Product Range - Fresenius Medical Care Sverige AB
Product Range - Fresenius Medical Care Sverige AB
Product Range - Fresenius Medical Care Sverige AB
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Acute Therapy Systems<br />
<strong>Product</strong> <strong>Range</strong>
Continuous renal replacement therapy<br />
Multifunctional and easy to use<br />
<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> has always focused on<br />
services for people.<br />
We concentrate on the patients’ health as well as<br />
the staff in the clinics.<br />
In this brochure you will find a comprehensive<br />
product range for acute renal replacement and<br />
plasma therapy. These disposables and solutions<br />
from <strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> have been specially<br />
developed for the use in life-threatening situations.<br />
Acute renal replacement therapy with<br />
<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong>:<br />
• Reliable<br />
• Convenient<br />
• Effective<br />
In combination with the multiFiltrate the disposables<br />
and solutions provide effective and safe treatments for<br />
patients. The products are specially designed to com-<br />
plement each other. As a result this enables nursing staff<br />
to focus on patient care. In this brochure you will find<br />
a number of benefits for patients, doctors and nurses.
Contents<br />
multiFiltrate acute therapy system ......................................................... 4<br />
Complete kits for multiFiltrate ................................................................ 6<br />
multiFiltrate: paediatric CRRT and SCUF ........................................... 10<br />
CRRT haemofilters ............................................................................ 12<br />
Plasmafilters ...................................................................................... 13<br />
Solutions ........................................................................................... 14<br />
Temporary dialysis catheters .............................................................. 20<br />
Disposables and accessories ............................................................. 21<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
3
multiFiltrate<br />
Acute therapy system<br />
Multifunctional and easy to use<br />
Safe and easy handling is one of the main requirements<br />
for a modern, multifunctional acute therapy system.<br />
The multiFiltrate features an ergonomical and intuitive<br />
operating concept with a wide range of renal replace-<br />
ment therapies.<br />
The setup of the tubing systems is clearly shown and<br />
explained step by step on the screen of the multiFiltrate<br />
multiFiltrate acute therapy machine:<br />
multiFiltrate basic Art. No. M20 070 1<br />
with Ci-Ca module Art.-Nr. M20 127 1<br />
4 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
<strong>Range</strong> of therapies offered by the multiFiltrate<br />
acute therapy system<br />
Ci-Ca CVVHD<br />
Continuous veno-venous haemodialysis with<br />
citrate anticoagulation<br />
CVVHDF<br />
Continuous veno-venous haemodiafiltration<br />
CVVHD<br />
Continuous veno-venous haemodialysis<br />
Pre-Post CVVH<br />
Pre-post continuous veno-venous haemofiltration<br />
(High volume)<br />
CVVH<br />
Continuous veno-venous haemofiltration<br />
paed CVVH<br />
Paediatric continuous veno-venous haemofiltration<br />
paed CVVHD<br />
Paediatric continuous veno-venous haemodialysis<br />
SCUF<br />
Slow continuous ultrafiltration<br />
MPS<br />
Membrane plasma separation<br />
HP<br />
Hemoperfusion<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
5
Complete kits for multiFiltrate<br />
The multiFiltrate cassette – safe and easy<br />
The multiFiltrate cassette consists of the arterial, venous<br />
and filtrate lines. This allows easy installation of the tub-<br />
