Black Box | SW178A | Dialysis Product Range Brochure

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Product range of
dialysis disposables
Dialysis
Medical Devices and Medicinal Products
Reliability only a systems provider can offer. Optimised
therapy with disposables in original B. Braun quality.
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B. Braun, a global systems provider
As a globally active group, we offer you the security of an international presence.
The modular dialysis systems by B. Braun feature all the components you need for comprehensive therapy from one single
source, coordinated down to finest detail. You also benefit from
B. Braun's dependable, consistently high-level quality.
n Excellent products in dependable original B. Braun quality
n All system components are compatible
n First-class, international logistics network
n Global presence: products, services, and support
Intelligent solutions by B. Braun:
One partner to cover all your extracorporeal blood treatment needs
Service and
support
Dialysis
machines
Dialysers
and filters
Solutions
A/V-Systems
Concentrates
Fistula needles
2
Disinfection
and hygiene
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Contents
1. Dialysers
1.1
1.2
Diacap® Polysulfone
Diacap® Polysulfone+ HiFlo
2. A/V Systems
2.1
4
4
7
8
Haemodialysis bloodline systems
8
3. UltraPureFluid system (UPF)
12
4. Dialysis fluid filter and Online filter
14
4.1
Diacap® Ultra
5. Fistula needles
5.1
5.2
Diacan® S
Diacan® and Singucan®
6. Dialysis catheters
6.1
Haemocat® Signo
7. Haemofiltration solutions
7.1
Duosol®, bicarbonate-buffered solution for haemofiltration
8. Infusion and irrigation solutions
8.1
Isotonic sodium chloride solution in Perfuflac® N bag
9. Dialysis concentrates
9.1
9.2
9.3
9.4
9.5
Acidic bicarbonate haemodialysis concentrates 1+34, 1+44
Renosol set
Alkaline bicarbonate haemodialysis concentrates 8.4 % in canisters
Sodium hydrogen carbonate powder for haemodialysis in bags
Sol-Cart B®
10. Disinfection
10.1 Citric Acid 50 %
10.2 Tiutol® KF
11. Adapters
11.1 Duosol® adapter
11.2 SH-BIC adapter
14
15
15
16
19
19
21
21
22
22
23
24
27
28
28
29
30
30
31
32
32
32
Note: The mentioned products may not be registered in your
country. Product information as registered in Germany. The
product information may differ from country to country. Please
contact your local B. Braun partner for further information.
3
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1. Dialysers
1.1 Diacap® Polysulfone
Product benefits of Diacap® Polysulfone:
Diacap® Polysulfone is the innovative advancement of the
well-established Polysulfone dialyser.
n Excellent biocompatibility
The result is the Polysulfone fibre with optimised membrane
structure and above-average diffusive and convective transport
properties.
Our process engineering expertise and our ongoing commitment
to comprehensive quality management ensure consistently high
standards.
n Minimal leucocyte and platelet reduction
n Validated endotoxin retention and minimal need
for anticoagulants
n Efficient elimination of uraemic toxins
n Continuously high performance profile
n Simple and safe handling
n 5 Low and 5 High Flux versions available
n Shelf life: 36 months
4
n Detachable extra label for 100 % product traceability
and medical record keeping
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Technical Data
Diacap® Polysulfone High Flux Dialysers
In vitro performance
Ultrafiltration coefficient
(ml/h/mmHg)
Clearances: QB = 200ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Clearances: QB = 300ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Clearances: QB = 400ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Sieving coefficients:
Inulin
2-microglobulin
Albumin
Surface (m2)
Wall thickness/
Internal diameter (µm)
Priming volume (ml) bloodside
Membrane material
Housing material
Potting compound
Sterilisation
HI PS 10
HI PS 12
HI PS 15
HI PS 18
HI PS 20
34
42
50
55
58
180
162
160
100
76
186
173
171
115
89
190
178
176
127
99
192
182
180
137
109
194
184
183
143
114
223
195
192
112
84
238
213
210
131
97
245
224
220
148
111
250
228
224
160
120
253
232
229
168
127
250
213
208
120
90
271
239
235
136
104
288
262
259
160
120
292
270
267
181
132
296
275
273
189
139
1.2
1
0.8
0.005
1.5
1.8
2.0
110
121
7203657
7203665
1.0
40/200
58
68
Units per box
Art. No.
90
High Flux Polysulfone
Polycarbonate
Polyurethane
Gamma
20
7203622
7203630
7203649
In vitro performance and physical data comply with EN 1283
(Clearances: QD = 500 ml/min, QF = 0 ml/min; UF coefficient: human blood, Hct 32%, total protein 6%, T = 37°C; Sieving coefficients: QB = 300 ml/min, QF = 60 ml/min)
Subject to modifications
5
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Technical Data
Diacap® Polysulfone Low Flux Dialysers
In vitro performance
LO PS 10
LO PS 12
LO PS 15
LO PS 18
LO PS 20
6.8
7.9
9.8
12.3
13.7
Urea
176
183
189
192
194
Creatinine
157
166
173
180
183
Phosphate
126
139
146
157
164
Vitamin B12
68
77
83
100
110
Urea
217
233
246
253
258
Creatinine
181
200
213
225
234
Phosphate
147
162
172
188
198
Vitamin B12
73
82
91
112
125
Urea
242
261
285
294
302
Creatinine
198
220
239
256
264
Phosphate
159
175
190
207
220
Vitamin B12
75
86
95
123
136
Surface (m2)
1.0
1.2
1.5
1.8
2.0
110
121
7203550
7203568
Ultrafiltration coefficient
(ml/h/mmHg)
Clearances: QB = 200ml/min
Clearances: QB = 300ml/min
Clearances: QB = 400ml/min
Wall thickness/
Internal diameter (µm)
Priming volume (ml) bloodside
40/200
58
68
90
Low Flux Polysulfone
Membrane material
Housing material
Polycarbonate
Potting compound
Polyurethane
Gamma
Sterilisation
Units per box
Art. No.
20
7203525
7203533
7203541
In vitro performance and physical data comply with EN 1283
(Clearances: QD = 500 ml/min, QF = 0 ml/min; UF coefficient: human blood, Hct 32%, total protein 6%, T = 37°C)
Subject to modifications
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1.2 Diacap® Polysulfone+ HiFlo
The new HiFlo series with the Polysulfone+
membrane is based on a further optimised
membrane structure which gets still closer to
the profile of the human kidney and allows a
highly efficient and safe dialysis.
n Shelf life: 36 months
Diacap® Polysulfone+ HiFlo:
n MODIFIED POLYSULFONE membrane technology:
Even closer to the profile of the human kidney
n Excellent balance between high
ß2m-elimination and minimal albumin loss
n Outstanding phosphate clearance
n Efficient elimination of a wide spectrum of
uraemic toxins
n Also ideal for high-volume haemodiafiltration
therapies
n Unchanged high biocompatibility and optimal
endotoxin retention
n Detachable extra label for 100 % product
traceability and medical record keeping
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Technical Data: Diacap® Polysulfone+ HiFlo
In vitro performance
HiFlo 18
HiFlo 23
Ultrafiltration coefficient (ml/h/mmHg)
Clearances: QB = 400 ml/min QF = 100 ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Clearances: QB = 300ml/min QF = 75 ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Clearances: QB = 400ml/min QF = 0 ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Clearances: QB = 300ml/min QF = 0 ml/min
Urea
Creatinine
Phosphate
Vitamin B12
Inulin
Sieving coefficients:
Inulin
2-microglobulin
Albumin
78
92
354
328
333
250
190
360
342
346
261
210
283
265
270
210
165
289
276
283
220
180
298
279
283
177
116
328
302
304
199
133
257
245
246
164
110
277
260
262
184
126
Surface (m2)
Wall thickness/Internal diameter (µm)
Priming volume (ml) bloodside
Membrane material
Housing material
Potting compound
Sterilisation
Units per box
Art. No.
