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Catheter instrumented with Ultraviolet-C LEDs for the sterilization of walls and water in hemodialysis ducts: construction, automation and verification of the effectiveness of the equipment.

Abstract

This project aims to reduce the incidence of infections and contaminations in patients undergoing hemodialysis treatment. Currently, the brazilian annual mortality rate for hemodialysis patients is 24.5%, the highest among all clinical treatments. Within this rate, it is estimated that contaminations are the second leading cause and contaminated water is its main vector. The biggest contributor to water contamination is the walls of the pipes, which are responsible for transporting water between the filtration stage and the entry into the hemodialysis machines. Pipes are the components that receive the least sanitary attention and are therefore the most susceptible to contamination. The research project involves the development of a prototype that promotes the sterilization of duct walls in the hemodialysis water treatment circuit using Ultraviolet-C (UVC) germicidal technology in LEDs. UVC-emitting LEDS are scientifically proven to possess a wavelength and energy capable of breaking DNA chains of microorganisms, such as viruses, bacteria, and fungi. In addition, UVC irradiation is a non-ionizing electromagnetic wave, making it a non-waste generating physical agent with high ecological and green potential. The feasibility of the technology has already been proven through in vitro tests of UVC LEDs in the complete removal of the main contaminating biofilms found in the hemodialysis environment, justifying the project proposal for the direct Phase 2. To perform the function of sterilizing duct walls, the prototype will be constructed in the form of an automated and flexible catheter containing flexible LED strips inside. This catheter will have the following main characteristics: the ability to promote axial and longitudinal scanning throughout the entire length of the pipe; be inserted, applied, and removed daily during the night period when the clinic is deactivated; promote the removal of microorganisms and prevention of the formation of colonies of microorganisms that release toxins harmful to patients, called biofilms. The research proposal will encompass efficacy and biological safety testing of a scope of the prototype already built, engineering development of a high-reliability prototype with all mechanical and electronic characteristics required and efficacy and safety testing in a relevant environment and in a real environment. (AU)

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VEICULO: TITULO (DATA)