ing systems required for each treatment. The combina-<br />
tion of the multiFiltrate cassette with treatment specific<br />
tubing systems enables the multiFiltrate to be set up<br />
quickly, safely and easily.<br />
multiFiltrate-Kit<br />
The multiFiltrate-Kits contain:<br />
• multiFiltrate cassette<br />
(AV-set and filtrate system pre-assembled)<br />
• Substituate and/or dialysate system<br />
(depends on therapy modality)<br />
• Haemofilter or plasmafilter<br />
Kit guideline chart SCUF CVVH Pre-Post CVVH CVVHDF CVVHD Ci-Ca CVVHD MPS HP paed CVVH paed CVVHD<br />
503 901 1 multiFiltrate Kit Ci-Ca CVVHD 1000 <br />
503 887 1 multiFiltrate Kit 8 CVVHDF 1000 <br />
503 893 1 multiFiltrate Kit 4 CVVHDF 600 <br />
503 892 1 multiFiltrate Kit 3 CVVHD 600 <br />
503 818 1 multiFiltrate Kit 7 HV-CVVH 1000 <br />
503 879 1 multiFiltrate Kit 9 CVVH 1000 <br />
503 891 1 multiFiltrate Kit 2 CVVH 600 <br />
503 895 1 multiFiltrate Kit 6 MPS 2 <br />
503 905 1 multiFiltrate Kit paed CRRT/SCUF <br />
= Dedicated usage, = Alternative usage<br />
6 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
Ci-Ca CVVHD<br />
Continuous veno-venous haemodialysis<br />
with citrate anticoagulation<br />
CVVHDF<br />
Continuous veno-venous<br />
haemodiafiltration<br />
multiFiltrate – Kit Ci-Ca CVVHD 1000 Art. No. 503 901 1<br />
Type Description<br />
Ultraflux ® AV 1000 S Ultraflux haemofilter, steam-sterilised, surface area 1.8 m2 ,<br />
<strong>Fresenius</strong> High-Flux Polysulfone ® membrane<br />
multiFiltrate Ci-Ca Cassette multiFiltrate cassette with arterial and venous blood<br />
tubing systems, filtrate system and integrated citrate<br />
and calcium lines<br />
Dialysate system Dialysate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
multiFiltrate – Kit 8 CVVHDF 1000 Art. No. 503 887 1<br />
Type Description<br />
Ultraflux ® AV 1000 S Ultraflux ® haemofilter, steam-sterilised, 1.8 m2 surface<br />
area, <strong>Fresenius</strong> Polysulfone ® membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
Substituate System Substituate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
Dialysate System Dialysate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
multiFiltrate – Kit 4 CVVHDF 600 Art. No. 503 893 1<br />
Type Description<br />
Ultraflux ® AV 600 S Ultraflux ® haemofilter, steam-sterilised, 1.4 m 2 surface<br />
area, <strong>Fresenius</strong> Polysulfone ® membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
Substituate System Substituate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
Dialysate System Dialysate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
7
Complete kits for multiFiltrate<br />
CVVHD<br />
Continuous veno-venous<br />
haemodialysis<br />
Pre-Post<br />
CVVH<br />
Pre-post continuous veno-venous<br />
haemofiltration (High volume)<br />
multiFiltrate – Kit 3 CVVHD 600 Art. No. 503 892 1<br />
Type Description<br />
Ultraflux ® AV 600 S Ultraflux ® haemofilter, steam-sterilised, 1.4 m 2 surface<br />
area, <strong>Fresenius</strong> Polysulfone ® membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
Dialysate System Dialysate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
multiFiltrate – Kit 7 HV-CVVH 1000 (High-Volume CVVH) Art. No. 503 818 1<br />
Type Description<br />
Ultraflux ® AV 1000 S Ultraflux ® haemofilter, steam-sterilised, 1.8 m2 surface<br />
area, <strong>Fresenius</strong> Polysulfone ® membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
HV-CVVH Substituate 2 substituate lines for multiFiltrate with integrated heater<br />
Set multiFiltrate bags for pre- and postdilution<br />
8 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
CVVH<br />
Continuous veno-venous<br />
haemofiltration<br />
MPS<br />
Membrane plasma separation<br />
multiFiltrate – Kit 9 CVVH 1000 Art. No. 503 879 1<br />
Type Description<br />
Ultraflux ® AV 1000 S Ultraflux ® haemofilter, steam-sterilised, 1.8 m2 surface<br />
