WO2020176888A1 - Biological fluid purification with biocompatible membranes - Google Patents

Biological fluid purification with biocompatible membranes Download PDF

Info

Publication number
WO2020176888A1
WO2020176888A1 PCT/US2020/020498 US2020020498W WO2020176888A1 WO 2020176888 A1 WO2020176888 A1 WO 2020176888A1 US 2020020498 W US2020020498 W US 2020020498W WO 2020176888 A1 WO2020176888 A1 WO 2020176888A1
Authority
WO
WIPO (PCT)
Prior art keywords
membrane
segment
channel system
filtration
vascular
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2020/020498
Other languages
English (en)
French (fr)
Inventor
Charles C. KLASSEN
Harald C. Ott
Maria Jaramillo
Robert G. HESSE
Daniel Cheng
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
IVIVA Medical Inc
Original Assignee
IVIVA Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to US17/435,024 priority Critical patent/US11413580B2/en
Priority to EP20763624.2A priority patent/EP3930880A4/en
Priority to AU2020228667A priority patent/AU2020228667B2/en
Priority to JP2021551539A priority patent/JP7449956B2/ja
Priority to CA3131933A priority patent/CA3131933A1/en
Application filed by IVIVA Medical Inc filed Critical IVIVA Medical Inc
Publication of WO2020176888A1 publication Critical patent/WO2020176888A1/en
Anticipated expiration legal-status Critical
Priority to US17/888,262 priority patent/US11918955B2/en
Priority to JP2024032227A priority patent/JP7808139B2/ja
Priority to US18/595,191 priority patent/US12427480B2/en
Priority to US19/332,631 priority patent/US20260014523A1/en
Ceased legal-status Critical Current

Links

Classifications

    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/14—Ultrafiltration; Microfiltration
    • B01D61/18—Apparatus therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/40—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/005—Ingredients of undetermined constitution or reaction products thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/043—Proteins; Polypeptides; Degradation products thereof
    • A61L31/044—Collagen
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/04—Macromolecular materials
    • A61L31/043—Proteins; Polypeptides; Degradation products thereof
    • A61L31/045—Gelatin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/146—Porous materials, e.g. foams or sponges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1678—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes intracorporal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1694—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes with recirculating dialysing liquid
    • A61M1/1696—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes with recirculating dialysing liquid with dialysate regeneration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3413—Diafiltration
    • A61M1/3417—Diafiltration using distinct filters for dialysis and ultra-filtration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3472—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration with treatment of the filtrate
    • A61M1/3486—Biological, chemical treatment, e.g. chemical precipitation; treatment by absorbents
    • A61M1/3489—Biological, chemical treatment, e.g. chemical precipitation; treatment by absorbents by biological cells, e.g. bioreactor
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/14—Ultrafiltration; Microfiltration
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/14—Ultrafiltration; Microfiltration
    • B01D61/145—Ultrafiltration
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D61/00—Processes of separation using semi-permeable membranes, e.g. dialysis, osmosis or ultrafiltration; Apparatus, accessories or auxiliary operations specially adapted therefor
    • B01D61/24—Dialysis ; Membrane extraction
    • B01D61/28—Apparatus therefor
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D63/00—Apparatus in general for separation processes using semi-permeable membranes
    • B01D63/06—Tubular membrane modules
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D63/00—Apparatus in general for separation processes using semi-permeable membranes
    • B01D63/08—Flat membrane modules
    • B01D63/082—Flat membrane modules comprising a stack of flat membranes
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D63/00—Apparatus in general for separation processes using semi-permeable membranes
    • B01D63/08—Flat membrane modules
    • B01D63/087—Single membrane modules
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D67/00—Processes specially adapted for manufacturing semi-permeable membranes for separation processes or apparatus
    • B01D67/0002—Organic membrane manufacture
    • B01D67/0006—Organic membrane manufacture by chemical reactions
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D67/00—Processes specially adapted for manufacturing semi-permeable membranes for separation processes or apparatus
    • B01D67/0002—Organic membrane manufacture
    • B01D67/0009—Organic membrane manufacture by phase separation, sol-gel transition, evaporation or solvent quenching
    • B01D67/0011—Casting solutions therefor
    • B01D67/00111—Polymer pretreatment in the casting solutions
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D71/00—Semi-permeable membranes for separation processes or apparatus characterised by the material; Manufacturing processes specially adapted therefor
    • B01D71/06—Organic material
    • B01D71/74—Natural macromolecular material or derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/0021—Special media to be introduced, removed or treated removed from and reintroduced into the body, e.g. after treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/04—Liquids
    • A61M2202/0413—Blood
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/02—General characteristics of the apparatus characterised by a particular materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/75—General characteristics of the apparatus with filters
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2311/00—Details relating to membrane separation process operations and control
    • B01D2311/26—Further operations combined with membrane separation processes
    • B01D2311/2626—Absorption or adsorption
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2313/00—Details relating to membrane modules or apparatus
    • B01D2313/08—Flow guidance means within the module or the apparatus
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2313/00—Details relating to membrane modules or apparatus
    • B01D2313/54—Modularity of membrane module elements
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2313/00—Details relating to membrane modules or apparatus
    • B01D2313/68—Biocompatibility of parts of the module
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2319/00—Membrane assemblies within one housing
    • B01D2319/06—Use of membranes of different materials or properties within one module
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2323/00—Details relating to membrane preparation
    • B01D2323/15—Use of additives
    • B01D2323/18—Pore-control agents or pore formers
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
    • B01D—SEPARATION
    • B01D2323/00—Details relating to membrane preparation
    • B01D2323/30—Cross-linking

