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NX STAGE

NX STAGE

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Sections

  • Contents
  • NxStage Customer Service

" I

4 )

Reference Notes

for NxStage in the Home

Hemodialysis Environment

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

1

TM0091 Rev A

" I

4 )

Reference Notes

for NxStage in the Home

Hemodialysis Environment

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

1

TM0091 Rev A

.'J ,I

.\

Contents

• Cartridge Diagram
• Set-up
• Initiate Prime
• Manage Treatment Settings
• Prepare for Patient Connections
• Launch Treatment
• Monitor Treatment
• Treatment: Common Procedures
• Temporary Disconnection
• End Treatment and Returning Blood
• Troubleshooting
• NxStage Customer Service

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

2

TM0091 Rev A

" I

4.1

Reference Notes

for NxStage in the Home

Hemodialysis Environment

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

1

TM0091 Rev A

.'J ,I

.\

Contents

• Cartridge Diagram
• Set-up
• Initiate Prime
• Manage Treatment Settings
• Prepare for Patient Connections
• Launch Treatment
• Monitor Treatment
• Treatment: Common Procedures
• Temporary Disconnection
• End Treatment and Returning Blood
• Troubleshooting
• NxStage Customer Service

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

2

TM0091 Rev A

,)

CAR-160

Waste line
(yellow clamp)

Arterial
patient line
(red clamp)

Tberapy fluid

inl

(green clamp)

V e n o u s

patient lin", ~
(blue clamp) .~

(\~ .• ~ ~'.1- .;.:

h-'" " ~"J

.;,....... .,,-.,

'j! .., 1"-::' ~

'J I
! _ I ~~ \ J

J,.:..::',a

Saline lin
(white clamp)

t

Arterial
pressure pod

Post-filter port
(blue clamp)

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

3

\

I ,. .

Set-up

• Wash Hands

• Gather Supplies

• Hang bags if needed

• Prepare the Cycler

• Open door

• Turn ON the power to both the cycler
and fluid warmer. Pure flow will be on.

• Tighten patient lines on priming spike,
then lift priming spike from cartridge

• Insert cartridge (press tubing in to ~
squares- air detectors)

• Shut door

Cartridge, saline, syringes, fluid and access
supplies

"Open the Door turn on the lights"

Pure flow never gets turned off.

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

\

4

Initiate Prime and Alarm Tests

• Prime Cartridge:

• Spike saline bag

• Hang saline bag from IV pole

• Attach access pressure pod

• Press ADD FLUID

• Prime Fluid Warmer: For Bags Only

• Insert warmer disposable into warmer and shut door

• Connect Therapy Fluid MLA lines to DIALYSATE bags.

• Break frangibles/cones

• Prime and clamp unused MLA lines

• Prime the warmer air trap and then clamp

• Clamp warmer outlet

• Put warmer knob to 12 o'clock position

• Prepare drain line extension (Beginning of the week
tie tube on IV pole on back) if using bags.

This starts the 15 minute cycle

Do not need to do this if using the
Pure Flow cabinet.

6 lines

Top

Front

(1:00) or what is comfortable

Do not need to do this if using
PureFlow cabinet.

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

\

5

Initiate Prime and Alarms Test

• Complete Alarms Test

• After 18 minutes see all "8's", then press MUTE

• See display test (1-4, a-h, 9-1), then press MUTE

• See 23.0/000 - Do not press STOP

• REMOVE AIR FROM THE BLOOD CIRCUIT:

• See 23.0 and "000"display

• Snap/tap arterial patient line to remove air

• Invert filter (blue side up) AND venous filter line up,
tap to remove air from filter

• Put filter in filter holder with venous filter cap port
upright, vent post-filter cap port and clamp

• Snap/tap venous patient line to remove air
• Recheck to be sure air is removed from patient lines

• Press STOP

Training/reference material. Not intended to replace User's Guide.

If you put needles in here, then prime
Venous needle. Attach heparin
syringe. Inject heparin and clamp.
Prime Arterial line and clamp.

This is the Red/ white/ blue to get
air out of lines. Red line first, filter
second, blue line third.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

\

6

..

Manage Treatment Settings

• Enter Treatment Parameters

After 10 seconds, screen will go
back
to the rate display.

