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baxter HomeChoice User Manual

baxter HomeChoice
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HomeChoice
HomeChoice PRO
APD Systems
Patient At-Home Guide
Creating a Better World of Care for Renal Patients
PATIENT GUIDE COVERS_Update121109.indd 1 12/11/2009 2:26:51 PM

Table of Contents

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baxter HomeChoice Specifications

General IconGeneral
ManufacturerBaxter International Inc.
Power Requirements100-240V AC, 50/60 Hz
TypeAutomated Peritoneal Dialysis Machine
Therapy ModesAutomated Peritoneal Dialysis (APD)
AlarmsSystem Error
MemoryStores treatment data
ConnectivityData transfer via USB

Summary

User Assistance Information

Numbers to Call for Assistance

Lists contact numbers for technical support and dialysis centers.

Warnings and Cautions

Side Effects and Contraindications

Details potential side effects and conditions where use is not advised.

Warnings

Highlights critical safety information that can cause harm.

Treatment - Overfill / IIPV

Explains symptoms and causes of overfilling (IIPV) and how to manage it.

Description

Control Panel Buttons

Describes the general functions of the GO, STOP, ENTER, and Up/Down buttons.

Setup and Check-out

Check-out

Steps to perform before initial use, checking for damage and included components.

Set Up the HomeChoice APD System

Instructions for placing the cycler on a stable surface and ensuring a grounded outlet.

Grounding Instructions

Explains the importance of grounding and proper outlet connection for electrical safety.

Operating Instructions – Change Program

Manual Programming

Instructions for manually programming or reviewing therapy settings.

Basic Steps for Manual Programming

Outlines the basic steps to review or change therapy settings using the system buttons.

Basic steps to change settings

Details the step-by-step process for changing Total Volume and Therapy Time settings.

Basic steps to change settings (Continued)

Continues the step-by-step guide for changing Last Fill Volume, Dextrose, and other settings.

Operating Instructions – Make Adjustments

I-Drain Alarm

Explains the function of the I-Drain Alarm volume and its importance in preventing IIPV.

UF Target and Alarm

Explains how to set the UF Target and Alarm, and the consequences of incorrect settings.

Operating Instructions – Prepare for Therapy

Prepare Your Solution Bags

Instructions for preparing solution bags, emphasizing aseptic technique and checking for problems.

Turn On Your HomeChoice APD System

Provides instructions on how to properly turn on the cycler and perform initial checks.

Load the Disposable Set

Provides critical warnings about connecting yourself only when prompted by the system.

Attach the Drain Option

Provides instructions on attaching the drain option, with warnings about air gaps.

Connect the Solution Bags

Instructions for connecting solution bags, with warnings about heater pan placement and solution types.

Prime the Disposable Set

Explains the importance of priming and provides instructions, with warnings about air delivery.

Connect Yourself to the Disposable Set

Provides instructions for connecting the patient to the disposable set, emphasizing aseptic technique.

Operating Instructions – Perform Therapy

Operating Instructions – End Therapy

Steps to end your therapy

Guides the user through the END OF THERAPY screen, recording summary information like I-DRAIN VOLUME and TOTAL UF.

Disconnect Yourself

Provides instructions on how to disconnect from the system, emphasizing aseptic technique.

Shut Down

Instructions for shutting down the cycler, including discarding disposables and warnings about door and fluid flow.

Operating Instructions – Effluent Sampling

Cleaning

Troubleshooting

List of Alarms and Procedures

An alphabetical list of alarm messages and corresponding page numbers for troubleshooting.

Correcting Alarms

Explains how the system alerts users to issues and the general steps for correction.

Types of Alarms

Categorizes alarms into Auto Restart, Manual Restart, and System Error.

Check Lines

Explains the "Check Lines" alarm, its causes (kinks, clamps, blockage), and correction steps.

CHECK LINE (Continued)

Addresses "CHECK HEATER LINE" and "CHECK DRAIN LINE" causes and corrections.

Check Lines and Bags

Explains the "Check Lines and Bags" alarm, its causes, and correction steps.

Check Therapy Setting Value

Addresses alarms related to invalid therapy settings and how to correct them.

Phase Not Finished

Explains the "Phase Not Finished" alarm and warnings about bypassing.

Load a New Set

Details troubleshooting steps when the disposable set fails testing during setup.

Low Ultrafiltration (UF)

Explains the "Low UF" alarm, its cause (UF Target not met), and how to bypass or correct it.

Steps to bypass LOW UF alarm

Provides instructions on how to bypass the LOW UF alarm.

Low Drain Volume

Explains the "Low Drain Volume" alarm, its causes, and correction steps.

Steps to check the Drain Volume

Guides on checking drain volume and options to bypass the LOW DRAIN VOLUME alarm.

Steps to check the Drain Volume (Continued)

Continues steps for checking drain volume and explains bypass options and their implications.

