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  1. This document outlines some key concepts of hemodialysis therapy with the NxStage System One . It incorporates the perspectives of some of the clinical investigators and advisors to NxStage, and assumes knowledge of the system’s components . For additional details on the system components, see The NxStage

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  2. Learn and see first hand from a home dialysis patient how to use and setup the NxStage System One Cycler, using bagged dialysate and the Express Fluid Warmer...

    • 21 min
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    • Luke Garnes
  3. The NxStage System One is the first and only truly portable hemodialysis system cleared for home use in the United States, including solo hemodialysis during waking hours, and nocturnal hemodialysis, while both the patient and care partner sleep.

  4. NxStage hemodialysis cyclers support individualized and flexible therapies for home hemodialysis, including more frequent, solo, nocturnal, and other custom therapies prescribed based on patient needs .

    • To Begin a Treatment with NxStage
    • Perform a System Check
    • Start the PureFlow and Cycler

    Press TOGGLE and enter the VOLUME. Press TOGGLE; enter RATES for: GREEN ___ YELLOW ___ RED ___ Put on a MASK and GOWN. Wash your hands or use hand sanitizer and put on new gloves. Apply your access site prep. Put on a tourniquet (if used) and do your needle sticks. Tape the needles. Perform a flow check and saline flush. Note the saline flush tim...

    Is RED secured to the bottom needle? Is BLUE secured to the top needle? Are the RED and BLUE lines OPEN to the access arm? Is the SALINE T clamped? Are all GREEN dialysate lines OPEN to the PUREFLOW? OR, If using BAGS, are both clamps open?

    Press GO on the PureFlow 2 times to see PureFlow is ON, Batch in Use. You should see a solid GREEN bar on the PureFlow. Note time remaining. Check that both of the YELLOW WASTE LINES are open. Check that the FILTER PORT has no air. Observe heparin wait time if prescribed. Double check that YELLOW and GREEN rates and volume are entered. Press TREAT...

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  5. System One is a portable hemodialysis system with an interface that allows for easier set-up and is designed for use at home. It provides flexibility to make home hemodialysis (HHD) a practical reality.

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  7. The System One consists of the following elements: A small control unit containing a fluid pump and user interface (cycler). disposable dialyzer and tubing set (cartridge). High-purity fluid (dialysate), prepared by the PureFlowTM SL dialysate preparation system or in premixed bags for travel.

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