baxter HomeChoice Manual

Table of Contents

Quick Links

Download this manual

HomeChoice

HomeChoice PRO

APD Systems

Patient At-Home Guide

Creating a Better World of Care for Renal Patients

Table of Contents

Need help?

Do you have a question about the HomeChoice and is the answer not in the manual?

Questions and answers

Baby Pulepule

February 4, 2025

Could the sets be damaged from travelling in suitcase the is packed tightly? I can see there are marks from hoses on the set that gets loaded into APD machine. Machine continues to display close all clamps reload set 149 error. Help please.

1 comments:

Mr. Anderson

February 10, 2025

The Baxter HomeChoice sets contain a cassette and tubing that must remain undamaged to ensure safe and effective use. The manual warns that damaged sets can cause contamination, leading to peritonitis. If the sets are packed tightly in a suitcase without protection, they could develop cracks or other damage, which could compromise their safety. Therefore, traveling with them in a tightly packed suitcase could pose a risk. It is advisable to pack them securely to prevent damage.

This answer is automatically generated

Micheline Valiquette

March 6, 2025

Je voudrais avoir le manuel d’instruction de homechoice Claria

1 comments:

Mr. Anderson

March 6, 2025

You can find the instruction manual for the Baxter HomeChoice Claria on ManualsLibraryy at the following URL: [https://manualslibraryy.com/baxter-homechoice-pro-apd-system-user-manual/](https://manualslibraryy.com/baxter-homechoice-pro-apd-system-user-manual/).

This answer is automatically generated

irene

March 9, 2025

whats is system error 2197 and how to prevent it

Danielw

March 9, 2025

Errore 2042

1 comments:

Mr. Anderson

March 9, 2025

Error 2042 on the Baxter HomeChoice APD System is a System Error. If it occurs before the user is connected, it should be treated as a Reload Set Alarm. Otherwise, it should be treated as a System Error. The user should follow the instructions in section 18.3.5, Load a New Set, on page 18-12.

This answer is automatically generated

miguel ramirez

March 27, 2025

What must I do if my PD machine is unable to connect to the network? Is there a way to bypass this step since it keeps me from going further?

1 comments:

Mr. Anderson

March 27, 2025

Check the modem cable and ensure it is properly connected. Verify that the power cord is securely attached. Avoid placing the machine next to or stacked with other electrical equipment, as this may cause interference. If the issue persists, monitor the cycler for normal operation and contact your dialysis center for further assistance.

This answer is automatically generated

Chyna H.

March 31, 2025

Why do I get slow flow patient alarms in the middle of my treatment? No problems draining or filling the whole night until drain/fill 4. No the lines aren’t kinked, no I dont have fibrin, no the bags aren’t disconnected. And it always happens on #4

1 comments:

Mr. Anderson

March 31, 2025

Slow flow patient alarms during treatment with the Baxter HomeChoice system can occur due to a very slow flow rate. This may be caused by:

- A partial kink in the patient line
- Closed clamps
- Fibrin blockage
- Disconnected or empty solution bags

These issues reduce flow, affecting Dwell Time and overall dialysis effectiveness.

This answer is automatically generated

Grant Anstess

April 5, 2025

I need to bypass initial drain

1 comments:

Mr. Anderson

April 5, 2025

To bypass the Initial Drain on the Baxter HomeChoice:

1. Contact your dialysis center first to confirm it is safe to bypass.
2. Change your position or sit up to help drain completely before bypassing.
3. If fluid remains or IIPV (Increased Intraperitoneal Volume) is suspected, press STOP, then press the arrow (▲) and perform a Manual Drain.
4. To bypass:
- Press the arrow (▲) until "BYPASS" appears.
- Press ENTER to confirm bypass.

Note: When you bypass, the system assumes your abdomen is empty and delivers the full prescribed Fill Volume. Monitor for symptoms of IIPV.

This answer is automatically generated

vanessa

April 13, 2025

can i connect an ultraset L5C4366 to my transfer set to perform a manual drain

Francesco

April 28, 2025

I will travel by flight and airline requested type battery and how many ampere , I checked by manual but not found

