Hope everything comes out fine sooner than later.  KR

On Mon, 4 Aug 2025 at 10:33, Madras Sivaraman <[email protected]>
wrote:

> Thank you for this very useful information.
>
> On Mon, 4 Aug 2025 at 10:27 AM, Rajaram Krishnamurthy <
> [email protected]> wrote:
>
>> Recent news in 2025 highlights advancements in artificial kidney
>> research, with a focus on portability, bioartificial kidney prototypes, and
>> potential clinical trials. Researchers are making strides in miniaturizing
>> devices, exploring bioartificial kidney components, and even developing
>> wearable options for continuous dialysis.
>>
>> 1. Portable Artificial Kidneys:
>>
>> SNU researchers have developed a portable artificial kidney using nano
>> electrokinetic technology, enabling continuous regeneration of peritoneal
>> dialysate, a key component in dialysis.
>>
>> This innovation aims to make kidney failure treatment more accessible and
>> convenient for patients.
>>
>> The Artificial Kidney Innovation Lab is also focused on creating
>> patient-friendly, portable devices.
>>
>> 2. Bioartificial Kidney Progress:
>>
>> The Kidney Project has successfully tested a prototype bioartificial
>> kidney, combining a hemofilter and a bioreactor.
>>
>> This device aims to mimic the natural function of the kidney, with the
>> bioreactor containing lab-grown kidney cells.
>>
>> The project has received funding and recognition, including a KidneyX
>> award, for its work on improving dialysis, especially for at-home use.
>>
>> Researchers have successfully implanted a smartphone-sized prototype in
>> animals and are working towards clinical trials.
>>
>> UCSF is also exploring the use of silicon fabrication technology to
>> shrink the device further, aiming for a coffee cup-sized implantable
>> device.
>>
>> 3. Clinical Trials and Future Directions:
>>
>> Pig-to-human kidney transplants are entering clinical trials, with
>> initial procedures planned at Johns Hopkins.
>>
>> The goal is to expand xenotransplantation to more patients, pending
>> successful results from these trials.
>>
>> Dr. Shuvo Roy also presented updates on the implantable bioartificial
>> kidney at the European Society for Artificial Organs (ESAO) 2025
>> Conference.
>>
>> Researchers are working towards a commercially available artificial
>> kidney by the end of the decade, though timelines may be affected by
>> funding and technical challenges.
>>
>> 4. Novel Filtration Technologies:
>>
>> Researchers are exploring new membrane materials, like cellulose, which
>> may offer superior filtering performance compared to existing materials.
>>
>> This could lead to improvements in both traditional dialysis and
>> artificial kidney devices.
>>
>> 5. Wearable Artificial Kidney (WAK):
>>
>> The WAK is a miniaturized dialysis machine designed for continuous use,
>> allowing patients to wear it 24/7.
>>
>> It has been clinically tested in Europe and the US, but is still
>> considered experimental and not yet FDA-approved for public use.
>>
>> The WAK is part of the broader effort to develop more convenient and
>> accessible kidney replacement therapies.
>>
>> BUT IN INDIA
>>
>> Yes, there are ongoing developments in artificial kidney technology, and
>> while a fully functional, implantable artificial kidney is not yet
>> available, there are promising advancements in both wearable and
>> bioartificial kidneys. Here’s an overview of the current state of
>> artificial kidney technology:
>>
>> 1. Wearable Artificial Kidneys
>>
>> Concept: Wearable artificial kidneys are devices designed to be worn
>> outside the body and connected to the patient via tubing. They aim to
>> provide continuous dialysis, which can be more convenient and less
>> restrictive compared to traditional dialysis.
>>
>> Status: Several prototypes have been developed, such as the Wearable
>> Artificial Kidney (WAK) and the Portable Artificial Kidney, which are in
>> various stages of clinical trials. These devices offer the potential for
>> more flexible treatment options and improved quality of life for patients
>> with end-stage renal disease (ESRD).
>>
>> 2. Bioartificial Kidneys
>>
>> Concept: Bioartificial kidneys combine biological elements with synthetic
>> materials to mimic the function of a natural kidney. These devices use
>> living kidney cells to filter blood and remove waste products.
>>
>> Status: Research is ongoing in this area, with the development of devices
>> like the Kidney Project’s bioartificial kidney, which aims to integrate
>> kidney cells with a dialysis machine. This technology is still in the
>> experimental phase but shows promise for future clinical use.
>>
>> 3. Implantable Artificial Kidneys
>>
>> Concept: An implantable artificial kidney would be a device that can be
>> surgically implanted within the body to replace kidney function. This would
>> ideally eliminate the need for external dialysis machines or frequent
>> treatments.
>>
>> Status: As of now, implantable artificial kidneys are primarily in the
>> research and development phase. Advances in bioengineering and materials
>> science are working towards creating a viable and functional implantable
>> device.
>>
>> 4. Current Technologies and Alternatives
>>
>> Dialysis: Traditional dialysis remains the primary treatment for patients
>> with severe kidney dysfunction. It includes hemodialysis and peritoneal
>> dialysis, which are effective but can be time-consuming and have lifestyle
>> impacts.
>>
>> Kidney Transplant: Kidney transplantation is currently the most effective
>> long-term solution for end-stage kidney disease, offering improved quality
>> of life compared to dialysis.
>>
>> Challenges and Future Directions
>>
>> Biocompatibility: Ensuring that artificial kidneys are biocompatible and
>> do not cause adverse reactions in the body is a significant challenge.
>>
>> Long-Term Functionality: Achieving long-term functionality and durability
>> of these devices is crucial for their success.
>>
>> Regulation and Approval: New technologies must undergo rigorous testing
>> and regulatory approval before they can be widely available for clinical
>> use.
>>
>> Conclusion
>>
>> While a fully functional, implantable artificial kidney is not yet
>> available, significant progress is being made in wearable and bioartificial
>> kidneys. These advancements hold the potential to revolutionize the
>> treatment of kidney failure by offering more convenient and effective
>> options for patients. Ongoing research and development in this field
>> continue to bring us closer to more practical and widely accessible
>> solutions.
>>
>> May be phase 1 is around the corner in India.  K RAJARAM IRS 4825
>>
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