ARTIS PHYSIO PLUS How to Use Student Supporting Material SW9.05 2019

Important Notice:

This material includes information about the use of the Artis Physio Plus Dialysis System and is provided for facilitating purposes only. This material shall be used conjointly with the Operator’s Manual and the Quick Reference Guide (QRG). The information included in this material does not supersede the information included in the Operator’s Manual and in the QRG. This material does not relieve any user of the Artis Physio Plus Dialysis System from his or her duty to carefully read the full text of the Operator’s Manual before using the System. Reviewing this material does not replace the need for the user to receive the necessary training program before using the System. Code 9033347000 |

2

Table of contents Chapter 1: Chapter 2:

Introduction and Preparation Treatment in practice

Chapter 3: Chapter 4: Chapter 5: Chapter 6: Chapter 7: Chapter 8:

Hygienic maintenance Functions in practice Troubleshooting Special Procedures Report and Service Environment HemoControl therapy

Chapter 9: Chapter 10: Chapter 11: Chapter 12:

HDF on-line treatment HD-SN DP treatment The AFBK therapy Communication

Baxter, Artis, ArtiSet, BiCart, BiCart Select, CleanCart, Diascan, HemoControl, Hemoscan, Hospasol, Safebag, SelectBag, SelectBag One, SelectCart, SoftPac, U 9000, ULTRALINE HD and ULTRALINE HDF are trademarks of Baxter International Inc. or its subsidiaries. Code 9033347000 |

3

Note: In this manual, the Artis screen figures may contain minor differences (position of date and time, commercial name). These differences are irrelevant for the correctness of the information provided to the operator.

Code 9033347000 |

2

4

NOTES

3

Artis Physio Plus SW 9.05 Chapter 1: Introduction and Preparation

Code 903334600 May 2019

Artis in Practice • Touch screen • Intuitive user interface • BiCart Select • Self-loading blood tubing systems • EvaClean • One touch priming • Alarm status and support



Code 9033347000 |

6





$



 
 
   
" 
    !
 

!  
   ""# 

4

NOTES

5

Sub-screens Treatment Type Patient Card Edit Distribution Volume Settings Timer Settings

BP Settings A/V Limit Settings Hemoscan Settings Heparin Settings Priming Settings Rinseback Settings

Fluid Settings Diascan Settings Isolated UF Settings HemoControl Settings UltraControl Settings

Special Procedures Disinfection Hygiene BlackBox System Data Service

Code 9033347000 |

8

Code 9033347000 | 9

Code 9033347000 | 10

6

NOTES

7

Code 9033347000 | 11

Code 9033347000 | 12

Code 9033347000 | 13

8

NOTES

9

Code 9033347000 | 14

Code 9033347000 | 15

Code 9033347000 | 16

10

NOTES

11

Operator Message Guidance

Code 9033347000 |

17

Code 9033347000 |

18

BiCart Select System

Concentrates are prepared on-line during treatment from the: • The BiCart cartridge • The SelectCart cartridge • The SelectBag One container • The SelectBag Citrate container

Concentrate Combinations At connection ensure the correct concentrate combination is set (pre-setable) • BiCart Select System - BiCart cartridge, SelectCart cartridge and SelectBag One container - BiCart cartridge, SelectCart cartridge and SelectBag Citrate container

• BiCart cartridge + A-concentrate - SoftPac container - Canister - Central distribution

After Preparation phase has started, it is no longer possible to change Concentrate Combination Code 9033347000 |

12

19

NOTES

13

Compatibility with SoftPac • New compatibility with SoftPac Citrate containers. • New concentrate combinations are available for the preparation of Dialysis fluid in Bicarbonate mode using SoftPac Citrate containers. • A fixed number of the SoftPac Citrate container codes have been added to the preset list. Preset: Concentrates sub-screen

Available SoftPac Citrate C140

C150 / G150

C165/ G165

C1540/ G1540

C1550/G1550

C1565/G1565

C1575/ G1575

C240/G240

C250/ G250

C265/G265

C275/ G275

C2540

C2550

C2565/ G2565

C340/ G340

C350/G350

C365/ G365

C375/ G375

C3540/ G3540

C3550

C3565

C450

C465

C2040/ G2040

C2050/ G2050

C2065/ G2065

C2075/G2075

C3050/ G3050

C3065/G3065 Code 9033347000 |

20

Fluid Circuit | Treatment

•Single pass fluid system •Ultrafilters after water inlet and dialysis fluid mixing •The third Ultrafilter for on-line treatments, previously included in the ArtiSet accessories, is now replaced by an internal Ultrafilter equal to the first two ones

1 2

•Clearance measurement after the dialyzer

3

Code 9033347000 |

21

Code 9033347000 |

22

ArtiSet HD DNL HC Dialyzer Arterial line

Venous Infusion line Priming line Arterial Infusion lines Heparin line

Dialyzer Venous line

No-return valve Venous Injection port

Arterial Chamber Venous Chamber

Venous Connector

Hemoscan cuvette

Arterial Injection port Venous Patient line

14

Arterial Patient line

NOTES

15

Accessories for On-line Treatments

Ultra line Ultra line

Rinseback connector

Rinseback connector

Fluid Line

Fluid Line

ULTRALINE HD

ULTRALINE HDF Code 9033347000 |

23

Code 9033347000 |

24

Code 9033347000 |

25

Bloodlines & Accessories ARTIS PHYSIO PLUS THERAPY HDF/HF-PRE HDF-POST

ArtiSet Artiset Pre-Post

Accessory ULTRALINE HDF Code: 955599

HDF-POST only

ULTRALINE HD Code: 955600

HD-DN with on-line Priming

HD-SN with on-line Priming

Artiset HD SN HC

ULTRALINE HD Code: 955600

ArtiSet | Venous & Arterial Pathways Pre-pump Pre-pump

Post-pump

16

NOTES

17

Recommended Sequence for Dressing & Priming The all-in-one sequence

The 2-step sequence

Student Version Code 9033346100 |

26

Auto-loading Blood Tubing System Follow operator’s message for: • Auto-loading of the ArtiSet blood tubing system • Disposable set up / connections

All disposables are connected in one single series of action Code 9033347000 |

27

Code 9033347000 |

28

EvaClean Priming fluid draining device i.e. no waste bag is needed • Designed to draw fluid through the blood tubing system – where the A/V patient blood lines are connected • Anti-backflow safety system embedded • Automatically disinfected during the regular disinfection processes

18

NOTES

19

Heparin Syringe Installation

Code 9033347000 |

29

Heparin Administration

•The heparin line is automatically primed if the heparin administration function is activated before Auto-Prime starts •If heparin administration function is not activated before AutoPrime starts, the heparin line can be primed manually using the heparin
position key •During heparin administration the light indicator on the pump panel is green lit •In the Linear administration mode, Artis performs a few “kicks” to open the one-way-valve •The Initial Dose is administered when blood enters the arterial dialyzer line (30 ml processed)

Code 9033347000 |

30

Heparin Administration 30cc syringe is standard

Administration types available: • Linear: range 1.5 to 10 mL/h • Intermittent: dose range 0.5-12mL • Manual: range 0.5 to 12mL 10 cc syringe kit (field option)

Administration type available: • Linear: range 0.5 to 4 mL/h • Intermittent: dose range 0.5-4mL • Manual: range 0.5 to 4 mL/h

Extra Bolus button becomes available after Start Treatment

Options available: • Initial Dose • Automatic bolus is administered upon the Operator’s confirmation (Extra Bolus)

Code 9033347000 |

20

31