Flexible and efficient dialysis treatment

Haemodialysis
Concept Dialog+

Dialog+
Evolving to meet customer
The Dialog+ sets standards with its three basic device
Storage system

users to have the greatest number of possible configuration

in setting up the individual dialysis device.
The new generation of the Dialog+ demonstrates
numerous comfort improvements for providers and
patients. It also rigorously meets today’s economic
and medical needs.
Card reader
Options, accessories and consumables from one partner
offer customer a single treatment system that fits together
perfectly.

B. Braun - we share expertise to support you Treatment option:

knowledgeably at all times. bioLogic RR® Comfort

ABPM: Automatic
Blood Pressure
Measurement

Treatment option:
Adimea

Single pump
Double pump
HDF Online
2
 lter for
ultra-pure
uid

BIC cartridge:
dry concentrate

Central concentrate
supply

High quality treatment and

unbeatable flexibility.

3
Choose both.

Our task is to meet your needs

Meeting customer requirements, providing high quality dialysis In everything that we do, we focus on the human being – patient,
ectiveness are the features of the new partner, customer – with all the associated special requirements
generation of the Dialog+ system. Inspired by users, developed and needs. We develop progressive solutions to continue to
by system specialists. ciency of medical practice.

guration possibilities, extensive

accessories and smart options – you get exactly the solution suited
to your individual requirements. For the best possible medical
ciency.

4
Continuous development

Natural and durable

The Dialog+ is a polished and reliable system. Still, we are not

resting on our laurels. The B. Braun philosophy is one of continuous
development of treatment quality for patients and providers.

The result: The new generation of the Dialog+

Developing solutions that continue to improve medical care. is characterised by
The Dialog+ has been and continues to be such a progressive More comfort
development. A haemodialysis system that points to the future, More functionality
t from with regular updates and upgrades. More environmental awareness.

Comfort
cant reduction of
noise emission. The measurable noise reduction is 5.2 dB (A).
This corresponds to around 50% of the noise perceptible to
the human ear. In this way the Dialog+ contributes to a
pleasant atmosphere in the dialysis centre.

5.2 db (A) reduction corresponds to cutting acoustic perception in half.

5
Functionality
As a new standard feature, the Dialog+
regulation with a simple push of a button on the monitor screen.

the daily use of the machine

using the touch screen.

Full functionality in the DN and SN modes.
Available in all operating phases (preparation, treatment,
disinfection).

Environmental awareness
The search for savings in energy and water with environmentally
conscious technology is found throughout the new Dialog+
series. One example of our ecological and cost-conscious thinking
is shown by the heat exchanger integrated into all models.

draws its thermal energy Less energy

is expended in achieving the desired temperature for the dialysis

Economical stand-by mode

The new stand-by mode provides economic benefits: it save
electricity and less dialysis fluid is used during the preparetion
phase.
Heparin bolus is administered when the red sensor detects blood
The blood pump is stopped if no blood is detected at the red
sensor site in “ The End Therapy “ mode

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Adimea

Real-time monitoring of the dialysis dose - Adimea

Adimea is an innovative measurement procedure for reliable
and continuous dialysis dose control (Kt/V) throughout the entire
treatment.

The innovative system utilizes the principles of spectroscopy

for determining the reduction in the molar concentration of
urinary excreted substances in the dialysate drain. The pioneering
technology enables measurement in the used dialysate. Because
it continuously analyses change in the molar concentration,
Adimea is directly connected to the patient. Physicians and
Usable at no extra cost in all current modes of dialysis
treatment (HD, HDF, SN-CO).
In other words, the equipment provides an optimum means
for reaching the set treatment goals. Clinical trials show a very Source: Uhlin F, Fridolin I, Magnusson M, Lindberg LG. Dialysis dose
(Kt/V) and clearance variation-sensitivity using measurement of
close correlation between the spKt/V established in blood samples
ultraviolet-absorbance (on-line), blood urea, dialysate urea and
and the spKt/V established by Adimea. ionic dialysance. Nephrol Dial Transplant. (2006) 21: 2225-2231.

