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Our shared responsibility
Hemodialysis is a life-preserving therapy. At the same time, the environmental impact of dialysis therapy seems to be particularly
high.[1] It consumes a significant amount of water and energy and produces a high amount of waste and CO2 emissions.[2]
Approx.
0
mio m3 of fresh water annually are consumed by hemodialysis treatments in Europe.[3] To put this into perspective, this is roughly equivalent to 4,956 Olympic pools/year or 13.5 Olympic pools/day.
Approx.
0
MWh per year is the estimated European energy consumption for hemodialysis.[3] This amount of energy could power approximately a city of 74,847 Dutch families (average Dutch family of five people consumes 4,371 kWh/year).
Approx.
0
tons of waste annually is generated by hemodialysis in Europe.[3] This is the weight equivalent of 10,458 elephants (male adult elephant 6,000 kg).
June 4–7 2025
The 62nd ERA congress will take place from 04–07 June, 2025 in Vienna, Austria. We are looking forward to welcoming you at the B. Braun booth, no. X2.440, and to talking with you about Green Dialysis. One highlight topic will be the launch of our new water treatment system, AQUAboss nX, which can support you in reducing your water and energy consumption. This innovative system is designed not only to reduce the environmental footprint but also to enhance usability and maintenance compared to the previous AQUAboss version. Visit our booth to learn more about AQUAboss nX.
Toward more sustainable kidney care
Healthcare services are necessary for sustaining and improving human wellbeing.[4] If the global healthcare sector were a country, it would be the fifth-largest greenhouse gas emitter on the planet.[5] Compared to other fields of medicine, the environmental burden of dialysis is disproportionately high. In fact, dialysis is one of the most ‘resource-intensive’ fields of medicine.[6] Consequently, kidney care can play a crucial role in advancing toward more sustainable healthcare practices. This is the essence of Green Dialysis.
Our understanding of Green Dialysis is to decrease the environmental burden of dialysis therapy, for example by taking measures to reduce the consumption of energy and water, the amount of waste and the emission of CO2 – without compromising the medical quality of the hemodialysis treatment.
Different areas have been identified where actions can be taken to make dialysis more sustainable in daily practice:
In each of these areas, numerous possibilities for improvement exist. It is essential to first assess the current environmental status of each renal care center individually. This evaluation will help identifying and implementing practical measures to enhance sustainability in daily practice. A wealth of information and possible measures can be found in literature and initiatives, such as the Green Excellence in Dialysis recommendations for sustainable kidney care by EDTNA/ERCA published in September 2022.
Medical technology
Hemodialysis has a high resource consumption. On average 477L water as well as 12.6 kWh are consumed per hemodialysis session.[3]
Water treatment systems are a key factor in the water and energy consumption of a renal care center.[6] Using advanced water treatment systems can support renal care centers to reduce their consumption of energy and water in daily practice, thereby reducing their environmental footprint. This approach not only benefits the planet but can also result in cost savings through reduced consumption of water and energy.
The AQUAboss nX component test checks each component on demand or after every restart, helps to ensure that your system operates flawlessly.
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Thanks to multiple pending patents*, AQUAboss nX delivers a guaranteed minimum of 25% and up to 65% energy savings compared to AQUAboss, and reduced water consumption.
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Efficient Heat-on-Demand Disinfection is a patend-pending technology*. AQUAboss nX works with a hot cleaning unit, using the A0 value and a combination of temperature and time.
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AQUAboss nX is designed for quick and hassle-free upgrades. With a modular structure, capacity, heat disinfection or the second stage can be easily upgraded.
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AQUAboss nX is a demand-driven reverse osmosis system with frequency-controlled pumps that can improve energy and water management, enhancing system longevity compared to AQUAboss.
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Up to 95% of the input water is converted to permeate after the removal of impurities.
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*Patent application pending at least in Germany
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