It’s in the Blood

Kidney Research at 91̽»¨â€” 1959–1964

I literally woke up in the middle of the night with the idea of how to save these people.
Belding Scribner
Dr. Scribner was well known at the 91̽»¨ as a committed researcher, excellent teacher and thoughtful mentor. (Scribner Collection, University Archives, Special Collections,  91̽»¨Libraries)

Dr. Scribner was well known at the 91̽»¨ as a committed researcher, excellent teacher and thoughtful mentor. (Scribner Collection, University Archives, Special Collections, 91̽»¨Libraries)

In 1960, diagnosis of kidney failure was a death sentence. 91̽»¨nephrologist Belding Scribner and his colleagues developed transformative innovations that allowed millions to live on long-term dialysis. As a result: acute kidney disease flipped from being 90% fatal to 90% survivable.

Kidneys clean the blood as it circulates. When they fail, the blood must cleansed by machine dialysis or the patient will die. Long ago, patients could only endure a few treatments before their arteries became too damaged to continue.

After losing one of his patients because of this limitation in 1959, Scribner visualized the shunt: a u-shaped tube that joins an artery to a vein, which would be permanently implanted. Looking for a non-reactive material that wouldn’t cause clotting or infection, Scribner happened on Teflon by chance and turned to 91̽»¨bioengineer Wayne Quinton. Together, they developed the Scribner shunt. When Scribner reported the breakthrough at a national conference, the audience of researchers rose to their feet, cheering.

A Quinton Scribner-shunt, schematically and in reality

A Quinton Scribner-shunt, schematically and in reality

Close-up of the first kidney dialysis machine at UW, from about 1960. (Scribner Collection, University Archives, Special Collections,  91̽»¨Libraries)

Close-up of the first kidney dialysis machine at UW, from about 1960. (Scribner Collection, University Archives, Special Collections, 91̽»¨Libraries)

The Seattle Artificial Kidney Center opened in 1962, the world’s first outpatient dialysis center, based on Scribner’s work. But the treatment was high-tech and expensive. The result was that doctors had to ration access, effectively deciding who lived and who died. Disturbed by this, Scribner urged his 91̽»¨colleague Albert Babb to develop more efficient, less expensive dialysis machines and techniques. Today, more than 400,000 Americans receive long-term dialysis each year, a gift of life that 91̽»¨innovators helped make possible.

Further Reading


  • Belding Scribner and his fellow researchers adapted existing technology, to develop the dialysis machine. Seattle’s Sweden Freezer was an early partner.
    Scribner Collection, University Archives, Special Collections, 91̽»¨Libraries

  • Illustrated article details clinical breakthroughs in medicine at the 91̽»¨, 3/11/1962
    Seattle Times

  • Newspaper report on Albert Babb’s technical contributions to development of dialysis and to campus collaboration. 7/27/1962
    Seattle Times

Additional Resources