Summary of Contents for baxter HomeChoice

Page 1 HomeChoice HomeChoice PRO APD Systems Patient At-Home Guide Creating a Better World of Care for Renal Patients...
Page 2 The HomeChoice and HomeChoice PRO APD Systems Patient At-Home Guide Document Number 07-19-61-244 October 2, 2009...
Page 3 Baxter, HomeChoice, UltraBag, MiniCap, FlexiCap, OptiChoice, Dianeal, and Extraneal are trademarks of Baxter International Inc. Copyright 2009 Baxter Healthcare Corporation. All rights reserved. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 4: Table Of Contents
Introduction to HomeChoice APD Systems ........
Page 5 The HomeChoice PRO APD System Cycler ......5-8 5.5.2 The HomeChoice APD System Cycler ......5-10 5.5.3 Control Panel Buttons .
Page 6 I-Drain Alarm ..........10-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 7 Turn On Your HomeChoice APD System ........
Page 8 Preparing the Cycler for Return to Baxter ........
Page 9 Determining Maximum Fill Volume ........19-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009...
Page 10 End Therapy ............. . 20-19 Index 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 11 Table of Contents viii HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 12: Glossary
Section Glossary...
Page 13: Terms Used In This Guide
The practice of cleanliness in handling items associated with your therapy. It means you should put on a face mask and thoroughly wash and dry your hands every time you connect or disconnect. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 14 In peritoneal dialysis, a catheter is used to deliver dialysis solution into the peritoneal cavity and drain it out. Contamination The presence of foreign material that makes a substance impure or harmful. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 15 Drain phase. Every APD therapy contains one or more cycles. Cycler A mechanical device that performs peritoneal dialysis solution exchanges in regular cycles. Your HomeChoice/HomeChoice PRO APD System device is a cycler. Day Fills The amount of solution the system delivers to your peritoneal cavity for a daytime exchange.
Page 16 Drain or a partial Drain (Tidal therapy). The volume of fluid is measured in milliliters (mL). One liter is equal to 1000 milliliters. Drain Bag The optional bag into which fluid from your peritoneal cavity drains. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 17 Fill Volume The volume of fluid to be delivered to your peritoneal cavity during each cycle. The appropriate volume of fluid is determined by your physician. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 18 Intraperitoneal Volume (IIPV), on page 18-58. Initial Drain (I-Drain) The Drain that occurs at the beginning of each therapy, before the first regular Fill. I-Drain Volume The volume of an Initial Drain. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 19 Nite (Night) Therapy Time The total amount of time for the nighttime portion of Hi-Dose therapy. This time is fixed and begins as soon as you complete your daytime exchanges. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 20 This extra length allows you to be up to an additional 12 feet (3.7 meters) away from your system during therapy. Peritoneal Cavity The space around your internal organs inside the lower abdomen. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 21 Priming To prepare for therapy, priming is the process the system uses to fill all tubing lines of the disposable set with solution. Priming removes air from the system. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 22 1. Glossary PRO Card The small electronic card that stores information about your treatment sessions and your system settings. This is used only with a HomeChoice PRO APD System. Pushback A small amount of fluid is pushed back from the cycler to the patient. This verifies that the patient line is not occluded when a Drain ends due to No Flow.
Page 23 The condition in which a person gets sick from wastes (toxins) that build up in the blood. Someone who has uremia may experience nausea, weakness, weight loss, memory problems, and/or trouble sleeping. 1-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 24: Symbols Used On The Homechoice And Homechoice Pro Apd Systems
Product brought to market after August 13, 2005. – IPX1 Ingress protection: – Not protected against ingress of solid foreign objects. – Protected against ingress of vertical dripping water. Contains rechargeable battery 1-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 25 Renal Division McGaw Park, IL 60085 U.S.A. Baxter Healthcare SA 8010 Zurich Switzerland Mains Power (Off) / Mains Power (On) Fragile Humidity limitation for transport and storage Keep dry 1-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 26 Stacking limit; do not stack more than 5 high Temperature limitation for transport and storage 54°C -32°C This way up ATTENTION: Consult accompanying documents. Read all instructions before using. 1-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 27: User Assistance Information
Section User Assistance Information...
Page 28: Personal And Cycler Information
Name: Patient ID Number: Cycler Serial Number: Cycler Model Number: Numbers to Call for Assistance For Baxter Technical 24-HOUR TECHNICAL ASSISTANCE Assistance contact: 1-800-553-6898 Dialysis Center: Name: Phone: Times Available: 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 29 2. User Assistance Information Other Important Information: HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 30: Warnings And Cautions
Section Warnings and Cautions...
Page 31: Side Effects And Contraindications
Baxter’s HomeChoice and HomeChoice PRO APD Systems are not designed, sold, or intended for use except as indicated. See Section 4, Indications for Use. Baxter’s HomeChoice and HomeChoice PRO APD Systems are not intended to be a substitute for monitoring the patient’s overall condition by trained and qualified personnel.
Page 32 Improper use of the HomeChoice APD System can result in serious patient injury or death. Do not change the settings for your therapy unless directed by your physician or nurse.
Page 33: Treatment - Overfill / Iipv
Drain to make sure that your Initial Drain is complete. The patient line length is greater than 12 feet (3.6 meters) and Initial Drain Alarm is set below 30 mL. This can cause your Initial Drain to end early. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 34 CLOSE ALL CLAMPS appears on the display screen. This can cause a free flow of fluid from one bag to another and/or to the patient. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 35 24 hours a day, 7 days a week at 1-800-553-6898 Prompt 1. 5. If you are unable to reach your dialysis center, nephrologist, or the Baxter Customer Service Line, and you or the patient are experiencing symptoms of IIPV, call 911 immediately or go to the nearest Emergency Room.
Page 36: Supplies - General
Use only Baxter Healthcare Corporation accessories, solutions, disposable sets, and supplies with your HomeChoice/HomeChoice PRO APD System. Baxter can not ensure that the dialysis products of other manufacturers, when connected with Baxter’s products, will function in a safe and satisfactory manner.
Page 37: Supplies - Solutions
Using wrong or damaged bags can result in inadequate therapy or contamination of the fluid lines. Contamination of any portion of the fluid or fluid path can result in peritonitis. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 38 Contamination of any portion of the fluid or fluid path can result in peritonitis. If a bag becomes disconnected during your therapy, follow the instructions in 18.6, End Therapy Early Procedure, on page 18-55. Notify your dialysis center. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 39 Discard the disposable set and all solution bags at the end of therapy. Possible contamination of the fluid or fluid pathways can result if disposables are reused. Contamination of any portion of the fluid or fluid path can result in peritonitis. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 40: Supplies - Disposable Set
Tubing indentations can be present on disposable sets due to the – flexible and supple nature of the tubing. Slight tubing indentations are cosmetic and should have no impact on the functionality of the product. 3-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 41: General
Aerosol spray products – Flammable anesthetic agents – Nitrous oxide – Oxygen-enriched environment (for example, oxygen tent) – Operating this device in these environments can cause an explosion or fire. 3-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 42 Some of these devices, when used at the same time as the HomeChoice/HomeChoice PRO APD Systems, have been shown to cause damage to the system and to the cassette. Baxter can not ensure that the systems function in a safe and satisfactory manner when the system is damaged.
Page 43 Return the product to Baxter Technical Assistance for examination and repair if damage occurs. Contact Technical Assistance at the number listed in 2.2, Numbers to Call for Assistance, on page 2-1. Baxter Technical Assistance is available 24 hours a day for HomeChoice/HomeChoice PRO APD System users.
Page 44: Cautions
Doing so can result in fire, burns, electrocution, or other personal injury. For servicing, contact Technical Assistance at the number listed in 2.2, Numbers to Call for Assistance, on page 2-1. Baxter Technical Assistance is available 24 hours a day for HomeChoice/HomeChoice PRO APD System users.
Page 45 Baxter Technical Assistance at the number listed in 2.2, Numbers to Call for Assistance, on page 2-1. Baxter Technical Assistance is available 24 hours a day for HomeChoice and HomeChoice PRO APD Systems users. Return this product to your dialysis center or to Baxter by calling –...
Page 46: Battery Precautions
In case replacement of either battery is needed, contact technical assistance at the number listed in 2.2, Numbers to Call for Assistance, on page 2-1. Baxter Technical Assistance is available 24 hours a day for HomeChoice/HomeChoice PRO APD System users.
Page 47: Indications For Use
Section Indications for Use...
Page 48: About This Guide
About This Guide This Patient At-Home Guide provides instructions necessary for the proper operation of the HomeChoice and HomeChoice PRO APD Systems (the “system”). This guide is meant to be used with and after your training on the system. It does not provide instructions for the prescription or administration of peritoneal dialysis.
Page 49 4. Indications for Use HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 50: Description
Section Description...
Page 51: Introduction To Homechoice Apd Systems
Description This section describes the functions, components, and features of the HomeChoice and HomeChoice PRO APD Systems (the “system”) and the basics of Peritoneal Dialysis (PD). You should learn the names of the system components, where they are located, and how they function before beginning to use the procedures in this guide.
Page 52: Introduction To Peritoneal Dialysis
2. The peritoneal cavity is filled with fresh dialysis solution. Solution enters through a catheter that has been surgically placed through the wall of the abdomen and into the peritoneal cavity. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 53: Continuous Ambulatory Peritoneal Dialysis (Capd)
All peritoneal dialysis techniques that use a cycler to perform exchanges are referred to as Automated Peritoneal Dialysis (APD). APD exchanges are usually referred to as cycles. Each cycle consists of three (3) phases: Fill phase Dwell phase Drain phase 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 54: Homechoice Apd Systems Functions
See Section 1, Glossary for definitions of each of these therapies. HomeChoice APD Systems Functions The HomeChoice and HomeChoice PRO APD Systems perform peritoneal dialysis by directing the flow of fluid between the solution bags, the cassette, your peritoneal cavity, and your drain option.
Page 55: Fluid Pathways: Drain, Fill, And Dwell
The fluid is then delivered to your peritoneal cavity. This process is repeated until the programmed Fill Volume has been delivered to your peritoneal cavity. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 56: Fluid Flow During Power Failure
