Patent Description:
More than <NUM> million end-stage renal disease (ESRD) patients worldwide receive dialysis to sustain life, with this number likely to represent less than <NUM>% of the actual need. In the United States alone, over <NUM>,<NUM> people are on kidney dialysis, over <NUM>,<NUM> of whom die annually with a <NUM>-year survival rate being only <NUM>%. The intermittent character of hemodialysis causes large fluctuations in blood metabolite concentrations. Observations show that long-term survival in dialysis is improved for the patients treated by extended hemodialysis (i.e., more frequent or with longer hours of treatment) when compared to conventional hemodialysis.

<FIG> is a plan view of a conventional dialysis system <NUM>. In operation, a patient <NUM> is connected to the dialysis system <NUM> such that patient's blood flows through a tubing <NUM> into a dialysis system <NUM>. The tubing <NUM> is threaded through a blood pump <NUM>. The pumping action of the blood pump <NUM> pushes patient's blood through the dialysis system <NUM> and back into patient's body. The pump <NUM> is typically a non-contact pump.

Dialysate <NUM> is a fluid that helps remove the unwanted waste products (e.g., urea) from patient's blood. During the dialysis, dialysate <NUM> and patient's blood flow through the dialysis system <NUM>, but the two flows do not physically mix. Instead, fresh dialysate <NUM> from the machine is separated by a membrane from the blood flow. Impurities from patient's blood stream are filtered out through the membrane into dialysate <NUM>. For example, typically <NUM>-<NUM> of urea needs to be removed daily in a normal adult, but with a reduced protein diet <NUM> day is a sufficient goal. Other impurities are also filtered out of the blood stream into the dialysate. Dialysate containing unwanted waste products and excess electrolytes leave the dialyzer for disposal.

Since hemodialysis works on the principle of diffusion into a dialysate having low target concentration, inherently large volumes of fluid are required. The conventional hemodialysis achieves the removal of excessive metabolic waste from the body by running about <NUM> liters of dialysate per session, which typically requires <NUM>-<NUM> hours of treatment. The dialysis may be required three times a week. Patients are subjected to significant life disruptions, including having to be immobilized for hours and having to arrange transportation to dialysis centers, which impact their quality of life. Accordingly, systems and method for improved dialysis, including improved urea removal, are required.

<NPL>) describe a biophotochemical cell comprising a nanoporous TiO<NUM> photoanode (film) and an O<NUM>-reducing cathode for decomposition of biomass wastes. <CIT> describes a photocatalytic urea decomposition method using a titanium dioxide photocatalyst. <NPL>) compare photocatalytic oxidation of urea on TiO<NUM> in water and urine.

This summary is not intended to identify key features of the claimed subject matter.

Briefly, the inventive technology is directed to urea removal from a dialysate. The inventive technology may be used for dialysis, including kidney dialysis, hemodialysis, hemofiltration, hemodiafiltration, removal of impurities, etc..

A photo-chemical oxidation (also referred to as "dialysis-fluid regeneration" or "urea treatment") removes urea from dialysate. A dialysis system fluid regeneration system may include: a nanostructured anode; a source of light configured to illuminate the anode; and a cathode that is oxygen permeable. The nanostructures may be TiO2 nanowires that are hydrothermally grown. The source of light may be provided by an array of LEDs. The oxygen permeable or air permeable cathode may be a platinum-coated (Pt-coated) cloth or paper.

In some embodiments, the system may be sized down enough to become wearable and/or portable. Wearable dialysis devices not only achieve continuous dialysis, but also help reduce clinic related treatment costs and improve quality of life through enhanced mobility.

In one embodiment, a dialysis fluid regeneration system includes: a nanostructured anode; a source of light configured to illuminate the anode; and a cathode that is oxygen permeable.

In one aspect, the dialysis fluid is a dialysate. In another aspect, the system is a kidney dialysis system. In one aspect, the system is a hemofiltration system. In one aspect, the system is a hemodialysis system. In one aspect, the system is a hemodiafiltration system.

In one aspect, the system also includes a source of electrical voltage operationally coupled to the anode and the cathode. In another aspect, the source of electrical voltage is portable.

