
Optimized HD with Smart Monitoring and Efficiency
Inspired by the performance and reliability of our flagship DBB-EXA, the DBB-EXA ES is NIKKISO's dedicated dialysis equipment for HD—engineered for efficiency, patient safety, and ease of use.
🔹 Flow Adaption secures the required dialysis dose while optimizing dialysis fluid consumption—delivering cost-effective treatment without compromising quality.
🔹 iNIBP reduces patients' physical stress of routine blood pressure checks with less cuff pressure and less measurement time.
🔹 DDM (Dialysis Dose Monitor) ensures adequate dialysis dose with continuous, real-time dialysis dose measurement—supporting consistent, safe everyday treatments.
Contact us today to learn how DBB-EXA ES can bring new value to your dialysis center.
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Flow Adaption
Efficient Dialysis with Flow Adaption
DBB-EXA series features Flow Adaption, an intelligent system that optimizes dialysis fluid consumption while delivering the required dialysis fluid flow to meet the blood flow to keep the dialysis dose. This innovation helps reduce environmental impact and treatment costs without compromising patient care.
Key Benefits:
✅ Cost-Effective Treatment – Minimizing dialysis fluid consumption while delivering the required dialysis fluid flow.
✅ No Additional Operation – Adjusting dialysis fluid flow automatically to meet the blood flow.
✅ Eco-Friendly Solution – Supports sustainable dialysis practices with reduced environmental impact.
iNIBP
Enhance patient comfort by reducing patient stress with Inflational NIBP
DBB-EXA series features Inflational NIBP, a novel blood pressure monitoring that measures BP with lower cuff pressure and shorter measurement time. This innovation enhances patient comfort by reducing stress due to frequent routine blood pressure measurements throughout dialysis treatment.
Key Benefits:
✅ Lower cuff pressure – Reducing patient stress
✅ Shorter measurement time – Reducing patient stress
DDM
Dialysis Dose Monitoring with DDM – Easy, Continuous and Accurate
DBB-EXA series features the Dialysis Dose Monitor (DDM), enabling real-time monitoring of dialysis doses for every treatment. This advanced monitoring ensures easy and accurate dialysis dose verification at every treatment, eliminating the need for additional consumables or complex setups.
Key Benefits:
✅ Easy to screen every treatment – Easily check, eliminating the need for additional consumables or complex setups.
✅ Continuous – Real-time monitoring ensures treatment consistency and safety.
✅ Accurate – DDM with UV absorbance methods requires a patient’s body weight, which is more accurate than total distribution volume.
Disclaimer:
- Product appearance and specifications are subject to change without prior notice.
- Photographs of the product may appear differently due to variations in printing or display conditions.
- Specifications may vary depending on local regulations and registration status. Please contact your local distributor for details.
- Always read the accompanying operation manual before use.
General data
| Dimensions | H150 cm x W43 cm x D50 cm Base: W45 cm x D61 cm |
|---|---|
| Weight | Approx. 80 kg(incl. all options) |
| Water supply | Pressure: 1 to 7 bar |
| Drain | Minimum drain capacity: 800 mL/min average Height: 50 cm maximum Temp.: 90 ℃ maximum |
| Concentrate supply | Pressure: 0 to 0.5 bar |
| Power supply | 220 to 240 VAC , 50/60 Hz 110 to 120 VAC , 50/60 Hz |
| Battery | Ni-MH battery 24 V / 3200 mAh |
| External connection port | External output(Staff call) External input 1, External input 2 Network BPM start switch USB 2.0 or 3.0 |
