An increasing number of private and publicly owned dialysis centres contribute to the expansion of the renal dialysis machines market. This market is expected to reach $2.5B by 2028, growing at a Compound Annual Growth Rate (CAGR) of 3.2%.

Data from Japan and US renal registries showed a positive correlation between the number of dialysis patients and dialysis centres. The more dialysis centres were opened, the more patients were treated, and the more equipment is consumed. Further, by combining the manufacture of machines with the running of clinics, the dialysis giant—Fresenius—has come to dominate both markets with a one-stop shopping model.

Although a clinic run by Fresenius does not necessarily purchase dialysis products manufactured only by Fresenius, it will choose its own company when deciding among homogeneous products with the same cost. In addition, the company can pursue a consolidation strategy that allows it to negotiate a better deal and spread fixed costs over a great number of centres.

Renal dialysis machines are intended to provide an artificial replacement for lost kidney function due to renal failure. With the development of the equipment, the quality of life for patients with end-stage renal disease (ESRD) has been greatly improved. Hemodialysis is the most common method used to treat ESRD worldwide, while peritoneal dialysis has consistently gained acceptance. The choice of modality depends on several factors, including availability, cost, physician expertise, hemodynamic stability, and the primary purpose of the procedure.

Large numbers of operational hemodialysis centres, high familiarity with the hemodialysis procedure among healthcare providers, accessibility of reimbursement, and a broad therapeutic portfolio contribute to the dominance of hemodialysis. The growing demand for home-based care, increasing awareness of peritoneal dialysis, the rising cost of hemodialysis at dialysis centres and the development of protocols are expected to drive the peritoneal dialysis market to new heights.

One key trend for hemodialysis machines is to give physicians treatment flexibility. New designs of hemodialysis machines usually include blood volume monitors, dialysis dose monitors, and other advanced monitoring devices to help physicians analyse dialysis adequacy and tailor personalised therapy to meet the needs of individual patients.

New hemodialysis machines made in Japan feature functions of online hemodiafiltration. In addition to basic hemodialysis function, most of the current hemodialysis machines have features to reduce caregiver workload.

Touch screen interfaces have been implemented for all new hemodialysis machines. Mirroring the trends of hemodialysis machines, new peritoneal dialysis machines feature improved user interfaces and expanded therapy options as well.