Dialysis patients are all too familiar with their treatments’ routine: go to the clinic, get weighed, have their temperature and blood pressure taken, get stuck with needles (unless they have a catheter access), have tubes connected from their dialysis machine, and then sit in the chair until it’s time to go home.

Are you searching for the best dialysis machine brand in India?

To help you combat your problem, We have come up with our reviews about the best dialysis machine, their features and specification. Towards the end, we have also answered some of the most frequently asked questions around this topic. So, read through this article to find your ideal dialysis machine.

When do you get dialysis?

If your kidneys aren’t removing enough waste and fluid from your blood to keep you healthy, you’ll need dialysis which can be done with the help of dialysis machine. This often occurs when just 10 to 15% of your renal function remains. Nausea, vomiting, swelling, and exhaustion are all possible symptoms. Even if you don’t have any of these symptoms, you could have a high amount of wastes in your blood that are potentially hazardous to your body. The dialysis machine mixes and monitors the dialysate. There are two different types of dialysis –

  • Hemodialysis
  • Peritoneal dialysis

What is Dialysate?

Dialysate is a combination of water, electrolytes, and salts. Dialysate cleans your blood inside the dialyzer by eliminating waste materials and balancing electrolytes during dialysis. 

What Is a Hemodialysis Machine?

Hemodialysis is a blood-cleaning treatment that involves the use of a dialysis machine and a specific filter known as an artificial kidney, or dialyzer. The doctor must allow access to your blood vessels in order to get your blood into the dialyzer. This is accomplished with minimal surgery, which is commonly performed on your arm. A hemodialysis machine will filter your blood whether you undergo home hemodialysis or in-center hemodialysis.

In-Center Hemodialysis

Hemodialysis (HD) is a treatment for end-stage renal disease (ESRD), also known as stage 5 chronic kidney disease (CKD), which causes kidney failure. Your blood is filtered outside of your body using a dialyzer or “artificial kidney” to eliminate undesirable waste, poisons, and excess fluids. The words “hemo” means “blood” and “dialysis” means “filter,” respectively. The cleaned blood is then reintroduced into your body. In-center dialysis is performed in a renal dialysis center under the supervision of a medical team.

Advantages

  • All parts of treatment are handled by trained personnel. (Some tasks, such as inserting the needles, you may be able to perform yourself.)

Disadvantages

  • The center schedules treatment days and times.
  • At least three times per week, you must visit the center.

Home Hemodialysis

Home hemodialysis (HD) is a type of dialysis that is used to treat kidney failure, also known as end-stage renal disease (ESRD), which occurs in stage 5 chronic kidney disease (CKD). The essential procedure is the same as in-center hemodialysis, however it is performed in the privacy of your own home using somewhat different equipment.

Advantages

  • Studies demonstrate that undergoing dialysis at home 5-7 times a week has a significant positive impact on all aspects of life, including longevity and survival.
  • There’s no need to go to a dialysis center.
  • Dialysis can be performed in the privacy of your own home.
  • More freedom to schedule dialysis at a time that is convenient for you.

Disadvantages

  • While on dialysis, you must be accompanied by a dialysis partner.
  • You and your dialysis partner must both take time off from work or your regular schedule to attend training.
  • The machine, water system (if needed), and supplies all require dedicated space in the home.
  • It’s possible that special electrical and plumbing will be required.

What is peritoneal dialysis?

The interior lining of your belly acts as a natural filter in peritoneal dialysis. Wastes are removed by the use of dialysate, a cleansing fluid that is washed in and out of your stomach in cycles. Upon surgery, a soft plastic tube (catheter) is inserted into your stomach. Through this catheter, a sterile cleansing fluid is injected into your stomach. The fluid leaves your body through the catheter when the filtration process is completed. Peritoneal Dialysis is further categorized into two sub- categories:

  • Continuous Ambulatory Peritoneal Dialysis (CAPD)
  • Automated Peritoneal Dialysis (APD)

For each, the basic treatment is the same. Each procedure, however, is distinct due to the amount of treatments and the manner in which they are administered.