Definitions

  • the at least one biological fluid inflow conduit is in fluid communication with an arterial conduit
  • the at least one biological fluid outflow conduit is in fluid communication with a vascular conduit
  • the at least one filtrate outflow conduit is in fluid communication with a drain conduit.
  • the apparatus produces an ultrafiltrate that is drained, using a drain conduit, into an extracorporeal collection system or drained, using a drain conduit, into a patient bladder.
  • the first luminal space and the second luminal spaces are embedded in a scaffold.
  • the filtration segment of the vascular channel system comprises vascular channel walls lined with endothelial cells selected from primary human glomerular endothelial cells, induced pluripotent stem cell (iPSC) derived endothelial cells, and/or human umbilical cord endothelial cells.
  • the tubular segment of the vascular channel system comprises vascular channel walls lined with endothelial cells selected from primary human peritubular capillary endothelial cells, iPSC derived endothelial cells, and/or human umbilical cord endothelial cells.
  • the filtration segment of the filtration channel system comprises filtration channel walls lined with epithelial cells selected from primary human podocytes and/or human iPSC derived podocytes.
  • the tubular segment of the filtration channel system comprises filtration channel walls lined with epithelial cells selected from primary human tubular epithelial cells and/or iPSC derived tubular epithelial cells.
  • the ductal segment of the filtration channel system comprises filtration channel walls lined with epithelial cells selected from primary human tubular epithelial cells and/or iPSC derived tubular epithelial cells.
  • the at least one biological fluid inflow conduit comprises a blood inlet conduit configured to transport a Blood inflow
  • the at least one biological fluid outflow conduit comprises a blood outflow conduit configured to transport a blood outflow
  • parallel layers of functional units configured for biologic blood purification
  • the filtration segment of the filtration channel system is configured to provide ultrafiltration producing a primary ultrafiltrate
  • the tubular segment is configured to provide reabsorption producing a secondary ultrafiltrate flow by solute and water absorption
  • the ductal segment is configured to provide concentration producing a tertiary ultrafiltrate flow by water absorption.
  • Some aspects of the disclosure are related to a method of treating a patient having an insufficient kidney or liver function comprising fluidly connecting the apparatus described herein to the circulation system of the patient and passing patient blood through the vascular channel system of the apparatus from the filtration member segment to the tubular member segment, from the tubular member segment to the ductal member segment, and from the ductal member segment back into the circulation system of the patient.
  • the apparatus is implanted in the patient.
  • ultrafiltrate produced by the apparatus is delivered extracorporeal to the patient.
  • the ultrafiltrate produced by the apparatus is delivered to the bladder of the patient.
  • the apparatus is extracorporeal to the patient.
  • the plurality of membranes are each generated by chemical or physical thin film deposition, atomization, spraying, electrospinning, dip coating, or gelation of a solution comprising decellularized tissue, gelatin, gelatin composites, collagen, fibrin, hydrogel, hydrogel composites, chitosan, nitrocellulose, polylactic acid, or extra-cellular matrix that has been liquefied or homogenized, in a thin film layer followed by curing, crosslinking, polymerizing, drying, or gelating the solution to form a membrane layer.
  • the membrane solution further comprises one or more agents modifying the mechanical or biological properties of the one or more membranes.
  • the one or more agents are selected from glycerin, sorbitol, propylene glycol, plasticizers, fibers or other longitudinal elements, and encapsulated growth factors.
  • the membrane solution further comprises fibers, nanotubes, or other longitudinally oriented materials in order to provide improved mechanical properties. These fibers can be mixed into the membrane solution prior to fabrication in order evenly distribute the fibers throughout the membrane. Alternatively, these fibers can be deposited or integrated onto the membrane after fabrication through techniques such as electrospinning,
  • the fibers may be homogenously distributed throughout the membrane or may be distributed in an organized manner to provide heterogenous mechanical properties for the membrane.
  • the method of generating a thin film layer is repeated one or more times to generate a membrane or membranes having two or more membrane layers.
  • the two or more layers are generated from solutions having different components, agents and/or concentrations.
  • At least one of the plurality of membranes are treated to remove the porogen, thereby forming pores in the membrane.
  • the steps of submerging the plurality of membranes in a solution comprising a scaffold material and gelating the scaffold material comprises: (a) providing a bottom mold (64) having a open top reservoir and configured with a vascular channel system inflow conduit structure (63) and vascular channel system outflow conduit structure (65) each having an interior lumen filled with a sacrificial material, wherein the reservoir is partially filled with a gelated scaffold material that partially embeds the vascular channel system inflow conduit structure and the vascular channel system outflow conduit structure, (b) providing a plurality of membranes in frames, (c) filling the bottom mold (64) open top reservoir with solution comprising the scaffold material, (d) placing a frame on top of the bottom mold so that the membrane in the frame contacts the solution, (e) gelating the solution and then removing the frame from the membrane, (f) placing a spacer (62) having an interior volume around the top of the membrane, (g) filling the interior volume of the spacer with solution comprising the scaffold material, (h
  • the porogen is not limited and may be any porogen described herein.
  • the porogen is a self-assembling tri-block copolymer.
  • the self-assembling tri-block copolymer is a poloxamer formulation, preferably Pluronic F127 at a concentration of l-40%wt in the membrane solution.
  • the membrane solution further comprises one or more agents modifying the mechanical or biological properties of the membrane.
  • the one or more agents are selected from glycerin, sorbitol, propylene glycol, plasticizers, fibers or other longitudinal elements, and growth factors (e.g., encapsulated growth factors).
  • the membranes are treated to remove the porogen, thereby forming pores in the membrane.
  • the porogen material has a thermally reversible gelation property or can be dissolved in non-polar solvent.
  • the porogen material is Pluronic F127 and is removed by treatment with a non-polar solvent (e.g., isopropanol).
  • the membrane solution comprises 3-35 wt% of gelatin or a gelatin-polymer composite.
  • the thin film layer may be dried, gelled, crosslinked, or otherwise solidified and removed from the substrate.
  • the thin film layer is crosslinked with a solution comprising glutaraldehyde, transglutaminase, or other crosslinking enzymes or molecules.
  • the concentration of crosslinking agent is about 0.01-5g per lOg of scaffold material.
  • FIG. 1 shows microscopic imaging of thin films fabricated with variable amounts of sacrificial porogen material in order to facilitate control over porosity and pore size.
  • FIG. 3 shows a porous thin film membrane which has been seeded with layers of fluorescently marked endothelial and epithelial cells on opposing sides of the membrane.
  • FIG. 5 shows a schematic of the channel architecture of a single functional IABBP unit. Corresponding segments of the nephron are shown to explain sequential function of each segment.
  • FIG. 6 shows a schematic of each segment of a functional IABBP unit repopulated with cells. Each channel system in each segment is separated by a specialized membrane and lined with specialized cells to enable higher level function.
  • FIG. 7 shows a three-dimensional rendering of a cross-section of a functional IABBP unit.
  • the vascular space is separated from the filtrate space by a specialized membrane.
  • FIG. 8 shows a schematic of a stack of functional units in an IABBP device that are perfused and drained in parallel.
  • FIG. 10 shows a three-dimensional rendering of a manufacturing mold to generate a multilayered IABBP device.
  • the base mold and the top mold accommodate vascular and filtrate conduits.
  • Each cassette enables the addition of an embedding material and supports a patterned membrane.
  • FIGS. 11A and 11B show a membrane Testing Apparatus, and schematic thereof.
  • FIG. 11A shows a photograph of a membrane testing apparatus
  • FIG. 11B shows a schematic of the membrane testing apparatus and its components.
  • Fig. 12 shows pore size and area distribution of a membrane manufactured from a mixture of gelatin and 0.25% Pluronic F127.
  • Fig. 13 shows Pluronic F127 concentration versus flow rate.
  • Fig. 13 (bottom panel) shows fluid pressure versus flow rate.
  • AIBBP adaptive biologic blood purification
  • a functional unit comprising (1) a membrane comprising a vascular surface and a filtration surface; (2) a vascular channel system comprising a first luminal space, adhered to and in fluid communication with the vascular surface of the membrane, and comprising a first end configured to connect in fluid communication to a fluid supply and a second end configured to connect in fluid communication to a filtered fluid outlet; and (3) a filtration channel system comprising a second luminal space, adhered to and in fluid communication with the filtration surface of the membrane, and comprising a third end configured to connect in fluid communication to a filtrate outlet.
  • AIBBP adaptive biologic blood purification
  • the vascular channel system and the filtration channel system are in fluid communication with each other across the membrane.
  • the functional unit further comprises at least three segments, including at least a filtration segment configured to provide ultrafiltration producing a primary ultrafiltrate, connecting to a tubular segment configured to provide reabsorption producing a secondary ultrafiltrate, connecting to a ductal segment configured to provide concentration producing a tertiary ultrafiltrate; and the membrane comprises three membrane segments including at least a filtration membrane segment, a tubular membrane segment and a ductal membrane segment.
  • the filtration membrane segment enables production of a filtrate from the first luminal space in the vascular channel system to the second luminal space of the filtration channel system.
  • the tubular membrane segment enables solute and water exchange and/or diffusion between the vascular channel system and the filtration channel system.
  • the ductal membrane segment enables transfer of water and solutes from the filtration channel system to the vascular channel system.
  • the functional unit comprises at least one biological fluid inflow conduit in fluid communication with the first end of the vascular channel system and the first luminal space and at least one biological fluid outflow conduit in fluid
  • the functional unit comprises at least one filtrate outflow conduit in fluid communication with the third end of the filtration channel system and the second luminal space.
  • the functional unit further comprises one or more vascular segment conduits interconnecting the filtration segment, the tubular segment and the ductal segment of the vascular channel system and the first luminal space and one or more filtration segment conduits interconnecting the filtration segment, the tubular segment and the ductal segment of the filtration channel system and the second luminal space.
  • the at least one biological fluid inflow conduit is in fluid communication with an arterial conduit
  • the at least one biological fluid outflow conduit is in fluid communication with a vascular conduit
  • the at least one filtrate outflow conduit is in fluid communication with a drain conduit.
  • the membrane comprises a porous membrane that comprises pores disposed to interconnect the vascular surface and the filtration surface.
  • the pores have a diameter of less than about 15 pm, 14 pm, 13 pm, 12 pm, 11 pm, 10 pm, 9 pm, 8 pm, 7 pm, 6 pm, 5 pm, 4 pm, 3 pm, 2 pm, or 1 pm.
  • the pores have an average or mean diameter of about 15 pm, 14 pm, 13 pm, 12 pm, 11 pm, 10 pm, 9 pm, 8 pm, 7 pm, 6 pm, 5 pm, 4 pm, 3 pm, 2 pm, or 1 pm.
  • the membrane containing pores has a flow rate when subjected to a fluid pressure of 40 mmHg of about 0.2 to 2.0 mL/min, about 0.5 to 1.5 mL/min, or about 0.8 to 1.2 mL/min.
  • the membrane is manufactured by a process comprising mixing an extracellular matrix material (e.g., gelatin) with a porogen (pore forming agent).
  • the pore forming agent is Pluronic FI 27.
  • the membrane is manufactured by a process disclosed herein.
  • the membrane is as described in PCT Application No.
  • the membrane may be constructed from any biologic, synthetic, or composite material suitable for thin film deposition and capable of maintaining mechanical viability and barrier integrity between compartments.
  • This membrane may contain pores, slits, surface roughness, or other functional characteristics imparted during fabrication using techniques known to the art designed to improve function, biocompatibility, or other qualities of the membrane.
  • the membrane may be manufactured from biologic, synthetic, or composite materials such as collagen, gelatin, other hydrogels, cellulose, or other materials that can be deposited in a thin film and subsequently crosslinked, dried, gelled, cured, or otherwise stabilized to form a cohesive and mechanically stable membrane.