During these three situations, the system does not have control of the valves and fluid pathways. Therefore, solution can move freely between pathways. This can result in an increased intraperitoneal volume (IIPV) situation. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 57: Homechoice Apd Systems Features
In the event that there is a problem, an alarm sounds and a message appears on the screen. Most situations can be corrected. If you can not correct the problem, call the phone number located in Section 2, User Assistance Information, for assistance. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 58: Homechoice Apd Systems Description
5. Description HomeChoice APD Systems Description There are two models of Baxter HomeChoice APD System cyclers described in this guide: HomeChoice PRO APD System cycler HomeChoice APD System cycler 5.5.1 The HomeChoice PRO APD System Cycler 00000000 STOP ENTER 1. Heater Pan 6.
Page 59 Figure 5-3. HomeChoice PRO APD System Back Panel 1. Display Screen 4. STOP Button 2. Control Panel 5. ENTER Button 3. GO Button 6. UP/DOWN Buttons Figure 5-4. HomeChoice PRO APD System Display Screen and Control Panel 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 60: The Homechoice Apd System Cycler
2. Silver Heater Sensor Button 7. Handle (shown in locked position) 3. Bag Stops 4. Serial Number 8. Control Panel 5. Occluder (behind Door) Figure 5-5. Front and Top of the HomeChoice APD System Cycler 5-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 61 ENTER 1. Display Screen 4. STOP Button 2. Control Panel 5. ENTER Button 3. GO Button 6. UP/DOWN Buttons Figure 5-7. HomeChoice APD System Display Screen and Control Panel 5-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 62: Control Panel Buttons
Edit a setting Accept an edited setting Move to the next field when editing the date or time Up/Down Buttons (Blue) Press the up and down buttons to navigate menu items. 5-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 63: Disposable Sets
The instructions in this manual apply to all disposable sets approved for use with the HomeChoice and HomeChoice PRO APD Systems. For instructions specific to the type of set you are using, refer to the package insert for your disposable set. 5-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 64: Luer Disposable Set
1. Patient Line 4. Heater Line (Red Clamp) 2. Final Line (Blue Clamp) 5. Drain Line 3. Supply Lines (White Clamps) 6. Luer Connectors Figure 5-9. Luer 4-Prong Lines and Connectors 5-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 65: Spike Disposable Set
1. Patient Line 4. Heater Line (Red Clamp) 2. Final Line (Blue Clamp) 5. Drain Line 3. Supply Lines (White Clamps) 6. Spike Connectors Figure 5-11. Spike 4-Prong Lines and Connectors 5-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 66: Homechoice Apd System And Homechoice Pro Apd System Differences
Section 8, Operating Instructions – PRO Card and Modem, of this guide describes the PRO Card and modem features of the HomeChoice PRO APD System. All other sections apply to both the HomeChoice APD System and the HomeChoice PRO APD System.
Page 67: Environmental Conditions
Section Environmental Conditions...
Page 68: Operating Conditions
Environmental Conditions Operating Conditions The HomeChoice and HomeChoice PRO APD Systems are designed for use in these conditions: Temperature between 59°F to 96.8°F (15°C to 36°C) Humidity between 15% and 85% Altitude of –1,100 ft to +10,000 ft (–340 m to +3,050 m) Use While Traveling The system is designed to be portable and to allow you to travel.
Page 69 (CAPD). Perform manual exchanges if your cycler is lost or damaged in transit, or your supplies do not arrive on time. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 70: Setup And Check-Out
Section Setup and Check-out...
Page 71: Check-Out
Description, on page 5-8 for a description of the system and its components. 2. Verify that a power cord was included in the box. 3. If you see any damage on the cycler or the cord is missing, contact Baxter Technical Assistance. See 2.2, Numbers to Call for Assistance, on page 2-1.
Page 72: Set Up The Homechoice Apd System
7. Setup and Check-out Set Up the HomeChoice APD System Place the HomeChoice/HomeChoice PRO APD System cycler on a stable, clean, flat surface (table or nightstand) in a well-lighted area. The table should be large enough to hold the cycler and all of the solution bags. Make sure a three-prong grounded outlet is nearby.
Page 73 Such equipment may cause the cycler to operate incorrectly. However, if it is necessary to use the cycler close to other equipment, the cycler should be monitored to verify normal operation. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 74: Grounding Instructions
When the HomeChoice/HomeChoice PRO APD System is used on a 120V circuit, make sure that the plug is as shown at right. 1. Grounding Pin 2. Grounded Outlet Box HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 75: Operating Instructions - Pro Card And Modem
Section Operating Instructions – PRO Card and Modem...
Page 76: Introduction
Program. The PRO Card feature can only be used with the HomeChoice PRO APD System. Your HomeChoice PRO APD System has a computerized data transfer feature – the PRO Card. During your initial training, your dialysis nurse or physician showed you a small electronic data card that fits into your system.
Page 77 Figure 8-1. PRO Card Port 1. Power Entry 4. Power Cord 2. J1 – Service Port 5. On/Off Switch 3. J2 – Modem Port Figure 8-2. HomeChoice PRO APD System Back Panel HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 78: Using The Pro Card
Care and Handling of the PRO Card The PRO Card is compact and durable. It is designed to be carried to and from your dialysis center visits. It must remain inserted in the HomeChoice PRO APD System at all other times.
Page 79: Confirm Your Pro Card
CONFIRM CARD Wait until the CONFIRM CARD message appears. 3. Press ENTER (YOUR NAME) Your name appears. 4. Press ENTER (YOUR ID#) Your patient identification number appears. 5. Press ENTER HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 80: Confirm A New Therapy
NOTE: values shown in Table 19-7 on page 19-15. Contact your dialysis center to confirm your Fill Volume if it exceeds the volume listed. 5. Press ENTER. LAST FILL VOL: 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 81 PROGRAM ACCEPTED PRESS GO TO START appears when all information is confirmed, accepted, and saved by the HomeChoice PRO APD System. The HomeChoice PRO APD System is then ready for you to begin your therapy. See Section 11, Operating Instructions –...
Page 82: Homechoice Pro Apd System Prompts
(up arrow), and (down ENTER arrow). The data entry menu only appears when you turn on the HomeChoice PRO APD System. Shown below are the basic steps for entering data in the entry prompts. The setting shown for each entry is zero (0) until you enter your data.
Page 83: Definitions Of Data Entry Prompts
8.2.5 Definitions of Data Entry Prompts Table 8-1 and Table 8-2 list all the prompts available on the HomeChoice PRO APD System. See Basic steps for entering data on page 8-7. Only those prompts selected by your dialysis nurse appear on your NOTE: cycler.
Page 84 DAY FILL n: 0000ML This is the nth manual exchange Fill Volume in mL. Day Concentration n DAY CONC. n: 0.00 This is the concentration of the nth manual exchange solution. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 85: Remove Your Pro Card
8. Operating Instructions – PRO Card and Modem 8.2.6 Remove Your PRO Card The PRO Card must remain in the HomeChoice PRO APD System until NOTE: your next visit to your dialysis center. When you visit your doctor or dialysis center, you are usually asked to bring the PRO Card with you.
Page 86: Display Messages
– OR – 1. If you can not correct the problem, press continue. No therapy information is recorded to the PRO Card. You must report this to your dialysis center. 8-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 87: Card Reader Disabled
To Correct: – OR – 1. Press to continue. Information for your next treatment is recorded. However, the oldest treatment record is deleted to make room for the latest treatment. 8-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 88: Invalid Pro Card, Program Not Valid
1. Call Baxter Technical Assistance. See 2.2, Numbers to To Correct: Call for Assistance, on page 2-1. 2. Press to proceed with your treatment. Future treatment information can be lost if the problem is not corrected. 8-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 89: Install The Modem Option
8. Operating Instructions – PRO Card and Modem Install the Modem Option In addition to the PRO Card, your HomeChoice PRO APD System can also transfer therapy information via a phone line using a modem. If your dialysis center uses this option, you are given a modem to install with your HomeChoice PRO APD System.
Page 90 4. Plug the double connector into the wall jack. 5. Plug the telephone line and modem line into the double connector. 6. Plug the modem power adapter into the wall outlet. 8-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 91: Test The Modem Installation
A transfer of therapy information is initiated by the dialysis center. The center will then request that you put the HomeChoice PRO APD System in the MODEM CONNECT mode. Follow the steps below to test your modem connection.
Page 92: If You Require A New System Or "Swap
If You Require a New System or “Swap” If your HomeChoice PRO APD System must be returned (or swapped) for service, remove the PRO Card from the old cycler. Insert the PRO Card into the new cycler and turn on the power.
Page 93 8. Operating Instructions – PRO Card and Modem 8-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 94: Operating Instructions - Change Program
Section Operating Instructions – Change Program...
Page 95: Introduction
Even if you have a PRO Card, you still need to learn how to manually change the settings on your HomeChoice PRO APD System. To program your system with your PRO Card, see Section 8, Operating Instructions – PRO Card and Modem.
Page 96: The Nurse's Menu
LOW FILL Minimum Drain MIN DRAIN VOL: Volume Minimum Drain MIN DRAIN TIME: (hh:mm) Time Low Fill Mode only. Negative NEG UF LIMIT: Ultrafiltration (UF) Low Fill Mode only. Limit HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 97: If You Receive A New System Or "Swap
Baxter Technical Assistance for instructions. See 2.2, Numbers to Call for Assistance, on page 2-1. In most regions, when a replacement cycler (“swap”) is delivered by Baxter, it is not programmed with your therapy settings. Your dialysis center is responsible for knowing and entering your therapy settings.
Page 98: Manual Programming
9. Operating Instructions – Change Program Manual Programming To manually program your HomeChoice APD System or HomeChoice PRO APD System (the “system”), press (down arrow) before you press to start your therapy. You can also review or change your settings during your therapy by...
Page 99 FILL VOL (Fill Volume). FILL VOL: NITE FILL VOL (Night Fill Volume) appears for NITE FILL VOL: Hi-Dose therapies. 10. Make changes, if needed, by following Steps 4–6. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 100 This setting only appears for Tidal therapies. 22. Make changes, if needed, by following Steps 4–6. 23. Press when the option or value is not STOP blinking to exit Change Program. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 101 Make Adjustments menu is shown. This allows you to update the I-Drain Alarm setting to be consistent with the new Last Fill Volume. See 10.2.7, I-Drain Alarm, on page 10-9. 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 102: Therapy Type
Tidal THERAPY: TIDAL Hi-Dose Tidal THERAPY:HI-DOSE TIDL See Terms Used in This Guide in Section 1, Glossary, for the definitions of APD, CCPD, IPD, Tidal, Hi-Dose CCPD, and Hi-Dose Tidal. HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 103: Standard Mode (Standard Fill Mode)
