# ###################################################################################################### # Do not use data message with change interval in here, it affects the instructions update performance. # # ###################################################################################################### # multiple value reserved blocks can be used even in each line. # format is as the following (look at the Messages_List.xlsx for the id and parameters): # {:::} # extra string can be used for unit(mL) which also accepts space # In case extra string or precision is not being used leave it empty eg. {77:1::} # the format shall always have three ':' and message id and parameter number shall not be ignored. # otherwise will NOT be identified as a value reserved block and will be used as part of the string. # ###################################################################################################### [Sample^Water Sample] Place cup in the water sampling pocket. Press and hold the "Water Sample" button. = 9_water sampling.png [Sample^Water Sample Result] Test the water sample per your clinic's instructions and enter the result. = 42_water test pass fail.png [Sample^Water Sample Result Failed] Water sample result failed. = 40_water test fail.png [Consumables^Consumables Installation] Remove the concentrate and dialysate caps. = 47_remove DG caps.png Connect the acid concentrate to the acid port. = 10_install acid line.png Connect the bicarbonate concentrate to the bicarbonate port. = 11_install bicarb line.png [Disposables^Cartridge Installation] Open the front panel door. = 1_HD door open-01.png Unlock the pump track by moving the lever to its full upward position. = 69_pump track open without cart.png Install the cartridge using the alignment pins. = 3_insert casette-01.png Insert tubing into blood and dialysate pumps. = 4_loop casette tubes-01.png Lock the pump track by moving the lever to its downward position. = 6_Pump track lock-01.png [Disposables^Cartridge Connection] Connect arterial and venous bloodlines using the recirculation connector. = 51_shunt patient lines.png Place the arterial pressure line behind the arterial and venous bloodlines\nand connect to the arterial pressure transducer port. = 70_PBa connection Rev02.png Connect the venous pressure line to the venous pressure transducer port. = 23_PBo connection.png Connect the bloodlines to the dialyzer. = 20_connect blood lines to dialyzer.png Connect the dialysate lines to the dialyzer. = 21_connect dialysate lines to dialyzer.png Insert dialyzer into the dialyzer holder. = 19_insert dialyzer.png Clamp the heparin line. = 50_clamp_heparin.png Clamp venous chamber line. = 49_clamp venous chamber line.png Connect the dialysate lines to the dialysate fluid ports. = 16_connect dialysate lines to DG.png [Disposables^Heparin Syringe] Fill a syringe with {77:2:mL:1} heparin and connect to the heparin tubing line. = 25_fill syringe with heparin.png Insert heparin filled syringe into the syringe pump. Unclamp heparin line. = 26_load syringe.png [Disposables^Saline Bag] Clamp saline line and y-connector. = 53_pinch saline line and y connector.png Hang the saline bag on the hook on the left side of the system.\nUse the saline line to spike a saline bag. = 29_spike and hang saline bag.png Close the front panel door. Ensure lines are not kinked. = 66_hd door close with cart.png Unclamp the saline line. Leave the y-connector clamped. = 54_unpinch saline and clamped y connector.png [Connection^Patient Connection] Open the front panel door. = 67_hd door open with cart.png Remove dialyzer from dialyzer holder and invert dialyzer. Reinstall dialyzer into dialyzer holder. = 52_invert_dialyzer.png Close the front panel door. Ensure lines are not kinked. = 66_hd door close with cart.png Draw a dialysate sample from the luer lock connection port.\nTest the dialysate sample per your facility's policy = 17_dialysate sample.png Wash your hands and establish vascular access per your facility's policy. = 43_wash hands.png Clamp arterial and venous bloodlines. = 56_clamp shunted patient lines.png Remove arterial and venous line recirculation connector. = 34_remove recirc connector.png Connect arterial and venous bloodlines to your patient access lines. = 31_connect arterial and venous lines to patient.png [Connection^Start Treatment] Unclamp arterial and venous bloodlines. = 32_unpinch arterial and venous for blood prime.png [^Rinseback Setup] Clamp arterial bloodlines and disconnect. = 33_disconnect arterial lines.png Connect arterial bloodline to the saline y-connector. = 35_connect saline y.png Unclamp arterial bloodline and saline y-connector. = 38_unclamp saline lines.png [^Rinseback Complete] If rinseback is complete, clamp arterial bloodline and saline y-connector.\nFollow your facility's policy prior to disconnecting patient. = 64_rinseback clamp arterial and saline lines.png [^Rinseback Reconnect] Clamp arterial and venous bloodlines. = 56_clamp shunted patient lines.png Remove arterial and venous line recirculation connector. = 34_remove recirc connector.png Connect arterial and venous bloodlines to your patient access lines. = 31_connect arterial and venous lines to patient.png Unclamp arterial and venous bloodlines. = 32_unpinch arterial and venous for blood prime.png [Disconnection^Patient Disconnection] Clamp venous bloodlines and disconnect. = 63_disconnect venous lines.png Connect the venous bloodline to the luer lock connection port on the venous line. = 58_end treatment connect venous to sampling port.png [Disposables^Disposables Removal] Open the front panel door. = 67_hd door open with cart.png Disconnect the arterial and venous pressure lines. = 24_PBo and PBA removal.png If heparin was used during treatment, remove syringe. = 28_remove syringe.png Clamp dialysate lines and disconnect from the dialysate ports. = 18_disconect dialysate lines from DG.png Replace dialysate cap. = 12_replace dialysate line cap.png Disconnect acid and bicarbonate concentrates lines from the concentrate ports.= 13_remove acid and bicarb connect.png Replace concentrate cap. = 59_install concentrate caps.png Unlock the pump track by moving the lever to its upward position. = 8_pump track unlock.png Remove cartridge, dialyzer, and saline bag from the HD device. = 5_remove casette-01.png Lock the pump track by moving the lever to its downward position and close front panel door. = 2_HD door closed-01.png [^Recirculate Disconnect] Clamp arterial bloodline and disconnect. = 48_disconnect saline y.png Clamp venous bloodlines and disconnect. = 63_disconnect venous lines.png Connect arterial and venous bloodlines using the recirculation connector. = 60_recirc shunt patient lines.png Unclamp arterial and venous bloodlines. = 62_recirc unclamp recirc lines.png [^Recirculate] Treatment is paused. Blood and dialysate pumps are recirculating = 61_recirc recirculating pumps.png [^Recirculate Stopped] Recirculation is stopped. Blood and dialysate pumps are stopped. = 65_recirc stop TEMP.png [^Recirculate Reconnect] Clamp arterial and venous bloodlines. = 56_clamp shunted patient lines.png Remove arterial and venous line recirculation connector. = 34_remove recirc connector.png Connect arterial and venous bloodlines to your patient access lines. = 31_connect arterial and venous lines to patient.png Unclamp arterial and venous bloodlines. = 32_unpinch arterial and venous for blood prime.png [Water Flush^Water Flush] Ensure dialysate and concentrate caps are fully closed. = 46_install caps.png [Heat Disinfect^Heat Disinfect] Ensure dialysate and concentrate caps are fully closed. = 46_install caps.png [Chemical Disinfect^Chemical Disinfect] Remove the concentrate cap and connect the chemical disinfectant = 14_connect PAA.png [Chemical Flush^Chemical Flush] Disconnect the chemical disinfectant and replace concentrate cap. = 15_disconnect PAA.png Ensure dialysate and concentrate caps are fully closed. = 46_install caps.png [RO Permeate Sample^RO Permeate Sample] Ensure dialysate and concentrate caps are fully closed. = 46_install caps.png