  • This membrane may undergo further treatment or manipulation to provide enhanced function or mechanics.
  • This membrane may be of uniform or varying thicknesses in the range of 0.01 pm to 100 pm or greater.
  • the membrane has a thickness of about 0.1 pM to about 100 pM, of about 0.1 pM to about 100 pM, of about 0.5 pM to about 50 pM, of about 1.0 pM to about 40 pM, of about 5.0 pM to about 30 pM, or of about 10 pM to about 20 pM, or any range therebetween.
  • the membrane has a thickness of about 10 pM or less.
  • the membrane has a thickness of about 1-8 pM.
  • the membrane has a thickness of about 5 pM or less.
  • the biocompatible extracellular matrix membrane comprises fibers, nano-fibers, or other longitudinal elements.
  • the fibers, nano fibers, or other longitudinal elements are bonded to an exterior surface of the membrane.
  • the fibers, nano-fibers, or other longitudinal elements increase or modulate the mechanical strength of the membrane.
  • the fibers, nano fibers, or other longitudinal elements form a mesh (e.g., an ordered mesh, a disordered mesh) or are orientated in substantially a single direction or substantially in two directions (e.g., a mesh).
  • the fibers, nano-fibers, or other longitudinal elements increase the mechanical strength of the membrane, or a portion thereof, by at least about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 99% or more as compared to an identical membrane without the fibers, nano-fibers, or other longitudinal elements.
  • the fibers, nano-fibers, or other longitudinal elements increase the mechanical strength of the membrane, or a portion thereof, by at least about 1.1-fold, 1.5-fold, 2-fold, 3-fold, 5-fold, 10- fold, or more as compared to an identical membrane without the fibers, nano-fibers, or other longitudinal elements.
  • the fibers, nano-fibers, or other longitudinal elements are evenly distributed throughout the membrane and provide homogenous mechanical strengthening. In some embodiments, the fibers, nano-fibers, or other longitudinal elements are heterogeneously distributed in the membrane and provide heterogeneous mechanical strengthening. In some embodiments, the fibers, nano-fibers, or other longitudinal elements provide resistance to cellular infiltration and maintain separation of the distinct cell populations on each side of the membrane. In some embodiments, the fibers, nano-fibers, or other longitudinal elements form a mesh and provide resistance to cellular infiltration and maintain separation of the distinct cell populations on each side of the membrane.
  • Fibers, nano-fibers, and other longitudinal elements disclosed herein can be made from a variety of materials, including (but not limited to) Dyneema®, an extremely strong polyethylene manufactured by DSM High Performance Fibers, a subsidiary of DSM N.V.
  • the fibers can also be combined with fibers or wires of other materials, such as Nitinol (a version of shape memory nickel-titanium alloy), to help control the expanded shape of the filter.
  • Nitinol a version of shape memory nickel-titanium alloy
  • Other viable materials for use as fibers, nano-fibers, and other longitudinal elements include those known in the fiber art, such as carbon, glass, ceramic, metals and metal alloys (including the aforementioned Nitinol), natural and synthetic polymers (including ultra high molecular weight highly oriented polymers and silk) or combinations thereof.
  • the fibers, nano-fibers, or other longitudinal elements comprise silk or a polymer (e.g., polycarbonate).
  • the Fibers, nano-fibers, or other longitudinal elements form a mesh (e.g., polycarbonate mesh).
  • the fibers, nano fibers, and other longitudinal elements can be made of a monofilament or multi-filament, and can be configured to have all kinds of cross sections and orientations.
  • the fibers can be made of round, flat or different shaped monofilaments or multi-filaments. In some embodiments, the fibers are non-immunogenic.
  • the membrane comprises, consists essentially of, or consists of a biocompatible extracellular matrix membrane separating the vascular channel system from the filtration channel system.
  • the biocompatible extracellular matrix membrane comprises a collagen membrane with a thickness of about 0.1 -10 micrometers (e.g., 0.3- 10pm) that supports cell adhesion on both the vascular surface and the filtration surface of the collagen membrane.
  • the biocompatible extracellular matrix membrane is embedded into a matrix material (i.e., a scaffold material).
  • the scaffolds comprise hydrogels such as gelatin, PLA, chitosan, composites of hydrogels or other hydrogel materials and composites of various concentrations and compositions.
  • varying the hydrogel materials and composites of various concentrations and compositions enable tuning of mechanical and biological properties of the scaffold which can enhance and further specialize tissue constructs for desired biological applications.
  • the scaffold can comprise an addition of glycerin, sorbitol, propylene glycol, or other plasticizers into gelatin or gelatin composite hydrogels.
  • the composition of the scaffold is not limited and may be any suitable scaffold material known in the art.
  • the apparatus comprises at least one biological fluid inflow conduit in fluid communication with the first end of the vascular channel system and the first luminal space and at least one biological fluid outflow conduit in fluid communication with the second end of the vascular channel system and the first luminal space, and wherein the functional unit comprises at least one filtrate outflow conduit in fluid communication with the third end of the filtration channel system and the second luminal space.
  • the vascular and filtration channel systems are manufactured by the methods disclosed in PCT Application No. PCT/US2017/67141, filed December 18, 2017, incorporated herein by reference in its entirety. Briefly, a sacrificial material is overlaid on the membrane, followed by scaffold material; then the sacrificial material is removed, leaving a luminal space bounded by the scaffold material and the membrane. The membrane is then flipped over, a sacrificial material is overlaid on the membrane, followed by scaffold material; then the sacrificial material is removed, leaving a second luminal space bounded by the scaffold material and the membrane.
  • the vascular and filtration channel systems are partially or fully in fluid communication across the membrane (e.g., are mirror images opposite of each other across the membrane).
  • the area of membrane across which the first and second luminal spaces are in fluid communication across the membrane is at least 30 cm 2 , at least 60 cm 2 , at least 90 cm 2 , at least 100 cm 2 , at least 150 cm 2 , at least 200 cm 2 , at least 250 cm 2 , at least 300 cm 2 , at least 450 cm 2 , at least 600 cm 2 , at least 800 cm 2 , at least 1000 cm 2 , or at least 1200 cm 2 or more.
  • At least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 99%, or more of the first and/or second luminal space is in fluid communication across the membrane with the other luminal space.
  • the at least one biological fluid inflow conduit is in fluid communication with an arterial conduit. In some embodiments, the at least one biological fluid outflow conduit is in fluid communication with a vascular conduit. In some
  • the at least one filtrate outflow conduit is in fluid communication with a drain conduit.
  • the apparatus produces a filtrate and/or an ultrafiltrate that is drained, using a drain conduit into an extracorporeal collection system (e.g., waste container).
  • the filtrate and/or ultrafiltrate is drained into a plumbing system or sewage treatment system.
  • the filtrate and/or ultrafiltrate is drained, using a drain conduit into a patient bladder or digestive system.
  • the vascular channel system comprises vascular channel walls lined with endothelial cells and/or epithelial cells and/or the filtration channel comprises filtration channel walls lined with endothelial cells and/or epithelial cells.
  • the cells are at confluence on the vascular channel walls and/or the filtration channel walls.
  • the vascular channel walls and/or the filtration channel walls comprise at least 2xl0 6 cells.
  • the vascular channel walls and/or the filtration channel walls comprise at least lxlO 7 cells.
  • the vascular channel walls and/or the filtration channel walls comprise at least 2xl0 7 cells.
  • the cells are on at least 30 cm 2 , at least 60 cm 2 , at least 90 cm 2 , at least 100 cm 2 , at least 150 cm 2 , at least 200 cm 2 , at least 250 cm 2 , at least 300 cm 2 , at least 450 cm 2 , at least 600 cm 2 , at least 800 cm 2 , at least 1000 cm 2 , or at least 1200 cm 2 or more of the vascular channel walls and/or the filtration channel walls.
  • the epithelial cell type is selected from prostate cells, mammary cells, hepatocytes, pancreatic islet cells including beta cells, pulmonary epithelial cells, kidney cells, bladder cells, stomach epithelial cells, large and small intestinal epithelial cells, urethral epithelial cells, testicular epithelial cells, ovarian epithelial cells, cervical epithelial cells, thyroid cells, parathyroid cells, adrenal cells, thymus cells, gall bladder cells, and pituitary cells.
  • pancreatic islet cells including beta cells, pulmonary epithelial cells, kidney cells, bladder cells, stomach epithelial cells, large and small intestinal epithelial cells, urethral epithelial cells, testicular epithelial cells, ovarian epithelial cells, cervical epithelial cells, thyroid cells, parathyroid cells, adrenal cells, thymus cells, gall bladder cells, and pituitary cells.
  • the endothelial cell is a brain endothelial cell, a vascular endothelial cell, primary human peritubular capillary endothelial cell, iPSC derived endothelial cell, human umbilical cord endothelial cell, primary human renal medullary endothelial cell, human podocyte, or a human iPSC derived podocyte.
  • the cells are allogenic to a patient using the apparatus.
  • the cells are autologous to a patient using the apparatus.
  • the cells are from a cell line.
  • the cells are autologous stem cell derived cells.
  • the autologous stem cells are derived from induced pluripotent stem cells.
  • the filtration segment of the vascular channel system comprises vascular channel walls lined with endothelial cells selected from primary human glomerular endothelial cells, induced pluripotent stem cell (iPSC) derived endothelial cells, and/or human umbilical cord endothelial cells.
  • endothelial cells selected from primary human glomerular endothelial cells, induced pluripotent stem cell (iPSC) derived endothelial cells, and/or human umbilical cord endothelial cells.
  • the cells are obtained from a kidney as described below in the section titled“Primary Cell Isolation from Discarded Kidneys” of the examples.
  • the tubular segment of the vascular channel system comprises vascular channel walls (e.g., walls comprising scaffold material and membrane) lined with endothelial cells selected from primary human peritubular capillary endothelial cells, iPSC derived endothelial cells, and/or human umbilical cord endothelial cells.
  • vascular channel walls e.g., walls comprising scaffold material and membrane
  • endothelial cells selected from primary human peritubular capillary endothelial cells, iPSC derived endothelial cells, and/or human umbilical cord endothelial cells.
  • the ductal segment of the vascular channel system comprises vascular channel walls lined with endothelial cells selected from primary human renal medullary endothelial cells, iPSC derived endothelial cells, and/or human umbilical cord endothelial cells.
  • the filtration segment of the filtration channel system comprises filtration channel walls lined with epithelial cells selected from primary human podoytes and/or human iPSC derived podocytes.
  • the tubular segment of the filtration channel system comprises filtration channel walls (e.g., walls comprising scaffold material and membrane) lined with epithelial cells selected from primary human tubular epithelial cells and/or iPSC derived tubular epithelial cells.
  • filtration channel walls e.g., walls comprising scaffold material and membrane
  • epithelial cells selected from primary human tubular epithelial cells and/or iPSC derived tubular epithelial cells.
  • the ductal segment of the filtration channel system comprises filtration channel walls lined with epithelial cells selected from primary human tubular epithelial cells and/or iPSC derived tubular epithelial cells.
  • the vascular channel system comprises a vascular channel diameter of between 1 mm and 10 pm.
  • the filtration channel system comprises a filtration channel diameter of between 1 mm and 10 pm.
  • the channel systems (e.g., the vascular channel system and/or filtration channel system) comprise more than one channel (e.g., at least 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, .12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 40, 50, 100, 200, 500, 750, 1000, 2000, 10000 channels).
  • the channel system comprises a branching channel network having one or more branches with decreasing diameters (e.g., at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, .12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 40, 50, 100, 200, 500, 750, 1000, 2000, 10000 branches).
  • a branching channel network having one or more branches with decreasing diameters (e.g., at least 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, .12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 40, 50, 100, 200, 500, 750, 1000, 2000, 10000 branches).
  • channel diameters can include, but not be limited to, about 10 cm, 5 cm, 2 cm, 1 cm, 500 mm, 250 mm, 100 mm, 50 mm, 10 mm, 5 mm, 1 mm, 500 mhi, 50 mhi, 10 mhi, 5 mhi, 3 mhi, 1 mhi, 0.5 mhi, 0.1 mhi, 0.05 mhi, 0.02 mhi, or 0.01 mhi.
