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United States Patent to 11, 3,996,141 Updike 45 Dec. 7, 1976

54 DALYSIS 2,971,850 2/1961 Barton ...... 195/63 X 3, 158,532 11/1964 Pall et al...... 210/503 X 75 Inventor: Stuart J. Updike, Madison, Wis. 3,282,702 1 1/1966 Schreiner ...... 195/63 X (73) Assignee: Wisconsin Alumni Research 3,327,859 6/1967 Pall ...... 210/266 3,526,481 9/1970 Rubricius ...... 210/321 X Foundation, Madison, Wis. 3,766,013 10/1973 Forgione et al...... 195/63 22) Filed: Jan. 17, 1974 3,809,613 5/1974 Vieth et al...... 195/68 X 3,824, 150 7/1974 Lilly et al...... 195/DIG. l l X 21 ) Appl. No.: 434,231 3,846,236 1 1/1974 Updike ...... 23/258.5 X Related U.S. Application Data Primary Examiner-Frank A. Spear, Jr. (63) Continuation-in-part of Ser. No. 191,720, Oct. 22, Attorney, Agent, or Firm-McDougall, Hersh & Scott 1971, Pat. No. 3,846,236. 57 ABSTRACT 52 U.S. Cl...... 210/501; 427/245 (51) Int. Cl...... B01D 13/04 A semi-permeable membrane containing a catalyst for 58 Field of Search ...... 210/22, 23, 321,500, conversion of hydrogen peroxide introduced from one side of the semi-permeable membrane to molecular 210/501, 502; 23/258.5; 195/18, 63; oxygen which is released from the opposite side of the 106/194; 264/41, 49; 427/245 semi-permeable membrane. The catalyst is preferably 56) References Cited in the form of a ruthenium oxide or sulfide and prefer UNITED STATES PATENTS ably in assymetrical distribution in the membrane. 2008, 131 7/1935 Dieck et al...... 210/501 X 2,283,883 5/1942 Conconi et al...... 210/5O1 11 Claims, No Drawings 3,996, 141 1 2 molecular oxygen available to the blood on the oppo DALYSIS MEMBRANE site side of the membrane. Conversion of hydrogen peroxide to molecular oxy The invention described herein was made in the gen and water occurs in accordance with the following course of work under a grant or award from the De equation: partment of Health, Education, and Welfare. A con 2HO, -) + 2HO tinuation-in-part application of my copending applica tion Ser. No. 191,720, filed Oct. 22, 1971, and entitled Thus 2 millimoles of hydrogen peroxide convert to 1 “METHOD AND APPARATUS FOR ', millimole of molecular oxygen. Actual measurement of now U.S. Pat. No. 3,846,236. 10 the amount of oxygen released from a 0.5% of This application relates to the supply of oxygen to the hydrogen peroxide on the opposite side of permeable blood, or other body or chemical fluid, from hydrogen membrane containing MnO, as a conversion catalyst, peroxide via a dialysis membrane, and relates more was 260 to 450 milliliters per minute per square meter. particularly to a catalyst containing dialysis membrane This is sufficient to provide the basal oxygen require for use in same. 15 ment for a man of ordinary weight and with a mem In the aforementioned parent application, descrip brane of reasonable dimension for practical use in a tion is made of a method and apparatus for the supply respiratory device. of oxygen by conversion of hydrogen peroxide during The oxygen converted from dilute hydrogen peroxide passage through a semipermeable membrane from a solution via a catalyst containing a semipermeable dilute solution of hydrogen on one side of the mem 20 membrane, is made available uniformly over substan brane to a fluid on the opposite side of the membrane. tially the entire area of the semipermeable membrane Since the invention has primary application to the sup for release at a rate sufficient to meet basal oxygen ply of oxygen to the blood, bypassed from the human requirements, but without making oxygen available at system, at rates sufficient to maintain life, the invention such high at any one point as would will be described with reference thereto, but it will be 25 raise problems of oxygen bubble embolism toxicity. understood, as described in the aforementioned appli As the semipermeable membrane, use can be made cation, that the concepts find use in other procedures of a water insoluble, water wettable cellulose deriva wherein it is desired to make molecular oxygen avail tive, such as cellophane, cellulose acetate, cellulose able at controlled rates and in amounts suitable for use propionate, carboxyethyl cellulose, and the like; insolu in other medical applications or chemical operations, 30 bilized gelatin; partially hydrolized polyvinyl acetate; such as in various oxygenation or oxygen chlorination polyionic film forming compositions such as polysul processes. fonated anionic polymers or ionically linked polyca Attempts have previously been made to diffuse mo tionic polymers, such as marketed by Amicon Com lecular oxygen directly through a semipermeable mem pany. Use can also be made of dialysis brane for passage into an extra-corporeal bypassed 35 formed of multiple hollow fibers, such as marketed by stream of human blood in contact with the opposite the Dow Chemical Company, or hydrophobic mem side of the dialysis membrane. This technique has not branes, such as formed of organosilicon rubbers. found acceptance because the rate of diffusion of mo In the practice of the invention, it is important to lecular oxygen through a wettable semipermeable make use of a conversion catalyst that does not wash membrane is so slow as to require a diffusion area so 40 out of the membrane under acid, neutral, or