Dbb-06 Hemodialysis Delivery System
Nikkiso
FDA Clearance Information
The dbb-06 hemodialysis delivery system was cleared by the FDA through the 510k pathway on March 18, 2016. It is manufactured by Nikkiso and classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- For use as a hemodialysis delivery system during extracorporeal blood treatment.
- For use in delivering, monitoring, and controlling dialysate and dialysis treatment parameters.
- For use with compatible hemodialysis equipment and prescribed disposable blood and dialysate pathways.
Clinical Applications
- Hemodialysis treatment for patients with kidney failure or inadequate renal function.
- Removal of metabolic waste products from the blood during dialysis.
- Removal of excess fluid through prescribed ultrafiltration during dialysis.
- Management of fluid and electrolyte balance as part of a prescribed hemodialysis treatment.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- The system must be used with compatible dialyzers, blood tubing, dialysate concentrates or solutions, water-treatment equipment, and other accessories specified by the manufacturer.
- Treatment settings, including blood-flow rate, dialysate flow, ultrafiltration rate, conductivity, and temperature, require prescription and trained clinical supervision.
- The patient must have appropriate vascular access, such as an arteriovenous fistula, arteriovenous graft, or dialysis catheter, connected through the extracorporeal circuit.
- This is an active electrical dialysis system rather than an implanted device; MRI compatibility should not be assumed, and the machine should be kept outside the MRI scanner room unless the manufacturer provides specific clearance.
- Potential complications relate to hemodialysis and the extracorporeal circuit, including blood loss, air or fluid imbalance, infection, clotting, hypotension, and reactions to the dialyzer or dialysate.
Frequently Asked Questions
What are the clinical indications for dbb-06 hemodialysis delivery system?
The dbb-06 is indicated for use in patients requiring hemodialysis due to renal failure, including chronic kidney disease and acute kidney injury.
What outcomes have been reported in clinical studies?
Studies report improved solute clearance and reduced inflammation markers in patients using the dbb-06 system.
What complications have been reported?
Reported complications include inflammatory responses, though these may be reduced with ultrapure dialysate use.