• Press MEASURING CUP, for volume display (VOL)

• Green -Verify target volume of DIALYSATE fluid

• Yellow -Enter target volume of ultrafiltration (ex. 1.0L)

• Red display will read: Vol.

How Much Screen

15~

Green- Your Fluid prescription.

Yellow -This is your weight you
want to remove.

• Press MEASURING CUP (if needed), for rate display

Red -Verify blood flow rate (ex. 250 ml/min)

, Yellow -Enter ultrafiltration rate (ex. 1.0Uhr)

Green - Enter DIALYSATE flow rate (ex. 3.0 Llhr) (Will
do this step later when Blood Flow achieved)

How Fast Screen

Red -This is the starting Blood
flow.

2.00

Yellow-This is how fast Fluid is
removed from you per hour.

f ,g

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

\

7

Prepare for Patient Connections

• Close all 8 clamps. (2 red, 2 blue, 2 yellow,
1green and white)

-. Prime saline "T"(~9-~tfamp) and clamp.

Using pure flow, press GO and prime one port on the
chicken foot. Clamp small green clamp on line.

• Attach saline line (white) to saline "T"(.a:ea
clamp) DO NOT UNCLAMP

Wh·l~

• Connect cartridge therapy fluid inlet (green) ~6D

vn~

to warmer outlet or Pure Flow cabinet (green)
and unclamp.

• Clamp and disconnect drain line (yellow)
and connect to drain line extension or Pure
Flow cabinet on front, then unclamp.

• Wash Hands

• Prepare the vascular access

If already done, skip this step.

TM0091 Rev A

8

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

(

w ltA U&~6up

Launch Treatment

• Connect to Patient Access:

• Clamp and disconnect red and blue patient lines from
the priming spike. Connect to patient access and

unclamp

• Verify:

v0~-\1-e...
1. Saline line is double clamped ~and white clamps)

2. Dialysate fluid lines (green clamps) are unclarnped
And if using bags:

The unused MLA lines are clamped

The warmer is turned to the 12 o'clock position

The warmer air trap vent is clamped

The warmer outlet and fluid inlet line are unclamped

3. Patient lines (red and blue) are unclarnped

4. The waste line and the drain line extension or to Pure
Flow cabinet are unclarnped.

• Start therapy

• Press GO on pure flow control panel (If not done)

• Press TREATMENT (see 7, then 8 in yellow caution
window). Increase to prescribed blood flow and then
Dialysate.

Increase dialysate (GREEN arrow)
until #3 in yellow display

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

(

9

\.

·Monitor Treatment

• Document on flow sheet as directed

• Monitor:

• Access pressure (i.e. 50 to 200)

Access max: 260

• Venous pressure (i.e. <250-300)

Venous max: 300

• Effluent pressure (close to venous pressure)

Effluent: close to

• Ultrafiltration volume (actual fluid removed)

venous pressure

• Rates: therapy fluid, ultrafiltration, blood flow

• Ensure patient lines are visible

• Vital signs and response to therapy.

• DIALYSATE bags draining equally

• Saline line is primed and double clamped (red and white clamps)

• Warmer air trap full, vent if necessary

• Arterial pressure pod full - pressures within range

• Post-filter cap for air (if so, extract air with a syringe, hold the
syringe upright and inject any blood back through the post filter cap
port then clamp the post filter cap port securely).

• Promptly respond to all Alarms and Cautions

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

I

10

Treatment: Common Procedures

• Saline Bolus:

• Note volume of saline in bag

• Open saline line (~'rrfu white clamps) and allow
desired amount of saline to infuse, then reclamp

• Evaluate need to add saline bolus volume to fluid
balance calculations

• Bolus/Flush Filter to Check for Clotting: h'I{-e...

• Note volume of saline, open saline line (~ and white
clamps) and occlude arterial patient line proximal to
saline "T". When complete, remove occlusion to arterial
patient line and reclamp saline line (j:et1 and white
clamp)

vJh~e...

• Add saline bolus volume to fluid balance calculations if
not previously added in to the total UF goal at the
beginning of treatment.

Training/reference material. Not intended to replace User's Guide.

\

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

1 1

Temporary Disconnection

• Recirculation of the Blood Circuit

• i.e. difficulty with access

• Complete rinseback, ending with the arterial
patient line (red clamp) connected to the priming
spike (red port).

