Peritoneal Dialysis Systems in Nigeria
Available Peritoneal Dialysis Systems Models

What Is Peritoneal Dialysis Systems?

A Peritoneal Dialysis (PD) System is a medical device used to treat kidney failure by cleaning the blood inside the body, using the peritoneum in the abdomen as a natural filter. It is primarily used by patients at home, often overnight while they sleep, under the guidance of nephrologists and renal nurses. This home-based therapy significantly improves a patient's quality of life by eliminating the need for frequent hospital visits for hemodialysis, offering greater flexibility and independence. The system consists of an automated cycler machine, which controls the timing and volume of dialysis solution (dialysate) exchange, along with specialized tubing sets and bags of dialysate.

Peritoneal Dialysis Systems Price In Nigeria

Peritoneal Dialysis Systems in Nigeria range from NGN 3.5 million for basic refurbished automated peritoneal dialysis (APD) cyclers to over NGN 15 million for new, advanced systems with comprehensive data management and remote monitoring capabilities. The final price you pay is driven by several factors beyond the machine itself. Key cost drivers include the brand (e.g., Baxter, Fresenius), included accessories like a starter kit of consumables, the length and coverage of the warranty, and whether installation and multi-staff training are bundled. Furthermore, fluctuating foreign exchange rates, international freight costs, customs duties, and local logistics for delivery to your facility in cities like Kano or Enugu will significantly impact the landed cost. A comprehensive quote should itemize these, including costs for calibration certificates and NAFDAC registration proof.

• Questions savvy buyers ask:

• What is the exact model and year of manufacture for this APD cycler?

• Is the price inclusive of a dedicated pure sine wave UPS and voltage stabilizer?

• What is the guaranteed lead time for delivery of consumables (dialysis solution, tubing sets) after placing an order?

• Does the warranty cover both parts and on-site labour, and what is the guaranteed response time for an engineer?

• Can you provide three references from Nigerian hospitals currently using this system and your support services?

• Is the software remotely upgradeable, and are there any future software licensing fees?

For a detailed, line-item quote tailored to your facility's needs, contact Franance.

Cheapest Peritoneal Dialysis Systems In Nigeria

Entry-level or refurbished automated peritoneal dialysis (APD) cyclers start from NGN 3.5 million to NGN 7 million. These are typically older models, like a refurbished Baxter HomeChoice, with basic functionalities and no remote monitoring capabilities. While the upfront cost is low, you must be cautious about hidden costs and limitations. The warranty on such units is often limited to 3-6 months and may not cover critical components or on-site engineering support. Crucially, the "cheap" price often excludes essential items like a medical-grade UPS, initial calibration, staff training, and the high cost of freight and customs clearance, which can add another 30-40% to the initial quote.

• Before accepting the lowest quote:

• Verify the refurbishment process and request the engineer's certification report.

• Confirm the exact warranty terms in writing—what is excluded?

• Get a separate, binding quote for installation, training, and a suitable power backup system.

• Ask for the guaranteed availability and price of compatible consumables for the next 24 months.

• Check the NAFDAC registration status of the specific refurbished model.

Contact Franance to evaluate if a low-cost option truly meets your clinical and operational needs.

Affordable Peritoneal Dialysis Systems In Nigeria

An affordable Peritoneal Dialysis System is a value-focused bundle that costs between NGN 9 million and NGN 13 million. This price typically includes a new, reliable APD cycler like the Fresenius sleep•safe harmony, a 12-month comprehensive warranty, turnkey installation, initial calibration with certification, a 2kVA pure sine wave UPS, and on-site training for up to four clinical staff members. Investing in such a bundle significantly reduces long-term costs. For instance, having the correct UPS from day one prevents power-surge damage that could cost NGN 1.5 million to repair and cause 4-6 weeks of downtime, whereas a comprehensive training package prevents user errors that can lead to costly service calls and wasted consumables.

• Bundle these for value:

• The APD Cycler Machine.

• A 2kVA pure sine wave UPS with at least 4 hours of backup time.

• On-site installation and commissioning by a certified engineer.

