Dialysis System
DBB-07
The flexible solution
Innovations for Human Care. 0123
Times are changing,
we have the solution.
DBB-07 Dialysis System
The challenge Nikkiso´s approach
The demand of dialysis treatment methods should consider the The DBB-07 is the next step in our customer focused development
growing number of patients and aging patients worldwide. program to fulfil your requirements for performing HD and Online HDF
Furthermore, the patients often suffer from several concomitant in an economical way.
diseases. Considering this and the limited resources available to the
health care, modern dialysis treatment methods have to be offered at The proven hydraulic system of the DBB-05 Dialysis system
a reasonable price. guarantees the reliability of the dialysis system and minimization of
the follow-up costs. For the DBB-07 Dialysis system, the hydraulic
The general situation in the European health care is subject to system has been upgraded with an additional EF-02D dialysis fluid
constant pressure to reduce expenses and this also affects you as a filter. Both integrated EF-02D dialysis fluid filters ensure a quality
nephrologist and the dialysis treatments you are performing. of dialysis fluid and substitution fluid complying with international
standards*.
The DBB-07 Dialysis system has the advantages of a maximised
operating life and minimum maintenance and repair requirements. The user interface, which is identical to the ones of DBB-05 and
DBB-06, ensures a quick and easy learning of the system, less
The uniformed designed disposables for the DBB-0X series gives you need for training, and a seamless integration into an existing
purchasing and logistical advantages. NIKKISO machine fleet.
All those benefits help you to reduce your treatment costs. The reliability of our machines is enhanced through our network
of selected co-operation partners which guarantee comprehensive
service and excellent support. Therefore, your machine fleet works
reliably with minimal costs.
* ISO 11663:2009; Quality of dialysis fluid standard for
haemodialysis and related therapy
DBB-07 Series
• Flexible for all treatment modes
• High dialysis standard with Online HDF
• Cost-effective
• Level adjustment via touch screen
• Rotatable touch screen
• Optional modules
DBB-07, Type E
Flexible double pump system with two
connections to the central concentrate
system
Type E fits perfectly in dialysis centres
equipped with central concentrate sys-
tems and allows an easy and comfortable
selection between two different types of
concentrates directly via touch screen.
The option for acetate-free biofiltration
(AFBF) is also available for type E.
DBB-07, Type D
Flexible double pump system for
advanced treatment modes
Type D enables effective single-needle
treatments in double pump mode. The
option for acetate-free biofiltration (AFBF)
is available for type D.
DBB-07 Dialysis system
A flexible dialysis system to
drive advanced treatments
The modules of the DBB-07
Active blood pressure measurement
Active blood pressure measurement
Safety ensured by continuous measurement
If desired, continuous blood pressure measurement (BPM) can be
carried out during the treatment.
On the screen, you can follow the blood pressure course chronologi-
cally. An automatic deactivation of the UF rate also occurs when the
selected pressure limits are reached.
Haemo-Master
Haemo-Master
Fewer complications during treatment
Unforeseen complications during the dialysis session occur in up to
30% of all treatments. Roughly half of all episodes are caused by
hypotensions.
Haemo-Master, the advanced blood volume measurement (BVM) op-
tion, measures the relative plasma volume during the treatment. The
UF rate and sodium concentration in the dialysis fluid are regulated as
a feedback system. Thus, hypotensive episodes are either reduced or
prevented altogether.
Display of the current Kt/V value
Dialysis Dose Monitor
Reaching treatment goals through Kt/V measurement
Kt/V is seen as a central quality parameter for the quantification of the
delivered dialysis dose. In some countries Kt/V is used as a parameter
for the evaluation of dialysis quality as well as for the reimbursement.
The main objective is to optimise the delivered dialysis dose and to en-
able you to create a complete documentation of the dialysis efficiency.
The optional Dialysis Dose Monitor (DDM), with the real continuous
measurement of blood urea nitrogen (BUN) correlated substances, can
help you achieve your treatment goals.
External scale
External scale for HDF/HF/AFBF with
solution bags
Be flexible for the right treatment
The external scale offers at the moment the most flexible
system in the market. The DBB-07 with external scale can
perform online treatments but also HDF, HF and AFBF
treatments with solution bags.
The acetate-free biofiltration (AFBF) is a special kind of
treatment without acetate and bicarbonate in the dialysate.
The patient blood level of bicarbonate will be exactly con-
trolled by the external scale.
This ensures an optimal correction of the metabolic acidosis.
The AFBF therapy is accepted to be biocompatible.
Network connection
Be connected
The DBB-07 offers all common interface formats for connection of
medical information systems. Data and information from the treat-
ment procedure are sent easily and conveniently to your office via
the clinic network.
NIKKISO is cooperating with MedVision AG, a specialist in medical IT-
solutions.
Please contact your NIKKISO representative.
