APD is any form of peritoneal dialysis that is performed by a mechanical device, known as a cycler. Treatment settings are programmed on the cycler and are performed automatically, generally while you sleep. Before you go to sleep, you attach the tubing and solution bags to the cycler. You then connect the tubing to your transfer set attached to your catheter. The cycler then performs the peritoneal dialysis by automatically delivering the prescribed Fills, Dwells, and Drains of each therapy cycle throughout the night.

The practice of cleanliness when preparing, connecting, and disconnecting your peritoneal dialysis therapy. For example, thoroughly washing (or disinfecting) and drying your hands is part of aseptic technique.

An option you can select to move on to the next phase of your peritoneal dialysis cycle. Bypass can only be selected when (STOP) is pressed. Check with your dialysiscenter to learn when it is safe to bypass. Some therapy or alarm conditions cannot be bypassed.

The clear rectangular plastic piece of the disposable set that is inserted behind the door of the cycler.

The tube placed in the abdomen that is used to deliver dialysis solution to the peritoneal cavity and drain solution from the peritoneal cavity.

The presence of foreign material, such as bacteria, that makes a sterile substance non-sterile and potentially harmful.

CCPD is a form of APD. It is a continuous therapy in which a cycler performs exchanges while you sleep. Dialysis solution can be left in the peritoneal cavity during the daytime, or it can be completely drained before ending the treatment.

In peritoneal dialysis, a cycle consists of three phases: a Fill phase, a Dwell phase, and a Drain phase. Every APD therapy contains one or more cycles. See also Exchange and Phase.

A medical device that performs peritoneal dialysis solution exchanges in regular cycles. Your Homechoice Claria APD system device is a cycler.

A form of sugar that is an ingredient in most of the solutions used for peritoneal dialysis. The dextrose draws extra fluid from the body into the dialysis solution. NOTE: Depending on your geographic location, glucose may be used instead of dextrose.

The process of removing waste from the blood artificially using special equipment. The two major forms of dialysis are hemodialysis and peritoneal dialysis. See also Peritoneal Dialysis (PD).

A povidone-iodine solution-filled cap that is placed over the connector on the transfer set or the connector on the patient line of the disposable set. FlexiCap, and MiniCap are disconnect caps. A MiniCap is used on the transfer set, and a FlexiCap is used on the patient line. An package contains both the transfer set disconnect cap and the patient line disconnect cap.

A package containing the organizer, cassette and tubing attached to the cassette that is used during APD. Solution bags are attached to the tubing. Once tubing and solution are prepared for dialysis, the tubing connects to your catheter. The disposable set is used only once.

A bag into which fluid from your peritoneal cavity drains. A drain bag is optional. See also Drain Line Extension.

A bag into which fluid from your peritoneal cavity drains. A drain bag is optional. See also Drain Line Extension.

An extension line that attaches to the drain line of the disposable set. This extra length allows you to drain into a shower, tub, or toilet. The Drain Line Extension is optional. See also Drain Bag.

An optional part that allows you to connect two drain bags to the one drain line.

The method used to drain the fluid from your peritoneal cavity. See Drain Bag and Drain Line Extension.

The volume of a Drain after a Dwell cycle.

The amount of time the fluid remains in your body during each cycle.

A mask covering the nose and mouth. Depending on your local practice guidelines, your dialysis center may recommend the use of a face mask as part of aseptic technique.

The volume of solution to be delivered to your peritoneal cavity during each cycle. The appropriate volume of solution is determined by your nephrologist.

The first Fill cycle of your therapy following an Initial Drain(I-Drain).

The goal of Hi-Dose therapy is to provide a 24-hour therapy that combines conventional night-time therapies, such as CCPD or Tidal, with additional daytime exchanges. This may help improve the adequacy of your dialysis treatment. During the Dwell phase of each daytime Hi-Dose exchange, you can disconnect from the cycler and have the freedom to conduct your normal daytime activities.

