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Gambro AK 98, Operator'S Manual

The Gambro AK 98 Operator's Manual is available for free download from our website. This comprehensive manual provides essential instructions and guidance for operating the Gambro AK 98. Gain a deeper understanding of this product's features and functionality by accessing the manual at manualshive.com.

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AK 98 Dialysis Machine - Alarms

HCEN12745 Revision 10.2016

Program version 2.xx

219 UF rate stopped due to high venous pressure

219 UF rate stopped due to high venous
pressure 

Check blood access, blood lines and venous
pressure transducer protector for
obstruction. 

Appears:

When the dialysis machine cannot achieve the set UF rate
since the patient’s venous pressure is too high.

Machine actions:

The dialysis fluid bypasses the dialyzer.

Operator action:

1.

Check the patient’s blood access, the venous pressure
transducer and check for clots in the dialyzer. Take
appropriate actions when you find an issue.

2.

Make sure that the venous pressure is decreased by at
least 50 mmHg. The alarm will automatically disappear
when the actual venous pressure has been decreased.

3.

If it is not possible to decrease the actual venous
pressure, wait (maximum 5 minutes) until the dialysis
fluid enters the dialyzer again.

4.

If the alarm reappears, consider ending the treatment.

Summary of Contents for AK 98

Page 1: ...AK 98 Dialysis Machine Operator s Manual Program version 2 xx Order number MHCEN12745 10 16 ...

Page 2: ...f Baxter International Inc or its subsidiaries Dialox is a trademark of Bioxal Hastelloy is a trademark of Haynes International Inc Manufacturer Gambro Lundia AB Box 10101 Magistratsvägen 16 SE 220 10 LUND Sweden Phone 46 46 169000 www baxter com Questions or comments about this publication can be directed to your local representative or to the manufacturer ...

Page 3: ...le needle treatment A 105 6 Isolated ultrafiltration A 113 7 Profiling A 117 8 Measuring blood pressure A 127 9 DIASCAN A 135 10 Disinfection and cleaning A 143 11 Disinfection with the AK 98 dialysis machine and WRO system A 159 12 IT Connectivity A 165 13 Maintenance handling A 171 14 Technical data and specifications A 177 15 Local regulatory registration if applicable A 195 Alarm handbook 1 Al...

Page 4: ... move the AK 98 dialysis machine A 18 1 2 8 Safety philosophy A 19 1 3 Intended use A 19 1 3 1 Intended use A 19 1 3 2 Training A 20 1 3 3 Disinfection and functional check A 20 1 3 4 Inlet water requirements A 21 1 3 5 Hygienic quality of central delivery systems A 21 1 3 6 Preparing dialysis fluid A 21 1 4 Accessories A 21 1 4 1 Concentrates chemical disinfectants accessories and disposables A 2...

Page 5: ... path A 58 3 4 8 Blood pressure area 7 8 A 58 3 4 9 Diascan read out field and Diascan button 9 10 A 58 3 4 10 Treatment overview 11 15 A 58 3 4 11 Alarm tab 16 A 59 3 4 12 Information tab 17 A 59 3 4 13 Treatment graph tab 18 A 59 3 4 14 Information field 19 A 59 3 4 15 Patient page 20 A 60 3 4 16 Priming button 21 A 60 3 4 17 Rinse back button 22 A 60 3 4 18 Disinfection button 23 A 61 3 4 19 Bl...

Page 6: ...ttach the arterial blood line A 79 4 2 5 Attach the venous blood line A 84 4 2 6 Attach the heparin syringe A 89 4 2 7 Priming the dialysis circuit A 91 4 2 7 1 Priming description A 91 4 2 7 2 Manual priming A 91 4 2 7 3 Assisted priming A 93 4 2 8 Priming options A 94 4 2 8 1 Extra priming A 94 4 2 8 2 Recirculation A 94 4 2 9 Set treatment time A 95 4 2 10 Set ultrafiltration volume A 95 4 2 11...

Page 7: ...afiltration without a preset model A 122 7 5 2 Profiling sodium without a preset model A 123 7 5 3 Profiling bicarbonate without a preset model A 124 7 6 Set and activate profiling with a preset model A 125 8 Measuring blood pressure A 127 8 1 Blood pressure monitor BPM A 128 8 2 Blood pressure cuff A 128 8 3 Direct blood pressure measuring A 130 8 4 Interval blood pressure measuring A 130 8 5 Mea...

Page 8: ...isinfection A 149 10 4 2 Start a chemical disinfection A 149 10 4 3 Start a central chemical disinfection A 150 10 4 4 Chemical disinfection program with a WRO unit A 151 10 4 5 Test for disinfectant residues A 151 10 4 6 Disinfection history A 152 10 4 7 About chemical disinfectants A 152 10 5 Rinse and Drain A 153 10 5 1 Start rinse or drain A 153 10 5 2 To schedule a rinse program A 153 10 5 3 ...

Page 9: ...med patient with data transfer only A 170 13 Maintenance handling A 171 13 1 Maintenance A 172 13 2 Blood Pump Rotor A 172 13 2 1 Maintenence of the blood pump rotor A 172 13 2 2 Clean the blood pump rotor A 172 13 3 Clean the blood leak detector A 173 13 4 Water inlet tube A 173 13 5 Pick up tubes A 173 13 6 Surface A 174 13 7 Change ultrafilter A 174 13 8 Storage A 175 13 9 Service A 175 13 10 D...

Page 10: ...n A 185 14 2 2 Air detection A 185 14 2 3 Extracorporeal blood loss due to coagulation A 186 14 2 4 Dialysis fluid preparation A 186 14 2 5 TMP A 186 14 2 6 Blood leakage detection A 186 14 3 Alarm sound pressure A 186 14 3 1 Alarm sound pressure A 186 14 4 Physical data A 186 14 4 1 Dimensions and weight A 186 14 4 2 Infusion stand A 187 14 5 Materials in contact with dialysis fluid concentrates ...

Page 11: ...ment location A 18 1 2 5 Central venous catheter A 18 1 2 6 Connection of external electrical equipment A 18 1 2 7 How to move the AK 98 dialysis machine A 18 1 2 8 Safety philosophy A 19 1 3 Intended use A 19 1 3 1 Intended use A 19 1 3 2 Training A 20 1 3 3 Disinfection and functional check A 20 1 3 4 Inlet water requirements A 21 1 3 5 Hygienic quality of central delivery systems A 21 1 3 6 Pre...

Page 12: ...uthorised service technician responsible for installing the dialysis machine if there are any values that are changed from the default settings Preset When this symbol appears in the manual text it indicates the possibility to preset the value of a parameter Such a preset is done to adapt the settings of the machine to correspond with the routines of the user clinic or specific patient prescriptio...

Page 13: ... The screen allows the operator to interact with the dialysis machine by pressing various buttons Figure 1 1 The operator s panel Press a button or menu item to activate its function Select a tab to reach the settings The UF rate tab is selected in this picture Press a setting to adjust it For example UF volume Use the keypad to adjust numeric values The keypad will open automatically when needed ...

Page 14: ...ins power On connection to the mains power Equipotential connector The AK 98 dialysis machine is protected against solid foreign objects 12 5 mm Ø and vertically falling water drops Type B applied part NIBP type BF applied part The product does not contain latex The symbol frame and text are white The product does not contain PVC The symbol frame and text are white The maximum stacking load permit...

Page 15: ...ental protection use period of the dialysis machine Separate collection for electrical and electronic equipment Warning dangerous voltage Contact may cause electric shock or burn The symbol colour is black on a yellow background Warning Do not lean the AK 98 dialysis machine more than 5 from the horizontal plane The symbol colour is black on a yellow background Do not lean or push the AK 98 dialys...

Page 16: ...m 10 Infant Orange 8 13 cm Table 1 1 Cuff ranges colours Certification marks CE marking The CE conformity mark indicates that the AK 98 dialysis machine conforms to the requirements in the EC Council Directive 93 42 EEC of 14 June 1993 concerning medical devices It also indicates that the notified body British Standards Institution BSI No 0086 has approved the Quality Management System The CE conf...

Page 17: ... to the heart any equipment within the patient area shall have leakage current values below respective limit required by CF type applied parts WARNING To protect the children never leave children unattended near the dialysis machine its chemicals disposables or accessories WARNING To avoid the risk of electric shock this equipment must only be connected to a supply mains with protective earth WARN...

Page 18: ...machine needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information in Section 14 6 3 Electromagnetic environment on page A 188 CAUTION The use of mobile telephones or communication equipment in the vicinity of the AK 98 dialysis machine could adversely influence the performance of the machine For further information see Section 14 Techni...

Page 19: ...machine NOTE The WRO unit WRO 300 or WRO 300 H must be preset by an authorised service technician to work correctly with the dialysis machine 1 2 2 Responsibility and disclaimer The manufacturer accepts responsibility for the safety reliability and performance of this equipment only if the following conditions are fulfilled Installation operational procedures maintenance calibrations and repairs a...

Page 20: ... outside the patient environment A potential equalisation connection has to be used when it is legally required 1 2 5 Central venous catheter If a central venous catheter is used during treatment with the tip of the catheter close to the heart a potential equalisation connection must be used 1 2 6 Connection of external electrical equipment The AK 98 dialysis machine is equipped with three interfa...

Page 21: ...eatment Ultrafiltration The ultrafiltration supervision feature uses an independent pair of flow sensors for the ultrafiltration protective system Venous pressure The protective system checks the venous pressure to prevent patient blood loss WARNING Under certain circumstances the patient may suffer from blood loss without the venous pressure passing any alarm limit To avoid this make sure that th...

Page 22: ...th the BICART cartridge Baxter does not accept responsibility for use of other non liquid concentrate containers as the proper functionality cannot be guaranteed CAUTION The physician is responsible to ensure that the operator has access to the AK 98 operator s manual when performing haemodialysis in a home healthcare environment CAUTION Additional measures to supervise the patient weight loss is ...

Page 23: ...bicarbonate B concentrate See Section 1 4 1 Concentrates chemical disinfectants accessories and disposables on page A 21 1 4 Accessories 1 4 1 Concentrates chemical disinfectants accessories and disposables Baxter does not accept responsibility if the dialysis machine is used with concentrates chemical disinfectants accessories or disposables other than those specified in this section Using other m...

Page 24: ...roduct is intended to be used as a citrate based acid concentrate together with the BICART cartridge for on line preparation of hemodialysis hemodiafiltration and hemofiltration fluids on compatible Baxter dialysis machines To obtain a current listing of recommended concentrates contact your local sales office Table 1 2 Liquid concentrates Non liquid concentrates Intended use BICART cartridge Dry ...

Page 25: ...set BL 120N Arterial and venous blood line set BL 100 Series Arterial and venous blood line set BL 200 Series Arterial and venous blood line set BL 200 S Series Arterial and venous blood line set A 5000 and V 5000 Series Arterial and venous blood lines The following blood lines manufactured by Vital are available for use on AK 98 dialysis machine BL 05 Arterial and venous blood line set BL 24 Arte...

Page 26: ...ries mentioned in this section are approved and required for use with the AK 98 dialysis machine NOTE The listed dialyzers have been determined by Baxter to meet the specifications and instructions for use given for the AK 98 dialysis machine with regards to e g the recommended priming procedure in addition the connectors and the ports of the dialyzers comply with ISO 8637 and EN 1283 Dialyzer Are...

Page 27: ...calcification Removing calcium and magnesium carbonate from the fluid path originating from the bicarbonate dialysis fluid See Section 10 1 Disinfection and cleaning general on page A 144 Disinfection A process that destroys or removes microorganisms See Section 10 1 Disinfection and cleaning general on page A 144 Dwell Time The period that the fluid path is filled with disinfectant Functional che...

Page 28: ...to as you When performing haemodialysis treatment in a home healthcare environment the operator can also be the patient Patient environment The patient environment is the volume surrounding the patient during treatment The size of this patient environment must be determined from case to case by the user and the authorised service technician Patient ID A patient unique alphanumeric code used to ide...

Page 29: ...27 2 Machine Description 2 1 Blood part A 28 2 1 1 Blood part components A 28 2 1 2 Blood part component details A 29 2 2 Fluid part A 36 2 2 1 Fluid part components A 36 2 2 2 Fluid part component details A 37 2 3 Rear component A 44 2 3 1 Rear components A 44 2 3 2 Rear component details A 45 ...

Page 30: ...A 28 AK 98 Dialysis Machine Machine Description HCEN12745 Revision 10 2016 Program version 2 xx 2 1 Blood part 2 1 1 Blood part components Figure 2 1 Blood part component terms ...

Page 31: ...or 15 Blood line guides 16 Level adjustment knob 17 BPM cuff holder 18 Top tray 19 Infusion stand 2 1 2 Blood part component details Remote operator s panel The operator s panel can be mounted in an external housing The remote panel is easy to adjust in different positions The controls on the remote panel are the same as when the operator s panel is mounted in the machine cabinet See Section 3 4 1...

Page 32: ...n the drip chamber Venous pressure transducer connector The venous pressure transducer protector on the venous blood line is connected to the venous pressure transducer connector The venous pressure supervision measures and guards against too high or too low venous pressure Arterial pressure transducer connector The arterial pressure transducer protector on the arterial blood line is connected to ...

Page 33: ...er when the blood pump is running the blood pump stops The pump starts again when the cover is closed See also Section 13 2 2 Clean the blood pump rotor on page A 172 During a power failure you can turn the pump rotor manually anticlockwise by the handle to circulate the blood Heparin pump The heparin pump holds a syringe containing heparin solution The pump distributes heparin in the blood line t...

Page 34: ...s found inside the venous blood line clamp housing CAUTION Check carefully that the venous blood line is correctly placed in the priming detector to make sure that the supervision of alarms is activated Arterial and venous blood line clamps The arterial blood line clamp closes the arterial blood line in certain alarm situations and is also used when performing single needle treatment The venous bl...

Page 35: ...xpansion chamber which is added into the venous blood line when performing single needle treatments The holder is tilted during priming Dialyzer holder Attach the dialyzer holder to the arm and lock it into position with the locking screw 1 You can swing the arm to change the position of the dialyzer The holder can be rotated through 360 CAUTION Take care not to wrap the blood lines around the dia...

Page 36: ...sion 2 xx Blood pressure monitor BPM connector The blood pressure cuff and hose connects directly to the BPM connector Blood line guides The blood lines are placed in the blood line guides Level adjustment knob Turn the knob to raise or lower the level of blood in the venous drip chamber ...

Page 37: ...ser to place it anywhere appropriate on the machine Top tray To protect the machine against spillage the top tray must always be correctly placed on top of the machine Infusion stand The infusion stand is used for fluid bags Maximum permitted load is 3 kg The infusion stand can be turned between a position over the tray and to the left of the dialysis machine A mechanical stop limits the movement ...

Page 38: ...A 36 AK 98 Dialysis Machine Machine Description HCEN12745 Revision 10 2016 Program version 2 xx 2 2 Fluid part 2 2 1 Fluid part components Figure 2 2 Fluid Part Component Terms ...

Page 39: ...ld the dialysis fluid tubes during the functional check the disinfection program and the rinse program To attach a dialysis fluid tube to a safety coupling 1 Press and hold the button on the dialysis fluid tube connector 2 Push the dialysis fluid tube connector onto the safety coupling The connector locks into place with a click 3 Release the button on the dialysis fluid tube connector Dialysis fl...

Page 40: ...ed in treatment Stand by port for blue concentrate connector This port holds the blue concentrate connector when it is not used in treatment Concentrate connector red The red connector can be attached to a white pick up tube and placed in a container with acidic concentrate When this is done the dialysis machine can start to use the concentrate See Section 4 2 3 Set up the dialysis machine on page...