In one aspect, the dialysis fluid regeneration system is portable. In another aspect, the dialysis fluid regeneration system is wearable. In another aspect, the dialysis fluid regeneration system is stationary.

In one aspect, the anode, the source of light, and the cathode that is oxygen permeable are parts of a first dialysis-fluid regeneration cell, and the system includes a plurality of dialysis-fluid regeneration cells.

In one aspect, the cathode is an air-breathable cathode. In another aspect, the cathode is a conductive cloth-based cathode. In one aspect, the cloth is a platinum-coated (Pt-coated) cloth. In one aspect, the cathode is a conductive paper-based cathode.

In one aspect, the cathode is configured to electrochemically split water. In another aspect, the nanomaterial of the anode is configured to generate photo-electrons or holes when exposed to light.

In one aspect, the source of light comprises an array of light emitting diodes (LEDs). In one aspect, the LEDs are arranged in a two-dimensional (2D) array. In another aspect, the LEDs generate an irradiance of less than <NUM> mW/cm2 at a surface of the anode. In one aspect, the LEDs emit light at <NUM> wavelength.

In one aspect, the source of light comprises a source of UV. In another aspect, the source of light comprises a source of visible light. In one aspect, an incident photon to photoelectron efficiency is about <NUM>%.

In one aspect, the nanostructured anode comprises TiO<NUM> nanowires. In another aspect, the individual nanowires have a thickness of about <NUM>. In one aspect, the TiO<NUM> nanowires are prepared hydrothermally. In one aspect, the nanowires are disposed on a substrate, and the individual nanowires are individually electrically coupled to a substrate that carries the nanowires.

In one aspect, a dialysate solution has a concentration of urea of <NUM> or less. In another aspect, the system also includes a radical scavenger configured to remove oxidative byproducts, radical byproducts, and chlorine.

In one aspect, the system also includes a membrane configured for passing small molecules through and for blocking large molecules from passing through. In another aspect, the membrane is a reverse osmosis (RO) membrane.

In one embodiment, a dialysis fluid regeneration system includes: a nanostructured substrate configured to generate photo-electrons or holes when exposed to light; a source of light configured to illuminate the substrate; and an oxygen permeable barrier.

In one aspect, the source of light is naturally occurring.

In one embodiment, a method for regenerating a dialysis fluid includes: flowing the dialysis fluid through a system of any of the preceding claims; and illuminating the anode with the source of light as the dialysis fluid passes over the anode, thereby photo-electrochemically eliminating urea in the dialysis fluid.

In one embodiment, a method for regenerating a dialysis fluid includes: flowing the dialysis fluid between an anode and a cathode of a dialysis system, wherein the anode comprises a plurality of nanostructures; illuminating the anode with a source of light; flowing oxygen through the cathode toward the dialysis fluid; and converting urea in the dialysis fluid into CO<NUM>, N<NUM> and H<NUM>O thereby regenerating the dialysis fluid.

In one aspect, the method also includes recirculating the dialysis fluid within a dialysis system.

In one aspect, the method also includes: coupling a positive voltage to the anode; and coupling a negative voltage to the cathode.

In one aspect, the voltage differential between the positive voltage and the negative voltage is within a range from about <NUM> V to about <NUM> V.

In one aspect, the source of light includes a source of UV light and visible light.

In one aspect, flowing oxygen through the cathode toward the dialysis fluid includes flowing ambient air through the cathode.

In one aspect, the method also includes: flowing the dialysis fluid through a radical scavenger; and removing chlorine from the dialysis fluid in the radical scavenger.

In one embodiment, a method for preparing a dialysis fluid includes: flowing water to be treated between an anode and a cathode of a dialysis fluid regeneration system, wherein the anode comprises a plurality of nanostructures; illuminating the anode with a source of light; flowing oxygen through the cathode toward water to be treated; and oxidizing impurities in the water to be treated, thereby generating the dialysis fluid.

In one aspect, the method also includes recirculating the dialysis fluid within a dialysis system. In one aspect, the method also includes: coupling a positive voltage to the anode; and coupling a negative voltage to the cathode.

