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kinexus HHD

A remote therapy management platform for NxStage home hemodialysis (HHD) systems

kinexus HHD enables two-way data exchange between the patient at home and their clinic

The patient’s treatment information is sent automatically from the cycler to the app. Patients may include additional information manually. This information is sent from the app to the portal in the clinic.

The clinic is able to review the treatment information, adjust and send prescriptions to the patient remotely.

Treatment information is collected in a mobile application by the patient

kinexus HHD is designed to make documentation by the patient easier and less time-consuming.

Data collected in the kinexus HHD app can include:

Treatment information
(cycler data is automatically sent to the app)

Vitals 
(weight, blood pressure, temperature)

Medications taken

Notes and photos

Note: The kinexus HHD patient app does not control the NxStage HHD cycler.

Happy woman, doctor and typing with laptop for medical study, news or telehealth at hospital. Female person or healthcare employee on computer for online medicine, research or communication at clinic

Staff can manage patient treatment information via the kinexus HHD portal at the clinic*

The portal provides the following insights and functionalities:

  • Overview of patients and their treatments
  • Current and historical trends of each patient
  • Vitals and treatment information after each session
  • Creating, adapting, and sending HHD prescriptions for patient reference**
  • Generating and exporting patient information reports


Treatment records are accessible 24 / 7.

* From anywhere as long as they have access to the internet /a web browser
** Prescriptions are displayed as reference only, the kinexus HHD patient app (Nx2Me) does not control the NxStage cycler

Improve retention

The kinexus HHD platform delivers quantifiable benefits such as enhanced therapy retention*
 

All study patients

New HHD patients

29%
Lower therapy discontinuation rate
(excluding death and transplant)1

1 Weinhandl ED and Collins AJ. Hemodialysis Int. 2018 Jul;22(3):318-327. doi: 10.1111/ hdi.12621.
* This study provides information about Fresenius Medical Care’s RTM solution – “Nx2Me” (now rebranded as “kinexus HHD”); based on 606 US patients.

Potential key factors that contribute to enhanced therapy retention

Adherence
Clinicians may monitor and support treatment adherence.


Identification of deviations
Notifications in the portal when key clinical parameters deviate from preestablished norms may help support patient case management.


Early Intervention
Clinicians may identify health problems before unscheduled care is needed (blood, arterial, or venous pressures running too high).

 

Screenshots depicted show fictitious patient data.

Review patient adherence and health status at a glance through kinexus HHD reports

  • Reports facilitate timely intervention if needed
  • Provide consistency in comprehensive and valid data collection
  • Designed to support patient adherence

 

Total alarms and cautions report

Flowsheet calendar report

Screenshots depicted show fictitious patient data.

Patients receive alerts and instructions directly in the app

 

Patient’s view of prescription update

  • Patients receive visual alerts when they exceed limits for vitals (e.g. blood pressure)
  • Visual pop-up alerts requiring patient acknowledgement after patient prescriptions have been updated by a clinician

Enhance clinician efficiency

Digital data collection enabled by kinexus HHD* reduces paper documentation for patients and providers1


kinexus HHD is designed to help clinicians easily review each patient’s treatment by:

  • automatic capture of NxStage HHD cycler data**
  • timely access to records
  • displaying digital flowsheets

 

* This study provides information about Fresenius Medical Care’s RTM solution – “Nx2Me” (now rebranded as “kinexus HHD”); based on 606 US patients.
** The kinexus HHD patient app does not control the NxStage HHD cycler.

 

Screenshots depicted show fictitious patient data

The kinexus HHD portal organizes information on different levels for easier navigation and better data analysis

HHD Patient Dashboard

- Overview of HHD patients’ treatments
- Information appears in chronological or in alphabetical order by patient name

Individual patient view 

- Review patient trends at a glance with three graphs
- Overview of patient treatments

Individual treatment details

The kinexus HHD portal organizes information on different levels for easier navigation and better data analysis

Note: In patients, who initiated their use of kinexus HHD during the first two weeks of HHD training, and their matched controls.

27%

Improvement in training completion rates1

 

 

1 week
Reduction in median training time1


1 Weinhandl ED and Collins AJ. Hemodialysis Int. 2018 Jul;22(3):318-327. doi: 10.1111/ hdi.12621.
* This study provides information about Fresenius Medical Care’s RTM solution – “Nx2Me” (now rebranded as “kinexus HHD”); based on 606 US patients.

Instill a greater sense of security for patients

Digital flowsheets provide reassurance with reliability and accuracy

 

Designed to…

  • … reduce the burden of completing paper flowsheets
  • through automatic capture of cycler data in the app1
  • … reduce the potential for errors2,3
...it was a game changer. I knew it was going to be uploaded to my nurse … immediately. I never missed paperwork.

Patient in the U.S. on kinexus HHD

(then known as Nx2Me)

Patients can follow their treatment through the kinexus HHD app while dialyzing


Patients can view essential treatment information comfortably from their bed or chair.

Alarms and Cautions

Visual alerts are displayed if limits are exceeded, along with step-bystep troubleshooting instructions.

Disclaimer: The NxStage cycler communicates with the kinexus HHD patient app. However, patients are not able to control the cycler through the app.
All procedures concerning the cycler must be conducted by the patient directly on the cycler.

Additional information can be communicated via the app

Notes and photos

Documentation of medications

Digital copy of user guide

This is so simple and straightforward that anyone would be able to utilize.

Patient in the U.S. on kinexus HHD

(then known as Nx2Me)

For more information on kinexus HHD, contact your area representative

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    1 Weinhandl ED, Collins AJ. Relative risk of home hemodialysis attrition in patients using a telehealth platform. Hemodial Int. 2018 Jul;22(3):318 327.
    2 Jani YH, Ghaleb MA, Marks SD, Cope J, Barber N, Wong IC. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008 Feb;152(2):214-8.
    3 Krishna VN, Managadi K, Smith M, et al., Telehealth in the Delivery of Home Dialysis Care: Catching up With Technology. Adv Chronic Kidney Dis. 2017 Jan;24(1):12-1

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    UK-GENINFO-000007 Date Of Preparation: March 2025 © Fresenius Medical Care UK Ltd 2026

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