“…It is important for us all to remember that many (or even most) major advances in PD devices have not come through industry but through the innovation and ingenuity of healthcare workers and researchers. The Y-set, 50 –53,51,52,54 flush before fill connectology 55,56 and icodextrin 57 –59 are all examples of ‘game changers’ brought to light from independent scientists and clinicians, before being handed to industry for large-scale manufacture. It is timely to remind ourselves that improving PD devices is far from being the sole provenance of industry R&D, which at this current time is more focused on quality manufacturing, rather than basic product innovation.…”