Total time for the nighttime portion of therapy. This time is fixed and begins with Initial Drain. Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 104 Setting increments: 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 100 in the 1000 to 3000 mL range – 9-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 105 Fills or it can be different. This setting does not appear if LAST FILL VOL = 0. This setting only appears if you use Last Fill. 9-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 106: Ccpd/Ipd Calculated Settings
9. Operating Instructions – Change Program 9.7.2 CCPD/IPD Calculated Settings HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. The calculated values are shown on the display screen when you press after you have completed reviewing your therapy settings.
Page 107: Hi-Dose Ccpd Therapy Settings
# OF DAY FILLS: Number of daytime exchanges. This setting only appears for a Hi-Dose therapy. Minimum setting is 0 Maximum setting is 9 Default setting is 0 Setting increment is 1 9-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 108 50 in the 500 to 1000 mL range – 100 in the 1000 to 3000 mL range – Day Fill Volume may be a different volume from NOTE: the Night Fill Volume. 9-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 109 Setting increments: 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 100 in the 1000 to 3000 mL range – 9-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 110 Fills or it can be different. This setting does not appear if LAST FILL VOL = 0. This setting only appears if you use Last Fill. 9-16 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 111: Hi-Dose Ccpd Calculated Settings
9. Operating Instructions – Change Program 9.7.4 Hi-Dose CCPD Calculated Settings HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. The calculated values are shown on the display screen when you press after you have completed reviewing your therapy settings.
Page 112: Tidal Therapy Settings
Prescription settings can not be adjusted during a Tidal therapy. NOTE: Table 9-7, on the following page, shows the settings programmed for Tidal therapy in the Standard Fill Mode. 9-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 113 Total time for the nighttime portion of the therapy. This time begins with Initial Drain. Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 9-19 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 114 Default setting is 5% Setting increment is 5% When the Therapy type is changed from CCPD to Tidal, the Tidal NOTE: Volume % reverts to the default setting of 5%. 9-20 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 115 Tidal, the Total UF reverts to the default setting of zero (0). A Total UF volume set too high can result in an increased number of LOW DRAIN VOLUME alarms. NOTES continued on next page. 9-21 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 116 Setting increments: 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 100 in the 1000 to 3000 mL range – 9-22 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 117 MODE: STANDARD and TIDL FULL DRNS: YES is set in the Nurse’s Menu. Minimum setting is 1 Maximum setting is 99 Default setting is 1 Setting increment is 1 9-23 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 118: Tidal Calculated Settings
9.7.6 Tidal Calculated Settings The HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. For a Tidal therapy, the system also calculates Tidal Volume and ultrafiltration (UF) per cycle. The calculated values are shown on the...
Page 119: Hi-Dose Tidal Therapy Settings
Therapy Setting Value, on page 18-10. Prescription settings can not be adjusted during a Tidal therapy. NOTE: Table 9-9 shows the settings programmed for Hi-Dose Tidal therapy in the Standard Fill Mode. 9-25 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 120 # OF DAY FILLS: Number of daytime exchanges. This setting only appears for a Hi-Dose therapy. Minimum setting is 0 Maximum setting is 9 Default setting is 0 Setting increment is 1 9-26 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 121 Drain of the daytime exchange. Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 9-27 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 122 Setting increments: 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 100 in the 1000 to 3000 mL range – 9-28 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 123 Default setting is 5% Setting increment is 5% When the Therapy type is changed from CCPD to NOTE: Tidal, the Night Tidal Volume % reverts to the default setting of 5%. 9-29 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 124 Tidal, the Night UF reverts to the default setting of zero (0). A Total UF volume set too high can result in an increased number of LOW DRAIN VOLUME alarms. NOTES continued on next page. 9-30 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 125 Setting increments: 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 100 in the 1000 to 3000 mL range – 9-31 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 126 MODE: STANDARD and TIDL FULL DRNS: YES is set in the Nurse’s Menu. Minimum setting is 1 Maximum setting is 99 Default setting is 1 Setting increment is 1 9-32 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 127: Hi-Dose Tidal Calculated Settings
9.7.8 Hi-Dose Tidal Calculated Settings The HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. For a Tidal therapy, the system also calculates Tidal Volume and ultrafiltration (UF) per cycle. The calculated values are shown on the...
Page 128: Low Fill Mode
IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 9-34 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 129: Ccpd/Ipd Therapy Settings
Total time for the nighttime portion of therapy. This time is fixed and starts with the Initial Drain. Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 9-35 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 130 Setting increments: 1 in the 60 to 100 mL range – 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 9-36 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 131 Fills or it can be different. This setting does not appear if LAST FILL VOL = 0. This setting only appears if you use Last Fill. 9-37 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 132: Ccpd/Ipd Calculated Settings
9. Operating Instructions – Change Program 9.8.2 CCPD/IPD Calculated Settings HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. The calculated values are shown on the display screen when you press after you have completed reviewing your therapy settings.
Page 133: Hi-Dose Ccpd Therapy Settings
Table 9-13 shows the settings programmed for Hi-Dose CCPD therapy in the Low Fill Mode. 9-39 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 134 # OF DAY FILLS: Number of daytime exchanges. This setting only appears for a Hi-Dose therapy. Minimum setting is 0 Maximum setting is 9 Default setting is 0 Setting increment is 1 9-40 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 135 Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 9-41 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 136 Setting increments: 1 in the 60 to 100 mL range – 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 9-42 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 137 Fills or it can be different. This setting does not appear if LAST FILL VOL = 0. This setting only appears if you use Last Fill. 9-43 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 138: Hi-Dose Ccpd Calculated Settings
9. Operating Instructions – Change Program 9.8.4 Hi-Dose CCPD Calculated Settings HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. The calculated values are shown on the display screen when you press after you have completed reviewing your therapy settings.
Page 139: Tidal Therapy Settings
IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 9-45 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 140 Therapy Setting Value, on page 18-10. Prescription settings can not be adjusted during a Tidal therapy. NOTE: Table 9-15 shows the settings programmed for Tidal therapy in the Low Fill Mode. 9-46 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 141 Total time for the nighttime portion of therapy. This time begins with Initial Drain. Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 9-47 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 142 Setting increments: 1 in the 60 to 100 mL range – 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 9-48 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 143 Default setting is 5% Setting increment is 5% When the Therapy type is changed from CCPD to NOTE: Tidal, the Tidal Volume % reverts to the default setting of 5%. 9-49 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 144 Tidal, the Total UF reverts to the default setting of zero (0). A Total UF volume set too high can result in an increased number of LOW DRAIN VOLUME alarms. (NOTES continued on following page.) 9-50 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 145 Setting increments: 1 in the 60 to 100 mL range – 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 9-51 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 146 NOTE: when you have a large number of Tidal cycles. This reduces over- (or under-) fills due to under- (or over-) estimating the Total UF for the Tidal therapy. 9-52 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 147: Tidal Calculated Settings
9.8.6 Tidal Calculated Settings HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. For a Tidal therapy, the system also calculates Tidal Volume and ultrafiltration (UF) per cycle. The calculated values are shown on the display...
Page 148: Hi-Dose Tidal Therapy Settings
IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 9-54 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 149 Therapy Setting Value, on page 18-10. Prescription settings can not be adjusted during a Tidal therapy. NOTE: Table 9-17 shows the settings programmed for Hi-Dose Tidal therapy in the Low Fill Mode. 9-55 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 150 # OF DAY FILLS: Number of daytime exchanges. This setting only appears for a Hi-Dose therapy. Minimum setting is 0 Maximum setting is 9 Default setting is 0 Setting increment is 1 9-56 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 151 Drain of the daytime exchange. Minimum setting is 10 minutes Maximum setting is 48 hours Default setting is 10 minutes Setting increment is 10 minutes 9-57 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 152 Default setting is 5% Setting increment is 5% When the Therapy type is changed from CCPD to Tidal, the Night NOTE: Tidal Volume % reverts to the default setting of 5%. 9-58 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 153 Tidal, the Night UF reverts to the default setting of zero (0). A Total UF volume set too high can result in an increased number of LOW DRAIN VOLUME alarms. (NOTES continued on following page.) 9-59 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 154 Setting increments: 1 in the 60 to 100 mL range – 10 in the 100 to 500 mL range – 50 in the 500 to 1000 mL range – 9-60 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 155 NOTE: when you have a large number of Tidal cycles. This reduces over- (or under-) fills due to under- (or over-) estimating the Total UF for the Tidal therapy. 9-61 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 156: Hi-Dose Tidal Calculated Settings
9.8.8 Hi-Dose Tidal Calculated Settings The HomeChoice/HomeChoice PRO APD System calculates the number of night cycles and the Dwell Time. For a Tidal therapy, the system also calculates Tidal Volume and ultrafiltration (UF) per cycle. The calculated values are shown on the...
Page 157: Operating Instructions - Make Adjustments
Section Operating Instructions – Make Adjustments...
Page 158: Make Adjustments Menu
PRO Card, or you can adjust them manually. These settings are not part of your prescription. They do not have to be reviewed or changed every treatment. 10-1 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 159 9. Continue to review or change settings by repeating Steps 4 through 8. 10. Press to exit Make Adjustments. STOP PRESS GO TO START The system saves the settings until you change them again. 10-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 160: Option Settings
ADJUST LOUDNESS – OR – 7. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 161: Adjust Loudness
