Automated Peritoneal Dialysis (APD)

Key features of sleep•safe harmony

Training support:
  • Guiding animations directly on the device
  • Large touch screen
Guided prescriptions:
  • Create prescriptions directly on the device
  • On screen keyboard
  • Optimised fluid usage - no extra volume for priming
Convenient handling:
  • Automatic connection and barcode recognition of bags
  • Integrated handles
  • PatientCardPlus with more than 12 months capacity of treatment data
Simple installation:
  • Plug & use – no transformer needed due to double insulation
FlexPoint
  • Any therapy with sleep•safe harmony is supported by FlexPoint technology
FlexPoint intelligence combines settings like:
  • Permitted patient volume - which is the maximum individual fill volume
  • Permitted residual volume - which is the maximum volume, which may remain in the patient's peritoneal cavity
The goal is to:
  • Achieve optimised treatment efficiency
  • Keep the prescribed treatment time
  • Minimize potential alarms
  • Avoid overfilling for patient’s well-being and security


Important parameters for successful PD:

Age is an important factor influencing the choice of dialysis modality. Patients with good dexterity and motivation are good candidates for PD. With increasing age, the associated comorbidities of dialysis patients might deteriorate and with it their frailty.

Optimal management of weight is an important success factor in PD patients. Changes in weight due to lifestyle, calorie intake, disease and hydration status need constant monitoring and adaptation of PD therapy.

Dialysate to plasma ratio is a common measure used to evaluate peritoneal transport characteristic in PD patients. Patients can be fast, average or slow transporters depending upon the status of their peritoneal membrane. Peritoneal membrane transport characteristics change with time on PD. Therefore, regular monitoring of D/P creatinine and subsequent adjustment of PD prescriptions is recommended.

RRF has an impact on patient survival and quality of life of PD dialysis patients. Its longer preservation is a major advantage. Thus, interventions to preserve RRF like prescription of biocompatible PD fluids are important.

Due to compromised renal function, bodies own capacity to remove excess fluid also diminishes and patients need dialysis to generate UF. The amount of UF needed varies depending upon many factors, like lifestyle, disease progression and other co-morbid conditions. An adequate UF is therefore critical for successful PD.

Kt/V urea is urea clearance normalized to total body water. It is an important parameter to check PD adequacy. A total Kt/V urea of at least 1.7 per week is recommended for PD patients.