Index: configurations/Instructions/Instructions.conf =================================================================== diff -u -r407e0ce3c5653175efa6f762f206e1b9706b3fda -rffa905907070113c96a6280d1fb916d163b28264 --- configurations/Instructions/Instructions.conf (.../Instructions.conf) (revision 407e0ce3c5653175efa6f762f206e1b9706b3fda) +++ configurations/Instructions/Instructions.conf (.../Instructions.conf) (revision ffa905907070113c96a6280d1fb916d163b28264) @@ -9,7 +9,7 @@ # 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. # Entry format: -# [^] +# [^] # "Title" = # <Instruction step> = <image.png> # ###################################################################################################### @@ -19,143 +19,59 @@ Remove acid connector and connect to acid concentrate. = Concentrates_1.png Connect dry bicarbonate. = Concentrates_2.png -[Installation] +[Installation^Blood Tubing Set] Title = Install Blood Tubing Set -Open the blood pump door. = Installation_1.png -Insert blood tubing set and ensure it is secure. = Installation_2.png -Push the blood tube into the blood pump. = Installation_3.png -Close the blood pump door. = Installation_4.png +Open the blood pump door. = Installation_BloodTube_1.png +Insert blood tubing set and ensure it is secure. = Installation_BloodTube_2.png +Push the blood tube into the blood pump. = Installation_BloodTube_3.png +Close the blood pump door. = Installation_BloodTube_4.png -[Installation^Advanced] -Title = Install Concentrates and Blood Tubing Set -Install acid and bicarbonate concentrates. = acid_bicarb.png -Install blood tubing set and dialyzer. = blood_tube_set.png +[Installation^Bloodlines] +Title = Install Bloodlines +Insert saline line into the first slot. = Installation_Bloodlines_1.png +Insert arterial line into the second slot. = Installation_Bloodlines_2.png +Ensure the venous line is placed in the bubble detector. = Installation_Bloodlines_3.png +Insert the venous line into the third slot. = Installation_Bloodlines_4.png +Connect the arterial and venous bloodlines using the recirculation connector. = Installation_Bloodlines_5.png -[Disconnection] -Title = Remove Concentrates and Blood Tubing Set -Remove blood tubing set and dialyzer. = blood_tube_set.png -Remove acid and bicarbonate concentrates. = acid_bicarb.png +[Installation^Pressure Lines and Dialyzer] +Title = Install Pressure Lines and Dialyzer +Connect the arterial pressure line to the arterial pressure transducer port. = Installation_CPLD_1.png +Connect the venous pressure line to the venous pressure transducer port. = Installation_CPLD_2.png +Insert dialyzer into the holder and connect the dialysate lines. = Installation_CPLD_3.png +Connect the bloodlines to the dialyzer. = Installation_CPLD_4.png +Clamp the venous chamber line. = Installation_CPLD_5.png +Clamp the heparin line. = Installation_CPLD_6.png +[@Installation] +Title = Install Concentrates and Blood Tubing Set +Install acid and bicarbonate concentrates. = Install_Advanced_1.png +Install blood tubing set and dialyzer. = Install_Advanced_2.png -[Sample^Water Sample] -Place cup in the water sampling pocket. Press and hold the "Water Sample" button. = 9_water sampling.png +[Saline] +Title = Connect Saline Bag +Hang saline bag on the hook. = Saline_1.png +Clamp saline line. = Saline_2.png +Use the saline line to spike saline bag. = Saline_3.png +Unclamp saline line. = Saline_4.png -[Sample^Water Sample Result] -Test the water sample per your clinic's instructions and enter the result. = 42_water test pass fail.png +[@Saline] +Title = Connect Saline Bag +Spike and connect saline bag. = Saline_Advanced_1.png -[Sample^Water Sample Result Failed] -Water sample result failed. = 40_water test fail.png +[Connect] +Title = Connect Bloodlines to the Patient +Clamp arterial and venous bloodlines (2 clamps). = Connect_1.png +Remove recirculation connector from the bloodlines. = Connect_2.png +Connect bloodlines to patient access lines. = Connect_3.png +Unclamp arterial and venous bloodlines (2 clamps). = Connect_4.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 +[@Connect] +Title = Connect Bloodlines to the Patient +Connect bloodlines to patient access lines. = Connect_Advanced_1.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 +[Disconnection] +Title = Remove Concentrates and Blood Tubing Set +Remove blood tubing set and dialyzer. = Install_Advanced_2.png +Remove acid and bicarbonate concentrates. = Install_Advanced_1.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 bloodline and saline y-connector. Disconnect the arterial bloodline. = 48_disconnect saline y.png -Connect arterial bloodline to your patient access line. = 71_rinseback arterial re-connect.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 saline y-connector. Disconnect the arterial bloodline. = 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 pump is 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 - -[Heat Disinfect with Active Cool^Heat Disinfect with Active Cool] -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 -