• Clamp and disconnect venous patient line (blue
clamp)
from the access, attach it to the priming
spike (blue port), then unclamp.

• Press TREATMENT and set therapy fluid at 0.1
L/hr, ultrafiltration rate to zero and increase blood
flow rate to 250-350 ml/min to create venous
pressure of 40 or higher.

• Low venous pressure alarms may occur. If so,
reset alarm and increase blood flow rate to increase
venous pressure.

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

12

End of Treatment and Return Blood (Routine)

• "000"will appear in yellow caution window

• Treatment targets have been met and blood pump
continues to run

• Make sure enough saline is available to rinseback the Draw up flushes inthe syringes that
blood. (300-500ml)

are hangingfrom the priming spike.

• Press STOP to stop blood pump and move the cycler
into rinseback mode then press STOP on Pure Flow to
pause batch.

• Clamp and disconnect arterial patient line (red clamp) Attach syringe to patients arterial line
from patient and reconnect to red port on the priming

andflush.

spike, and unclamp.

• Press ADD FLUID to rinseback blood (see countdown
to zero and will stop automatically).

• Clamp and disconnect the venous patient line (blue
clamp)
from the patient and reconnect to the blue port on
the priming spike. Close Green (non reopening) clamp on
Pure Flow line and clamp small green clamp.

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

13

End of Treatment and Return the Blood

(Operator End)

• Press and hold STOP for 2 seconds to see "000"in
yellow display (therapy fluid and UF rates go to zero, but
blood pump stays on)

• Make sure enough saline is available to rinseback the Draw up flushes inthe syringes that
blood. (300-500ml)

are hangingfrom the primingspike.

• Press STOP to stop blood pump. Press STOP on Pure
Flow to pause batch.

• Clamp and disconnect arterial patient line (red clamp) Attach syringe to patients arterial line
from patient and reconnect to red port on the priming

and flush.

spike, and unclamp.

• Press ADD FLUID to rinseback blood (see countdown
to zero and will stop automatically).

• Clamp and disconnect the venous patient line (blue
clamp)
from the patient and reconnect to the blue port on
the priming spike. Close Green (non reopening) clamp on
Pure Flow line and clamp small green clamp.

TM0091 Rev A

14

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

Return the Blood (Rinseback) - Alternate

• To be used when the rinseback is unplanned • i.e. still in treatment mode and there is
time to move the arterial patient line.

• Make sure enough saline is available to
rinseback the blood. (300-500ml)

• Press STOP

• Clamp and disconnect arterial patient line (red
clamp) and reconnect to priming spike (red port),
and unclamp.

• Press TREATMENT

• You may decrease blood flow rate to 200ml/min ·A low venous pressure #20, #21 may

-You may need to decrease therapy fluid rate in

occur with the blood pump rate turned

order to decrease blood flow rate.

down).

• When venous patient line (blue clamp) is clear,
press STOP.

• Clamp and disconnect venous patient line (blue
clamp) from patient and reconnect to the blue
port on the priming spike.

TM0091 Rev A

15

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

Return the Blood (Rinseback) - Alternate

• To be used in an Emergency

• (i.e. prolonged troubleshooting or
unable to move arterial patient line)

• Make sure enough saline is available to
rinseback the blood. (300-500ml)

• Open saline clamps on priming line (ensure
flow), clamp the arterial patient line proximal to
saline "T", and allow saline to infuse and return
the patient's blood.

• You may decrease blood flow rate to 200ml/min ·A low venous pressure #20, #21 may

-You may need to decrease therapy fluid rate in

occur with the blood pump rate turned

order to decrease blood flow rate.

down).

• When venous patient line (blue clamp) is clear,
press STOP.

• Clamp and disconnect venous patient line (blue
clamp) from patient and reconnect to the blue
port
on the priming spike.

TM0091 Rev A

16

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

Troubleshooting

TM0091 Rev A

17

• Press MUTE

• Identify condition and follow instructions to correct the problem

• Press STOP

• Press TREATMENT to continue

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

, .

Commonly Encountered Alarms

Alarm #

Cause

How to Correct

24 - Check Arterial Access:

Arterial line kinked or clamped Check arterial access or
OR Access pressure pod error unkink or unclamp red line OR

Access Pressure at Low Limit

See Alarm Chart (C-6) Follow
steps for resetting access
pressure pod membrane.

