Haemodialysis Dialysers and Filters Product Range Contents Cardioprotective Haemodialysis Fresenius Polysulfone® and Helixone® Dialysis Membranes Cardioprotective Haemodialysis 2 3 Dialysers and Haemofilters FX-class Haemodiafilters 4 FX-class High-Flux Dialysers 5 FX-class Low-Flux Dialysers 6 Fresenius Polysulfone® High-Flux Dialysers and Haemodiafilters 7 Fresenius Polysulfone® Low-Flux Dialysers (HPS) 8 Fresenius Polysulfone® Low-Flux Dialysers 9 Despite significant improvements in the quality and efficacy of haemodialysis therapy in recent years, cardiovascular disease (CVD) remains the leading every other dialysis patient dies from cardiovascular Paediatric Filters Paediatric Filters FX paed, FX 40 cause of death for dialysis patients. Today, almost complications. 10 Fresenius Medical Care is supporting nephrologists worldwide in reducing their patients’ risks for cardio- Dialysis Fluid Filters Dialysis Fluid Filter DIASAFE®plus vascular morbidity and mortality. 11 Innovative membranes like Fresenius Polysulfone® or Helixone®, modern monitoring devices like the Blood Volume Monitor, the Blood Temperature Monitor and Online Clearance Monitoring (OCM®), ultra-pure dialysis fluid prepared with DIASAFE®plus and modern ONLINE haemodiafiltration systems support the reduction of CVD risk factors. Moreover, one of our major goals in coming years is the development and implementation of innovative new therapies and products that further improve the cardiovascular prognosis of dialysis patients. 2 Fresenius Polysulfone® and Helixone® Dialysis Membranes With over thirty years of experience in the development and manufacturing of dialysis membranes, Fresenius Medical Care offers a broad spectrum of dialysers to meet the specific demands of the different therapy modalities and the individual needs of every patient. Commonly regarded as the “gold standard” for dialysis membranes, Fresenius Polysulfone® stands for performance and safety in haemodialysis since three decades. Numerous scientific publications and millions of treatments reflect the good experiences and satisfaction with this synthetic membrane among clinical staff and patients. The Fresenius Polysulfone® membrane is available in the F-series low-flux and high-flux dialysers and invests these dialysers with a high performance, a good endotoxin retention and an excellent haemocompatibility. Continuing to set the standard for novel dialysis products, Fresenius Medical Care developed an advanced, Fresenius Polysulfone®-based dialysis membrane – the Helixone® membrane. Manufacturing of the Helixone® membrane employs a new process of membrane making – the Nano Controlled Spinning (NCS™) Technology. By means of this technology it is possible to create a defined pore structure and pore distribution profile of the inner membrane layer according to the desired application. Helixone® is the membrane of the FX-class of dialysers. 3 FX-class Haemodiafilters INLINE Steam sterilised This series of haemodiafilters has particularly been developed for high-volume HDF treatments with fluid exchange rates above 15 liters per treatment. Together with the modern housing design, the advanced variant of the Helixone® membrane used in these types of haemodiafilters allows for: • An enhanced removal of low molecular-weight substances, in particular phosphate • An improved middle-molecule removal • Higher fluid exchange rates during haemodiafiltration (> 15 L / treatment) In vitro performance data/technical data FX 600 Ultrafiltration coeff. (mL/h x mmHg) 52 Clearance QB = 300 mL/min, QD = 500 mL/min, QF = 0 mL/min Urea 268 Creatinine 238 Phosphate 228 Vitamin B12 165 Inulin 111 Clearance QB = 300 mL/min, QD = 500 mL/min, QF = 75 mL/min Urea 284 Creatinine 262 Phosphate 254 Vitamin B12 199 Inulin 150 FX 800 63 FX 1000 75 276 250 238 176 123 278 262 248 178 126 289 271 262 209 161 290 280 269 211 164 1.8 200 – 500 35/210 118 Helixone® Polypropylene Polyurethane INLINE Steam HDF/HF 20 500 814 1 2.2 250 – 600 35/210 138 In vitro performance: T = 37°C (EN 1283, ISO 8638). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. 4 1.5 150 – 400 35/210 97 20 500 813 1 20 500 972 1 FX-class High-Flux Dialysers INLINE Steam sterilised A completely new concept of dialysers has led to the improved performance profile of the FX-class of dialysers achieved by various technical improvements to all components of the dialyser including the membrane Helixone®. • • • • • Improved diffusive and convective clearances Refined haemodynamics Increased patient safety Simplified handling and priming Reduction of waste In vitro performance data/technical data Ultrafiltration coeff. (mL/h x mmHg) Clearance QB = 200 mL/min Urea Creatinine Phosphate Vitamin B12 Inulin Clearance QB = 300 mL/min Urea Creatinine Phosphate Vitamin B12 Inulin FX 40 20 FX 50 33 FX 60 46 FX 80 59 170 144 138 84 54 189 170 165 115 76 193 182 177 135 95 197 189 185 148 112 250 210 201 130 81 261 230 220 155 104 276 250 239 175 125 –* – – – – In vitro performance: QD = 500 mL/min, QF = 0 mL/min, T = 37 °C (EN 1283. ISO 8637). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. FX 100 73 –* – – – – 278 261 248 192 142 * refer to recommended blood flow range 0.6 50 – 200 35/185 32 1.0 100 – 300 35/185 53 HD 20 500 884 1 HD 20 500 885 1 1.4 150 – 400 35/185 74 Helixone® Polypropylene Polyurethane INLINE Steam HD 20 500 886 1 1.8 200 – 500 35/185 95 2.2 250 – 600 35/185 116 HD/HDF/HF 20 500 888 1 HD/HDF/HF 20 500 890 1 5 FX-class Low-Flux Dialysers INLINE Steam sterilised A modulation of the Helixone® membrane at the nanoscale level targeting the elimination of low molecular weight solutes led to a new generation of low-flux dialysers with an optimal diffusive clearance. The new low-flux Helixone® membrane offers the following advantages: • An increased pore size of 1.8 nm • More even distribution of the pores • Increased performance per unit surface area In vitro performance data/technical data Ultrafiltration coeff. (mL/h x mmHg) Clearance QB = 200 mL/min Urea Creatinine Phosphate Vitamin B12 Clearance QB = 300 mL/min Urea Creatinine Phosphate Vitamin B12 FX 5 8 FX 8 12 FX 10 14 180 165 141 88 191 178 160 107 193 181 170 121 228 200 164 94 254 225 194 120 261 231 210 138 1.4 150 – 400 35/185 74 Helixone® Polypropylene Polyurethane INLINE Steam HD 20 500 473 1 1.8 200 – 500 35/185 95 In vitro performance: QD = 500 mL/min, QF = 0 mL/min, T = 37 °C (EN 1283, ISO 8637). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. 