits an unprecedented high dialytic performance over a wide molecular weight range from urea to β 2 -microglobulin. There is provided a polysulfone hemodialyzer having a membrane area of >2.4 but ≦3.2 m 2 and a dialysate rectifying portion with specified broadening at end portion of bundle, the polysulfone hemodialyzer achieves the above object.
1. A polysulfone hemodialyzer comprising a tubular housing having a body portion and head portions and providing a dialysate inlet port in one of the head portions and a dialysate outlet port in the other head portion, a hollow fiber membrane bundle which is formed from a polysulfone polymer and polyvinylpyrrolidone and filled in the tubular housing, a resin layer portion provided on an end of the head portion of the housing, securing the bundle in the housing and forming an open end for the hollow fiber membranes, and a header portion which has a blood circulation port and with which the resin layer portion is capped,
wherein the hemodialyzer has a membrane area of more than 2.4 m 2 and 3.2 m 2 or less, and the bundle includes a straight portion and a dialysate rectifying portion, a ratio of a dialysate channel area in a diameter-expansion-start portion to a dialysate channel area inside the resin layer portion is 0.2 to 0.5, and the dialysate rectifying portion having a distance from the diameter-expansion-start portion to the inside of the resin layer portion of 10 to 46 mm is provided in a dialysate inlet port side end portion of the bundle,
wherein a filling rate of the bundle with respect to the minimum diameter of the body portion of the housing is 55% or more and less than 69%.
2. The polysulfone hemodialyzer according to claim 1 , wherein a ratio of a length of the straight portion of the hollow fiber membrane bundle to a length of the dialysate rectifying portion on the dialysate inlet port side is 3.0 to 10.0.
3. The polysulfone hemodialyzer according to claim 1 , wherein the bundle includes crimped hollow fiber membranes or hollow fiber membranes provided with spacer fibers wound therearound.
4. The polysulfone hemodialyzer according to claim 1 , wherein the hollow fiber membranes have an inner diameter of 170 to 190 μm and a thickness of 25 to 50 μm.
5. The polysulfone hemodialyzer according to claim 1 , wherein the hollow fiber membranes have a water permeation rate of 100 to 350 ml/m 2 ·hr·mmHg.
6. The polysulfone hemodialyzer according to claim 1 , wherein 50 to 95 wt % of the polyvinylpyrrolidone included in the hollow fiber membranes is crosslinked and water-insolubilized.
7. The polysulfone hemodialyzer according to claim 1 , wherein a peripheral type baffle is provided in the dialysate inlet port side head portion of the housing and is gradually increased in diameter along the shape of the dialysate rectifying portion.
8. The polysulfone hemodialyzer according to claim 7 , wherein the peripheral type baffle is a slit baffle of which the entire circumference of its top portion reaches the resin layer portion.
9. The polysulfone hemodialyzer according to claim 7 , wherein the peripheral type baffle has a base portion at a boundary between the body portion and the head portion of the housing and of which a virtual cross section including the base portion is positioned to contact the body portion side circumferential portion of an opening of the dialysate inlet port.
10. The polysulfone hemodialyzer according to claim 1 , wherein a slope portion is provided between the body portion and the head portion of the tubular housing along the outer circumference of the dialysate rectifying portion of the bundle.
11. The polysulfone hemodialyzer according to claim 1 , having a blood volume per unit membrane area of 50 to 65 ml/m 2 .
12. The polysulfone hemodialyzer according to claim 1 , having a urea overall mass transfer coefficient of 9.50×10 −4 cm/sec or more at a blood flow rate of 400 ml/min and a dialysate flow rate of 800 ml/min, and a difference (Ko (C) −Ko (AVE) ) between a urea center portion overall mass transfer coefficient (Ko (C) ) and an average urea peripheral portion overall mass transfer coefficient (Ko (AVE) ) at a blood flow rate of 400 ml/min and a dialysate flow rate of 800 ml/min of −2.7×10 −4 to 2.5×10 −4 cm/sec.
13. A polysulfone hemodialyzer comprising a tubular housing having a body portion and head portions and providing a dialysate inlet port in one of the head portions and a dialysate outlet port in the other head portion, a hollow fiber membrane bundle which is formed from a polysulfone polymer and polyvinylpyrrolidone and filled in the tubular housing, a resin layer portion provided on an end of the head portion of the housing, securing the bundle in the housing and forming an open end for the hollow fiber membranes, and a header portion which has a blood circulation port and with which the resin layer portion is capped,
wherein the hemodialyzer has a membrane area of more than 2.4 m 2 and 3.2 m 2 or less, and a urea overall mass transfer coefficient is 9.50×10 −4 cm/sec or more at a blood flow rate of 400 ml/min and a dialysate flow rate of 800 ml/min, and a difference (Ko (C) −Ko (AVE) ) between a urea center portion overall mass transfer coefficient (Ko (C) ) and an average urea peripheral portion overall mass transfer coefficient (Ko (AVE) ) at a blood flow rate of 400 ml/min and a dialysate flow rate of 800 ml/min is −2.7×10 −4 to 2.5×10 −4 cm/sec,
wherein a filling rate of the bundle with respect to the minimum diameter of the body portion of the housing is 55% or more and less than 69%.
14. A polysulfone hemodialyzer comprising a tubular housing having a body portion and head portions and providing a dialysate inlet port in one of the head portions and a dialysate outlet port in the other head portion, a hollow fiber membrane bundle which is formed from a polysulfone polymer and polyvinylpyrrolidone and filled in the tubular housing, a resin layer portion provided on an end of the head portion of the housing, securing the bundle in the housing and forming an open end for the hollow fiber membranes, and a header portion which has a blood circulation port and with which the resin layer portion is capped,
wherein the hemodialyzer has a membrane area of more than 2.4 m 2 and 3.2 m 2 or less, and an overall mass transfer coefficient (Ko) of a solute with a molecular weight (M) at a blood flow rate of 400 ml/min and a dialysate flow rate of 800 ml/min satisfies the following relational,
Ko> 89.313 ×M −0.4865 (60≦M<9600), and
wherein a filling rate of the bundle with respect to the minimum diameter of the body portion of the housing is 55% or more and less than 69%.
15. A polysulfone hemodialyzer comprising a tubular housing having a body portion and head portions and providing a dialysate inlet port in one of the head portions and a dialysate outlet port in the other head portion, a hollow fiber membrane bundle which is formed from a polysulfone polymer and polyvinylpyrrolidone and filled in the tubular housing, a resin layer portion provided on an end of the head portion of the housing, securing the bundle in the housing and forming an open end for the hollow fiber membranes, and a header portion which has a blood circulation port and with which the resin layer portion is capped,
wherein the hemodialyzer has a membrane area of more than 2.4 m 2 and 3.2 m 2 or less, and the bundle includes a straight portion and a dialysate rectifying portion, and the dialysate rectifying portion having a distance from the diameter-expansion-start portion to the inside of the resin layer portion of 10 to 46 mm is provided in a dialysate inlet port side end portion of the bundle,
wherein a filling rate of the bundle with respect to the minimum diameter of the body portion of the housing is 55% or more and less than 69%.
16. The polysulfone hemodialyzer according to claim 1 , wherein the filling rate of the bundle is less than 68%.
17. The polysulfone hemodialyzer according to claim 1 , wherein the filling rate of the bundle is less than 64%.