Page 41: ...ate See Section 4 2 3 Set up the dialysis machine on page A 77 The blue concentrate connector is also used for chemical disinfectant See Section 10 4 2 Start a chemical disinfection on page A 149 The blue connector is attached to the yellow pick up tube when used for disinfectant To remove the connector from the port Turn the connector clockwise to unlock it Pull out the connector To attach a conc...

Page 42: ... to lock it Pick up tube A pick up tube is placed in a container with a dialysis fluid concentrate or a disinfectant solution Insert the concentrate connector to the proper pick up tube and push it into place until it clicks in Use the white pick up tube for acidic concentrate Use the blue pick up tube for bicarbonate Use the yellow pick up tube for chemical disinfectant ...

Page 43: ...EANCART cartridges cleaning or decalcification To attach the BICART cartridge to the Holder see Section 4 2 3 Set up the dialysis machine on page A 77 To attach a CLEANCART cartridge to the holder see Section 10 3 4 Start a heat disinfection with a CLEANCART cartridge on page A 146 Blood leak detector The blood leak detector checks for blood in the dialysis fluid To open the blood leak detector co...

Page 44: ...the ultrafilter is to further clean the dialysis fluid from possible contamination by bacteria and endotoxins Fluid leakage detector tray If an internal leakage occurs in the dialysis machine the fluid will be collected in the fluid leakage detector tray The detected volume could be an excessive UF volume An attention will be displayed if the fluid level reaches the level of the detector ...

Page 45: ...This page is intentionally left blank This page is intentionally left blank ...

Page 46: ...A 44 AK 98 Dialysis Machine Machine Description HCEN12745 Revision 10 2016 Program version 2 xx 2 3 Rear component 2 3 1 Rear components Figure 2 3 Rear Component Terms ...

Page 47: ...8 Outlet tube drain 9 Citric acid inlet tub 10 Remote panel contacts 11 Ethernet port 12 USB port 13 External communication port 14 Mains connection 15 Fuses 16 Main switch 2 3 2 Rear component details Transportation handle Always use this handle when moving the dialysis machine see Section 1 2 7 How to move the AK 98 dialysis machine on page A 18 Air filters Filter 1 protects the power supply uni...

Page 48: ... the machine Press and hold the halt button until the main switch indicator is unlit Release the halt button Switch on the machine and wait until the main switch indicator lights up Press the On Off button to start the machine Battery charge indicator This yellow lamp is lit when the mains cable is connected to the mains supply and the main switch is switched on It indicates that the battery charg...

Page 49: ...The power supply cannot deliver power to the machine The lamp is marked OTP Inlet water tube The inlet water tube is used to connect the dialysis machine to the water supply Water is used for dialysis fluid preparation See Section 14 1 16 Water supply on page A 183 for details on requirements for inlet water Outlet tube drain The outlet tube is used to transport used dialysis fluid out of the dial...

Page 50: ... not connect any disinfectant to the citric acid inlet tube Remote panel contacts These contacts shall only be used by an authorised service technician Ethernet port This port is to be used by the authorised technician See Section 1 2 6 Connection of external electrical equipment on page A 18 USB port This port is to be used by the authorised technician See Section 1 2 6 Connection of external ele...

Page 51: ...echnician It can be used for service connection to external computer systems and external alarms Mains connection The mains cable is attached to this connector The mains cable should always be connected even when the dialysis machine is not used Make sure that the cable clip is properly fixed Fuses The fuses shall only be exchanged by an authorised service technician ...

Page 52: ...0 AK 98 Dialysis Machine Machine Description HCEN12745 Revision 10 2016 Program version 2 xx Main switch The main switch should always be on when plugged into mains power This allows the battery to charge ...

Page 53: ...11 Alarm tab 16 A 59 3 4 12 Information tab 17 A 59 3 4 13 Treatment graph tab 18 A 59 3 4 14 Information field 19 A 59 3 4 15 Patient page 20 A 60 3 4 16 Priming button 21 A 60 3 4 17 Rinse back button 22 A 60 3 4 18 Disinfection button 23 A 61 3 4 19 Blood button 24 A 62 3 4 20 Fluid button 25 A 64 3 4 21 Fluid bypass button 26 A 66 3 4 22 Ultrafiltration button 27 A 66 3 4 23 Treatment history ...

Page 54: ...A 52 AK 98 Dialysis Machine Handling the dialysis machine HCEN12745 Revision 10 2016 Program version 2 xx 3 8 Change of BICART cartridge during Treatment A 73 3 9 The ultrafiltration control A 73 ...

Page 55: ...e machine 3 2 Switch the dialysis machine on and off 3 2 1 Main switch The main switch is located at the back of the dialysis machine The main switch should always be on to make sure the batteries are completely charged It shall only be switched off when the dialysis machine is moved 3 2 2 On off button The On Off button is located on the operator s panel to the right of the screen See Figure 3 on...

Page 56: ... alarm or attention is corrected A flashing red light indicates a high priority alarm When the cause of the alarm is corrected the light will stop flashing A flashing yellow light indicates a medium priority alarm When the cause of the alarm is corrected the light will stop flashing A flashing blue light indicates an attention When the cause of the attention is corrected the light will stop flashi...

Page 57: ...nnected to mains power supply and the main switch at the rear of the machine cabinet is on Mute button Press the Mute button to mute the alarm or attention sound Press and hold the Mute button to turn the alarm or attention sound on again Blood pump up button Increase blood pump speed Blood pump button Press the Blood pump button to start or stop the blood pump Blood pump down button Decrease bloo...

Page 58: ...view field 14 Treatment overview field 15 Treatment overview field 16 Alarm tab 17 Information tab 18 Treatement graph tab 19 Information field 20 Patient page 21 Priming button 22 Rinse back button 23 Disinfection button 24 Blood button 25 Fluid button 26 Fluid bypass button 27 Ultrafiltration UF button 28 Treatment history page 29 Status bar 30 Monitor identifier Nickname 3 4 2 Venous and arteri...

Page 59: ... green arrow is pressed both connected alarm limits are moved in the direction of the arrow of the pressed button When center arterial button or center venous button is pressed a new centralisation will be performed When widen limits button is pressed the alarm limits will expand The same behaviour as when adjusting the blood pump 3 4 3 Machine state indicator 3 The machine state indicator shows t...

Page 60: ...trol the settings for how to measure the patient s blood pressure The latest measured blood pressure is available in the BPM read out field Pulse rate beats per minute is shown next to the heart Press the BPM read out field to do a single measurement See Section 8 Measuring blood pressure on page A 127 3 4 9 Diascan read out field and Diascan button 9 10 Press the Diascan button to open the Diasca...

Page 61: ...start Press the field to open the Fluid Menu UF rate Ultrafiltration rate in L h Press the field to open the Fluid Menu 3 4 11 Alarm tab 16 When an alarm is generated the alarm tab is flashing and the alarm information is shown 3 4 12 Information tab 17 The information tab is flashing when an attention or an operator message is generated 3 4 13 Treatment graph tab 18 The Treatment graph tab opens ...

Page 62: ...0 The Patient button opens the patient page In the patient page patient information is handled The available functionality will be dependent on the Clinical Information System CIS in use 3 4 16 Priming button 21 The Priming button opens the Priming menu It continues to be lit until blood is detected 3 4 17 Rinse back button 22 ...

Page 63: ... activate disinfection and rinse programs Heat Short heat citric Start the short disinfection program with liquid citric acid which is connected at the back of the machine Citric 20 Start the disinfection program with liquid citric acid which is connected at the back of the machine Heat CleanCart Start the CleanCart cartridge disinfection program Heat CleanCart LFH Start the CleanCart cartridge di...

Page 64: ...rafilter UFD days since replacement Number of days since last change of the ultrafilter UFD number of heat disinf Number of heat disinfections since last change of the ultrafilter UFD number of Hypochl disinf Number of Hypochlorite disinfections since last change of the ultrafilter History History Displays a list of the most recently performed disinfection programs both heat and chemical disinfect...

Page 65: ...t Set the low alarm limit for the blood flow Blood pump segment diameter Set the blood pump segment size Actual QB Read out of actual blood flow compensated for the arterial pressure Accumulated blood processed Read out of total volume of treated blood that has passed through the dialyzer since start of treatment Single needle Activate Activate the single needle mode for the dialysis machine Minim...

Page 66: ...e Fluid button opens the Fluid Menu which contain tabs for handling parameters related to the fluid path WARNING The maximum UF rate must be preset by an authorised technician according to the patient s prescription when AK 98 dialysis machine is used in home healthcare environment UF rate UF volume Set the ultrafiltration volume patient weight loss Treatment time Adjust the treatment time Time me...

Page 67: ...ead out of the actual dialysis fluid temperature Cond Na Set the dialysis fluid sodium value HCO3 Set the dialysis fluid bicarbonate value Profiling Set the ultrafiltration profile see Section 7 1 General on page A 118 Calculated conductivity C P Calculated dialysis fluid conductivity C P Control Protective values based on the settings for sodium and bicarbonate Actual conductivity C P Read out of...

Page 68: ...limit Adjust the high alarm limit for the transmembrane pressure TMP Read out of the actual transmembrane pressure 3 4 21 Fluid bypass button 26 The Fluid bypass button is used to manually bypass the dialysis fluid from the dialyzer 3 4 22 Ultrafiltration button 27 The Ultrafiltration button is used to start or stop the ultrafiltration 3 4 23 Treatment history page 28 The History button opens the ...

Page 69: ...2016 Program version 2 xx AK 98 Dialysis Machine Handling the dialysis machine A 67 Alarm history log for the actual treatment The last generated alarm is shown at the top of the list Graph history log with treatment graphs ...

Page 70: ... status bar indicates when the following function are active Sodium profiling Bicarbonate profiling UF profiling Isolated UF Network connection Actual time BPM measurement BPM alarm off Diascan Heparin Scheduled disinfection 3 4 25 Service menu The Blood button opens the Blood Menu which is also the entry point to the Service menu ...

Page 71: ...our during the summer months If deactivated the clock will show standard time Screen brightness Change the position of the slider to adjust the screen brightness Volume Change the position of the slider to adjust the volume for the speaker Error list Time The time when the error appeared Error code The error code can be used to identify a malfunctioning software or hardware component that caused t...

Page 72: ...e flow diagram will turn to orange After 1 hour in concentrate standby mode the dialysis machine will automatically start the dialysis fluid preparation again Concentrate standby mode cannot be activated if blood has been detected Concentrate standby mode can be activated manually default function or preset to be activated automatically The presets are configured by an authorized service technicia...

Page 73: ...ore than a few minutes If the dialysis machine loses power and the back up battery does not work the dialysis machine shuts down All settings and actual values are kept see Section 3 6 3 Return the blood to the patient manually on page A 71 3 6 2 Power failure without battery back up If the dialysis machine loses power it shuts down All settings and actual values are kept Continue the treatment af...

Page 74: ...reatment The blood lines and dialyzer may need to be changed during a treatment for example if the blood clots If the new blood circuit procedure is performed all values and settings are kept in the machine and it will continue on from when treatment was stopped Procedure 1 Press the Rinse back button 2 Press New blood circuit 3 Check that the blood pump is stopped 4 Choose an alternative To retur...

Page 75: ...me can be set within certain limits The machine will automatically calculate and show the ultrafiltration rate in litres hour When treatment time or ultrafiltration volume is changed the ultrafiltration rate will also change Precise pre and post treatment weight is critical for adequate assessment of the ultrafiltration during the treatment If these measurements are not accurate a discrepancy betw...

Page 76: ...mpensate for the time loss within the remaining time A high UF rate limit is automatically calculated and set as 120 of the calculated UF rate This limit is the highest UF rate during treatment The UF rate will go down to zero if There have been many alarms that have forced the blood pump to stop during treatment The UF rate has been manually stopped during treatment CAUTION When negative TMP alar...

Page 77: ...ach the venous blood line A 84 4 2 6 Attach the heparin syringe A 89 4 2 7 Priming the dialysis circuit A 91 4 2 7 1 Priming description A 91 4 2 7 2 Manual priming A 91 4 2 7 3 Assisted priming A 93 4 2 8 Priming options A 94 4 2 8 1 Extra priming A 94 4 2 8 2 Recirculation A 94 4 2 9 Set treatment time A 95 4 2 10 Set ultrafiltration volume A 95 4 2 11 Set heparin values A 96 4 2 12 Connect the ...

Page 78: ...RO 300 H water purification unit should be in standby mode if it is to be used 7 All accessories should be ready and available for use for example A concentrate BiCart cartridge dialyzer blood lines and priming bag 4 2 2 Start functional check Before a treatment can be started the dialysis machine performs a functional check The machine checks that internal functions for example safety functions a...

Page 79: ...e that Blood pump up button and Blood pump down button do not light up The screen will light up when the machine is switched on Contact an authorised service technician if parts of the screen are dark and not working 4 2 3 Set up the dialysis machine Before you begin WARNING To ensure that the prescription is followed check that the type of concentrate you have specified in the dialysis machine is...

Page 80: ...to be used from the three preset options on the screen 4 If SoftPac concentrates are being used connect the red concentrate connector to the red key way connector of the SoftPac bag and then break the frangible pin 5 Release the latches by pressing the release buttons Open the BiCart cartridge holder Fold the upper latch out and up pull out at the same time Fold the lower latch out and down 6 Remo...

Page 81: ... Attach the dialyzer 1 in the holder If necessary squeeze the spring clip 2 to place the dialyzer in the holder 9 Hang the saline or priming solution bag on the infusion stand 4 2 4 Attach the arterial blood line CAUTION Do not use the neonatal blood lines A 5 128 B4 V 5 127 X A 5 129 B4 or V 5 129 X with AK 98 dialysis machine as these neonatal blood lines are not intended for use with the AK 98 ...

Page 82: ...as red connectors Figure 4 1 The arterial blood line set 1 Blood pump 2 Blood line guide 3 Dialyzer connection 4 Blood line guide 5 Arterial line clamp 6 Saline or priming bag 7 Arterial patient connector 8 Arterial pressure transducer connector 9 Heparin pump When the dialysis machine is lined check that the appropriate clamps are closed ...

Page 83: ...chine Haemodialysis Double needle treatment A 81 Procedure 1 Open the blood pump door press the middle of the cover and pull the tab 2 Place the blood pump segment over the blood pump rotor 3 Make sure that the blood pump segment collars are outside the pump housing ...

Page 84: ...in place and close the blood pump door 5 Press lightly on the blood line to place it in the upper guide 6 Remove protective caps and attach the end of the arterial blood line firmly to the dialyzer press and turn simultaneously WARNING Check that the arterial blood line is firmly attached to the dialyzer to prevent patient blood loss ...

Page 85: ... place it in the guide 8 Place the blood line in the arterial clamp marked with a red dot CAUTION Protect your fingers Do not put fingers in the clamp 9 Pull the blood line lightly downwards The line goes into place when it is lightly pressed at the same time NOTE Make sure the blood line between the arterial clamp and blood pump is not too stretched ...

Page 86: ...onnections are tight 11 Attach the arterial pressure transducer protector of the arterial blood line to the red arterial pressure transducer connector Press to pierce the membrane and then turn to secure the connection 12 Close all relevant clamps CAUTION Check that all relevant clamps are closed to prevent undetected blood loss 4 2 5 Attach the venous blood line The venous blood line has blue con...

Page 87: ...detector 2 Dialyzer connection 3 Venous line clamp 4 Priming detector 5 Venous patient connector 6 Waste bag 7 Venous pressure transducer connector When the dialysis machine is lined check that the appropriate clamps are closed Procedure 1 Check that the waste bag is securely attached to the end of the venous blood line ...

Page 88: ...45 Revision 10 2016 Program version 2 xx 2 Hang the waste bag on the infusion stand 3 To open the air detector cover pull the opening tab towards you and at the same time press firmly at the middle of the cover 4 Pinch the venous drip chamber and place it in the air detector ...

