Fresenius Blood Tubing Set (Hemodialysis — Arterial and Venous Bloodlines)
Dialysis Supplies

Fresenius Blood Tubing Set (Hemodialysis — Arterial and Venous Bloodlines)

Pack Sizes Available

25 sets per carton

Product Description

Three times a week, for four hours at a time. That is the schedule that defines the life of an end-stage renal disease patient on haemodialysis. Every session requires a new blood tubing set — arterial and venous bloodlines that connect the patient's vascular access to the dialysis machine and back, forming the extracorporeal circuit through which approximately 300ml of blood at any moment circulates outside the body. This is not a product category with room for unreliability. Fresenius Blood Tubing Sets are manufactured by Fresenius Medical Care, the world's largest integrated provider of dialysis products and services. The CombiSet True Flow series — Fresenius's primary bloodline range — is designed with a specific engineering focus: accurate and consistent blood flow rate from the first minute of treatment to the last. The polymer blend and extrusion technology used in CombiSet bloodlines is formulated to maintain pump segment compliance consistently, so the blood flow rate displayed on the machine accurately reflects actual flow rather than drifting as the tubing fatigues during a four-hour session. The Twister reverse flow device (included in selected CombiSet configurations) addresses one of the most maintenance-intensive dialysis machine monitoring requirements: monthly blood flow measurement verification. Conventionally, this requires manually disconnecting the bloodlines — a blood exposure risk. The Twister's closed-system design allows flow reversal and measurement without disconnection, eliminating blood contact risk for the dialysis technician performing the check. Key design features across the Fresenius bloodline range include: colour-coded clamps for arterial vs. venous identification (a patient safety feature preventing line transposition); anti-foaming drip chambers; clear transducer protectors for monitoring while meeting CMS guidelines; and multiple venous medication ports for flexible drug delivery during dialysis. All components that contact blood are medical-grade PVC formulated to minimise risk of haemolysis and complement the machine's pressure monitoring capabilities. For dialysis consumable distributors and nephrology department procurement managers — Fresenius bloodlines are the native consumable for Fresenius 2008 series machines, which represent a significant proportion of the global haemodialysis machine installed base. Sara Wellness exports Fresenius dialysis consumables to international wholesale buyers.

Technical Specifications

  • Brand and Manufacturer: Fresenius Medical Care — Fresenius Renal Technologies; CombiSet True Flow series hemodialysis bloodlines; designed specifically for Fresenius 2008 series (K, K2, T) hemodialysis machines; 15 CombiSet SKU variants based on machine configuration and accessory requirements
  • Components: Arterial bloodline: patient connector, pump segment (peristaltic pump section), arterial drip chamber, pressure monitoring port (transducer protector), blood flow measurement device (Twister in select SKUs), dialyser connector | Venous bloodline: dialyser connector, venous drip chamber, venous pressure port, multiple medication injection sites, air detector chamber, venous patient connector; complete circuit volume (priming volume): arterial ~100-130ml, venous ~80-100ml
  • Key Features: CombiSet True Flow polymer blend — consistent pump segment compliance through 4-hour treatment; Twister closed-system reverse flow device (selected SKUs) for blood flow measurement without line disconnection; colour-coded clamps (red/blue) for arterial/venous identification; anti-foaming drip chambers; clear transducer protectors (CMS compliant)
  • Material: Medical-grade PVC (polyvinyl chloride) blood contact tubing — specially blended polymer for biocompatibility and haemolysis minimisation; advanced extrusion technology for pump segment dimensional consistency; latex-free components; all parts non-cytotoxic per ISO 10993 biocompatibility testing
  • Pack Size and Sterility: 1 AV set (arterial + venous paired) per individually sterile sealed pack; 25 sets per carton (standard dialysis supply carton); sterile by ETO (ethylene oxide); single use — dispose as biohazardous clinical waste after each dialysis session; do not reuse
  • Regulatory Status: FDA cleared (US); CE marked (EU); Fresenius Medical Care ISO 13485 certified manufacturing; designed for acute and chronic hemodialysis therapy per Fresenius IFU; compatible with Fresenius 2008 series K, K2, T machines; not validated for non-Fresenius machine use without specific compatibility testing
FAQ

Frequently asked questions

A hemodialysis blood tubing set (also called an AV set, blood circuit, or bloodlines) is the extracorporeal blood circuit used in each hemodialysis session. It consists of an arterial bloodline and a venous bloodline — two tubing segments that together form the continuous circuit from the patient's arterial access (vascular access site or fistula needle), through the dialysis machine blood pump and dialyser (artificial kidney), and back to the patient's venous access. The arterial line carries blood from the patient to the dialyser; the venous line returns dialysed blood to the patient. Each line includes a drip chamber (to remove air and allow pressure monitoring), a pump segment (the section of tubing that sits in the peristaltic blood pump), pressure monitoring ports (transducer protectors), medication injection sites, and connectors to the vascular access needles and the dialyser. The complete set is single-use and sterile.

