A Standby-Efficient Control Strategy for Portable Reverse Osmosis in Dialysis Care

 

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A Standby-Efficient Control Strategy for Portable Reverse Osmosis in Dialysis Care

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Seong Geun
Kim
Seong Geun Kim kimsob88@gmail.com Inje University Sanggye Paik Hospital Internal medicine Seoul Korea (Republic of) *
Kyung Don Yoo ykd9062@gmail.com Ulsan University Hospital Internal medicine Ulsan Korea (Republic of) -
Donghyung Lee sheon04@nate.com 9Beomil Yonsei Clinic Hemodialysis Center Busan Korea (Republic of) -
Dong Ki Kim dkkim73@snu.ac.kr Seoul National University Hospital Internal medicine Seoul Korea (Republic of) -
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Portable reverse osmosis (RO) devices are indispensable in critical care and isolation units that lack centralized purified water systems. However, their high-pressure operation inherently results in considerable electricity consumption and water waste. During idle standby—intervals between patient sessions, system disinfection, or treatment delays—continuous high-speed pumping to maintain line pressure leads to unnecessary energy and water loss. To reconcile these competing demands for efficiency and readiness, this study developed and validated a Water and Power Reduction Mode (WPRM) that automatically adjusts pump speed and flow routing during idle standby to minimize resource consumption while maintaining immediate clinical availability.

Experiments were performed using the Synopex PRO800 portable RO system. Two flow sensors (product and return lines) monitored usage patterns; when equalized flow persisted beyond a hysteresis interval, the system automatically transitioned into WPRM. The pump speed was reduced from 750 rpm to 300 rpm, and the concentrate line was redirected to a low-flow internal loop. Three WPRM submodes were evaluated: 100D (100% drain), 50R (50% return), and 100R (100% return). Performance indicators included water consumption, power draw, and the recovery time to reach 5 µS/cm conductivity upon reactivation.

Compared with the Idle Standby mode (750 rpm; 136.7 W; 1,484 mL/min), all WPRM configurations substantially reduced both water and power consumption. In WPRM-100D, water use and power draw decreased to 526.6 mL/min and 34.9 W, respectively, with conductivity stabilization achieved in 25 seconds. The WPRM-50R mode further reduced water consumption to 267.3 mL/min while maintaining similar power usage (35.3 W) and recovery time (30 seconds). WPRM-100R completely eliminated feedwater use during standby (0 mL/min) but required 95 seconds to restore target conductivity after reactivation. Overall, the WPRM algorithm achieved up to 82% reduction in water consumption and 74% reduction in power consumption compared with Idle Standby. Among the tested modes, WPRM-50R demonstrated the most balanced performance, offering significant resource savings without compromising responsiveness. Continuous low-flow recirculation also prevented microbial stagnation and pressure accumulation, thereby improving system reliability and component longevity.

The WPRM algorithm effectively resolves the inherent conflict between sustainability and readiness in portable RO operation. By dynamically modulating pump speed and flow pathways, it enables significant reductions in both water and energy usage without compromising clinical responsiveness. This intelligent control strategy offers a scalable model for green dialysis innovation, particularly beneficial in intensive care, isolation, or emergency settings with intermittent treatment demand. Integrating smart standby management into dialysis water systems represents a pragmatic step toward achieving sustainable and net-zero kidney care.

Kewords