Hydraulic system of DBB-07 with Cost-effective steam sterilized
two dialysis fluid filters EF-02D substitution line C07J-P
dialysis fluid
substitution
dialysis water
fluid
B-concentrate A-concentrate
DBB-07 Dialysis System
Resource-saving appliance management
Auto-Flow-Reduction in standby mode
Maximum possible reduction of dead spaces in the hydraulic system (total volume only 1.7 litres)
Optimised energy use as standard via integrated heat exchangers between in- and out-flow
Appropriately sized user display with selectable screensaver and movement notification
Eco-friendly concentrate-, water- and energy-saving mode
Standard features Options
Safety Treatment quality
Dialysis fluid leakage sensor External scale - HDF / HF / AFBF (Acetate-Free Bio
Dialyzer inlet blood pressure monitoring Filtration) with solution bags
Level adjustment via touch screen
Haemo-Master (BV-UFC/COC) - Blood volume
Battery backup of extracorporeal circuit measurement with active regulation of the UF
rate and conductivity in the dialysis fluid
Hygiene Blood pressure monitor (BPM) - Continuous measure-
Double filter (cascade) for dialysis fluid and substitution fluid ment with display of the blood pressure course on the
Patented Clean coupling® to optimise dialysate purification monitor, automatic deactivation of the UF rate when
the selected limits are reached
Holder for standard bicarbonate cartridges
Disinfectable concentrate suction nozzles Dialysis Dose Monitor (Kt/V)
Treatment quality Usability
Online HDF / HF in pre- and post-dilution mode
Network – Integration of the dialysis system into the
Online Kt/V calculation clinic network
Usability
Saline-free online priming of the extracorporeal circuit
Serial data interface / Connection to nurse call
Integrated service mode for function analysis
Clearly visible status display
Central concentrate system for two concentrate
connections (CCS)*
* only type E
Purification of dialysate
During treatment Rinse/Disinfection Clean coupling®
This special design cleans and disinfects
the sealed part of the dialyzer coupling,
optimising the cleaning of the dialysate.
Technical information
General information Extracorporeal circuit
Dimensions 146 x 39 x 48 (HxWxD in cm) Arterial pressure Measurement range: -300 to +300 mmHg
basis: 49 x 75 (WxD in cm) Measurement accuracy: ±10 mmHg
Weight approx. 95 kg standard system Venous pressure Measurement range: -200 to +500 mmHg
(approx. 100 kg with optional extras) Measurement accuracy: ±10 mmHg
Power supply 220/230/240 V AC, ±10 % (≈ 10 A) Dialyzer inlet blood Measurement range: -200 to +735 mmHg
50/60 Hz, ±1 Hz pressure Measurement accuracy: ±10 mmHg
Back-up battery Ni-MH battery Arterial blood pump Setting range: 40 to 600 mL/min
(pump 1) Flow rate accuracy: ±10 %
24 V, 1.9 Ah
Water supply Pressure : 1 to 7 bar at 800 mL/min Heparin pump Setting range: 0.0 to 9.9 mL/h
Temperature: 5 to 30 °C Output rate accuracy: ±5 %
Drain max. 800 mL/min Bolus amount: 0.0 to 9.9 mL
Connection height: max. 50 cm Syringe type: 30/20mL, 10mL (optional)
Concentrate Central concentrate supply Air detector Method: ultrasonic waves
Sensitivity: 0.02 mL (normal air bubble)
Inflow pressure 0 to 0.5 bar Blood flow rate: 250 mL/min;
External Status display 0.0003 mL (microbubbles: blood/air mixture)
(External status monitor display) Blood flow rate: 250 mL/min
connections
Alarm output Online HDF/HF Setting range: 0.00; 0.10 to 18.00 L/h (Online HDF)
(Staff call) Substitution fluid 0.00; 0.10 to 30.00 L/h (Online HF)
Alarm input pump (pump 2)
(for connection to an external device)
Nurse call Hydraulic circuit
(for external pushbutton switch)
Output Dialysis fluid Setting range: 300 to 700 mL/min
(for external auxiliary equipment) Temperature: 34.0 to 40.0 °C
RS-232 interface 1 Acetate dialysis Setting range: 12.5 to 15.5 mS/cm
(BVM data and service interface)
RS-232 interface 2 Bicarbonate dialysis Setting range: 2.3 to 7.0 mS/cm
(treatment data interface)
Ultrafiltration Setting range: 0.00; 0.10 to 4.00 L/h
Accuracy: ±30mL/h
(at dialysate flow rate 300 to 500mL/min)
Treatment modes ±0.1% of the dialysate flow rate
(at dialysate flow rate 501 to 700mL/min)
Acetate dialysis Blood leak detector Method: optical detector
Sensitivity: 0.5 mL blood/1L dialysate
Bicarbonate dialysis with powder or fluid bicarbonate concentrate (blood: haematocrit 20 %; dialysate temperature: 37 °C)
0.40 mL blood/min (max. flow rate: 700 mL/min)
Single-needle (double pump or single pump)
ISO-UF program (sequential UF) Cleaning and disinfection
Online haemo(dia)filtration Rinsing
Haemo(dia)filtration with scale Sodium hypochlorite, acetic acid, peracetic acid
Acetate-free biofiltration Heat cleaning > 85 °C
UF, sodium and bicarbonate profiles Citro-thermal disinfection > 85 °C
©
NIKKISO Europe GmbH; DO-F113-00;
Release 04/2017; Version 7.4; 0123
Always close to you
Competent partners
For all questions concerning dialysis and our products, please contact us or our local partner:
www.nikkiso-europe.eu
© NIKKISO Europe GmbH; DO-F113-00;
0123
Manufacturer European Authorized Representative Local partner
Release 04/2017; Version 7.4;
NIKKISO CO., LTD. NIKKISO Europe GmbH
20-3, Ebisu 4-Chome, Shibuya-ku Desbrocksriede 1
Tokyo 150-6022, Japan D-30855 Langenhagen
Telephone: +81-3-3443-3727 Telephone: +49 511 679999 - 0
Fax: +81-3-3440-0681 Fax: +49 511 679999 - 11
Website: www.nikkiso.com E-Mail:
[email protected] Website: www.nikkiso-europe.eu