• Initial calibration with a traceable certificate.

• A starter pack of consumables (e.g., 10 patient tubing sets, drain bags).

• Comprehensive training for both biomedical engineers and clinical staff.

Contact Franance to configure an affordable, all-inclusive PD system bundle for your facility.

New Peritoneal Dialysis Systems Price Vs Refurbished Peritoneal Dialysis Systems Price

A new Peritoneal Dialysis System typically costs between NGN 8 million and NGN 15+ million, while a certified refurbished unit ranges from NGN 3.5 million to NGN 7 million. The primary difference lies in lifecycle, warranty, and technology. A new system, such as a Baxter HomeChoice Claria with Sharesource connectivity, comes with the latest software, a full 1-2 year manufacturer's warranty, guaranteed parts availability, and a lifespan of 7-10 years. A refurbished model, while cheaper upfront, may have a shorter remaining lifespan (3-5 years), a limited 3-6 month warranty, and potential challenges with future software updates or parts sourcing. Lead time for new systems can be 12-16 weeks, whereas a refurbished unit might be available locally within 2-4 weeks.

| Feature | New PD System | Refurbished PD System |

| :--- | :--- | :--- |

| Price Range | NGN 8M - 15M+ | NGN 3.5M - 7M |

| Warranty | 1-2 years comprehensive | 3-6 months limited |

| Lifespan | 7-10 years | 3-5 years remaining |

| Software | Latest version, upgradeable | May be outdated, non-upgradeable |

| Lead Time | 8-16 weeks (if not in stock) | 2-4 weeks (if in-country) |

| Consumables | Guaranteed availability | May require specific, older sets |

| Support | Full OEM & vendor support | Vendor-dependent, parts may be scarce |

Contact Franance to analyze the total cost of ownership for both new and refurbished options.

Request Peritoneal Dialysis Systems Quote In Nigeria (Franance)

Contact Franance today for a verified, all-inclusive quote for a Peritoneal Dialysis System tailored to your budget and clinical requirements.

Where To Buy Peritoneal Dialysis Systems In Nigeria (Suppliers)

You can buy Peritoneal Dialysis Systems from specialized medical equipment suppliers primarily located in major commercial hubs like Lagos, Abuja, and Port Harcourt. The most critical step is to rigorously verify the supplier's legitimacy and technical capacity. A credible supplier must be registered with the Corporate Affairs Commission (CAC), have demonstrable OEM authorization or partnership (e.g., as a certified distributor for Baxter or Fresenius), and employ biomedical engineers trained and certified on the specific PD systems they sell. Franance simplifies this by connecting you only with pre-vetted suppliers who have passed our verification workflow, which includes checking their CAC documents, OEM certifications, proof of insurance, and collecting references from other Nigerian hospitals they have supplied.

• Documentation you must request:

• Certificate of Incorporation from the CAC.

• A formal letter of authorization from the Original Equipment Manufacturer (OEM).

• NAFDAC device registration certificate for the specific model you are buying.

• CVs and OEM training certificates of their lead biomedical engineers.

• Proof of recent, similar installations in Nigeria (with client references).

• A copy of their Goods-in-Transit and Professional Indemnity insurance policies.

Contact Franance to get connected with verified PD system suppliers in Nigeria.

Peritoneal Dialysis Systems Suppliers In Nigeria — Checklist

• Corporate Verification: Is the company registered with the CAC?

• OEM Authorization: Can they provide a current, valid distributor certificate from the manufacturer (e.g., Baxter, Fresenius)?

• Regulatory Compliance: Is the specific PD cycler model registered with NAFDAC? Can they show proof?

• Technical Team: Do they have in-house, OEM-certified biomedical engineers for this equipment?

• Track Record: Can they provide at least three references from reputable Nigerian hospitals where they've installed the same system?

• Physical Office: Do they have a verifiable office and workshop in Nigeria?

• Spare Parts: Do they hold a local inventory of critical spare parts and consumables?

• Service Level Agreement (SLA): Do they offer a clear SLA with guaranteed engineer response times (e.g., within 48 hours)?