The accuracy of blood flow rate (Qb) is a critical dialysis adequacy parameter — inadequate blood flow reduces dialysis dose (Kt/V), while over-estimated flow may leave a patient under-dialysed. Blood flow in a haemodialysis machine is controlled by a peristaltic pump that pushes blood by squeezing the pump segment of the arterial bloodline. The pump segment must maintain consistent compliance (the degree to which the tubing wall deforms under pump roller pressure) throughout the treatment session. If pump segment compliance changes due to tubing fatigue, the actual blood volume pumped per revolution deviates from the machine's displayed setting. Fresenius CombiSet True Flow bloodlines use a specially blended polymer and advanced extrusion technology specifically to maintain pump segment compliance consistency from the first minute to the end of a 4-hour session — so the displayed Qb accurately reflects actual patient blood flow throughout treatment.

The Twister reverse flow device is a component integrated into selected Fresenius CombiSet bloodline configurations that allows blood flow reversal for blood flow measurement without disconnecting the bloodlines. In standard practice, monthly blood flow verification requires temporarily disconnecting the arterial and venous bloodlines to configure the circuit for recirculation measurement — a procedure that exposes the dialysis technician to blood contact at the disconnection points. The Twister is a closed-system device that allows the operator to reverse blood flow direction with a simple quarter-turn rotation without any disconnection or blood exposure. This closed system design eliminates the blood contact risk at measurement points and complies with occupational blood exposure minimisation principles. Fresenius Medical Care describes the Twister as making monthly blood flow measurement 'as simple as a twist.'

Fresenius blood tubing sets incorporate multiple patient and operator safety features: colour-coded clamps (typically red for arterial, blue for venous) to prevent arterial-venous line transposition, which is a serious clinical error that can cause haemolysis and haemodynamic complications; anti-foaming drip chambers that minimise air introduction at the chamber; clear transducer protectors that maintain monitoring while meeting CMS (Centers for Medicare and Medicaid Services) guidelines for visibility; large finger guard at medication injection sites that protects against accidental needlestick; and multiple medication ports on the venous line for flexibility in anti-coagulant (heparin) and drug delivery. All blood contact materials are medical-grade PVC formulated for biocompatibility and minimised haemolysis risk at dialysis blood flow rates (typically 200-400 ml/min).

In standard three-times-weekly hemodialysis, each patient uses one blood tubing set per session — three sets per patient per week. A dialysis unit with 20 active patients running three sessions per week uses 60 blood tubing sets per week, or approximately 3,000 sets per year. A larger nephrology unit with 50 chair-sessions per day running 3 days per week uses approximately 150 sets per week. Blood tubing sets are high-velocity, regularly reordered consumables with predictable weekly consumption based on the number of dialysis chairs and treatment schedule. Inventory management for a dialysis unit typically maintains 2-4 weeks of buffer stock. The 25-sets-per-carton packaging format of Fresenius bloodlines aligns with typical weekly ordering quantities for small-to-medium dialysis units.

Fresenius CombiSet bloodlines are designed and optimised for use with Fresenius Medical Care 2008 series hemodialysis machines (K, K2, T configurations). The pump segment dimensions, pressure monitoring port specifications, and machine connector formats are matched to the Fresenius machine mechanical and electrical interface requirements. Using bloodlines from other manufacturers on Fresenius 2008 machines may produce pump segment performance variability, pressure monitoring incompatibility, or alarm triggering. Conversely, Fresenius bloodlines used on non-Fresenius machines (Gambro, B-Braun, Nikkiso, Nipro) may not fit the pump housing or monitoring ports correctly. For compatibility across multiple machine brands, machine-compatible generic bloodlines from manufacturers such as Nipro, Jafron, or CellBios that are tested and supplied as compatible with specific machines are the appropriate choice. Always confirm bloodline-machine compatibility before clinical use.

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