AUTO DIM: – OR – 7. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-4 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 162: Auto Dim
SET CLOCK: 7:10 AM – OR – 7. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 163: Set Clock
SET DATE: 8 JAN 2000 – OR – 11. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 164: Set Date
I-DRAIN TIME: 10:22 – OR – 11. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 165: I-Drain Time
I-DRAIN ALARM:1400ML – OR – 7. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 166: I-Drain Alarm
IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 10-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 167 Review or adjust the I-Drain Alarm setting if you change your Last Fill Volume or if you perform a CAPD exchange during the day. Refer to Table 10-1 on page 10-11 for the recommended settings based on a percentage of the Last Fill Volume. 10-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 168 * 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. If the I-DRAIN ALARM is set to OFF, the HomeChoice APD System NOTE: 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.
Page 169 COMFORT CONTROL: 36 – OR – 7. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 170: Comfort Control
LAST MANUAL DRAIN: N – OR – 7. If you do not want to make any other adjustments, PRESS GO TO START press to exit Make Adjustments. STOP 10-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 171: Last Manual Drain
10. Operating Instructions – Make Adjustments 10.2.9 Last Manual Drain Baxter recommends YES be selected for the LAST MANUAL DRAIN option. A good starting point for setting your Target UF is 70% of your expected Total UF. If the UF is less than the Target UF at the end of the last Drain of the therapy, the system stops and a LOW UF alarm appears on the display screen.
Page 172: Uf Target And Alarm
UF for the therapy (including nighttime UF and Hi-Dose UF) is below the UF Target at the end of the last regular Drain, the therapy stops and a LOW UF alarm occurs. 10-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 173 The ALARM must be programmed YES or NO. If ALARM: YES is set, and the UF TARGET is not met, the HomeChoice/HomeChoice PRO APD System beeps continuously. A LOW UF alarm appears on the display screen. If ALARM: NO is set, and the UF TARGET is not met, only the LOW UF alarm appears on the display screen.
Page 174 Section Operating Instructions – Prepare for Therapy...
Page 175: Gather Your Supplies
• Standard set for Fill volumes above 1000 mL 5. Face Mask(s) • Low Recirculation Volume set for 6. Patient Line Extension, if needed Fill volumes at or below 1000 mL Figure 11-1. Supplies 11-1 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 176 Follow the labeling instructions supplied with the dialysis solution for storage and preparation. Failure to follow the solution labeling instructions can lead to insufficient therapy or adverse clinical reaction. 11-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 177: Prepare Your Solution Bags
WARNING DO NOT use external heating sources (i.e., microwave oven) to warm solution bags. This can result in overheated solution delivered into your peritoneal cavity. 11-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 178 15°C/59°F, turn on the HomeChoice/HomeChoice PRO APD System and place your bag on the heater pan 30 to 60 minutes prior to starting setup. In addition, place the cassette on top of heater bag to help warm it.
Page 179: Turn On Your Homechoice Apd System
If your physician is using the PRO Card option, make sure that the NOTE: PRO Card is in the system before you turn it on. See Section 8, Operating Instructions – PRO Card and Modem, for information regarding the PRO Card. 11-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 180 If the display performs differently than stated in Steps 4, 5, and 6, NOTE: contact Baxter Technical Assistance. If your dialysis center is using the HomeChoice PRO APD System NOTE: prompts option, the prompts will appear at this time. See Section 8, Operating Instructions –...
Page 181: Menu Options At Startup
MAKE ADJUSTMENTS Adjustments Press to change or review system settings. Press ENTER to return to the previous menu. STOP See Section 10, Operating Instructions – Make Adjustments, for instructions. 11-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 182 STOP Alarm Log ALARM LOG Press to review the last 20 alarms. Press ENTER STOP return to the previous menu. LOG IS EMPTY appears if no alarms occurred. 11-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 183 Software Version SOFTWARE VER: 10.210 Shows the software version of the HomeChoice/HomeChoice PRO APD System. The software version that appears on your NOTE: system may differ from this example. 11-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 184: Load The Disposable Set
IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 11-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 185 Steps to load the disposable set 1. Prepare the disposable set. Open the packaging and remove the disposable set. Close all clamps. 3-prong set has 5 clamps – 4-prong set has 6 clamps – 11-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 186 Mode). If you do not open the door within that time, press STOP again to retract the occluder for an additional 2 minutes (30 seconds for Low Fill Mode). 11-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 187 Make sure the end of the patient line is correctly positioned in the organizer as shown. Connect yourself only when CONNECT NOTE: YOURSELF appears on the display screen. 11-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 188: Attach The Drain Option
2. Open all clamps in the drain lines. 3. Press The display screen changes to SELF TESTING. SELF TESTING... When the self-test is complete, CONNECT BAGS CONNECT BAGS appears. 11-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 189: Connect The Solution Bags
Follow aseptic technique taught by your dialysis center when handling lines and solution bags to reduce the possibility of infection. Always put on a face mask and wash and dry (or disinfect) your hands thoroughly. 11-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 190 2. If you are using a patient extension line, connect it to the patient line. 3. Remove the line with the RED clamp. 11-16 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 191 The line with the BLUE clamp must be connected to the Last Fill solution bag if you use a Last Fill with a different solution. d. You have connected enough bags of the right size to deliver your prescribed volume. 11-17 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 192: Prime The Disposable Set
11-23.) If you have already connected yourself and find the clamp is still closed, start a Manual Drain before you open the clamp. The Manual Drain procedure is located in 18.5, Manual Drain Procedure, on page 18-53. 11-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 193 Increases the recirculation volume which can result in reduced therapy effectiveness. Impacts priming which can result in air infusion. Air infusion can cause abdominal and/or shoulder pain. 4. Press CONNECT BAGS STOP ENTER 11-19 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 194 6. Before you wash your hands and connect yourself: Make sure fluid is present near the connector at the end of the patient line. Make sure the patient line clamp is open. 11-20 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 195 Fill Volume is less than 100 mL, a LOW DRAIN VOLUME alarm can occur. Improper priming in these conditions can also contribute to negative UF alarms later in the therapy. 11-21 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 196 IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 11-22 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 197: Reprime The Patient Line
The display screen alternates between CONNECT YOURSELF and CHECK PATIENT LINE. 5. Repeat Steps 1 through 4 until the patient line is primed. 11-23 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 198: Connect Yourself To The Disposable Set
2. Prepare the room for treatment as instructed by your dialysis center. 3. Put on a face mask and wash and dry (or disinfect) your hands thoroughly. 11-24 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 199 6. Open the transfer set. 7. Press to start your treatment. Treatment begins with an INITIAL DRAIN. INITIAL DRAIN STOP ENTER 8. Continue with Section 12, Operating Instructions – Perform Therapy. 11-25 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 200 11. Operating Instructions – Prepare for Therapy 11-26 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 201 Section Operating Instructions – Perform Therapy...
Page 202: Initial Drain
Possible contamination of the fluid or fluid pathways can result if disposables are reused. Contamination of any portion of the fluid or fluid path can result in peritonitis. 12-1 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 203 If a VERIFY I-DRAIN: ML prompt appears, press and press STOP to increase your I-DRAIN ALARM setting to at least 70% of your current expected peritoneal volume for this therapy only. – OR – 12-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 204 If your I-DRAIN ALARM setting is OFF or zero (0) because you normally have a dry day, Baxter recommends it be set to a value greater than zero (0). If your patient line is greater than 12 feet (3.6 meters) in length, set the I-Drain Alarm to at least 30 mL.
Page 205: Menu Options During Initial Drain
Review Program REVIEW PROGRAM Allows you to review the programmed therapy. Current Time 9:05 PM Current time. Therapy End FINISH AT 6:52 AM Time Estimated time when treatment will end. 12-4 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 206: Fill
Table 12-2 lists the options you can select during the FILL phase. 1. Press to view each option. 2. Press to select an option. ENTER 3. Press to return to the previous menu. STOP 12-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 207 Review Program REVIEW PROGRAM Allows you to review the programmed therapy. Current Time 11:25 PM Current time. Therapy End FINISH AT 6:52 AM Time Estimated time when treatment will end. 12-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 208: Dwell Phase
Table 12-3 lists the options you can select during the DWELL phase. 1. Press to view each option. 2. Press to select an option. ENTER 3. Press to return to the previous menu. STOP 12-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 209 Review Program REVIEW PROGRAM Allows you to review the programmed therapy. Current Time 12:01 PM Current time. Therapy End FINISH AT 6:52 AM Time Estimated time when treatment will end. 12-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 210: Drain Phase
Table 12-4 lists the options you can select during the DRAIN phase. 1. Press to view each option. 2. Press to select an option. ENTER 3. Press to return to the previous menu. STOP 12-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 211 Review Program REVIEW PROGRAM Allows you to review the programmed therapy. Current Time 1:45 PM Current time. Therapy End FINISH AT 6:52 AM Time Estimated time when treatment will end. 12-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 212: Pause Therapy
Table 12-5 lists the options you can select when you press STOP 1. Press to view each option. 2. Press to select an option. ENTER 3. Press to continue your therapy. 12-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 213 20 most recent alarms. Press ENTER to return to the previous menu. STOP Software Version SOFTWARE VER: 10.210 Displays the software version. The software version on your system may differ from this example. 12-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 214: Hi-Dose Therapy
Flexibility for up to nine (9) Hi-Dose exchanges. The number of Hi-Dose exchanges is pre-programmed and fixed. System setup and start of therapy takes place at the time of the first Hi-Dose exchange. 12-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 215 (IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 12-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 216: Day Dwell Options