  • the vascular channel system and the filtration channel system are embedded in scaffold (e.g., biocompatible matrix material).
  • the apparatus comprises a plurality of functional units, including the functional unit and additional functional units of a same configuration (see, e.g., FIG. 8), wherein each functional unit of the plurality of functional units has a first end of a vascular channel system and first luminal space in fluid communication with the at least one biological fluid inflow conduit; a second end of a vascular channel system and first luminal space in fluid communication with the at least one biological fluid outflow conduit, and a third end of a filtration channel system and second luminal space in fluid communication with a filtrate outflow conduit; wherein each first end of the plurality of functional units connects individually and in parallel to one of a plurality of manifold ports of the at least one biological fluid inflow conduit; wherein each second end of the plurality of functional units connects individually and in parallel to one of a plurality of manifold ports of the at least one biological fluid outflow conduit; and wherein each third end of the plurality of functional units connects individually and in parallel to one of a plurality of functional units
  • the at least one biological fluid inflow conduit comprises a blood inlet conduit configured to transport a Blood inflow
  • the at least one biological fluid outflow conduit comprises a blood outflow conduit configured to transport a blood outflow
  • parallel layers of functional units configured for biologic blood purification
  • the filtration segment of the filtration channel system is configured to provide ultrafiltration producing a primary ultrafiltrate
  • the tubular segment is configured to provide reabsorption producing a secondary ultrafiltrate flow by solute and water absorption
  • the ductal segment is configured to provide concentration producing a tertiary ultrafiltrate flow by water absorption.
  • the apparatus is configured for extracorporeal operation in a sterile, heated enclosure.
  • blood is delivered to the apparatus with a mechanical pump.
  • the apparatus is disposed within a capsule, and sized and configured for placement within a human body to replace or augment a tissue or organ function (e.g., a liver and/or kidney function).
  • Some aspects of the disclosure are related to a method of treating a patient having an insufficient kidney or liver function comprising fluidly connecting the apparatus described herein to the circulation system of the patient and passing patient blood through the vascular channel system of the apparatus from the filtration member segment to the tubular member segment, from the tubular member segment to the ductal member segment, and from the ductal member segment back into the circulation system of the patient.
  • the apparatus comprises a plurality of functional units as described herein and the patient blood is passed through the plurality of functional units.
  • the patient blood is passed in parallel through the functional units.
  • the patient blood is passed through the functional units in series.
  • the apparatus is implanted in the patient.
  • ultrafiltrate produced by the apparatus is delivered extracorporeal to the patient.
  • the ultrafiltrate produced by the apparatus is delivered to the bladder of the patient.
  • the apparatus is extracorporeal to the patient.
  • the apparatus may be stationary or the apparatus may be configured to be carried by the patient such as in a backpack or waist pack, allowing the patient to be mobile while using the apparatus.
  • the apparatus is extracorporeal to the patient and configured for use in peritoneal dialysis (e.g., as a peritoneal dialysis adjunct device).
  • PD Peritoneal dialysis
  • CPD Continuous Ambulatory Peritoneal Dialysis
  • CAPD Continuous Ambulatory Peritoneal Dialysis
  • the patient may move about (i.e., ambulate).
  • the longer the dialysate is present in the peritoneal cavity the less effective the dialysate becomes at removing wastes as the dialysate nears equilibrium.
  • the dialysate is continuously added and removed from the patient's peritoneal cavity, also usually during sleep.
  • CFPD requires large dialysate reservoirs and a total dialysate volume of 6-12 liters per sleep period.
  • the apparatus is configured to be connected to the peritoneal cavity such that fluid from the peritoneal cavity is circulated through the apparatus (e.g., via pumps or the like) and at least a portion thereof returned to the peritoneal cavity.
  • the apparatus is configured to remove a portion of the fluid from the peritoneal cavity as waste fluid.
  • the apparatus comprises a waste outlet or waste storage receptacle that, optionally, may be drained or swapped (e.g., hot swapped during operation) for a new waste storage receptacle when necessary.
  • the apparatus is part of a peritoneal dialysis system (CAPD and/or CFPD) comprising pumps that circulate dialysate solution from the peritoneal cavity of a patient through the apparatus and back to the peritoneal cavity, thereby removing toxins and/or excess fluid from the dialysis solution.
  • use of the apparatus reduces the volume of dialysis fluid needed for effective dialysis (e.g., by at least 10%, 25%, 50%, or more).
  • the use of the apparatus increases the intervals between exchange of dialysis fluid in CAFD (e.g., by at least 10%, 25%, 50%, or more) without a loss in effectiveness as compared to CAFD without the apparatus.
  • the apparatus comprises kidney cells (e.g., cells from a discarded kidney as detailed in the Examples section below).
  • Some aspects of the disclosure are directed to a method of manufacturing the apparatus disclosed herein, comprising providing a plurality of membranes having a sacrificial material in the form of the vascular channel network on the vascular surface and having sacrificial material in the form of the filtration channel system on the filtration surface, submerging the plurality of membranes in a solution comprising a scaffold material (e.g. scaffold material in a sol state), gelating the scaffold material, and removing the sacrificial material to thereby form the luminal spaces of the vascular channel system and the filtration channel system as described herein.
  • a scaffold material e.g. scaffold material in a sol state
  • the plurality of membranes are each generated by chemical or physical thin film deposition, atomization, spraying, electrospinning, dip coating, or gelation of a solution (membrane solution) comprising decellularized tissue, gelatin, gelatin composites, collagen, fibrin, hydrogel, hydrogel composites, chitosan, nitrocellulose, polylactic acid, or extra-cellular matrix that has been liquefied or homogenized, in a thin film layer on a substrate followed by curing, crosslinking, polymerizing, drying, or gelating the solution to form a membrane layer.
  • a solution membrane solution
  • a solution comprising decellularized tissue, gelatin, gelatin composites, collagen, fibrin, hydrogel, hydrogel composites, chitosan, nitrocellulose, polylactic acid, or extra-cellular matrix that has been liquefied or homogenized
  • the membrane solution further comprises fibers, nanotubes, or other longitudinally oriented materials in order to provide improved mechanical properties.
  • the fibers, nanotubes, or other longitudinally oriented materials are not limited and may be any fibers, nanotubes, or other longitudinally oriented materials disclosed herein. These fibers, nanotubes, or other longitudinally oriented materials can be mixed into the membrane solution prior to fabrication in order evenly distribute the fibers throughout the membrane. Alternatively, these fibers, nanotubes, or other longitudinally oriented materials can be deposited or integrated onto the membrane after fabrication through techniques such as electrospinning, 3D printing, or other techniques.
  • the membrane may be bonded to the fibers, nanotubes, or other longitudinally oriented materials.
  • the fibers, nanotubes, or other longitudinally oriented materials may be homogenously distributed throughout the membrane or may be distributed in an organized manner to provide heterogenous mechanical properties for the membrane.
  • the membrane solution further comprises a porogen homogenously mixed therein.
  • the porogen is in the form of micelles in the solution (e.g., the porogen is at a sufficient concentration in the solution to form micelles).
  • the porogen is incorporated in the solution via mixing or sonication.
  • the porogen is a self-assembling tri-block copolymer.
  • the self-assembling tri-block copolymer is a poloxamer formulation.
  • the porogen is Pluronic FI 27.
  • the porogen is at a concentration of l-40%wt.
  • the porogen is at a concentration of about l%wt, about 2%wt, about 3%wt, about 4%wt, about 5%wt, about 6%wt, about 7%wt, about 8%wt, about 9%wt, about 10%wt, about ll%wt, about 12%wt, about 13%wt, about 14%wt, about 15%wt, about 16%wt, about 17%wt, about 18%wt, about 19%wt, about 20%wt, about 21%wt, about 22%wt, about 23%wt, about 24%wt, about 25%wt, about 26%wt, about
  • Pore size in the generated membrane can be controlled by using various polymers, but also by varying concentration, solution characteristics, and processing techniques to control micelle size and aggregation.
  • concentrations and compositions of sacrificial porogen material can allow for substantial opportunities for tuning of mechanical and biological properties including but not limited to porosity, pore size, permeability, sieving, filtration, and other functions which can enhance and further specialize tissue constructs for desired biological applications.
  • the membrane solution further comprises one or more agents modifying the mechanical or biological properties of the one or more membranes.
  • agents include but are not limited to glycerin, sorbitol, propylene glycol, or other plasticizers into gelatin or gelatin composite hydrogels (See, F.M. Vanina et al., Food Hydrocolloids 19, 899-907 (2005)).
  • the agents comprise growth factors (e.g., encapsulated growth factors).
  • the one or more agents are selected from glycerin, sorbitol, propylene glycol, plasticizers, fibers or other longitudinal elements, and encapsulated growth factors.
  • the method of generating the membrane further comprises adding one or more additional membrane layers by the methods disclosed herein to the first membrane layer in order to create a membrane of mixed composition or architecture.
  • the two or more layers are generated from membrane solutions having different components, agents and/or concentrations.
  • the membranes are treated to remove the porogen, thereby forming pores in the membrane.
  • the sacrificial porogen material is passively or forcefully removed in conjunction with dissolution, a phase transition, reversing of thermal gelation, or other techniques know to the art.
  • the sacrificial material has a thermally reversible gelation property or can be dissolved in non-polar solvent.
  • the porogen material is Pluronic FI 27 and is removed by treatment with a non-polar solvent (e.g., isopropanol).
  • a non-polar solvent e.g., isopropanol
  • the membrane solution comprises 3-35 wt% of gelatin or a gelatin-polymer composite. In some embodiments, the solution comprises about 3%wt, about 4%wt, about 5%wt, about 6%wt, about 7%wt, about 8%wt, about 9%wt, about 10%wt, about ll%wt, about 12%wt, about 13%wt, about 14%wt, about 15%wt, about 16%wt, about
  • the thin film layer may be dried, gelled, crosslinked, or otherwise solidified and removed from the substrate.
  • the thin film layer is crosslinked with a solution comprising glutaraldehyde, transglutaminase, or other crosslinking enzymes or molecules.
  • a crosslinking agent is added to the membrane solution, e.g., just prior to applying the solution in a thin film on a substrate.
  • the crosslinking agent is contacted with the thin film layer after contact with the substrate. In some embodiments, the concentration of crosslinking agent is about 0.01-5g per lOg of gelatin. [0098] In some embodiments, the solution comprising a scaffold material comprises an extracellular matrix material. In some embodiments, the extracellular matrix material is gelatin.
  • the scaffold material is gelated by crosslinking with a solution comprising glutaraldehyde, transglutaminase, or other crosslinking enzymes or molecules, and/or wherein the scaffold material is thermally crosslinked.
  • the steps of submerging the plurality of membranes in a solution comprising a scaffold material and gelating the scaffold material comprises: (a) providing a bottom mold (64) having an open top reservoir and configured with a vascular channel system inflow conduit structure (63) and vascular channel system outflow conduit structure (65) each having an interior lumen filled with a sacrificial material, wherein the reservoir is partially filled with a gelated scaffold material that partially embeds the vascular channel system inflow conduit structure and the vascular channel system outflow conduit structure, (b) providing a plurality of membranes in frames, (c) filling the bottom mold (64) open top reservoir with solution comprising the scaffold material, (d) placing a frame on top of the bottom mold so that the membrane in the frame contacts the solution, (e) gelating the solution and then removing the frame from the membrane, (f) placing a spacer (62) having an interior volume around the top of the membrane, (g) filling the interior volume of the spacer with solution comprising the scaffold material, (h)
  • the method of manufacturing an apparatus as described herein comprises the method described in“Manufacturing of a multilayered device” in the examples below. [0101] In some embodiments, the method of manufacturing the apparatus further comprises adding cells to one or more segments of a vascular channel system and/or filtration channel system. In some embodiments, the cells are added to each functional unit of the apparatus.