Precise, innovative real-time measurement method

Precise, innovative determination of the reduction of urinary

excreted substances in the spent dialysate using UV technology

Real-time monitoring during the entire treatment period

Simple and clear operation

No determination of V – merely requires

the pre-dialysis weight

well as result prognosis

Fig. 1: This sample display for the UV absorption signal’s treatment progress
Changes to treatment parameters possible at any time. and the serum urea values at 20-minute measurement intervals reveals the
excellent correlation.
Usable in all treatment procedures with no extra costs
You can also get detailed information from the separate
brochure on Adimea or on the website www.adimea-bbraun.com
7
Special options

bioLogic RR® Comfort

Biofeedback system bioLogic RR® Comfort

Using an automatic and predictive adjusted adaption of the

drops in blood pressure during treatment. This system is the only

biofeedback system on the market that measures directly
patient blood pressure. In addition, it also utilises stored blood
pressure curves of previous treatments, through its intelligent
guideline technology. This results in an especially safe and
reliable system.

The system is easily operated by just two key settings on Dialog+

safety. More time remains for the patients.

Studies show the outstanding results of the use of the

bioLogic RR® Comfort: Continual improvement of the quality of treatment

Simple operation

Reduction of treatments with hypotensive

episodes (HE) by 52 %

Reduction of treatments with at least one

HE symptom by 82 %

Reduction of treatments with at least one

HE-induced therapeutic measure by 64%

You can also get detailed information from the separate brochure on Source: Roeher O, Schmidt R, Korth S et al.: bioLogic RR® Comfort reduces
bioLogic RR® or on the website www.bioLogicRRcomfort-bbraun.com hypotensive episodes in patients prone to intradialytic hypotension. 38th
Congress of the German Society of Nephrology, Munich, 2007
8
Therapy management

Single-Needle Cross-Over
The Single-Needle Cross-Over (SN-CO) name is derived from
the control’s special feature: Upon reaching a certain switch-
over or control pressure, the opposite hose clamp closes and
the other phase begins. Hence, the clamps’ control is carried
out crosswise: “Cross-Over”

Unique pressure-pressure controlled SN process

operating pumps
Virtually constant pressure in the dialyser
Minimum recirculation
Low impact on shunt as a result of indirect blood transport
More than 15 years of market experience

HDF online HDF online Advantages

solution created online in the dialyser for very high treatment

The Dialog+
processes with minimal follow-up costs thanks to a long-life

for one-time consumables.

Economic advantages: Treatment advantages of the HDF online procedure:

As-needed prompt self-production of the required online High clearance in the area of small and medium
substitution solution. molecular urea substances.
Greater circulation stability during treatment.
preparation of the HD, HDF and HE treatments.
pre-dilution modes.
HD mode without additional disposables, thus saving on Quick and safe administration of infusion bolus in
saline bags. HD, HDF and HE modes.

9
Process optimisation

Intuitive operation
The long-established touch screen of the Dialog+ with its
unique interface convinces users from day one. The operating
rst-time users to become quickly acquainted
with using the machine.

Self-explanatory symbols
Overview and structured guidance through user menus
Online help function.

The 15’’ TFT monitor can rotate, to face the operator,

allowing the nurse, patient, doctor or technician to easily
read information from any position without moving the
monitor.
Signal lamps on the left and right of the monitor indicates
the conditions :
les • Green = Operation
The Dialog + ers six freely combinable
les. These can be set individually according to the needs of • Yellow = Warning/Note
the patient. • Red = Alarm
le
le
le
le
le
le

Nexadia®:
Our innovative and intelligent Nexadia® data management
system helps to simplify dialysis processes considerably and
facilitates preparation of the documentation required for quality
management. Nexadia® provides efficient support in your
everyday practice routine.

You can also get detailed information from the separate

brochure on Nexadia® or on the website www.nexadia-bbraun.com

10
Service

A trusted partner for our customers

t from the comprehensive expertise of one of

the leading medical companies worldwide through personal and
individual services:

We are with you whenever you need our support and expertise.

Intensive consultation regarding investments.

Samples, guidance on site, continuing education programs
and continuous support.
Comprehensive technical service and support.
erings: Product and user training,
At all times … ed further training on medical topics.

we are there for you!