NOTE: * Depending on your location, the term Opti Choice may be used as an alternate to the term Hi Dose. “Hi-Dose” is used throughout this Patient At-Home Guide to represent this type of 24-hour therapy.

A condition when there is more fluid in your abdomen than was prescribed. This condition is sometimes called “overfill.” IIPV could result in a feeling of abdominal discomfort, serious injury, or death.

The Drain phase that occurs at the beginning of each therapy, before the first regular Fill.

A programmable alarm that is set to the minimum amount of Drain volume expected during the Initial Drain.

The last Fill phase before the end of treatment. The last Fill dialysis solution stays in your peritoneal cavity during the day as prescribed by your nephrologist.

The amount of dialysis solution delivered to your peritoneal cavity during the last Fill at the end of your treatment. This solution stays in your peritoneal cavity during the day.

This mode is available only to patients whose Fill volumes are less than 1000 mL. These patients typically weigh less than 20 kg (44 lbs).In Low Fill Mode, the Drain Logic has lower alarm limits for Slow Flow and No Flow. A Minimum Drain Time must be set, in addition to a Minimum Drain Volume. The WARNING: NEGATIVE UF alarm and WARNING: POSITIVE UF alarm can be set when in this mode. Low Fill Mode must be used with the Low Recirculation Volume set.

An electronic device supplied by Baxter that enables the transmission of data between the Homechoice Claria APD Cycler and the Sharesource platform. An Ethernet cable connects the modem to the Homechoice Claria APD cycler.

The plastic piece that holds the tubing lines and connectors of the disposable set during preparation for therapy. The organizer hooks onto the door of the cycler.

A unique ten-digit code provided to you by your dialysis center to activate Sharesource connectivity on your Homechoice Claria APD Cycler. The Patient Activation Code is also used by the Sharesource platform to identify you, the patient, in order to provide your prescribed therapy settings to the cycler.

An optional extension line that attaches to the patient line Extension of the disposable set. This extra length allows you to be up to an additional 3.7 meters (12 feet) away from your cycler during therapy.

The space around your internal organs inside the abdomen.

A form of dialysis that uses the layer of tissue that lines your abdominal cavity, called the peritoneal membrane, as a filter to remove waste products from your body. A tube known as a catheter is surgically placed through the wall of your abdomen. Dialysis solution flows from a bag through the catheter and into the peritoneal cavity. Waste products and excess fluids from your body pass from the blood through the peritoneal membrane and into the dialysis solution. The dialysis solution, now filled with waste, is then drained from the peritoneal cavity. This cycle may be performed multiple times. Peritoneal dialysis can be performed with or without a cycler.

The layer of tissue that lines your abdominal cavity. A membrane can act as a filter, allowing some particles to pass from one part of the body to another while not allowing others to pass. The peritoneal membrane is used as a filter during peritoneal dialysis.

Inflammation of the peritoneal membrane usually caused by infection.

Part of a cycle or exchange in peritoneal dialysis. Each cycle has three phases: a Fill phase, a Dwell phase, and a Drain phase.

Priming fills all tubing lines of the disposable set with solution. Priming removes air from the lines in preparation for therapy.

This occurs when the flow rate of solution is very slow. Slow Flow can reduce the Dwell Time and decrease the amount of effective dialysis therapy. This can be caused by a partial kink or closed clamp on one or more of the lines or by an empty bag.

Bags that contain the prescribed dialysis solution for your therapy.

The Homechoice Claria APD cycler includes the cycler, disposable set, solution bags, drain option, Homechoice Claria APD System Patient At-Home Guide, and modem (if applicable).

See Ultrafiltration (UF).

Tubing that connects the patient line on the disposable set or Ultra Bag set to the patient’s catheter.

UF is the fluid removed from your body as a part of dialysis therapy. It is the difference between the total amount of solution filled and the amount of fluid drained.

Your current weight in kilograms (KG) or pounds (LB). The system uses this value to verify portions of your therapy settings are properly programmed. If you have a modem,this information is sent to your dialysis center to helpmonitor your therapy.