# ###################################################################################################### # 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. = 8_water sampling_v4.png [Sample^Water Sample Result] Test the water sample per your clinic's instructions and enter the result. = 44_water test pass fail v2.png [Sample^Water Sample Result Failed] Water sample result failed. = 44_water test fail B v2.png [Consumables^Consumables Installation] Remove the concentrate and dialysate caps. = 48_remove caps alternative-01.png Connect the acid concentrate to the acid port. = 13_install acid line_v4.png Connect the bicarbonate concentrate to the bicarbonate port. = 14_install bicarb line_v4.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 upward position. = 7_pump track unlock.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 cartridge arterial and venous lines using the recirculation connector. = 51_shunt_patient_lines.png Connect the cartridge blood lines to the dialyzer. = 25_connect blood lines to dialyzer.png Connect the cartridge dialysate lines to the dialyzer. = 26_connect dialysate lines to dialyzer.png Insert dialyzer into the dialyzer holder. = 24_load filter-01.png Connect the arterial pressure line to the arterial pressure transducer port. = 27_PBA connection.png Connect the venous pressure line to the venous pressure transducer port. = 28_PBo connection.png Clamp the heparin line. = 50_clamp_heparin.png Clamp venous chamber line. = 49_clamp_IPV.png Connect the cartridge dialysate lines to the dialysate fluid ports. = 20_connect dialysate lines to DG.png [Disposables^Heparin Syringe] Fill a syringe with {77:2:mL:1} heparin and connect to the cartridge heparin tubing line. = 30_fill syringe with heparin_v4.png Insert heparin filled syringe into the syringe pump. Unclamp heparin line. = 31_load syringe-01.png [Disposables^Saline Bag] Clamp cartridge 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 cartridge saline to spike a saline bag. = 34_spike and hang saline bag.png Unclamp the cartridge saline line. Leave the y-connector clamped. = 54_unpinch saline and clamped y connector.png Close the front panel door. = 2_HD door closed-01.png [Connection^Patient Connection] Open the front panel door. = 1_HD door open-01.png Remove dialyzer from dialyzer holder and invert dialyzer. Reinstall dialyzer into dialyzer holder. = 52_invert dialyzer.png Close the front panel door. = 2_HD door closed-01.png Draw a dialysate sample from the luer lock connection port. = 21_take sample with syringe_v4.png Wash your hands and establish vascular access per your clinic's instructions. = 45_wash hands-01.png Clamp cartridge arterial and venous lines. = 56_clamp shunted patient lines.png Remove arterial and venous line recirculation connector. = 39_remove shunt_v4.png Connect cartridge arterial and venous lines to your patient access lines. = 36_connect arterial and venous lines to patient.png [Connection^Start Treatment] Unclamp arterial and venous cartridge and patient lines. = 37_unpinch arterial and venous for blood prime.png [^Rinseback Setup] Clamp arterial cartridge and patient access lines and disconnect. = 38_disconnect Arterial patient access-01.png Connect arterial cartridge line to the saline y-connector. = 40_connect arterial line to saline y connector.png Unclamp arterial cartridge line and saline y-connector. = 42_unclamp Arterial saline Line-01.png [^Rinseback Complete] Clamp arterial cartridge line, saline line, and patient access lines. = 41_clamp Arterial saline Line-01.png [Disconnection^Patient Disconnection] Clamp arterial and venous cartridge and patient access lines. = 57_pinch fistula and cartridge patient lines.png Disconnect from patient access lines. = 36_connect arterial and venous lines to patient.png [Disposables^Disposables Removal] Disconnect the arterial and venous pressure lines. = 29_PBo and PBA removal.png If heparin was used during treatment, remove syringe. = 33_remove syringe-01.png Clamp cartridge dialysate lines and disconnect from the dialysate ports. = 22_disconect dialysate lines from DG.png Replace dialysate cap. = 15_replace dialysate line cap_v4.png Disconnect acid and bicarbonate concentrates lines from the concentrate ports.= 16_remove acid and bicarb connect_v4.png Replace concentrate cap. = 19_replace concentrate cap-01.png Unlock the pump track by moving the lever to its upward position. = 7_pump track unlock.png Remove cartridge and dialyzer from the HD device. = 5_remove casette-01.png [^Recirculate Disconnect] Pinch arterial clamp and venous clamp located on the cartridge patient lines. = 23_pinch Arteriaal and Venous tubes-01.png Connect cartridge arterial and venous lines using the recirculation connector.\nUnclamp arterial and venous cartridge lines. = 51_shunt_patient_lines.png [^Recirculate] Recirculating cartridge blood lines = 48_DG system with caps closed_temp.png [^Recirculate Stopped] # Recirculate Stopped = [^Recirculate Reconnect] Clamp cartridge arterial and venous lines. = 56_clamp shunted patient lines.png Remove arterial and venous line recirculation connector. = 39_remove shunt_v4.png Connect cartridge arterial and venous lines to your patient access lines. = 36_connect arterial and venous lines to patient.png Unclamp arterial and venous cartridge and patient lines. = 37_unpinch arterial and venous for blood prime.png [Water Flush^Water Flush] Ensure dialysate and concentrate caps are fully closed. = 48_DG system with caps closed_temp.png [Heat Disinfect^Heat Disinfect] Ensure dialysate and concentrate caps are fully closed. = 48_DG system with caps closed_temp.png [Chemical Disinfect^Chemical Disinfect] Remove the concentrate cap and connect the chemical disinfectant = 17_connect PAA_v4.png [Chemical Flush^Chemical Flush] Disconnect the chemical disinfectant and replace concentrate cap. = 19_replace concentrate cap-01.png Ensure dialysate and concentrate caps are fully closed. = 48_DG system with caps closed_temp.png [RO Permeate Sample^RO Permeate Sample] Ensure dialysate and concentrate caps are fully closed . = 48_DG system with caps closed_temp.png