Page 89: ...d to prevent unnecessary air detector alarms from being triggered Always press in the center of the air detector cover when closing to prevent unnecessary stress and potential damage 6 Remove the protective caps and attach the end of the venous blood line firmly to the dialyzer press and turn simultaneously WARNING Check that the venous blood line is firmly attached to the dialyzer to prevent pati...

Page 90: ...he priming detector to make sure that the supervision of alarms is activated 9 Check carefully that the venous blood line is set correctly in the venous blood line clamp It is necessary that the venous blood line is correctly placed for the priming detector to be able to detect the blood at treatment start 10 Attach the venous pressure transducer protector of the venous blood line to the blue veno...

Page 91: ...es 4 2 6 Attach the heparin syringe Before you begin CAUTION Check that the syringe size syringe type and heparin type that you have specified in the dialysis machine are the same as you actually use during treatment If not the patient could be either over or under coagulated Procedure 1 Attach the prepared syringe to the heparin line ...

Page 92: ...ible 4 Insert the syringe in the pump The plastic collar at the end of the syringe should fit in the groove of the pump 1 5 Push back the piston and insert the plastic plate on the plunger in the groove by the locking wheel 2 6 Turn the locking wheel upwards until you feel resistance 3 7 Check that the syringe is properly attached by lightly pulling the plunger 4 WARNING To prevent the syringe fro...

Page 93: ...lation see Section 4 2 8 Priming options on page A 94 Blood side compartment priming of the dialyzer can be started as soon as the Blood pump button begins to flash 4 2 7 2 Manual priming Procedure 1 Open the clamps on the arterial blood line and saline or priming solution bag 2 Turn the dialyzer over so that the blue end is up This helps remove the air from the dialyzer 3 Check that there are no ...

Page 94: ...he venous blood line WARNING To ensure proper function of the fluid path in the machine check that the dialysis fluid tubes are properly attached to the dialyzer 9 Press the Fluid bypass button The dialysis fluid starts to flow into the dialyzer 10 When the priming volume has been achieved it is possible to perform extra priming or recirculation See Section 4 2 8 Priming options on page A 94 CAUTI...

Page 95: ...ress the Priming button 2 Press Priming 3 Select Assisted priming 4 Press OK 5 Follow the instructions on the screen 6 When the assisted priming procedure is complete it is possible to perform extra priming or recirculation See Section 4 2 8 Priming options on page A 94 CAUTION Check carefully that the venous blood line is correctly placed in the priming detector to make sure that the supervision ...

Page 96: ...ave enough priming fluid 2 Press Extra priming 3 Press the flashing Blood pump button 4 CAUTION Check carefully that the venous blood line is correctly placed in the priming detector to make sure that the supervision of alarms is activated When the extra priming is completed Press Connect patient 5 Continue starting the treatment See Section 4 2 9 Set treatment time on page A 95 4 2 8 2 Recirculat...

Page 97: ... 6 Continue starting the treatment See Section 4 2 9 Set treatment time on page A 95 4 2 9 Set treatment time Procedure 1 Press the Time indicator 2 Press Treatment time 3 Set the desired treatment time 4 Press OK 4 2 10 Set ultrafiltration volume Ultrafiltration volume UF volume is the desired total weight loss for a patient in a treatment Calculate UF volume The patient s ultrafiltration volume ...

Page 98: ...sures to supervise the patient weight loss is recommended when treating low weight patients or when performing long treatments For Ultrafiltration details refer to Technical data and specifications Procedure 1 Press the Time indicator 2 Press UF volume 3 Calculate the patient s ultrafiltration volume see Section 4 2 10 Set ultrafiltration volume on page A 95 4 Enter the patient s ultrafiltration v...

Page 99: ...bolism if the arterial access is disconnected and if infusion is connected before the blood pump WARNING When using a catheter keep in mind that a negative pressure may occur from the catheter check that the arterial line is clamped before connecting any infusion before the blood pump WARNING The operator must take proper precaution in order to prevent coagulation in the extracorporeal circuit Coa...

Page 100: ...kage 5 Disconnect the venous blood line from the waste bag or recirculation connector If a bleed out connection is to be performed leave the venous blood line attached to the waste bag 6 Check that there is no air in the venous blood line 7 If a straight connection is to be performed connect the venous blood line to the venous access needle or catheter Make sure the connection is tight and that th...

Page 101: ...e patient not connected and as a consequence the UF system is not controlling the patient ultrafiltration If the air detector has not been activated during priming it will be automatically activated when the priming volume is achieved CAUTION All parameters and alarm limits must be suitable for the patient s needs and tolerance CAUTION Additional measures to supervise the patient weight loss is re...

Page 102: ...orrect level and that the short lines on the top of the chamber are clamped 4 3 End a double needle treatment 4 3 1 End the treatment When the treatment is finished and treatment time on the screen has counted down to 0 00 an attention will appear 596 Treatment time expired To discontinue treatment press Confirm NOTE If the remaining treatment time is not already 0 00 press the Time indicator and ...

Page 103: ...tops disconnect the venous blood line from the access 4 3 2 Confirm disconnect patient WARNING To avoid air infusion ensure that the patient is physically disconnected from the arterial and venous bloodlines before confirming Disconnect patient When Disconnect patient has been confirmed the air detector is deactivated The patient must not be reconnected Procedure 1 Press Disconnect patient 2 Confi...

Page 104: ...rom the dialyzer and attach it to the blue marked safety coupling This empties the dialyzer of dialysis fluid 4 When the dialyzer is empty remove the red inlet dialysis fluid tube from the dialyzer and attach it to the red marked safety coupling 5 Drain the BiCart cartridge by following the instructions on the screen 6 Remove the BiCart cartridge 7 Close the BiCart cartridge holder latches 8 Press...

Page 105: ...y of the pressure transducer protectors on the blood lines contains blood or appears to be damaged the dialysis machine may be contaminated with blood An authorised service technician must replace and clean the components in the machine 10 Open the air detector door Pinch the venous drip chamber and pull it out 11 Disconnect and remove the arterial and venous blood lines 12 Only for single needle ...

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Page 107: ... Dialysis Machine Haemodialysis Single needle treatment A 105 5 Haemodialysis Single needle treatment 5 1 Basic functionality A 106 5 2 Preparations A 106 5 3 Connect the patient A 109 5 4 Start the treatment A 110 5 5 End a single needle treatment A 112 ...

Page 108: ...hould be as low as possible to allow for a maximised stroke volume NOTE The stroke volume should be maximised to minimise recirculation CAUTION Use the correct blood pump rotor Check that it is adjusted correctly for the occlusion of the blood pump segment being used This check shall be performed by an authorised service technician 5 2 Preparations WARNING Check that there are no kinks in the bloo...

Page 109: ...e end of the venous blood line to the dialyzer 6 Attach the venous expansion chamber Place the venous expansion chamber upright in the holder Make sure that the expansion chamber clicks into its correct position The edge inside the holder should fit into the groove of the expansion chamber 7 Connect the end of the venous blood line to the expansion chamber blood line 8 Connect the other blood line...

Page 110: ... the steps in Section 4 2 7 Priming the dialysis circuit on page A 91 12 Check that the venous expansion chamber is filled with priming fluid up to the groove Close the clamp above the expansion chamber and place the chamber upright again 13 Set the treatment time Follow the steps in Section 4 2 9 Set treatment time on page A 95 14 Set the ultrafiltration volume Follow the steps in Section 4 2 10 ...

Page 111: ...age in the blood lines CAUTION Select Connect Patient before connecting the blood lines to the access This allows the machine to detect blood and to start the treatment Procedure 1 Check that the expansion chamber is in an upright position 2 Clamp the priming bag 3 Press the Blood button 4 Select the Single needle tab 5 Press Activate 6 Press Confirm 7 Connect the blood lines to the access needle ...

Page 112: ...od clots aggregate in the drip chamber WARNING To avoid patient blood loss and damage to patient blood cells always follow the manufacturer s instructions for use regarding the dialyzer and blood lines When attaching the blood lines ensure that all connections are properly secured and that the blood lines are not kinked If the heparin pump is not used make sure that the cap at the end of the thin ...

Page 113: ...unning in the arterial phase The achieved stroke volume is determined by the size and position of the venous pressure alarm window and the expansion volume The wider the window and the bigger expansion volume the greater the stroke volume The higher the position of the window the higher the venous flow The window is automatically set but can be adjusted in such a way that a proper stroke volume is...

Page 114: ...t the venous pressure low alarm limit during the arterial phase where blood circulates from the patient to the dialysis machine 8 If necessary adjust the blood level in the expansion chamber 5 5 End a single needle treatment When the treatment is finished and treatment time on the screen has counted down to 0 00 there will be an attention 596 Treatment time expired To discontinue treatment press C...

Page 115: ...ated ultrafiltration 6 1 Basic functionality A 114 6 2 Handling isolated ultrafiltration A 114 6 2 1 Activate isolated ultrafiltration A 114 6 2 2 How to add a second and subsequent phase of isolated UF A 115 6 2 3 Deactivate isolated ultrafiltration A 115 6 3 Additional information A 115 6 3 1 Heparin A 115 ...

Page 116: ...ded to the diffusion phase and increases the total treatment time and the total ultrafiltration volume When the time for the isolated UF phase is finished the machine will automatically switch to diffusion phase 6 2 Handling isolated ultrafiltration 6 2 1 Activate isolated ultrafiltration When the settings in Section 4 2 9 Set treatment time on page A 95 are being made set the time and UF volume f...

Page 117: ...et with the same values the settings need to be 60 minutes and 1 0L which is the total of the two phases together The values set for the second and subsequent phases must always be larger than the accumulated isolated time and UF volume 6 2 3 Deactivate isolated ultrafiltration If necessary isolated UF can be deactivated at any time during the phase Procedure 1 Press the Fluid button 2 Press Isola...

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Page 119: ...rations A 118 7 3 Profiling of ultrafiltration rate A 119 7 4 Profiling setting activation A 122 7 5 Profiling without a preset model A 122 7 5 1 Profiling ultrafiltration without a preset model A 122 7 5 2 Profiling sodium without a preset model A 123 7 5 3 Profiling bicarbonate without a preset model A 124 7 6 Set and activate profiling with a preset model A 125 ...

Page 120: ...meters 7 2 Profiling of sodium and bicarbonate concentrations Profiles for sodium Na and bicarbonate HCO3 can have either increasing or decreasing concentrations in the dialysis fluid The concentration adjustment is smooth and constant Figure 7 1 Linear graphs for sodium and bicarbonate profiling NOTE If treatment time is changed during sodium and or bicarbonate profiling the profiling graphs will...

Page 121: ...e in Step mode No of steps in Interval mode No of intervals Based on these parameters the machine will perform an adjustment of the UF rate during the treatment time when profiling has been activated Before activating a profile for ultrafiltration rate set the patient s ultrafiltration volume and treatment time Always check the ultrafiltration profile settings after changing ultrafiltration volume...

Page 122: ...e ultrafiltration rate in linear mode where treatment time see Figure 7 6 UF rate in linear mode when treatment time is changed on page A 121 or UF volume see Figure 7 5 UF rate in linear mode when UF volume is changed on page A 121 has been changed Changed rate is shown in grey and original rate in black When the treatment time is changed and the new stop value reaches the minimum UF rate the slo...

Page 123: ...F rate in linear mode when treatment time is changed NOTE If UF volume or treatment time is changed during activated UF profiling the profile parameters will automatically change as well Always check the UF profile settings if UF volume or treatment time is changed when a UF profile is activated see Section 7 3 Profiling of ultrafiltration rate on page A 119 ...

Page 124: ...r sodium Na bicarbonate HCO3 and ultrafiltration rate UF rate can be set adjusted for each model The ultrafiltration volume for the treatment must be set before ultrafiltration profiling UF volume is to be used To reach the profiling function for all three profiling parameters Press the Fluid button select the UF rate or the Cond tab and then press Profiling Activation The profiling function can b...

Page 125: ...cording to the prescribed treatment 9 Set the Start value for UF rate The Stop value for UF rate will be automatically adjusted in relation to the Start value This is to keep the previously set UF volume for the following treatment 10 Press Activate 11 Change Na if applicable See Section 7 5 2 Profiling sodium without a preset model on page A 123 12 Change HCO3 if applicable See Section 7 5 3 Prof...

Page 126: ...F rate tab or Cond tab 3 Press Profiling 4 Press Na 5 Set the Start and or Stop values 6 Press Activate 7 5 3 Profiling bicarbonate without a preset model Procedure 1 Press the Fluid button 2 Select the UF rate tab or Cond tab 3 Press Profiling 4 Press HCO3 5 Set Start and Stop values 6 Press Activate ...

Page 127: ...Model 3 5 Check that the preset values in the model are correct 6 Activate the profiling model If desired it is possible to activate the profiling function at any time during priming or treatment The parameter settings of the complete model will be activated simultaneously It is possible to adjust the preset values of the parameters when the profiling model is deactivated refer to Section 7 5 1 Pr...

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Page 129: ...nitor BPM A 128 8 2 Blood pressure cuff A 128 8 3 Direct blood pressure measuring A 130 8 4 Interval blood pressure measuring A 130 8 5 Measurement history A 131 8 6 Set alarm limits A 131 8 7 Patient care during blood pressure measuring A 132 8 7 1 All patients A 132 8 7 2 Patients with high blood pressure A 133 8 7 3 Patients with arrhythmia A 134 ...

Page 130: ...is not proven for use with this patient group CAUTION The Blood Pressure Monitor is not proven for use with pregnant or pre eclamptic patients CAUTION A blood pressure reading can be affected by the conditions of the measurement site CAUTION The performance of the blood pressure monitor can be affected by extremes of temperature humidity or altitude NOTE The blood pressure monitoring feature is no...

Page 131: ...ricted blood flow a limb with an intravenous line in place a wound an arm on the same side as a mastectomy CAUTION Do not touch the BPM cuff or cuff hose if a defibrillator is being discharged as doing so may cause electric shock CAUTION In the event of accidental wetting of the BPM cuff or cuff hose connections wipe immediately to prevent moisture from entering the machine CAUTION No protective m...

Page 132: ... the fistula or graft 8 3 Direct blood pressure measuring Procedure 1 Press the BPM readout field The measurement starts The heart in the read out field starts flashing and BPM is flashing in the status bar NOTE First inflation pressure is 180 mmHg Results The measured value appears in the BPM read out field To stop measuring Press the BPM read out field to stop an ongoing measurement 8 4 Interval...

Page 133: ...larms will be generated if the BPM alarm off symbol is lit in the status bar To stop an ongoing measurement press the BPM button to open Blood Pressure Menu and press Blood pressure measurement or press the readout field on main screen When treatment has ended and the cuff has been removed from the patient The blood pressure measurement will continue as set when automatic blood pressure measuring ...

Page 134: ...e material used in cuff before use to avoid allergic symptoms Allergic symptoms caused by the fabric material of the cuff could lead to exanthema and urticaria with swollen skin and intense itching in the cuff area CAUTION Check the material used in cuff before use to avoid allergic symptoms Multiple or few petechia small purple spots containing blood on the forearm following the application of th...

Page 135: ...ring since it may affect the result The patient should be comfortably seated or lying down Check that the blood circulation in the patient s arm is not affected Blood pressure can be affected by the patient s physiological condition for example arterial sclerosis poor blood circulation diabetes age or renal diseases Risk factors After measuring blood pressure some patients get small purple spots c...

Page 136: ... hypertension the patient should rest for five minutes before the first reading is taken Patients should rest for five minutes before the measuring During the measuring they should be relaxed comfortably seated legs uncrossed and feet flat on the floor Back and arm should be supported 8 7 3 Patients with arrhythmia Do not use the AK 98 blood pressure measurement device for patients with arrhythmia ...