1
0.8
0.005
1.8
2.3
38/195
100
120
Polysulfone+
Polycarbonate
Polyurethane
Gamma
20
7203673
7203681
In vitro performance and physical data comply with EN 1283; UF coefficient: ANSI/AAMI
RD16, bovine blood, Hct 32%, total protein 6%, T = 37°C; Clearances: QD = 500 ml/min;
Sieving coefficients: QB = 300 ml/min, QF = 60 ml/min);
Subject to modifications
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2. A/V Systems
Haemodialysis bloodline systems
Under the product group name "A/V Systems" we offer A/V sets
and accessory parts such as infusion and tubing systems,
connectors and adapters for all conventional dialysis machines.
B. Braun has integrated its bloodline system sets for Dialog, Dialog
Advanced and Dialog+ into a state-of-the art dialysis system
where machine and accessories are perfectly co-ordinated and
offer patients an ideal extracorporeal treatment.
In addition to the A/V-sets for double-needle therapy, B. Braun
also supplies systems for standard single-needle dialysis and its
own in-house developed single-needle cross-over method for
highly efficient single-needle dialysis.
n Shelf life: 36 months
Product benefits of A/V-sets:
Handling
n Colour coded components
n On-off clamps
n Easy handling
Quality
n Manufactured with many years of experience
Safety
n Injection port with large finger protections and latex free
for added user safety
Accessories
n Extensive range of accessories offered, customised version
available on request
A/V Systems for Dialysis machines of B.Braun
8
Art. No.
Product name
Short description
Features
7036604
A/V-Set Dialog
Bloodline system for doubleneedle treatment, suitable for
Dialog, Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n Post-dilution n Sterilisation by radiation
7210713
A/V-Set Dialog
Bloodline system for doubleneedle treatment, suitable for
Dialog, Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n One way spike n Post-dilution
n Sterilisation by radiation
7210684
A/V-Set Dialog
Bloodline system for doubleneedle treatment, suitable for
Dialog, Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Double transducer protector
n Colour coded patient clamp n 3L drain bag
n Arterial latex-free asymmetrical injection side
n One way spike n Post-dilution
n Sterilisation by radiation
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A/V Systems for Dialysis machines of B.Braun
Art. No.
Product name
Short description
Features
7210588
A/V-Set Dialog
Bloodline system for doubleneedle treatment, suitable for
Dialog, Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n DEHP-free blood tubes transportation
n Colour coded patient clamp n 3L drain bag
n Arterial latex-free asymmetrical injection side
n One way spike n pre/post-dilution
n Sterilisation by radiation
7210697
A/V-Set Dialog
Bloodline system for doubleneedle treatment, suitable for
Dialog, Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n One way spike n pre/post-dilution n Infusion set
n Recirculation connector n Sterilisation by radiation
7210785
A/V-Set Dialog
Bloodline system for doubleneedle treatment, suitable for
Dialog, Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Double transducer protector n 3L drain bag
n Arterial latex-free injection side
n Colour coded patient clamp
n Post-dilution n Sterilisation by radiation
7037279
A/V-Set HD Secura
Bloodline system for double-needle
treatment, suitable for HD Secura
n Arterial pre-filter chamber n 2L drain bag
n Arterial latex-free asymmetrical injection side
n Sterilisation by radiation
7210645
A/V-SN Set Dialog
Bloodline system for single-needle valve
treatment only, suitable for Dialog,
Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n Sterilisation by radiation
7210717
A/V-SN Set HD Secura
Bloodline system for single-needle
treatment, suitable for HD Secura
n Arterial line with double pump n 2L drain bag
n Arterial latex-free asymmetrical injection side
n Sterilisation by radiation
7210611
A/V-SN CO Set Dialog
Bloodline system for double-needle
treatment, suitable for Dialog,
Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n Post-dilution n Sterilisation by radiation
7210698
A/V-SN CO Set Dialog
Bloodline system for single-needle crossover treatment, suitable for Dialog,
Dialog Advanced, Dialog+
n Arterial pre-filter chamber + PBE port
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n One way spike n Infusion set n Recirculation
connector n Post-dilution n Sterilisation by radiation
7210714
A/V-SN CO Set Dialog
Bloodline system for single-needle crossover treatment, suitable for Dialog,
Dialog Advanced, Dialog+
n Colour coded patient clamp n 2L drain bag
n Arterial latex-free asymmetrical injection side
n One way spike n Post-dilution
n Sterilisation by radiation
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2. A/V Systems
Haemodialysis bloodline systems
A/V Systems for Dialysis machines
Art. No.
Product name
Short description
Features
A/V Systems for Dialysis machines of Fresenius Medical Care
721061210
A/V-Set 2008/4008
Bloodline system for
double-needle treatment,
suitable for Fresenius 2008/4008
n Arterial pre-filter chamber n Colour coded patient clamp
n 2L drain bag n Arterial latex-free asymmetrical
injection side n Post-dilution n Sterilisation by radiation
7039611
A/V-Set 2008/4008
Bloodline system for
double-needle treatment,
suitable for Fresenius 2008/4008
n Arterial pre-filter chamber n 2L drain bag n Arterial
latex-free asymmetrical injection side n 30 mm drip chamber
diameter n Post-dilution n Sterilisation by radiation
721061240
A/V-SN Set 2008/4008
Bloodline system for
single-needle-treatment,
suitable for Fresenius 2008/4008
n Arterial pre-filter chamber n Arterial line with double pump
n Colour coded patient clamp n 2L drain bag n Arterial latex-free
asymmetrical injection side n Post-dilution n Sterilisation by radiation
A/V Systems for Dialysis machines of Gambro
721061200
A/V-Set AK 100-200
Bloodline system for double-needle
haemodialysis treatment, suitable for
Gambro AK 100-200
n Arterial pre-filter chamber n Colour coded
patient clamp n 2L drain bag n Arterial latex-free
injection side n Post-dilution n Sterilisation by radiation
721061230
A/V-SN Set AK 100-200
Bloodline system for
single-needle treatment,
suitable for Gambro AK 100-200
n Big Arterial and Venous exp. Chambers n Colour
coded patient clamp n 2L drain bag n Arterial latex-free
injection side n Post-dilution n Sterilisation by radiation
721061250
A/V-HDF Set AK 100-200
Bloodline system for double-needle
treatment, suitable for HDF therapy on
Gambro AK 100-200
n Arterial pre-filter chamber n Colour coded patient clamp
n 2L drain bag n Arterial latex-free asymmetrical injection side
n Post-dilution n Sterilisation by radiation
A/V Systems for Dialysis machines of Nikkiso
721061260
721061270
A/V-Set DBB 03-05
A/V-SN Set DBB 03-05
Bloodline system for
double-needle treatment,
n Arterial pre-filter chamber + PBE port n Arterial pre-pump chamber
n Colour coded patient clamp n 2L drain bag n Arterial latex-free
suitable for Nikkiso DBB 03-05
injection side n Post-dilution n Sterilisation by radiation
Bloodline system for
single-needle treatment,
suitable for Nikkiso DBB 03-05
n Arterial pre-filter chamber + PBE port
n Arterial pre-pump chamber n Colour coded patient clamp
n Arterial latex-free injection side n Sterilisation by radiation
A/V Systems for Dialysis machines of Baxter
7039533
A/V-Set Microclav
Bloodline system for double-needle
treatment, suitable for Baxter Microclav
n Arterial pre-pump chamber n Arterial pre filter chamber
n 2L drain bag n Arterial latex-free injection side
n Post-dilution n Sterilisation by radiation
7210861
A/V-Set Althin
Bloodline system for double-needle
treatment, suitable for Baxter Althin
n Arterial pre-pump chamber n One-way spike
n 3L drain bag n Arterial latex-free injection side
n Post-dilution n Sterilisation by radiation
7210807
Universal A/V-Set
Bloodline system compatible to Dialog,
Dialog Advanced, Dialog+, FMC 4008,
Gambro AK, Baxter Microclav, Althin
n One-way spike n Colour coded patient clamp
n 2L drain bag n Arterial latex-free injection side
n Sterilisation by radiation
7210892
Universal A/V-Set
Bloodline system compatible to Dialog,
Dialog Advanced, Dialog+, FMC 4008,
Gambro AK, Baxter Microclav, Althin
n One-way spike n Colour coded patient clamp
n 2L drain bag n Arterial latex-free asymmetrical
injection side n Sterilisation by radiation
Universal A/V Systems
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Accessories for A/V Systems
Art. No.
