Dollars and Sense
For many clinics clotting represents both clinical and operational consequences that affect patients and staff; reducing the adequacy of treatments and increasing the overall costs and complications of hemodialysis.1
Streamline®, Streamline Long, and Streamline Express are all designed to eliminate blood-air interface which may reduce the risk of clotting.1,2 The arterial and venous pressure-transmitting PODs in our suite of Streamline products replace conventional bloodline drip chambers where blood and air interface. In addition, Streamline Express is designed to conserve saline and most users require only 1 bag per treatment.3
Streamline may provide the following treatment cost reductions:
|Cost reduction category||Streamline|
|Reduced heparin usage||Streamline is designed to eliminate blood-air interface, which may result in less clotting1,2|
|Reduced dialyzer size||Streamline is designed to lower bloodline arterial pressures, which may enable higher blood flow rates in comparison to conventional bloodlines, while maintaining or improving Kt/V.|
|Reduced dialysate usage||Streamline is designed to lower bloodline arterial pressures, which may enable higher blood flow rates in comparison to conventional bloodlines, while maintaining or improving Kt/V.|
|Reduced saline usage||Streamline has a lower set-volume|
|Elimination of external transducer protectors||Streamline uses POD technology, which is designed to isolate the patient’s blood from the hemodialysis machine|
These evaluations demonstrated a $0.81 – $1.86 cost savings per treatment.
Conventional blood tubing often takes more time for staff to set-up compared to Streamline Express, which takes time away from patient care.
Streamline Express is uniquely designed to reduce labor for machine set-ups. In a pilot testing series Streamline Express saw an improvement of 44%, an estimated 73 seconds.
- Polaschegg HD. The extracorporeal circuit. Semin Dial. 1995;8(5):299-304.
- Kitamoto Y, Fukui H, Matsushita K, Sato T, Soejima H, Noguchi Y, Kasama T. Suppression of thrombin formation during hemodialysis with triglyceride. ASAIO J. 1993;39(3):M581-M583.
- Data on file. NxStage Medical Inc. 2014. Reported data from Streamline Express pilot.
Needlesticks occur every day
- On average, more than 1,500 needlesticks and other sharps injuries occur daily in the United States4
- It only takes one needlestick to transmit up to 30 blood-borne pathogens, including HBV, HCV, and HIV5
The consequences of 1 needlestick
- The potential changes to health and the stress of the testing process can be devastating for the affected caregiver.
- A dialysis provider may incur healthcare costs up to $4,8385 *
* The overall range of costs for reported exposures was between $71 - $4,838 depending on the severity and infection status of the source patient.
Medic performs the functions of a traditional needle, without the risk of skin puncture. The unique tip design helps to reduce needlesticks and can be used with any standard luer lock syringe. Easily access drug vials, blood collection tubes, and blood tubing injection sites with Medic.
An enhanced feature of Streamline Long and cartridge blood tubing sets is SecureClip®. SecureClip is pre-attached to the arterial and venous bloodlines and is designed to reduce the risk of blood loss from accidental disconnects.
LockSite needleless access ports provide a ready access to the arterial line without the use of sharps. LockSite complies with needle-free policies and legislation.6
- Needleless access port which provides ready access to the arterial line and saline line without the use of sharps
- Eliminates the waste and nuisance of sterile caps
- Centers for Disease Control & Prevention; http://www.cdc.gov/nhsn/dialysis/
- Data on file. 2016. NxStage Medical, Inc. Conventional Bloodlines vs. Streamline Express Contamination Points.
- U.S. Food and Drug Administration. FDA Safety Alert: Potential Cross-Contamination Linked to Hemodialysis Treatment. 1999. Retrieved from: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/PublicHealthNotifications/ucm062283.htm
- NIOSH Alert: Preventing Needlestick Injuries in Health Care Settings. Washington, DC: National Institute for Occupational Safety and Health, 1999. (Publication no. 2000-108.).
- O’Malley EM, Scott RD, Gayle J et al. Costs of management of occupational exposures to blood and body fluids. Infect Control Hosp Epidemiol. 2007:28:774-782.
- Needlestick Prevention and Safety Act, 106th Congress, Public Law 106-430, 2000.
Going Green with Streamline
Saving Water Without Sacrificing Patient Kt/VStreamline is designed to lower bloodline arterial pressures, which may enable higher blood flow rates. By increasing bloodflows, Streamline users have reported decreased dialysate flow rates while maintaining or improving Kt/V.1
Reducing infectious waste, landfill waste, and incinerationStreamline’s optimized design eliminates 1/3 of the weight of tubing waste produced compared to conventional bloodlines.
Get The Facts
*Number of Streamline treatments since 2011 multiplied by 0.29 lbs. which represents the difference in wet weight between Streamline and ReadySet bloodlines.
† This calculation is based on 18 gallons water saved per treatment. 18 gallons per treatment assumes, 4-hour treatment, 100 mL/min reduction in dialysate flow rate, 45x dialysate proportioning, RO rejection rate of 2/3rds of presented mains water.
- Smith P. Streamline bloodlines improve Kt/V while lowering dialysate usage. Poster presented at Nation Kidney Foundation Conference 2010.
- Agar, John. Green Dialysis: The Environmental Challenges Ahead. Seminars in Dialysis. 2015.
Risks and Responsibilities
The Streamline blood tubing sets are prescription devices and, like all medical devices, involve some risks. Failure to observe all warnings and precautions noted in the Streamline Instructions for Use may result in serious complications, including blood loss due to clotting or air entering the bloodstream. Each patient’s care plan should be determined by the physician, based on the individual facts and circumstances of the patient. The use of anticoagulation is at the discretion of the prescribing physician.