Page 137: ... 135 9 DIASCAN 9 1 How DIASCAN function works A 136 9 2 What DIASCAN function checks A 136 9 3 Check K and Kt A 136 9 4 Check Kt V A 137 9 5 Measurement history A 138 9 6 Set a Kt V target value A 139 9 7 Set an alarm for low K or Kt V A 140 9 8 Factors that affect measuring A 140 ...

Page 138: ...uring dialysis Reference Relationship Between Effective Ionic Dialysance and In Vivo Urea Clearance During Hemodialysis Robert M Lindsay Bernard Bene Nicholas Goux A Paul Heidenheim Christina Landgren and Jan Sternby American Journal of Kidney Diseases vol 38 No 3 September 2001 pp 565 574 9 2 What DIASCAN function checks When the treatment has started the dialysis machine can measure and calculat...

Page 139: ... set before the measurement check takes place The distribution volume is patient related based on the patient s dry weight and has to be properly estimated and set by the operator in order to obtain a correct Kt V value Distribution volume is the urea distribution volume in litres water in the body estimated for the individual patient and based on the patient s dry weight The estimation is based o...

Page 140: ...late the patient s distribution volume select the Watson tab and then press Enter parameters 3 Enter information about the patient in the settings shown on the screen 4 Select the Setup tab 5 Press Interval 6 Select 60 minutes 30 minutes or Single 7 Press OK to start the measurement Results The result of the measuring is displayed in the clearance measurement readout field The clearance measuremen...

Page 141: ...ble to set the desired Kt V target for the patient to have achieved at the end of the treatment This value is called Kt V target NOTE Before setting a Kt V target the dialysis machine needs to know the patient s distribution volume See Section 9 4 Check Kt V on page A 137 Procedure 1 Press the Diascan button 2 Select the Setup tab 3 Press Alarm settings 4 Press Kt V target 5 Enter a target value f...

Page 142: ...t a limit lower than the set Kt V limit NOTE Before setting a Kt V target the dialysis machine needs to know the patient s distribution volume See Section 9 4 Check Kt V on page A 137 Procedure 1 Press the Diascan button 2 Select the Setup tab 3 Press Alarm settings 4 Press K limit and or Kt V limit 5 Enter a value to act as limit and trigger for the alarm 6 Press OK 7 Press Activate and close the...

Page 143: ...teps or intervals is active Handling that affect the clearance measurement Changing the blood flow rate Pressing the Blood pump button Pressing the Ultrafiltration button Pressing the Fluid bypass button Changing the sodium or bicarbonate values in the dialysis fluid Changing the temperature of the dialysis fluid Changing the flow rate of the dialysis fluid Changing the UF volume Changing the line...

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Page 145: ...isinfection with a WRO 300 H unit A 149 10 3 8 1 Integrated heat disinfection with a WRO 300 H unit A 149 10 4 Chemical disinfection A 149 10 4 1 About chemical disinfection A 149 10 4 2 Start a chemical disinfection A 149 10 4 3 Start a central chemical disinfection A 150 10 4 4 Chemical disinfection program with a WRO unit A 151 10 4 5 Test for disinfectant residues A 151 10 4 6 Disinfection his...

Page 146: ...o the AK 98 Service manual There are different programs for cleaning and disinfecting the dialysis machine Heat and cleaning programs Heat disinfection Cleaning Decalcification Chemical disinfection Rinse Failure to clean and disinfect the machine according to recommendation may lead to patient reactions due to endotoxins 10 2 Check before you start CAUTION Before starting a chemical disinfection ...

Page 147: ...nd flushed through the fluid monitor The AK 98 dialysis machine fluid path is constructed in a way that prevents possible contaminants in the post dialyzer fluid path from reaching the patient Heat disinfection reduces the number of viable microorganisms The program can be combined with cleaning and decalcification A heat disinfection begins with a rinse in order to rinse out possible residues fro...

Page 148: ...ess Confirm 10 3 4 Start a heat disinfection with a CLEANCART cartridge Procedure 1 Press the Disinfection button 2 Select the Heat tab 3 Press Heat CleanCart 4 Press Confirm 5 When you are prompted by an attention Attach the CleanCart cartridge to the holder 10 3 5 Start a heat disinfection with liquid citric acid Procedure 1 Press the Disinfection button 2 Select the Heat tab 3 Press Citric 20 4...

Page 149: ... Confirm 10 3 7 Integrated heat disinfection 10 3 7 1 Integrated heat disinfection The dialysis machine can be scheduled to perform a heat disinfection that is integrated to the central water system During a heat disinfection program the machine receives hot water from the central water system It is recommended that the program is scheduled to start automatically during the heating of the central ...

Page 150: ...t Heat 6 Press OK 7 Select day 8 Set the time when the program should finish 9 Press OK 10 To schedule more days in the week repeat steps 7 9 11 To perform a heat disinfection with CleanCart cartridge Place a CleanCart cartridge into the cartridge holder before the disinfection starts 10 3 7 3 To turn off a scheduled program Procedure 1 Press the Disinfection button 2 Select the Tools tab ...

Page 151: ...d heat disinfection if possible For more information see Section 11 Disinfection with the AK 98 dialysis machine and WRO system on page A 159 10 4 Chemical disinfection 10 4 1 About chemical disinfection During the chemical disinfection program the machine is filled with a concentrated disinfectant Concentrated disinfectant is mixed with water to the correct concentration in the machine The dilute...

Page 152: ...performed prior to connecting a patient to the dialysis machine to make sure that no residues exist in the dialysis machine 10 4 3 Start a central chemical disinfection In a central chemical disinfection the disinfectant comes from the central water supply system This function has to be preset by an authorised service technician Procedure 1 Press the Disinfection button 2 Select the Chemical tab 3...

Page 153: ...a chemical disinfection the dialysis machine shall be tested for disinfectant residues The fluid path must not contain chemical disinfectant residues which can cause harm to a patient Use an appropriate test method either with proven sensitivity for the chemical or recommended by the manufacturer of the chemical disinfectant Limit values for levels of disinfectant residues are specified by the cli...

Page 154: ... disinfectants may be toxic to humans and also harmful to the fluid path if not used properly Chemical disinfectants can foam and be difficult to rinse from the dialysis machine and shall only be used in accordance with this manual CAUTION Be aware of the precautions for a certain chemical disinfectant before you use it Follow the manufacturer s instructions and recommendations as well as local re...

Page 155: ...on Decalcification and Cleaning Agents Characteristics on page A 156 10 5 Rinse and Drain 10 5 1 Start rinse or drain Procedure 1 Press the Disinfection button 2 Select the Rinse tab 3 Press Rinse or Drain 4 Press Confirm Results The Rinse program ends with a Drain phase 10 5 2 To schedule a rinse program Procedure 1 Press the Disinfection button 2 Select the Tools tab 3 Press Auto schedule 4 Pres...

Page 156: ... Procedure 1 Press the Disinfection button 2 Select the Tools tab 3 Press Auto schedule 4 Select day 5 Press Off 6 Press OK 10 6 Machine storage with chemical disinfectant 10 6 1 Fill the dialysis machine with chemical disinfectant If the dialysis machine is not to be used for more than 7 days it is recommended to fill it with a chemical disinfectant before storage It is recommended to use peracet...

Page 157: ... 7 When the disinfection fill up phase is completed there is an attention or the machine stops 8 Remove the pick up tube from the disinfectant solution and return the blue concentrate connector to its stand by port 10 6 2 Start using a dialysis machine filled with chemical disinfectant WARNING After a chemical disinfection program a test for residues shall be performed prior to connecting a patien...

Page 158: ... Low Medium High CLEANCART A cartridge and heat None None High High Peracetic acid 0 01 to 0 15 Lowa None None High Citric acid liquid 2 and heat High Low Medium High Sodium hypochlorite 0 5 None None High High a Peracetic acid is not reliable when used alone Use CLEANCART C cartridge citric acid or acetic acid regularly Table 10 1 Disinfection decalcification and cleaning The test procedure by wh...

Page 159: ...assed since last disinfection 1 Run a heat disinfection program before treatment Disinfection Every 1 3 months if UFD is installed 1 Change the ultrafilter 2 Run a heat disinfection program Disinfection Table 10 2 Cleaning and disinfection schedule Additional constraints if ultrafilter U9000 is used Disinfection using sodium carbonate e g CLEANCART A cartridge shall not be performed before periods...

Page 160: ...sion 2 xx NOTE If you need to both decalcify and clean the flow path start with the decalcification and then do the cleaning NOTE If ultrafiltration values are not correct you may need to clean the UF cell Clean the UF cell once a week using heat disinfection program with CLEANCART A cartridge ...

Page 161: ...0 H unit A 160 11 2 1 Description of integrated heat disinfection with a WRO 300 H unit A 160 11 2 2 Schedule an integrated heat disinfection A 160 11 2 3 Start an integrated heat disinfection manually A 160 11 3 Central chemical disinfection program with a WRO unit A 161 11 3 1 Description of central chemical disinfection program with a WRO unit A 161 11 3 2 Start a central chemical disinfection ...

Page 162: ...ogram Both the dialysis machine and the WRO unit must be preset by an authorised service technician The integrated heat disinfection procedure includes the following phases Heat disinfection of the AK 98 dialysis machine Low Flow Heat LFH where all wet parts between the AK 98 dialysis machine and the WRO unit are exposed to hot water at a low flow rate Heat disinfection of the WRO 300 H unit if th...

Page 163: ...ral chemical disinfection program with a WRO unit The dialysis machine and a WRO water purification unit WRO 300 H WRO 300 can be preset to perform a central chemical disinfection program Both the dialysis machine and the WRO unit must be preset by an authorised service technician 11 3 2 Start a central chemical disinfection with a WRO unit WARNING After a chemical disinfection program a test for ...

Page 164: ... in place 9 CHEM SELECT is now shown in the display of the WRO unit 10 The Disinfection button starts to flash Press CENTR_CH_98 11 Initiate the disinfectant intake by pressing the Disinfection button until it lights up steady light A few low inlet water alarms may occur on the dialysis machine these should be disregarded 12 Press the On Off button on the dialysis machine for three seconds to acti...

Page 165: ...e is to be manually rinsed this can now be initiated at any time on the dialysis machine 18 Perform a test for residual chemicals See Section 10 4 5 Test for disinfectant residues on page A 151 11 4 Settings for rinse 11 4 1 Rinse settings The rinse in the integrated chemical disinfection program can either be performed manually or automatically at a pre defined time Auto rinse Auto rinse requires...

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Page 167: ...A 166 12 2 Confirmed Patient ID and retrieval of patient prescription when the Patient ID is confirmed A 166 12 3 Cancel prescription retrieval A 168 12 4 Clearing Patient ID and patient prescription A 168 12 5 Setting treatment parameters manually A 169 12 6 Setting Station ID A 169 12 7 Unconfirmed patient with data transfer only A 170 ...

Page 168: ...prescription when the Patient ID is confirmed To be able to retrieve patient information and prescription the AK 98 dialysis machine needs to be correctly configured and connected to the CIS Clinical Information System CAUTION When retrieving patients from the CIS make sure that the retrieved patient is identical to the patient to be treated CAUTION To avoid outdated information in the Patient Com...

Page 169: ...ssing Confirm make sure that the Patient ID is correct 5 Press Confirm to accept that correct patient data has been retrieved 6 The Prescription dialog is shown The prescription icon indicates the treatment parameters retrieved from CIS Treatment parameters without the prescription icon have the default settings If the prescription icon looks like this the treatment parameters has been changed Ver...

Page 170: ...nfirmed Patient ID and retrieval of patient prescription when the Patient ID is confirmed on page A 166 A prescription can be retrieved until treatment is started or until the prescription is confirmed 12 4 Clearing Patient ID and patient prescription The treatment parameters will revert to default startup values if the Clear button is pressed before the treatment starts If the Clear button is pre...

Page 171: ...gs tab the treatment parameters can be entered manually The treatment parameters can also be set in the Blood menu and the Fluid menu see Section 3 4 19 Blood button 24 on page A 62 and Section 3 4 20 Fluid button 25 on page A 64 12 6 Setting Station ID It is possible to set a Station ID that indicates where the AK 98 dialysis machine is located at the clinic The Station ID is saved togheter with ...

Page 172: ...configured to not handle patients it is still possible to label the information sent to the CIS Clinic Information System by entering a patient ID Procedure 1 Press the Patient button A dialog is shown where a Patient ID can be entered 2 The Patient menu window is shown Press the Patient ID button 3 Enter the patient s ID number and press OK No confirmation from CIS is shown ...

Page 173: ...tenance A 172 13 2 Blood Pump Rotor A 172 13 2 1 Maintenence of the blood pump rotor A 172 13 2 2 Clean the blood pump rotor A 172 13 3 Clean the blood leak detector A 173 13 4 Water inlet tube A 173 13 5 Pick up tubes A 173 13 6 Surface A 174 13 7 Change ultrafilter A 174 13 8 Storage A 175 13 9 Service A 175 13 10 Disposal A 176 ...

Page 174: ... functionality of the dialysis machine only an authorised service technician should open the casing and do repairs and modifications CAUTION Do not use the dialysis machine if it is damaged in any way or does not work as described in this operator s manual 13 2 Blood Pump Rotor 13 2 1 Maintenence of the blood pump rotor Clean the blood pump rotor when it is dirty 13 2 2 Clean the blood pump rotor ...

Page 175: ...over 3 Clean the lenses with a soft lint free cloth moistened with disinfectant solution 4 Make sure the sealing ring on the inside of the cover is in place 5 Close the cover 13 4 Water inlet tube The tube between the water supply system and the tube into the dialysis machine are not automatically disinfected by the local disinfection program It requires either an integrated disinfection together ...

Page 176: ...l on a regular basis be cleaned and inspected for cracks NOTE Do not use disinfectants containing tensides or iodine based disinfectants Such disinfectants may discolour and cause cracks on the surface of the dialysis machine cabinet 13 7 Change ultrafilter WARNING Check carefully that there is no leakage from the ultrafilter after changing it WARNING Before a new treatment can be performed after ...

Page 177: ...ct the Tools tab 11 Press Confirm UFD filter replacement 12 Press Confirm 13 Perform a disinfection of the dialysis machine before a new treatment 14 Check carefully during and or after disinfection that there is no leakage from the ultrafilter 15 Check Fluid leakage detector tray for leakage and wipe dry if needed 13 8 Storage If the dialysis machine is not used for seven days or longer you have ...

Page 178: ...st every other year How often depends on the environment the dialysis machine is in An authorised service technician should carry out general maintenance at least once every second year 13 10 Disposal The dialysis machine should be separately collected and not disposed with general waste For more information check with your local Baxter representative and national regulations ...

Page 179: ...ng exterior cleaning A 183 14 1 16 Water supply A 183 14 1 17 Power supply A 183 14 1 18 Network connection A 184 14 1 19 Connection of external equipment A 184 14 1 20 Battery back up A 185 14 2 Performance and specification Supervisory system A 185 14 2 1 Blood pressure supervision A 185 14 2 2 Air detection A 185 14 2 3 Extracorporeal blood loss due to coagulation A 186 14 2 4 Dialysis fluid pr...

Page 180: ... 200 mmHg to 100 mmHg 10 mL min or 10 of the calculated mean value whichever is the largest Pressure control 10 to 500 mmHg venous pressure control Table 14 2 Single Needle 14 1 2 Heparin pump Heparin pump flow rate User settable 0 10 mL h in step of 0 1 mL Accuracy 1 mL 5h or 5 whichever is the largest Bolus volume User settable 0 to 10 mL Accuracy 0 2 mL or 5 whichever is the largest Syringes si...

Page 181: ...preparation Temperature User settable 33 to 40 C Accuracy 0 5 1 5 C 1 0 2 5 C with UFD at the dialysis fluid outlet from the machine under the condition that dialysis fluid temperature is higher or equal to ambient temperature Alarm limits User settable 32 5 to 40 C Table 14 5 Temperature Dialysis Fluid Flow Rate User settable 300 to 700 mL min Accuracy 10 or 50 mL min whichever is largest Table 1...