alkaline large as to make it impractical for use in a respiratory conditions so that the semipermeable membrane will device. remain effective over long periods of continuous use Considerable effort has been expended in another under the widely varying conditions to which it is ex direction of approach, addressed to the supply of oxy posed in dialysis. Another characteristic of the catalyst, gen by direct introduction of hydrogen peroxide into 45 in order to achieve the desired utility, over long periods the blood-stream, preferably in controlled amounts, as of use, is the freedom of the catalyst from poisoning by by diffusion through a semipermeable or dialysis mem components present in the fluids to which it is exposed, brane, as described in the Rubricius U.S. Pat. No. or which in turn does not contribute any undesirable 3,526,481. In this approach, reliance is had upon the components into the bloodstream. enzyme catalase in the blood to convert the hydrogen 50 Another factor, which should be taken into consider peroxide into molecular oxygen and water. This proce ation, in defining a catalyst containing permeable mem dure utilizes the catalase activity normally in the blood, brane, suitable for use in the practice of this invention, and which can be supplemented by injection of highly is the ability to effect substantially complete conversion purified exogenous catalase to break down hydrogen of the hydrogen peroxide before passage through the peroxide. However, this technique has been rejected 55 semipermeable membrane so that practically no hydro because the conversion rate in the blood plasma is so gen peroxide will break through the membrane and be rapid as to generate oxygen gas bubbles which embol introduced into the bloodstream. ize and can fatally plug the micro-circulation of the These characteristics are generally derived from the lung. use of an inorganic catalyst. Manganese dioxide has It has been found, in accordance with the invention 50 been described in the aforementioned parent applica described in the aforementioned application, that hy tion as a preferred catalyst which can be incorporated drogen peroxide, in dilute solution, can be used to into the dialysis membrane in accordance with the make molecular oxygen available at a rate sufficient to following example: supply venous blood with its requirement to sustain life, when use is made of a dialysis membrane which con 65 EXAMPLE I tains a catalyst for conversion of the hydrogen peroxide An untreated cellophane membrane, of the type pre to molecular oxygen during diffusion from dilute solu viously described as being used in artificial kidney dial tion on one side of the wettable membrane to make ysis, is first hydrated in water and then simultaneously 3,996,141 3 4. exposed on one side to a 0.3 molar potassium perman ganate solution, and on the opposite side, to a 0.1 EXAMPLE II molar sodium iodide solution for one minute. Diffusion An untreated cellophane membrane of the type de of the two from opposite sides into the mem scribed in Example I is first hydrated in water and then brane brings about the precipitation of manganese simultaneously exposed on one side to a 0.25 M. solu dioxide in the interior of the dialysis membrane. This tion of ruthenium chloride (103) and on the opposite gives the membrane a homogeneous translucent amber side to a 0.1 M. sodium hydroxide solution. Diffusion of pigmentation. Instead of making use of sodium iodide the two solutions from opposite sides to the membrane for precipitation of MnO, from the permanganate, brings about precipitation within the membrane of O ruthenium oxide or its hydrated form. The solutions are other alkali metal iodides or similar reducing agents then rinsed from the membrane, leaving the membrane can be employed. Similarly, other water soluble per with its insoluble precipitate of ruthenium oxide sub manganates, such as sodium permanganate, ammo stantially uniformly distributed therethrough. nium permanganate, and the like can be used instead of potassium permanganate. For good diffusion at a uni 15 EXAMPLE III form rate, it is desirable to make use of a dialysis mem The procedure of Example II is followed but instead brane, in the form of a semipermeable membrane of sodium hydroxide solution, the membrane is ex formed of materials that are wet by the fluids disposed posed to a solution of sodium sulfide whereby the pre on both sides of the membrane. Thus, for use of HO, cipitate that is formed in situ in the membrane is ruthe in aqueous solution on one side and blood plasma on 20 nium sulfide or its hydrated form. the other, it is preferred to make use of a membrane of The resulting catalyst containing membranes of Ex hydrophilic material for ready wet-out and absorption amples II and III have been subjected to a number of of the aqueous medium. tests including wash-out and poisoning. Instead of manganese dioxide, other catalytic agents The catalyst contained membranes were soaked for which may be employed are silver particles, such as 25 48 hours in whole blood, blood plasma, hepernized colloidal silver and the like formed in situ in the mem whole blood, aqueous solutions containing carbonate, brane, as by wetting one side of the membrane with a arsenate, phosphate and chloride , without any silver