Dialysis Without Borders
Renal replacement therapy for austere environments
Renal replacement therapy for austere environments
To expand access to renal replacement therapy and provide dialysis services in areas where we could not once before.
Dialysis Without Borders is a nonprofit organization, incorporated in 2024, that provides access to dialysis in areas with limited resources.
Millions of people worldwide do not have access to immediate and life-saving medical treatment like dialysis. The Manual Single Lumen Alternating Micro-Batch (mSLAMB) and Kirpa Kit aim to rectify this issue and are designed for austere medical environments far from any proper treatment center.
These kits are manual dialysis devices that conduct effective dialysis without the use of batteries or electricity. They only require a person, syringes, and gravity. Both the mSLAMB and Kirpa Kit do not need specialized fluids or a specific filter to treat patients.
These devices act as a bridge between patients in remote areas at risk for kidney failure and receiving proper care at a hospital.
The Manual Single Lumen Alternating Micro-Batch (mSLAMB) is the primary engineered manual dialysis device. The mSLAMB relies heavily on gravity and uses a double pass through the dialysis filter by alternating the heights of blood bags. The use of mSLAMB is simple, achieves effective clearance via convection and diffusion, and reliably performs ultrafiltration.
The Kirpa Kit is a smaller version of the "Single Pass mSLAMB" and is syringe-based. It has been shown to achieve significantly higher clearance levels than the mSLAMB and proceed through cycles much faster. With these findings, the Kirpa Kit replaces the previous mSLAMB designs as the definite candidate to be tested in vivo.
A series of teaching videos demonstrate how to initiate manual dialysis using the Manual Single Lumen Alternating Micro-Batch (mSLAMB) and Kirpa Kit in a step-by-step format. These videos include demonstrations on setting up the kits, conducting renal replacement therapy, and different ways to manipulate the devices to perform different tasks. There will also be an instruction manual available. This manual is picture-based and shows how to use the kits. It can be printed and brought to the treatment site to help guide the use of the mSLAMB and Kirpa Kit and the conducting of dialysis.
Research papers and abstracts are accessible to view and learn how manual dialysis was conducted with the mSLAMB, the various testing mechanisms used, and the results of in vitro experiments.
A didactic exam that tests an individual's ability to perform manual dialysis using the mSLAMB and/or Kirpa Kit is currently being developed. The exam will contain questions regarding the set-up and how to perform dialysis with the kit. After passing the exam, a certificate will be provided demonstrating ability and proficiency in conducting dialysis with the kit. Individuals do not need an advanced degree or a higher level of education to learn or become certified.
If interested in learning more about Dialysis Without Borders or working with us, contact us!
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