SLED Protocol · 2020-04-10 · SLED Protocol | Version 01 | 10 Apr. 2020 | Page 6 3.3. Start-up...

SLED Protocol FOR SURDIAL™ X

Date: 10 Apr. 2020 | Version: 01

Written by: Roxane Ngosso

Table of Contents

1. Materials required for SLED ......................................................................... 3

2. Water treatment ........................................................................................ 3

3. Dialysis machine ........................................................................................ 3

3.1. Switching on Surdial X ............................................................................. 3

3.2. Connecting the concentrate supply ............................................................ 4

3.3. Start-up test .......................................................................................... 6

3.4. Installing bloodlines ................................................................................. 6

3.4.1. HD double needle ................................................................................. 6

3.4.2. HDF double needle ............................................................................... 7

3.5. Connecting the patient ............................................................................. 9

3.5.1. In HD .................................................................................................. 9

3.5.2. In HDF ................................................................................................ 9

3.6. Setting treatment data ........................................................................... 11

3.6.1. Setting the UF and time parameters ...................................................... 11

3.6.2. Setting the dialysate parameters ........................................................... 11

3.6.3. Setting the heparin pump ..................................................................... 11

3.6.4. Setting the HDF parameters ................................................................. 12

3.7. Disconnecting the patient ........................................................................ 12

3.7.1. With HD bloodlines .............................................................................. 12

3.7.2. With HDF bloodlines ............................................................................. 13

3.7.3. Reinfusion volume achieved .................................................................. 13

3.8. Disinfection ........................................................................................... 14

SLED Protocol | Version 01 | 10 Apr. 2020 |

THIS DOCUMENT DOES NOT REPLACE THE OFFICIAL SURDIAL X INSTRUCTION MANUAL

1. Materials required for SLED • 1 dialyzer Solacea, Elisio or Sureflux

• 1 set of bloodlines A372R-V758R for HD or A364R-V750R for HDF

• 2 bicarbonate cartridges NiproCart 760g

• 1 canister of acid concentrate (for example 324A (K+=2.0 mmol/L / Ca2+ = 1.25 mmol/L))

• 2 x 1 L physiological saline solution luerlock for HD only

2. Water treatment

Switch on the water treatment device.

Note: If operating HemoRO 4 ONE, this single-unit reverse osmosis system is ready for use

as soon as the system is plugged into a power source.

There are four operating modes:

• Standby

• Dialysis

• Decalcification

• Heat disinfection

Operate the device using the control panel on the housing cover.

To start the desired operating mode, press the green button for two seconds.

Upon starting the operating mode “Dialysis”, a test and internal rinse will immediately take

place. Please wait 10 minutes until completion.

3. Dialysis machine

3.1. Switching on Surdial X

Press the I/O power button, located on the bottom left corner of the screen,

for 3 seconds.

The indicator light will turn green and the Nipro logo will appear. The start-up screen will

display the machine type and the current software version for approximately 10 seconds.


3.2. Connecting the concentrate supply

Press the “Treatment mode” button on Surdial X’s screen.

Install the bicarbonate cartridge on its support holder, located on the right side of the

machine, following the instructions on the bicarbonate holder.

Then press “Reset” on the screen. The bicarbonate cartridge will be primed.

Install the acid concentrate. Open the red coupler for acid concentrate by turning it counter-

clockwise, then connect it to the acid concentrate canister (or bag) in order to prepare the

dialysate.

1. Open the bicarbonate cartridge arms.

2. Attach the Nipro bicarbonate cartridge.

3. Close the bicarbonate cartridge arms.


1. Open the red flap for acid concentrate.

2. Place the red concentrate suction tube into the

acid concentrate canister.

3. Close the red flap.


3.3. Start-up test

The machine will now begin the start-up test and will prepare the dialysate.

3.4. Installing bloodlines

3.4.1. HD double needle

Product code: A372R-V758R

Follow the instructions on the screen.

Open the blood pump door, install the pump segment on the arterial line, and follow the visual

and text guidance to connect the dialyzer and the venous line accordingly.

When the dialysate is ready, ensure the dialyzer couplers are connected in order to begin the

filling process of the dialyzer.


A message will invite you to press , after the complete filling of the dialyzer.

Return your dialyzer blue on top.

3.4.2. HDF double needle

Product code: A364R-V750R

Follow the instructions on the screen.

Open the substitution pump door and install the substitution pump segment.

Then open the blood pump door, install the pump segment on the arterial line, and follow the

visual guidance to connect the dialyzer and the venous line accordingly.

When the dialysate is ready, ensure the dialyzer couplers are connected in order to begin the

filling process of the dialyzer.


A message will invite you to press , after the complete filling of the dialyzer.

Turn your dialyzer blue on top

The progress of the treatment preparation is

visible in the upper left corner of the screen.


3.5. Connecting the patient

A message will inform you when priming volume is reached. Press the “Patient Connect”

button.

3.5.1. In HD

3.5.2. In HDF


3.6. Setting treatment data

3.6.1. Setting the UF and time parameters

1. Press the “UF menu” button

2. Enter the desired treatment data according to the medical prescription by touching the

numerical value and confirm by pressing “enter”

• Treatment time: up to 24h00

• UF goal: from 0.00 l to 10.00 l

• Profiles

3.6.2. Setting the dialysate parameters

1. Press the “Dialysate menu” button



• Dialysate flow (200-300 ml)

• Prescribed sodium

• Prescribed bicarbonate

• Profiles

3.6.3. Setting the heparin pump

1. Press the “Heparin” button




3.6.4. Setting the HDF parameters

1. Press the “Online menu” button

2. Enter the treatment mode (HF pre-dilution, HF post-dilution, HDF pre-dilution, HDF

post dilution)

3. Define the substitution volume accordingly

3.7. Disconnecting the patient

At the end of the treatment, select and follow the guidance on the screen.

3.7.1. With HD bloodlines

Select the type of reinfusion: “NaCl” for reinfusion with a saline bag.

When the reinfusion is finished and the reinfusion volume appears to have been achieved,

disconnect the patient and select “Remove lines”.


3.7.2. With HDF bloodlines

Select the type of reinfusion: “Online” or “NaCl” for reinfusion with a saline bag.

When the reinfusion is finished and the reinfusion volume appears to have been achieved,

disconnect the patient and select “Remove lines”.

3.7.3. Reinfusion volume achieved

Confirm removes lines and follow the instructions to reconnect the dialysate couplers to the

machines. Discard bloodlines and dialyzer and wait for the bicarbonate cartridge to be

emptied.

Once the dialyzer couplers are on the machine, the disinfection screen will appear.


3.8. Disinfection

First press “Hot disinfection 31” and then “Start”.

The completed treatment data will be displayed on the screen, until the cleaning cycle has

finished.


A new treatment can be immediately re-started after completion of the disinfection.

SLED Protocol · 2020-04-10 · SLED Protocol | Version 01 | 10 Apr. 2020 | Page 6 3.3. Start-up...

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Transcript of SLED Protocol · 2020-04-10 · SLED Protocol | Version 01 | 10 Apr. 2020 | Page 6 3.3. Start-up...