  • the cells are added to each segment of each functional unit of the apparatus (e.g., both or either of the vascular channel system and filtration channel system located in each segment). In some embodiments, cells are added to both the vascular channel system and the filtration channel system.
  • the cells are not limited and may be any cell described herein.
  • the cells are added to a segment by (a) filling the vascular channel system and filtration channel system with a fluid, (b) placing the cells in a first volume of fluid about equal to the volume of fluid in the channel system of a target segment, (c) adding the first volume to apparatus through a first fluid supply or fluid outlet in fluid communication with the target segment, and (d) adding a second volume of fluid about equal to the volume of fluid contained between the target segment and the first fluid supply or fluid outlet and/or removing a third volume of fluid about equal to the volume of fluid contained between the target segment and a second fluid supply or fluid outlet in fluid communication with the first fluid supply or fluid outlet.
  • the cells are added (e.g., seeded) by the method described in the examples contained herein.
  • a membrane comprising a biologic or synthetic matrix material and having pores having a diameter of about 1 mM to 15 mM.
  • the biologic or synthetic matrix material comprising decellularized tissue, gelatin, gelatin composites, collagen, fibrin, hydrogel, hydrogel composites, chitosan, nitrocellulose, polylactic acid, or extra-cellular matrix.
  • the membrane may comprise any extracellular matrix material or scaffold material described herein.
  • the membrane has a thickness of about 0.1 pM to 100 pM. The membrane may be any thickness described herein and is not limited.
  • Some aspects of the disclosure are related to a method of generating the membrane described herein, comprising chemical or physical thin film deposition, atomization, spraying, electrospinning, dip coating, or gelation of a solution (i.e. membrane solution) comprising decellularized tissue, gelatin, gelatin composites, collagen, fibrin, hydrogel, hydrogel composites, chitosan, nitrocellulose, polylactic acid, or extra-cellular matrix that has been liquefied or homogenized, in a thin film layer followed by curing, crosslinking, polymerizing, drying, or gelating the solution to form a membrane layer.
  • the method of generating (i.e., manufacturing) the membrane is not limited and may be any method described herein or known in the art.
  • the membrane solution further comprises a porogen homogenously mixed therein.
  • the porogen is not limited and may be any porogen described herein.
  • the porogen is a self-assembling tri block copolymer.
  • the self-assembling tri-block copolymer is a poloxamer formulation, preferably Pluronic F127 at a concentration of l-40%wt in the membrane solution.
  • the concentration porogen in the membrane solution is not limited and may be any concentration disclosed herein.
  • the membrane solution further comprises one or more agents modifying the mechanical or biological properties of the membrane.
  • the one or more agents are not limited and may be any agent modifying the mechanical or biological properties of the membrane described herein.
  • the one or more agents are selected from glycerin, sorbitol, propylene glycol, plasticizers, fibers or other longitudinal elements, and growth factors (e.g., encapsulated growth factors).
  • the method of generating the membrane further comprises adding one or more additional membrane layers by the methods disclosed herein to the first membrane layer in order to create a membrane of mixed composition or architecture.
  • the two or more layers are generated from membrane solutions having different components, agents and/or concentrations.
  • the membranes are treated to remove the porogen, thereby forming pores in the membrane.
  • the sacrificial porogen material is passively or forcefully removed in conjunction with dissolution, a phase transition, reversing of thermal gelation, or other techniques know to the art.
  • the sacrificial material has a thermally reversible gelation property or can be dissolved in non-polar solvent.
  • the porogen material is Pluronic F127 and is removed by treatment with a non-polar solvent (e.g., isopropanol).
  • a non-polar solvent e.g., isopropanol
  • the membrane solution comprises 3-35 wt% of gelatin or a gelatin-polymer composite.
  • the solution comprises about 3%wt, about 4%wt, about 5%wt, about 6%wt, about 7%wt, about 8%wt, about 9%wt, about 10%wt, about ll%wt, about 12%wt, about 13%wt, about 14%wt, about 15%wt, about 16%wt, about
  • the thin film layer may be dried, gelled, crosslinked, or otherwise solidified and removed from the substrate.
  • the thin film layer is crosslinked with a solution comprising glutaraldehyde, transglutaminase, or other crosslinking enzymes or molecules.
  • a crosslinking agent is added to the membrane solution, e.g., just prior to applying the solution in a thin film on a substrate.
  • the crosslinking agent is contacted with the thin film layer after contact with the substrate. In some embodiments, the concentration of crosslinking agent is about 0.01-5g per lOg of gelatin.
  • the membrane is used in tissue or biological constructs incorporating a membrane (e.g., a basement membrane) fabricated in the manner described herein.
  • tissue or biological constructs containing membranes fabricated as described herein comprise hydrogels such as gelatin, collagen, PLA, chitosan, or composites of hydrogels or other hydrogel materials and compounds.
  • Gelatin and gelatin-polymer composites of but not limited to 3-35 wt% may be employed using a variety of film deposition techniques.
  • sacrificial porogen material can allow for substantial opportunities for tuning of mechanical and biological properties including but not limited to porosity, pore size, permeability, sieving, filtration, and other functions which can enhance and further specialize tissue constructs for desired biological applications.
  • the membranes described herein are modified via techniques such as divalent metal ion removal or other techniques known to the art in order to yield tunable mechanical and biological properties (See, Qi et ah, Scientific Reports 4 : 4706 (2013)).
  • a second polymer or hydrogel material providing a support matrix for the membrane material is generated.
  • This second hydrogel or polymer may be constructed of similar material as the membrane or may be constructed of a complimentary hydrogel or polymer.
  • the membrane is partially or fully constructed of gelatin or other hydrogel material that has been altered to be photo-curable using ultraviolet light of various wavelengths, such as gelatin methacrylate. Materials such as this, in varying concentrations can be created using published protocols or techniques know to the art.
  • One skilled in the art readily appreciates that the present invention is well adapted to carry out the objects and obtain the ends and advantages mentioned, as well as those inherent therein. The details of the description and the examples herein are representative of certain embodiments, are exemplary, and are not intended as limitations on the scope of the invention. Modifications therein and other uses will occur to those skilled in the art. These modifications are encompassed within the spirit of the invention. It will be readily apparent to a person skilled in the art that varying substitutions and modifications may be made to the invention disclosed herein without departing from the scope and spirit of the invention.
  • Numerical values include values expressed as percentages. For any embodiment of the invention in which a numerical value is prefaced by“about” or“approximately”, the invention includes an embodiment in which the exact value is recited. For any embodiment of the invention in which a numerical value is not prefaced by“about” or“approximately”, the invention includes an embodiment in which the value is prefaced by“about” or“approximately”.
  • one sequence which is complementary to and/or hybridizes to another sequence includes (i) one sequence which is complementary to the other sequence even though the one sequence may not necessarily hybridize to the other sequence under all conditions, (ii) one sequence which hybridizes to the other sequence even if the one sequence is not perfectly complementary to the other sequence, and (iii) sequences which are both complementary to and hybridize to the other sequence.
  • the term“consisting essentially of’ refers to those elements required for a given embodiment. The term permits the presence of additional elements that do not materially affect the basic and novel or functional characteristic(s) of that embodiment of the invention.
  • step 1 a solution of gelatin, collagen, fibrin, or other biologic or synthetic matrix material is created.
  • step 2 a solution containing a sacrificial porogen material is combined with the matrix solution created in step 1 and thoroughly mixed.
  • step 3 the matrix-porogen solution is deposited onto a substrate through spin coating, dip coating, or other such thin film deposition techniques and allowed to dry, gel, or otherwise solidify. This deposition technique allows for fine control over film thickness.
  • This matrix-porogen solution is then subsequently deposited onto a substrate through spin coating or other thin film deposition techniques, and depending on technique and parameters film thickness may range anywhere from 0.1-100-pm.
  • This film may be dried, gelled, crosslinked, or otherwise solidified and removed from the substrate. Once removed from the substrate, the sacrificial porogen material is passively or forcefully removed in conjunction with dissolution, a phase transition, reversing of thermal gelation, or other techniques know to the art, creating an open pore structure in the film.
  • FIG. 2 depicts one such example of this type of film.
  • tissue or biological constructs containing membranes fabricated as described using hydrogels such as gelatin, collagen, PLA, chitosan, or composites of hydrogels or other hydrogel materials and compounds.
  • hydrogels such as gelatin, collagen, PLA, chitosan, or composites of hydrogels or other hydrogel materials and compounds.
  • Gelatin and gelatin-polymer composites of but not limited to 3-35 wt% may be employed using a variety of film deposition techniques.
  • concentrations and compositions of sacrificial porogen material can allow for substantial opportunities for tuning of mechanical and biological properties including but not limited to porosity, pore size, permeability, sieving, filtration, and other functions which can enhance and further specialize tissue constructs for desired biological applications.
  • Additional examples of the invention include membranes as described in the previous examples, containing hydrogels, polymers, and compounds of materials which have been modified via techniques such as divalent metal ion removal or other techniques known to the art in order to yield tunable mechanical and biological properties (See, Qi et al., Scientific Reports 4 : 4706 (2013)).
  • Additional examples of the invention include membranes as described in the previous examples, containing hydrogels, polymers, and compounds of materials which have been modified via addition of enhancing agents or compounds in order to yield tunable mechanical and biological properties.
  • techniques include but are not limited to the addition of glycerin, sorbitol, propylene glycol, or other plasticizers into gelatin or gelatin composite hydrogels (See, F.M. Vanina et al., Food Hydrocolloids 19, 899-907 (2005)).
  • Additional examples of the invention include membranes as described in the previous examples, with the addition of a second polymer or hydrogel material providing a support matrix for the basement membrane material.
  • This second hydrogel or polymer may be constructed of similar material as the basement membrane or may be constructed of a complimentary hydrogel or polymer.
  • Additional examples of the invention include membranes as described in the previous examples, where the film is partially or fully constructed of gelatin or other hydrogel material that has been altered to be photo-curable using ultraviolet light of various wavelengths, such as gelatin methacrylate. Materials such as this, in varying concentrations can be created using published protocols or techniques know to the art.
  • An implantable IABBP device for renal replacement contains one or more functional units. In each of these functional units, two separate channel systems that are separated by extracellular matrix material and lined by cells (FIG. 4 and FIG. 6).
  • One channel system (herein referred to as vascular channel or vascular channel system) is lined with endothelial cells and perfused with blood that is gradually purified as it passes through the device.
  • a second channel system (herein referred to as filtrate channel or filtrate channel system) is lined with epithelial cells and perfused by filtrate that is gradually processed. Blood flows into the vascular channel system from an artery and returns to a vein via vascular conduits. The filtrate is produced by the device and flows through the filtrate channel.
  • the filtrate is drained via a conduit and a surgically created fistula to an extracorporeal collection system or via a conduit and a surgical anastomosis into the patient’s bladder.
  • the channel networks are comprised of three segments that provide distinct functions. These segments are arranged in series based on the blood through the device, so that the blood is processed sequentially by each segment before returning to the cardiovascular system.
  • Blood pressure in the tubular segment is a dynamic parameter determined by incoming blood flow Q bf , channel architecture, incoming blood pressure from the filtration segment P bf , and backpressure from the downstream vascular network P bd . (FIG. 5)