25 - Access Pod Error:

Access pressure pod connection See Alarm Chart (C-6)
kinked, OR clamped, leaking, or Follow steps for resetting

Reset Access Pressure Pod

not connected OR Access

access pressure pod

pressure pod error

membrane.

20 - Check Blood Circuit:

Arterial line kinked or clamped Check arterial needle, unkink
OR venous line disconnected, or unclamp red line, check

Venous Pressure Low

OR clotted filter

blue line, check for clotted
filter with saline bolus.

21- Check Blood Circuit:
Venous Pressure Low
Decreasing

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

18

Commonly Encountered Alarms

l.'

Alarm #

Cause

How to Correct

11

Air entering blood circuit, OR poor Follow steps for arterial air

- Check for Arterial air flow through arterial access OR

recovery on alarm chart (C-3)

Loose connection at arterial access

10 - Check for venous air

Air entering blood circuit, OR Arterial Follow steps for venous air
connection loose OR Arterial access removal on alarm chart (C-7)
dislodged or disconnected

37,38 - High balance

Drain line occluded, OR therapy line Check for closed clamps or
occluded, OR clotted filter

cap on drain line, check for

chamber pressure

closed clamps on therapy fluid

35 - Check Waste Line

line, check for kinked lines on
dialyzer.

Pressure High

14 - Check Fluid Line

Empty Therapy Fluid Bags OR

Gently pull on the inlet and
Loose Therapy Fluid connection OR outlet lines of the Fluid warmer

Inlet: Air Detected in Fluid

Warmer disposable air trap full of air bag.

Line Inlet

TM0091 Rev A

19

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

, ,

NxStage Customer Service

1-866-NXSTAGE

(1-866-697 -8243)

24/7 Technical/clinical support

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

TM0091 Rev A

20

NxStage Yellow Caution Alarm Codes

Display

Cause

Action

000

End of Treatment / Rinseback

None

1

Infusing Fluid Bolus

None

2

Fluid Balance System Check

None

3

Parameter Limit Exceeded

Set a Value Too Low or Too High

4

Blood Pump Off

Press Treatment/Add Fluid to Continue

5

Target Volume Reached

UF Volume Target Reached

6

Blood Circulation Only

Fluid Removal Rates Set to Zero

7

Alarms Overridden

Temporary Override of Alarms (Monitor until Green)

8

Pressure Limits Not Locked

Pump Rate Change (Monitor until Green)

9

Auto High Pressure Recovery

Alarm Reset After Red Alarm (None)

12

Air Recovery Underway

If No Air Noted Press Treatment to Continue/If Air Remove

14

Air Detected in Fluid Line Inlel

Empty Therapy Fluid Bags/Loose Connections/Warmer Full of Air/Air in Tubing

20

Venous Pressure Low

Arterial Flow Problem KCONenous Line Leak or Disconnection/Clotted Filter

21

Venous Pressure Decreasing

Arterial Flow Problem KCONenous Line Leak or Disconnection/Clotted Filter

23

Effluent Pressure Decreasing

Arterial Flow Problem KCO/Clotted Filter/Filtration Fraction Too High

24

Access Pressure Decreasing to Low Limit

Arterial KCO/Clotted Filter/Filtration Fraction Too High/Effluent Line KCO

25

Access Pod Error/Rest Access Pressure Pod

Access Pressure Connection KCO, Leaking or Not Connected

27

Filter Pressure Error/Reset Filter Pressure Pod

Filter Pressure Connection KCO, Leaking or Not Connected

30

Venous Pressure Approaching High Alarm Limit

Venous Flow Problem KCONenous Needle Infiltration

31

Check Filter for Clotting

Clotted Filter

32

Venous Pressure Increasing

Venous Flow Problem KCONenous Need Infiltration or Clotted

40

Power Failure

If Power Restored/Press Treatment/Add Fluid to Continue

51

Fluid Cooldown Underway

Red Alarm-50 Cleared

52

Continue Treatment/Fluid Cooldown Complete

Fluid <38.5 C after Red Alarm-50 Press Treatment to Resume

70

Cartridge Life Exceeded

Cartridge TimeNolume Limit Exceeded/End Tx Replace Cartridge

71

Preventive Maintenance Due

Complete Treatment and Schedule Maintenance

72

Treatment Complete

User Opened Door at End of Treatment

80

Reconfigure Cartridge Line

Operator Parameter #25 set to 1/Press Add Fluid to Continue

81

Tap Filter to Remove Air (Optional)

