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| | |-+  Lines Tangled, Mashed, Kinked/Poor Quality Control?
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Author Topic: Lines Tangled, Mashed, Kinked/Poor Quality Control?  (Read 5632 times)
Black
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« on: September 03, 2007, 09:50:51 AM »

Anyone else having trouble with tangled, mashed and kinked lines?  Sometimes the lines are so tangled and mashed it takes several minutes to unwind and uncrimp them to the point of being useable for prime.  There seems to be periods of time when the lines are good and just shake out, and then a spell when every cartridge has lines which are horribly twisted and kinked. 

They used to pack the catridges so they sat upright on their bottom edge; now they're packed lying flat and the bottom cartridge is sometimes barely useable.  The thinner plastic they are using to mount the lines on is not as sturdy and will not withstand the abuse UPS gives those boxes during handling, so they move all around inside the bag during shipping, and the bottom cartridge takes the most abuse.

And what is with those tissue paper thin plastic bags?  We used to be able to reuse the bags for disposal; now we're lucky to get the cartridge out without the entire bag tearing completely apart and I suspect they may already have tiny tears just from the box being handled during shipping, which makes me question the sterility if a connector is loose.  Which reminds me -- is anyone else finding that the lines are connected but the screw on collar is not screwed on?

Is no one observing the packing process?  Are they letting untrained people on the assembly line or are some of the employees just stupid and/or uncaring?

I still LOVE NxStage, but these quality control issues are troubling.  Sure wish they had a means of giving feedback on things like this.
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Lorelle

Husband Mike Diagnosed with PKD Fall of 2004
Fistula Surgery  1/06
Fistula Revision  11/06
Creatinine 6.9  1/07
Started diaysis 2/5/07 on NxStage
silverhead
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« Reply #1 on: September 03, 2007, 10:53:27 AM »

Could not have stated it better.....
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Adam_W
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Me with Baron von Fresenius

« Reply #2 on: September 03, 2007, 01:21:53 PM »

This is one of my biggest complaints, along with the occasional horrible rinseback (I've been fortunate to not have any leaks-YET). I almost always have to spend time working kinks and tangles out of the lines. I don't want to send any of them back to NxStage, though because I'd be sending them all back, and I wouldn't have any more until they send replacements (and those would probably have the same problem). Pretty much the only thing keeping me from switching to a different machine is not being able to take a full-sized machine on the weekend trips that I like to do with friends. It's reaching the point where I'm feeling that the Fresenius 2008K@Home (or most other full-sized machine) is superior to the NxStage in almost every area. I'm going to stick with NxStage, though because I do trust that these problems will eventually be resolved. It's just a question of when.

Adam
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-Diagnosed with ESRD (born with one kidney, hypertension killed it) Jan 21st, 2007
-Started dialysis four days later in hospital (Baxter 1550-I think, then Gambro Phoenix)
-Started in-centre dialysis Feb 6th 2007 (Fres. 2008H)
-Started home hemo June 5th 2007 (NxStage/Pureflow)
-PD catheter placed June 6th 2008 (Bye bye NxStage, at least for now)
-Started CAPD July 4th, 2008
-PD catheter removed Dec 2, 2008-PD just wouldn't work, so I'm back on NxStage
-Kidney function improved enough to go off dialysis, Feb. 2011!!!!!
-Back on dialysis (still NxStage) July 2011 :(
-In-centre self-care dialysis March 2012 (Fresenius 2008K)
-Not on transplant list yet.


"Don't live for dialysis, use dialysis to LIVE"
Zach
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"Still crazy after all these years."

« Reply #3 on: September 03, 2007, 01:50:56 PM »

Didn't I read somewhere on this site that DaVita bought a small percent of NxStage?
« Last Edit: September 03, 2007, 01:56:15 PM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
cev
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« Reply #4 on: September 05, 2007, 04:51:17 PM »

Our newest batch of cartridges, except one has been better in way of not so tangled lines and we haven't had a leak (yet).  They are now packed in the old baggie so we can use for trash.  hopefully NxStage has turned the corner on this cartridge problem
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BigSky
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« Reply #5 on: September 05, 2007, 08:47:16 PM »

Didn't I read somewhere on this site that DaVita bought a small percent of NxStage?

Yea Epoman had brought it up.

Seems like the company has grown too fast for itself and its quality control and manufacturing are taking the hit because of its fast growth.
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Black
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« Reply #6 on: September 08, 2007, 01:26:55 PM »

:yahoo; :yahoo; :yahoo; Opened the first case of the replacement cartridges today and they were in the more sturdy bags we can use for disposal, and all of the lines were in very good shape - not kinked, tangled or crushed!   :2thumbsup;
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Lorelle

Husband Mike Diagnosed with PKD Fall of 2004
Fistula Surgery  1/06
Fistula Revision  11/06
Creatinine 6.9  1/07
Started diaysis 2/5/07 on NxStage
Bill Peckham
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« Reply #7 on: September 08, 2007, 05:08:11 PM »

And I bet the peanut is back.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
Black
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« Reply #8 on: September 08, 2007, 06:32:19 PM »

Yep, so I now have a hundred and one.  ;D
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Lorelle

Husband Mike Diagnosed with PKD Fall of 2004
Fistula Surgery  1/06
Fistula Revision  11/06
Creatinine 6.9  1/07
Started diaysis 2/5/07 on NxStage
skyedogrocks
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Rob showing off his pot of gold!

« Reply #9 on: September 17, 2007, 09:35:26 AM »

We had a kinked line in the warmer 2 weeks ago, talk about a PITA!!!!
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Wife to Rob who is currently doing Nx Stage Home Hemo Dialysis.

11/17/09 After 4 years on dialysis, Rob received a kidney from our George.  Kidney is working great!  YEAH!!!!
silverhead
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« Reply #10 on: September 17, 2007, 07:42:06 PM »

I have found a "fix" for the kinked small lines, I take the cover that is on the "spike" and using a sharp box cutter, cut off the closed end and the ring on the other, then being VERY careful split it down one side, it slips over the damaged line and then can be taped over to fix the kink, solved several alarms I have had until they get their quality control in order......
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Do not argue with an idiot. He will drag you down to his level and beat you with experience.
jbeany
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Cattitude

« Reply #11 on: September 17, 2007, 09:10:07 PM »

I had my training nurse send me a couple of those connectors so I could flush the drain lines since I didn't have any, and then the next case of cartridges I opened has one in every cartridge. 

Feast or famine!
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"Asbestos Gelos"  (As-bes-tos yay-lohs) Greek. Literally, "fireproof laughter".  A term used by Homer for invincible laughter in the face of death and mortality.

Bill Peckham
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« Reply #12 on: September 18, 2007, 04:10:08 AM »

I have found a "fix" for the kinked small lines, I take the cover that is on the "spike" and using a sharp box cutter, cut off the closed end and the ring on the other, then being VERY careful split it down one side, it slips over the damaged line and then can be taped over to fix the kink, solved several alarms I have had until they get their quality control in order......

Nice fix, I bet you are a fan of the tv show MacGyver silverhead.

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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
        * 4 to 6 days a week 30 Liters (using PureFlow) @ ~250 Qb ~ 8 hour per treatment FF~28
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