The foregoing aspects and many of the attendant advantages of the inventive technology will become more readily appreciated as the same are understood with reference to the following detailed description, when taken in conjunction with the accompanying drawings, wherein:.

While several embodiments have been illustrated and described, it will be appreciated that various changes can be made therein without departing from the scope of the claimed subject matter.

<FIG> is a schematic diagram of a dialysis system in accordance with an embodiment of the present technology. The illustrated system (e.g., a kidney dialysis system, hemodialysis, hemodiafiltration or a hemofiltration system) includes a urea oxidation unit <NUM> and a toxin selective removal unit <NUM>. In operation, flow of blood <NUM> that includes urea and other toxins enters the urea oxidation unit <NUM>. The flow of blood <NUM> is separated from a flow of dialysate fluid (e.g., dialysate) <NUM> by a membrane <NUM>, which allows mass exchange for select molecules between the flow of blood and the flow of dialysate fluid (referred to as "dialysate" for simplicity). In some embodiments, a low molecular weight cut-off dialysis membrane allows only small molecules (e.g., less than <NUM> Da) to pass through. In some embodiments, the membrane may be a reverse osmosis (RO) membrane. In some embodiments, the urea oxidation unit <NUM> includes a photo-chemical oxidation unit <NUM> (also referred to as a "dialysis-fluid regeneration unit", or a "urea treatment unit") that is configured to remove urea, and a radical/trace scavenger <NUM> that is configured to remove oxidative byproducts, radical byproducts, chlorine, and/or other toxins. The photo-chemical oxidation unit <NUM> is described in more detail with reference to <FIG> below. Terms "photo-oxidation," "photochemical oxidation," and "photo-chemical oxidation" are used interchangeably in this specification.

In some embodiments, after urea and/or other small molecule toxins are removed from the blood flow <NUM>, thus partially cleaned blood flow <NUM> continues to flow toward a protein-bound toxin selective removal unit <NUM>. The blood flow <NUM> is separated from cellular components by a membrane <NUM> that is configured for passing large molecular weight proteins and small molecules, commonly referred to as blood plasma. On the permeate side of membrane <NUM> are selective sorbents for clearance of larger molecular weight and/or protein-bound toxins. This solution <NUM> flows through a membrane <NUM> into unit <NUM> with a mixture of sorbents and selective membranes for the removal of small molecule toxins through flow <NUM>. Nutrients are returned to blood stream <NUM> as flow <NUM> as well as desorbed proteins in flow <NUM> on permeate/plasma side of membrane <NUM>. Some non - exclusive examples of toxins <NUM> removed by the unit <NUM> are indoxyl sulfate that was bound to human albumin. Generally, the urea oxidation unit <NUM> removes small toxic molecules, while the toxin selective removal unit <NUM> removes large toxic molecules or those bound to proteins such as albumin. However, in different embodiments different arrangements of the toxin removal units are also possible. The blood and/or blood plasma flow <NUM> that exits from the toxin selective removal unit <NUM> continues to flow toward further elements/steps of the dialysis process or returns to the patient.

<FIG> is a schematic diagram of a dialysis system in operation in accordance with an embodiment of the present technology. The illustrated analysis system operates as a regeneration system for dialysate <NUM>. In operation, blood flow <NUM>, <NUM> flows between the vascular system of the patient, and the urea oxidation unit <NUM> and the toxin selective removal unit <NUM> (or other toxin removal units) generally requiring a pump (e.g., a pump <NUM>). In some embodiments, the flow of dialysate <NUM> recirculates within the units <NUM>, <NUM>, therefore eliminating or at least limiting a need for adding fresh dialysate to the process. As a result, consumption of the dialysate is reduced with the embodiments of the inventive technology in comparison with the conventional dialysis.

The dialysate <NUM> may have a concentration of urea of <NUM> or less. In some embodiments, a controller <NUM> may control operation of pumps <NUM> and <NUM> to regulate the flow of blood input <NUM> and the dialysate <NUM>.