Product name
Short description
Features
7210834
Substitution line
Reinfusion line, suitable for Dialog, Dialog
Advanced, Dialog+, used to transfer sterile
fluids with appropriate composition from
bag to patient; connection to
bag through spikes or male luer
n 3 one way spikes
n 3 male luer locks
n Sterilisation by radiation
7020250
Substitution line
Reinfusion line, suitable for Dialog, Dialog
Advanced, Dialog+, used to transfer sterile
fluids with appropriate composition from
bag to patient; connection to
bag through special Dialoc connectors
n 2 Dialoc connectors
n Sterilisation by EO
7020228
Substitution line
Reinfusion line, suitable for HD Secura,
used to transfer sterile fluids with appropriate
composition from bag to patient; connection to bag through male luer
721055A
HDF-online tubing set
Reinfusion line, suitable for Dialog, Dialog
Advanced, Dialog+, used to transfer treated
dialysate fluid from machine to patient
7020246
Diafusine line
Infusion line for transferring saline or
drugs, from bag to patient; connection
to bag through male luer
7210670
Removable transducer protector
Transducer to be added to the line when
necessary or used to replace of
transducers wet by blood during the
haemodialysis treatment
n Sterilisation by EO
7210224
Transducer protector
Transducer to be added to the line when
necessary or used to replace of
transducers wet by blood during the
haemodialysis treatment
n Sterilisation by EO
7020457
2 Litres drain bag
Bag used to collect the priming fluid
n Sterilisation by EO
7210559
Pre-dilution adapter
Adapter that, once connected to the
arterial dialyser connector, allows
pre-dilution therapy to be performed
n Male/female dialyser connector
n Sterilisation by EO
7210868
Single-needle adapter
Used to connect arterial and
venous haemodialysis bloodlines to fistula
needle, for single-needle haemodialysis
n 2 Luer-Lock female connectors
n 1 Luer-Lock male connector
n Sterilisation by EO
7210833
Recirculation connector
Double female luer connector, used for
priming fluid recirculation or, if necessary,
for blood recirculation (limited period of time)
7210728
Extension line
Arterial and Venous extension line
7210151
One way spike
Spike used to pierce through the solution
bag caps, in priming or restitution phase
n 1 male luer connector
n Sterilisation by EO
n 1 non-return valve
n 1 male luer connector
n Sterilisation by radiation
n 2 male luer lock connectors n dripping chamber
n roller clamp n Sterilisation by EO
n Sterilisation by radiation
n 2 Luer-Lock female connectors
n 1 Luer-Lock male connector n Sterilisation by EO
n Sterilisation by EO
11
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3. The UltraPureFluid system (UPF) by B. Braun
Ultrapure fluid
What does ultrapure dialysis fluid mean?
Because of their illness, not only are dialysis patients exposed
to greater risk factors, they are also exposed to nearly 20,000
liters of dialysis fluid every year – with only a semipermeable
membrane separating their blood from the dialysis fluid. Fluid
purity is crucial to treatment quality. Even minor bacterial impurities can lead to degradation products and toxins, such as
endotoxins. Depending on their size, these toxins are capable
of passing through dialysis membranes and triggering reactions
in the patient's blood. It has been shown that these situations
can lead to serious and costly complications.
n Maximum reduction in microbiological impurities in the
dialysis water
B. Braun offers a closed system for manufacturing ultrapure
dialysis fluid and infusion solutions for Online therapy that
consists of the following components:
n Germ-free fluid (sterile according to Ph.Eur., only if sterility is
monitored by batch)
n Endotoxin levels < 0.03 IU/ml
Clinical benefits
n Marked reduction in chronic inflammatory processes
n Lower rate of dialysis-induced amyloidosis
n Favorable in promoting patient's general nutritional state
n Dialog Advanced/ Dialog+ haemodialysis machine
n Reduction in oxidative stress
n Diacap® Ultra dialysis fluid filter/Online filter
n Reduction in cardiovascular morbidity rates
n Disinfection, cleaning + decalcification agent:
Citric Acid 50%
n Great savings potential through preventive protection against
complications and interrelated consequential costs
n Option: disinfection + cleaning agent: Tiutol® KF
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Benefits of the UltraPureFluid system (UPF)
n Significantly improves dialysis treatment quality
n Ultra-high microbiological system performance
n Easy handling
n Gentle, safe and reliable disinfection, decalcification and
cleaning
n Automatic test routines maximise safety of overall system
What this means for chronic haemodialysis
patients
n Significant improvement in patient's well-being
n Demonstrably longer life expectancy in long-term dialysis
patients
n Delayed loss of residual renal function
13
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4. Dialysis fluid filter and Online filter
4.1 Diacap® Ultra
Diacap® Ultra is a gamma-sterilised, hollow-fibre membrane
filter made of high-grade Polysulfone fibre. It is intended for
use as a bacterial and pyrogen filter for manufacturing ultrapure
dialysis fluid in Dialog, Dialog Advanced and Dialog+ dialysis
machines. The filter is a central component of B. Braun's
"UltraPureFluid" system (UPF) and can also be used for the
preparation of volume replacement solution for HF/HDF Online
therapy with the Dialog machine.
n Shelf life: 36 months
Product benefits
of Diacap® Ultra:
Benefits
of ultrapure dialysis fluid:
n Highly adsorptive Polysulfone membrane: bacteria and
endotoxin retention rating > 106 IU/ml
n Significantly improves dialysis treatment quality
n Markedly reduces chronic inflammatory processes
n Above-average filter service life: 150 treatments or approx.
