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Press and hold the "Water Sample" button. = 8_water sampling_v4.png +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. = 44_water test pass fail v2.png +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. = 44_water test fail B v2.png +Water sample result failed. = 40_water test fail.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 +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 upward position. = 7_pump track unlock.png +Unlock the pump track by moving the lever to its upward position. = 8_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 +Connect arterial and venous blood lines using the recirculation connector. = 51_shunt patient lines.png +Connect the blood lines 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 +Connect the arterial pressure line to the arterial pressure transducer port. = 22_PBA connection.png +Connect the venous pressure line to the venous pressure transducer port. = 23_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 +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 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 +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 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 +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 +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] 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 +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 +Draw a dialysate sample from the luer lock connection port.\nTest the dialysate sample per your clinic's instructions = 17_dialysate sample.png +Wash your hands and establish vascular access per your clinic's instructions. = 43_wash hands.png +Clamp arterial and venous blood lines. = 56_clamp shunted patient lines.png +Remove arterial and venous line recirculation connector. = 34_remove recirc connector.png +Connect arterial and venous blood lines to your patient access lines. = 31_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 +Unclamp arterial and venous blood lines. = 32_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 +Clamp arterial blood lines and disconnect. = 33_disconnect arterial lines.png +Connect arterial blood line to the saline y-connector. = 35_connect saline y.png +Unclamp arterial blood line and saline y-connector. = 38_unclamp saline lines.png [^Rinseback Complete] -Clamp arterial cartridge line, saline line, and patient access lines. = 41_clamp Arterial saline Line-01.png +If rinseback is complete, clamp arterial blood line and saline line = 64_rinseback clamp arterial and saline lines.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 +Clamp venous blood line and disconnect. = 63_disconnect venous lines.png +Connect the venous blood line to the luer lock connection port on the venous line. = 58_end treatment connect venous to sampling port.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 +Open the front panel door. = 1_HD door open-01.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 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 +Clamp arterial blood line and disconnect. = 48_disconnect saline y.png +Clamp venous blood lines and disconnect. = 63_disconnect venous lines.png +Connect arterial and venous blood lines using the recirculation connector. = 60_recirc shunt patient lines.png +Unclamp arterial and venous blood lines. = 62_recirc unclamp recirc lines.png [^Recirculate] -Recirculating cartridge blood lines = 48_DG system with caps closed_temp.png +Treatment is paused. Blood and dialysate pumps are recirculating = 61_recirc recirculating pumps.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 +Clamp arterial and venous blood lines. = 56_clamp shunted patient lines.png +Remove arterial and venous line recirculation connector. = 34_remove recirc connector.png +Connect arterial and venous blood lines to your patient access lines. = 31_connect arterial and venous lines to patient.png +Unclamp arterial and venous blood lines. = 32_unpinch arterial and venous for blood prime.png [Disinfection^Disinfection] -Select a method for disinfection. = 48_DG system with caps closed_temp.png +Select a method for disinfection. = 45_denali system.png [Water Flush^Water Flush] -Ensure dialysate and concentrate caps are fully closed. = 48_DG system with caps closed_temp.png +Ensure dialysate and concentrate caps are fully closed. = 46_install caps.png [Heat Disinfect^Heat Disinfect] -Ensure dialysate and concentrate caps are fully closed. = 48_DG system with caps closed_temp.png +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 = 17_connect PAA_v4.png +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. = 19_replace concentrate cap-01.png -Ensure dialysate and concentrate caps are fully closed. = 48_DG system with caps closed_temp.png +Disconnect the chemical disinfectant and replace concentrate cap. = 15_disconnect PAA.png +Ensure dialysate and concentrate caps are fully closed. = 46_install caps.png Index: Instructions/pass fail icons_v4.png =================================================================== diff -u -r5552074bb4b7da1d4eeb88f006ffb9e433157140 -rd79b0e5da553b846668163fa59a33f82b6d08823 Binary files differ Index: Instructions/sampler icon_v4.png =================================================================== diff -u -r5552074bb4b7da1d4eeb88f006ffb9e433157140 -rd79b0e5da553b846668163fa59a33f82b6d08823 Binary files differ