nitrate solution while the other side is wet with an noticeable poisoning of the catalyst as measured by its alkaline zinc solution for reaction to precipitate silver subsequent catalyst activity for conversion of hydrogen 30 peroxide to molecular oxygen. in fine particle form in the membrane. Similarly, one The catalyst containing membrane was tested for side of the membrane can be wet with a silver halide wash-out or leaching by soaking over an extended pe solution while the opposite side is wet with a photo riod of time in aqueous alkaline, acid or neutral solu graphic type reducing agent, such as a hyposulfite, for tions, in EDTA and boiling EDTA, without any deterio reaction in the interior of the membrane to precipitate 35 ration in the catalyst due to leaching. There is reason to silver particles which catalyze the reaction to convert believe that the ruthenium forms a unique covalent HO, to oxygen and water during transport there bond with hydroxyl groupings present in the membrane through. Colloidal and chelated iron and the more which resists removal by washing or leaching. noble metals platinum and gold can also be used. When, as described in Examples II and III, the dialy Catalysts for conversion of HO, to oxygen are well 40 sis membrane is exposed simultaneously to a solution of known to include such metals as platinum, silver and a soluble ruthenium salt on one side and the sodium gold, from which suitable porous membranes can be hydroxide or other alkaline solution on the other side, formed. Porous metal membranes can be constructed the ruthenium oxide precipitates rather uniformly by and/or heat sintering of the materials, or by throughout the membrane to form what may be de a photographic etching technique, and are available 45 scribed as a symmetrical membrane. commercially at a thickness of 3 microns and at a pore It has been found advantageous to provide an asym size of 0.2 micron. These membranes can then be used metrical membrane wherein the catalyst such as ruthe to support a cellulose or silicone rubber film polymer nium oxide or sulfide is present in higher concentra ized over the surface of the metal. tions on one side to enable the side with the higher Suitable, though less desirable from the standpoint of 50 of catalyst to be positioned to be wet by: efficiency and wash-out, are such organic catalysts as the bloodstream in the respiratory device. Such asym-: the enzyme catalase iron-albumin mixtures, colloidal metrical membranes can be obtained in a number of cholesterol and some organic compounds of nonbi ways: the membrane can be soaked in a solution of ologic origin, such as phthalocyamines. sodium hydroxide or other soluble alkali for a time 55 uniformly to penetrate the membrane. After rinsing off Description will hereinafter be made of a catalyst the excess alkaline solution, one side of the impreg system which has been found to be uniquely suitable nated membrane is exposed to the solution of the ru for use with dialysis membranes in a respiratory device. thenium salt, such as a 0.5% solution of ruthenium It has been found that when ruthenium is incorporated chloride. Ruthenium oxide will precipitate progres as the sulfide or oxide as a catalyst in a semipermeable 60 sively from the side wet with the ruthenium salt. Thus a membrane, the catalyst resists leaching or wash-out membrane can be formed in which the catalyst concen under acid, neutral or alkaline conditions. It is not tration tapers off from a maximum on one side to a easily poisoned by components to which it is exposed point which is substantially free of catalyst, preferably during respiratory dialysis and it effectively prevents short of the other side. breakthrough of hydrogen peroxide by remaining ac 65 The same effect can be obtained by impregnation or tive to effect substantially complete conversion of the incorporation of the ruthenium salt first in the mem hydrogen peroxide to oxygen for passage through the brane for uniform distribution therein, followed by semipermeable membrane. exposing one side to the alkaline solution or the sulfide 3,996,141 S 6 solution to cause precipitation of the corresponding 3. A membrane as claimed in claim 1 in which the ruthenium oxide or sulfide in concentrations which catalyst concentration is greater adjacent one side of diminish gradually from the side contacted with the the membrane than the other. sulfide or alkaline solution. 4. A method of producing a dialysis membrane Such asymmetrical dialysis membrane, arranged in formed of a high molecular weight film forming mate the respiratory device with the side having the higher rial as a continuous phase containing within the mem concentration of catalyst in contact with the blood brane an insoluble catalyst in the form of a metal oxide stream, provides more effective insurance against or sulfide which converts hydrogen peroxide from di breakthrough of hydrogen peroxide. During diffusion lute solution to water and molecular oxygen during through the membrane, the decreasing concentration 10 of hydrogen peroxide comes into contact with increas diffusion of hydrogen peroxide from one side for re ing concentration of catalyst, whereby the last traces of lease of oxygen from the opposite side comprising in hydrogen peroxide are readily converted to molecular corporating one of the components including a soluble oxygen before reaching the opposite or blood contact salt of the metal and a soluble sulfide or hydroxide in ing side of the membrane. the membrane and then wetting the membrane with a While the asymmetrical arrangement has been de 15 solution of the other component for reaction with the scribed with reference to the preparation of mem first component in situ in the membrane to precipitate branes with a catalyst of ruthenium oxide or sulfide, it the corresponding metal oxide or sulfide. will be apparent that such asymmetrical arrangements 5. The method as claimed in claim 4 in which the one can be achieved with others of the inorganic or organic component is incorporated by contacting the mem catalyst described. 