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07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide 10-11
10. Operating Instructions – Make Adjustments
* The settings for these percentages are calculated for you in Table 19-8 on
page 19-17 in 19.16, Determining Initial Drain Alarm Volume Settings.
Table 10-1. Recommended Starting Point for I-Drain Alarm Setting
Last Fill Solution Last Fill Dwell Time % of Last Fill Volume
Dianeal 8 to 16 hours 70%*
Dianeal 2 to 4 hours 85%*
Extraneal 8 to 16 hours 95%*
h
NOTE:
If the I-DRAIN ALARM is set to OFF, the HomeChoice APD System
moves on to Fill when a No Flow condition occurs. Baxter
recommends that this setting not be used since there is no Minimum
Drain Volume requirement. A LOW DRAIN VOLUME alarm is posted if
the flow rate is below 50 mL/min for 10 minutes. Subsequent alarms
are posted every 5 minutes. The I-DRAIN: OFF option is not available
in the Low Fill Mode.
h
NOTE:
For “Dry Day” patients, set the I-Drain Alarm to 0 mL, or a very small
volume. If your patient line is greater than 12 feet (3.6 meters) in
length, set the I-Drain Alarm to at least 30 mL. Check with your
dialysis center for the correct number to set. Setting the I-Drain Alarm
to NO in the Standard Fill Mode will activate a No Flow or Slow Flow
alarm.
- HomeChoice 1
- HomeChoice PRO 1
- The HomeChoice 2
- APD Systems 2
- Patient At-Home Guide 2
- Table of Contents 10
- Glossary 12
- 1. Glossary 14
- HomeChoice PRO APD Systems 24
- User Assistance Information 27
- Other Important Information: 29
- Warnings and Cautions 30
- 3.2.1 Treatment 31
- 3. Warnings and Cautions 32
- 3.2.6 General 41
- – Aerosol spray products 41
- – Nitrous oxide 41
- – Has a damaged cord or plug 42
- – Is not working properly 42
- – Has been dropped into water 42
- 3.3 Cautions 44
- 3.4 Battery Precautions 46
- Indications for Use 47
- 4. Indications for Use 49
- Description 50
- 5. Description 52
- GO, STOP, ENTER, up 57
- U), and down arrow (V) 57
- 5.6 Disposable Sets 63
- 5.6.1 Luer Disposable Set 64
- 5.6.2 Spike Disposable Set 65
- PRO APD System Differences 66
- Environmental Conditions 67
- 6. Environmental Conditions 69
- Setup and Check-out 70
- 7. Setup and Check-out 72
- 7.3 Grounding Instructions 74
- PRO Card and Modem 75
- Figure 8-1. PRO Card Port 77
- 8.2 Using the PRO Card 78
- 8.2.2 Confirm Your PRO Card 79
- 8.2.3 Confirm a New Therapy 80
- U (up arrow), and V (down 82
- 8.2.6 Remove Your PRO Card 85
- 8.3.1 No PRO Card 86
- 8.3.2 Card Reader Disabled 87
- 8.3.3 PRO Card Full 87
- GO to continue 87
- 8.3.5 Card Reader Error 88
- 8.4 Install the Modem Option 89
- STOP. The transfer stops 92
- Change Program 94
- 9.2.1 Nurse’s Settings 95
- 9.3 The Nurse’s Menu 96
- 9.5 Manual Programming 98
- GO to start your therapy) 99
- ENTER to save the new value 99
- GO to begin the setup 101
- 9.6 Therapy Type 102
- Minimum setting is 100 mL 104
- Maximum setting is 3000 mL 104
- Default setting is 250 mL 104
- Setting increments: 104
- 9.7.5 Tidal Therapy Settings 112
- NOTES: (Continued) 116
- Minimum setting is 5% 123
- Maximum setting is 95% 123
- Default setting is 5% 123
- Setting increment is 5% 123
- 9.8 Low Fill Mode 128
- – 1 in the 60 to 100 mL range 130
- (Low Fill Mode) 133
- 9.8.5 Tidal Therapy Settings 139
- Operating Instructions – 157
- Make Adjustments 157
- 10.1.1 Changing Settings 158
- V again 159
- V to display the next option 159
- 10.2 Option Settings 160
- 10.2.2 Adjust Loudness 161
- 10.2.3 Auto Dim 162
- 10.2.4 Set Clock 163
