Gambro AK 96 Operator's Manual
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Gambro AK 96 Operator's Manual

Dialysis machine
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Table of Contents

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Important Information

Concerning this manual; Operator's Manual, AK 96 Dialysis machine, Program version 3.xx,
Rev 12.2010
Dear operator,
The exterior of the machine that you are using might be different in appearance from the
exterior described in this manual. If there is a difference, this is because you are using a

previous version of the machine.

Whenever this asterix symbol
Appears in the manual, it indicates that it is the previous
version of the machine.
The differences are to be found in chapter 2 and 4.
Machine in this manual
Previous version of the machine

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Summary of Contents for Gambro AK 96

  • Page 1 Important Information Concerning this manual; Operator’s Manual, AK 96 Dialysis machine, Program version 3.xx, Rev 12.2010 Dear operator, The exterior of the machine that you are using might be different in appearance from the exterior described in this manual. If there is a difference, this is because you are using a previous version of the machine.
  • Page 3 AK 96 ® Dialysis Machine Operator's Manual For use with program version 3.xx Manufacturer: Gambro Lundia AB Box 10101 Magistratsvägen 16 SE-220 10 LUND Sweden Phone +46 46 169000 www.gambro.com Questions or comments about this publication can be directed to your local representative or to the manufacturer.
  • Page 4 ® Czech Republic, Germany, Greece, Croatia, Italy, Norway, Poland, Portugal, Russian Federation, Slovenia, Turkey, Ukraine, Hong Kong, Mexico, Taiwan, United States and Great Britain in the name of Gambro Lundia AB and in the name of Gambro Hospal (Switzerland) ltd U9000 ®...
  • Page 5 14. Attention Alarms Note • Please observe that this part of the Operator's manual for the AK 96 dialysis machine is one out of three. To assimilate these instructions the complete manual must be available. For information see “How To Use this Manual”...
  • Page 6 This page is intentionally left blank HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 7 Certification marks ........1:22 AK 96 ®...
  • Page 8 How To Use this Manual This Operator's Manual for the AK 96 dialysis machine is divided up into three parts according to their contents. The reason for this is ease of access for the operator of the machine. It is important to observe that the parts should be considered as one document in spite of the fact that it is printed in three separate parts.
  • Page 9 Chapter 4; Hemodialysis - Double Needle Treatment This chapter contains instructions on how to perform hemodialysis with two needles, using the AK 96 dialysis machine. The chapter begins with how to start the machine and continues with how to attach the dialyzer and the blood lines, the priming procedure, starting the treatment and setting of parameters.
  • Page 10 The attention alarms in the list is shown in alphabetical order. AK 96 ® Operator's Manual - Before you get started HCEN12239 Revision 12.2010...
  • Page 11 Note Note • A reminder to the user/operator on normal treatment activity and on what is a suitable action in a particular situation. Note AK 96 ® Operator's Manual - Before you get started HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 12 Machine Whenever the word Machine is used within this manual, machine always refers to the AK 96 dialysis machine if no other is written. Manual Whenever the word Manual is used within this manual, manual always refers to this Operator's Manual for the AK 96 dialysis machine if no other is written.
  • Page 13 This is an example of a lit button. This is an example of a flashing button. A small reference number beside the figure has sometimes been added to simplify manual production. AK 96 ® Operator's Manual - Before you get started HCEN12239 Revision 12.2010...
  • Page 14 In a dashed list all items are valid but are not presented in a particular order. Symbols within the User Interface See chapter 3, "Buttons" starting on page 3:8 in part 1. AK 96 ® Operator's Manual - Before you get started HCEN12239 Revision 12.2010...
  • Page 15 On (power, connection to the mains) Type B, applied part NIBP type BF applied part, defibrillator proof Do not stack Fragile – Handle with care AK 96 ® Operator's Manual - Before you get started HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 16 Keep dry Year of manufacturing Equipotentiality Separate collection for electrical and electronic equipment The AK 96 dialysis machine is protected against dripping water Warning, Dangerous voltage. Contact may cause electric shock or burn. The label is yellow with a black frame and icon.
  • Page 17 For further information, see part 1 and chapter 9, "Technical Data and Specifications". The AK 96 dialysis machine will perform as designed only if it is used and maintained in accordance with Gambro’s instructions. Any warranties made by Gambro with respect to the AK 96 dialysis machine are void if the equipment is not used in accordance with the instructions provided.
  • Page 18 If not please contact your local Gambro Service Technician for further assistance. The AK 96 dialysis machine is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide.
  • Page 19 Note • This Operator’s Manual provides instructions necessary for the proper operation of the AK 96 dialysis machine. It is not a guide for the administration of hemodialysis. • Machines are not disinfected before delivery. Always perform a chemical disinfection after installation, before initial use.
