The 4008S Next Generation has been developed to provide safety and efficiency for all important treatment modalities within the scope of renal replacement therapies. This includes:
- Bicarbonate or acetate dialysis
- Single-needle or single-needle click-clack
- Ultrafiltration and sodium profiles
- Isolated ultrafiltration / Bergström treatment
The automated acquisition, monitoring and control of specific patient and machine parameters with the 4008S Next Generation provides the operator with continuous and precise assessment of the current treatment situation.
Key features of the 4008S Next Generation include:
- Monitoring of dialysis dose by OCM® (Online clearance monitoring and plasma sodium measurement)
- Treatment with ultrapure dialysis fluid (DIASAFE®plus filter)
- Use of hygienic, dry bicarbonate concentrate (Bibag®)
- Single-needle method
- Connection for central concentrate supply
In addition, the following therapeutic tools are available:
- Blood pressure monitor (BPM)
- Easy data management with patient card (offline) or network integration (online)
Specification
| Type | Body Fluids Processing Equipment |
| Brand Name | Fresenius |
| Place of Origin | Germany |
| Instrument classification | Class I |
| Dimensions | 1370x500x650(HxWxD) |
| Weight | 86 KG |
| Water supply Water inlet pressure | 1.5 to 6.0 bar |
| Water supply Water inlet temperature | 5°C to 30°C; for “integrated hot rinse” 85°C to 95°C |
| Water supply Max. drain height | 1 m |
| Concentrate Supply pressure | 0 to 100 mbar; 1 m max. suction height |
| Concentrate Central supply | 1 central acid concentrate (optional) 0 to 500 mbar |
| Power supply | 100 to 240 V AC, 50 to 60 Hz |
| Current consumption | Approx. 9 A (at 230 V) and 15 A (at 110 V) |
| External connections | Network interface for data exchange with Therapy Data Management System (optional); input/output for connection of external auxiliary equipment; alarm input/output (e.g. for nurse call); diagnosis for in-house computer diagnosis |
| Battery | 18 V; 3 Ah (maintenance free) |
| Arterial pressure monitoring Display range | – 300 mmHg to + 280 mmHg |
| Arterial pressure monitoring Accuracy | ±10 mmHg |
| Arterial pressure monitoring Resolution | 20 mmHg |
| Venous pressure monitoring Display range | – 60 mmHg to + 520 mmHg |
| Venous pressure monitoring Accuracy | ±10 mmHg |
| Venous pressure monitoring Resolution | 20 mmHg |
| Transmembrane pressure monitoring Display range | – 60 mmHg to + 520 mmHg |
| Transmembrane pressure monitoring Resolution | 20 mmHg |
| Arterial blood pump Blood flow range | 15 to 600 mL/min |
| Arterial blood pump Accuracy | ± 10% |
| Arterial blood pump Resolution | 5 mL/min |
| Arterial blood pump Single needle system (optional) | With 2 blood pumps, internal pressure/pressure control with variable stroke volume (max. 50 mL/min) |
| Arterial blood pump Air bubble detector | Ultrasonic transmission measurement on blood line, additional optical monitoring in venous clamp |
| Arterial blood pump Heparin pump | Delivery range: 0 to 10 mL/h Bolus function: max. 5 mL per bolus Syringe size: 20 mL |
| Dialysis fluid flow range Dialysis fluid flow range | 0 – 300 – 500 – 800 mL/min |
| Dialysis fluid flow range Adapted Flow*(selectable) | Dialysate flow adapted to the effective blood flow |
| Dialysis fluid temperature Selectable | 35°C to 39°C |
| Dialysis fluid conductivity Range | 12.8 to 15.7 mS/cm (25°C) |
| Dialysis fluid conductivity Accuracy | ± 0.1 mS/cm |
| Dialysis fluid conductivity Resolution | 0.1 mS/cm |
| Dialysis fluid acid component Mixing ratio | Adjustable, e.g. 1+44, 1+34 |
| Dialysis fluid acid component Adjustment range | 125 to 150 mmol/L |
| Dialysis fluid bicarbonate component Default mixing ratio | 1 + 27.6 (others possible) |
| Dialysis fluid bicarbonate component Adjustment range | – 8 to + 8 mmol/L |
| Accurate Clearance K | ± 6% |
| Bicarbonate dry concentrate | bibag |
| Dialysis fluid filter system | DIASAFEplus |
| Balancing accuracy | ± 0.1 % according to the total dialysate volume |
| Pressure holding tests | Cyclic |
| Ultrafiltration UF rate | 0 to 4000 mL/h (in steps of 1 mL/h) |
| Ultrafiltration Pump volume accuracy | ± 1% |
| Ultrafiltration Parameters displayed | UF goal, UF time, UF rate, UF volume |
| Blood leak detector Sensitivity | ≤ 0.5 mL blood/min (Hct = 25) at max. flow 800 mL/min |
| Disinfection and cleaning programs** | |
| Rinse Temperature/flow | 37 °C / 600 mL/min |
| Hot rinse (recirculation) Temperature/flow | 84 °C / 450 mL/min |
| Integrated hot rinse Temperature/flow | 84°C / 450 mL/min |
| Cleaning Sporotal100 (recirculation) Temperature/flow | 37 °C / 600 mL/min |
| Heat disinfection Diasteril/Citrosteril (recirculation) Temperature/flow | 84° C / 450 mL/min |
| Disinfection Puristeril 340/plus (recirculation) Temperature/flow | 37 °C / 600 mL/min |
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