area, <strong>Fresenius</strong> Polysulfone ® membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
Substituate System Substituate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
multiFiltrate – Kit 2 CVVH 600 Art. No. 503 891 1<br />
Type Description<br />
Ultraflux ® AV 600 S Ultraflux ® haemofilter, steam-sterilised, 1.4 m 2 surface<br />
multiFiltrate – Kit 6 MPS 2 (Membrane Plasma Separation) Art. No. 503 895 1<br />
Type Description<br />
area, <strong>Fresenius</strong> Polysulfone ® membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
Substituate System Substituate system for multiFiltrate with integrated<br />
multiFiltrate heater bag<br />
plasmaFlux PSu 2S Plasmafilter pre-filled with sterile water, steam-sterilised<br />
0.6 m 2 surface area, <strong>Fresenius</strong> Plasmasulfone membrane<br />
multiFiltrate cassette Pre-assembled multiFiltrate cassette with arterial,<br />
venous and filtrate system<br />
MPS Substituate Substituate System for multiFiltrate with 2 integrated<br />
System multiFiltrate heater bags, Luer-Lock male with 4 vented Spikes<br />
pre-connected<br />
Filtrate collection bag Filtrate collection bag, 10 L, with draining cock,<br />
Luer-Lock connector male<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
9
multiFiltrate: paediatric CRRT and SCUF<br />
Safe and efficient treatment of babies, infants and adults<br />
A specifically developed multiFiltrate treatment-mode monitors the paediatric<br />
therapy. The Ultraflux ® AV paed haemofilter combined with special volume-<br />
reduced lines is used to perform paediatric CVVH in post- or predilution<br />
and CVVHD.<br />
Treatment parameters for paediatric treatment<br />
Parameters<br />
min. max. Increments Unit<br />
Blood flow 10 100 2 mL/min<br />
Ultrafiltration Off / 5 500 5 mL/h<br />
UF goal Off /10 5000 10 mL<br />
Cont. heparin adm. Off / 0.1 25 0.1 mL/h<br />
Dialysate 100 1500 10 mL/h<br />
Temperature Off / 35 39 0.5 °C<br />
multiFiltrate Kit paed CRRT/SCUF<br />
multiFiltrate – Kit paed CRRT/SCUF<br />
10 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved<br />
Type<br />
multiFiltrate paed<br />
CRRT/SCUF Set<br />
Ultraflux ® AV paed<br />
Ultraflux ® AV paed can only be used with holder for small dialysers<br />
Total extracorporeal blood volume is only 72 mL<br />
paed CVVH<br />
Paediatric continuous veno-venous<br />
haemofiltration<br />
paed CVVHD<br />
Paediatric continuous veno-venous<br />
haemodialysis
Art.-Nr. 503 905 1<br />
Description<br />
AV-Set paed, blood volume 54 mL, filtrate system and<br />
dialysate/substituate system packed as a set<br />
Ultraflux ® haemofilter, steam-sterilised,<br />
surface area 0.2 m 2 <strong>Fresenius</strong> High-Flux Polysulfone ® membrane<br />
(Art. No. M38 420 1)<br />
(AV-Set 54 mL; Filter 18 mL)<br />
SCUF<br />
Slow continuous ultrafiltration<br />
The combination of the Ultraflux ® AV paed haemofilter and the volume-<br />
reduced lines enables the user to perform an efficient continuous ultrafil-<br />
tration for adult and paediatric patients.<br />
Treatment parameters for SCUF treatment<br />
Parameters<br />
min. max. Increments Unit<br />
Blood flow 10 100 2 mL/min<br />
Ultrafiltration Off / 10 1200 10 mL/h<br />
UF goal Off /50 10000 50 mL<br />
Cont. heparin adm. Off / 0.1 25 0.1 mL/h<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
11
CRRT haemofilters<br />
Ultraflux ® series<br />
Ultraflux ® filters contain a <strong>Fresenius</strong> Polysulfone ®<br />
membrane specifically developed for continuous<br />
renal replacement therapy. Successful treatments<br />
are achieved by:<br />
• Filter characteristics similar to those of the human<br />
kidney’s glomeruli<br />
Haemofilters<br />
Type Description Units per box Art. No.<br />
Ultraflux ® AV 400 S Ultraflux ® haemofilter, steam-sterilised, 0.75 m 2 surface area, 12 500 734 1<br />
<strong>Fresenius</strong> Polysulfone ® membrane, blood priming volume 52 mL<br />