Filter May Be Checked For Air/Priming Procedure Underway

88

Pressure Offset Rezeroing Needed

Cycler was Powered Up with Door Closed and/or a Cartridge Installed

93

Correct Settings Conflict

Parameter Set to a Value Which Conflicts with Previous Value/Re-Enter Values

999

Service Mode Activated

DO NOT INITIATE TREATMENT/CALL NxSTAGE

©2009 DaVita Inc. All rights reserved.

Handbook TabS Alarm Codes Page 2 of 2

Proprietary and Confidential - For internal use only. May not be copied or distributed without written permission from DaVita Inc.

\

Description

Indicates Blood Leak Detector Malfunction/Fluid Has Interfered with Blood Leak

Action

Alarm Test Passed

None Required

Venous Air

Assess For Air (Pt to blood pump)

Arterial Air

Check Connections/Poor Flow

Check Fluid Line Inlet (Air Detected)

Check Priming Fluid/Kinked Tubing

Venous Pressure Low (Blood Circuit)

KCO in Pt Arterial Line/Poor Arterial Flow/Clotted Filter

Venous Pressure Decreasing (Blood Circuit)

KCO in Pt Arterial Line/Poor Arterial Flow/Clotted Filter

Effluent Pressure Low (Blood Circuit)

Arterial Flow Low/KCO Effluent Line/Filtration Fraction Too High/Clotted Filter

Effluent Pressure Decreasing (Blood Circuit)

Arterial Flow Low/KCO Effluent Line/Filtration Fraction Too High/Clotted Filter

Access Pressure at Low Limit

Assess KCO in Pt line/Poor Arterial Flow/Arterial Pressure Pod error

Venous Pressure High

Assess KCO in Venous LineNenous Line Clotted

Clotting Detected

Check Filter for Clotting/Clotted Filter

High TMP: TMP >500mmHg

Check Filter/KCO Venous Filter Line/Clotting Venous Header

Waste Line Pressure High

Waste Line occluded/Waste Bag Full/Low effluent pressure-Low Arterial Flow

Fluid Balance System Failure

TERMINATE TREATMENT

High Balance Chamber Pressure

KCO in Circuit line/Clotted Filter/Air or Fluid in Balancing System

Therapy Inlet Occlusion

Check Fluid Inlet/Air or Fluid in Balancing System

Failed Power Recovery

Perform Manual Rinseback If System Not Clotted

Fluid Temperature High

Warmer Set Too High/Therapy Fluid Bags too Warm

Blood Detected in Effluent Line

Filter Membrane Leak/Air in Effluent/Filtration Fraction Too High

Failed Blood Leak Detector

Blood Leak Detector Lens and/or Mirror Not Clean

Waste Line Check Failure

Cartridge Not Properly Loaded

Failed Alarm Test

Improper Priming/Faulty Cartridge/Cycler Malfunction

UF Occlusion Test Failure

Cartridge Not Properly Loaded

Pressure Offset Rezeroing Needed

Blocked/Kinked Fluid Lines/Pressure Offset Error

Pressure Offset Rezeroing Failed

Cycler Unable to Adjust Variable Pressure Offset on Start up

Fluid Circuit Test Failure

Check Cartridge for Leaks/Malfunction of Fluid Balancing System

Cartridge Leak Probable

Cartridge Integrity Compromised

System Alarms

System Error/lnternal Communication Error

Blood Leak High

©2009 DaVita Inc. All rights reserved.

Handbook TabS Alarm Codes Page 1 of 2

Proprietary and Confidential - For internal use only. May not be copied or distributed without written permission from DaVita Inc.

" I

4.1

Reference Notes

for NxStage in the Home

Hemodialysis Environment

Training/reference material. Not intended to replace User's Guide.

©2006 NxStage Medical, Inc. NxStage® is a registered trademark of NxStage Medical, Inc. Patents and patents
pending. Detailed reference list provided upon request. FOR PRESCRIPTION USE ONLY.

1

TM0091 Rev A

.'J ,I

.\

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