• Insurance: Do they have Goods-in-Transit insurance to cover delivery risks?

• Turnkey Capability: Can they manage the entire process: importation, customs clearance, installation, and training?

• Financial Stability: Are they financially stable enough to honour a multi-year warranty?

• Training Program: Is their training comprehensive, covering both clinical users and your technical team?

Verified Peritoneal Dialysis Systems Supplier In Nigeria (Franance)

Franance is a verified supplier offering end-to-end procurement services for Peritoneal Dialysis Systems across Nigeria, with service coverage in all 36 states. We go beyond just supplying the device by providing a complete service stack that ensures your system is installed correctly, supported reliably, and financed affordably. Our process includes needs assessment, sourcing from pre-vetted partners, managing all logistics, and providing after-sales support, mitigating the risks of dealing with unverified vendors.

• Franance service stack:

• Sourcing & Verification: Access to multiple pre-vetted suppliers and OEM partners.

• Turnkey Installation: Coordinated site prep, installation, and calibration by certified engineers.

• Compliance Management: We ensure all equipment comes with the necessary NAFDAC and SON documentation.

• Logistics & Clearing: Hassle-free importation, customs clearance, and insured nationwide delivery.

• Flexible Financing: Custom financing and leasing options to make acquisition affordable.

• After-Sales Support: Management of warranties and SLAs to guarantee uptime.

• Consumables Supply Chain: Structured planning for the reliable supply of dialysis solutions and tubing sets.

Best Peritoneal Dialysis Systems In Nigeria

The best Peritoneal Dialysis Systems are top-tier models from globally recognized brands like Baxter and Fresenius Medical Care, with prices for new systems ranging from NGN 8 million to over NGN 15 million. The "best" choice depends entirely on your facility's needs.

For a large teaching hospital, the best system might be the Baxter HomeChoice Claria APD System with Sharesource connectivity. This advanced model allows clinicians to remotely monitor patient treatment data, adjust prescriptions, and proactively address issues, which is ideal for managing a large patient cohort. For a smaller private clinic or an NGO focusing on accessibility, the Fresenius sleep•safe harmony is an excellent choice, known for its user-friendly interface, safety features, and robust performance in environments with fluctuating power. The key is matching the device's capabilities—like data management, portability, and ease of use—to your patient volume and clinical workflow.

• How to match tier to workload:

• Entry-Tier (e.g., Refurbished Baxter HomeChoice): Best for facilities with a very limited budget, a small number of stable patients, and strong in-house biomedical support.

• Mid-Tier (e.g., Fresenius sleep•safe harmony): Ideal for most private hospitals and clinics needing a reliable, easy-to-use workhorse for a growing PD program.

• Advanced-Tier (e.g., Baxter HomeChoice Claria): Suited for tertiary referral centers and teaching hospitals managing complex patients and requiring remote monitoring for improved clinical oversight and research.

Compare Peritoneal Dialysis Systems Models In Nigeria

A direct comparison of Peritoneal Dialysis System models reveals a trade-off between upfront cost, advanced features like remote monitoring, and long-term operational efficiency. Simpler, robust models are easier to maintain in remote settings, while advanced, connected systems offer superior clinical oversight in urban tertiary centers.

| Tier | Best for | Example Specs | Lead-time | Maintenance | Power Needs |

| :--- | :--- | :--- | :--- | :--- | :--- |

| Entry | Small clinics, low budget | Basic APD cycler, no connectivity, manual data logging | 2-4 weeks (refurb) | High reliance on local biomed, parts may be scarce | Requires 1.5kVA UPS |

| Mid | General hospitals, NGOs | User-friendly interface, patient data card, enhanced safety features | 8-12 weeks | Standard annual PM, good parts availability | Requires 2kVA UPS |

| Advanced| Teaching/Tertiary hospitals | 2-way remote monitoring, cloud data storage, prescription management | 12-16 weeks | OEM-led support, software updates, remote diagnostics | Requires 2kVA UPS, stable internet |

Best Peritoneal Dialysis Systems Brand In Nigeria

The best and most reliable Peritoneal Dialysis System brands in Nigeria are Baxter and Fresenius Medical Care. These brands are globally recognized leaders, and their key advantage in the Nigerian context is their established presence through certified local partners, ensuring better access to service, training, and, most importantly, a consistent supply of proprietary consumables like dialysis solutions and tubing sets. For example, Baxter's HomeChoice Claria is renowned for its Sharesource remote patient management platform, while Fresenius's sleep•safe harmony is praised for its patient-friendly design and safety features. Choosing one of these brands means investing in an ecosystem of support, not just a machine.

