For the application of high fundamental frequency (HFF) quartz crystal resonators as ultra sensitive acoustic biosensors, a tailor-made quartz crystal microbalance (QCM) flow cell has been fabricated and tested. The cell permits an equally fast and easy installation and replacement of small and fragile HFF sensors. Usability and simple fabrication are two central features of the HFF-QCM flow cell. Mechanical, thermal, electrical and chemical requirements are considered. The design of the cell combines these, partially contradictory, requirements within a simple device. Central design concepts are discussed and a brief description of the fabrication, with a special focus on the preparation of crucial parts, is provided. For test measurements, the cell was equipped with a standard 50 MHz HFF resonator which had been surface-functionalised with a self-assembled monolayer of 1-octadecanethiol. The reliable performance is demonstrated with two types of experiments: the real time monitoring of phospholipid monolayer formation and its removal with detergent, as well as step-wise growth of a protein multilayer system by an alternating immobilisation of streptavidin and biotinylated immunoglobulin G.