<FIG> is an exploded view of a urea treatment unit <NUM> in accordance with an embodiment of the present technology. Illustrated urea treatment unit <NUM> is a photo-electric urea treatment unit that removes urea by an electrochemical reaction. The system <NUM> includes two electrodes <NUM>, <NUM> that are separated by a dielectric spacer <NUM> (e.g., rubber, silicon, or plastic spacer). In operation, dialysate that contains urea is held between the two electrodes <NUM>, <NUM>, and is subjected to photo-illumination that promotes photo-oxidation of urea into CO<NUM>, H<NUM>O and N<NUM>.

The required source of light may be provided by an ultraviolet (UV) lamp <NUM>. The reaction also requires oxygen for the electrochemical reaction. Providing required oxygen is described with reference to <FIG> below.

<FIG> is a schematic diagram of a urea treatment unit in operation in accordance with an embodiment of the present technology. In the illustrated embodiment, air flows into tubing <NUM> and further to the dialysate the contains urea inside the photo-electric urea treatment unit <NUM>. Arrows <NUM> indicate the incoming flow of air that produces bubbles <NUM> in the dialysate. However, the quantum efficiency for incident photons from the UV lamp <NUM> to electrochemical reaction may be relatively low, sometimes less than <NUM>%. As a result, the urea treatment unit <NUM> may still be impractically large if the target of about <NUM> to <NUM> of urea removal is to be achieved in a portable device. Improved provisioning of oxygen is described with respect to <FIG> below.

<FIG> is an exploded view of a urea treatment unit <NUM> in accordance with an embodiment of the present technology. The electrochemical reaction that takes place in the urea treatment unit <NUM> may be described as: <MAT>.

In some embodiments, dialysate <NUM> flows through a spacer <NUM> from an inlet <NUM> to an outlet <NUM>. Dialysate <NUM> carries urea that is to be electrochemically decomposed into CO<NUM> and N<NUM>. The spacer <NUM> may be sandwiched between an anode <NUM> and a cathode <NUM>, each individually connected to a source of voltage <NUM> (e.g., a source of DC voltage). In some embodiments the source of voltage <NUM> provides voltage differential within a range from about <NUM> V to about <NUM> V. In some embodiment of spacer <NUM>, the entire dialysate flow is directed to flow over TiO<NUM> layer.

The anode <NUM> is fitted with nanostructures (e.g., TiO<NUM> nanowires). In operation, the anode <NUM> is illuminated by a source of light that emits light (e.g., UV light) for the electrochemical reaction shown in equation <NUM>. At the anode, photo-excited TiO<NUM> nanostructures provide holes for the oxidation of solution species on the surface, while electrons are collected on underlying conducting oxide (e.g., fluorine doped thin oxide or FTO), and then transported to the cathode electrode to split water into OH-. The photo-excitation may be provided by a source of light <NUM> or by natural light.

The cathode <NUM> is gas permeable (e.g., air permeable or oxygen permeable). In operation, flow of gas <NUM> that includes oxygen can pass through the cathode <NUM> toward the dialysate that includes urea.

In some embodiments, the urea treatment unit <NUM> may be used for preparing a dialysis fluid. For example, water to be treated may be passed between the anode <NUM> and the cathode <NUM> to oxidize impurities in the water to be treated, thereby generating the dialysis fluid. Some embodiments of the urea treatment unit <NUM> are further described with reference to <FIG> below.

<FIG> is an exploded view of a urea treatment unit <NUM> in accordance with an embodiment of the present technology. In some embodiments, the urea treatment unit <NUM> includes one or more nanostructured anodes <NUM> having a substrate <NUM> that carries nanostructures <NUM>. The nanostructured anode <NUM> may be held in a substrate holder <NUM>. The light required for the photo-chemical decomposition of the urea may be provided by a light array <NUM> that includes one or more sources of light (e.g., light emitting diodes (LEDs), lasers, discharge lamps, etc.). The sources of light may be arranged in a <NUM>-dimensional (2D) array. In some embodiments, the LEDs emit light at <NUM> wavelength. In some embodiments, the LEDs emit light at an ultraviolet (UV) or visible light wavelength. In some embodiments, the LEDs generate light with the intensity of less than <NUM> mW/cm<NUM> at the surface of the anode (e.g., at the surface of the substrate <NUM>). In other embodiments, other, higher light intensities may be used, for example light with the intensity of more than mW/cm<NUM> at the surface of the anode. In some embodiments, quantum efficiency of incident photons (incident photo-electric efficiency) is about <NUM>%. In some embodiments, the nanostructured anode <NUM> may operate based on the incoming natural light in conjunction with or without dedicated light array <NUM>.