Total TOTAL UF: 252ML Ultrafiltration The total therapy UF, updated after each Drain is completed. Press to review cycle-by-cycle ENTER information. Press to return to the previous menu. STOP 12-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 217: Perform A Hi-Dose Day Exchange
Steps to perform a daytime exchange Display screen Hi-Dose therapy begins when INITIAL DRAIN is INITIAL DRAIN complete. 1. DAY FILL begins automatically when INITIAL DAY FILL 1 OF 1 DRAIN is complete. 12-16 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 218 FILL 1 OF 4 therapy begins with FILL 1. – OR – If more than one Hi-Dose exchange is programmed, DAY FILL 2 OF 2 the next DAY FILL begins. 12-17 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 219: Disconnect Yourself During Hi-Dose Dwell
Always put on a face mask and wash and dry (or disinfect) your hands thoroughly. 3. Put on a face mask and disinfect your hands thoroughly. 12-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 220 8. Attach the new FlexiCap disconnect cap to the patient line connector in the organizer. Tighten the FlexiCap disconnect cap until fully secured. 9. You may now leave the system. 12-19 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 221: Reconnect And Continue Treatment
(or disinfect) your hands thoroughly. 5. Put on a face mask and wash and dry hands thoroughly. 6. Remove the FlexiCap disconnect cap from the patient line connector. 12-20 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 222 10. Open the transfer set. 11. Press DAY DRAIN 1 OF 1 The system automatically begins DAY DRAIN 1. 12. Discard the used MiniCap disconnect cap and FlexiCap disconnect cap. 12-21 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 223 12. Operating Instructions – Perform Therapy 12-22 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 224 Section Operating Instructions – End Therapy...
Page 225: Ending Your Therapy
Operating Instructions – End Therapy 13.1 Ending Your Therapy When the last phase of your treatment cycle is complete, the HomeChoice APD System or HomeChoice PRO APD System indicates that the therapy is complete. WARNING Notify your dialysis center if you had an incomplete treatment, skipped the prescribed Last Fill, or in other situations as instructed by your clinician.
Page 226 10.2.9, Last Manual Drain, on page 10-14. 6. Press to access cycle-by-cycle UF ENTER CYCLE 5 UF: information starting with the last cycle. Press to return to the previous menu. STOP 13-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 227 8. Press AVG DWELL TIME:HH:MM The average actual Dwell Time for the therapy is shown. To review cycle-by-cycle information, press Press to return to END OF ENTER. STOP THERAPY. 13-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 228 STOP 12. Press after you review and record your end STOP END OF THERAPY of therapy summary. 13. Press CLOSE ALL CLAMPS CLOSE ALL CLAMPS appears. 13-4 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 229 15. Close patient clamp on disposable set. 16. CLOSE ALL CLAMPS and disconnect yourself as instructed in the steps in 13.2, Disconnect Yourself, on page 13-6. Do NOT press again until AFTER you have disconnected. 13-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 230: Disconnect Yourself
(or disinfect) your hands thoroughly. Steps to disconnect yourself 1. Put on a face mask and disinfect your hands thoroughly. 2. Open and remove new MiniCap disconnect cap from the package. 13-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 231 6. Tighten the MiniCap until fully secured. WARNING Do NOT press again until AFTER you have disconnected! Touching any unsterile surface before completing your disconnect increases your risk of infection. 13-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 232: Shut Down
(IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms those patients not able to communicate essential information to their caregiver during treatment. 13-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 233 STOP The occluder retracts again for a short time. 4. Remove and discard the disposable set and solution bags. Follow your local guidelines for disposal of dialysis waste materials. 13-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 234: Menu Options During End Of Therapy
Table 13-1 lists the options you can select during END OF THERAPY. 1. Press to view each option. 2. Press to select an option. ENTER 3. Press to return to the previous menu. STOP 13-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 235 10-14. Average Dwell AVG DWELL TIME: 1:32 Time Average actual Dwell Time for your therapy. Press ENTER to review cycle-by-cycle information. Press to exit STOP cycle-by-cycle information. 13-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 236 Manual Drain MANUAL DRAIN Press to select. ENTER Alarm Log ALARM LOG to review the 20 most recent alarms. Press Press ENTER to return to the previous menu. STOP 13-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 237: Operating Instructions - Effluent Sampling
Section Operating Instructions – Effluent Sampling...
Page 238: Introduction
Your dialysis nurse will tell you how often you should take a sample. 1. Drain Line 2. Effluent Sampling Site 3. Effluent Sample Bag Figure 14-1. Disposable Set 14-1 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 239: Take An Effluent Sample
1. Put on a face mask and wash and dry your hands thoroughly. 2. Open the effluent sample bag packaging. 3. Close the clamp on the effluent sample bag. 14-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 240 5. Remove the cap from the effluent sample bag. Save the cap to recap the connectors. 6. Remove the cap from the sampling site. Save the cap to recap the connectors. 14-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 241 8. After draining for 2 or 3 minutes, open the clamps. 9. When the effluent sample bag is full, close both clamps. 14-4 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 242 Steps to take an effluent sample (Continued) 10. Disconnect the effluent sample bag from the drain line and recap the connectors. Follow your dialysis nurse’s instructions for handling the effluent NOTE: sample. 14-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 243 14. Operating Instructions – Effluent Sampling 14-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 244: Cleaning
Section Cleaning...
Page 245: Introduction
The cycler does not need to be sterilized or disinfected between uses. NOTE: The HomeChoice/HomeChoice PRO APD System uses a disposable set that provides a sterile fluid pathway. 15-1 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 246: Cleaning The Cycler
4. Wipe up any solution spills as soon as possible. Any residue may be cleaned with a mixture of mild soap and water. 15-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 247: Preparing The Cycler For Return To Baxter
IMPORTANT Return this cycler to your dialysis center or to Baxter by calling Baxter Technical Assistance. Before you return the HomeChoice APD System cycler to Baxter, follow the steps below: Steps to prepare the cycler for return 1. Put on protective rubber gloves and an apron.
Page 248 15. Cleaning 15-4 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 249 Section Maintenance...
Page 250 Maintenance A regular maintenance schedule is not needed. The HomeChoice/HomeChoice PRO APD System monitors itself. It will notify you if service is needed. The battery pack is automatically checked and recharged during operation. The battery does not need regular maintenance.
Page 251: Maintenance
16. Maintenance 16-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 252: Storage
Section Storage...
Page 253: Cycler
Storage 17.1 Cycler The HomeChoice/HomeChoice PRO APD System should be stored in the following conditions: Temperature between –25°F to 130°F (–34°C to 54°C) Humidity between 10% and 95% Altitude –1,100 ft to +18,000 ft (–340 m to +5,500 m) 17.2 Battery If the cycler is not used for more than 12 months, the battery pack must be removed.
Page 254 17. Storage 17-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 255: Troubleshooting
Section Troubleshooting...
Page 256: List Of Alarms And Procedures
Check Total UF ........18-10 18-1 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 257 Warming Solution ........18-21 18-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 258: Correcting Alarms
Whenever the system finds an issue, it will: Sound an alarm Stop moving solution, in some circumstances Display the type of alarm Record the issue on the PRO Card, if applicable 18-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 259: Types Of Alarms
These alarms are caused by problems inside the system. Contact Baxter for assistance when these occur. Baxter Technical Assistance is available 24 hours a day for HomeChoice/HomeChoice PRO APD System users. Call the number located in 2.2, Numbers to Call for Assistance, on page 2-1.
Page 260: Alarms
Cause 1: The line referenced on the display screen is blocked due to: Kinks – Closed clamps – Fibrin blockage – Disconnected solution bags – Empty solution bags – 18-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 261 – 3. Correct the issue you found, if possible. – OR – If the issue is not corrected, contact your dialysis center. 4. Press to return to the therapy. 18-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 262 Intraperitoneal Volume (IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 263 To Correct Cause 3: 2. Check drain line. Even though CHECK HEATER LINE appears on NOTE: the display screen, it is possible that the cause is a blocked drain line. 18-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 264: Check Lines And Bags
Kinks – Closed clamps – Fibrin blockage – Disconnected solution bags – Empty solution bags – 3. Correct the issue you found. 4. Press to return to the therapy. 18-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 265: Check Therapy Setting Value
The display screen automatically returns to the incorrect setting and flashes the value you need to change. 2. Change the value or other values. 3. Press to exit Change Program. STOP 18-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 266: Phase Not Finished
REFILL NOT FINISHED FILL NOT FINISHED You have tried to bypass an alarm or phase and you have not Cause: completed the phase. This is a Manual Restart Alarm. 18-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 267: Load A New Set
3. Get a new disposable set, and new solution bags if needed. 4. Load the cassette. 5. Press and follow the setup instructions on the display screen. 18-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 268: Low Ultrafiltration (Uf)
When ALARM: YES is set, this is an audible Manual Restart Alarm. When ALARM: NO is set, this is a silent Manual Restart Alarm with a display message only. 18-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 269 I-DRAIN VOL: An incomplete Initial Drain is not reflected in your UF. 5. Press TOTAL UF: The volume shown is the TOTAL UF from the current Drain. 6. Press BYPASS 18-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 270 (IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 271: Low Drain Volume
1. Follow the steps below to check your Drain Volume. 2. Contact your dialysis center to learn when it is safe to bypass. See 18.4.5, Bypass Low Drain Volume Alarm, on page 18-45. 18-16 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 272 This can cause the actual UF to be lower than the Total UF displayed. 4. Press TOTAL UF: The volume shown is the TOTAL UF from the previous Drain. 5. Press BYPASS 18-17 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 273 Fill Volume. If your Drain Volume is less than your prescribed Fill Volume, the NOTE: difference is subtracted from the previous Drain Total UF to obtain your current UF. 18-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 274: Slow Flow Rate
Kinks – Closed clamps – Fibrin blockage – Disconnected solution bags – Empty solution bags – 3. Correct the problem you found. 4. Press to return to the therapy. 18-19 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 275: Machine Tilted
If the alarm becomes a Manual Restart Alarm or occurs at PRESS GO TO START: 1. Press to mute the alarm. STOP 2. Place the cycler on a flat, even surface. 3. Press to return to the therapy. 18-20 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 276: Warming Solution