Page 182: ...een 20 to 40 mmol L Table 14 10 14 1 9 DIASCAN function Clearance measurement is only available if the DIASCAN clearance sensor is installed During UF step and interval profiling DIASCAN measurement is not available The specification is based on in vitro measurements with saline Clearance K typical precision 8 1SD Precision has been validated in HD double needle for blood flows 200 to 400 mL min a...

Page 183: ...een treatments 10 minutes Contact time Maximum 20 min not intended for overnight disinfection Total time for disinfection program 29 minutes 50 minutes with UFD Time includes 10 min contact time Table 14 12 Hypochlorite Program presettable 14 1 11 Disinfection and cleaning heat disinfection Temperature 93 C measured after heating rod 80 C measured in the outlet before the heat exchanger NOTE The t...

Page 184: ...d before start of the auto heat program Total time for disinfection programs is estimated and may vary AK 98 Disinfection programs Total Time min 230 V 115 V Aproximate time with UFD Heat 29 35 Heat and CLEANCART cartridge 42 46 Aproximate time without UFD Heat 29 34 Heat and CLEANCART cartridge 41 46 14 1 13 Heat disinfection program including WRO 300 H Entity UFD not installed UFD installed Temp...

Page 185: ...pressure 0 6 MPa 6 bar Inlet temperature Treatment 5 to 30 ºC Disinfection 5 to 90 ºC Connector in outlet Diameter 8 mm Quality Inlet water quality shall comply with appropriate regulations and as a minimum requirement according to ISO 13959 Level for conductivity shall not exceed 0 1mS cm It is possible to use water with higher conductivity if it consists mainly of sodium salts This may however a...

Page 186: ...irtual COM port driver VCD needs to be installed on your PC External equipment Additional equipment connected to medical electrical equipment shall comply with the respective IEC or ISO standards e g IEC 60950 for data processing equipment Furthermore all configurations shall comply with the requirements for medical electrical systems see clause 16 of IEC 60601 1 Anybody connecting additional equi...

Page 187: ...s pressure Measuring range 700 to 750 mmHg Alarm limits Maximun range 250 to 250 mmHg Accuracy 10 within range 700 to 500 mmHg 5 mmHg or 3 whichever is largest within range 500 to 500 mmHg 10 within range 500 to 750 mmHg Table 14 18 Arterial pressure Detection method Venous pressure supervision Table 14 19 Extracorporeal blood loss to the environment 14 2 2 Air detection Detection method Ultrasoni...

Page 188: ...2 mS cm Table 14 21 Conductivity 14 2 5 TMP TMP TMP is defined as the difference Pb out Pd out where Pb out is the venous pressure and Pd out is the pressure measured in the dialysis fluid where it enters the machine after the dialyzer The displayed TMP value is compensated for vertical difference between the measure points Alarm limits User settable between 200 to 500 mmHg Accuracy 10 mmHg or 6 w...

Page 189: ...h dialysis fluid concentrates and water 14 5 1 Polymers Silicon rubber Nitrile Nitrile butadiene rubber EPDM Ethylene propylene diene PA Polyamide PVC Polyvinyl chloride PEEK Polyetherketone PEX Polyethylene PP Polypropylene PPSU Polyphenylsulfone PSU Polysulphone PVDF Polyvinylidene fluoride PTFE Polytetrafluoro ethylene PPE Polyphenyl ether 14 5 2 Metals Stainless steel EN 1 4435 Stainless steel...

Page 190: ... dialysis machine is intended for use in the electromagnetic environment associated with a Professional healthcare facility environment or a Home healthcare environment as specified below The customer or the user of the AK 98 dialysis machine should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The AK 98 d...

Page 191: ... power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 sec 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 sec Mains power quality should be that of a typical commercial or hospital environment If the user of the AK 98 d...

Page 192: ...itter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveya should be less than the compliance level in each frequency rangeb Interference may occur in the vicinity of equipment marked with the following symbol a Field strengths from fixed transmitters...

Page 193: ...g to the maximum output power of the communications equipment Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150kHz 80MHz 80MHz 800MHz 800MHz 2500MHz 0 01 0 04 0 04 0 07 0 1 0 12 0 12 0 23 1 0 35 0 35 0 7 10 1 2 1 2 2 3 100 3 5 3 5 7 0 Rated maximum output power of mobile phone Bluetooth GSM CDMA LTE RFID WLAN 0 35 For transmitters rated at ...

Page 194: ...tment operation Dialysis fluid flow 500 mL min Blood flow 300 mL min Ultrafiltration flow 0 5 L h Dialysis fluid temperature 37 C Type of disinfection Heat disinfection with CLEANCART C cartridge Table 14 27 Consumption conditions 14 7 Standards The machine complies with the following standards IEC 60601 1 2005 AMD1 2012 COR1 2014 Medical electrical equipment Part 1 General requirements for basic ...

Page 195: ...nts for Safety National standard in the People s Republic of China GB9706 2 2003 Medical Electrical Equipment Part 2 16 Particular requirements for safety of haemodialysis haemodiafiltration and haemofiltration equipment National standard in the People s Republic of China YY 0709 2009 Medical electrical equipment Part 1 8 General requirements for safety Collateral standard General requirements tes...

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Page 197: ...HCEN12745 Revision 10 2016 Program version 2 xx AK 98 Dialysis Machine Local regulatory registration if applicable A 195 15 Local regulatory registration if applicable ...

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Page 199: ...t A 152 A 180 Disinfection A 144 A 145 A 149 A 180 A 181 chemical A 149 A 180 heat A 145 A 181 Drain tube A 47 A 76 A 144 Outlet tube A 47 E Expansion chamber A 107 A 109 Expansion chamber single needle A 106 A 112 F Flow rate A 179 dialysis fluid A 179 Fluid leakage detector tray A 42 Functional check A 16 A 25 H Heparin pump A 31 K Kt A 136 Kt V A 136 M Main switch A 50 A 76 Mean blood flow rate...

Page 200: ...iling A 119 setting A 95 UF settings A 73 UF volume A 73 A 95 A 112 calculate A 95 setting A 112 Ultrafilter A 24 A 42 Ultrafiltration A 180 User A 26 V Venous clamp A 32 Venous phase A 106 single needle A 106 Venous pressure A 112 setting single needle A 112 Venous pressure detector A 30 W Warning A 10 Water supply A 21 A 76 A 183 ...

Page 201: ...le needle treatment A 105 6 Isolated ultrafiltration A 113 7 Profiling A 117 8 Measuring blood pressure A 127 9 DIASCAN A 135 10 Disinfection and cleaning A 143 11 Disinfection with the AK 98 dialysis machine and WRO system A 159 12 IT Connectivity A 165 13 Maintenance handling A 171 14 Technical data and specifications A 177 15 Local regulatory registration if applicable A 195 Alarm handbook 1 Al...

Page 202: ...nctional check B 19 103 Blood is detected in assisted priming B 20 104 Blood is not detected B 21 105 Blood pump door is not closed B 22 106 Blood pump is overloaded B 23 107 Blood pump is stopped for too long B 24 108 Fluid path obstruction B 25 109 High arterial pressure B 26 110 High diastolic blood pressure B 27 111 High mean blood pressure B 28 112 High pulse rate B 29 113 High systolic blood...

Page 203: ...07 Incorrect bicarbonate concentrate B 49 208 Incorrect dialysis fluid composition B 50 209 Insufficient inlet water pressure B 51 210 Low battery power B 52 211 Conductivity out of limits B 53 212 Low dialysis fluid temperature B 55 213 Power failure B 56 214 Pv and Qd settings in conflict B 57 215 Single needle stroke volume is too low B 58 216 Heparin pump technical error B 59 217 TMP is too hi...

Page 204: ...or is not closed B 83 509 Blood pump is overloaded B 84 510 Blood pump overloaded B 85 511 Blood pump test failed B 86 512 BPM failure B 87 513 Buzzer failure B 88 514 Central chemical disinfection dwell is complete B 89 515 Check rotor tube distance B 90 516 Chemical fillup volume is too low B 91 517 CleanCart fill is completed B 92 518 CleanCart is not attached B 93 519 Cleaning is required B 94...

Page 205: ...r test B 112 539 Fluid tube sensor test B 113 540 Fluid tube sensor test B 114 541 Fluid tube sensor test B 115 542 Fluid tube sensor test B 116 543 Fluid tube sensor test B 117 544 Fluid tubes in safety couplings B 118 545 Fluid tubes not in safety couplings B 119 546 Functional check is on hold B 120 547 Functional check is prolonged due to power failure B 121 548 Functional check is stopped B 1...

Page 206: ...t V target will not be reached B 144 571 Leakage test failed B 145 573 Low flow heat is stopped B 146 574 Monitor temperature is too high B 147 575 Profiling is not restarted B 148 576 Negative UF rate B 149 577 New Ultrafilter required B 150 578 New Ultrafilter required B 151 579 New Ultrafilter required B 152 580 No backfiltration warning B 153 581 No BPM cuff is attached B 154 584 Priming volum...

Page 207: ...e is set to 0 0 L B 172 604 Venous clamp test failed B 173 605 WRO communication failure B 174 606 WRO not ready B 175 607 Wrong disinfectant B 176 608 Disinfection fill up phase completed B 177 609 Start air detector test B 178 612 No patient ID is confirmed B 179 613 Treatment history was not transferred to the server B 180 614 Leakage detected B 181 615 Internal fluid leakage detector functiona...

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Page 209: ...9 103 Blood is detected in assisted priming B 20 104 Blood is not detected B 21 105 Blood pump door is not closed B 22 106 Blood pump is overloaded B 23 107 Blood pump is stopped for too long B 24 108 Fluid path obstruction B 25 109 High arterial pressure B 26 110 High diastolic blood pressure B 27 111 High mean blood pressure B 28 112 High pulse rate B 29 113 High systolic blood pressure B 30 114...

Page 210: ...orrect bicarbonate concentrate B 49 208 Incorrect dialysis fluid composition B 50 209 Insufficient inlet water pressure B 51 210 Low battery power B 52 211 Conductivity out of limits B 53 212 Low dialysis fluid temperature B 55 213 Power failure B 56 214 Pv and Qd settings in conflict B 57 215 Single needle stroke volume is too low B 58 216 Heparin pump technical error B 59 217 TMP is too high B 6...

Page 211: ...screen flashes A flashing red light frequency 2 5 Hz indicates a high priority alarm The light stops flashing when the cause of the alarm is corrected A flashing yellow light frequency 0 5 Hz indicates a medium priority alarm The light stops flashing when the cause of the alarm is corrected The buzzer sounds 1 sec 3 5 sec For high priority alarms the alarm is a recurring sound of two groups of fiv...

Page 212: ...alarms are not heard or evaluated correctly if any equipment with a different alarm system or different alarm preset values is placed in the same location and distracts the operator When an alarm is triggered the alarm message is displayed and the alarm tab is flashing If a menu is open an alarm banner is shown If any text is visible in the information field the Alarm tab must be pressed to show t...

Page 213: ...staff are responsible for ensuring that an alarm refers to only one AK 98 dialysis machine WARNING Do not rely exclusively on a remote alarm device to monitor alarm signals 1 1 4 Alarm history A list with the most recently generated alarms is shown in the alarm tab in treatment history To reach the alarm list 1 Press the History button 2 Select the Alarm tab The time for when the alarm was generat...

Page 214: ...od button 2 Select the Tools tab 3 Press Service 4 Select the Error list tab The time for when the error was generated is shown in the error list The last 100 errors are shown in a rolling replacement schedule with the latest at the top The list is maintained when the machine is shut down and during a power failure 1 1 6 How to find the alarm in the alarm handbook The alarm descriptions in this ch...

Page 215: ...integer value 1 2 High priority alarms 100 Air in venous drip chamber 100 Air in venous drip chamber To start blood pump for 0 sec to raise drip chamber level press Timer button Appears When air has come into the venous drip chamber Machine actions The blood pump stops The venous and arterial blood line clamps close Ultrafiltration rate is set to zero The dialysis fluid bypasses the dialyzer Opera...

Page 216: ...amber with the level adjustment knob by turning the knob anticlockwise 5 When the blood level is correct and the alarm text has changed check that there is no air in the venous and arterial line 6 Check that there is no air in the infusion line 7 Start the blood pump by pressing Confirm in the alarm message 8 Adjust the blood flow rate ...

Page 217: ...cal routines1and consider the amount of blood that has leaked and the status of the patient 2 Check that the dialyzer connectors are properly attached to the dialyzer 3 The alarm actions may be overridden bypassed by pressing Confirm The blood pump will start up at 50 mL min blood flow rate adjust if necessary The blood leak detector will automatically be rinsed with dialysis fluid during the over...

Page 218: ...Clean the blood leak detector on page A 173 in Operators handbook 5 When the blood leak alarm disappears the alarm text will change Press Confirm to reset the alarm function WARNING When entering override the operator is responsible for monitoring the treatment since this is not done by the dialysis machine during the override time ...

Page 219: ...k Blood in priming detector Functional check is stopped Appears When the priming detector detects blood during functional check Machine actions The blood pump stops The venous blood line clamp closes Operator action 1 Make sure that the patient is not connected to the blood lines 2 Clean the priming detector lens If previous steps do not help call an authorised technician ...

Page 220: ...isted priming Blood in priming detector Blood pump is stopped Appears When the priming detector detects blood during assisted priming procedure Machine actions The blood pump stops Operator action 1 Make sure that the patient is not connected to the blood lines 2 Clean the priming detector lens If previous steps do not help call an authorised technician ...

Page 221: ...ient volume is achieved and no blood has been detected in the venous blood line Machine actions The blood pump stops The venous blood line clamp closes Operator action 1 Check that the venous blood line is properly inserted into the priming detector 2 When the priming detector detects blood the blood path on the screen lights up red and treatment time starts to count down 3 Press Confirm 4 Select ...

Page 222: ...pump door is not closed Close blood pump door Appears When the blood pump door is not properly closed during treatment or priming Machine actions The blood pump stops Operator action 1 Check that the blood pump segment is positioned correctly 2 Check that the blood pump rotor is positioned correctly 3 Close the blood pump door ...

Page 223: ... and arterial blood line for obstruction Appears When the blood pump cannot run Machine actions The blood pump stops Operator action 1 Check that the blood pump segment is positioned correctly 2 Check that the blood pump rotor is positioned correctly 3 Press the Blood pump button to start the blood pump If the alarm appears again call an authorised technician ...

Page 224: ... 107 Blood pump is stopped for too long Appears When the blood pump has been stopped for a configurable time Machine actions None Operator action Press the Blood pump button to start the blood pump when the patient is connected and the dialysis machine detects blood Make sure that the cause of the alarm has been corrected ...

Page 225: ... actions The blood pump stops Operator action 1 Press the Fluid bypass button If the alarm disappears the obstruction is external for example located in the blood lines the dialysis fluid tubes or the dialyzer 2 Check for obstructions in the blood lines the dialysis fluid tubes or the dialyzer and remove them if you find any 3 Press the Fluid bypass button If the alarm does not disappear the obstr...

Page 226: ...The arterial and venous pressure alarm limits are automatically widened 2 Check that the arterial needle is in proper position 3 Check that there is no air in the arterial blood line between the needle and the blood pump This can happen for example when you connect an infusion to the arterial blood line prior to the blood pump 4 Restart the blood pump and adjust the blood flow 5 Check the arterial...

Page 227: ...pressure history Press the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patien...

Page 228: ...sure history Press the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient s ...

Page 229: ...ss the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient s status Press the...

Page 230: ...essure history Press the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient ...