900 hours of operation
n High mechanical stability of Polysulfone fibres
n Simple and efficient preparation
n Beneficial impact on dialysis patients' nutritional condition
and quality of life
n Positive effect on residual renal function in patients
recently dependent on dialysis
n Long service life means high cost-effectiveness
14
Art. No.
Product name
Packing unit
7107365
Diacap® Ultra DF-Online Filter AP
1 unit
6 units/box
7107366
Diacap® Ultra DF-Online Filter
1 unit
6 units/box
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5. Fistula needles
5.1 Diacan® S
Product benefits of Diacan® S:
Needlestick injuries are among the most common occupationalrelated accidents in the healthcare sector. The actual hazard
potential is not caused by the needlestick itself, but related to
the risk of the injured patients contracting infections from
blood-borne viruses, such as Hepatitis B, Hepatitis C or HIV contagions. The considerably higher rate of infection encountered
among dialysis patients means that users in the dialysis sector
are exposed to a significantly greater risk of infection.
n Integrated safety device
n Easy-to-use
n Effective protection against needlestick injuries
n Reliable protection against infection risks
n Familiar quality and form; Diacan® S fistula needles are based
on the proven Diacan® products
The use of safety needles can reduce this risk significantly.
The Diacan® S safety needle from B. Braun offers extremely easy
handling. When the needle is removed at the end of treatment,
the integrated safety mechanism means that it no longer poses
a risk to users. One distinctive feature is that the puncture
handling procedure is the same as that of standard fistula needles.
So, there's hardly any need to adapt routine workflows.
15
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Seite 16
Diacan® S
Art. No.
Wing colour
Diameter
Needle length
Tube length
(mm)
(mm)
7023176
n
15G (1.8 mm)
20
150
n
7023148
7023158
n
15G (1.8 mm)
20
300
n
7023160
7023170
n
15G (1.8 mm)
25
150
n
7023161
7023171
n
15G (1.8 mm)
25
300
n
n
15G (1.8 mm)
25
300
Arterial
Venous
7023166
7023166N
Steam
n
7023141
7023151
n
16G (1.6 mm)
15
150
n
7023144
7023154
n
16G (1.6 mm)
15
300
n
7023167
7023177
n
16G (1.6 mm)
20
150
n
7023146
7023156
n
16G (1.6 mm)
20
300
n
7023162
7023172
n
16G (1.6 mm)
25
150
n
7023163
7023173
n
16G (1.6 mm)
25
300
n
7023167N
7023177N
n
16G (1.6 mm)
25
300
7023142
7023152
n
17G (1.5 mm)
15
150
n
7023145
7023155
n
17G (1.5 mm)
15
300
n
7023168
7023178
n
17G (1.5 mm)
20
150
n
7023147
7023157
n
17G (1.5 mm)
20
300
n
7023164
7023174
n
17G (1.5 mm)
25
150
n
7023165
7023175
n
17G (1.5 mm)
25
300
n
n
17G (1.5 mm)
25
300
7023168N
Diacan® S comes equipped with n safety mechanism n rotating wings n tubing clamp n arterial needle with "backeye".
Packing unit: 50 pcs./box
Article numbers for Eastern Europe available on request.
n Shelf life: 36 months
16
Sterilisation
ETO
n
n
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Seite 17
5.2 Diacan® and Singucan®
Benefits of Diacan® and Singucan®:
The individual components of the overall system required for HD
therapy can only provide optimum performance if high-quality
and safe venous access is achieved generally.
n Extremely thin-walled needle and optimally cut bevel for
virtually painless puncture
A good needle product is not only gentle to the tissue, it also
provides constant high flow rates and minimises puncture site
bleeding. As well as reliable handling during routine dialysis,
these attributes play just as important a role as the patient's
subjective feeling of virtually pain-free puncture.
B. Braun supplies fistula needles in arterial (A) and venous (V)
versions called Diacan® and the single-needle version is tradenamed Singucan®.
n Special oval-shaped backeye on arterial needles for
penetration that is gentle to tissue and has a lower rate
of puncture canal bleeding
n Uniform thin silicone coating of the
lumen improves flow behavior
n Pliant, colour coded rotating wings with
rough gripping surface allow perfect and
safe handling during routine dialysis
n Red and black orientational dots on needle holder
n Highly elastic tubing
n Functionally shaped featherweight tube clamps
n Red and blue coloured clamps
n Transparent Luer connection with oversized grip surface and
optimised inner surface guarantees secure connection to
bloodline and disconnection at the end of treatment
Diacan® A/V Set (arterial + venous fistula needles)
Art. No.
Wing colour
Diameter
Needle length
Tube length
(mm)
(mm)
Sterilisation
Set: 7023085
n
15G (1.8 mm)
20
150
n
Set: 7023084
n
16G (1.6 mm)
15
150
n
Set: 7023080
n
16G (1.6 mm)
20
150
n
Set: 7023082
n
16G (1.6 mm)
25
150
n
Set: 7023083
n
17G (1.5 mm)
15
150
n
Set: 7023081
n
17G (1.5 mm)
20
150
n
ETO
Steam
Diacan® A (arterial fistula needles) and Diacan® V (venous fistula needles) come equipped with n rotating wings n tubing clamp n Diacan® A with backeye.
Packing unit: 25 sets/box
n Shelf life: 36 months
17
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Seite 18
Diacan® A (arterial fistula needles), Diacan® V (venous fistula needles)
Art. No.
Art. No.
Diacan®A
Diacan®V
Wing colour
Diameter
Needle length
Tube length
(mm)
(mm)
7025041N
Sterilisation
7025148N
n
14G (2.0 mm)
20
150
7023036
7023048
n
15G (1.8 mm)
20
150
7023030NROW
7023138NROW
n
15G (1.8 mm)
20
300
n
7026030N
7026137N
n
15G (1.8 mm)
25
150
n
7023029
7023042
n
15G (1.8 mm)
25
150
7026439NROW
7026536NROW
n
15G (1.8 mm)
25
300
7023090
7023091
n
16G (1.6 mm)
15
150
n
7023035
7023047
n
16G (1.6 mm)
20
150
n
7023022NROW
7023122NROW
n
16G (1.6 mm)
20
300
7026021N
7026129N
n
16G (1.6 mm)
25
150
n
7023028
7023041
n
16G (1.6 mm)
25
150
n
7026420NROW
7026528NROW
n
16G (1.6 mm)
25
300
7023092
7023093
n
17G (1.5 mm)
15
150
n
7023034
7023046
n
17G (1.5 mm)
20
150
n
7023037
7023050
n
17G (1.5 mm)
20
300
n
7023027
7023040
n
17G (1.5 mm)
25
150
n
7023031
7023043
n
17G (1.5 mm)
25
300
n
7026617NROW
7026714NROW
n
17G (1.5 mm)
25
300
n
7026412N
7026510N
n
18G (1.3 mm)
20
300
n
ETO
Steam
n
n
n
n
n
n
Diacan® A (arterial fistula needles) and Diacan® V (venous fistula needles) come equipped with n rotating wings n tubing clamp n Diacan® A with backeye.