45 minutes to heat the solution. 3. Press the heater bag down against the heater plate to improve the heating rate. A SYSTEM ERROR appears if the heating system fails. 18-21 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 277: Caution: Negative Uf
The allowable percentage in Standard Fill Mode is 50%. In Low Fill Mode, it is adjustable from 20% to 60%. This is a Manual Restart Alarm. 18-22 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 278 This is the recommended option. Unless you have absorbed a lot of fluid, resume the Drain or select NOTE: MANUAL DRAIN. Using Manual Drain repeatedly does not generate an audible alarm. 18-23 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 279: Check Your Position
To Correct Cause 1: 2. If the system is too low, raise it by at least six (6) inches. You do not need to press any buttons. – OR – 18-24 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 280 Intraperitoneal Volume (IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-25 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 281 (IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-26 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 282: Reload The Set
8. Open the clamps. 9. Press 10. Press again when the display screen shows CONNECT BAGS. The priming procedure begins. 18-27 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 283 Debris on outside of cassette Hole in cassette sheeting Always check cassette for debris, slits, tears, NOTE: or punctures before use. All others Incorrect loading of set or issue with cassette 18-28 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 284: Caution: Positive Uf
You have bypassed the alarm and treatment resumes. Notify your dialysis center if the alarm continues. Ultrafiltration (UF) may be set too high, or the alarm setting may be too low. 18-29 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 285: Verify Idrain
4. Press You have temporarily changed the Initial Drain Alarm setting for this NOTE: treatment session. To permanently change the I-Drain Alarm, see 10.2.7, I-Drain Alarm, on page 10-9. 18-30 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 286: System Errors 2240 Or 2267
(IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-31 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 287 5. Close all clamps. 6. Discard the disposable set and solution bags. 7. Notify your dialysis nurse. If you need help to correct the alarm, contact Baxter Technical NOTE: Assistance at the number listed in 2.2, Numbers to Call for Assistance, on page 2-1.
Page 288: System Error Nnnn
(IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-33 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 289 Bypass a phase – Perform a Manual Drain – The HomeChoice APD System usually recovers from the System Error. Device swaps are necessary only if the System Error repeats with different disposables. 18-34 HomeChoice APD Systems Patient At-Home Guide October 2, 2009...
Page 290: Temp Stabilizing
40°C. If the TEMP STABILIZING message continues to appear: 1. Press the power switch OFF. 2. Wait another 20 minutes. 3. Repeat Steps 3 through 5 above. 18-35 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 291 Fill Volume, can also reduce the chance for this alarm because a replenish occurs before each Fill. Close windows and turn off fans before connecting or disconnecting NOTE: yourself. 18-36 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 292: Bypass Procedures
Steps to bypass Initial Drain Display screen INTIAL DRAIN appears on the display screen. INITIAL DRAIN 1. Press STOP STOPPED: DRAIN 2. Press DRAIN VOLUME: 18-37 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 293 An alarm sounds if less than your Initial Drain DRAIN NOT FINISHED Alarm limit has been drained. alternates with See 18.4.4, Bypass Drain Not Finished Alarm, on INITIAL DRAIN page 18-43. 18-38 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 294: Bypass Low Drain Volume Alarm During Initial Drain
Steps to bypass Low Drain Volume alarm during I-Drain Display screen LOW DRAIN VOLUME appears on the display screen. LOW DRAIN VOLUME 1. Press STOP LOW DRAIN VOLUME alternates with INITIAL DRAIN 18-39 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 295 FILL 1 OF X The next FILL begins. By selecting BYPASS, you indicate that you are empty. The system NOTE: considers your volume zero (0) and delivers your entire prescribed Fill Volume. 18-40 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 296: Bypass Drain Phase
Follow the next steps to bypass a non-Initial Drain phase. Contact your dialysis center to learn when it is safe to bypass. 18-41 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 297 – OR – CAUTION: NEGATIVE UF A CAUTION: NEGATIVE UF alarm may appear. See 18.3.11, Caution: Negative UF, on page 18-22 and 18.4.6, Bypass Caution: Negative UF Alarm, on page 18-49. 18-42 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 298: Bypass Drain Not Finished Alarm
Follow the next steps to bypass a DRAIN NOT FINISHED alarm. Contact your dialysis center to learn when it is safe to bypass. 18-43 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 299 DRAIN NOT FINISHED ENTER FILL 3 OF 5 alarm. The next FILL begins. The volume of fluid that was not drained is subtracted from the Fill Volume for this phase. 18-44 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 300: Bypass Low Drain Volume Alarm
Display screen LOW DRAIN VOLUME appears on the display screen. LOW DRAIN VOLUME 1. Press to silence the alarm. STOP LOW DRAIN VOLUME alternates with DRAIN 2 OF 5 18-45 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 301 Intraperitoneal Volume (IIPV), on page 18-58 if IIPV is suspected. Additional care should be taken to monitor for IIPV symptoms for those patients not able to communicate essential information to their caregiver during treatment. 18-46 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 302 Change your position after you resume Drain. Occasionally, the NOTE: location of the catheter tip can be in a less-than-optimal position. Changing your position may resolve the low Drain flow issue. 18-47 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 303 Drain Volume was less than your prescribed Fill Volume. If you do not encounter a DRAIN NOT FINISHED alarm, your next Fill Volume will equal your prescribed Fill Volume. 18-48 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 304: Bypass Caution: Negative Uf Alarm
Follow the next steps if you are sure it is safe to bypass a CAUTION: NEGATIVE UF alarm. Contact your dialysis center to learn when it is safe to bypass. 18-49 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 305 5. Press BYPASS Unless you have absorbed a lot of fluid, resume the Drain or select NOTE: MANUAL DRAIN. Using Manual Drain repeatedly does not generate an audible alarm. 18-50 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 306 Additional bypassing is allowed only if this Minimum Drain Volume has been met. Your Minimum Drain Volume percentage will remain at 100% until your UF falls below the Negative UF alarm limit (default value is 50%). 18-51 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 307: Check Supply Line Alarm During Replenish
4. Press BYPASS 5. Press ENTER PLEASE WAIT..appears briefly, then REFILL NOT FINISHED 6. Press STOP. REFILL NOT FINISHED 7. Press BYPASS 8. Press ENTER FILL N OF N 18-52 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 308: Manual Drain Procedure
The current FILL phase appears on the display screen. FILL 3 OF 5 1. Press STOP. STOPPED: FILL 2. Press FILL VOLUME: 3. Press BYPASS 4. Press CHANGE PROGRAM 5. Press MAKE ADJUSTMENTS 6. Press MANUAL DRAIN 18-53 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 309 See 11.4, Menu Options at Startup, on page 11-7. Fluid drained during all other Manual Drains is included as part of the Total UF for the therapy. 18-54 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 310: End Therapy Early Procedure
Steps to end therapy early Display screen 1. Press the power switch OFF. 2. Press the power switch ON. PLEASE WAIT... The alarm sounds. POWER RESTORED 3. Press STOP. POWER RESTORED 18-55 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 311 10. Press END THE THERAPY END THE THERAPY appears. 11. Press ENTER. CLOSE ALL CLAMPS Proceed with the End Therapy procedure. See Section 13, Operating Instructions – End Therapy. 18-56 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 312: Reprime Patient Line Procedure
The display screen alternates between CONNECT YOURSELF and CHECK PATIENT LINE. 5. Repeat Steps 1 through 4 until the patient line is primed. 18-57 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 313: Increased Intraperitoneal Volume (Iipv)
The patient line length is greater than 12 feet (3.6 meters) and Initial Drain Alarm is set below 30 mL. This can cause your Initial Drain to end early. 18-58 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 314 CLOSE ALL CLAMPS appears on the display screen. This can cause a free flow of fluid from one bag to another and/or to the patient. 18-59 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 315 24 hours a day, 7 days a week at 1-800-553-6898 Prompt 1. 5. If you are unable to reach your dialysis center, nephrologist, or the Baxter Customer Service Line, and you or the patient are experiencing symptoms of IIPV, call 911 immediately or go to the nearest Emergency Room.
Page 316 The display screen shows the Drain volume. The system continues to drain until flow is no longer detected. 8. Press to return to therapy. 9. Reinitiate a Manual Drain if it is stopped during Fill. 18-61 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 317: Power Failure
When a power failure occurs any time during or after Initial Drain, the system stops your therapy and the display screen turns off. To retrieve any therapy information during a power failure, the display can be activated by pressing any button. 18-62 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 318 DRAIN VOL: Initial Drain Volume INITIAL DRAIN: Total UF TOTAL UF: Average Dwell Time AVG DWELL TIME:HH:MM End The Therapy END THE THERAPY To end the therapy, press ENTER 18-63 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 319 If power is not restored within two hours: You must end your therapy. See 18.6, End Therapy Early Procedure, on page 18-55. Restart your therapy from the beginning, if needed. 18-64 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 320: Emergency Disconnect Procedure
Follow aseptic technique taught by your dialysis center when handling lines and solution bags to reduce the possibility of infection. Always put on a face mask and wash and dry (or disinfect) your hands thoroughly. 18-65 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 321: Disconnect From The System
Tighten the FlexiCap disconnect cap until it is fully secured. Place the capped patient line connector back in the organizer. 4. You can now leave the HomeChoice APD System. After 30 minutes, the system sounds an alarm. If you do not plan to NOTE: return to therapy, follow the End Therapy Early procedure.
Page 322: Return To Therapy After An Emergency Disconnect
Connect the patient line connector to the transfer set. Open the clamp on the patient line. Open your transfer set. Press h. Discard the used MiniCap disconnect cap and FlexiCap disconnect cap. 2. Your therapy continues. 18-67 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 323 18. Troubleshooting 18-68 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 324: Technical Data
Section Technical Data...
Page 325: Physical Specifications
Technical Data The specifications in this section apply to the Baxter HomeChoice and HomeChoice PRO APD Systems. 19.1 Physical Specifications U.S. Standard Metric 7.0 in 17.8 cm Height: 19.5 in 49.5 cm Width: 15.7 in 39.9 cm Depth: 27 lbs 12.3 kg...
Page 326: Extension Cords
Only heavy-duty extension cords rated for at least 1200 watts (10 Amps @ 120V) that are no longer than 12 feet should be used. The extension cord must have the grounding wire that mates with the grounding plug on the HomeChoice/HomeChoice PRO APD System power cord. 19.3 System Performance U.S. Standard Metric Standard Mode: +5/–20 mL...
