In December of 1970, 100 Kolff dialyzers and 500 Kiil dialyzers were used in Japan and about 900 uremic patients received treatment for chronic hemodialysis.
Recently, UF 100, EX-01 and 117 Super coils have been found to be more useful than the original Twin coil. These new coils are designed to reduce priming volume and to obtain higher efficiencies than the Twin coil. Cuprophan is used as a new dialysis membrane and a plastic mesh supporting tubular Cuprophan has been improved. A plastic cuff to encase the coil is also available.
Urea dialysance of these new coils is approximately 150 m
l/min at blood flow rate of 200 m
l. Ultrafiltration of these coils is 6-8 m
l/min at blood flow rate of 200 m
l/min and venous pressure of 200 mmHg. Kiil dialyzer has lower efficiencies as compared with Kolff dialyzer. However Kiil dialyzer has advantages of preventing patient's Disequilibrium Syndrome, in addition to low cost of dialysis.
The main mechanical complication of Kolff dialyzer is membrane leak or rupture. The frequency of such troubles has decreased after 18 μ Cuprophan membrane began to be used. The main mechanical problem of Kiil dialyzer is disfunction of the control system of dialysate concentration. Kolff dialyzer has higher efficiencies and causes more frequent Disequilibrium Syndrome in patients. We used the bed-scale to monitor the body weight of patient and to control the removal of body water. If the loss of body weight of patient without edema is within 2 kg, the patient is safe. If a patient is in excessive hydration, the removal of body water of 4-6 kg is possible without any difficulties.
Many uremic patients are now fully or partly rehabilitated by hemodialysis treatment.
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