Continuous Ambulatory Peritoneal Dialysis (CAPD)

CAPD is a “continuous,” machine-free workout that you may undertake while going about your daily routine at work or school. The procedure entails injecting around two quarts of cleansing solution into your stomach and then emptying it. This is accomplished by attaching a plastic bag with cleansing fluid to the tube in your stomach. Gravity pulls the fluid into your stomach when you raise the plastic bag to shoulder height. The plastic bag is removed and thrown away after it is empty.


When an exchange (the process of putting in and taking out fluid) is completed, the fluid (which now contains wastes taken from your blood) is emptied and discarded from your stomach. This procedure is typically carried out three, four, or five times in a 24-hour period while you are awake and engaged in routine activities. It takes roughly 30 to 40 minutes for each trade. Some patients prefer to conduct their swaps at mealtimes and before going to bed.

Automated Peritoneal Dialysis (APD)

APD differs from CAPD in that the cleansing fluid is delivered and then drained by a machine (cycler). The treatment is normally done while you sleep at night.

Advantages

  • Continuous dialysis allows you to better control excess fluid, which may minimize stress on the heart and blood arteries.
  • It is easier to work or travel, and you can perform more of your everyday activities.

Disadvantages

  • Peritoneal dialysis may not be the best option for some persons. Some people’s abdomens or bellies, especially those who are morbidly obese or have had several abdominal surgeries, might make peritoneal dialysis difficult or impossible.
  • People must be trained and capable of doing each phase of the treatment correctly.

Parts of dialysis machine

Below are the main parts of a hemodialysis machine:-

  • Monitor
  • Blood Pressure Cuff
  • Extracorporeal Blood Circuit Module
  • Concentrate Connectors
  • Brake
  • Shunt Interlock for the dialyzer Connecting Lines
  • IV Pole
  • Status Indicator
  • Dialysate outlet and inlet tube
  • Disinfection Connector
  • Filter
  • CDS Option
  • Drain
  • Water Connector
  • Vent Tubing
  • Power Supply Unit

What is the purpose of a dialysis machine?

Have you ever wondered how a dialysis machine works?

Basic overview of a dialysis machine’s parts
Basic overview of a hemodialysis machine’s parts

Here’s a basic overview of a hemodialysis machine’s parts and functions:

  1. Through your hemodialysis access, two tubes are attached. One of the tubes allows blood to flow from your body into the machine.
  2. If your doctor has prescribed a blood thinner as part of your therapy, it will be given to you to prevent your blood from clotting while it is in the machine.
  3. A pressure sensor and a pump work together to maintain the proper flow rate.
  4. Your blood is filtered as it enters the dialyzer.
  5. The dialyzer receives the dialysate solution. It removes waste from your blood.
  6. The machine’s used dialysate solution is pushed out and disposed.
  7. To ensure that your blood is safe to return to your body, it passes through another pressure monitor and an air trap.
  8. The second tube connected to your access site returns your cleaned blood to your body.

Let take a look at the video of how dialysis works?

Find out the 6 best-selling dialysis machine brands currently available in India

Finding a dialysis machine that suits both your budget and your health related requirements can be a tedious task. To help our readers make a better decision, in this article, our team did exhaustive research of various factors to make a price list along with the specifications of the 6 best dialysis machine brands in India.

The 6 best selling dialysis machines

B BRAUN Dialog+ Hemodialysis Machine

Features & Specifications

  • Automatic on/off: program to automatically turn on/off, run disinfection and start preparation
  • Event Timer: set reminder alarm for individualized events
  • Patient Card Reader: stores patient settings and Adime data for a quick, accurate setup
  • Profiling Capability: 23 pre-programmed UF profiles
  • Rotating Touchscreen Monitor: user friendly touch screen icons and hard keys
  • Stand-by Mode: reduces waste by stopping dialysate flow at the end of preparation

Fresenius 4008s Hemodialysis Machine

Features & Specifications

  • 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
  • To avoid the potential risk of microbiological contamination through liquid bicarbonate concentrate, the bicarbonate buffer is always supplied as a dry substance.
  • TDMS (Therapy Data Management System)

Nipro Diamax Dialysis Machine

Features & Specifications

  • Single needle with single blood pump
  • Sequential ultra filtration
  • Built- in automatic blood pressure monitor unit
  • 15″ color touch panel display
  • LAN connector
  • Heat exchanger
  • 100- 800 mL/ min dialysis flow range

