The Smart, Simple Solution for Home Hemodialysis (HHD)
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Leading the way in Home Hemodialysis
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We believe in putting patients first and providing options to help navigate through the different stages of the dialysis journey
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At home
Traveling
Nx2me
Connected Health
®
Versi Screen
Fluid Warmer
Pre-mixed bags
Dimensions
Using the Nx2me app, patients can electronically record their flowsheet information, including blood pressure, pulse, and medications.
Data is automatically recorded from the Cycler, such as rates, volumes,
and pressures.
Once the treatment is complete, the finished flowsheet is securely submitted to the Clinician Portal, so healthcare providers can view, track, and monitor completed treatment data for their patients.
Nx2me Connected Health
®
The Express Fluid Warmer delivers warmed dialysate from the dialysate bags to the cartridge.
Fluid Warmer
Pre-mixed dialysate provides mobility for patients within the home and when they travel.
This option provides critical access to dialysate in the event of a loss of clean source water due to an emergency situation.
Pre-mixed bags
18" H
15" W x 15" D
Dimensions
Traveling
Nx2me
Connected Health
®
PureFlow™ SL
Versi Screen
Cartridge
Dimensions
Using the Nx2me app, patients can electronically record their flowsheet information, including blood pressure, pulse, and medications.
Data is automatically recorded from the Cycler, such as rates, volumes,
and pressures.
Once treatment is complete, the finished flowsheet is securely submitted to your care team.
Patients can speak with Technical Support specialists 24/7 directly from the app via a Link session.
Nx2me Connected Health
®
PureFlow™ is designed, tested, and validated to produce ultrapure water from tap water, accommodating most home water sources.
Roughly the size of an end table, it minimizes the need for delivery, storage, and disposal of prefilled bags.
Unlike conventional water-treatment systems that require plumbing modifications, PureFlow™ needs only a simple faucet or under-sink hook-up while dialysate is prepared.
And a prepared batch lasts 96 hours—so a patient can do multiple treatments on a single PureFlow™ batch.¹
1. Data on file. NxStage Medical, Inc. 2021.
PureFlow SL
™
Touchscreen is designed to be intuitive and user-friendly, allowing for responsive key presses and advanced on-screen displays.
Touchscreen buttons illuminate to show when they can be adjusted or pressed during operation. Only icons that can be pressed are highlighted on the screen.
Touchscreen lock automatically engages after 60 seconds of inactivity to prevent inadvertent screen presses
Versi Screen
Pre-attached dialyzer reduces the potential risk of touch point contaminations.
Drop-in sterilized cartridge is a closed system, without a blood-air interface, designed to reduce the need for anticoagulants during treatments.¹
The entire blood flow and dialysate pathways are disposable; there’s no need for long post-treatment heating or disinfection with dangerous chemicals.
The Cycler can simply be wiped down, and the cartridge thrown away.
1. Data on file. NxStage Medical, Inc. 2021.
Cartridge
26" H
20" W x 19" D
18" H
15" W x 15" D
Dimensions
At home
Versi HD Features
Easy set-up at home or on the go
Hemodialysis involves getting your blood through what's called an access site, typically a fistula, a graft, or a catheter.
Benefits
Data collected by the Nx2me app includes:
• Electronic flowsheets are created directly from the cycler eliminating the burden of completing paper flowsheets
• Patient weight, blood pressure, and temperature
• Medication taken
• Notes and health assessments
• Virtual Sessions for remove troubleshooting
• Picture attachments to flowsheets
• Alarm troubleshooting
Captured treatment information
Nx2me also offers Patients
Cycler
Patient iPad App
Electronically record your flowsheet information, including blood pressure, pulse, and medications.
Patient iPad App
The cycler transmits information, such as rates, volumes, and pressures, to the app during treatment
Cycler
The connected health platform that makes it easy to communicate and share with your care team.
Nx2me Connected Health
®
Patients should review the following information carefully and discuss it with their doctors
to decide whether home hemodialysis with NxStage systems is right for them.
Contact Us
Contact Us
Medical staff will not be present to respond to health emergencies that might happen during home treatments, including, among other things, dizziness, nausea, low blood pressure, and fluid or blood leaks.
Users may not experience the reported benefits of home, more frequent, or nocturnal hemodialysis with the NxStage systems.
The NxStage systems require a prescription for use.
If a doctor prescribes home hemodialysis more than 3 times a week, vascular access is exposed to more frequent use which may lead to access related complications, including infection of the site. Doctors should evaluate the medical necessity of more frequent treatments and discuss the risks and benefits of more frequent therapy with users.
If a doctor prescribes “solo/independent” home hemodialysis without a care partner during waking hours, risks of significant injury or death increase because no one is present to help users respond to health emergencies. If users experience needles coming out, blood loss, or very low blood pressure during solo/independent home hemodialysis, they may lose consciousness or become physically unable to correct the health emergency. Users will need additional ancillary devices and training to perform solo/independent home hemodialysis.
