The extracorporeal circuit: Materials, problems, and solutions

The extracorporeal circuit in hemodialysis and related therapies facilitates passage of blood to and from the patient and forms an integral link with the safety systems of the proportioning system. Historically, elements of the circuit were subject to problems such as spallation introduced by the blood pump and plasticizer from the tubing sets leaching into the blood. Many of these early issues have been largely resolved, although there is still potential for further improvement and innovation. The introduction of such improvements and innovations into clinical practice is critically dependent upon their cost and benefit to patient and renal unit staff.