As explained with reference to <FIG>, the cathode is an air permeable cathode <NUM> that blocks liquids (e.g., water), but passes gases (e.g., air or oxygen) through. In some embodiments, the cathode <NUM> is made of conductive cloth. For example the conductive cloth may be a platinum-coated (Pt-coated) cloth or carbon cloth. In some embodiments, the cathode <NUM> may be a conductive paper-based cathode. The air permeable (air breathable) cathode <NUM> may be mechanically held in place by spacers <NUM> and <NUM> having supporting elements for the cathode <NUM>, for example the spacers having mesh supporting elements <NUM>, <NUM> (or other gas-permeable structural elements).

With at least some embodiments of the inventive technology, significant performance improvements were observed when compared to the performance of the conventional technology. For example, matching a daily urea production to the 6e-oxidation process for <NUM> gram (<NUM> moles) a day target requires electrical current of <NUM>. 7A over a <NUM> hour period. With a target <NUM> mA/cm<NUM> photocurrent density on the TiO<NUM> nanostructured anode, the required total device area becomes about <NUM><NUM>, or <NUM> ft<NUM>. With such total device area it becomes feasible to deploy a backpack sized device that oxidizes about <NUM> of urea per day. The backpack sized device would require about twelve <NUM> mAh batteries for <NUM> hour operation without recharging and proportionally less batteries for shorter operations.

Furthermore, the high conversion efficiency of urea decomposition at low concentrations shows a high selectivity of TiO<NUM> to oxidize urea vs. generating oxochloro-species that are generally undesirable. Additionally, photocurrent density is more than one order of magnitude higher than that achieved by the prior art without nanostructures or LEDs.

For the illustrated embodiment, the operating current of the UV LED was kept at <NUM> mA. With <NUM>% of photons being geometrically incident on the TiO<NUM> sample, we can obtain the incident LED current to photoelectron current efficiency by <MAT>, where ILED and Iphotocurrent are the current used to drive the LED and the resultant photocurrent, respectively. Since the LED quantum efficiency is <NUM>%, the incident photon to photoelectron efficiency <MAT>. The total amount of photocurrent passing through the circuit is calculated with Qtotal = ∫ Iphotocurrentdt. Cumulative photocurrent that was used for urea decomposition can be calculated from urea concentration change, that is Qurea = <NUM> × <NUM> × (Cstart - Cend) × V, where <NUM> is the number of electrons involved in oxidizing a single urea molecule times Faraday's constant, Cstart and Cend are urea concentrations measured before and after the photo-oxidation experiment, and V is <NUM>. Selectivity of the photocurrent towards urea decomposition is <MAT>. Urea removal rate is assumed to be constant during the operation. To calculate the required electrode area and operating current, we may assume <NUM> of urea needs to be removed daily.

In contrast with the inventive technology, the prior art technology requires much higher operating current. To calculate the incident photon to photoelectron efficiency for the prior art technology as shown in Table <NUM> below, the solar AM. <NUM> spectrum from NREL is used, which the light source in the literature was emulating. For the <NUM> mW/cm<NUM> intensity used in the literature, the total photon flux becomes <NUM> × <NUM><NUM>s-<NUM>cm-<NUM>, out of which the photons between <NUM> and <NUM> have the flux of <NUM> × <NUM><NUM>s-<NUM>cm-<NUM>. Thus the incident photo to photonelectron efficiency is <NUM>%. Even considering only the wavelengths below <NUM>, the efficiency remains only <NUM>%. Assuming <NUM>% quantum efficiency of the light source, same as the UV LED used in this study, this would require an operating current of <NUM> A that is not practical in clinical, home or portable use.

Some comparisons of the performance of the present technology and the conventional technology is shown in Table <NUM> below.

