Dialog+ SW 9.xx HDF Online. Technical Support International

HDF Online

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What does HDF Online offer?
A safe procedure with a combination of

Combines two dialysis technics,
Hemodialysis and Hemofiltration
High clearance of small molecules through

HF

B

HD

B

D

B

D

HDF

mmHg

B

mmHg

D

B

D

low-flux

high-flux

high-flux

Diffusion

Convection Adsorption

Diffusion/Convection Adsorption
Types of Therapies

HDF Online Concept

PV

PA

BLD

high-flux

PBE

Preadapter

BPA

OSP

Substitution port

Postdilution

Predilution

AAMI = American Association for the Advancement of Medical Instrumentation
Ph. Eur.

HDF Online Icon

HDF-Online Message: “Ratio gross UF rate/blood flow“

Start therapy in HD

Increase of TMP at start of HDF dialysis

hollow fibre

diffusive layer

A

Example for post-dilution:
body weight 81 kg
weight loss 3 kg
treatment time 5 h

Substituition volume 27

Hardware Components

Substitution ports for infusing of the substitution fluid pre-

HDF Online – Blood Side Preparation

Inlet

Outlet

SAD
RDV

PV PA PBE

BPA HP

OSP (Online

HDF Online Therapy

SAD
RDV

PV PA PBE

BPA HP

Inlet

Outlet

OSP (Online Substitution

HDF Online Reinfusion

SAD
RDV

PV PA PBE

BPA HP

Inlet

Outlet

OSP (Online Substitution Pump)

SAKV

Balance Chamber Principle Phase 1

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

FPE

Balance

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Inlet Flow Pump

Balance Chamber

Air Seperator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Inlet Flow Pump

Balance Chamber

Air Separator LA

Outlet Flow Pump FPA

Ultrafiltration Pump UFP

BLD

PDA

Balance

Producing Substitution Fluid

Balancing

DF-Filter

HDF Filter

OSP

FPE

FPA

UFP

Postdilution

Predilution

DF-Filter

OSP

HDF Online Balancing Chamber

600ml/min

600ml/min

520ml/min

600ml/min
+ Patient UFP

80ml/min

80ml/min

80ml/min
+ Patient UFP

+

HDF Online – Dialysate Distribution in the Filter

QB 300 ml/min

QB 290

Infusion Bolus – Patient Connection and Disconnection

DF Filter

OSP

For infusion the balancing

DF Filter

OSP

FPE

FPA

UFP

HDF Online – Hydraulics

HFB

VDE

VDA

VBP

VSAA

VSAE

VDFF

VLA

VSB

DDE

RVDA

RVFPE

RVFPA

VBE

Postdilution

Predilution

HDF Online – Hydraulics

1 Hydrophobe filter with adapter
2 Valve 3/2 way

Rinsing

DF Filter

HDF Filter

OSP

~ 1 Minute

HDF Online – Rinsing after a DF

HDF Online – Electronics

Tests in TSM

HDF Online – Filter Testing

DF, HDF Filter Tests

DF Filter

PDA

DDE

RVDA

RVFPA

FPA

UFP

VDFF

VSB

VBP

VDE

VDA

VSAE

VSAA

VLA

VBE

FPE

RVFPE

Manometer

HFB

The hydraulic circuit

HDF Online – Filter Test

Air is flushed from the DF-Filter

DF Filter

PDA

DDE

RVDA

RVFPA

FPA

UFP

VDFF

VSB

VBP

VDE

VDA

VSAE

VSAA

VLA

VBE

FPE

RVFPE

Manometer

HFB

H2O

FVD

FSU

FBK1

FBK2

500

HDF Online – Filter Tests

DF, HDF Filter and Port Tests

DF Filter

HDF

HDF Online – Filter Test

DF, HDF Filter and Port Tests

H2O

FVD

DF Filter

PDA

DDE

RVDA

RVFPA

FPA

UFP

VDFF

VSB

VBP

VDE

VDA

VSAE

VSAA

VLA

VBE

FPE

RVFPE

Manometer

HFB

FSU

FBK1

FBK2

500

Calibration RVDA and RVFPE

RVDA 500 mbar

RVFPE 1.3 bar

Measuring point for both

Calibration of RVFPA

During the calibration pay attention to the following:
Both dialyser

Calibration of DDE

During the calibration pay attention to the following:
Both

Change after 150 Treatments or 900 Hours

Follow the correct procedure
Chemical disinfection

Maintenance Kit