Beruflich Dokumente
Kultur Dokumente
Antibodies
- Dialysis Products
- Dialysis Care
- Extracorporeal
Therapies
Sales
9,192 million
Employees 83 000
Focus:
Dialysis
IV Drugs
Clinical Nutrition
Infusion Therapy
Medical Devices /
Transfusion
Technology
Sales
3,964 million
Employees 24 000
Focus:
Infusion Therapy,
Clinical Nutrition
& Generics
- Operation and
management of
acute clinics and
rehabilitation
centers
Sales
2,665 million
Employees 37 000
Focus:
Operation of Acute
& Rehabilitation
Hospitals
- Planning, constructing
and
managing health care
facilities
Sales
737 million
Employees 3 700
Focus
Planning, Constr.
& Mgmt. of
Healthcare
Facilities
Agenda
Dializer
Diasafe
Av
Fistula
Bicarbonat
Powder
Blood
Lines
Part A
HD Pack
Certificate
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 6
European Conformity
Certificate
Agenda
MX Eco Series
Chair
Automatic Reprocessing
Bibag 5008
1.
2.
3.
alarm
Warning/info
operation
Sistem Monitoring
Integrated Online Clearance Monitor (OCM) and BPM
Tool untuk memonitor kualitas dari dosis dialisis yang di berikan
dan memastikan tingkat keamanan pasien
BPM
Plasma Na value
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 13
Monitoring Arteri, Venous, TMP, Air Detector, Bloodleak dan Self Test
Di lengkapi : sample port, water inlet filter, Optical detector, Flow OFF
Low-Flux Dialyser
Sisi Dialisat
Diperbesar
Sisi Darah
Diperbesar
Endotoxin
ADSORBED
ENDOTOXIN
FRAGMENTS
Cytokine
induction
Endotoxin
fragments
Symmetric, cellulosic
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 18
Type Dialyser
LOW FLUX
HIGH FLUX
Tersedia Produk
(SA:0,4 -2,2 m ).
Mencegah
masuknya
Endotoksin
Tidak perlu
pembilasan setelah
mengisi
Efektif untuk
molekul kecil
Molekul kecil <
500 Dalton
Mencegah masuknya
Endotoksin
Hasilnya optimal
Digunakan untuk HD, HF, HDF
Efektif mengeluarkan B2M
Tidak perlu dibilas setelah
mengisi (menghemat waktu)
Sangat efektif untuk molekul
3. BLOODLINE
Fungsi :
Mengalirkan darah dari pasien ke dialyzer dengan
kecepatan tertentu dan kembali ke pasien
Tujuan ini tercapai tanpa :
Kode warna
Sample port
Bantalan Jarum dan protecting cap
Heparin Line
Filling level
Infusion line
Arterial Line
Dialyzer connector
Arteri Pressure
Patient
connector
Pump segment
Sampling port
Venous Line
Transducer
protector
Venous Presuure
Dialyzer connector
Injection port
Patient connector
1 cm
Venous bubble trap
Lanjutan,.
4. AV FISTULA
Feature
14G / 2.0mm
15G / 1.8mm
16G / 1.6mm
17G / 1.5mm
Benefit
Aman
sambungan kencang,
mencegah darah terbuang
Bahan silikon
Banyak pilihan
Memenuhi persyaratan
Sterilisasi ETO
Memenuhi persyaratan
Kualitas
CE
Disetujui
FDA
Bibag 5008
5008
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 27
5. bibag 5008
Tidak memerlukan
tempat penyimpanan yang luas
LANJUTAN, Bi Bag
6. HD KONSENTRAT
Terdaftar,Higienis
7. DIASAFE PLUS
MESIN HD
TAMPAK BELAKANG
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 32
penting didalam
Blood side
8. WATER TREATMENT
ROT
Pre Treatment
MX Eco Series
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 37
Glove
Syring 1 cc
Syiring 5 cc
Syring 20cc
Ultrafix -8 pcs
Alkohol pad-2 buah
Part 2 ( Steril )
7. Water proof paper field
8.Plastik disposible bag
9. Dressing Tray gallot
10.Dresing forcep
11. Hand towel
12. Gauze swab-4 pcs
13. Glove surgical
14. Gauze tupper medium
15. Outer wrap
Part 3 ( steril )
16. Gauze tupper large
17. Glove
18. Standar plester ( hansaplast )
ANSI/AAMI RD47:2002
& RD47:2002/A1:2003
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 41
HAEMODIALYSIS GUIDELINE
Konsensus Dialysis
By PERNEFRI Indonesia
Target KT/V yang ideal adalah 1,2 ( URR 65%) untuk HD 3 x
perminggu selama 4 jam perkali HD dan 1,8 untuk HD 2 x
perminggu selama 4-5 jam perkali HD
Dialysis Outcome Initiative, Practical Guidelines, Am J Kidney Dis, 37 (Suppl 1), 2001
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 45
Mengurangi
Resirkulasi
melalui
Akses
Meningkatkan
Frekwensi
Tindakan
Meningkatk
an Ukuran
filter (KoA)
Merubah
dari LF ke
HF
Effective
clearance
Meningkat
kan QB
Meningkatk
an Waktu
Tindakan
Merubah
Metode
Tindakan
(HF)
Fresenius Medical Care Indonesia, Subject, Author Copyright 2013 Page 46
50
Small:
Medium:
Large:
40
*
*
30
*
*
Small
20
Medium
Large
10
URR
< 60
60-65
1.0
1.2
65-70
70-75
1.12
1.32
1.3
1.5
>75
>1.5
>1.7
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