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W A R N I N G S
A N D C A U T I O N S Continued
6
P/N 450368-03 Rev. E
WARNING!
T
HE DIALYSIS PHYSICIAN IS RESPONSIBLE FOR SELECTING THE APPROPRIATE CONCENTRATE MIXING
EQUIPMENT FOR DIALYSIS AND THE PRESCRIPTION FOR DIALYSIS
.
WARNING!
IN ABSENCE OF SIGNIFICANT CLUMPING
,
ONLY USE THE SMALL ACCESS LID WHEN POURING ACID
CONCENTRATE INTO THE MIXER
.
USE OF THE LARGE ACCESS LID WHEN POURING ACID CONCENTRATE MAY RESULT IN
INHALATION INJURY
.
WARNING!
A
LWAYS CHECK THE
S
PECIFIC
G
RAVITY OF EACH NEW BATCH OF
A
CID
C
ONCENTRATE BEFORE USING IN
TREATMENT
.
S
UPPLYING AN IMPROPERLY MIXED
A
CID
C
ONCENTRATE TO THE
H
EMODIALYSIS
M
ACHINE MAY RESULT
IN PATIENT INJURY OR DEATH
.
W
ARNING
:
I
N ORDER TO ACCURATELY DETERMINE IF THE ACID CONCENTRATE HAS BEEN PREPARED CORRECTLY
,
THE
TEMPERATURE OF THE SOLUTION MUST BE MEASURED AND THE
S
PECIFIC
G
RAVITIES
T
ABLE IN FORM
1
(G
RANU
F
LO
)
OR
F
ORM
2
(C
ITRASATE
D
RY
)
MUST BE CONSULTED
.
S
UPPLYING AN INCORRECTLY PREPARED ACID CONCENTRATE TO
THE
H
EMODIALYSIS
M
ACHINE MAY RESULT IN PATIENT INJURY OR DEATH
.
WARNING!
T
HE FLUSH SOLUTION IS A MIXTURE OF CONCENTRATE FROM THE PREVIOUS BATCH AND THE NEW
BATCH
.
T
HE COMPOSITION OF THE FLUSH SOLUTION MUST BE CONSIDERED WHEN DETERMINING CLINIC POLICIES FOR
DISPOSITION OF THE FLUSH SOLUTION
.
S
UPPLY OF AN INCORRECT CONCENTRATE FORMULATION TO THE
H
EMODIALYSIS
M
ACHINE MAY RESULT IN PATIENT INJURY OR DEATH
.
CAUTION!
T
HE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
IS COMPUTER CONTROLLED
.
E
XTREME CARE SHOULD BE
EXERCISED IN ITS OPERATION
.
W
HEN POWER IS CONNECTED TO THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II,
A FAILURE OF
THE COMPUTER COULD START ANY OF THE OPERATIONS AT ANY TIME
.
CAUTION!
A
SSEMBLY
,
INSTALLATION
,
ADJUSTMENT
,
OR REPAIR IS TO BE PERFORMED ONLY BY PERSONS
AUTHORIZED BY THE FACILITY MEDICAL DIRECTOR OR BY
F
RESENIUS
M
EDICAL
C
ARE
.
CAUTION!
D
ISINFECT
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
T
ANK IF WATER IN
T
ANK
U
NIT EXCEEDS
200
CFU/
ML
AS
OUTLINED BY
ANSI/AMMI
RD62,
OR
ISO
13959.
(R
EFER TO
S
ECTION
8.3,
23).
CAUTION!
T
HE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
IS ONLY INTENDED FOR MIXING
F
RESENIUS
M
EDICAL
C
ARE
D
RY
D
ISTRIBUTED
D
RY
A
CID
C
ONCENTRATE
.
D
O NOT MIX BICARBONATE IN THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II.
CAUTION!
A
N
ANSI/AAMI
OR
ISO
STANDARD PURIFIED WATER ANALYSIS FOR BACTERIA AND ENDOTOXIN IS
RECOMMENDED MONTHLY
.
CAUTION!
A
BACK PRESSURE REGULATOR MAY BE REQUIRED ON THE TREATED WATER FEED LINE IF THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
IS TO BE USED AT THE SAME TIME AS OTHER DIALYSIS EQUIPMENT
.
T
HE MAXIMUM INPUT
WATER PRESSURE IS
60
PSI AT A MINIMUM FLOW RATE OF
½
GALLON PER MINUTE FOR THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II.
CAUTION!
K
EEP THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
MIXING AREA FREE OF CLUTTER
.
T
HE FLOOR NEAR THE UNIT
SHOULD BE KEPT FREE OF WATER TO AVOID SLIP
-
AND
-
FALL INJURIES
.
CAUTION!
I
F A
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
IS FOUND TO BE STANDING FOR
4
OR MORE HOURS WITH
TREATED WATER OR WETTED WITH TREATED WATER
,
THEN A DISINFECTION CYCLE
(
SEE SECTION
8.3
SODIUM
HYPOCHLORITE
(
BLEACH
)
DISINFECTION
,
PAGE
MUST BE COMPLETED BEFORE THE DISSOLUTION CYCLE IS
STARTED
.
I
MMEDIATELY AFTER A COMPLETED RINSE CYCLE
,
MAKE A BATCH OF DRY ACID PRODUCT
.
D
O NOT LEAVE THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
WITH ONLY TREATED WATER OR WETTED WITH ONLY TREATED WATER FOR
4
OR
MORE HOURS SINCE THE GRANUFLO DISSOLUTION UNIT II IS SUSCEPTIBLE TO BACTERIAL GROWTH
.
NOTE:
S
OME FACILITIES MAY BE REQUIRED TO PURCHASE AND INSTALL A STORAGE TANK FOR CENTRALIZED ACID
FEED LOOPS
.
I
F SO
,
THE STORAGE TANK AND ASSOCIATED PLUMBING INTERCONNECTIONS MUST BE COMPLETED PRIOR
TO THE INSTALLATION OF THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II.
NOTE:
I
F THE FINAL FILL SENSOR NEEDS ADJUSTMENT OR REPLACEMENT
,
THEN A QUALIFIED TECHNICAL PERSONNEL
SHALL COMPLETE THIS AND THE FOLLOWING TASKS
.
SAMPLE MUST BE DRAWN FROM THE FIRST BATCH OF
CONCENTRATE
M
IXED
.
T
HIS SAMPLE MUST BE ANALYZED FOR CORRECT SOLUTION MIX BEFORE THE CONCENTRATE
CAN BE USED
.
B
EFORE REPLACING THE
F
INAL
F
ILL
S
ENSOR OR
R
ELOCATING THE
G
RANU
F
LO
D
ISSOLUTION
U
NIT
II
CONTACT
F
RESENIUS
M
EDICAL
C
ARE
T
ECHNICAL
S
ERVICE AT
1
(800)
227-2572
AND REQUEST TWO
(2)
EMPTY
SAMPLE BOTTLES
(P/N
G83-535-02).
S
EE
A
PPENDIX
B,
PAGE
FOR FURTHER INSTRUCTIONS
.
Содержание GranuFlo 450368-03
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