Page 231: ...lse alarms since the venous pressure limits are used for single needle phase shift Operator action 1 Stop the blood pump The arterial and venous pressure alarm limits are automatically widened 2 Check that there are no kinks or clamps on the venous blood line between the needle and the drip chamber 3 Check the position of the venous needle 4 Check that there are no clots in the venous blood line t...

Page 232: ...arm limits are automatically widened 2 Check that the patient s blood flow rate is the same as the blood flow rate set in the dialysis machine 3 Check the patient s blood pressure 4 Check the position of the arterial needle 5 Check that there are no kinks or clots in the arterial blood line between the needle and the point where the blood pressure is measured 6 Adjust the blood flow and restart th...

Page 233: ...ressure history Press the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient...

Page 234: ...ure history Press the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient s s...

Page 235: ...s the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient s status Press the ...

Page 236: ...ssure history Press the BPM button Select the History tab Press History Observe the measurement results from the treatment 2 Do standard patient checks and take measures for patients with circulatory disturbances 3 If desired measure the blood pressure manually see Section 8 3 Direct blood pressure measuring on page A 130 in Operators handbook 4 If possible adjust the alarm limits to the patient s...

Page 237: ...s to avoid false alarms since the venous pressure limits are used for single needle phase shift Operator action 1 Stop the blood pump The arterial and venous pressure alarm limits are automatically widened 2 Check that the venous blood line is properly attached to the dialyzer 3 Check that the venous needle is in proper position 4 Check that there are no clots before or in the dialyzer 5 Adjust th...

Page 238: ...oodlines and venous pressure transducer protector Appears When the venous blood pressure is not varying as expected during the arterial and venous phases in a single needle treatment Machine actions The blood pump stops Operator action 1 Check the venous blood line for kinks or clamps 2 Check for blood in the pressure transducer protector 3 Check the arterial blood flow rate ...

Page 239: ...e Alarms B 39 122 Restarted after power failure 122 Restarted after power failure To continue press Confirm Appears When the machine has recovered from power failure Machine actions None Operator action 1 Press Confirm 2 Check power supply mains cable and backup battery ...

Page 240: ...ditional or conditional technical alarm will appear Operator action 1 Press Confirm 2 Open the Error list a Press the Blood button b Select the Tools tab c Press Service d Select the Error list tab Read and note the error code text on the screen If more than one technical error have been generated the most recent is displayed at the top of the list 3 Technical error during functional check restart...

Page 241: ...1 Press Confirm 2 Open the Error list a Press the Blood button b Select the Tools tab c Press Service d Select the Error list tab Read and note the error code text on the screen If more than one technical error have been generated the most recent is displayed at the top of the list 3 Technical error during treatment call an authorised technician If necessary during treatment manually return the bl...

Page 242: ... possible to measure the patient s blood pressure The patient may have moved during the measuring Machine actions The buzzer sounds Mute time 2 minutes Operator action 1 To clear the alarm press Confirm If the cause of the alarm has not been corrected within the override time of 2 minutes the machine alarm actions will automatically recur 2 Make sure that the BPM cuff is correctly wrapped around t...

Page 243: ... too wide Centralize limits Appears When the arterial pressure alarm window is wider than the preset value Machine actions Alarm sound is delayed for 2 minutes The arterial pressure control is activated Operator action 1 Check that correct blood flow rate is set 2 Press the arterial pressure control 3 Press Center arterial 4 Check that the arterial pressure limits are correct ...

Page 244: ...action 1 Check for a cause for example recurring problems with the needle previous alarms that took a long time to solve and technical alarms 2 Press the Blood pump button to start the blood pump when the cause of the alarm has been corrected 3 If possible increase the blood flow rate to the intended value 4 If necessary adjust the low alarm limit Press the Blood button Select the Blood flow tab P...

Page 245: ...in safety couplings Connect the fluid tubes to the dialyzer Appears When blood is detected by the priming detector when connecting the patient When the dialysis fluid tubes are connected to the safety couplings during treatment Machine actions None Operator action Move the dialysis fluid tubes from the safety couplings to the dialyzer ...

Page 246: ...line for obstruction Appears When the pressure in the syringe is too high Machine actions The heparin pump stops Operator action 1 Check that the heparin syringe is installed 2 Check that the heparin syringe is filled 3 Check for kinks and clamps on the heparin line When the pressure in the syringe is within limits again the heparin pump starts automatically ...

Page 247: ...e actions The dialysis fluid bypasses the dialyzer Operator action 1 Press the Fluid button 2 Select the Temp tab to reach the temperature settings 3 Check the inlet water supply and the power supply Take appropriate actions when you find an issue 4 Wait until the dialysis fluid temperature is correct Then the dialysis fluid automatically enters the dialyzer and the alarm disappears 5 If necessary...

Page 248: ...trate connected to the machine Machine actions The dialysis fluid bypasses the dialyzer Operator action 1 Check that the concentrate container is filled 2 Check that there is no air in the concentrate tube 3 Check what concentrate is set in the dialysis machine a Press the Fluid button b Select the Conc tab 4 Check that the concentrate that is set is the same as the concentrate connected 5 Check t...

Page 249: ...oncentrate connected to the machine Machine actions The dialysis fluid bypasses the dialyzer Operator action 1 Check that the concentrate container is filled 2 Check what concentrate is set in the dialysis machine a Press the Fluid button b Select the Conc tab 3 Check that the concentrate that is set is the same as the concentrate connected 4 Check that the proper concentrate has been connected co...

Page 250: ...en the acidic and the bicarbonate concentrate is too high Machine actions The dialysis fluid bypasses the dialyzer Operator action 1 Check that the concentrate container is filled 2 Check what concentrate is set in the dialysis machine a Press the Fluid button b Select the Conc tab 3 Check that the concentrate that is set is the same as the concentrate connected 4 Check that the proper concentrate...

Page 251: ... Check water supply Appears When the water supply pressure is too low Machine actions The fluid flow to and from the dialyzer is bypassed Operator action 1 Check that the water supply works as intended If not take appropriate actions depending on the cause 2 Check that the external water supply valve is open 3 Check that the water supply tube is not blocked ...

Page 252: ...Low battery power The machine will turn off within one minute Appears During power failure when the battery power is too low Machine actions The machine will automatically be switched off Power failure sound will appear Operator action Consider to end the treatment manually The battery may need to be replaced ...

Page 253: ...be set to zero The flow path on the screen turns yellow Operator action 1 Check that the concentrate container BiCart cartridge is filled 2 Check that there is no air in the concentrate tube 3 Press the lit Fluid button and select the Cond tab to reach the conductivity settings 4 Check what concentrate is set in the dialysis machine a Press the Fluid button b Select the Conc tab 5 Check that the c...

Page 254: ...luded 10 Check that the filter integrated on the concentrate tubes is not clogged Wait for correct dialysis fluid conductivity to be resumed If necessary call for an authorised technician or discontinue treatment When the dialysis fluid conductivity is within the set alarm limits again the dialysis fluid automatically enters the dialyzer ...

Page 255: ...lysis fluid bypasses the dialyzer Operator action 1 Press the Fluid button 2 Select the Temp tab to reach the temperature settings 3 Check that the machine is connected to the power socket 4 Check the inlet water supply and the power supply Take appropriate actions when you find an issue 5 Wait until the dialysis fluid temperature is correct Then the dialysis fluid automatically enters the dialyze...

Page 256: ...3 Power failure Battery operated for 0 minutes Appears Immediately at power failure when battery back up is operating The displayed minutes indicate how long the power failure has lasted Machine actions Only the blood unit will run during a power failure Operator action Check power supply and mains cable ...

Page 257: ...ure and the set dialysis fluid flow rate Machine actions The dialysis fluid bypasses the dialyzer Operator action 1 If possible increase dialysis fluid flow rate to at least 500 ml min Press the Fluid button Select the Fluid flow tab Press Dialysis fluid flow and adjust the flow rate 2 If you cannot increase the dialysis fluid flow rate decrease the venous pressure and wait maximum 5 minutes until...

Page 258: ... expansion chamber It should be as low as possible but air should not pass into the blood lines at the end of the venous phase 2 If possible adjust the venous pressure alarm window The wider the window the greater the stroke volume The higher the position of the window i e how high in the mmHg scale the window is placed the higher the venous flow 3 If previous steps do not help adjust the stroke v...

Page 259: ...m not using heparin pump set heparin values to zero Appears When there is a technical fault with the heparin pump Machine actions The machine actions differ depending on the kind of technical error Operator action 1 Set the heparin values to zero to confirm that the heparin pump is not going to be used Press the Blood button Select the Heparin tab Set the heparin values to zero ...

Page 260: ... patient weight loss or issues with the needle extracorporeal circuit or dialyzer clogged dialyzer and take appropriate actions 4 Do standard patient checks for example measure blood pressure 5 If possible increase the treatment time decrease the set UF volume or increase the blood flow rate 6 If possible adjust the high TMP alarm limit 7 Confirm that the actual TMP value and alarm limits are in a...

Page 261: ...r clogged dialyzer extracorporeal circuit kink or clamp on the venous blood line and take appropriate actions 4 Do standard patient checks for example measure blood pressure 5 If possible decrease the set treatment time increase the set UF volume or decrease the blood flow rate 6 If possible adjust the low TMP alarm limit 7 Check that the blood line between the dialyzer and the venous drip chamber...

Page 262: ...igh Machine actions The dialysis fluid bypasses the dialyzer Operator action 1 Check the patient s blood access the venous pressure transducer and check for clots in the dialyzer Take appropriate actions when you find an issue 2 Make sure that the venous pressure is decreased by at least 50 mmHg The alarm will automatically disappear when the actual venous pressure has been decreased 3 If it is no...

Page 263: ...e specification of the dialysis machine This can happen when the UF control is not calibrated or incorrectly calibrated the UF control does not work correctly the protective UF sensor does not work correctly Machine actions The dialysis fluid bypasses the dialyzer Operator action 1 Check patient weight loss If patient weight loss is not acceptable end the treatment and call an authorised technicia...

Page 264: ...Appears When the ultrafiltration volume measurements for the second time are not within the specification of the dialysis machine This can happen when the UF control is not calibrated or incorrectly calibrated the UF control does not work correctly the protective UF sensor does not work correctly Machine actions The dialysis fluid bypasses the dialyzer Operator action End the treatment and call an...

Page 265: ...entralize limits Appears When the venous pressure alarm window is wider than the preset value Machine actions Alarm sound is delayed for 2 minutes The venous pressure control is activated Operator action 1 Check that correct blood flow rate is set 2 Press the venous pressure control 3 Press Center venous 4 Check that the venous pressure limits are correct ...

Page 266: ...detected Check patient weight loss Discontinue treatment and call service technician Appears When the machine has detected a second fluid leakage during treatment Machine actions Close valves to stop leakage to the environment Operator action 1 Check patient weight loss 2 Discontinue treatment Check patient and call service technician 3 Call technical service ...

Page 267: ...l fluid leakage detected Check patient weight loss To continue wipe fluid detector container dry Appears When the machine has detected a fluid leakage during treatment Machine actions Close valves to stop leakage to the environment Operator action 1 Check patient weight loss 2 Wipe the fluid detector tray dry 3 Continue treatment ...

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Page 269: ...508 Blood pump door is not closed B 83 509 Blood pump is overloaded B 84 510 Blood pump overloaded B 85 511 Blood pump test failed B 86 512 BPM failure B 87 513 Buzzer failure B 88 514 Central chemical disinfection dwell is complete B 89 515 Check rotor tube distance B 90 516 Chemical fillup volume is too low B 91 517 CleanCart fill is completed B 92 518 CleanCart is not attached B 93 519 Cleaning...

Page 270: ...38 Fluid tube sensor test B 112 539 Fluid tube sensor test B 113 540 Fluid tube sensor test B 114 541 Fluid tube sensor test B 115 542 Fluid tube sensor test B 116 543 Fluid tube sensor test B 117 544 Fluid tubes in safety couplings B 118 545 Fluid tubes not in safety couplings B 119 546 Functional check is on hold B 120 547 Functional check is prolonged due to power failure B 121 548 Functional c...

Page 271: ... reached B 143 570 Kt V target will not be reached B 144 571 Leakage test failed B 145 573 Low flow heat is stopped B 146 574 Monitor temperature is too high B 147 575 Profiling is not restarted B 148 576 Negative UF rate B 149 577 New Ultrafilter required B 150 578 New Ultrafilter required B 151 579 New Ultrafilter required B 152 580 No backfiltration warning B 153 581 No BPM cuff is attached B 1...

Page 272: ... B 171 603 UF volume is set to 0 0 L B 172 604 Venous clamp test failed B 173 605 WRO communication failure B 174 606 WRO not ready B 175 607 Wrong disinfectant B 176 608 Disinfection fill up phase completed B 177 609 Start air detector test B 178 612 No patient ID is confirmed B 179 613 Treatment history was not transferred to the server B 180 614 Leakage detected B 181 615 Internal fluid leakage...

Page 273: ...ht frequency 1 Hz 5 sec 5 sec For most attentions the buzzer sounds The buzzer sound for attentions is called notification sound The notification sound is a recurring sound of three tones that are repeated with a 5 second intermission The Mute button is flashing The light stops flashing when the attention is confirmed and or the cause of the attention is corrected 2 2 General attention handling Pr...

Page 274: ...to the attention Operator action Describes the actions that are expected from the operator when an attention appears Mute time When the mute button is pressed the buzzer sound will be muted during the specified period of time When 0 is displayed in the descriptive text in an attention it is replaced with a live integer value 2 4 List of attentions 500 Air detector not activated 500 Air detector no...

Page 275: ...HCEN12745 Revision 10 2016 Program version 2 xx AK 98 Dialysis Machine Attentions B 75 Mute time 2 minutes ...

Page 276: ...alyzer Appears When the dialysis fluid tubes are not properly connected to the dialyzer Machine actions None Operator action Check the dialysis fluid tubes connections See Section 4 2 7 Priming the dialysis circuit on page A 91 in Operators handbook Mute time 2 minutes WARNING If no action is taken for this attention the patient may get incorrect weight loss during the treatment ...

Page 277: ...77 502 Arterial clamp test failed 502 Arterial clamp test failed Check arterial line and press Confirm Appears When the arterial clamp test fails Machine actions The machine stops the arterial clamp test until the attention is confirmed Operator action Press Confirm Mute time 2 minutes ...

Page 278: ...not be able to run in case of power failure To continue change battery or press Confirm Appears When the backup battery does not pass functional check After treatment if the backup battery test fails If the functional check fails the alarm sound will be delayed for 1 minute Machine actions None Operator action Press Confirm Mute time Permanent ...

Page 279: ...ons B 79 504 Battery power is low 504 Battery power is low The machine will turn off within one minute Appears During power failure when the battery power is too low during priming or disinfection Machine actions The dialysis machine stops Operator action None Mute time Permanent ...

Page 280: ...xx 505 BiCart holder is not closed 505 BiCart holder is not closed Close BiCart cartridge holder Appears When the BICART cartridge holder is not properly closed Machine actions After 2 minutes there is a buzzer sound Operator action Close the BICART cartridge holder Mute time 2 minutes ...

Page 281: ...art is not attached to holder Attach BiCart cartridge Appears When the BICART cartridge is not properly attached to the holder Machine actions After 2 minutes there is a buzzer sound Operator action Attach or check BICART cartridge See Section 4 2 3 Set up the dialysis machine on page A 77 in Operators handbook Mute time Permanent ...

Page 282: ...and press Confirm Appears During functional check if the blood leak detector is dirty or out of function Machine actions None Operator action 1 Clean the blood leak detector see Section 13 3 Clean the blood leak detector on page A 173 in Operators handbook 2 Press Confirm to continue If the attention appears again contact an authorised technician Mute time Permanent ...

Page 283: ...osed 508 Blood pump door is not closed Close blood pump door and if not possible check the mounting of the pump rotor Appears When the blood pump door has not been properly closed Machine actions The blood pump stops After 2 minutes there is a buzzer sound Operator action Close the blood pump door Mute time 2 minutes ...