  • Page 20 Intended Use The Gambro AK 96 dialysis machine is designed to be used as a single patient machine to perform hemodialysis treatments upon prescription by a physician. Patient counselling and teaching of treatment techniques are directly under the supervision and discretion of the physician.
  • Page 21 The functionality of the protective system is checked by the AK 96 dialysis machine before each treatment. A fault detection during the pre-treatment tests will make it impossible to start the treatment.
  • Page 22 Treatment" on page 3:36 in part 1. Chemical disinfectant intake The AK 96 dialysis machine is designed to take in chemical disinfectants via a permanent connection. For this reason, the machine is equipped with an extra valve within the protective system. The...
  • Page 23 1:19 in part 1. UFD- Ultrafiltered Dialysis Fluid (option) The AK 96 dialysis machine can be equipped with a holder in which an ultrafilter can be mounted. The ultrafilter purifies the dialysis fluid from possible contamination by bacteria and endotoxins.
  • Page 24 Disposables This manual contains a number of references to concentrates, accessories and disposables for use with the AK 96 dialysis machine. For ease of reference, set out below is a comprehensive listing of such concentrates, accessories and disposables as follows.
  • Page 25 fluid. Non-liquid concentrates Area of use BiCart cartridge Dry bicarbonate concentrate for ® preparation of bicarbonate dialysis fluid together with proper liquid A-concentrate. AK 96 ® Operator's Manual - Before you get started 1:19 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 26 A connection line with an expansion chamber. Used in single needle mode. WARNING Do not use the pediatric blood lines; A-5.128-B4 or V-5.127-X. The blood line clamps of the AK 96 dialysis machine cannot clamp these thin blood lines. WARNING 1:20 AK 96 ®...
  • Page 27 AK 96 dialysis machine, with regards to e.g. the maximum UF coefficient and the recommended priming procedure. The connectors and the ports of the dialyzer must comply with ISO 8637 and EN 1283.
  • Page 28 British Standards Institution (BSI, No. 0086) has approved the Quality Management System. The CE conformity mark is only valid for the AK 96 dialysis machine. Disposables and any accessories specified for use with the AK 96 dialysis machine are marked with CE conformity marks in their own right.
  • Page 29 Rear Component Terms ....... . . 2:29 Rear Component Details ....... . 2:31 AK 96 ®...
  • Page 30 The Blood Part of the Machine AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 31 13. Arm for Dialyzer Holder 14. Expansion Chamber Holder 15. BPM Connector (option) 16. Blood Line Guides 17. Level Adjustment Knob 18. BPM Cuff Holder (option) 19. Infusion Pole AK 96 Operator's Manual - Machine Description ® HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 32 If a remote operator's panel has been installed, fluid bags must be removed from the infusion pole or placed on the top tray when transporting (moving) the machine. WARNING AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010...
  • Page 33 22 mm. Instructions on how to attach the venous drip chamber of the venous blood line in the air detector, can be read in "Venous Blood Line - Attach" on page 4:28 in part 1. AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010...
  • Page 34 Instructions on this can be read in "Arterial Blood Line - Attach" on page 4:16 in part 1. AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010...
  • Page 35 Pump Rotor and e) the Pump Handle as shown in the corresponding figure. The blood flow measuring of the AK 96 dialysis machine is based on blood pump rotations (see also in "Blood Flow Control" on page 9:2 in part 1).
  • Page 36 figure. Turn the rotor clockwise slowly, and at the same time push slightly, until it reaches the bottom position. Continue turning until the blood pump handle clicks in. AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010...
  • Page 37 The treatment time will continue to count down as long as blood is detected. 2:10 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 38 This is to minimize recirculation. See "General" and "Glossary of single needle parameters and key terms" in the introductory parts of chapter 5 in part 1 for further information. AK 96 ® Operator's Manual - Machine Description 2:11 HCEN12239 Revision 12.2010...
  • Page 39 The holder is principally used for the expansion chamber included on the venous blood line when performing single needle treatment. See "Preparations" on page 5:3 in part 1 for instructions. 2:12 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 40 Turn the level adjustment knob anticlockwise to raise the level and clockwise to lower it. AK 96 ® Operator's Manual - Machine Description 2:13 HCEN12239 Revision 12.2010...
  • Page 41 (on the machine) whilst holding the pole, and then moving the pole upwards or downwards as shown in the corresponding figure, before locking it into place. 2:14 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 42 This page is intentionally left blank AK 96 ® Operator's Manual - Machine Description 2:15 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 43 The Fluid Part of the Machine 2:16 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 44 12. Stand-by Port for Red Concentrate Connector 13. Stand-by Port for Blue Concentrate Connector 14. BiCart® Cartridge Holder (option) 15. Blood Leak Detector 16. Dialysis Fluid Filter (option) 2:17 HCEN12239 Revision 12.2010 AK 96 Operator's Manual - Machine Description ® Program version 3.xx...
