Surdial-X CAT Reference Notebook Jan 2019

Chapter 1 General Chapter 2 Treatments Chapter 3 Other functions Chapter 4 Changing lines Chapter 5 Air

Introduction Dear Surdial X Operator, As global market leader in dialysis, with over 50 years of knowledge and expertise, we are delighted to share with you an important resource as part of our Nipro Total Solution for Renal Care. When developing Surdial X, Nipro kept three goals in mind: 1. 2. 3.

create a high quality device, offer products for a wide-range of treatments, ensure ease of access and operation.

The Surdial X machine in front of you has it all! Traditional training material for a dialysis machines often comes in a format similar to heavy notetaking. We chose for an alternative solution that streamlines information, while simultaneously drawing upon the experiences of our users. Nipro already places great focus on usability and intuitive design. We aim to provide easy-to-use machines with clearly understandable, step-bystep messages on-screen. To complement our Surdial X, we proudly present this Clinical Applications Team (CAT) Reference Notebook! You will notice screenshots and instructions throughout. This is because a team of Clinical Application Specialists gathered the experiences of nurses worldwide and developed this document with a cumulative perspective of the Surdial X. We trust that this CAT Reference Notebook will help improve your understanding in your daily use. However, please keep in mind, this is NOT an Instruction Manual. You will see four simplified graphic symbols throughout: • signals an explanation → signals an action that one must fulfill in order to proceed to the next step signals additional information signals an important warning Nipro aims to ensure the full satisfaction of all persons – nurses, patients, physicians, technicians, and even cleaning personnel – from start to finish. This is our biggest pleasure and reward.

IMPORTANT NOTICE Dear Surdial X Operator, Are you in front of the Surdial X device, holding this document in-hand? Before proceeding, you must first consider the following important notice. Surdial X comes with an Instruction Manual. The Instruction Manual is the only reigning document that contains the OFFICIAL instructions and safety warnings for the Surdial X machine. To enable continuous guidance, the Surdial X Instruction Manual must be available and accessible to the user at all times. In order to operate Surdial X in a safe and accurate way, please take all necessary steps to read and follow the operating instructions, procedures, safety warnings, and cautions explained in the Instruction Manual. This binder is a Reference Notebook made by Nipro’s Clinical Applications Team (CAT). It contains screenshots and information that may improve your understanding in the daily use of Surdial X. However, we must reiterate:

This Reference Notebook DOES NOT replace the official Surdial X Instruction Manual! We want to ensure the most comprehensive understanding of the material we provide to you. Thank you for your care and attention. Sincerest regards, Your Nipro Clinical Applications Team

CAT Reference Notebook

1

CHAPTER

General Message display monitor Messages Preparation Choice of therapy

CAT Reference Notebook

GENERAL

1

CHAPTER

Message display monitor

Message display monitor

CAT Reference Notebook – Chapter 1

General

Some button operations cannot be accepted on some screens or during some processes.

Selection screen Select “Treatment mode” or “Cleaning mode”.

At machine start-up Start-up screen Model name and software version are displayed.

Image 1.1.1-EN.tif

Image 1.1.2-EN.tif

Image 1.1.3-EN.tif

1

2

NO.

NAME

FUNCTION

1

Treatment mode button

Goes to Treatment mode

2

Cleaning mode button

Goes to Cleaning mode

Message display monitor

CAT Reference Notebook – Chapter 1

General Treatment screen 1

14

15

16

2

3

4

5

6

{

7

8

NO.