If a doctor prescribes “nocturnal” home hemodialysis at night while the user and a care partner are sleeping, risks increase due to the length of treatment time and because therapy is performed while the user and a care partner are sleeping. These risks include, among other things, blood access disconnects and blood loss during sleep, blood clotting due to slower blood flow or increased treatment time or both, and delayed response to alarms when waking from sleep. A doctor may need to adjust users’ medications for nocturnal home hemodialysis, including, among other things, iron, Erythropoiesis-Stimulating Agents (ESA), insulin/oral hypoglycemics, anticoagulants, and phosphate binders.
© 2022 Fresenius Medical Care. All Rights Reserved. Fresenius Medical Care, NxStage, VersiHD and Nx2me Connected Health are trademarks of Fresenius Medical Care Holdings, Inc. or its affiliated companies. All other trademarks are the property of their respective owners. APM4390 Rev A.
What is hemodialysis, and how does it work?
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What does being home with NxStage mean to some patients?
67% of surveyed current home hemodialysis patients would choose solo HHD over 3x per week in-center, and possibly experience greater independence and treatment flexibility.†
Whether you're a current home hemodialysis (HHD) patient, in-center patient, or just starting your journey with kidney disease, the choice is clear; NxStage is the Smart, Simple Solution.
NxStage systems are the only HHD machines cleared in the U.S. for solo & nocturnal treatments.
1
2
3
4
Solo HHD
Nocturnal HHD
Fluid and toxin removal with more frequent nocturnal HHD is closer to
that of a healthy kidney, which works
24 hours a day, 7 days a week.²
Nocturnal HHD
Solo HHD
Additional resources
1
HHD follows a similar treatment procedure as in-center hemodialysis but is usually done in the comfort of your home, and more frequently,
5 or 6 days a week.*
2
4
3
1. Chedid A, Knicely DH. Overview of Benefits and Limitations of Home Hemodialysis. In: Knicely DH, Abdel-Rahman EM, Greenberg KI, eds. Handbook of Home Hemodialysis. New York, NY: McGraw Hill; 2021
years* dialysis experience
15+
million treatments and counting*
21+
Happy patients
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When it comes to self-care, no one knows your body, comfort levels, and preferences better than you. Administering treatments yourself means you aren’t just “along for the ride” you’re playing a proactive role in your therapy.
Without a nurse, care partner, or dialysis clinic impacting treatment times, your schedule is your own. You, along with your doctor and care team, can choose to do dialysis when it works best for you, your family, your job, etc
Dialysis patients can sometimes feel like a burden to those around them. Solo HHD means counting less on others and more on yourself. It means more freedom for you and your friends and family.
Greater control and ownership of your care
Increased scheduling independence and flexibility
Less reliance on
friends and family
What are some of the reasons patients might choose solo HHD?
Greater control and ownership of your care
While daytime HHD sessions typically last 3 to 4 hours, nocturnal therapy sessions are usually 6-8 hours in duration. Nocturnal HHD treatments are also generally performed 4-6 times per week (all treatment times will vary depending on your prescription)
Fluid and toxin removal with more frequent nocturnal HHD is closer to that of a healthy kidney, which works 24 hours a day, 7 days a week. With these extended treatments, you may experience less toxin and fluid build-up, have shorter post-dialysis recovery time after treatment, and have more energy.
Increased scheduling independence and flexibility
What are some of the differences between more frequent Daytime HHD and Nocturnal HHD?
Read MORE
How It Works:
Over 70% of NxStage users travel*
Why NxStage
HHD Systems?
NxStage systems are the only home hemodialysis machines weighing less than 80 pounds, making them the most portable HHD cyclers for those who love to travel.
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Pre-mixed bagged dialysate
NxStage systems are the only HHD machines cleared in the U.S. that can use pre-mixed bagged dialysate to avoid missing treatments during emergency loss of water or planned travel.
Cycler and PureFlow™ equipment swaps
24/7 support
Our service model is equipped to handle cycler and PureFlow equipment swaps within 24 hours to minimize treatment disruption.
Technical Support and on-demand chat with a support specialist via Nx2me Connected Health® Link.
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Users should weigh the risks and benefits of performing home hemodialysis with NxStage systems.
Users should weigh the risks and benefits of performing home hemodialysis with NxStage systems.
Medical staff will not be present to perform home treatments. Users will be responsible for, among other things, equipment setup, needle insertions, responding to and resolving system alarms, system tear-down after treatment, monitoring blood pressure, ensuring proper aseptic technique is followed, and following all the training material and instructions that nurses provide.
Users will be responsible for all aspects of their hemodialysis treatment from start to finish.