Page 284: ...blood pump Appears When the blood pump is overloaded and can hardly run in priming Machine actions The blood pump stops Operator action 1 Check that the blood pump segment is correctly placed see Section 4 2 4 Attach the arterial blood line on page A 79 in Operators handbook 2 Press Confirm to continue If the attention appears again contact an authorised technician Mute time 2 minutes ...

Page 285: ...onfirm Appears When the blood pump is overloaded and can hardly run in functional check Machine actions The blood pump stops Operator action 1 Check that the blood pump segment is correctly placed see Section 4 2 4 Attach the arterial blood line on page A 79 in Operators handbook 2 Press Confirm to continue If the attention appears again contact an authorised technician Mute time Permanent ...

Page 286: ...ood pump test failed Check pump segment and arterial bloodline for obstruction To continue press Confirm Appears When the blood pump rotation test fails Machine actions The machine stops the blood pump test until the attention is confirmed Operator action Check the blood line and confirm the attention Mute time 2 minutes ...

Page 287: ...87 512 BPM failure 512 BPM failure To turn off BPM press Confirm Appears When an error is detected by the BPM Machine actions None Operator action Press Confirm to confirm that the BPM will not be used If the attention appears again contact an authorised technician Mute time Permanent ...

Page 288: ...sion 2 xx 513 Buzzer failure 513 Buzzer failure No audible alarm will be issued Appears When the loudspeaker fails to produce sounds in a alarm or attention situation Machine actions None Operator action Continue treatment and pay attention to visual alarm indications Mute time ...

Page 289: ...ral chemical disinfection dwell is complete 514 Central chemical disinfection dwell is complete To continue press Confirm Appears When the dwell time in central disinfection has passed The dwell time can be preset Machine actions None Operator action Press Confirm to continue Mute time Permanent ...

Page 290: ...tube distance 515 Check rotor tube distance To continue press Confirm Appears When the blood pump segment has been changed Machine actions None Operator action See Section 4 2 4 Attach the arterial blood line on page A 79 in Operators handbook and press Confirm to clear the attention Mute time 2 minutes ...

Page 291: ...emical fillup volume is too low Check pickup tube and disinfectant container Appears In the fill up phase during a chemical disinfection program Machine actions The disinfection program stops Operator action 1 Check the pick up tube and the disinfectant container 2 Press Confirm to start the fill up phase again Mute time Permanent ...

Page 292: ...d wait for CleanCart cartridge to drain Appears During heat disinfection program with CLEANCART cartridge The appearance of the attention can be preset Machine actions None Operator action 1 Open the upper latch of the BiCart cartridge holder 2 Press Confirm See Section 10 3 4 Start a heat disinfection with a CLEANCART cartridge on page A 146 in Operators handbook Mute time Permanent ...

Page 293: ...d to the BiCart cartridge holder during a heat disinfection program Machine actions After 1 minute there is a buzzer sound The delay is only valid at first occurrence Operator action 1 Attach the CleanCart cartridge to the BiCart cartridge holder 2 If it is already attached make sure it is properly located See Section 10 3 4 Start a heat disinfection with a CLEANCART cartridge on page A 146 in Ope...

Page 294: ... cleaning and the appearance of the attention can be preset Machine actions None Operator action If possible run a cleaning program for example a heat disinfection program with CLEANCART A cartridge or a chemical disinfection program with sodium hypochlorite If the time or situation is not suitable for a cleaning program press Confirm to clear the attention Clean the dialysis machine after the tre...

Page 295: ...tube A is out of position 520 Concentrate tube A is out of position Check the position Appears When the red concentrate connector is not in the correct position Machine actions After 2 minutes there is a buzzer sound Operator action Check the placement of the red concentrate connector Mute time 5 minutes ...

Page 296: ...ube B is out of position 521 Concentrate tube B is out of position Check the position Appears When the blue concentrate connector is not in the correct position Machine actions After 2 minutes there is a buzzer sound Operator action Check the placement of the blue concentrate connector Mute time 5 minutes ...

Page 297: ...ments between the last performed decalcification and the appearance of the attention can be preset Machine actions None Operator action If possible run a decalcification program for example a heat disinfection program with CLEANCART C cartridge or liquid citric acid A Short heat Citric program cannot be used If the time or situation is not suitable for a decalcification program press Confirm to cl...

Page 298: ...luid is below the set low alarm limit This is because the flow rate is manually set below the alarm limit or there is an obstruction in the dialysis fluid flow path Machine actions None Operator action If possible increase the dialysis fluid flow rate If this is not possible contact an authorised technician If the attention is not solved it will appear again in the next treatment Mute time Permane...

Page 299: ...ysis fluid is bypassed Check fluid tube connections to the dialyzer Deactivate fluid bypass Appears When fluid is bypassed by the operator during recirculation and extra recirculation Machine actions During bypass the remaining recirculation time is not updated Operator action Press the Fluid bypass button Mute time Permanent ...

Page 300: ...id not ready for treatment 525 Dialysis fluid not ready for treatment Fluid is ready in 0 s Appears When ultrafilter flush is started Machine actions None Operator action 1 Wait until the attention disappears and the bypass path on the screen lights up green 2 Disconnect the dialysis fluid tubes Mute time ...

Page 301: ...ance is too low Check treatment settings and check adjust clearance limit To continue press Confirm Appears When the measured clearance value is below the set alarm limit Machine actions None Operator action 1 Check for a cause 2 Adjust treatment parameters to increase clearance or adjust the alarm limit for clearance Mute time Permanent ...

Page 302: ...ck Machine actions If a single clearance measurement check is activated it will automatically be deactivated The clearance measurement function is turned off If continuous clearance measurement is activated the actual clearance measurement check will automatically be deactivated The following measurement checks will continue as set Operator action Press Confirm to confirm the machine actions If de...

Page 303: ...tarted Check Diascan set values and reactivate Diascan Appears When the clearance measurement function has been automatically deactivated Machine actions None Operator action 1 Press the Diascan button 2 Check that the set clearance measurement parameter values are the correct ones adjust if necessary 3 Press Confirm to restart the clearance measurement function Mute time 2 minutes ...

Page 304: ...isolated UF is complete Appears During an attempt to activate the clearance measurement function or a clearance measurement check single or continuous during ongoing isolated UF phase Machine actions The clearance measurement will automatically be paused during the Isolated UF phase The clearance measurement starts automatically when the isolated UF phase is complete Operator action The attention ...

Page 305: ...filing Clearance measurement is not possible during step interval UF profiling Appears During an attempt to have the clearance measurement function and UF profiling in steps or intervals active at the same time Machine actions The clearance measurement function will automatically be deactivated Operator action The attention disappears after 30 seconds Mute time Permanent ...

Page 306: ... press Confirm Appears When too many clearance measurement steps have been done during that particular treatment Further measuring may cause the patient an imbalance in the sodium level Machine actions Clearance measurement is deactivated Operator action 1 Press Confirm to clear the attention 2 Contact an authorised technician If this attention appears frequently discuss preset limits with an auth...

Page 307: ...is needed The period of time between the last performed disinfection and the appearance of the attention can be preset Machine actions None Operator action If possible run a heat disinfection program If the time or situation is not suitable for a heat disinfection program press Confirm to clear the attention Disinfect the dialysis machine after the treatment or the attention will appear again duri...

Page 308: ...luid in bypass for too long 534 Fluid in bypass for too long Fluid has been in bypass for more than 5 min Appears 5 minutes after the dialysis fluid has been bypassed the Fluid bypass button has been pressed Machine actions None Operator action Press the Fluid bypass button Mute time 2 minutes ...

Page 309: ...eakage test enabled Do not connect concentrate or BiCart cartridge Appears During functional check when the extended fluid path leakage test is enabled Machine actions Ongoing extended fluid path test Operator action Wait until the test is finished It is possible to connect the concentrates when the attention text has disappeared Mute time ...

Page 310: ...art blood pump Appears When the machine detects an obstruction in the extracorporeal circuit blood lines and dialyzer or in the fluid path Machine actions The blood pump stops Operator action Check for obstructions in the extracorporeal circuit for example kinked blood lines or clotted dialyzer and or blood lines Restart the blood pump when the obstruction is corrected Mute time 2 minutes ...

Page 311: ...ed in the fluid path during disinfection Machine actions The disinfection program stops The dialysis fluid pumps stop Drain is automatically performed when the pressure has decreased Operator action 1 Wait until the drain is finished 2 Check if the obstruction is external for example if the fluid tubes are clamped 3 Check the ultrafilter if a ultrafilter is installed 4 Restart the disinfection If ...

Page 312: ...tect that the dialysis fluid tubes are attached to the safety couplings The corresponding machine test cannot be made Machine actions The ongoing disinfection or rinse program stops Operator action To continue the disinfection or rinse program 1 Check that the dialysis fluid tubes are properly attached to the safety couplings 2 Press Confirm The disinfection or rinse program continues As an altern...

Page 313: ...ect that the dialysis fluid tubes are attached to the safety couplings The corresponding machine test cannot be made Machine actions The ongoing disinfection or rinse program is paused Operator action To continue the disinfection or rinse program 1 Check that the dialysis fluid tubes are properly attached to the safety couplings 2 Press Confirm to continue the disinfection or rinse program As an a...

Page 314: ...est 540 Fluid tube sensor test Attach fluid tubes to safety couplings Appears When a dialysis fluid tube sensor test is stopped during a disinfection or rinse program Machine actions None Operator action Remove and attach the dialysis fluid tubes from the safety couplings to restart the test Mute time 2 minutes ...

Page 315: ...onfirm Appears When the machine cannot restart the dialysis fluid tube sensor test Machine actions None Operator action 1 Check that the dialysis fluid tubes are properly attached to the safety couplings 2 Press Confirm to bypass the dialysis fluid tube sensor test and continue the activated disinfection or rinse program As an alternative contact an authorised technician Mute time 2 minutes ...

Page 316: ...e sensor test To start fluid tube sensor test remove fluid tubes from safety couplings Appears When a dialysis fluid tube sensor test is stopped during a disinfection or rinse program Machine actions None Operator action Remove and attach the dialysis fluid tubes from the safety couplings to restart the test Mute time 2 minutes ...

Page 317: ...onfirm Appears When the dialysis machine cannot restart the dialysis fluid tube sensor test Machine actions None Operator action To continue the activated disinfection or rinse program 1 Check that the dialysis fluid tubes are properly attached to the safety couplings 2 Press Confirm The dialysis fluid tube sensor test is bypassed As an alternative consult an authorised technician Mute time 2 minu...

Page 318: ...to dialyzer Appears This attention can appear 1 If the dialysis fluid tubes are still connected to the safety couplings and blood is detected by the priming detector 2 If the dialysis fluid tubes are reconnected to the safety couplings during treatment Machine actions None Operator action Move the dialysis fluid tubes from the safety couplings to the dialyzer Mute time Permanent ...

Page 319: ...uid tubes to safety couplings Appears When the dialysis fluid tubes have been removed from the safety couplings during a functional check or a disinfection program Machine actions The functional check stops Operator action Connect the dialysis fluid tubes to the safety couplings Make sure they are properly connected Mute time 2 minutes during a functional check or disinfection ...

Page 320: ... functional check stops The functional check will automatically continue when the inlet water temperature has decreased Operator action Check possible cause The inlet water temperature has not decreased below 45 C within 5 minutes after the high temperature test is started The inlet water temperature has not decreased below 39 C within 5 minutes after the high temperature test is finished If the a...

Page 321: ...chine Attentions B 121 547 Functional check is prolonged due to power failure 547 Functional check is prolonged due to power failure Appears During power failure Machine actions The functional check is delayed until power returns Operator action Please wait Mute time ...

Page 322: ...sure transducer connector Appears When the venous pressure transducer of the venous blood line has been attached too early in functional check See Section 4 2 5 Attach the venous blood line on page A 84 in Operators handbook Machine actions None Operator action Disconnect the venous pressure transducer If the attention appears again contact an authorised technician Mute time 5 minutes ...

Page 323: ...e transducer connector Appears When the arterial pressure transducer of the arterial blood line has been attached too early in functional check See Section 4 2 4 Attach the arterial blood line on page A 79 in Operators handbook Machine actions None Operator action Disconnect the arterial pressure transducer If the attention appears again contact an authorised technician Mute time 5 minutes ...

Page 324: ...ck if a chemical disinfection program has previously been performed and the concentrate connectors or disinfectant connector are not properly connected to the machine Machine actions The functional check stops Operator action Check that the concentrate connectors are properly connected to the stand by ports Check that the disinfectant connector is properly connected to the parking port It is not p...

Page 325: ...eck is stopped To continue functional check close BiCart latches Appears When the latches of the BICART cartridge holder are open during a functional check Machine actions The functional check stops Operator action Close the latches of the BICART cartridge holder It is not possible to connect the BICART cartridge yet Mute time 2 minutes ...

Page 326: ...016 Program version 2 xx 552 Functional check prolonged due to WRO 552 Functional check prolonged due to WRO Water purification unit is not ready Appears When WRO is not accessible during a functional check Machine actions None Operator action Please wait Mute time ...

Page 327: ...tentions B 127 553 Functional check restarted 553 Functional check restarted To continue press Confirm Appears When the functional check is prolonged due to internal tests Machine actions The functional check restarts and is therefore prolonged Operator action None Mute time ...

Page 328: ...e treatment is resumed Machine actions The machine reactivates the previously set bicarbonate profiling setting Operator action Check actual profile settings 1 Press the Fluid button 2 Select the Cond tab 3 Press Profiling 4 Check that the start and stop values for HCO3 are the correct ones If not select HCO3 and deactivate profiling 5 Change the values and reactivate profiling as usual procedure ...

Page 329: ...ure is too low To clear attention press Confirm Appears When the dialysis machine cannot reach the right temperature during a heat disinfection program Machine actions None Operator action Press Confirm Let the machine pass the ongoing program and then start a new heat disinfection program If the attention appears again contact an authorised technician Mute time ...

Page 330: ... to 0 0 mL h 556 Heparin flow rate set to 0 0 mL h To accept press Confirm Appears When the heparin solution flow rate is set to zero Machine actions After 2 minutes there is a buzzer sound Operator action Press Confirm to confirm that the heparin pump is not going to be used for the treatment Mute time 2 minutes ...

Page 331: ... B 131 557 Heparin functional check failed 557 Heparin functional check failed Heparin pump is disabled To continue without heparin pump press Confirm Appears When the functional check of the heparin pump fails Machine actions None Operator action Press Confirm to continue Mute time ...

Page 332: ...ue press Confirm Appears This attention appears when heparin bolus is completed during priming when heparin bolus is completed during treatment and the heparin solution flow rate is set to zero at heparin pump stop time The appearance of the attention can be preset Machine actions The heparin pump stops Operator action Press Confirm to continue Mute time Permanent ...

Page 333: ...erloaded Check heparin line for obstruction Appears When the pressure in the syringe is too high during priming Machine actions The heparin pump stops Operator action Check the syringe Check for kinks on the thin line connected to the syringe See Section 4 2 6 Attach the heparin syringe on page A 89 in Operators handbook Mute time 2 minutes ...

Page 334: ...ity 560 High inlet water conductivity Too high inlet water conductivity 0 0 0 mS cm Check inlet water Appears When the inlet water conductivity is too high higher than 2 5 mS cm during a functional check Machine actions A technical alarm is generated Operator action Contact an authorised technician Mute time Permanent ...

Page 335: ...en the inlet water conductivity is between 0 5 and 2 5 mS cm during a functional check Machine actions Depending on the inlet water conductivity minor electrolytes concentration potassium calcium magnesium will be reduced by 4 20 in the dialysis fluid Operator action Consult the attending physician before confirming the attention and continuing the treatment It will not be possible to start a trea...