Packing unit: 50 pcs./box
n Shelf life: 36 months
Singucan® fistula needles for single needle dialysis
Art. No.
Wing colour
Diameter
Needle length
(mm)
Tube length
(mm)
ETO
sterilisation
7025211N
n
15G (1.8 mm)
20
150
n
7026218N
n
15G (1.8 mm)
25
150
n
7023101N
n
16G (1.6 mm)
20
150
n
7026234N
n
16G (1.6 mm)
25
150
n
7026226N
n
17G (1.5 mm)
20
150
n
Singucan® fistula needles for single dialysis come equipped with n fixation wing n tube clamp n backeye. Packing unit: 30 pcs./box
n Shelf life: 36 months
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6. Dialysis catheters
6.1 Haemocat® Signo
Haemocat® Signo is a temporary double-lumen haemodialysis
catheter for insertion in the jugular, subclavian or femoral vein.
The outstanding added value offered by Haemocat® Signo is its
speedy, economical and simple monitoring of catheter position
through the atrial ECG lead during catheterisation. Verification of
the catheter position is easy and unambiguous through the identification of the P-wave spike on the ECG. The fact that the doctor
can check the catheter position directly in situ without any
awkward repositioning of the patient also eliminates the need
for X-ray control.
Benefits of Haemocat® Signo:
n Arterial ECG lead provides optimum safety and is patient
friendly
n Positioning, control and correction are carried out all in one
step – treatment can begin immediately
n No radiation exposure
n No re-catheterisation due to misplacement
n No late complications
n Low personnel and organisational outlay
n High cost-effectiveness
n Smooth catheter insertion even in extremely difficult
anatomical situations thanks to:
- kink-proof guide wire
- superior tensile strength of guide wire
- ideal ratio of flexibility and resilience
Temporary Double-Lumen Catheter Sets
Art. No.
Product name
Catheter
Guide wire
Ø (mm) (F) Length (cm) Lumen (G) ø (mm)Length (cm)
Packing unit
Catheter sets
7029601
Haemocat® Signo V 1215
4
12
15
11/11
0.89
50
10 pcs./box
7029653
Haemocat® Signo V 1217
4
12
17
11/11
0.89
50
10 pcs./box
7029685
Haemocat® Signo V 1220
4
12
20
11/11
0.89
50
10 pcs./box
Catheter accessories:
4150228*
Certodyn® Universal adapter
n Shelf life: 60 months
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Seite 20
User-friendly Catheter Sets
Set includes:
n Double-lumen catheter
n Scalpel
n Valve cannula 18G (1.3 mm)
n IN stopper
n Kink-proof guide wire
n Connecting cable for intra-atrial ECG lead
n Dilator 12 Fr
n Syringe: Omnifix® 5 ml
Name
Priming volume (ml)
Haemocat® Signo V 1215
distal
proximal
266
293
1.2
1.2
Haemocat® Signo V 1217
distal
proximal
242
277
1.3
1.3
Haemocat® Signo V 1220
distal
proximal
234
261
1.4
1.4
* In vitro specifications comply with ISO 10555
Information concerning available PD-Catheters on request.
20
Flow rate* (ml/min)
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Seite 21
7. Haemofiltration solutions
7.1 Duosol®, bicarbonate-buffered solution for
haemofiltration
The double-chamber bag
The Duosol® solution for haemofiltration is optimally adapted to
the treatment of patients with acute renal failure.
n Intelligent product design
The 5-litre double-chamber bag saves time and energy:
n Non-PVC bag material
n Physiological buffer
n Less packaging means less waste
n Optimal correction of metabolic acidosis
n Directly available buffer
n Shelf life: 24 months
Composition of unmixed solutions
Pharmaceutically active
ingredients in g/l
Duosol® with 2 mmol/l potassium Duosol® with 4 mmol/l potassium
Duosol® without potassium
Large chamber Small chamber Large chamber Small chamber Large chamber
Small chamber
4445 ml
555 ml
4445 ml
555 ml
4445 ml
555 ml
Sodium chloride
6.18
4.21
6.18
4.21
6.18
4.21
Potassium chloride
-
-
-
1.34
-
2.68
Calcium chloride dihydrate
-
1.98
-
1.98
-
1.98
Magnesium chloride hexahydrate
-
0.91
-
0.91
-
0.91
Glucose monohydrate
-
9.90
-
9.90
-
9.90
3.59
-
3.59
-
3.59
-
Sodium hydrogen carbonate
Other ingredients
Electrolyte solution (small chamber): hydrochloric acid 25% for adjusting pH, water for injection
Bicarbonate solution (large chamber): carbon dioxide for adjusting pH, water for injection
Composition of mixed solutions
Art. No.
Product name
Na+
mmol/l
K+
mmol/l
Ca++
mmol/l
Mg++
mmol/l
Cl mmol/l
HCO3mmol/l
Glucose
mmol/l
Theoretical
osmolarity
1)
Duosol® without potassium
140
0
1.5
0.5
109
35
5.5
292
1)
Duosol® with 2 mmol/l potassium
140
2
1.5
0.5
111
35
5.5
296
1)
Duosol® with 4 mmol/l potassium
140
4
1.5
0.5
113
35
5.5
300
Art. No.
Product name
Packing unit
Units per pallet
1)
Duosol® without potassium
2 bags/box
100 bags
1)
Duosol® with 2 mmol/l potassium
2 bags/box
100 bags
1)
Duosol® with 4 mmol/l potassium
2 bags/box
100 bags
1) Country-specific marketing authorisation and product design. Further information on request.
21
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Seite 22
8. Infusion and irrigation solutions
8.1 Isotonic sodium chloride solution in
Perfuflac® N bag
Infusion and irrigation solutions that meet the demands for pretreatment preparation and post-treatment of extracorporeal
systems. This claim applies across the board, from intermediate
infusions to interruptions in dialysis.
The Perfuflac® N bag is free of PVC and plasticizers. Instead,
it is made of polyolefins, a group of plastics exclusively made up
of hydrocarbon molecules. In Perfuflac® N, the polymers' spatial
arrangement gives the bag its special elastic properties. No plasticizers are needed. For dialysis units – this means our products
are more environmentally friendly and offer greater protection to
users and patients against exposure to avoidable hazards.
n Isotonic sodium chloride solution (NaCl 0.9%), infusion and
irrigation solution
n PVC-free bag models equipped with 2 Luer-Lock connectors
in different volumes
n Well-established, top-grade product quality
Benefits of Perfuflac® N bag:
n 2 Luer-Lock ports
n PVC-free
n Applicable for infusion
n User-friendly connection tubing length
n Convenient handling
n Polyethylene outer bag
PVC-free
n Proven, top-level quality
n Developed and manufactured in the company's own
production facilities in Germany
n Shelf life: 24 months
Isotonic sodium chloride solution in
Perfuflac® N bag, supplied in a box
Art. No.
Product name
Packing unit
Units per pallet
1)
Isotonic sodium chloride solution in Perfuflac® N bag
10 x 250 ml
1170 bags
1)
Isotonic sodium chloride solution in Perfuflac® N bag
10 x 500 ml
780 bags
1)
Isotonic sodium chloride solution in Perfuflac® N bag
10 x 1000 ml
500 bags
1)
Isotonic sodium chloride solution in Perfuflac® N bag
6 x 1500 ml
300 bags
1)
Isotonic sodium chloride solution in Perfuflac® N bag
4 x 2000 ml
224 bags
1) Country-specific. Note: Articles with 2 Luer-Lock also available in PVC bags; further information on request.