  • this secondary filtrate is then concentrated (water removal from the filtrate via cells and extracellular matrix) to generate a tertiary filtrate.
  • the tertiary filtrate is then drained from the device as described above.
  • vascular channels and filtrate channels are separated by a membrane that supports the respective segmental function.
  • this membrane In the filtration segment, this membrane enables formation of a filtrate from vascular space to filtration space.
  • this membrane In the tubular segment, this membrane enables solute and water exchange between the vascular and the filtration channel system. In the ductal segment, this membrane enables transfer of water and solutes from the filtration channel system to the vascular channel system.
  • the membrane separating the respective channel systems can be in the form of a collagen membrane with a thickness of 0.1-10 (e.g., 0.3-10) micrometers that supports cell adhesion on both sides and is resistant to membrane fouling.
  • Table 1 describes an example of target functional specifications for a clinically usable IABBP device.
  • the thin film is then allowed to dry and is removed from the substrate.
  • the film is dry and non-crosslinked, and may be incorporated into a scaffold or other such biologic structure and crosslinked.
  • This can be done by mounting the film into a frame which allows for 3D printing or other deposition of sacrificial material on either side of the membrane to create opposed channel networks.
  • This film and channel construct can subsequently be embedded into a scaffold and crosslinked. Once crosslinked the sacrificial material can be removed, and the channels can be perfused. It is possible to dissolve and remove the Pluronic F127 micelles in the membrane using isopropanol or other non-polar solvents that disrupt the micelle core, which can be perfused through the scaffold to open the pores in the membrane.
  • this dried film may be crosslinked by soaking in glutaraldehyde solution or other crosslinking agent (such as transglutaminase).
  • the sacrificial porogen material can then be removed by additional soaking of the film in solvent. Once the porogen material has been removed, the film can be rinsed with PBS or other solution to remove any remaining crosslinking agent or solvent, and subsequently populated with cells as needed.
  • Cellularized or acellular membranes may be tested in an in-vitro isolated membrane apparatus (FIGS. 12A-12B). Briefly, the isolated membrane is placed between two support pieces or mesh screens of high porosity and low resistance to allow for uninhibited filtration or flow, and designed to expose the substantial entirety of the membrane surface area. These support pieces or meshed screens are clamped in place between two halves of a chamber containing ports that allow for perfusion with fluid or gas or a combination of both in order to simulate in-vivo membrane function.
  • This type of chamber and testing system allows for short term or extended testing of cellularized or acellular membranes in a high throughput manner. Data produced by this system can be correlated with known membrane surface area to provide functional data normalized to surface area, which can inform device design.
  • Channel architectures can be precisely controlled using extrusion-based 3D printing technology to print channels out of sacrificial materials on either side of the membrane.
  • the entire device is then embedded into an extracellular matrix material (e.g., scaffold) and the sacrificial material is evacuated, resulting in two channel networks, one on either side of the membrane.
  • the architecture and dimensions of the channels composing these networks is designed using computer aided design (CAD) software, then converted into G-code to control the 3D printing process.
  • Channel diameter can be modulated by varying the 3D printer motor speed, the amount of pressure driving extrusion, and the temperature of the extruder head, all of which are controlled through G-code and the associated 3D printer electronics.
  • Example 5- Manufacturing of a multilayered device
  • the supporting scaffold of the device is assembled by first pouring 20 mL of 20% gelatin, 10% transglutaminase (20 U/mL) into a bottom mold (ie., extracellular matrix material). Prepared inflow and outflow conduits are then filled with Pluronic F127 and placed in the recessed grooves of the bottom mold (FIG. 10). The conduits are half submerged in the gelatin. The gelatin in the mold is allowed to thermally and enzymatically crosslink. Gelatin can crosslink at cooler temperatures, but this crosslinking can be reversed by warming the gelatin.
  • the membrane is placed onto the gelatin without the inclusion of air, for instance by mechanical means, and the channel networks are aligned with the conduits to produce continuous networks.
  • the membrane bonds to the gelatin as it is lowered into place. After the gelatin sets, excess membrane is cut from the frame, and the frame is removed. Another membrane is framed and printed, and when dry, a spacer is placed on top of the first layer. At this point shafts or pillars of F127 may be added to the channel pattern on lower membrane that will align with and connect to the upper membrane channel networks, thereby creating a continuous multilayer network. If necessary, holes can be punched, dissolved, or otherwise removed from the membranes to allow for interlayer connections.
  • This next spacer is filled with 10 mL of 20% gelatin, 10% transglutaminase, and the next membrane is lowered into place.
  • the membrane is lowered onto the next layer such that the networks on each layer are aligned.
  • This process can be repeated for as many layers as required.
  • each layer may be connected via small shafts that may be filled with Pluronic F127 or other fluid or gel that can be evacuated. These connections are created along the height of the graft in order to connect the channel networks of the various layers. Care is taken to connect like to like (e.g., vascular to vascular and filtrate to filtrate).
  • a prepared conduit filled with Pluronic F127 is placed on the top membrane in order to make contact with the vascular channel system or filtration channel system and provide a location for anastomosis of the graft to vasculature or for cannulation.
  • a taller spacer with a notch for the conduit is then placed onto of the top membrane, and the mold is filled with 20 mL of 20% gelatin and 10% transglutaminase to seal in the channel networks and complete the multilayered graft.
  • the interior connection between membrane layers may occur once the scaffold is fully assembled by using a punch or other instrument to remove gelatin and create a hollow shaft or other connection between layers.
  • This space may be filled with Pluronic F127 and then may be plugged, filled, or otherwise sealed with gelatin or other material that may be bonded, crosslinked, glued, or otherwise adhered in place to close any remaining hole and maintained the integrity of the channel networks.
  • glomerular endothelial cells and podocytes are obtained by immune-separation with CD31 and Nephrin antibodies respectively.
  • Contaminating fibroblasts are depleted by Thyl immuno-separation.
  • peritubular endothelial cells are separated from cortical epithelial cells (proximal and distal tubule) by CD31 and CK18 immuno-separation respectively.
  • Contaminating fibroblasts are also depleted from these portions by Thy 1 immuno-separation.
  • Medullar tissue is processed in a similar manner and collecting duct cells isolated by L1CAM immune-separation with fibroblast depletion with Thyl immuno-separation. Media formulations for specific cell types described in Tables 2-4).
  • Vascular channels and filtration channels are respectively lined with confluent monolayers of endothelial or epithelial cells in order to provide their respective functions.
  • the inlet and outlet conduits to both networks are cannulated and a suspension of the appropriate cell type is injected into the inlet conduit for either the vascular or filtration channels. Fluid is simultaneously pulled from each outlet conduit at the same rate as the cell suspension is injected until the entire network is filled with cell suspension.
  • Cells are allowed to attach to the channel walls under static culture in an incubator at 37° C for at least 1 hour then the entire device is rotated 180° and seeded again with the same respective cell suspensions in both the vascular and filtration networks to ensure seeding of the full channel lumens.
  • networks are perfused with media and left for at least 24 hours to achieve full confluence.
  • Direct flow of cell media, blood, or serum may be introduced into each channel network to supply nutrients and oxygen to cells and to enhance cellular function of both endothelial and epithelial cells.
  • Flow can be controlled using either pumps or gravity-driven flow.
  • the cells intended for segment 1 may be infused through the cannula adjacent to segment 1 such that the entirety of segment 1 is filled with cell suspension and segment 2 is filled with the acellular fluid that was previously located in segment 1. These cells are allowed to adhere for 30 minutes up to 3 hours or more, and a volume of fluid equal to the suspension volume is infused through the cannula adjacent to segment 3 in order to flush out the remaining cell suspension media and any cells that did not attach in segment 1.
  • the scaffold is then flipped and the procedure repeated to provide full coverage of segment 1 with the desired cell types.
  • a volume of the second cell suspension containing cells for segment 2 that is equal to the volume of the segment 2 channels in infused into the scaffold through the cannula adjacent to segment 1.
  • a volume of solution equal to the volume of the segment 1 channels containing no cells is infused into the cannula adjacent to segment 1 such that the cell suspension for segment 2 is pushed through the channels to fill segment 2 but does not enter segment 3.
  • the cells are allowed to adhere for 30 minutes up to 3 hours.
  • a solution without cells of a volume equal or greater than the combined volumes of segment 1 and segment 2 is infused through the cannula adjacent to segment 3 in order to flush out remaining cell suspension media and cells that did not adhere.
  • the scaffold is then flipped and the procedure repeated to provide full coverage of segment 2 with the desired cell types.
  • a volume of the third cell suspension containing cells for segment 3 that is equal to the volume of the segment 3 channels in infused into the scaffold through the cannula adjacent to segment 1.
  • a volume of solution equal to the combined volume of the segment 1 channels and segment 2 channels containing no cells is infused into the cannula adjacent to segment 1 such that the cell suspension for segment 3 is pushed through the channels to fill segment 3.
  • the cells are allowed to adhere for 30 minutes up to 3 hours.
  • This type of sequential cell seeding could be accomplished in other ways using the know volume of the channels, and does not necessarily have to happen in the order or manner described here, cells could be added in a sequential order via one way perfusion without reverse perfusion to back-flush cell suspension and cells that did not adhere.
  • Example 8 In silico modeling of an IABBP device and its function and in vitro model of IABBP membrane
  • step 1 a solution of gelatin, collagen, fibrin, or other biologic or synthetic matrix material is created.
  • step 2 dried silk nano and micro-scale fibers are added to the matrix solution and mixed by stirring. Size of fibers depends on preparation and the size
  • composition of the fiber component can be tuned to yield desirable mechanical properties.
  • This fiber component may be crosslinked to itself or bonded to the matrix component in subsequent steps to yield interpenetrating networks of matrix and fiber.
  • a solution containing a sacrificial porogen material is combined with the matrix and fiber solution created in step 1 and thoroughly mixed.
  • the matrix-porogen solution is deposited onto a substrate through spin coating, dip coating, or other such thin film deposition techniques and allowed to dry, gel, or otherwise solidify. This deposition technique allows for fine control over film thickness.
  • additional layers of similar or dissimilar composition are optionally deposited onto the first layer to create a composite or layered film. Alternatively, additional layers are deposited in a manner allowing for patterning or other spatial organization within the membrane.
  • the sacrificial porogen material is removed through dissolution, degradation, or other destructive techniques leaving an empty space in the thin film that serves as a pore.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Biomedical Technology (AREA)
  • Urology & Nephrology (AREA)
  • Water Supply & Treatment (AREA)
  • Epidemiology (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Emergency Medicine (AREA)
  • Cell Biology (AREA)
  • Molecular Biology (AREA)
  • Dispersion Chemistry (AREA)
  • Manufacturing & Machinery (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Materials Engineering (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Medicinal Chemistry (AREA)
  • Dermatology (AREA)
  • Composite Materials (AREA)
  • Materials For Medical Uses (AREA)
  • Separation Using Semi-Permeable Membranes (AREA)
  • Prostheses (AREA)
  • External Artificial Organs (AREA)
  • Apparatus Associated With Microorganisms And Enzymes (AREA)
  • Peptides Or Proteins (AREA)
  • Micro-Organisms Or Cultivation Processes Thereof (AREA)
  • Immobilizing And Processing Of Enzymes And Microorganisms (AREA)
  • Filtering Materials (AREA)
PCT/US2020/020498 2019-02-28 2020-02-28 Biological fluid purification with biocompatible membranes Ceased WO2020176888A1 (en)