• Brand evaluation questions:

• Does the brand have an official, authorized distributor in Nigeria?

• What is the average delivery time for their proprietary consumables to our location?

• How many OEM-certified field service engineers does their local partner have?

• Is there a local or regional training center for clinicians and biomedical staff?

• What is the warranty claim process, and is it handled locally?

Peritoneal Dialysis Systems Price List In Nigeria (Range Only)

A Peritoneal Dialysis System price list in Nigeria is based on ranges, as final costs are subject to configuration and logistics.

• Refurbished/Entry-Level APD Cyclers: NGN 3.5 million – NGN 7 million

• New Mid-Range APD Cyclers (e.g., Fresenius sleep•safe harmony): NGN 8 million – NGN 12 million

• New Advanced APD Cyclers (e.g., Baxter HomeChoice Claria): NGN 12 million – NGN 15+ million

When you receive a range-based quote, it's crucial to understand what's included. A quote for "NGN 12M - 15M" for an advanced system might have the lower price as the base unit only, while the higher price includes a 2-year extended warranty, a medical-grade UPS, and a starter pack of consumables for 10 patients. Always ask for a line-item breakdown. For example, a facility in Maiduguri will see a higher final cost than one in Lagos due to inland logistics and insurance, which can add 5-10% to the total. FX fluctuations between the time of quote and the time of payment can also alter the final Naira amount, so clarify the quote's validity period.

Peritoneal Dialysis Systems Specifications

The most decisive specifications are those that directly impact patient safety, ease of use, and clinical outcomes.

1. Remote Patient Monitoring: This is a game-changer. Systems like the Baxter HomeChoice Claria with Sharesource allow your clinical team to view treatment data online, identify potential issues like poor drain volumes or adherence problems, and adjust prescriptions remotely. This reduces hospital visits and improves patient management.

2. User Interface and Programmability: A system with an intuitive, icon-based graphical interface, like the Fresenius sleep•safe harmony, reduces training time and minimizes user error, which is critical for patients managing their own therapy at home.

3. Flow Rate and Volume Accuracy: Look for systems with high accuracy (typically ±5% or better) in delivering and draining dialysate. This ensures the patient receives the precise prescribed therapy dose (Kt/V), which is essential for effective treatment.

4. Alarms and Safety System: A comprehensive alarm system that can detect issues like kinked lines, flow obstruction, or leaks is non-negotiable. Advanced systems can differentiate between critical and non-critical alarms to avoid unnecessarily waking the patient.

5. Data Storage and Transfer: The ability to store treatment data on a patient card or internal memory for at least 3-6 months allows for effective follow-up during clinic visits.

• Specs that change outcomes:

• Remote Monitoring: Enables proactive care and reduces patient travel.

• Tidal PD Capability: Allows for a portion of the dialysis fluid to remain in the peritoneum, increasing comfort for sensitive patients.

• Low Fill Volume Option: Crucial for pediatric patients or post-surgery adults requiring smaller dialysate volumes.

• Integrated Heater: Precise and consistent heating of the dialysate to body temperature improves comfort and clearance.

• Portability and Weight: A lighter, more compact cycler is easier for patients to manage at home and during travel.

Peritoneal Dialysis Systems Installation And Calibration In Nigeria

The installation and calibration process for a Peritoneal Dialysis System in Nigeria typically takes 1-2 days on-site and is a critical part of a turnkey procurement. The process begins weeks before the device arrives with a site readiness assessment, where the vendor's engineer confirms you have a dedicated, stable power outlet, adequate space, and a clean environment. Once the system is delivered, the certified engineer will unbox, perform physical checks, and connect it to a dedicated power source with a UPS. They will then run diagnostic and calibration routines using specialized tools to ensure volume and temperature accuracy, issuing a formal calibration certificate. The final, most important step is the comprehensive training of your clinical and biomedical staff on operation, cleaning, and basic troubleshooting.