Ultraflux ® AV 600 S Ultraflux ® haemofilter, steam-sterilised, 1.4 m 2 surface area, 12 500 736 1<br />
<strong>Fresenius</strong> Polysulfone ® membrane, blood priming volume 100 mL<br />
Ultraflux ® AV 1000 S Ultraflux ® haemofilter, steam-sterilised, 1.8 m 2 surface area, 12 500 898 1<br />
<strong>Fresenius</strong> Polysulfone ® membrane, blood priming volume 130 mL<br />
Ultraflux ® AV paed Ultraflux ® haemofilter, steam-sterilised, 0.2 m 2 surface area, 20 500 823 1<br />
<strong>Fresenius</strong> Polysulfone ® membrane, blood priming volume 18 mL<br />
Luer-Lock Dialysate & Filtrate ports<br />
Ultraflux ® AV paed must only be used with the dialyser holder for small dialysers (Art. No. M38 420 1)<br />
• Retention of plasma proteins such as albumin, clotting<br />
factors, immunglobulins and cellular blood constituents<br />
• Excellent filter lifetimes<br />
• Easy handling<br />
• High biocompatibility<br />
• Mechanical stability<br />
• Filter size selectable to meet patient’s requirements<br />
12 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
Plasmafilters<br />
plasmaFlux ® series<br />
The hollow fibres of the plasmaFlux ® series sepa-<br />
rate cell-free plasma from whole blood in order to<br />
treat patients by plasma exchange or other plasma<br />
therapies. Requirements for successful treatments<br />
are fulfilled by the plasmaFlux ® filter characteristics:<br />
Plasmafilters<br />
Type Description Units per box Art. No.<br />
plasmaFlux PSu 1S Plasmafilter pre-filled with sterile water, steam-sterilised, 0.3 m 2 surface area, 10 500 491 1<br />
blood priming volume 36 mL, <strong>Fresenius</strong> Plasmasulfone membrane<br />
plasmaFlux PSu 2S Plasmafilter pre-filled with sterile water, steam-sterilised, 0.6 m 2 surface area, 10 500 481 1<br />
blood priming volume 70 mL, <strong>Fresenius</strong> Plasmasulfone membrane<br />
Inline steam sterilisation<br />
• Efficient extraction of pathogenic factors<br />
• High biocompatibility<br />
• Easy handling<br />
• Long filter lifetimes<br />
• Low extracellular volume<br />
• Minimum requirement for anticoagulation therapy<br />
Filters of the Ultraflux ® and plasmaFlux ® series are 100% leakage checked and steam-<br />
sterilized to offer a safe product that is free of any residues from the sterilization process.<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
13
Solutions<br />
multiBic ® – bicarbonate-buffered haemofiltration solutions<br />
Larger, quieter, more convenient:<br />
When time is of the essence, every convenience helps.<br />
For example, the new multiBic ® double chamber bag<br />
with diagonal peel-seam for simpler handling. Thanks<br />
to 11% more content, the new 5 litre multiBic ® doesn’t<br />
need to be changed so often – leaving more time for<br />
other tasks. The improved gas barrier helps to keep the<br />
ready-to-use bicarbonate solution stable for longer so<br />
that the infusion of the patient can last up to 48 hours.<br />
The new 5 litre multiBic ® at a glance:<br />
• Mixing the two components provides<br />
100% bicarbonate-buffered haemofiltration solution<br />
• Always the right solution<br />
thanks to 4 different potassium concentrations<br />
• Fewer bag changes<br />
thanks to 11% more content<br />
• Increased solution stability, usable for up to 48 hrs. thanks to the improved gas barrier<br />
• Simpler handling<br />
thanks to the bag geometry with diagonal peel-seam<br />
• PVC, latex and DEHP-free, environmentally friendly thanks to use of “Biofine” material<br />
• Quieter<br />
thanks to the packaging’s softer, sound-reduced foil<br />
• Improved monitoring<br />
through the clear, transparent foil<br />
• Easier transport<br />
thanks to the new, comfortable handle<br />
• Suitable for almost all common CRRT appliances thanks to the bag eyelets and connectors<br />
• Addition of medication possible<br />
thanks to the injection port<br />