6 1.0 100 – 300 35/185 54 20 500 483 1 20 500 474 1 Fresenius Polysulfone® High-Flux Dialysers and Haemodia filters INLINE Steam sterilised The Fresenius Polysulfone® High-Flux Steam dialyser range combines the advantages of a blood compatible membrane with a safe sterilisation procedure. • • • • • Excellent blood compatibility Optimal performance Wide product range (0,7 – 2,4 m2) Suitable for HD, HF, HDF treatments Effective 2-microglobulin removal • High endotoxin retention capacity • Unique INLINE Steam Sterilisation – no sterilisation by-products or residues – dry • No pretreatment rinsing procedures required (time saving) In vitro performance data/technical data Ultrafiltration coeff. (mL/h x mmHg) Clearance QB = 200 mL/min Urea Creatinine Phosphate Vitamin B12 Inulin Clearance QB = 300 mL/min Urea Creatinine Phosphate Vitamin B12 Inulin F40S 20 F50S 30 F60S 40 F70S 50 HF80S 55 165 140 138 80 54 178 160 158 100 75 185 172 170 118 88 190 177 174 127 98 192 180 177 135 110 225 195 190 112 83 242 215 210 134 97 245 220 216 145 109 248 225 220 155 120 –* – – – – HdF100S 60 –* – – – – 271 252 240 190 145 In vitro performance: QD = 500 mL/min, QF = 0 mL/min, T = 37 °C (EN 1283, ISO 8637). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Use only on machines with controlled ultrafiltration! * refer to recommended blood flow range Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. 1.8 200 – 600 40/200 110 2.4 250 – 600 35/185 138 HDF/HF 12 500 718 1 HDF/HF 12 500 719 1 0.7 50 – 200 40/200 42 1.0 100 – 300 40/200 63 HD 12 500 714 1 HD 12 500 815 1 1.3 1.6 150 – 400 200 – 500 40/200 40/200 82 98 Fresenius Polysulfone® Polycarbonate Polyurethane INLINE Steam HD/HDF HD/HDF 12 12 500 716 1 500 717 1 7 Fresenius Polysulfone® Low-Flux Dialysers (HPS) IINLINE Steam sterilised High performance dialysers in the Low-Flux range combined with the advantages of steam sterilisation. • Higher clearances by a new design • Microundulation ensures efficient dialysate flow • Excellent blood compatibility • Wide product range (0.8 – 2.2 m2) • High endotoxin retention capacity • Unique INLINE Steam Sterilisation, no sterilisation residues or by-products – dry In vitro performance data/technical data Ultrafiltration coeff. (mL/h x mmHg) Clearance QB = 200 mL/min Urea Creatinine Phosphate Vitamin B12 Clearance QB = 300 mL/min Urea Creatinine Phosphate Vitamin B12 8 F4HPS 8 F5HPS 10 F6HPS 13 F7HPS 16 F8HPS 18 170 149 123 75 179 162 139 84 186 173 148 92 188 175 155 102 190 177 159 106 227 196 162 91 243 215 175 100 247 220 186 113 252 224 193 118 –* – – – F10HPS 21 –* – – – 259 230 208 131 In vitro performance: QD = 500 mL/min, QF = 0 mL/min, T = 37 °C (EN 1283, ISO 8637). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Use only on machines with controlled ultrafiltration! * refer to recommended blood flow range Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. 1.8 250 – 600 40/200 113 2.2 300 – 600 40/200 132 12 500 708 1 12 500 720 1 0.8 50 – 200 40/200 51 1.0 100 – 300 40/200 63 12 500 704 1 12 500 705 1 1.3 1.6 150 – 400 200 – 500 40/200 40/200 78 96 Fresenius Polysulfone® Polycarbonate Polyurethane INLINE Steam HD 12 12 500 706 1 500 707 1 Fresenius Polysulfone® Low-Flux Dialysers ETO sterilised • Excellent blood compatibility • Wide product range (0.4 – 1.8 m2) • High endotoxin retention capacity The wide product range is tailored to meet the requirements of the individual patient. In vitro performance data/technical data Ultrafiltration coeff. (mL/h x mmHg) Clearance QB = 200 mL/min Urea Creatinine Phosphate Vitamin B12 Clearance QB = 300 mL/min Urea Creatinine Phosphate Vitamin B12 F3 1.7 F4 2.8 F5 4.0 F6 5.5 F7 6.4 F8 7.5 125 95 50 20 155 128 78 32 170 149 103 45 180 164 123 60 184 169 132 68 186 172 138 76 206 175 115 47 222 194 145 62 236 210 155 72 240 216 165 82 –* – – – In vitro performance: QD = 500 ml/min, QF = 0 ml/min, T = 37 °C (EN 1283. ISO 8637). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. 0.4 50 – 200 40/200 28 0.7 50 – 200 40/200 42 12 500 165 1 12 500 161 1 * refer to recommended blood flow range 1.0 1.3 100 – 300 150 – 400 40/200 40/200 63 82 Fresenius Polysulfone® Polycarbonate Polyurethane ETO HD 12 12 500 162 1 500 145 1 1.6 200 – 500 40/200 98 1.8 250 – 600 40/200 110 12 500 163 1 12 500 164 1 9 Paediatric Filters FX paed, FX 40 INLINE Steam sterilisation As members of the FX-class of dialysers, both the FX paed and the FX 40 dialyser deliver the high expectations on dialysers for application in paediatric dialysis. • State-of-the-art housing and membrane technology • Low effective surface areas and low blood filling volumes • No kinking of blood lines through lateral blood inlet ports • Fast and easy preparation • High-flux dialysis membrane with high middle-molecule removal rate In vitro performance data/technical data FX paed Ultrafiltration coeff. (mL/h x mmHg) 7 Clearance QB = 100 mL/min, QD = 300 mL/min Urea 76 Creatinine 64 Phosphate 57 Vitamin B12 34 Inulin 20 Clearance QB = 200 mL/min QD = 500 mL/min Urea – Creatinine – Phosphate – Vitamin B12 – Inulin – FX 40 20 – – – – – 170 144 138 84 54 In vitro performance: QF = 0 mL/min, T = 37 °C (EN 1283, ISO 8637). Ultrafiltration coefficients: human blood, Hct 32 %, protein content 6 %. Effective surface (m2) Blood flow range (mL/min) Wall thickness / lumen (µm) Priming volume (mL) Membrane material Housing material Potting compound Sterilisation method Form of treatment Units per box Art.-No. 10 0.2 0.6 30 – 100 50 – 200 35/220 35/185 18 32 Helixone® Polypropylene Polyurethane INLINE Steam HD 20 20 500 822 1 500 884 1 Dialysis Fluid Filter DIASAFE®plus The dialysis fluid filter DIASAFE®plus is a further development of the successful DIASAFE® filter by Fresenius Medical Care. • Preparation of ultra pure dialysis fluid (endotoxins < 0.03 IU/mL, microbial contaminations < 0.1 CFU/mL) • ONLINE preparation of substitution fluid for HF and HDF treatments • Microbiological safety through redundant double filtration of the substitution fluid using two DIASAFE®plus filters in series • Checking of filter function in automatic integrity tests • High resistance to disinfection agents, such as Puristeril® 340 and Diasteril®, Citrosteril®, Sporotal® 100 Technical data Membrane material Effective surface (m2) Housing material Potting compound Sealings Filtration rate Operating time Disinfection Units per box Art.-No. DIASAFE®plus Fresenius Polysulfone® 2.2 Polypropylene Polyurethane Silicone 5 mL/min mmHg (3.75 L/min bar; max. 2 bar) Standard HD: max. 12 weeks ONLINE HF/HDF, ONLINE priming/rinsing: max. 12 weeks or 100 treatments Puristeril® 340 (peracetic acid); Diasteril® (hydroxyacetic acid) or Citrosteril® (citric acid); Sporotal® 100 (sodium hypochlorite) max. 11 times 12 500 820 1 Accessories Safe line™ Units per box Art.-No. 100 504 580 1 Residual test (Puristeril® 340) 100 629 916 1 pH Indicator test (Diasteril®) 100 628 816 1 11 © Copyright 2007 Fresenius Medical Care Deutschland GmbH 732 432 1/7 GB (2 GUT 07.07) Fresenius Medical Care Deutschland GmbH · 61346 Bad Homburg v. d. H. · Germany · Phone: +49 (0) 6172-609-0 · Fax: +49 (0) 6172-609-2191 Head office: Else-Kröner-Straße 1 · 61352 Bad Homburg v. d. H. www.fmc-ag.com
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