• Do not sign off until you have…:

• Received the signed and stamped installation report from the engineer.

• Obtained the traceable calibration certificate with the date and next due date.

• Been handed the user and service manuals (in English).

• Completed hands-on training for all relevant staff and received a training certificate.

• Confirmed the warranty start date on the official handover document.

• Verified the contact details for future technical support.

Turnkey Peritoneal Dialysis Systems Installation In Nigeria (Franance)

Contact Franance to manage your entire turnkey installation, from site assessment and power planning to final commissioning and staff training by certified engineers.

Peritoneal Dialysis Systems Delivery And Logistics In Nigeria

Delivery of a new Peritoneal Dialysis System to your facility in Nigeria takes between 8 to 16 weeks from payment confirmation, with costs for logistics adding 15-25% to the unit price. The process involves multiple stages: securing foreign exchange for the OEM, international air or sea freight, obtaining necessary import permits (like the SONCAP), customs clearance at the port of entry (e.g., Apapa in Lagos), and finally, insured inland transportation to your location. Each stage carries risks, from customs delays to damage during road transit. A professional supplier manages this entire chain, providing regular updates and ensuring the high-value, sensitive electronic equipment is handled correctly and insured door-to-door.

• Logistics risk controls:

• Confirm the supplier has a valid SONCAP certificate for the model before shipping.

• Insist on comprehensive (all-risk) Goods-in-Transit insurance that covers the journey from the port to your hospital.

• Use a supplier with a dedicated, experienced clearing agent to prevent unnecessary port delays and demurrage charges.

• Ensure the final delivery vehicle is suitable for sensitive medical equipment.

• Plan for joint inspection of the equipment upon arrival at your facility, before signing the delivery note.

Peritoneal Dialysis Systems Warranty And Service In Nigeria

A standard warranty for a new Peritoneal Dialysis System in Nigeria is 12 months, covering parts and labour, while refurbished units typically offer 3-6 months. The critical factor is not the length but the quality of the service provided. An effective warranty is backed by a Service Level Agreement (SLA) that guarantees an engineer's response time (e.g., telephonic support within 4 hours, on-site presence within 72 hours for major cities). It's crucial to clarify if the warranty is from the OEM or the local vendor. An OEM-backed warranty ensures access to original spare parts and technical bulletins. A key strategy for Nigerian facilities is to ensure the vendor holds a local stock of critical spares, like pumps and valves, to avoid long downtimes waiting for parts to be shipped from abroad.

• Warranty terms to insist on:

• A written Service Level Agreement (SLA) with specified response times.

• 100% coverage for all parts and on-site engineer labour.

• Inclusion of at least one preventive maintenance (PM) service visit during the warranty year.

• Confirmation that the vendor stocks critical spare parts locally in Nigeria.

• A "lemon clause" stating the unit will be replaced if it experiences the same major failure three times within the warranty period.

Refurbished Peritoneal Dialysis Systems In Nigeria

Refurbished Peritoneal Dialysis Systems are available in Nigeria for NGN 3.5 million to NGN 7 million, offering a 50-60% cost saving compared to new units. These are typically older models like the Baxter HomeChoice that have been professionally serviced, with worn components replaced and the unit calibrated to original specifications. It is vital to buy from a reputable source that provides clear documentation on the refurbishment process. "Cosmetically refurbished" is not the same as "fully refurbished," where internal components are tested and replaced. Always demand an engineer's report, a recent calibration certificate, and a warranty of at least 6 months covering parts and labour.

• Refurb proof points:

• Engineer’s Refurbishment Report: A detailed checklist of all tests performed and parts replaced.

• Calibration Certificate: Dated after the refurbishment was completed.

• Source Verification: Proof of where the device was de-installed from.

