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 | Page 3
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.
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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.
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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.
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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.
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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.
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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.
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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
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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
2. Enter the desired treatment data according to the medical prescription by touching the
numerical value and confirm by pressing “enter”
• Dialysate flow (200-300 ml)
• Prescribed sodium
• Prescribed bicarbonate
• Profiles
3.6.3. Setting the heparin pump
1. Press the “Heparin” button
2. Enter the desired treatment data according to the medical prescription by touching the
numerical value and confirm by pressing “enter”
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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”.
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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.
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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.
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A new treatment can be immediately re-started after completion of the disinfection.
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