The Japanese Journal of Clinical Dialysis Vol.16 No.14(4)

Theme CAPD Up-to-date 2000
Title CAPD related instruments -- connection devices and APD machines
Publish Date 2000/12
Author Kazuyuki Suzuki Kidney Center, Sendai Shakaihoken Hospital
[ Summary ] In order to establish the closed system of CAPD, many connection methods and devices have been developed. Among these, the Y-set and double bag systems were of most importance. These have developed into the modern twin bag systems. To sterilize the connection site, an ultraviolet apparatus and a heat sterile connection device have also been introduced. Because of progress in connection technology, the incidence of peritonitis, due to contact contamination has decreased.
Automated peritoneal dialysis machines (cyclers) are required to perform CCPD/NIPD/TPD prescriptions. Recent advancements in computer technology have made it possible to prescribe these flow techniques, and have also led to many optional functions for cyclers. For an additional exchange while a patient sleeps, a night exchange device (NED) has also been developed. With these hightech machines, patients can have a higher uremic toxin clearance and a higher ultrafiltration volume without decreasing their quality of life.
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