14 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
multiBic ® potassium-free, Solution for Haemofiltration<br />
multiBic ® 2 mmol/L potassium, Solution for Haemofiltration<br />
multiBic ® 3 mmol/L potassium, Solution for Haemofiltration<br />
multiBic ® 4 mmol/L potassium, Solution for Haemofiltration<br />
Composition: 1000 mL of the ready-to-use solution contain in mmol/L<br />
Excipients:<br />
Water for injections, hydrochloric acid (25%), carbon dioxide<br />
Indications:<br />
For use in patients with acute renal failure requiring continuous haemofiltration.<br />
Contraindications:<br />
Solution dependent contraindications:<br />
multiBic ® potassium-free/2/3 mmol/L potassium:<br />
– hypokalaemia<br />
– metabolic alkalosis<br />
multiBic ® 4 mmol/L potassium:<br />
– hyperkalaemia<br />
– metabolic alkalosis<br />
Haemofiltration dependent contraindications due to the technical procedure itself:<br />
– Renal failure with increased hypercatabolism in cases where uraemic symptoms<br />
can no longer be relieved by haemofiltration.<br />
– Inadequate blood flow from vascular access.<br />
– If there is a high risk of haemorrhage on account of systemic anticoagulation.<br />
multiBic ® potassium-free/2/3/4 mmol/L potassium is delivered in a doublechamber<br />
bag. One chamber (large compartment) contains the alkaline hydrogen<br />
carbonate solution, the other chamber (small compartment) contains the acidic<br />
glucose-based electrolyte solution. Mixing of both solutions by opening the<br />
peel-seam between the two chambers results in the ready-to-use solution.<br />
Name Theoret.<br />
Na + K + Ca ++ Mg ++ CI – HCO 3 – Glucose Osmol.<br />
multiBic ® mmol/L mmol/L mmol/L mmol/L mmol/L mmol/L mmol/L mosm/L<br />
potassium-free 140 – 1.5 0.50 109 35 5.55 292<br />
2 mmol/L potassium 140 2.0 1.5 0.50 111 35 5.55 296<br />
3 mmol/L potassium 140 3.0 1.5 0.50 112 35 5.55 298<br />
4 mmol/L potassium 140 4.0 1.5 0.50 113 35 5.55 300<br />
pH 7.40 Availability depending on pharmaceutical product registration.<br />
Composition: 1000 mL of the ready-to-use solution contain in g/L<br />
Name Sodium Calcium Magnesium Glucose<br />
Sodium Potassium hydrogen chloride chloride mono- Equivalent<br />
multiBic ® chloride chloride carbonate dihydrate hexahydrate hydrate to glucose<br />
potassium-free 6.136 – 2.940 0.2205 0.1017 1.100 1.000<br />
2 mmol/L potassium 6.136 0.1491 2.940 0.2205 0.1017 1.100 1.000<br />
3 mmol/L potassium 6.136 0.2237 2.940 0.2205 0.1017 1.100 1.000<br />
4 mmol/L potassium 6.136 0.2982 2.940 0.2205 0.1017 1.100 1.000<br />
Order information Language/Art. No.<br />
Name D/NL/F/I GB/P/S/FIN E/TR/CZ/HU EST/LV/SK GB/HR/BiH RUS/UA<br />
DK/N PL/LT SLO/GR RO<br />
multiBic ® 2 × 5 L 2 × 5 L 2 × 5 L 2 × 5 L 2 × 5 L 2 × 5 L<br />
potassium-free 967 820 1 F00 001 138 F00 001 142 F00 001 146 F00 001 134 F00 001 300<br />
2 mmol/L potassium 967 920 1 F00 001 139 F00 001 143 F00 001 147 F00 001 135 F00 001 301<br />
3 mmol/L potassium 967 220 1 F00 001 140 F00 001 144 F00 001 148 F00 001 136 F00 001 302<br />
4 mmol/L potassium 967 320 1 F00 001 141 F00 001 145 F00 001 149 F00 001 137 F00 001 303<br />
Packaging: 5 litre bag, 2 bags per box, 104 bags per pallet<br />
Side effects:<br />
Adverse reactions, such as nausea, vomiting, muscle cramps, hypotension and<br />
hypertension, may result from the treatment mode itself or may be induced by<br />
the substitution solution.<br />
In general, the tolerability of bicarbonate buffered haemofiltration solution is good.<br />
However, the following potential side effects of the treatment can be anticipated:<br />
Hyper- or hypohydration, electrolyte disturbances (e. g. hypokalaemia), hypophosphataemia,<br />
hyperglycaemia, and metabolic alkalosis.<br />
Warnings and Precautions:<br />
Do not use unless solution is clear and the container is undamaged. Do not<br />
use before the two solutions have been mixed. The ready-to-use solution must<br />