Priority Applications (9)

Application Number Priority Date Filing Date Title
US17/435,024 US11413580B2 (en) 2019-02-28 2020-02-28 Biological fluid purification with biocompatible membranes
EP20763624.2A EP3930880A4 (en) 2019-02-28 2020-02-28 BIOLOGICAL LIQUID PURIFICATION WITH BIOCOMPATIBLE MEMBRANES
AU2020228667A AU2020228667B2 (en) 2019-02-28 2020-02-28 Biological fluid purification with biocompatible membranes
JP2021551539A JP7449956B2 (ja) 2019-02-28 2020-02-28 生体適合性膜を用いる生体流体浄化
CA3131933A CA3131933A1 (en) 2019-02-28 2020-02-28 Biological fluid purification with biocompatible membranes
US17/888,262 US11918955B2 (en) 2019-02-28 2022-08-15 Biological fluid purification with biocompatible membranes
US18/595,191 US12427480B2 (en) 2019-02-28 2024-03-04 Apparatus for supplementing function of endocrine glands
JP2024032227A JP7808139B2 (ja) 2019-02-28 2024-03-04 生体適合性膜を用いる生体流体浄化
US19/332,631 US20260014523A1 (en) 2019-02-28 2025-09-18 Methods for manufacturing an apparatus for biological fluid purification with biocompatible membranes