  • Page 45 The small button positioned just below the safety coupling will now be depressed which means that the connector is correctly attached to the machine. AK 96 ® Operator's Manual - Machine Description 2:19 HCEN12239 Revision 12.2010...
  • Page 46 Instructions on how and when the tube can be attached to the dialyzer can be read in "Dialysis Fluid Tubes - Attach" on page 4:35 in part 1. 2:20 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010...
  • Page 47 (see "The Rear of the Machine" on page 2:28 in the next section). AK 96 ® Operator's Manual - Machine Description 2:21 HCEN12239 Revision 12.2010...
  • Page 48 To remove the connector from the port; compress the connector as shown in the corresponding figure, before pulling the connector out. 2:22 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 49 (point 6 in this list). 9. Base Plate The plate is designed for placement of concentrate containers during treatment. AK 96 ® Operator's Manual - Machine Description 2:23 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 50 , during function check and treatment. The connector is to be attached to the port in the same way as the yellow disinfectant connector, see point 6 in this list. 2:24 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010...
  • Page 51 3:32 in part 1. Instructions on how to attach the CleanCart cartridge to the holder can be read in "Heat Disinfection Program with CleanCart® cartridge - Performing", page 8:13 in part 1. AK 96 ® Operator's Manual - Machine Description 2:25 HCEN12239 Revision 12.2010...
  • Page 52 16. Dialysis Fluid Filter (option) See in "UFD- Ultrafiltered Dialysis Fluid (option)", page 1:17 in part 1 for information concerning this option. 2:26 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 53 This page is intentionally left blank AK 96 ® Operator's Manual - Machine Description 2:27 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 54 The Rear of the Machine 2:28 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 55 7. Inlet Water Tube 8. Disinfectant Inlet Tube 9. External Communication Port 10. Attachment for Service Table 11. Mains Connection 12. Fuses 13. Main Switch 14. Wheels AK 96 Operator's Manual - Machine Description 2:29 HCEN12239 Revision 12.2010 ® Program version 3.xx...
  • Page 56 When this button is pressed, the power supply to the machine is interrupted. As soon as the button is released the power returns and the machine performs a recovery. See "Recovery from Machine Shut Down" on page 3:29 in part 1. AK 96 ® Operator's Manual - Machine Description 2:31 HCEN12239 Revision 12.2010...
  • Page 57 (see point 13 further on in this list) indicating that the battery charge is ongoing. 6. Outlet Tube The spent dialysis fluid flows out from the machine via this tube. 2:32 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 58 9. External Communication Port This port is to be used by the authorized technician. It can be used for service, connection to external computer systems and external alarms. AK 96 ® Operator's Manual - Machine Description 2:33 HCEN12239 Revision 12.2010...
  • Page 59 fixed. 12. Fuses When necessary, these fuses are to be changed by an authorized technician. 2:34 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 60 This is in order for the batteries to be charged. 14. Wheels It is recommended to lock the front wheels, especially during treatment, for safety reasons. AK 96 ® Operator's Manual - Machine Description 2:35 HCEN12239 Revision 12.2010...
  • Page 61 This page is intentionally left blank 2:36 AK 96 ® Operator's Manual - Machine Description HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 62 Post-blood pump infusions ......3:36 Pre-blood pump infusions ......3:36 AK 96 ®...
  • Page 63 This page is intentionally left blank AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 64 The Basics The Operator’s Panel of the AK 96 dialysis machine consists of; a time display at the top of the panel, a Flow Diagram below this, function buttons, a key pad (setting keys) and an Information Display. The purpose of these components is to inform the operator of status and parameter values and also to guide the operator through the various procedures.
  • Page 65 The Blood Pump button is placed to the left, next to the Information Display. The setting keys used for increasing and decreasing the blood flow rate are placed above and below the button. AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 66 Blood Pump Up/Down keys connected to the button. When the UF Start/Stop button is pressed, the ultrafiltration starts and stops. When the Fluid bypass button is pressed, the dialysis fluid will enter or bypass the dialyzer. AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 67 The Flow Diagram shows the status of the blood flow and the dialysis fluid flow. The Blood Path The blood path lights red when the priming detector detects blood. AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 68 The dialyzer path lights green when dialysis fluid is passing through the dialyzer. The Ultrafiltration Path The ultrafiltration path lights yellow during isolated ultrafiltration and in fluid bypass. AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 69 Fluid Bypass button, see page 3:15. UF Start/Stop button, see page 3:15. Fluid Path button, see page 3:15. Mute button, see page 3:19. Attention button, see page 3:19. AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 70 Select key and the Back key. See below for page references for each key. Right/Left Cursor keys, see page 3:21. Display Up/Down keys, see page 3:21. Select key, see page 3:20. Back key, see page 3:21. AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 71 The Priming button continues to be lit, indicating that priming mode is active, until blood is detected. Press the lit Priming button and the priming main menu opens on the Information Display. 