be used within 48 hours after mixing. Any unused residual solution should be<br />
discarded. Do not store below +4°C.<br />
Date: November 2009<br />
<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> Deutschland GmbH<br />
61346 Bad Homburg v.d.H., Germany<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
15
Solutions<br />
Ci-Ca Solutions<br />
Citrate anticoagulation for CRRT – A beneficial system:<br />
• clearly reduced risk of bleeding<br />
• prolonged filter life-spans<br />
• Successful treatments of patients with HIT II<br />
The advantage of the Ci-Ca method is that it acts exclu-<br />
sively in the extracorporeal circuit making this method<br />
specifically attractive for intensive care patients and<br />
patients at risk of bleeding.<br />
Ci-Ca Dialysate K2 and Ci-Ca Dialysate K4<br />
The major role in regional citrate anticoagulation is<br />
assigned to the calcium-free Ci-Ca Dialysate.<br />
• two different potassium concentrations allow the<br />
adaption to the patient´s requirements<br />
• 5 L double chamber bag for safe and convenient<br />
handling<br />
• use of the mixed solutions for up to 48 h<br />
16 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
Ci-Ca Dialysate<br />
Article Art. no. Composition of the solution<br />
Na +<br />
Article Art. no. Composition of the solution<br />
Citrate mmol/L<br />
4% Na 3 citrate E2011 136<br />
Packaging: 1 litre bag, 7 bags/box pH adjustment with citric acid<br />
K +<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
Ca ++<br />
Mg ++<br />
Cl –<br />
–<br />
HCO3 Glucose<br />
mmol/L mmol/L mmol/L mmol/L mmol/L mmol/L g/L<br />
Ci-Ca Dialysate K2 968 920 1 133 2.0 0 0.75 116.5 20 1.0<br />
Ci-Ca Dialysate K4 F00 000 431 133 4.0 0 0.75 118.5 20 1.0<br />
Packaging: 5 litre bag Other constituents: water for injections, hydrochloric acid 25%, carbon dioxide<br />
2 bags per box<br />
Sodium Citrate 4%<br />
Saline solutions<br />
Type Art. no. Presentation Units per box Units per pallet<br />
Isotonic saline solutions 0.9% 131 067 1 30 × 250 mL 1,440 units<br />
(1 litre contains sodium chloride 9.0 g, 131 865 1 15 × 500 mL 720 units<br />
Na + 154 mmol/L, CI – 154 mmol/L) 131 866 1 10 × 1000 mL 480 units<br />
If products are categorised as pharmaceuticals, availability depending on pharmaceutical product registration.<br />
Sodium Citrate 4%<br />
Citrate solution for Ci-Ca therapy<br />
The citrate solution refrains coagulation by forming<br />
chelate complexes with the ionised calcium in blood.<br />
• 4% citrate solution and Ci-Ca Dialysate are adapted<br />
to each other<br />
• The citrate bag is equipped with a special<br />
connector to avoid misconnections<br />
17
Solutions<br />
multiPlus – The solution with physiological phosphate level<br />
multiPlus<br />
multiPlus (containing 1 mmol/L phosphate) prevents<br />
the depletion of phosphate during CRRT.<br />
• multiPlus prevents the development of hypophosphatemia<br />
• Phosphate und glucose ensure the adequate provision<br />
of energy rich components for metabolic proc-<br />
esses and may support the weaning from mechani-<br />
cal ventilation.<br />
Article Art. No. Composition of the solution:<br />
Na +<br />
K +<br />
Ca ++<br />
18 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved<br />
Mg ++<br />
Cl –<br />
–<br />
HCO3 Inorganic Phosphate Glucose<br />
mmol/L mmol/L mmol/L mmol/L mmol/L mmol/L mmol/L g/L<br />
multiPlus 968 820 1 140 2.0 1.5 0.75 109.7 35 1.0 1.0<br />
Packaging: 5 litre bag, Other constituents: water for injection, hydrochloric acid 25%, carbon dioxide<br />
2 bags per box
Solutions<br />
Lactate-buffered haemofiltration solutions<br />
Type/Art. No. Composition of the ready-to-use solution in mmol/L:<br />
Name 2 × 2 × Na + K + Ca ++ Mg ++ CI – Lactate – Theoret. Osmol<br />
4.5 L 5.0 L mmol/L mmol/L mmol/L mmol/L mmol/L mmol/L mosm/L<br />
HF 11 207 659 1 – 140 1 1.625 0.75 100.75 45 300<br />