<FIG> are microscope images of the nanostructures <NUM> at two different scales in accordance with an embodiment of the present technology. Generally, to improve performance of the TiO<NUM>, there is an inherent trade-off of having a sample that is thick enough to absorb all incoming light, but also thin enough to collect electron current without significant amounts of carrier recombination in the bulk of the substrate. In some embodiments, such optimization is obtained by the highly ordered nanoscale structures with high surface area and efficient electrical conduction to electron collection electrode (e.g., a substrate that is an FTO layer). In operation, relatively high density in the vertical direction of the nanostructures <NUM> allows for the separation of electrons/hole carriers, therefore reducing the inefficient carrier recombination. In some embodiments, the nanostructures <NUM> are about <NUM> thick.

<FIG> is a schematic view of a urea treatment unit in accordance with an embodiment of the present technology. The illustrated urea treatment unit <NUM> includes several cells <NUM>-i (also referred to as urea treatment cells, dialysis-fluid regeneration cells, or photo-chemical oxidation cells). In different embodiments, the cells <NUM>-i may share the same inlet and/or outlet. The flow of the dialysate through the cell may be arranged as a parallel or serial flow, or as a combination of both. In general, stacking the cells <NUM>-i reduces the overall width and height of the system, therefore making the system more compact and portable.

<FIG> is flow diagram of a urea treatment unit <NUM> in accordance with an embodiment of the present technology. The urea treatment unit <NUM> includes multiple cells <NUM>-i. A flow of dialysate enters a cell <NUM>-<NUM>, where at least partial decomposition of the urea in the dialysate takes place, and continues towards other cells <NUM>-i. Collectively, the electrochemical reaction in the cells <NUM>-i convert the urea into the CO<NUM> and N<NUM> as explained with reference to Equation <NUM> above. In general, arranging the cells <NUM>-i may make the system more modular and/or less expensive.

<FIG> is a schematic view of a portable urea dialysis system <NUM> in accordance with an embodiment of the present technology. The illustrated system <NUM> includes multiple cells <NUM>-i having multiple dialysate inlets and outlets <NUM>, <NUM>. The flow through the cells <NUM>-i may be arranged as shown in <FIG>. As a result, size of the urea dialysis system <NUM> may be reduced to such an extent that the system becomes portable, for example, the system may be fitted within a backpack or other carrier <NUM>.

<FIG> are schematic views of portable dialysis systems in accordance with embodiments of the present technology. In some embodiments of the inventive technology, the compactness of the dialysis system may enable wearability or portability of the system. Such wearability/portability of the dialysis system promotes mobility and quality of life of the patient.

<FIG> illustrates a portable dialysis system <NUM> that is attached to a body of the patient <NUM>. The portable dialysis system <NUM> is connected to the vascular system of the patient with a tube <NUM>, with other possible embodiments of vascular access locations. <FIG> illustrates a portable dialysis system <NUM> that includes the urea treatment unit <NUM> that can be fitted within the backpack <NUM>. <FIG> illustrates a portable dialysis system <NUM> that includes the urea treatment unit <NUM> that can be fitted within a suitcase <NUM>. <FIG> illustrates a portable dialysis system <NUM> that includes the urea treatment unit that can be fitted within a case <NUM>. Other examples of the portable dialysis system <NUM> are also possible in different embodiments.

<FIG> is a graph of photocurrent in accordance with an embodiment of the present technology. The horizontal axis of the graph shows time in seconds, and the vertical axis shows the photocurrent in mA/cm<NUM>. Data were obtained by illuminating the TiO<NUM> nanostructures that were manufactured by hydrothermal synthesis (upper curve) and dip coating (lower curve). When acquiring data, the LED is turned on (<NUM> mA) at <NUM> into the measurements; 0V is applied to TiO<NUM>; and static urea/NaCl solution is used. The TiO<NUM> film that was made by hydrothermal synthesis shows high initial current. This initial current is mass-transport limited and has about 8X higher steady state photocurrent than the TiO<NUM> film that was prepared by dip coating. The effective LED intensity on the TiO<NUM>/FTO substrate was <NUM> mW/cm<NUM>.