NAME

FUNCTION

1

Operating mode

To c hoose Operation mode (i.e. ONLINE HDF)

2

Treatment button

Goes to Treatment process from Preparation complete process and Reinfusion process

3

Reinfusion button

Goes to Reinfusion process from Treatment process

4

Bypass button

To run dialysate via bypass during Preparation complete process, Treatment process, and Reinfusion process

5

Drain button

To drain dialysate during Preparation complete process and Reinfusion process

UF stop

To stop UF during Treatment process

6

Cleaning button

Goes to Cleaning mode from Preparation process, Preparation complete process, and Reinfusion process

7

Blood flow +/- switch

To change blood flow setting of blood pump

8

Priming button

To open Priming screen

9

Blood circuit button

To open Liquid adjustment screen (where you can adjust level of chambers)

10

First aid button

To open Liquid adjustment screen (where you can adjust level of chambers)

11

Heparin button

To open menu screen for heparin

12

System button

To open System setting screen

13

Function button

To open Function setting screen

14

Pressure displays

Display boxes for actual arterial pressure, venous pressure, and TMP

9

{

10 11 29 12 13

17

18

19

20

21

22

23

24

25

26

27

28

Image 1.1.4-EN.tif

Touch the display box to open the Alarm Setting window

CAT Reference Notebook – Chapter 1

General

Message display monitor Examples for data entry (Treatment data)

NO.

NAME

FUNCTION

15

Conductivity displays

Display boxes for actual dialysate conductivity and B-concentrate conductivity

1

5

2

4

5

Touch the display box to open the Alarm setting window Alarm setting values cannot be changed

16

Temperature display

Display box for actual dialysate temperature Touch the display box to open the Alarm Setting window Alarm setting values cannot be changed

Info button

To display information such as start-up test result, operation manual, etc.

18

Warning button

To display warning

19

Alarm button

To display alarm

20

UF menu button

To open UF menu screen

21

Guidance button

To display guidance

22

History button

To display treatment history

23

Dialysate menu button

To open Dialysate menu screen

24

Monitor symbol button

To disable button operation for a specified time To activate: push 3 sec. (i.e. to clean the screen)

25

ONLINE menu button

Option ONLINE HDF

26

Graph button

To display graph such as UF Na diagram and Pressure graph

27

SN menu button

Option Single needle pump

28

Message display

Display area for messages

29

BPM

Option Blood Pressure Monitor (BPM)

Image 1.1.5-EN.tif

3 NO.

NAME

FUNCTION/OPERATION

1

Arterial pressure display

Touch the display box to open the Alarm setting window

2

Width setting switch

To change display range (width)

3

+/- switch

To set the upper and lower limit for alarm

4

Enter button

To confirm the setting

5

Input limits

No values outside this range can be entered

Example: Arterial pressure alarm setting

17

Message display monitor

CAT Reference Notebook – Chapter 1

General

Level adjustment screen 1

1

2

5 2

Example: UF goal setting

3

4

Image 1.1.6-EN.tif

3

NO.

NAME

FUNCTION/OPERATION

NO.

NAME

FUNCTION/OPERATION

1

UF goal display

Touch the display box to open the UF goal setting window

1

Treatment mode display

Displays types of treatment

2

+/- switch

To set the value for each digit

2

Level adjust switch

Adjusts liquid level

3

Cancel button

To cancel setting change

3

Remove line buttons

Remove different blood lines

4

Enter button

To confirm setting

5

Input limits

No value outside this range can be entered

Image 1.1.7-EN.tif

Message display monitor

CAT Reference Notebook – Chapter 1

General

Screen saver (silent screen while machine is in operation)

Reinfusion screen 2

3

4

5

6

1

Image 1.1.8-EN.jpg

Data displayed: ------

UF volume, UF rate, UF goal Arterial pressure and Venous pressure Blood flow UF start time, UF remaining time, and UF goal time Blood Pressure Monitor (only when Blood pressure option is selected)

NO.

NAME

FUNCTION/OPERATION

1

Reinfusion I/O button

To start/stop reinfusion

2

Reinfusion volume display

Displays Target reinfusion volume

Image 1.1.9-EN.tif

Target reinfusion volume can be set by touching the Reinfusion volume display box

This screen is activated during periods of user inactivity on the Treatment screen. The time it takes for the screen saver to appear can be set by the operator.

