By Bill Peckham
The videos are no longer available at the links in this post, instead all the videos are embedded and can be watched at the CIMIT blog in this post. The five videos are embedded in the same order as they were presented in 2008. My review of the videos are all listed in the Future of Dialysis Category on DSEN.
On Saturday I wrote The future of dialysis: T and G membranes about CIMIT's forum: Quest for a Wearable Kidney: Will Nanotechnology Make a Difference? . This forum seems to be one of a series of forums on various medical topics. They're open to the public (wish I lived in Boston) and are put on by CIMT to further their mission of improving medical care by spreading knowledge. The forum weaves in an evaluation of the technology from a business perspective which is critical. As was seen with the Aksys PHD and early efforts to improve the artificial kidney the speakers mention.
Quest for a Wearable Kidney: Will Nanotechnology Make a Difference? looks at work to improve dialysis by improving the artificial kidney, the dialyzer. The whole forum is very good and there is a lot to it - five video segments; I thought this week I would review one video segment a day. The first video, about ten minutes, long features Joseph Bonventre, MD, PhD, Robert Ebert Professor of Medicine and Health Sciences and Technology, Harvard Medical School; Director, Renal Division, Brigham and Women's Hospital.
Dr. Bonvertre gives the overview of the kidney, CKD, and previous "new approaches" to improving the dialysis experience. I think Dr. Bonvetre is presenting the case for relevance and establishing that there is a market for new and better devices: the US already spends a lot of money treating this disease; there are a lot of people in the dialysis pipeline. Usually I see this sort of presentation it is at a renal industry event so often the relevance piece is taken for granted or addressed in passing.
CIMIT is trying to catalyze development of innovative technology, emphasizing minimally invasive diagnosis and therapy. If any therapy is invasive it's hemodialysis, particularly incenter hemodialysis, so welcome CIMIT we can use the help. Video one gives a good overview of CKD and dialysis but it misses one salient point. After 45 years the incenter dialysis model has worn a deep rut in the course of CKD; it will take a novel approach to get the provision of dialysis out of that rut.