Page 336: ...al time Adjust ready time Appears When the machine is switched off and the time for when the heat disinfection program or rinse program is set to be finished is too close to present time Machine actions The machine does not switch off until the time setting has been changed Operator action Change the finish time for the rinse program or heat disinfection program Mute time 2 minutes ...

Page 337: ... or UF volume settings Adjust time and or UF volume Appears When a too high UF volume has been set in combination with the set treatment time Machine actions After 2 minutes there is a buzzer sound Operator action Adjust Time Isolated UF time or UF volume UF volume until the calculated UF rate is lower than the high limit for UF rate Mute time 2 minutes ...

Page 338: ...cted concentrate Appears Before treatment when the selected concentrate does not match the concentrate connected to the machine Machine actions The dialysis fluid bypasses the dialyzer Operator action Check what concentrate is set and what is connected Make sure they are the same See Section 4 2 3 Set up the dialysis machine on page A 77 in Operators handbook Mute time 2 minutes ...

Page 339: ...connected concentrate Appears Before treatment when the selected concentrate does not match the concentrate connected to the machine Machine actions The dialysis fluid bypasses the dialyzer Operator action Check what concentrate is set and what is connected Make sure they are the same See Section 4 2 3 Set up the dialysis machine on page A 77 in Operators handbook Mute time 2 minutes ...

Page 340: ... conductivity is not correct during a functional check Machine actions None Operator action 1 Check that the red concentrate connector is properly connected to the pick up tube and the concentrate container see Section 4 2 3 Set up the dialysis machine on page A 77 in Operators handbook 2 Check that the correct concentrate is connected 3 Check that the SoftPac container pin is broken 4 Press Confi...

Page 341: ...ncentrate Appears When the dialysis fluid composition deviation the relation between the acidic and the bicarbonate concentrate is too high Machine actions The dialysis fluid bypasses the dialyzer Operator action Check what concentrate is set and what is connected Make sure they are the same See Section 4 2 3 Set up the dialysis machine on page A 77 in Operators handbook Mute time 2 minutes ...

Page 342: ...ram version 2 xx 568 Inlet water pressure is too low 568 Inlet water pressure is too low Check water supply Appears When the water supply pressure is too low Machine actions After 2 minutes there is a buzzer sound Operator action Check the water supply Mute time 2 minutes ...

Page 343: ... target reached 569 Kt V target reached To continue press Confirm Appears When the set target value for Kt V is reached Machine actions None Operator action Press Confirm to confirm the attention It is possible to increase the Kt V target value The machine will recalculate time to target Mute time ...

Page 344: ... 570 Kt V target will not be reached Check treatment settings and check adjust Kt V alarm limit To continue press Confirm Appears Kt V forecast value is below the set alarm limit for Kt V Machine actions None Operator action Check for a cause adjust treatment parameters or adjust the alarm limit for Kt V Mute time Permanent ...

Page 345: ... test failed Check fluid tubes To continue press Confirm Appears When the fluid tubes are not properly attached to the safety couplings Machine actions The leakage test is repeated until it is approved or until the function check is stopped Operator action Check the fluid tubes and confirm the attention Mute time 2 minutes ...

Page 346: ... heat disinfection program with WRO 300 H The low flow heat phase where the machine receives hot water from the WRO 300 H will not start This attention can appear if you manually choose to start a low flow heat phase but do not confirm it within 5 minutes Machine actions The low flow heat phase does not start Operator action 1 Press Confirm to confirm the attention The machine now enters drain pha...

Page 347: ...574 Monitor temperature is too high 574 Monitor temperature is too high Switch off the machine Appears When the temperature inside the monitor is more than 58 C Machine actions None Operator action Consult an authorised technician The air filter may be filled with dust Mute time Permanent ...

Page 348: ...d the treatment is resumed Machine actions The machine reactivates the previously set sodium profiling setting Operator action Check actual profile settings 1 Press the Fluid button 2 Select the Cond tab 3 Press Profiling 4 Check that the start and stop values for Na are the correct ones If not select Na and deactivate profiling 5 Change the values and reactivate profiling as usual procedure See S...

Page 349: ...kfiltration rate 50 mL min for 5 minutes Machine actions None Operator action 1 Check if there are obstructions in the outlet tube the tube where the used dialysis fluid flows out from the dialysis machine 2 Remove any obstructions and press Confirm 3 Check that the UF rate is correct If not contact an authorised technician Mute time 2 minutes WARNING If no action is taken for this attention the p...

Page 350: ...ired 0 days since last change Appears When the ultrafilter needs to be replaced Too many days passed since last change The period of time between the last change and the appearance of the attention can be preset Machine actions None Operator action Replace the ultrafilter and confirm that the ultrafilter has been replaced Mute time Permanent ...

Page 351: ...tions since last change Appears When the ultrafilter needs to be replaced Too many disinfections performed since last change The number of disinfections between the last change and the appearance of the attention can be preset Machine actions None Operator action Replace the ultrafilter and confirm that the ultrafilter has been replaced Mute time Permanent ...

Page 352: ...ince last change Appears When the ultrafilter needs to be replaced Too many hypochlorite disinfections performed since last change The number of hypochlorite disinfections between the last change and the appearance of the attention can be preset Machine actions None Operator action Replace the ultrafilter and confirm that the ultrafilter has been replaced Mute time Permanent ...

Page 353: ...rning TMP alarm limit s below 0 mmHg To accept and continue treatment press Confirm Appears When the low TMP alarm limit is set below zero The appearance of the attention can be preset Machine actions None Operator action Since the TMP alarm limits have been set below zero there may be backfiltration to the patient without TMP alarm Mute time ...

Page 354: ...PM connectors To clear attention press Confirm Appears When the blood pressure monitor detects that the cuff is not attached to the machine Machine actions After 2 minutes there is a buzzer sound Operator action Check for kinks or leakage from the cuff and the cuff hose Check that the cuff hose is properly connected to the machine Mute time Permanent ...

Page 355: ... achieved To continue press Confirm Appears When the extra priming volume limit has been reached The extra priming volume limit can be preset Machine actions None Operator action If this attention appears during initiation of the treatment check that the venous blood line is properly inserted into the priming detector Press Confirm Mute time 2 minutes ...

Page 356: ...machine runs with the conductivity and or the UF rate settings present when New blood circuit was selected and discontinuing mode was activated Operator action Check actual set profiling values and reactivate profiles 1 Press the Fluid button 2 Check that the start and stop values for one or both of the following profiling type are correct Select the UF rate tab and then press Profiling Select the...

Page 357: ...86 Restarted after power failure 586 Restarted after power failure To continue press Confirm Appears When the machine has recovered from power failure during priming or disinfection Machine actions None Operator action 1 Press Confirm 2 Check power supply and mains cable Mute time 2 minutes ...

Page 358: ...flow or call technical service Appears The actual dialysis fluid flow rate is not the same as the set value The dialysis machine cannot set the required dialysis fluid flow rate Machine actions None Operator action If the treatment can continue with a lower flow adjust the set value to the actual value If this is not possible contact an authorised technician Mute time Permanent ...

Page 359: ... the beginning of the priming phase when the venous drip chamber has not yet been filled Machine actions None Operator action When the blood pump is running fill the venous drip chamber using the level adjustment knob The level of priming fluid should be well above the air detector head When the venous drip chamber is filled the machine will finish the functional check Mute time ...

Page 360: ...Program version 2 xx 590 Heat disinfection 590 Heat disinfection Start heat disinfection on WRO To clear attention press Confirm Appears When it is time to manually start the heat program in the WRO Machine actions None Operator action Press Confirm Mute time Permanent ...

Page 361: ... Low flow heat disinfection 591 Low flow heat disinfection Start Low flow heat disinfection on WRO To clear attention press Confirm Appears When it is time to manually start the low flow heat program in the WRO Machine actions None Operator action Press Confirm to continue Mute time Permanent ...

Page 362: ...pears When concentrates are not connected to the machine during a functional check Machine actions The functional check stops The functional check will automatically continue when the concentrates have been connected Operator action Connect the selected concentrate to the machine see Section 4 2 3 Set up the dialysis machine on page A 77 in Operators handbook Mute time Permanent ...

Page 363: ...MP required Increase time or decrease UFV Appears When the machine cannot maintain the required UF rate Machine actions Alarm sound is delayed for 2 minutes Operator action Check if the dialyzer is too small or is clotted act in accordance If possible adjust treatment time and or UF volume until TMP decreases Mute time 2 minutes ...

Page 364: ...total UF volume start isolated UF Appears When there are 2 minutes left of a diffusion phase Machine actions None Operator action The dialysis machine calculates not to reach the intended UF volume within the remaining treatment time Do one of the following things Start Isolated UF Adjust Isolated UF time Adjust Treatment time Mute time Permanent ...

Page 365: ...596 Treatment time expired To discontinue treatment press Confirm Appears When treatment is finished Machine actions None Operator action Press Confirm to confirm end of treatment See Section 4 3 1 End the treatment on page A 100 in Operators handbook for instructions how to discontinue treatment Mute time Permanent ...

Page 366: ...2016 Program version 2 xx 597 UF has been stopped for too long 597 UF has been stopped for too long UF stopped for 0 min Appears 5 minutes after UF has manually been stopped Machine actions None Operator action Press the Ultrafiltration button Mute time 5 minutes ...

Page 367: ...d To calculate a new limit adjust time or UF volume Check the resulting UF rate Appears When the actual UF rate differs more than 20 from the initially calculated UF rate Machine actions Alarm sound is delayed for 2 minutes Operator action Adjust treatment time and or UF volume to allow the machine to calculate a new UF rate Mute time 2 minutes ...

Page 368: ... time and or UF volume or min UF rate Appears When the machine needs to decrease the UF rate below the set minimum UF rate in order to obtain the set UF volume at the end of treatment Machine actions Alarm sound is delayed for 2 minutes Operator action Change one or several of these settings Decrease the set minimum UF rate Decrease treatment time to increase the UF rate Increase UF volume Mute ti...

Page 369: ...ter the dialyzer and the blood lines have been changed during treatment Machine actions None Operator action 1 Press the Fluid button 2 Select the UF rate tab 3 Press Profiling 4 Check that the start and stop values for UF rate are the correct ones and then press Confirm If they are not correct deactivate profiling Change the values and reactivate profiling See Section 7 Profiling on page A 117 in...

Page 370: ...et UF 601 Actual UF may differ from set UF Continuously observe patient weight loss and status Appears As a reminder after the first UF deviation alarm has been reset The attention is visible throughout the treatment as a reminder that the UF regulation might be wrong Machine actions None Operator action None Mute time ...

Page 371: ...hieved and the remaining treatment time is more than 20 minutes Machine actions Alarm sound is delayed for 2 minutes The machine automatically sets the actual UF rate to minimum UF rate Operator action 1 Press the Fluid button 2 Select the UF rate tab 3 Check that the minimum UF rate is suitable the patient If not adjust the value If necessary consider adjusting treatment time or UF volume within ...

Page 372: ...me is set to 0 0 L 603 UF volume is set to 0 0 L To accept press Confirm Appears When the priming detector detects blood and the set UF volume is zero Machine actions Alarm sound is delayed for 2 minutes Operator action Press Confirm to confirm no ultrafiltration during treatment Mute time 2 minutes ...

Page 373: ...failed Check venous line placement in venous clamp To continue press Confirm Appears When the venous clamp test fails Machine actions The machine stops the venous clamp test until the attention is confirmed Operator action Check that the blood lines are correctly inserted into the venous clamp and confirm the attention Mute time 2 minutes ...

Page 374: ...016 Program version 2 xx 605 WRO communication failure 605 WRO communication failure Check WRO and cables Appears When the dialysis machine and the WRO unit cannot communicate Machine actions None Operator action Contact an authorised technician Mute time Permanent ...

Page 375: ... 98 Dialysis Machine Attentions B 175 606 WRO not ready 606 WRO not ready Check WRO status and wait for WRO to get ready Appears When the WRO unit is not accessible Machine actions None Operator action Check information on WRO unit Mute time Permanent ...

Page 376: ...ss Confirm Appears When the dialysis machine detects a too high or too low disinfectant concentration The appearance of the attention can be preset Machine actions None Operator action 1 Check that the disinfectant set in the dialysis machine is the same as the actual disinfectant connected to the machine 2 Press Confirm to repeat the fill up phase Mute time Permanent ...

Page 377: ...77 608 Disinfection fill up phase completed 608 Disinfection fill up phase completed Move concentrate tube B to standby position Appears When chemical disinfection fill up phase is completed Machine actions None Operator action Move concentrate tube B to standby position Mute time 5 min ...

Page 378: ...he end of the priming phase when the venous drip chamber has not yet been filled Machine actions None Operator action When the blood pump is running fill the venous drip chamber using the level adjustment knob The level of priming fluid should be well above the air detector head When the venous drip chamber is filled the machine will finish the functional check Mute time Permanent ...

Page 379: ...rm a patient ID To continue without a patient ID press Confirm Appears When the machine is in pre treatment mode or when Connect patient is selected and the patient s ID is not defined Machine actions None Operator action 1 Enter the patient s id and press Confirm When it is not required to enter a patient ID 1 Press the Confirm button Mute time Permanent ...

Page 380: ...ppears If the machine has a permanent failures sending treatment data to the Clinical Information System Appears when the operator presses the Disinfection button and unsent messages remain or permanent failures have occurred Machine actions None Operator action Treatment data in the Clinical Information System is not complete Treatment information is available in the History tab Manual documentat...

Page 381: ...age detected To continue wipe fluid detector container dry Appears When the machine has detected a fluid leakage Appears in Function check Blood line preparation Pre treatment Post treatment Machine actions Close valves to stop leakage to the environment Operator action 1 Wipe the fluid leakage detector tray dry 2 Continue treatment Mute time 2 min ...

Page 382: ...age detector press Confirm Appears When the internal leakage detector did not pass the functional check Is repeated after treatment to remind the operator of a failed function check Machine actions None Operator action 1 Press Confirm to continue treatment with the internal leakage detector disabled 2 Contact an authorised technician if the error remains Green fluid path will not occur until Confi...

Page 383: ...the machine To close this message press Confirm Appears When it is not possible to connect to the Clinical Information System Machine actions The machine will save treatment data until restarted If a network connection is established before a restart the saved data will be sent to the Clinical Information System Operator action 1 Check the network cable 2 Press Confirm to continue Mute time N A ...

Page 384: ...leakage detected Disinfection is aborted Not possible to continue disinfection Appears When the machine has detected a fluid leakage during disinfection Machine actions Close valves to stop leakage to the environment Disinfection is stopped Operator action 1 Empty the fluid leakage detector 2 Contact an authorised technician It is not possible to continue disinfection Mute time 2 min ...

Page 385: ...function A 112 CIS A 25 A 166 Clinical Information System A 166 Clamp A 32 Clearance A 136 Concentrate standby mode A 70 Concentrates A 118 A 180 profiling A 118 A 180 D Dialysis fluid A 71 Pause preparation A 71 Dialysis fluid filter A 42 Dialyzer A 24 Disascan A 180 clearance A 180 Disinfectant A 152 A 180 Disinfection A 144 A 145 A 149 A 180 A 181 chemical A 149 A 180 heat A 145 A 181 Drain tub...

Page 386: ...07 RO water A 174 S Station ID A 166 storage A 154 A 155 disinfectant A 154 A 155 Stroke volume A 106 A 111 A 112 T Technician A 25 TMP A 186 Treatment A 99 A 110 A 111 start A 99 A 110 A 111 Treatment time A 73 U UF A 114 A 122 125 activate A 114 profiling A 122 125 UF rate A 73 A 95 A 119 profiling A 119 setting A 95 UF settings A 73 UF volume A 73 A 95 A 112 calculate A 95 setting A 112 Ultrafi...

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