Reference Notebook
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RENAL CARE
CAT REFERENCE NOTEBOOK
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