Valves are connected on the inlet and outlet and allows fluid to enter one side of the chamber, which pushes an equal amount of fluid out of the other side of the chamber.
One chamber fills with used dialysate and pushes fresh dialysate to the dialyzer, while the other chamber is filling with fresh dialysate and pushes used dialysate to the drain.
One pump moves proportioned dialysis to the balance chambers; a second pump pulls dialysate from the dialyzer and pushes it to the balance chambers
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