Gambro AK 96 Dialysis Machine

Features & Specifications

  • Diascan – Controlled dialysis dose delivery     
  • Blood pressure monitor – Integrated real-time blood pressure monitoring via patient cuff     
  • U9000 dialysis fluid ultrafilter – Ultrapure dialysis fluid for increased biocompatibility     
  • Arterial blood line clamp and variable dialysate fluid flow – For added economy, reliability and flexibility     
  • Battery back-up – For safe treatments in all environments

Fresenius 5008S Dialysis Machine

Features & Specifications

  • AutoFlow automatically adjusts the dialysate flow rate to the effective blood flow rate during treatment
  • ONLINEplus technology for production of sterile, endotoxin-free and  bicarbonate-buffered electrolyte solutions
  • EcoFlow for minimized dialysate and energy consumption during preparation and after reinfusion while avoiding bacterial growth.
  • Venous Access Monitor (VAM) for increased probability of early detection of needle dislodgement

Nipro Surdial 55 Plus Dialysis Machine

Features & Specifications

  • Fast preparation (8 minutes)
  • Reduce disinfection time by up to 40%
  • Fast bicarbonate cartridge drain (55 seconds)
  • Connection to external networks
  • Central delivery of acid concentrates 
  • Dose Finder (Kt/V)
  • Automatic blood pressure monitor
  • Heat exchanger unit
  • Endotoxin filter

Price list of the best selling dialysis machines brands available in India

S no.Product Name Price Range
1.B BRAUN Dialog+ Hemodialysis Machine INR 1.5 lakh- INR 2 lakh
2.Fresenius 4008s Hemodialysis Machine INR 6.5 lakh- INR 7.5 lakh
3.Nipro Diamax Dialysis Machine INR 5.5 lakh- INR 6 lakh
4.Gambro AK 96 Dialysis Machine INR 6.5 lakh- INR 7lakh
5.Fresenius 5008S Dialysis Machine INR 1.5 lakh- INR 2.5 lakh
6.Nipro Surdial 55 Plus Dialysis Machine INR 5.25 lakh- INR 6 lakh
7.Gambro AK 98 Dialysis Machine INR 8.25 lakh- INR 9 lakh
8.Nipro NCU 18 Dialysis Machine INR 7.5 lakh- INR 8 lakh

Conclusion

In certain cases, severe renal disease that necessitates dialysis can be cured. Even if the disease is incurable, the patient can still have a fulfilling life while undergoing dialysis. The kidney is the only essential organ that can be successfully replaced by a machine over time. Dialysis is projected to become much more efficient in the future, thanks to advances in stem cells and bio artificial kidneys.
Dialysis isn’t the end of the life!

Frequently Asked Questions

Q1. Is dialysis a viable treatment option for my kidney disease?

Dialysis may only be required for a short time in some cases of abrupt or acute renal failure until the kidneys improve. However, if chronic kidney disease progresses to kidney failure, your kidneys will not improve and you will require dialysis for the rest of your life unless you are eligible for a kidney transplant.

Q2. What is the purpose of a dialysis machine?

A single needle will progressively extract blood from the patient and transport it to a dialyzer or dialysis machine. A dialysis machine is made up of a series of membranes that function as filters and dialysate, a specific liquid. Waste items from your blood are filtered by the membranes and transferred into the dialysate fluid.

Q3. What are the 3 types of dialysis?

Dialysis is divided into three categories: in-center hemodialysis, home hemodialysis, and peritoneal dialysis. Each form has advantages and disadvantages.

Q4. What is dialysis cost?

The average national cost of dialysis is around Rs. 3000

Q5. At what creatinine level should dialysis start?

National Kidney Foundation guidelines recommend you start dialysis when your kidney function drops to 15% or less — or if you have severe symptoms caused by your kidney disease, such as: shortness of breath, fatigue, muscle cramps, nausea or vomiting.

Q6. What are the side effects of hemodialysis?

Risk factors include:

  • Low blood pressure (hypotension). A drop in blood pressure is a common side effect of hemodialysis. …
  • Muscle cramps. Although the cause is not clear, muscle cramps during hemodialysis are common.
  • Itching.
  • Sleep problems.