22
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Seite 23
9. Dialysis concentrates
Patient-optimised therapy
Application-oriented container systems
The vast range of liquid acidic and alkaline bicarbonate haemodialysis concentrates in various formulations offered by B. Braun allow
the bicarbonate-buffered haemodialysis treatment to be optimally
tailored to the individual needs of each patient. Sodium hydrogen
carbonate powder supplied in cartridges and bags and prepackaged
kits for the self-preparation of acidic haemodialysis concentrates
complete the product range.
Our container systems for concentrates, which include a wide
range of canisters, self-preparation kits and cartridges, meet
the complex demands of modern dialysis units. They are model
examples of B. Braun's commitment to manufacturing ecologically friendly products:
Acetate concentrates for acetate haemodialysis are also available on request.
n Cartridges instead of conventional canisters
n Self-preparation kits reduce logistics and eliminate the need
to transport canisters around the unit
23
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Seite 24
9.1 Acidic bicarbonate haemodialysis
concentrates 1+34, 1+44
Packing unit
To manufacture the ready-to-use dialysis fluid, the acidic
bicarbonate haemodialysis concentrates are mixed by the dialysis
machine. The standard dilution ratio is 1+34 or 1+44. The
concentrates are mixed with alkaline bicarbonate haemodialysis
concentrate 8.4% and water of a suitable grade (water for
haemodialysis).
Acidic bicarbonate concentrates at a 1+44
mixing ratio
Sodium
135 - 140
mmol/l
Potassium
0-4
mmol/l
Calcium
0 - 1,75
mmol/l
Magnesium
0.5 - 1
mmol/l
Canisters:
Chloride
100 - 116
mmol/l
6, 10 l
Bicarbonate
32 - 36
mmol/l
Acetate
2-3
mmol/l
Glucose
0-2
g/l
The Advantage:
n Lower concentrate volume required per treatment
n Less storage space
n Less need for replacement containers
Broad spectrum for individualised treatments
Packing unit
Canisters per pallet
6-l canisters
90
10-l canisters
60
n Shelf life: 36 months
Acidic concentrates (1+34)
Standard product range, additional packaging sizes and formulations on request
Composition of the ready-to-use dialysis fluid: 1 litre acidic concentrate SW xxx A and 32.775 litre water for
haemodialysis + 1.225 litre bicarbonate concentrate 8.4% yield a ready-to-use haemodialysis solution with
the following electrolyte concentrations:
Art. No.
6l
Art. No.
10 l
Conc. name
Na+
mmol/l
Potassium 0 mmol/l – 1 mmol/l
K+
Ca++
Mg++
Clmmol/l mmol/l mmol/l mmol/l
Acetatemmol/l
HCO3mmol/l
Glc
g/l
Osmol.
mOsm/l
124
SW 241 A
140
0
1.5
0.5
109
2.5
32.5
1
294
117
SW 284 A
138
1
1
0.5
107
3
32
1
290
7775
7575
SW 375 A
138
1
1.25
0.5
107.5
3
32
1
290
7776
7576
SW 376 A
138
1
1.5
0.5
108
3
32
1
292
8473
3203
SW 163 A
138
1
1.75
0.5
108.5
3
32
1
293
24
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Seite 25
Potassium 2 mmol/l
Art. No.
6l
Art. No.
10 l
7299
Na
mmol/l
K
mmol/l
Ca++
mmol/l
Mg++
mmol/l
Clmmol/l
Acetatemmol/l
HCO3mmol/l
Glc
g/l
Osmol.
mOsm/l
SW 415 A
138
2
0
0.5
106
3
32
1
288
+
Conc. name
+
7777
136
SW 262 A
138
2
1
0.5
108
3
32
1
292
3251
3273
SW 196 A
138
2
1.25
0.5
108.5
3
32
0
287
7778
7578
SW 127 A
138
2
1.25
0.5
108.5
3
32
1
293
8475
335
SW 166 A
138
2
1.25
0.75
109
3
32
1
294
349
SW 93 A
140
2
1.5
0.5
111
2
33
0
292
7780
7580
SW 380 A
138
2
1.5
0.5
109
3
32
1
294
7379
7597
SW 397 A
138
2
1.5
1
110
3
32
1
296
147
SW 102 A
140
2
1.5
0.5
111
2
33
1
298
3424
223
SW 230 A
140
2
1.5
0.75
111.5
3
32
2
304
17
149
SW 95 A
138
2
1.75
0.5
109.5
3
32
0
289
7724
7524
SW 139 A
138
2
1.75
0.5
109.5
3
32
1
295
Art. No.
6l
Art. No.
10 l
7782
116
7435
7781
Potassium 3 mmol/l – 4 mmol/l
Na+
mmol/l
K+
mmol/l
Ca++
mmol/l
Mg++
mmol/l
Clmmol/l
Acetatemmol/l
HCO3mmol/l
Glc
g/l
Osmol.
mOsm/l
SW 285 A
138
3
1.25
0.5
109.5
3
32
1
295
3227
SW 184 A
138
3
1.25
0.75
110
3
32
1
296
7581
SW 381 A
138
3
1.5
0.5
110
3
32
1
296
253
SW 154 A
140
3
1.5
0.75
112.5
2.5
32.5
1
301
226
SW 231 A
140
3
1.5
0.75
112.5
3
32
2
306
133
137
SW 178 A
138
3
1.75
0.5
110.5
3
32
1
297
7975
118
SW 286 A
138
4
1.25
0.5
110.5
3
32
1
297
7793
7593
SW 393 A
138
4
1.5
0.5
111
3
32
1
298
8481
131
SW 195 A
138
4
1.75
0.5
111
3
32
1
299
Conc. name
25
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Seite 26
Acidic concentrates (1+44)
Standard product range, additional packaging sizes and formulations on request
Composition of the ready-to-use dialysis fluid: 1 litre acidic concentrate SW xxx A and 42.245 litre water for
haemodialysis + 1.755 litre bicarbonate concentrate 8.4% yield a ready-to-use haemodialysis solution with
the following electrolyte concentrations:
Art. No.
6l
Art. No.
10 l
7530
Conc. name
Na+
mmol/l
Potassium 0 mmol/l – 1 mmol/l
K+
Ca++
Mg++
Clmmol/l mmol/l mmol/l mmol/l
Acetatemmol/l
HCO3mmol/l
Glc
g/l
Osmol.
mOsm/l
SW 443 A
139
0
1.5
0.5
104
3
36
1
292
SW 441 A
139
1
1.25
0.5
104
3
36
1
293
7532
SW 444 A
139
1
1.5
0.5
105
3
36
1
294
7969
SW 418 A
139
1
1.75
0.5
114
3
36
1
294
Na
mmol/l
K
mmol/l
Ca++
mmol/l
Mg++
mmol/l
Clmmol/l
Acetatemmol/l
HCO3mmol/l
Glc
g/l
Osmol.
mOsm/l
7971
Potassium 2 mmol/l
Art. No.
6l
Art. No.
