The full report suite on the U.S. market for dialysis includes hemodialysis and peritoneal dialysis machines, dialysis catheters, dialyzers, dialyzer reprocessing machines, hemodialysis bloodline and tubing sets, AV fistula needles, AV access grafts, declotting devices, introducer sheaths and guidewires and water treatment systems. The dialysis patient population has been increasing since 2013 and is projected to continue increasing over the forecast period. Notable trends include shifts between hemodialysis patients and peritoneal dialysis patients as well as the rate of transition from in-center treatment options to personal, home treatment.
There are two main types of concentrates for hemodialysis: acid and bicarbonate (base). Treated water is mixed with acid and bicarbonate concentrates to form the dialysis fluid (dialysate). Hemodialysate (dialysate) is the fluid and solutes that flows through the dialyzer during a hemodialysis process. After the combination of the bicarbonate concentrate, acid concentrate and water, the final dialysate can contain two or three buffer components, which depend on the acid concentrate used. The buffers are bicarbonate from the bicarbonate concentrate, citrate and/or acetate from the acid concentrate.