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differ Index: Instructions/Instructions.conf =================================================================== diff -u -r5552074bb4b7da1d4eeb88f006ffb9e433157140 -rb4bf8229a95c4503d6b34a55304a7fee0ade1c47 --- Instructions/Instructions.conf (.../Instructions.conf) (revision 5552074bb4b7da1d4eeb88f006ffb9e433157140) +++ Instructions/Instructions.conf (.../Instructions.conf) (revision b4bf8229a95c4503d6b34a55304a7fee0ade1c47) @@ -20,82 +20,99 @@ Water sample result failed. = 44_water test fail B v2.png [Consumables^Consumables Installation] -Remove the concentrate and dialysis fluid caps. = 48_remove caps alternative-01.png +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 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 the cartridge blood lines to the dialyzer. = 25_filter connection 1A+1B-01.png -Connect the cartridge dialysis fluid lines to the dialyzer. = 26_fiilter connection 2A + 2B-01.png -Insert dialyzer into the clamps. = 24_load filter-01.png -Connect the arterial pressure line to the arterial pressure transducer port. = 27_PBo connection Arterial-01.png -Connect the venous pressure line to the venous pressure transducer port. = 28_PBo connection venous-01.png -Connect the cartridge dialysis fluid lines to the DG fluid ports. = 20_dialysate lines to DG_v4.png +Connect arterial and venous cartridge 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 infusion port 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 the cartridge heparin tubing line. = 30_fill syringe with heparin_v4.png -Insert heparin filled syringe into the syringe pump. = 31_load syringe-01.png +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] -Hang the saline bag on the left side hook. Spike a saline bag and connect it to the cartridge saline line. = 34_saline connect-01.png -Pinch saline y-connector to the closed position. = 35_clamping Y connecter-01.png +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. Use the cartridge saline to spike a saline bag. = 34_spike and hang saline bag.png +Unclamp the 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] -Draw a dialysis fluid sample from the needless valve port. = 21_take sample with syringe_v4.png +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 -Pinch arterial clamp and venous clamp located on the cartridge patient lines. = 23_pinch Arteriaal and Venous tubes-01.png -Remove arterial and venous line connector. = 39_remove shunt_v4.png -Connect arterial and venous cartridge lines to your patient access lines. = 36_connect Arterial Venous to cartridge-01.png +Clamp arterial and venous cartridge lines. = 56_clamp shunted patient lines.png +Remove arterial and venous line recirculation connector. = 39_remove shunt_v4.png +Connect arterial and venous cartridge lines to your patient access lines. = 36_connect arterial and venous lines to patient.png [Connection^Start Treatment] -Unpinch arterial clamp and venous clamp located on the cartridge patient lines. = 37_unpinch Arterial Venous to patient-01.png +Unclamp arterial and venous cartridge and patient lines. = 37_unpinch arterial and venous for blood prime.png - [^Rinseback Setup] -Pinch arterial line and disconnect patient access line. = 38_disconnect Arterial patient access-01.png -Connect arterial line to the saline Y-connector and unpinch clamp. = 40_connect Arterial line-01.png -Unpinch clamps at the arterial line and saline bag line. = 42_unclamp Arterial saline Line-01.png +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] -Pinch arterial and venous line after rinseback is complete. = 41_clamp Arterial saline Line-01.png +Clamp arterial cartridge, saline line, and patient access lines. = 41_clamp Arterial saline Line-01.png +Clamp venous cartridge and patient access line and disconnect. = TBD image [Disconnection^Patient Disconnection] -Pinch arterial clamp and venous clamp located on the cartridge patient lines and access lines. = 37_unpinch Arterial Venous to patient-01.png -Disconnect arterial and venous cartridge lines from your patient access lines. = 38_disconnect Arterial patient access-01.png +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 connection remove-01.png -Remove heparin syringe from the syringe pump. = 33_remove syringe-01.png -Pinch dialysis fluid lines and disconnect tubing lines from the system. = 22_disconnect dialysate from cassette_v4.png -Install dialysis fluid cap. = 15_replace dialysate line cap_v4.png -Disconnect acid and bicarbonate concentrates tubing lines from the system.= 16_remove acid and bicarb connect_v4.png -Install concentrate fluid cap. = 19_replace concentrate cap-01.png -Unlock the pump track by moving the lever to its upward position. = 7_pump track open-01.png +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 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] -Recirculate 0 =logo.png -Recirculate 1 =logo.png -Recirculate 2 =logo.png +Pinch arterial clamp and venous clamp located on the cartridge patient lines. = 23_pinch Arteriaal and Venous tubes-01.png +Remove arterial and venous line connector. = 39_remove shunt_v4.png +Connect arterial and venous cartridge lines to your patient access lines. = 36_connect arterial and venous lines to patient.png +Unpinch arterial clamp and venous clamp located on the cartridge patient lines. = 37_unpinch arterial and venous for blood prime.png +[^Reconnect] +Pinch arterial clamp and venous clamp located on the cartridge patient lines. = 23_pinch Arteriaal and Venous tubes-01.png +Remove arterial and venous line connector. = 39_remove shunt_v4.png +Connect arterial and venous cartridge lines to your patient access lines. = 36_connect arterial and venous lines to patient.png +Unpinch arterial clamp and venous clamp located on the cartridge patient lines. = 37_unpinch arterial and venous for blood prime.png + [Disinfection^Disinfection] -Disinfection1=logo.png -Disinfection2=logo.png -Disinfection3=logo.png +Select a method for disinfection. = 48_DG system with caps closed_temp.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] -Chemical Disinfect 1 = logo.png +Remove the concentrate cap and connect the chemical disinfectant = 17_connect PAA_v4.png [Chemical Flush^Chemical Flush] -Chemical Flush 1 = logo.png - +Disconnect the chemical disinfectant and replace concentrate cap. = 19_replace concentrate cap-01.png +Test the system for residual chemicals using a test strip. = 43_test residual sample-01.png \ No newline at end of file