HF 12 – 207 720 1 140 1 1.875 0.75 100.75 45.5 301<br />
HF 23 208 159 1 – 140 2 2.125 0.75 112.0 35.75 301<br />
HF 24 208 259 1 – 142 2 2 0.75 105.0 44.5 296<br />
Availability depending on pharmaceutical product registration.<br />
Type/Art. No. Composition of the ready-to-use solution in g/L:<br />
Name 2 × 2 × Sodium Calcium Magnesium Glucose<br />
4.5 L 5.0 L Sodium lactate Sodium Potassium chloride chloride mono- Glucose<br />
Indications:<br />
1. End stage chronic renal disease (decompensation) of all origins<br />
2. Acute renal failure not accompanied by hypercatabolism<br />
3. Cardiac insufficiency not easily influenced by medicaments and caused by<br />
hyperhydratation<br />
4. Acute states of intoxication caused by non-protein-bound poisons; use either<br />
alone or in conjunction with other detoxication measures (haemodialysis,<br />
peritoneal dialysis and/or haemoperfusion)<br />
5. Metabolic disturbance resulting from end stage chronic renal failure<br />
Contraindications:<br />
Contraindications caused by the treatment:<br />
1. Acute renal failure accompanied by marked hypercatabolic conditions in cases<br />
where uraemic symptoms can no longer be relieved by haemofiltration<br />
2. Insufficient blood flow from the shunt<br />
3. Recent cerebral or internal (parenchymatous) haemorrhages<br />
Contraindications caused by the solution:<br />
HF 11:<br />
1. Hypokalaemia<br />
2. Impairment of lactate metabolism/lactate acidosis<br />
chloride solution lactate chloride • 2 H 2 O • 6 H 2 O hydrate (waterfree)<br />
HF 11 207 659 1 – 5.552 10.09 5.045 0.0746 0.2389 0.1525 2.154 1.9581<br />
HF 12 – 207 720 1 5.52 10.2 5.1 0.0746 0.2756 0.1525 2.154 1.96<br />
HF 23 208 159 1 – 6.09 8.02 4.01 0.1492 0.3124 0.1525 1.65 1.5<br />
HF 24 208 259 1 – 5.698 9.98 4.99 0.1492 0.294 0.1525 – –<br />
Number of units per pallet: 112 Other constituents: water for injections, hydrochloric acid, sodium hydroxide<br />
56 boxes, each containing two bags.<br />
HF 12, HF 23, HF 24:<br />
1. Hypokalaemia<br />
2. Hypercalcemia<br />
3. Impairment of lactate metabolism/lactate acidosis<br />
Note:<br />
HF 11, HF 12, HF 23:<br />
In cases of marked hyperhydration and marked dehydration (high ultrafiltration),<br />
it is advisable to use a solution with a higher sodium content, taking into<br />
account the serum sodium concentration of the patient.<br />
HF 11, 12:<br />
In diabetic patients receiving insulin, the dose of insulin should be adjusted as<br />
appropriate for the glucose content of the haemofiltration solution.<br />
Side effects:<br />
None have been observed up to the present.<br />
Warnings and precautions:<br />
Do not store above +25°C. Do not use unless solution is clear and the container<br />
is undamaged.<br />
Date: November 2009<br />
<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> Deutschland GmbH,<br />
61346 Bad Homburg v.d.H., Germany<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
19
Temporary dialysis catheters<br />
<strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> has developed temporary dialy-<br />
sis catheters specifically for the use in acute therapies.<br />
They ensure a rapid and safe central venous vascular<br />
access via the jugular, subclavian or femoral vein.<br />
High flow double lumen catheter sets*<br />
Type Size and length Article No.<br />
TH1415 14.5 F × 150 mm 507 780 1<br />
TH1417 14.5 F × 175 mm 507 782 1<br />
TH1420 14.5 F × 200 mm 507 783 1<br />
TH1424 14.5 F × 240 mm 507 784 1<br />
Double lumen catheter sets*<br />
Type Size and length Article No.<br />
TD1115 11 F × 150 mm 502 877 1<br />
TD1117 11 F × 175 mm 502 874 1<br />
TD1120 11 F × 200 mm 502 878 1<br />
* Included accessories: Seldinger puncture cannula (17 G × 70 mm),<br />
guide wire (0.95 × 700 mm), step dilatator, injection closure caps, CathClip<br />
High flow double lumen catheter<br />
• Double lumen shaft geometry in combination<br />