- 10.2.5 Set Date 164
- 10.2.6 I-Drain Time 165
- 10.2.7 I-Drain Alarm 166
- U or V to change the setting 169
- 10.2.8 Comfort Control 170
- 10.2.9 Last Manual Drain 171
- 10.2.10 UF Target and Alarm 172
- U or V to select YES or NO 173
- Prepare for Therapy 174
- 177
- 11.4 Menu Options at Startup 181
- 11.5 Load the Disposable Set 184
- – 4-prong set has 6 clamps 185
- GO again to see LOAD THE 186
- STOP and GO 186
- 11.6 Attach the Drain Option 188
- 11.8 Prime the Disposable Set 192
- CONNECT BAGS 193
- STOP then V button to access 195
- IF THE POWER IS INTERRUPTED 196
- DURING PRIME: 196
- GO to start your treatment 199
- Perform Therapy 201
- STOP and press U or V 203
- STOP and V to 204
- V to view each option 205
- ENTER to select an option 205
- 12.2 Fill 206
- 12.4 Drain Phase 210
- 12.5 Pause Therapy 212
- ENTER to select 213
- 12.6 Hi-Dose Therapy 214
- 12.6.1 Day Dwell Options 216
- – or – 218
- V to display 221
- End Therapy 224
- ENTER to select MANUAL DRAIN 228
- 13.2 Disconnect Yourself 230
- STOP immediately, then 232
- STOP and then GO 233
- STOP to exit 235
- Effluent Sampling 237
- 14.2 Take an Effluent Sample 239
- Cleaning 244
- 15.2 Cleaning the Cycler 246
- IMPORTANT 247
- 15. Cleaning 248
- Maintenance 249
- 16. Maintenance 251
- 17. Storage 252
- 17.1 Cycler 253
- 17.2 Battery 253
- 17. Storage 254
- Troubleshooting 255
- 18. Troubleshooting 257
- 18.2 Correcting Alarms 258
- 18.3 Alarms 260
- STOP to mute the alarm 265
- STOP to exit Change Program 265
- 18.3.4 Phase Not Finished 266
- 18.3.7 Low Drain Volume 270
- ENTER to bypass 270
- GO to return to your therapy 271
- GO to return to the therapy 275
- 18.3.9 Machine Tilted 275
- 18.3.10 Warming Solution 276
- 18.3.11 Caution: Negative UF 277
- 18.3.12 Check Your Position 279
- V until MANUAL DRAIN appears 279
- ENTER to bypass the alarm 279
- 18.3.14 Caution: Positive UF 284
- V until BYPASS appears 284
- ENTER to choose BYPASS 284
- 18.3.17 System Error nnnn 288
- – Continue the therapy 289
- – End the therapy early 289
- – Bypass a phase 289
- – Perform a Manual Drain 289
- 18.3.18 Temp Stabilizing 290
- 18.4 Bypass Procedures 292
- 18.4.3 Bypass Drain Phase 296
- STOP to silence the alarm 300
- GO to resume Drain 303
- 18.5 Manual Drain Procedure 308
- GO to return to therapy 309
- STOP to mute the 319
- Technical Data 324
- 19.2.1 Extension Cords 326
- 19.5 Battery Backup 327
- – Detachable power cord 328
- – Modem cable 328
- 19. Technical Data 329
- 19.13 Drain Logic Options 335
- 19.14.1 Scheduled Replenish 337
- 19.14.2 Unscheduled Replenish 338
- Settings 340
- Quick Reference 345
- 20.1 Prepare for Therapy 347
- 20. Quick Reference 348
- 3. Turn on the cycler 348
- 5. Prepare your drain option 349
- LOAD THE SET appears 350
- Push the handle up to unlock 350
- 8. Load the cassette 351
- 9. Place the organizer 351
- 11. Attach your drain option 352
- 12. Open all drain clamps 352
- 13. Press GO 352
- 15. Connect bags 353
- 18. Priming complete 355
- 21. Connect yourself 356
- 22. Press GO 357
- Close the transfer set 359
- Clamp the patient line 359
- 9. Connect yourself 362
- 10. Press GO and the system 362
- DAY DRAIN 1 362
- Initial Drain 364
- Total UF 364
- Average Dwell Time 364
- Other data as instructed by 364
- CLOSE ALL CLAMPS appears 365
- DISCONNECT YOURSELF 367
- TURN ME OFF appears on the 367
- Warnings 3-1, 4-1 376
- Waste 1-12 376
- WEEE 2002/96/EC 3-15 376
- Weight 8-8 376
- 1.800.553.6898 377
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