11
Important information at a glance
General data

Nominal voltage: 230V ±10% (option: 120/240V) Dialysis fluid: Bicarbonate or acetate
Nominal frequency: 50Hz / 60Hz ±5% Temperature working range: Selectable between +33 and +40°C
Nominal current (max.): max. 11A for 230V or 16A for 120V Conductivity processing: conductivity regulated
Temperature – compensated (reference temperature 25°C)
Battery operating - Auto switch over
Working range: - Conductivity of bicarbonate 2 to 4 mS/cm (20-40mmol/l)
( In case of mains power failure) - At least 20 minutes
- Continous charging or 4 to 7 mS/cm (40-70mmol/l)
- Total conductivity 12.5 to 16mS/cm
Dimensions (W x D x H): approx. 510 x 637 x 1678 mm (125-160mmol/l)
Weight (empty): approx. 85kg in the basic design
Measurement tolerance: ±0.2mS/cm
Water intake: Water suitable for dialysis Flow: 300 to 800ml/min, continuously adjustable
Pressure range: 0.5 to 6 bar Bicarbonate mixing ratio: Adjustable
Temperature range: +10 to +30°C Tolerance: ±5%
Blood leakage detector:
Concentrate supply: Canister/central supply/bicarbonate cartridge
Alarm limit value: > 0.50 ml/min (HCT 45%), > 0.35 ml/min (HCT 25%)
Pressure range: 0 to +1 bar
Standards: EN 60601-1: (IEC 601-1) - volume regulated through the balance chamber,
EN 60601–2–16: (IEC 601-2-16)
EN 60601–1–2: (IEC 601–1–2)
Working range: 0 to +4000ml/h
Produced in conformity with directive 93/42/EEC Measurement tolerance: 0.2 ml per chamber cycle, UF-pump tolerance <1%
Degassing device: mechanical, through regulated degassing low pressure

Extracorporeal circulation Disinfection

Blood pump: 2-roll pump Chemical disinfection/cleaning: automatic running of program with minimal
Transportation rate: 50 to 600ml/min free rinse time; various disinfection means may
Transportation tolerance: < 10% with pressure up to -150mmHg be installed.
Heparin pump: injection pump for 10, 20 and 30ml syringes
Transportation rate: 0.1 to 10 ml/h Thermal disinfection/cleaning: automatic running of program at approx. 85°C
Heparin stop time: 0:00 – 10: 00 (h:min) Central thermal/chemical for cleaning/rinsing the feed connection
Heparin bolus volume: 0.1 – 10.0ml Cleaning/rinsing: for the device with simultaneous chemical or
Transportation tolerance: < 10% thermal (>85°C) disinfection of the ring
Safety air detector: Ultrasound measurement in the tube connection
Protection system: Ultrasound detector, automatic cyclical testing
during the entire operating phase
Memory storage of disinfection History of 150 disinfections with online HDF up to
Pressure measurement at the
data: 500 disinfections.
arterial feed into the dialyser
(PBE) Working area: 0 to +700 mmHg
Measurement tolerance: ±10 mm Hg Switch-off
Auto program: Switch-off and on
Arterial input pressure measurement
Weekly program
(PA) working area: -400 to +400mmHg
Measurement tolerance: ±10mmHg
Display range: -400 to +400mmHg

(PV) working area: 20 to +390mmHg

Measurement tolerance: ±10 mm Hg
Display range: -100 to ≥ +400mmHg
Transmembrane pressure (TMP)
(TMP) Working area: -10 to +300mmHg
Display range: -100 to ≥ +500mmHg
Pressure measurement: Digital quasi – analogue display (PA/PV/TMP)

Machine Item number* Option Item number Accessories Item number

Dialog+ (Single pump), Bic 710200C Dialog computer interface 7107218 Box 7107320
Dialog+ (Dual pump) 7102013 Crit-Line interface 7106604 Box comfort 7107322
Dialog+ (Dual pump), Bic 710201C Nexadia® BSL 7102230 Monitor tray 7102872
Dialog+ HDF-online 7102072 Card reader (includes 5 cards) 7105230 Protocol storage 7102873
Option Item number Patient treatment card (5 pieces) 7105232 Flat combination storage facility 7102890
Adimea 7102233 Bicarbonate cartridge 7105171 Universal socket storage 7105500
bioLogic RR® Comfort f. Card Reader 7105324 Centralised supply of concentrate 7105196
ABPM 7102226 7102102
Emergency current supply 7102244 7102315
Accessory set Dialog+ 38243970 Roll runner for pump segment 7x10 7102340

B. Braun Avitum AG | Schwarzenberger Weg 73-79 | 34212 Melsungen | Germany

Tel. +49 5661 71-2624 | Fax +49 5661 75-2624 | [email protected] | www.bbraun-dialysis.com W. 02.04.10/1 Nr. 708 1009A Edition: 04/2010