3

Reinfusion time display

Displays Reinfusion remaining time

4

Reinfusion rate display

Displays Reinfusion rate

This screen disappears:

5

Cum. reinfusion volume display

Displays Cumulative reinfusion volume

6

Type of reinfusion

To select reinfusion type (NaCl or Dialysate or ONLINE)

-- When the screen is touched -- When information or an alarm is displayed -- When blood pressure starts to be measured

Message display monitor

CAT Reference Notebook – Chapter 1

General Cleaning standby screen 5

1

2

3 NO.

NAME

FUNCTION/OPERATION

1

Cleaning mode button

To select cleaning program/type

2

Auto off button

When the Auto off button is ON, the machine is automatically turned off after cleaning is completed

3

Preparation button

Goes to Preparation process

4

Start button

To start cleaning This button changes to Stop button during cleaning

5

History of cleaning

Displays Cleaning history

6

History of CF

Displays time of Cut Filter (CF) used Filter change button is used to start CF change program

6

7

4

8

Image 1.1.10-EN.tif

7

Last treat

Displays the latest treatment data

8

Weekly program

To activate the scheduled programs during the week

Message display monitor

CAT Reference Notebook – Chapter 1

General

Cleaning execution screen for single step (Rinse) 1

2

Image 1.1.12-EN.tif

Graph during water rinse

Graph during hot disinfection or hot rinse

Image 1.1.11-EN.tif

Image 1.1.13-EN.tif

Graph during disinfection or de-calcification

NO.

NAME

FUNCTION/OPERATION

1

Cleaning graph

Displays graph of cleaning execution time and cleaning solution temperature

2

Remaining time

Displays cleaning remaining time

Message display monitor

CAT Reference Notebook – Chapter 1

General

Cleaning execution screen for program (Program 1)

1

2

Image 1.1.14-EN.tif

NO.

NAME

FUNCTION/OPERATION

1

Disinfectant setting

Displays original concentration and diluted concentration of disinfectant used for cleaning

2

Cleaning program

Displays cleaning program

CAT Reference Notebook

GENERAL

1

CHAPTER

Messages

Messages

CAT Reference Notebook – Chapter 1

General

Image 1.2.1-EN.tif

•• Messages will always appear at the bottom of the screen

Image 1.2.2-EN.tif

Other messages can be

,

,

,or

•• Pay close attention to this section! ••

and

are visible and can be selected at any time

•• If , , or appears, it will automatically display a message and will require intervention by the operator ••

will tell you how to perform the necessary procedures Read and follow at all times!

Messages

CAT Reference Notebook – Chapter 1

General

Image 1.2.3-EN.tif

••

and

can be displayed at the same time

•• Select the indicated button to see several messages ••

up front

••

pending behind

Image 1.2.4-EN.tif

••

up front

••

is available behind

•• Arrows indicate that there is more information to read; press the arrow down

to scroll

CAT Reference Notebook

GENERAL

1

CHAPTER

Preparation

Preparation

CAT Reference Notebook – Chapter 1

General

Image 1.3.1-EN.tif

When disinfection from previous treatment has completed, this screen will appear

When the machine is turned on, this screen will appear >> Select cleaning options

to begin therapy or select

Image 1.3.2-EN.tif

to view

>> Connect A-concentrate canister or start-up with centrally delivered A-concentrate (as instructed in the Guidance) >> Connect B-cartridge or connect fluid bicarbonate canister (as instructed in Guidance)

>> Select >> Connect A-concentrate canister or start-up with centrally delivered A-concentrate (as instructed in Guidance) >> Connect B-cartridge or connect fluid bicarbonate canister (as instructed in Guidance)

Preparation

CAT Reference Notebook – Chapter 1

General

Image 1.3.3-EN.tif

•• To prime the B-cartridge, press

Image 1.3.4-EN.tif

To avoid alarms, confirm the dialysate source in the dialysate menu:

•• The Start-up test begins

•• Concentrate

•• Once the Start-up test begins, the blood lines may be placed on the machine

•• A- & B-supply source

•• The dialysate fluid will begin to pick up conductivity when the Start-up test is complete