10 l
+
Conc. name
+
6809
SW 435 A
139
2
1
0.5
105
3
36
1
294
7715
SW 442 A
139
2
1.25
0.5
105.5
3
36
0
289
7733
7534
SW 445 A
139
2
1.25
0.5
105.5
3
36
1
295
6807
7936
SW 417 A
139
2
1.25
0.75
106
3
36
1
296
7725
7535
SW 446 A
139
2
1.5
0.5
106
3
36
1
296
6805
7985
SW 423 A
139
2
1.5
0.75
106.5
3
36
1
297
3343
SW 247 A
139
2
1.5
0.75
106.5
3
36
1.5
300
7729
7537
SW 219 A
139
2
1.75
0.5
106.5
3
36
1
297
6806
7988
SW 425 A
139
2
1.75
0.75
107
3
36
1
298
Art. No.
6l
Art. No.
10 l
7734
7538
7974
Potassium 3 mmol/l – 4 mmol/l
Na
mmol/l
K+
mmol/l
Ca++
mmol/l
Mg++
mmol/l
Clmmol/l
Acetatemmol/l
HCO3mmol/l
Glc
g/l
Osmol.
mOsm/l
SW 448 A
139
3
1.25
0.5
106.5
3
36
1
297
254
SW 275 A
142
3
1.25
0.75
110
3
36
1
304
7726
7541
SW 449 A
139
3
1.5
0.5
107
3
36
1
298
6827
3342
SW 248 A
139
3
1.5
0.75
107.5
3
36
1.5
302
7542
SW 450 A
139
3
1.75
0.5
107.5
3
36
1
299
7732
368
SW 436 A
139
4
1.25
0.5
107.5
3
36
1
299
7727
7543
SW 451 A
139
4
1.5
0.5
108
3
36
1
300
6808
6828
SW 434 A
139
4
1.5
0.75
108.5
3
36
1
301
7796
7548
SW 439 A
139
4
1.75
0.5
108.5
3
36
1
301
26
+
Conc. name
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9.2 Renosol set
Modular product set for the self-preparation
of acidic concentrates (1+34) in the central
concentrate supply
n Components dissolve more quickly and conveniently because
the electrolytes are present in dissolved form from the outset
n Quality complies with the European Pharmacopoeia
n System-inherent safety: fewer large-volume components,
which means that nothing can be forgotten during concentrate manufacturing.
n Renosol-Glc: 0, 1 or 2 bags with glucose, depending on the
formulation ordered (approx. 3.8 kg/bag (1 g Glc./l))
n Easy-to-use: the electrolytes are dissolved in a homogenous
concentrate
For haemodialysis, the components of the Renosol sets must be
dissolved in water using a suitable mixing system. The Renosol set
components are not suitable for direct use in dialysis machines.
Please observe the instructions for use.
n Shelf life: Renosol set = 24 months, Renosol-El = 36 months
n 60 % volume-saving compare to storage of 1+34 concentrates
n Renosol-El: 1 canister with liquid electrolyte concentrate
(approx. 10 kg)
One set produces 100 l acidic bicarbonate haemodialysis concentrate, 1+34.
n Renosol-NaCl: 2 bags with sodium chloride, each in a box
(approx. 10.7 kg/bag)
Composition of the ready-to-use dialysis fluid: 1 litre acidic concentrate made of Renosol set and
32.775 litre water for haemodialysis + 1.225 litre bicarbonate concentrate 8.4 % yield a readyto-use haemodialysis solution with the following electrolyte concentrations:
Art. No.
Type
Na+
K+
Ca++
Mg++
Cl-
HCO3-
mmol/l
mmol/l
mmol/l
mmol/l
mmol/l
mmol/l
Litres
Presenof
tation:
acidic number of
Acetat- Glucose concen- Renosol
trate
sets per
g/l
mmol/l
(1+34)
pallet
5243
Renosol 10
140
2
1.25
0.75
111
32
3
0
100 L
18
5255
Renosol 14
140
2
1.25
0.75
111
32
3
1
100 L
18
5258
Renosol 16
140
2
1.5
0.5
111
32
3
1
100 L
18
5249
Renosol 11
140
2
1.5
0.75
111.5
32
3
0
100 L
18
5256
Renosol 15
140
2
1.5
0.75
111.5
32
3
1
100 L
18
5241
Renosol 04
140
2
1.75
0.75
112
32
3
0
100 L
18
5246
Renosol 09
140
2
1.75
0.75
112
32
3
1
100 L
18
5247
Renosol 05
140
2
1.75
0.75
112
32
3
2
100 L
18
5259
Renosol 17
140
3
1.5
0.5
112
32
3
1
100 L
18
5261
Renosol 18
140
4
1.5
0.5
113
32
3
1
100 L
18
Additional formulations available on request.
27
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9.3 Alkaline bicarbonate haemodialysis
concentrate 8.4 %, liquid in canisters
n Many years of experience in manufacturing and logistics
n Sterile filtration before filling
n Proven containers for safe and hygienic error-free use
n Batch-specific end controls
n Closed filling system
n Shelf life: 12 months
Art. No.
Product name
Packing unit
Canisters per pallet
217
Alkaline bicarbonate haemodialysis concentrate 8.4%
6 l canisters
90
259
Alkaline bicarbonate haemodialysis concentrate 8.4%
8 l canisters
60
169
Alkaline bicarbonate haemodialysis concentrate 8.4%
10 l canisters
60
9.4 Sodium hydrogen carbonate powder for
haemodialysis, supplied in bags
n Easy-to-use logistics and concentrate manufacturing
n Optimum safety during transport and use
n Environmentally friendly
n High product quality
For manufacturing alkaline bicarbonate haemodialysis concentrates for extracorporeal bicarbonate haemodialysis or bicarbonate
haemodiafiltration. Alkaline bicarbonate haemodialysis concentrate may only be used in combination with an acidic bicarbonate
haemodialysis concentrate diluted as prescribed.
n Sodium hydrogen carbonate powder complies with the
European Pharmacopoeia monograph
n IPC-controls, end controls
n Shelf life: 36 months
n Can be used in all conventional mixers for central supply
systems
n 8.4 kg for 100 L concentrate (8.4%);
1000 ml of this concentrate contain:
1084.0 g sodium hydrogen carbonate,
10equivalent to Na+ 1000 mmol and HCO3- 1000 mmol
28
Art. No.
Product name
Packing unit
Units per pallet
470
Sodium hydrogen carbonate
3 x 8.4 kg/box
90
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9.5 Sol-Cart B®
The Sol-Cart B® cartridge with sodium hydrogen carbonate
powder is a practical alternative to liquid bicarbonate 8.4%.
Sodium hydrogen carbonate for haemodialysis,
supplied in cartridges
n Cartridge housing of polypropylene
n One filter at the cartridge inlet and outlet port respectively
n Contents per cartridge: 650 g, 760 g or 1100 g, equiv. to 6.5 l,
7.6 l or 11.0 l bicarbonate concentrate 8.4% dialysis time for
6 h, 7 h or 9 h at a dialysate flow rate of 500 ml/min
n Sodium hydrogen carbonate powder complies with the
European Pharmacopoeia monograph
n Can be used in all conventional dialysis machines with
appropriate cartridge holders
n Shelf life: 36 months
Sol-Cart B® in boxes
Art. No.
