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Home dialysis

The right therapy at the right time and place

With our portfolio for Peritoneal dialysis and Home hemodiaysis you can be certain of having everything you need so as to optimize the outcomes for your patients while meeting their personal preferences.


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Your partner in home dialysis solutions

Patients on dialysis are on a journey, and there are good reasons to consider home dialysis first. While informed patients would be likely to consider starting their dialysis as a therapy, healthcare professionals see home therapies as the best long-term dialysis treatment.1,2 Shared decision-making helps physicians find the best therapy fit.3 Home therapies can also offer cost effectiveness potential.4

Fresenius Medical Care is your partner in home dialysis, offering a range of solutions for both Peritoneal dialysis (PD) and Home Hemodialysis (HHD) as well as the associated clinical and practical solutions. We provide full support throughout the patient’s journey – and during all modality changes.

With our high standards, you can be certain of having everything you need to optimize the outcomes for your patients while fulfilling their personal preferences.

CAPD: Individual clinical solutions for tailoring your patients’ therapy

Can small details make a difference?

In the area of Continuous Ambulatory Peritoneal dialysis (CAPD) our individual clinical solutions are designed for tailoring your patients’ therapy. 

The stay•safe system – small details that make a big difference

The stay•safe system has been specifically designed to help patients with their daily self-care CAPD treatment on a safe and convenient basis:5-9

  • The stay•safe DISC guides patients through the essential steps of the CAPD treatment and simplifies the handling procedure.
  • The unique blue stay•safe PIN automatically closes the catheter extension before disconnection, reducing risk steps and the related possibility of touch contamination.

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APD: Personalized treatment and adaptable over time

As individual as your patients: sleep•safe harmony

How can one cycler offer therapy options tailored to your patients’ needs?

In Automated Peritoneal dialysis (APD) our sleep•safe harmony cycler offers advanced features which have the goal of improving patient care. It contributes to the improvement of patient compliance and saves training time. Adapted APD (aAPD) therapy with sleep•safe harmony enables you to combine sequences of short dwells and small fill volumes with long dwells and large fill volumes and varying glucose concentrations. Adapted APD is a new way of prescribing PD that optimizes ultrafiltration (UF) and clearance within one PD session.10

sleep•safe harmony offers:

  • Personalized treatment which is adjusted to your patients’ needs
  • Adapted APD therapy option can improve ultrafiltration and clearance10 
  • Patient guidance with integrated on-screen animations
  • Guided prescription on the cycler and via PatientOnLine software

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Adapted automated peritoneal dialysis (aAPD) – achieving more with the same input

The adapted automated PD (aAPD) approach was proposed by Fischbach M. et al:10 by combining sequences of short dwells and small fill volumes with long dwells and large fill volumes, aAPD promotes ultrafiltration (UF) and clearance within one PD session.

Compared with conventional APD, by targeting UF and clearance separately, aAPD increases the dialysis efficiency with a reduction in glucose absorption.

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HHD: Offering therapies that match patients' needs

Home hemodialysis (HHD) offers clinicians an opportunity to provide treatments that are tailored to the individual needs of each patient, taking into consideration their specific clinical and lifestyle needs.

One of the modalities includes prescribing more frequent home hemodialysis, which  improves the overall patient outcomes of the growing end-stage renal disease (ESRD) patient population, without the constraints of conventional in-center hemodialysis11.

Home hemodialysis with System OneTM*:With the dedicated home device made for easy handling with its drop-in cartridge and easily installed hemodialysis system, System One allows patients to pick, choose and change where they want to dialyze in their home and on vacation.

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Volume Control – a practical way to assess and help correct fluid status

Volume Control is designed to help you improve the lives and outcomes of your patients as you help them to achieve a better fluid status. By combining state-of-the-art technological devices with practical therapeutic advances, Volume Control offers new ways of solving common fluid management challenges.

Volume Control aims to achieve proactive and timely interventions in the case of fluid imbalances, to encourage better patient dietary adherence, to maintain RRF, to achieve and maintain euvolemia, and prevent cardiovascular complications.

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Home solutions by Fresenius Medical Care

Fresenius Medical Care is your partner for home dialysis and for the associated clinical and practical solutions which support you, from the set-up of a home program with PD and HHD and along your patient’s journey, from patient initiation and training through to all of the modality changes. Our home solutions include essential customer support, such as:

  • Home dialysis program set-up
  • Training support
  • Installations at patient’s homes
  • Home supply services
  • Clinical support tools

* "System One" is protected as a word mark in several countries

1. Manns BJ, et al. The impact of education on chronic kidney disease patients‘ plans to initiate dialysis with self-care dialysis: a randomized trial. Kidney International 2005;68(4):1777-83.

2. Lebedo I & Ronco C. The best dialysis therapy? Result from an international survey among nephrology professionals. Nephrology Dialysis Transplantation 2008;6:403-8.

3. Nobahar M & Tamadon MR. Barriers to and facilitators of care for hemodialysis patients; a qualitative study. Journal of Renal Injury Prevention 2016;5(1):39-44.

4.Pike E, et al. Report from Kunnskapssenteret 2013. Norwegian Knowledge Centre for the Health Services 20136;19.

5. Dunst R, et al. Peritonitis rates using different CAPD systems. Peritoneal Dialysis International 2001;21(Suppl.2):S65.

6. Van Biesen W, et al. stay•safe®, a new PVC-free system for PD: Results of the multicenter trial. Peritoneal Dialysis International 1999;19(Suppl.1):S43.

7. Lambert MC, Lage C, Kirchgessner J. stay•safe®, a new PVC-free system in long-term CAPD treatment. EDTNA/ERCA Journal 1999;25(3):30-4.

8. Issad B, et al. stay•safe®, a new PVC-free system for CAPD: Results of a multicenter survey. Peritoneal Dialysis International 2001;21(Suppl.1):S34.

9. Basile C., et al. The incidence of peritonitis declines after implementation of the stay•safe® system (sss). Blood Purification 2001;19:79.

10. Fischbach M, et al. The beneficial influence on the effectiveness of automated peritoneal dialysis of varying the dwell time (short/long) and fill volume (small/large): randomized controlled trial. Peritoneal Dialysis International 2011;31(4):450-8.