with large inlet and outlet ports at the catheter tip<br />
ensure a low flow resistance also at high blood<br />
20 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved<br />
flows<br />
• Soft catheter tip – minimises the risk of vascular<br />
lesions upon catheter placement<br />
• Excellent kinking stability<br />
• Optimal range of application: blood flows between<br />
150 mL/min and 400 mL/min<br />
Standard double lumen catheter<br />
• Contralaterally arranged inlet and outlet ports<br />
reduce recirculation<br />
• Optimal range of application: blood flows up to<br />
200 mL/min<br />
• Soft catheter tip – minimises the risk of vascular<br />
lesions upon catheter placement
Disposables and accessories<br />
Waste bags<br />
Type Description Connection Units per box Art. No.<br />
Waste bag 2000 mL Waste bag with female Luer-Lock connector 100 501 509 1<br />
PF waste bag 5000 mL Waste bag with male Luer-Lock connector for single use 50 501 510 1<br />
Filtrate bag 10 L Filtrate collection bag with draining cock,<br />
male Luer-Lock connector<br />
40 502 901 1<br />
Filtrate bag 10 L Filtrate collection bag with male Luer-Lock, 40 502 903 1<br />
Single use single use<br />
Accessories<br />
Type Description Connection Units per box Art. No.<br />
Scissor clamp For clamping lines 5 284 024 1<br />
Freka-Flex Infusion set Infusion set with roller clamp and drip<br />
chamber male Luer-lock<br />
150 288 901 1<br />
Pressure monitor line Pressure monitor line with filter,<br />
connector female/male Luer-Lock, length 30 cm<br />
100 501 463 1<br />
PF-Adapter HF female/<br />
Luer-Lock female<br />
Connection of infusion sets to HF tubing 100 501 474 1<br />
Adapter<br />
Luer-Lock male<br />
Connector 2 male Luer-Lock 100 501 477 1<br />
Adapter<br />
Luer-Lock female<br />
Connector 2 female Luer-Lock 100 501 480 1<br />
Filtrate adapter Luer-Lock female CVVH/D adapter<br />
to the filtrate outlet of a dialyser<br />
100 501 491 1<br />
Transducer Protector Pressure filter, connector male/female Luer-Lock 100 501 591 1<br />
Spike female Luer-Lock/Spike 100 501 592 1<br />
Vented Spike female Luer-Lock/Spike (vented) 100 F0000520<br />
HF female/ Connection of bags with septum to 100 501 635 1<br />
spike adapter HF tubing system<br />
Adapter HF female/ Connection of 100 501 689 1<br />
Luer-Lock male rinsing solution to HF tubing<br />
Pressure measurement Pressure monitor line with filter, 200 501 915 1<br />
line 60 cm connector male/female Luer-Lock, length 60 cm,<br />
for arterial pressure measurement<br />
SN-adapter Y-adapter,<br />
2 × female Luer-Lock/1 × male Luer-Lock<br />
100 502 785 1<br />
Adapter 2 × HF female /<br />
4 × HF male<br />
To connect 4 HF bags to HF tubings 30 504 613 1<br />
Adapter Luer-Lock female/ To connect 6 HF solutions to a substituate 30 504 602 1<br />
6 × HF male (FSG102) system<br />
Check valve Check valve male Luer-Lock/<br />
female Luer-Lock<br />
100 850 280 2<br />
Heparin syringe 50 mL <strong>Fresenius</strong> Injectomat syringe, latex-free, male Luer-Lock 100 900 071 1<br />
Heparin syringe 50 mL <strong>Fresenius</strong> P-syringe, latex-free, male Luer-Lock 100 900 076 1<br />
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
21
Order list<br />
Hospital/Dept.<br />
Title/Name<br />
Street<br />
Country/Postal code/City<br />
Customer No.<br />
Art. No. Article Amount Price<br />
22 <strong>Product</strong> <strong>Range</strong> – 01. 2010 Technical changes reserved
Technical changes reserved <strong>Product</strong> <strong>Range</strong> – 01. 2010<br />
23
Head office: <strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> Deutschland GmbH · 61346 Bad Homburg v. d. H. · Germany · Phone: +49 (0) 6172-609-0 · Fax: +49 (0) 6172-609-2191<br />
www.fmc-ag.com<br />
732 656 1/8 GB (1 PUR-xx 01.10) © Copyright 2010 <strong>Fresenius</strong> <strong>Medical</strong> <strong>Care</strong> Deutschland GmbH · Technical changes reserved