| Screen | 15 inch LCD |
Hydraulic circuit
| Dialysis fluid flow rate | Setting range: 300 to 800 mL/min |
|---|---|
| Dialysis fluid temperature | Setting range: 33.0 to 40.0 ℃ |
| Dialysis fluid conductivity | Bicarbonate dialysis Bicarbonate conductivity setting range: 2.3 to 7.0 mS/cm Total conductivity setting range: 12.7 to 15.2 mS/cm Acetate dialysis Total conductivity setting range: 12.7 to 15.2 mS/cm |
| Blood leak detector | Method: Optical Sensitivity: 0.3 mL Blood / 1 L Dialysis fluid (Blood: Hematocrit 32 ± 2 %; Dialysis fluid temperature: 37 ℃) |
| Ultrafiltration | UF rate: 0.00: 0.10 to 4.00 L/h UF accuracy: ±30 mL/h(at dialysis fluid flow rate 300 to 500 mL/min) ±0.1 % of the dialysis fluid flow rate (at dialysis fluid flow rate 501 to 800 mL/min) |
| Dialysis Dose Monitor | Measurement principle: Absorptiometry Applicable Treatment mode: HD Applicable Kt/V range: 0 to 3.0 Applicable Kt range: 0 to 300.0 Applicable K range: 0 to 999.9 Kt/V monitoring accuracy: ±0.1 (Kt/V 0 to 1) ±10 % (Kt/V 1 to 3) eKt/V: 0 to 30 Applicable URR range: 0 % to 100 % URR monitoring accuracy: ±5 % |
| Endotoxin retentive filter (ETRF) |
EF-02/D series |
Accessories
| Arterial pressure monitoring |
Measurement range: ー300 to +500 mmHg Measurement accuracy: ±10 mmHg |
|---|---|
| Venous pressure monitoring |
Measurement range: ー300 to +500 mmHg Measurement accuracy: ±10 mmHg |
| Single needle pressure | Measurement range: ー200 to +600 mmHg Measurement accuracy: ±10 mmHg |
| Air detector | Method: ultrasonic waves Sensitivity: 0.02 mL(normal air bubbles) (at Blood flow rate: 250 mL/min) 0.0003 mL(microbubbles: blood/air mixture) (at Blood flow rate: 250 mL/min) |
| Arterial blood pump | Setting range: 40 to 600 mL/min Flow rate accuracy: Set value ±10 % (inlet Pressure -150 mmHg <= P <= +150 mmHg) Set value -20 to 0 % (inlet Pressure -200 mmHg <= P < -150 mmHg) |
| Heparin pump | Setting range: 0.0 to 9.9 mL/h Output rate accuracy: Set value ±10 % Syringe type: 30 mL or 20 mL, 20 mL or 10 mL Bolus volume: 0.0 to 9.9 mL |
| Blood Pressure Monitor (BPM) |
For standard BPM: Pressure display range: 10 to 300 mmHg Pressure display accuracy: less than ±3 mmHg Measurement range: Adult systolic blood pressure(SYS): 60 to 250 mmHg Mean arterial pressure(MAP): 45 to 235 mmHg Diastolic blood pressure(DIA): 40 to 200 mmHg Pulse rate: 40 to 200 beats per minute For iNIBP: Pressure display range: 0 to 300 mmHg Pressure display accuracy: Less than ±3 mmHg Measurement range: Adult systolic blood pressure(SYS): 40 to 280 mmHg Mean arterial pressure(MAP): 10 to 280 mmHg Diastolic blood pressure(DIA): 10 to 235 mmHg Pulse rate: 30 to 200 beats per minute |
Treatment options
| Single needle treatment |
Single needle single pump treatment SN control pressure: Upper limit: +200 mmHg Lower limit: +50 mmHg |
|---|---|
| UF profile | 9 programmable profiles available |
| Conductivity profile | 9 programmable profiles available |
Cleaning program
| Disinfection and decalcification |
50 % Citric acid Peracetic acid (DIALOX) |
|---|---|
| Disinfection and degreasing |
Sodium hypochlorite solution (Maximum 10 % chlorite concentration in disinfectant) |
| Decalcification | Acetic acid (Maximum 30 % acetic acid concentration in decalcification solution) |
Disclaimer:
* Product appearance and specifications are subject to change without prior notice.
* Photographs of the product may appear differently due to variations in printing or display conditions.
* Specifications may vary depending on local regulations and registration status. Please contact your local distributor for details.
* Always read the accompanying operation manual before use.