Page 327: Battery Backup
19. Technical Data 19.5 Battery Backup When power failure occurs during therapy, the HomeChoice/HomeChoice PRO APD System stops the therapy and the display screen turns off. However, the display powers up each time a key is pushed during the first 30 minutes of a power failure.
Page 328 Be aware that modifying the cycler or adding accessories or components not specifically authorized by Baxter may make the cycler more susceptible to interference from radio waves. The following cables and accessories have been approved for use with the...
Page 329 19. Technical Data 19-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 330 19. Technical Data 19-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 331 19. Technical Data 19-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 332 19. Technical Data 19-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 333: Solution Temperature Protective System
The protective system temperature sensing is accurate to ±2°C. The HomeChoice/ HomeChoice PRO APD System sounds a system alarm within 5 seconds of sensing an overheated condition. 19.8 Audible Alarm Silence Period...
Page 334: Protective System Preventing Air Infusion
19. Technical Data 19.11 Protective System Preventing Air Infusion The HomeChoice/HomeChoice PRO APD System is capable of detecting air in the vertically oriented pumping chambers. If air volumes exceeding 3 cc are detected, the air is pumped out of the top of the chamber to the drain line. Air volumes that are smaller than this are physically unable to exit the bottom of the chamber to the Fill line.
Page 335: Drain Logic Options
19.13 Drain Logic Options 19.13.1 Standard Fill Mode Drain Logic The HomeChoice/HomeChoice PRO APD System drains until the system encounters Slow Flow from the patient line for a period of time, or a single pump stroke of No Flow from the patient line.
Page 336: Standard Fill Mode Drain Logic
A single pump stroke volume of fluid is pushed back to the patient when a Drain ends due to No Flow to verify that the patient line is not occluded. The next Fill begins at this volume. 19-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 337: Replenish Logic
LAST FILL DEXTROSE is set to SAME. The system never draws fluid from the supply bag line (lines with WHITE clamps) and Last Fill bag line (line with BLUE clamp) at the same time. 19-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 338: Unscheduled Replenish
Fill Volume is not accidentally programmed too high for you or a caregiver’s patient. In fact, most patients require a Fill Volume that is much lower than the values listed in this table. 19-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 339 1900 2000 2100 2200 2300 1000 2400 1100 2500 1200 2600 1300 2700 1400 2800 1500 2900 1600 145 or 66 or 3000 more more continued in next column 19-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 340: Determining Initial Drain Alarm Volume Settings
EXAMPLE: If your Last Fill Volume is 550 mL and you desire a limit that is 85% of the Last Fill Volume, your Initial Drain Alarm volume setting is 430 mL. 19-16 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 341 2200 2300 2400 2600 2800 2000 2100 2200 2400 2500 2700 2900 2000 2200 2300 2500 2600 2800 continued in next column 3000 2100 2300 2400 2600 2700 2900 19-17 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 342: Volume Settings
EXAMPLE 2: If your expected Total UF volume for the therapy is 1300 mL and you desire to program your Total UF volume for the Last Manual Drain at 70%, your UF Target volume setting is 900 mL. 19-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 343 Table 19-9. Tidal Total UF and Last Manual Drain UF Target Volume Settings based upon % of Expected Total UF Volume Tidal Last Manual Drain TOTAL UF Volume Settings (mL) UF TARGET Volume Settings (mL) Expected Total UF (mL) 19-19 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 344 2400 2500 2650 2900 2000 2200 2300 2500 2600 2800 2050 2200 2300 2450 2600 2750 3000 2100 2300 2400 2600 2700 2900 2100 2250 2400 2550 2700 2850 19-20 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 345: Quick Reference
Section Quick Reference...
Page 346 This section is intended to guide you through common procedures. It should not replace the complete operating instructions contained in the other sections of this guide. Read the entire manual before operating the HomeChoice APD System or HomeChoice PRO APD System.
Page 347: Prepare For Therapy
3 – Disposable Set 4 – Disconnect Cap(s) 5 – Face Mask(s) Patient Line Extension, if needed (not pictured) Check solution bags for SEAL: trength xpiration Date mount eaks 20-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 348 The current mode (STANDARD MODE or LOW FILL MODE) appears for a few seconds. When the system is ready, PRESS GO TO START appears. 20-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 349 When a drain line extension is used instead of a drain bag, you must leave a space between the end of the drain line and any fluid in the drain or container. 20-4 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 350 (IIPV) situation. 6. Press GO when you are ready to begin. LOAD THE SET appears. 7. Open the door. Push the handle up to unlock and open the door. 20-5 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 351 Press the handle down to close and lock the door. 9. Place the organizer. Place the long slot of the organizer over the hook at the top of the door. 20-6 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 352 11. Attach your drain option. 12. Open all drain clamps. 13. Press GO. SELF TESTING appears on the display screen. When the self-test is complete, CONNECT BAGS appears on the display screen. 20-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 353 Connect the line with the BLUE clamp to the Last Fill bag. Connect the lines with the white clamps to additional solution bags, if needed. 20-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 354 Failure to open the clamp on the patient line after connecting the solution bags will prevent the patient line from being primed. This can cause air to be delivered to you during FILL 1. 17. Press GO to begin priming. 20-9 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 355 19. Get your transfer set ready. Make sure your transfer set is available but do not remove the cap until after you have washed your hands. 20-10 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 356 Remove the MiniCap from the transfer set. Connect the transfer set to the patient line by removing the pull ring and attaching the transfer set. Open the transfer set. 20-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 357 If you perform a Hi-Dose therapy, skip to 20.2, Perform a Hi-Dose Therapy. If you are not performing a Hi-Dose therapy, skip to 20.3, End Therapy, on page 20-19. 20-12 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 358: Perform A Hi-Dose Therapy
20. Quick Reference 20.2 Perform a Hi-Dose Therapy 1. Hi-Dose therapy begins when INITIAL DRAIN is complete. 2. DAY FILL begins automatically when INITIAL DRAIN is complete. 20-13 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 359 Clamp the patient line. Disconnect the transfer set from the patient line. Connect a MiniCap disconnect cap to the transfer set (shown). Connect a FlexiCap disconnect cap to the patient line. 20-14 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 360 5. Press to display the elapsed Dwell Time in hours and minutes. 6. When you are ready to continue your therapy, press until the display reads PRESS GO TO CONTINUE. 20-15 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 361 20. Quick Reference 7. Press GO and the system prompts you to CONNECT YOURSELF. 8. Put on face mask and wash and dry your hands thoroughly. 20-16 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 362 Connect the transfer set to the patient line. Open the transfer set. Open the patient line clamp. 10. Press GO and the system automatically begins DAY DRAIN 1. 20-17 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 363 11. When DAY DRAIN 1 is complete, the nighttime therapy begins with FILL 1. – OR – If more than one Hi-Dose exchange is programmed, the next DAY FILL begins. 20-18 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 364: End Therapy
3. Write the following on your treatment record, if required: Initial Drain Total UF Average Dwell Time Other data as instructed by your dialysis nurse 20-19 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 365 20. Quick Reference 4. Press GO. CLOSE ALL CLAMPS appears on the display screen. 5. Close all clamps! 6. Put on face mask and wash and dry your hands thoroughly. 20-20 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 366 20. Quick Reference 7. Open a new MiniCap disconnect cap. 8. Disconnect the transfer set from the patient line. 9. Connect a MiniCap disconnect cap to the transfer set. 20-21 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 367 11. Open the door. 12. Remove and discard the disposable set. 13. Press GO. TURN ME OFF appears on the display screen. 14. Press the On/Off switch to the OFF position. 20-22 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 368 Index...
Page 369 Battery backup 19-3 slow flow patient 18-19 Blood pressure 8-8 slow flow supply 18-19 diastolic 1-2 system error 18-34 systolic 1-2 system error 2240 18-32 Brightness 10-3 system error 2267 18-32 Button 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 370 9-5 Cycles 9-7, 9-12, 9-24, 9-38, 9-53 therapy 9-5 therapy time 9-5 tidal volume 9-6 total UF 9-6 Data entry 8-7, 9-4, 10-2 total volume 9-5 Day concentration 8-9 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 371 Face mask 1-5, 11-1 Drain line extension 1-5, 3-11, 11-1, 11-14 Features 5-7 Drain logic 19-11 Fill 12-5 Drain option 5-4, 11-12, 11-14 first 1-6 15L drain bag 11-14 last 1-7 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 372 Last UF 11-8 Hi-Dose Tidal 1-3, 1-6, 5-4, 9-25, 9-54 Lines 5-14, 5-15 Home patients 5-1 List of alarms 18-1 Humidity Load cassette 11-10, 11-13 operating 6-1, 19-2 storage 17-1, 19-2 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 373 No flow 1-8, 19-11 Power No PRO card 8-11 consumption 19-1 Number of day exchanges 8-9 entry 5-9, 5-11, 8-2 Number of day fills 9-13, 9-26, 9-40, 9-56 failure 5-6, 19-3 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 374 Return cycler to Baxter 15-3 Swap 9-3 Returning the cycler 3-15 Symbol Review program 11-7, 12-4, 12-6, 12-8, 12-10, alternating current 1-12 12-16 Canadian Standards Association 1-13 Review settings 11-7 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 375 1-11, 9-9, 9-13, 9-19, 9-26, 9-35, 9-40, Tidal volume percentage 1-11, 9-20, 9-49 9-47, 9-56 Tip protectors 3-10 Volumetric accuracy 19-2 Total UF 1-11, 9-21, 9-50, 12-6, 12-8, 12-10, 12-15, 13-11 07-19-61-244 October 2, 2009 HomeChoice APD Systems Patient At-Home Guide...
Page 376 Index Warnings 3-1, 4-1 Waste 1-12 WEEE 2002/96/EC 3-15 Weight 8-8 HomeChoice APD Systems Patient At-Home Guide October 2, 2009 07-19-61-244...
Page 377 24-hour Technical Assistance is available for the HomeChoice and HomeChoice PRO APD Systems at 1.800.553.6898 07-19-61-244 October 2, 2009 Baxter Healthcare Corporation Renal Division McGaw Park, IL 60085 Software version: U.S.A 10.210 1.888.736.2543, press 4...

This manual is also suitable for:

Homechoice pro

baxter HomeChoice Manual

1 Glossary

2 User Assistance Information

3 Warnings and Cautions

4 Indications for Use

5 Description

6 Environmental Conditions

7 Setup and Check-Out

8 Operating Instructions - PRO Card and Modem

9 Operating Instructions - Change Program

10 Operating Instructions - Make Adjustments

11 Operating Instructions - Prepare for Therapy

12 Operating Instructions - Perform Therapy

13 Operating Instructions - End Therapy

14 Operating Instructions - Effluent Sampling

15 Cleaning

16 Maintenance

17 Storage

18 Troubleshooting

19 Technical Data

20 Quick Reference

Quick Links

Need help?

Questions and answers

Related Manuals for baxter HomeChoice

Summary of Contents for baxter HomeChoice