Product name
Packing unit
Units per pallet
496
Sol-Cart B® 650 g
10 x 650 g
630
494
Sol-Cart B® 760 g
10 x 760 g
630
508
Sol-Cart B® 1100 g
8 x 1100 g
432
29
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10. Disinfection
10.1 Citric Acid 50 %
Citric Acid 50 % is a liquid concentrate for the highly efficient
citro-thermal disinfection, cleaning and decalcification of haemodialysis machines. The concentrate is used at 83°C in accordance
with the machine manufacturer's instructions.
Unlike disinfecting agents that have strongly oxidising or
aggressive acidic properties, Citric Acid 50 % with its highpowered disinfectant properties is very material compatible,
user friendly and environmentally neutral.
Benefits of Citric Acid 50 %
n Outstanding disinfectant and virucidal properties;
bactericidal, fungicidal, tuberculocidal and virus-inactivating
(including Parvovirus, HBV, HCV, HIV)
n The active ingredient is listed by the DGHM (German Society
for Hygiene and Microbiology)
n Economical, since only low concentrations and quantities are
needed
n Gentle on materials and highly effective at the same time
n Each application takes very little time
n No hazardous materials
n Safe to use and environmentally neutral
30
Art. No.
Product name
Packing unit
Canisters
per pallet
899
Citric Acid
50 %
6-litre
canisters
90
307
Citric Acid
50 %
10-litre
canisters
60
n Shelf life: 36 months
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10.2 Tiutol® KF
Tiutol® KF is a fluid concentrate for highly efficient chemothermal disinfection and cleaning, based on sodium hypochlorite.
Tiutol® KF has a proven bactericidal, tuberculocidal, fungicidal and
virus-inactivating action. Prerequisite for use in haemodialysis
machines are defined operating conditions. In combination with
the Dialog dialysis machine with DF filter or Dialog Online, the
use of Tiutol® KF is optional, according to instructions for use
and labelling.
Art. No.
Product name
Packing unit
Canisters
per pallet
7120222
Tiutol® KF
5-litre canisters
128
n Shelf life: 36 months
Benefits of Tiutol® KF:
n Excellent cleaning power, particularly against biofilms
n Very good disinfectant and virucidal properties; bactericidal,
fungicidal, tuberculocidal and virus-inactivating (including
HBV, HCV, HIV)
Complete product range for dialysis
B. Braun has developed, produced and marketed disinfection
and hygiene products for many years. These products are
manufactured to the highest international standards and are
sold worldwide.
Further disinfectant and hygiene products are available on
request for:
n Hand hygiene
n Skin disinfection
n Surface disinfection
n Manual processing of instruments
31
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11. Adapters
11.1 Duosol® Adapter
Adapter: male Luer-Lock (1) to Dialoc®/Safe Lock® Luer (1).
Designed to connect conventional tubing to Dialoc®/ Safe Lock®
male Luer Lock ports with female Luer-Lock connectors on
Duosol® haemofiltration solution bags.
Art. No.
Product name
Packing unit
602060
Duosol® adapter
1 pcs.
n Shelf life: 60 months
11.2 SH-BIC Adapter
Adapter: Dialoc® male (1) to Luer-Lock female (1).
Designed to connect conventional tubing to Luer-lock male ports
with female Dialoc® connector on SH-BIC haemofiltration solution
bags.
Art. No.
Product name
Packing unit
523
SH-BIC adapter
1 pcs.
n Shelf life: 60 months
32
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Product Description
Duosol® without Potassium solution for haemofiltration
Duosol® with 2 mmol/l Potassium solution for haemofiltration
Duosol® with 4 mmol/l Potassium solution for haemofiltration
Composition
Please see page 21
Indications
The ready-to-use solution is indicated for the treatment by continuous haemofiltration of intensive
care unit patients with acute renal failure of any origin.
Contraindications
Ready-to-use solution-dependent contra-indications:
– Hypokalaemia (Duosol® without potassium, Duosol® with 2 mmol/l potassium)
– Hyperkalaemia (Duosol® with 4 mmol/l potassium)
- Metabolic alkalosis
Haemofiltration-dependent contra-indications:
- Acute renal failure with marked metabolic processes (hypercatabolism), if the uraemic symptoms
cannot be corrected any longer by haemofiltration
- Inadequate blood flow from the vascular access
All states with elevated haemorrhage risk on account of systemic anticoagulation.
Use during pregnancy:
There are no current reports of clinical experience. The bicarbonate-buffered solution for
hemofiltration may only be administered after consideration of the potential risks and benefits
for mother and child.
Use during lactation:
No special restrictions.
Undesirable effects
Side effects can result from the treatment or the solution for haemofiltration used. Bicarbonate-buffered haemofiltration solutions are generally well tolerated. There have been no reports of adverse events
or side effects, that might possibly be associated with the bicarbonate-buffered solution for haemofiltration.
However, the following side effects are conceivable:
Hyper- or hypohydration, electrolyte disturbances (e.g. hypokalaemia with Duosol® without potassium
and Duosol® with 2 mmol/l potassium; hyperkalaemia with Duosol® with 4 mmol/l potassium),
hypophosphataemia, hyperglycaemia and metabolic alkalosis.
The following side effects may occur during treatment nausea, vomiting, muscle cramps and hypotension.
Marketing authorisation holder:
B. Braun Avitum AG
Schwarzenberger Weg 73-79
34212 Melsungen
Germany
Isotonic sodium chloride solution
Composition
Active substances:
1000 ml contain:
Sodium chloride
Other ingredients
Water for injections
Electrolytes:
9.0 g
Na+
Cltheoretical osmolarity
pH-value
154 mmol/l
154 mmol/l
308 mOsm/l
4.5-6.5
Indications
Solution for infusion is indicated for:
-
Short-term intravascular volume substitution
isotonic dehydration or hypotonic dehydration
irrigation solution
Vehicle solution for compatible electrolyte concentrates and drugs
Externally for wound irrigation and for moistening of wound tamponades and dressings
Contraindications
Isotonic Sodium Chloride solution is contraindicated for patients in states of hyperhydration.
Special warnings and precautions for use
- Isotonic sodium chloride solution should only be administered with caution in cases of:
hypernatraemia, hyperchloraemia, hypokalaemia and disorders where restriction of sodium intake is
indicated, such as cardiac insufficiency, generalized oedema, pulmonary oedema, hypertension, eclampsia, severe renal insufficiency.
- High infusion rates should be avoided in cases of hypertonic dehydration because of possible increases
of plasma osmolarity and plasma sodium concentration.
- Clinical monitoring should include serum electrolytes and fluid balance.
Use during pregnancy and lactation
There are no restrictions for use during pregnancy and lactation.
Undesirable effects
Hypernatraemia or hyperchloraemia may occur during treatment.
Marketing authorisation holder:
B. Braun Avitum AG
Schwarzenberger Weg 73-79
34212 Melsungen
Germany
33
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34
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B. Braun Avitum AG
Schwarzenberger Weg 73–79
34212 Melsungen
Germany
Tel +49 (56 61) 75-26 24
Fax +49 (56 61) 75-26 24
W. 04.02.09/2
Nr. 708 0621A Edition: 02/2009
e-mail: dialysis@bbraun.com
www.bbraun-dialysis.com
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