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201962812239P 2019-02-28 2019-02-28
US62/812,239 2019-02-28

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US17/435,024 A-371-Of-International US11413580B2 (en) 2019-02-28 2020-02-28 Biological fluid purification with biocompatible membranes
US17/888,262 Continuation US11918955B2 (en) 2019-02-28 2022-08-15 Biological fluid purification with biocompatible membranes

Publications (1)

Publication Number Publication Date
WO2020176888A1 true WO2020176888A1 (en) 2020-09-03

Family

ID=72239743

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2020/020498 Ceased WO2020176888A1 (en) 2019-02-28 2020-02-28 Biological fluid purification with biocompatible membranes

Country Status (6)

Country Link
US (4) US11413580B2 (https=)
EP (1) EP3930880A4 (https=)
JP (2) JP7449956B2 (https=)
AU (1) AU2020228667B2 (https=)
CA (1) CA3131933A1 (https=)
WO (1) WO2020176888A1 (https=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114082221A (zh) * 2021-10-21 2022-02-25 莱必宜科技(厦门)有限责任公司 一种血浆吸附过滤装置

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11413580B2 (en) 2019-02-28 2022-08-16 Iviva Medical, Inc. Biological fluid purification with biocompatible membranes
US20240024557A1 (en) * 2022-07-25 2024-01-25 William M. Gosney Cassette apparatus for processing of blood to neutralize pathogen cells therein

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2010121A (en) * 1977-12-15 1979-06-27 Secon Separations & Concentrat Device for treating renal insufficiency
US4857199A (en) * 1986-10-20 1989-08-15 Hospal Industrie Method and system for pumping two liquids in equal quantities in an artificial kidney
US20040147042A1 (en) * 1999-05-28 2004-07-29 Miklos Gratzl Device for precise chemical delivery and solution preparation
US20120184940A1 (en) * 2009-10-02 2012-07-19 Agency For Science, Technology And Research Bioartificial kidneys

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3422435A1 (de) * 1984-06-16 1986-01-16 B. Braun Melsungen Ag, 3508 Melsungen Verfahren und vorrichtung zur selektiven abtrennung pathologischer und/oder toxischer spezies aus blut oder blutplasma unter verwendung von filterkerzen
WO1993018214A1 (en) * 1992-03-13 1993-09-16 Atrium Medical Corporation Controlled porosity expanded polytetrafluoroethylene products and fabrication
WO2013103906A1 (en) 2012-01-04 2013-07-11 Medtronic, Inc. Multi-staged filtration system for blood fluid removal
EP4461323A3 (en) * 2016-12-16 2025-01-15 Iviva Medical, Inc. Thin film interposition for basement membrane scaffolds
US11413580B2 (en) 2019-02-28 2022-08-16 Iviva Medical, Inc. Biological fluid purification with biocompatible membranes

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2010121A (en) * 1977-12-15 1979-06-27 Secon Separations & Concentrat Device for treating renal insufficiency
US4857199A (en) * 1986-10-20 1989-08-15 Hospal Industrie Method and system for pumping two liquids in equal quantities in an artificial kidney
US20040147042A1 (en) * 1999-05-28 2004-07-29 Miklos Gratzl Device for precise chemical delivery and solution preparation
US20120184940A1 (en) * 2009-10-02 2012-07-19 Agency For Science, Technology And Research Bioartificial kidneys

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114082221A (zh) * 2021-10-21 2022-02-25 莱必宜科技(厦门)有限责任公司 一种血浆吸附过滤装置

Also Published As

Publication number Publication date
US12427480B2 (en) 2025-09-30
US11413580B2 (en) 2022-08-16
JP2022522749A (ja) 2022-04-20
JP7808139B2 (ja) 2026-01-28
JP2024073493A (ja) 2024-05-29
CA3131933A1 (en) 2020-09-03
EP3930880A1 (en) 2022-01-05
EP3930880A4 (en) 2023-05-31
US20260014523A1 (en) 2026-01-15
US20240293777A1 (en) 2024-09-05
AU2020228667A1 (en) 2021-09-30
US11918955B2 (en) 2024-03-05
JP7449956B2 (ja) 2024-03-14
AU2020228667B2 (en) 2026-01-29
US20230046290A1 (en) 2023-02-16
US20220133973A1 (en) 2022-05-05

Similar Documents

Publication Publication Date Title
US12427480B2 (en) Apparatus for supplementing function of endocrine glands
US8491561B2 (en) Micromachined bilayer unit of engineered tissues
US12527894B2 (en) Thin film interposition of basement membrane scaffolds
Shao et al. Pre-shear bioprinting of highly oriented porous hydrogel microfibers to construct anisotropic tissues
JP2026067909A (ja) 生体適合性膜を用いる生体流体浄化
JPWO2020176888A5 (https=)
TW200400811A (en) Tissue engineering scaffold material, artificial vessel, cuff member and coating for implants
US20240139381A1 (en) Biomatrix-impregnated porous conduit for tissue engineering
JP2004097687A (ja) 生体用樹脂基材及びその製造方法
US20240325633A1 (en) Intravascular artificial pancreas
DE GAETANO et al. Injection moulding process: CFD evaluation on the orientation of polymeric chains for manufacturing heart valves.
Zhao et al. Blood Purification Materials for Hybrid Artificial Organs
JP2004041527A (ja) バイオ人工臓器

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 20763624

Country of ref document: EP

Kind code of ref document: A1

ENP Entry into the national phase

Ref document number: 3131933

Country of ref document: CA

ENP Entry into the national phase

Ref document number: 2021551539

Country of ref document: JP

Kind code of ref document: A

NENP Non-entry into the national phase

Ref country code: DE

ENP Entry into the national phase

Ref document number: 2020228667

Country of ref document: AU

Date of ref document: 20200228

Kind code of ref document: A

ENP Entry into the national phase

Ref document number: 2020763624

Country of ref document: EP

Effective date: 20210928