Refurbished Fresenius 4008S (NG) Dialysis Machine

Fresenius 4008S (NG) Dialysis Machine, Operational efficiency Hemodialysis involves a large number of demanding manual operations all around the hemodialysis machine. The ergonomic design and the logical operating structure of The Next Generation 4008S permit easy handling as well as fast and intuitive programming of the treatment parameters. Important treatment values are represented graphically on the 10.4” TFT-LCD monitor, which supports easy comprehension of the ongoing treatment, and provides a fast overview of the treatment history. The Blood Pressure Monitor (BPM) is fully integrated, which further simplifies handling for the therapy providers. In combination with the Therapy Data Management System (TDMS), daily dialysis practice can be organized in a more effective and efficient manner taking full advantage of online data acquisition and management tools.

OCM® – Online Clearance Monitor

In the meantime, numerous studies have demonstrated that morbidity and mortality rates are closely correlated to the delivered dialysis dose.2,3 The Online Clearance Monitor (OCM®) enables the continuous monitoring of:

•  The effective in-vivo urea clearance (K)
•  The accumulated cleared plasma (Kt) or the current dialysis dose administered (Kt/V)
•  The plasma sodium concentration: possible deviations to the prescribed therapy goal can be detected and corrected immediately during treatment* without incurring additional expenses for disposables or staff efforts
  The non-invasive and precise Kt/V assessment is consistent with conventional blood sample-based methods enabled by urea distribution volume V measured with the BCM-Body Composition Monitor.

Diasafe® plus – Dialysis Fluid Filter

The quality and purity of the dialysis fluid are of major concern in modern-day renal replacement therapies, as large volumes of dialysis fluid come into contact with the patient’s bloodstream during each treatment. Endotoxins present in contaminated dialysis fluid may elicit undesirable acute reactions and influence the long-term outcome of patients on chronic hemodialysis. The DIASAFE® plus dialysis fluid filter enables the production of ultrapure dialysis fluid. This is attributed to the excellent endotoxin-retention capabilities of its Fresenius Polysulfone® fibers and an intelligent safety concept, based on:

• Functional control of filter integrity
• Automatic surveillance of filter lifetime
• Aseptic connection technology

Ultrapure dialysate fluid is acknowledged to be an integral part of all contemporary dialysis equipment. Naturally the DIASAFE® plus is an essential part of the basic configuration of all current Fresenius Medical Care dialysis machines.

bibag® – Dry Bicarbonate Concentrate

To avoid the potential risk of microbiological contamination through liquid bicarbonate concentrate, the bicarbonate buffer is always supplied as a dry substance. In addition to this excellent hygienic standard, the bibag® is characterized by

• Easy and ergonomic handling
• Minimum storage space required
• Ecological benefits due to reduced waste volume and less transport weight

Quality treatment to suit your budget quality

Almost one in two patients with ESRD dies as a result of cardiovascular disease. That is why Cardioprotective Hemodialysis is a core principle of Fresenius Medical Care, as we work and strive to solve the challenges of modern dialysis. Each step we take is focused on minimizing cardiovascular risks and extending patients’ lives. The Next Generation 4008S continues the success story of the well-known 4008 series, by combining best quality HD treatment, proven reliability, and operational efficiency.

Proven quality

The latest member of a long-established and highly successful 4008 series

• Advanced dialysis fluid circuit with highly-precise volumetrically controlled ultrafiltration
• Consistently reliable hydraulics

Advanced treatment

High-quality HD treatment to protect your patient

• OCM^® (Online Clearance Monitor)
• DIASAFE^® plus (Dialysis Fluid Filter)
• bibag^® (Dry Bicarbonate Concentrate)
• Single needle or SN Click-Clack
• ISO-UF program

Operational efficiency

Cost-effective use of resources

• Easy, fast, and intuitive handling
• TDMS (Therapy Data Management System)
• BPM (Blood Pressure Monitor)
• CDS (Central Concentrate Delivery System)
• Adapted flow

General data

General data
Dimensions 4008SWeight	1370 x 500 x 650 mm (H x W x D) (including shunt interlock and pedestal) approx. 86 kg
Water supply
Water inlet pressure	1.5 to 6.0 bar
Water inlet temperature	5°C to 30°C; for “integrated hot rinse” 85°C to 95°C
Max. drain height	1 m
Concentrate supply
Supply pressure	0 to 100 mbar; 1 m max. suction height
Central supply	1 central acid concentrate (optional) 0 to 500 mbar
Electrical data
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)