• Warranty Terms: A clear, written warranty of at least 6 months.

• Consumables Confirmation: Written confirmation that compatible tubing sets and solutions are still readily available.

Original Vs Fake Peritoneal Dialysis Systems - How To Verify In Nigeria

To verify you are buying an original Peritoneal Dialysis System, you must validate the serial number directly with the manufacturer (OEM) and purchase only from an authorized distributor. The most significant red flag for a fake or grey-market unit is an unusually low price and the supplier's inability to provide a formal Letter of Authorization from Baxter or Fresenius. Before payment, request the serial number of the specific unit allocated to you. You can then contact the OEM's regional office to confirm the serial number is valid and intended for the Nigerian market. Original units will have high-quality casing, clear labelling with CE marks, and professional user manuals, whereas counterfeits often have spelling errors, flimsy construction, and photocopied documentation.

• Spot counterfeit risk:

• The price is more than 30% below the average market rate for that model.

• The supplier cannot provide a valid, current Letter of Authorization from the OEM.

• They are hesitant to provide the unit's serial number for you to verify pre-purchase.

• The unit has cosmetic defects, spelling errors on labels, or poorly printed manuals.

• The supplier insists on cash payments or uses personal bank accounts.

Peritoneal Dialysis Systems Accessories & Consumables In Nigeria

The essential accessories and consumables for a PD system are the dialysis solutions (dialysate), patient tubing lines, drain bags, and catheter connection shields; their ongoing cost is the most significant part of running a PD program. A starter pack of consumables might cost NGN 150,000 - NGN 300,000 per patient. The availability and cost of these proprietary items are critical. When purchasing the APD cycler, it is a strategic move to bundle it with a 6- to 12-month supply of consumables for a projected number of patients. This locks in the price, protects against initial stockouts, and simplifies your initial procurement budget. Ensure the supplier has a robust supply chain to prevent treatment interruptions for your patients.

• Bundle with the main unit:

• A medical-grade 2kVA pure sine wave UPS.

• A rolling stand for the cycler.

• A starter supply of consumables (e.g., 6 months of tubing sets and dialysate for 5 patients).

• Catheter caps and clamps.

• A digital patient weighing scale.

Peritoneal Dialysis Systems Power Requirements In Nigeria

Peritoneal Dialysis Systems require a stable, continuous 220-240V / 50Hz power supply and must be protected by a medical-grade Uninterruptible Power Supply (UPS) of at least 1.5kVA to 2kVA. Given the unreliable power grid in Nigeria, the UPS is not optional; it is a critical safety component. It must be a pure sine wave UPS to protect the cycler's sensitive electronics, and it should have enough battery capacity to run the machine for a minimum of 4-6 hours to cover typical power outages. Furthermore, the wall outlet must be properly earthed to prevent electrical shock and equipment damage. Your facility's generator must also be compatible and serviced regularly to ensure it can support the load during longer outages.

• Power readiness checks:

• Is the designated power outlet a stable 230V?

• Is the outlet properly earthed? (Verified by an electrician).

• Have you procured a 2kVA pure sine wave UPS with a minimum 4-hour backup?

• Is the device plugged into a surge protector, which is then plugged into the UPS?

• Does your hospital's backup generator provide stable voltage output?

Peritoneal Dialysis Systems Compliance In Nigeria

To be compliant, any Peritoneal Dialysis System and its associated consumables (dialysate) used in Nigeria must be registered with the National Agency for Food and Drug Administration and Control (NAFDAC). The supplier is legally required to provide you with a copy of the valid NAFDAC registration certificate for the specific model of the APD cycler and for each type of dialysis solution. Additionally, the imported hardware must have a Standards Organisation of Nigeria Conformity Assessment Programme (SONCAP) certificate to clear customs. Your facility must maintain a dossier containing these documents, along with installation reports and calibration certificates, for accreditation and inspection purposes by bodies like the Nigerian Medical and Dental Council (NMDC).

• Compliance dossier items:

• NAFDAC Registration Certificate for the APD cycler.

• NAFDAC Registration Certificate for all types of PD solutions used.