20 brane with a solution of the one component for diffu Instead of providing the asymmetrical arrangement by sion into the membrane, and then contacting the mem precipitation of the catalyst in situ in the dialysis mem brane with a solution of the other component. brane, the desired arrangement can otherwise be 6. The method as claimed in claim 4 in which a mem achieved. For example, thin films of membrane mate brane is produced with an asymmetrical catalyst com rial having different concentrations of catalysts pro 25 prising wetting one side of the membrane with a solu vided therein, can be preformed and then laminated in tion of one component while wetting the opposite side a desired arrangement to form a composite dialysis of the membrane with a solution of the other compo membrane having different concentrations of catalysts nent. in cross section calculated for optimum results. Such 7. The method as claimed in claim 4 in which a mem catalyst can be provided in the desired concentrations 30 brane is produced with an asymmetrical catalyst com in the films by separate precipitation from solutions of prising wetting the membrane with a solution of one different concentration, or by introduction of the cata component for introducing the component in uniform lyst as a particulate material into the material of which distribution in the membrane, and then wetting one the film or membrane is subsequently formed. side of the membrane with a solution of the other com The dialysis membrane of this invention may be used 35 ponent whereby precipitation of the metal oxide or in the manner described in the parent application, Ser. sulfide commences at the side wet with the other com No. 191,720, for oxygenation of venous blood by ar ponent. rangement in a dialysis apparatus with a 0.5% by weight 8. The method of producing a membrane as claimed HO, solution in water in position to wet one side of the membrane while venous blood is bypassed from the 40 in claim 4 in which the catalyst is ruthenium oxide or human system into the dialysis device in position to wet sulfide comprising the steps of wetting one side of the the opposite side of the membrane. Upon diffusion of membrane with an aqueous solution of a water soluble hydrogen peroxide into the membrane, the hydrogen salt of ruthenium and wetting the opposite side of the peroxide is converted to molecular oxygen which is membrane with an alkali metal sulfide or hydroxide. made available from the opposite side of the membrane 45 9. The method as claimed in claim 8 in which the for introduction into the blood as a respiratory device. ruthenium salt is ruthenium trichloride. It will be understood that changes may be made in 10. The method of producing a membrane as claimed the details of construction, arrangement and operation in claim 4 with the catalyst in asymmetrical distribution without departing from the spirit of the invention, espe in the membrane comprising wetting the membrane cially as defined in the following claims. SO .first with a solution of a soluble salt or ruthenium for I claim: substantially uniform distribution of the ruthenium salt 1. A dialysis membrane formed of a high molecular in the membrane, and then wetting the one side from weight film forming material as a continuous phase which the oxygen is to be released with a soluble sulfide containing within the membrane an insoluble inorganic or hydroxide to begin precipitation of the correspond catalyst which does not wash out of the membrane and 55 ing ruthenium oxide or sulfide from the one side. which converts hydrogen peroxide in dilute solution to 11. The method of producing a membrane as claimed water and oxygen during passage of the dilute solution in claim 4 with the catalyst in asymmetrical distribution of hydrogen peroxide thereinto from one side for re in the membrane comprising wetting the membrane lease of oxygen from the opposite side in which the first with a solution of a soluble sulfide or hydroxide for catalyst is selected from the group consisting of manga 60 substantially uniform distribution of the sulfide or hy nese dioxide, ruthenium oxide, ruthenium sulfide, col droxide in the membrane, and then wetting the one side loidal silver, colloidal and chelated iron, platinum, from which the oxygen is to be released with a solution silver and gold. of a soluble salt of ruthenium to cause precipitation to 2. A membrane as claimed in claim 1 in which the begin at the one side. catalyst distribution in the membrane is asymmetrical. 65 :: k k sk