Slow Flow Rate

Explains the "Slow Flow Rate" alarm, its causes, and correction steps for Auto Restart and Manual Restart.

Caution: Negative UF

Explains the "Caution: Negative UF" alarm, its causes, and how to bypass or correct it.

Steps to check Total UF

Guides on checking Total UF and selecting options to bypass the CAUTION: NEGATIVE UF alarm.

Reload the Set

Explains the "Reload the Set" alarm, its causes, and the corrective steps.

Caution: Positive UF

Explains the "Caution: Positive UF" alarm, its cause, and how to bypass it.

System Errors 2240 or 2267

Explains system errors related to air detection in tubing and solution bags.

Bypass Procedures

Introduces procedures for bypassing alarms or phases.

Bypass Initial Drain

Guides on bypassing the Initial Drain phase, with warnings about potential IIPV.

Steps to bypass Initial Drain

Details the steps to bypass the Initial Drain phase, including options for returning to drain or manual drain.

Bypass Low Drain Volume Alarm During Initial Drain

Instructions for bypassing the LOW DRAIN VOLUME alarm during Initial Drain, with warnings.

Steps to bypass Low Drain Volume alarm during I-Drain

Continues steps for bypassing LOW DRAIN VOLUME alarm, including options for returning to drain or manual drain.

Steps to bypass Low Drain Volume alarm during I-Drain (Continued)

Further steps for bypassing LOW DRAIN VOLUME alarm, including position changes and resume drain options.

Bypass Drain Phase

Provides steps to bypass a non-Initial Drain phase, with warnings about potential IIPV.

Bypass Drain Not Finished Alarm

Provides instructions for bypassing the DRAIN NOT FINISHED alarm, with warnings about potential IIPV.

Steps to bypass Drain Not Finished alarm

Guides on bypassing the DRAIN NOT FINISHED alarm and the implications for the next Fill phase.

Bypass Low Drain Volume Alarm

Instructions for bypassing the LOW DRAIN VOLUME alarm, with warnings about potential IIPV.

Steps to bypass Low Drain Volume alarm

Continues steps for bypassing LOW DRAIN VOLUME alarm, explaining the implications of BYPASS.

Steps to bypass Low Drain Volume alarm (Continued)

Further steps for bypassing LOW DRAIN VOLUME alarm, including position changes and resume drain options.

Bypass Caution: Negative UF Alarm

Provides instructions for bypassing the CAUTION: NEGATIVE UF alarm, with warnings and advice.

Steps to bypass Caution: Negative UF alarm

Guides on bypassing the CAUTION: NEGATIVE UF alarm, including checking UF and drain volume.

Steps to bypass Caution: Negative UF alarm (Continued)

Continues steps for bypassing NEGATIVE UF alarm, including position changes and bypass options.

Manual Drain Procedure

Provides instructions for performing a manual drain, with warnings about IIPV.

Increased Intraperitoneal Volume (IIPV)

Details symptoms and causes of IIPV and when to seek medical attention.

IIPV causes

Lists reasons for IIPV occurrence, including incorrect Low Fill Mode programming and low Initial Drain Alarm.

IF IIPV IS SUSPECTED, PLEASE DO THE FOLLOWING:

Provides immediate actions to take if IIPV is suspected, including contacting healthcare providers.

Steps to perform a Manual Drain

Repeats steps for performing a manual drain, relevant for IIPV management.

Power Failure

Explains system behavior during power failures and how to resume therapy.

Emergency Disconnect Procedure

Introduces the procedure for emergency disconnection, with warnings about Lost Dwell Time.

Disconnect from the System

Provides step-by-step instructions for safely disconnecting from the system.

Return to Therapy After an Emergency Disconnect

Provides instructions for reconnecting to the system after an emergency disconnect.

Technical Data

Solution Temperature Protective System

Explains the system's protective measures against overheated solution delivery.

Protective System Preventing Air Infusion

Explains how the system detects and prevents air from being pumped into the patient.

Protective System Preventing IIPV

Describes the system's fluid measurement systems for monitoring Fill and Drain volumes to prevent IIPV.

Determining Maximum Fill Volume

Provides a table mapping patient weight (lbs/kg) to maximum fill volume (mL) limits.

Determining Initial Drain Alarm Volume Settings

Explains how to determine Initial Drain Alarm settings based on Last Fill Volume percentages.

Quick Reference

Check solution bags for SEAL:

Lists key checks for solution bags: Strength, Expiration Date, Amount, and Leaks.

Prepare the disposable set

Steps to prepare the disposable set, including opening packaging and closing clamps.

Put on face mask and wash and dry your hands thoroughly

Reiteration of aseptic technique for hand hygiene and mask use.

Connect yourself

Steps for connecting to the system, including removing caps and connecting the transfer set.

Put on face mask and wash and dry your hands thoroughly.

Reiteration of aseptic technique for hand hygiene and mask use.

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