<FIG> is a graph of photocurrent as a function of hydrothermal growth time in accordance with an embodiment of the present technology. The horizontal axis of the graph shows time in seconds, and the vertical axis shows the photocurrent in mA/cm<NUM>. The effective LED intensity on TiO<NUM>/FTO substrate was <NUM> mW/cm<NUM>. A steady state photocurrent as a function of hydrothermal growth time shows optimal growth time at about <NUM> (corresponding to the maximum photocurrent).

<FIG> is a graph of absorbance as a function of wavelength in accordance with an embodiment of the present technology. The horizontal axis of the graph shows wavelength of the incoming light in nanometers, and the vertical axis shows the absorbance in atomic units. Ultraviolet light absorbance spectra generally increases with the hydrothermal growth time (the time steps being the same as those shown sequentially in <FIG> above).

<FIG> is a graph of photocurrent as a function of effective LED current (light intensity) in accordance with an embodiment of the present technology. The horizontal axis of the graph shows effective LED current in mA, and the vertical axis shows the photocurrent in mA/cm<NUM>. The round symbols correspond to the applied cathode-to-anode voltage potential of <NUM> V, and the diamond symbols correspond to the case with no cathode-to-anode voltage. Thus, the graph shows a steady state photocurrent increase significantly with +<NUM>. 8V applied bias to the TiO<NUM> anode. The increase is due to separating electron hole pairs in TiO<NUM>, pushing holes to reaction surface and drawing electrons into cathode circuit. The effective LED current is the portion of the LED current that is responsible for the photons incident on the substrate being tested (the LED having <NUM>% quantum efficiency). Due to the device geometry, only <NUM>% of emitted photons were incident on the TiO<NUM> surface (i.e., on the TiO<NUM> substrate surface).

<FIG> is a performance comparison between a Pt-coated and a Pt-black cathode in accordance with an embodiment of the present technology. The horizontal axis of the graph shows time in seconds, and the vertical axis shows the photocurrent in mA/cm<NUM>. The LED light was turned on at about <NUM> with <NUM> V applied to anode, and with a static urea solution. The effective LED intensity on TiO<NUM>/FTO substrate was <NUM> mW/cm<NUM>. For the Pt-black electrode, air bubbles (<NUM>/min) were introduced at <NUM>. This event causes the sudden increase in the photocurrent for the Pt-black cathode. Nevertheless, the Pt-coated cathode consistently outperformed the Pt-black cathode in terms of the photocurrent.

<FIG> is a graph of photocurrent as a function of time in accordance with an embodiment of the present technology. The effective LED intensity on TiO<NUM>/FTO substrate was <NUM> mW/cm<NUM>. The results demonstrate almost continuous operation of a prototype device running for over <NUM> in a circulated (<NUM>/min) solution of <NUM> urea and <NUM> NaCl.

Many embodiments of the technology described above may take the form of computer- or controller-executable instructions, including routines executed by a programmable computer or controller. Those skilled in the relevant art will appreciate that the technology can be practiced on computer/controller systems other than those shown and described above. The technology can be embodied in a special-purpose computer, controller or data processor that is specifically programmed, configured or constructed to perform one or more of the computer-executable instructions described above. Accordingly, the terms "computer" and "controller" as generally used herein refer to any data processor and can include Internet appliances and hand-held devices (including palm-top computers, wearable computers, cellular or mobile phones, multiprocessor systems, processor-based or programmable consumer electronics, network computers, mini computers and the like). The term "about" means +/- <NUM>% of the stated value.

Claim 1:
A dialysis system configured for use in a method for regenerating a dialysis fluid, the system comprising:
an anode (<NUM>) that comprises a plurality of nanostructures; and
an air permeable cathode (<NUM>) that blocks liquids but passes gases through; and
the method comprising:
flowing the dialysis fluid between the anode and the cathode;
illuminating the anode with a source of light;
flowing oxygen through the cathode toward the dialysis fluid; and
converting urea in the dialysis fluid into CO<NUM>, N<NUM> and H<NUM>O thereby regenerating the dialysis fluid.