Under what circumstances would it be ok for local technical experts to go around the manufacturer’s recommendations?
Like I said, the instruction sheet that comes in each box of my F70NRe dialyzers specifically says that UF rate must be 300 or more. Because during summer I seem to get to dialysis at night without having gained enough fluid for this, this can be a problem. The technical unit here says to just ignore that because it’s not really intended for daily nocturnal, and there’s no problem ignoring that specification.
We also have our own procedure manual. Setup of a treatment differs from what Fresenius says in some of its documentation. Hemo here isn’t something that’s just subcontracted out. The hospital has it’s own large staff of technicians, plus it’s a research centre. We have something like three hundred 2008K machines in the region. It’s not just one little privately-operated dialysis centre. There are a lot of resources available.
Pierre