Haemodialysis Machines
Volumetrically precise HD and HDF machines for hospital dialysis units — from 2-chair satellites to 20-station centres.
Three sessions per week. Four hours per session. For the rest of the patient's life. The machine cannot fail.
Fresenius Medical Care (Germany) and Nipro Corporation (Japan) haemodialysis machines deliver volumetrically precise ultrafiltration, online haemodiafiltration (HDF), automated self-disinfection and patient-specific prescription programming — configured for African dialysis units from 2-chair satellite rooms to 20-station hospital centres. Fresenius Medical Care's 5008S CorDiax and 6008 platforms lead the global HD market in clinical outcome data; Nipro's SURDIAL-55plus provides a cost-effective CE-marked alternative for budget-constrained health systems. Both are specified for African operating conditions: power-failure safety protocols, voltage surge protection, compatibility with variable water supply quality and simplified alarm structures for environments where biomedical engineer response may be delayed. Jos•Hansen supplies, installs, commissions and maintains haemodialysis machines across East and Southern Africa — covering water system integration, biomedical technician training and ongoing preventive maintenance from a single service agreement.
Volumetric ultrafiltration precision — ±1% accuracy every session
HD requires the machine to remove exactly the prescribed fluid volume — typically 2–4 litres — from a cardiovascular-compromised patient. Too much causes intradialytic hypotension; too little leaves the patient fluid-overloaded between sessions. Fresenius 5008S and Nipro SURDIAL deliver ±1% volumetric ultrafiltration control — the precision that achieves prescribed fluid balance without the hypotension events that characterise less accurate machines.
Online haemodiafiltration — superior middle molecule clearance
Standard HD clears small molecules by diffusion but cannot clear middle molecules — β2-microglobulin, inflammatory cytokines — that drive dialysis-related amyloidosis and cardiovascular mortality in ESRD. High-volume online HDF combines diffusion and convection to remove middle molecules. The ESHOL trial demonstrated a 30% mortality reduction with HDF versus standard HD. Fresenius 5008S CorDiax delivers high-volume HDF with online substitution fluid generation.
Power-resilient design for African hospital infrastructure
An interrupted HD session is clinically dangerous — a patient on anticoagulation with open vascular access cannot simply disconnect. Fresenius and Nipro platforms activate automatic blood-return sequences within seconds of power loss, preserving circuit safety until power is restored. Wide-range supply (90–265V AC) and surge protection address the grid instability common across East African hospitals.
ESRD in East Africa — what a functioning dialysis unit actually requires.
Fewer than 5% of ESRD patients in sub-Saharan Africa receive dialysis — not for lack of need but lack of infrastructure. A functional unit requires HD machines, AAMI-validated RO water, uninterrupted consumable supply and a trained biomedical technician. Missing any one element halts the programme. Jos•Hansen supplies and maintains all components under a single service agreement.
Dialysis adequacy — Kt/V monitoring every session.
KDIGO 2012 recommends a minimum Kt/V of 1.2 per HD session to prevent uraemic toxin accumulation, hospitalisation and mortality. Achieving adequate Kt/V requires reliable blood flow, correct dialyser selection and full session duration — none of which can be assumed in resource-limited settings. Fresenius 5008S provides real-time online Kt/V calculation, alerting nursing staff to inadequate clearance while session correction is still possible.
Full commissioning — from RO water to first patient session.
Delivering HD machines without commissioning the water system or training staff is equipment in storage, not a dialysis programme. Jos•Hansen covers the complete installation: RO validation to AAMI/ISO 23500, machine IQ/OQ, water quality test reporting, nurse and biomedical technician training, and consumable inventory establishment — with Jos•Hansen engineers present for the first patient session.
Technical specifications.
Platforms
Fresenius 5008S CorDiax · Fresenius 6008 · Nipro SURDIAL-55plus
Ultrafiltration accuracy
±1% volumetric control
Blood flow range
10–500 mL/min
Dialysate flow
300–800 mL/min
Treatment modes
HD · HDF (online) · Haemofiltration · SLED · Paediatric
Power / Safety
90–265V AC · power-failure safe-state · surge protection · CE Marked
Ultrafiltration accuracy — the clinical precision that achieves prescribed fluid removal without the intradialytic hypotension events caused by less accurate machines
Mortality reduction with high-volume HDF versus standard HD — demonstrated in the ESHOL trial — the clinical evidence base for HDF-capable machines
Of sub-Saharan African ESRD patients receiving any form of dialysis — the access gap that makes every functional dialysis machine clinically critical
Why Haemodialysis.
Volumetric precision
±1% ultrafiltration accuracy achieves prescribed fluid removal without the hypotension events caused by imprecise ultrafiltration — every session, every patient.
Power-failure safe state
Automatic blood-return on power loss, voltage surge protection and wide-range supply (90–265V) — safe operation through the grid instability common in East African hospitals.
Online HDF — 30% mortality benefit
High-volume online haemodiafiltration clears middle molecules that standard HD cannot — delivering the ESHOL-proven clinical outcomes to African patients.
Full programme commissioning
Water system validation, machine IQ/OQ, nurse and technician training, consumable inventory — Jos•Hansen delivers a functioning dialysis programme, not just installed hardware.
Related products.
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