Users will need a trained care partner to be present during your treatment at home (unless their doctor prescribes “solo/independent” home hemodialysis, described to the right).
Users must have a clean and safe environment for their home treatments.
Users will need space in their home for boxes of supplies necessary to perform home hemodialysis with NxStage systems.
Users will need additional resources to perform home hemodialysis.
Talk to a Patient Consultant
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Atlas, a healthier,
more balanced lifestyle
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Patient Stories, hear from our patients
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Traveling with the NxStage systems
What is home hemodialysis, and how does it work?
What is home hemodialysis, and how does it work?
What is more frequent HHD, and how does it work?
™
Touchscreen is designed to be intuitive and user-friendly, allowing for responsive key presses and advanced on-screen displays.
Touchscreen buttons illuminate only when they can be adjusted or pressed during operation.
Touchscreen lock automatically engages after 60 seconds of inactivity to prevent inadvertent screen presses
Versi Screen
Watch Video
Pre-attached dialyzer reduces the potential risk of touch point contaminations.
Drop-in sterilized cartridge is a closed system, without a blood-air interface, helping to reduce the need for anticoagulants during treatments.¹
The entire blood flow and dialysate pathways are disposable, there’s no need for long post-treatment heating or disinfection with dangerous chemicals.
The Cycler can simply be wiped down, and the cartridge thrown away.
Pre-attached dialyzer reduces the potential risk of touch point contaminations.
Pre-attached dialyzer reduces the potential risk of touch point contaminations.
Drop-in sterilized cartridge is a closed system, without a blood-air interface, helping to reduce the need for anticoagulants during treatments.¹
Touchscreen is designed to be intuitive and user-friendly, allowing for responsive key presses and advanced on-screen displays.
Touchscreen buttons illuminate only when they can be adjusted or pressed during operation.
Touchscreen lock automatically engages after 60 seconds of inactivity to prevent inadvertent screen presses
Touchscreen is designed to be intuitive and user-friendly, allowing for responsive key presses and advanced on-screen displays.
Touchscreen buttons illuminate only when they can be adjusted or pressed during operation.
PureFlow™ is designed, tested, and validated to produce ultrapure water from tap water, accommodating most home water sources.
PureFlow™ is designed, tested, and validated to produce ultrapure water from tap water, accommodating most home water sources.
PureFlow™ is designed, tested, and validated to produce ultrapure water from tap water, accommodating most home water sources.
Using the Nx2me app, patients can electronically record their flowsheet information, including blood pressure, pulse, and medications.
Data is automatically recorded from the Cycler, such as rates, volumes,
and pressures.
Touchscreen is designed to be intuitive and user-friendly, allowing for responsive key presses and advanced on-screen displays.
Touchscreen is designed to be intuitive and user-friendly, allowing for responsive key presses and advanced on-screen displays.
* NxStage Data on File, October 2021.
† NxStage data on file, April 2017. Survey conducted in 2017 in 142 current home HD patients. After explaining solo HD
and its risks, 67% of surveyed patients were already performing solo or would do solo HD if they no longer had a care partner.
*NxStage Data on File, October 2021.
*NxStage Data on File, October 2021.
*NxStage Data on File, October 2021.
† NxStage data on file, April 2017. Survey conducted in 2017 in 142 current home HD patients. After explaining solo HD and its risks, 67% of surveyed patients were already performing solo or would do solo HD if they no longer had a care partner.
*NxStage Data on File, October 2021.
*Data on file, Nov. 2021
² Daugirdas, John T.; Blake, Peter G.; and Ing, Todd S., "Handbook of Dialysis (5th ed.)" (2015)
1. Chedid A, Knicely DH. Overview of Benefits and Limitations of Home Hemodialysis. In: Knicely DH, Abdel-Rahman EM, Greenberg KI, eds. Handbook of Home Hemodialysis. New York, NY: McGraw Hill; 2021
² Daugirdas, John T.; Blake, Peter G.; and Ing, Todd S., "Handbook of Dialysis (5th ed.)" (2015)
When treating at home, patients are not constrained by the schedule of a dialysis center, and physicians have more flexibility to tailor dialysis prescriptions to patients' individual clinical and quality of life needs.
When treating at home, patients are not constrained by the schedule of a dialysis center, and physicians have more flexibility to tailor dialysis prescriptions to patient's individual health and lifestyle needs.
More frequent hemodialysis may lead to improved health and quality of life outcomes compared to traditional 3 times per week in-center therapy.¹[CEROS OBJECT]
1. Chedid A, Knicely DH. Overview of Benefits and Limitations of Home Hemodialysis. In: Knicely DH, Abdel-Rahman EM, Greenberg KI, eds. Handbook of Home Hemodialysis. New York, NY: McGraw Hill; 2021
More frequent hemodialysis may lead to improved health and quality of life outcomes compared to traditional 3 times per week in-center therapy.¹