• Copy of the SONCAP certificate used for importation.

• Engineer's installation and commissioning report.

• Traceable calibration certificate.

• Proof of user training for clinical staff.

Financing & Leasing For Peritoneal Dialysis Systems In Nigeria

Financing options for acquiring a Peritoneal Dialysis System in Nigeria include bank loans, asset leasing, and specialized financing from providers like Franance. Traditional bank loans may require 30-50% collateral and have interest rates of 20-28%, with an approval timeline of 6-12 weeks. Leasing is an alternative where you pay a monthly fee over 2-3 years, with the leasing company owning the asset; this is often faster to approve but can be more expensive over the term. Franance offers tailored financing solutions with more flexible terms, faster approval times (typically 2-4 weeks), and a structure designed specifically for medical equipment, bundling the cost of the device, installation, and maintenance into one predictable payment plan.

• Finance questions to ask lenders:

• What is the effective annual interest rate, including all fees?

• What are the collateral requirements?

• What is the tenor (length) of the loan or lease?

• Is there a penalty for early repayment?

• Does the financing cover "soft costs" like training, installation, and customs duties?

• What is the exact documentation required for the application?

Peritoneal Dialysis Systems Total Cost Of Ownership (Tco) In Nigeria

The total cost of ownership (TCO) for a Peritoneal Dialysis System over five years is significantly more than its initial purchase price, with consumables accounting for up to 80% of the total expenditure. For a new mid-range system purchased for NGN 10 million, the 5-year TCO can easily exceed NGN 50 million per patient. This breaks down into: the initial capital outlay (NGN 10M), annual preventive maintenance after warranty (NGN 400,000 x 4 years = NGN 1.6M), and the cost of consumables (dialysate, tubing sets) which can be NGN 8-10 million per patient per year. Factoring in potential repairs, electricity, and ongoing staff training provides a realistic financial picture for sustaining a PD program.

• TCO levers to manage:

• Negotiate a multi-year discount on consumables when you buy the main unit.

• Invest in comprehensive staff training to reduce user error and damage.

• Purchase an extended warranty (2-3 years) to cap repair costs.

• Implement a robust preventive maintenance schedule to prolong the unit's life.

• Use a high-quality UPS to prevent costly power-related damage.

Peritoneal Dialysis Systems For Hospitals, Clinics & Ngos In Nigeria

Tertiary/teaching Hospital Peritoneal Dialysis Systems

Tertiary hospitals should procure advanced APD cyclers like the Baxter HomeChoice Claria with Sharesource. The key requirement is remote patient management to efficiently handle a large and complex patient population, support clinical research, and serve as a training hub. These systems, costing NGN 12M - 15M+, provide invaluable data for nephrologists to optimize treatment, reduce hospitalizations, and improve outcomes in complex renal failure cases.

Private Clinic/diagnostics Peritoneal Dialysis Systems

Private clinics should opt for reliable, user-friendly mid-range systems like the Fresenius sleep•safe harmony. The focus is on patient satisfaction, ease of use, and operational reliability. A price point of NGN 9M - 13M for a bundled package including the cycler, UPS, training, and a starter pack of consumables offers the best value. This ensures a smooth start to a new PD program with predictable costs and minimal downtime.

Ngo/mobile Peritoneal Dialysis Systems

NGOs and programs in remote areas need robust, simple, and easy-to-maintain systems. A certified refurbished Baxter HomeChoice or a basic new model is often the most practical choice. The critical factor is not advanced features but durability and the supplier's proven ability to deliver consumables consistently to hard-to-reach locations. The budget should prioritize logistics and a stock of spare parts over high-tech functionalities.

Emergency/theatre/icu Peritoneal Dialysis Systems

While PD is primarily a chronic home therapy, it can be used for acute kidney injury (AKI) in ICU settings where hemodialysis is unavailable or contraindicated. For this purpose, a simple, quick-to-set-up APD cycler like the Fresenius sleep•safe is ideal. The machine must be on a mobile cart for easy deployment, and the hospital must have an established protocol and trained ICU nurses to manage acute PD safely and effectively.