3:10 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 72 Right Cursor key to select alarm limit. Then press the Select key to open the position. Change the value using the Up and Down Display keys. Close using the Select key. AK 96 ® Operator's Manual - Operating the Machine 3:11 HCEN12239 Revision 12.2010...
  • Page 73 Change the value using the Up and Down Display keys. Close using the Select key. this alarm limit can be preset to a fixed value by an authorized technician. 3:12 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 74 SET LOW; set low alarm limit for blood flow rate SEGMENT; blood pump segment diameter ACTUAL QB; current blood flow rate ACC; accumulated blood volume since treatment start AK 96 ® Operator's Manual - Operating the Machine 3:13 HCEN12239 Revision 12.2010...
  • Page 75 flow rate (arterial) is to be set/adjusted using the Blood Pump Up/Down keys. The mean blood flow rate is the effective blood flow rate displayed when performing single needle treatment 3:14 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 76 TEMP; current dialysis fluid temperature COND; current conductivity value DIA FLUID FLOW; current dialysis fluid flow rate DIASCAN; function activated or not activated TMP; current transmembrane pressure AK 96 ® Operator's Manual - Operating the Machine 3:15 HCEN12239 Revision 12.2010...
  • Page 77 SET TEMP; set dialysis fluid temperature SET LOW; low alarm limit for temperature SET HIGH; high alarm limit for temperature TEMP; current dialysis fluid temperature 3:16 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 78 From the Fluid Path main menu; select DIASCAN by using the Keypad to reach the sub menu. For instructions on settings and activation of the Diascan function see chapter 12 in part 2. AK 96 ® Operator's Manual - Operating the Machine 3:17 HCEN12239 Revision 12.2010...
  • Page 79 Right Cursor key to select alarm limit. Then press the Select key to open the position. Change the value using the Up and Down Display keys. Close using the Select key. 3:18 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 80 Alarm button Alarm button, see the initial parts of chapter 13 "Alarms" in part 3. Air Detector button Air Detector button, see "Air Detector Alarm" on page 13:19 in part 3. AK 96 ® Operator's Manual - Operating the Machine 3:19 HCEN12239 Revision 12.2010...
  • Page 81 The Select key is also used to go into the positions of the menus; from the main menus and forwards between the menus of the subsections. 3:20 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 82 "Alarms" on page 13:1 in part 3 or in "Disinfection History" on page 8:4 in part 1. Display Up key Display Down key AK 96 ® Operator's Manual - Operating the Machine 3:21 HCEN12239 Revision 12.2010...
  • Page 83 Venous Pressure and the Time button pressed in, adjust the viewing angle of the Information Display using the Display Up/Down keys. 3:22 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 84 20 seconds and after this the first part will automatically return. When any other menu is displayed during treatment, the Back key can be pressed for 3 seconds if the Treatment Overview Menu is to be immediately displayed. AK 96 ® Operator's Manual - Operating the Machine 3:23 HCEN12239 Revision 12.2010...
  • Page 85 Refer to chapter 5 in part 1. 3:24 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 86 The alarm will disappear as soon as the time is sufficiently increased. 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. AK 96 ® Operator's Manual - Operating the Machine 3:25 HCEN12239 Revision 12.2010...
  • Page 87 If, for any reason, the UF rate has been too low during a period of time, the machine will try to compensate for this by increasing the UF rate, but within the UF rate limits. 3:26 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 88 Recovery from Machine Shut Down on page 3:29. Override of the battery back-up function can be used when there is a need to switch off or restart the machine for instance when it needs to be moved. AK 96 ® Operator's Manual - Operating the Machine 3:27 HCEN12239 Revision 12.2010...
  • Page 89 During manual procedure to return blood to patient in power failure, the operator assumes responsibility for visually monitoring all safety parameters which the machine cannot monitor in a power failure (e.g. air detection). WARNING 3:28 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 90 On/Off button for 3 seconds instead of pressing the Mute button. When the power returns, switch on again using the On/Off button. A normal recovery will now follow. Note AK 96 ® Operator's Manual - Operating the Machine 3:29 HCEN12239 Revision 12.2010...
  • Page 91 Concentrate stand-by mode is active. In this case, the consumption of both water and concentrates will be stopped. The handling procedures will be the same. 3:30 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 92 Dialysis fluid preparation will also automatically be resumed when concentrate stand-by mode has been active for more than one hour. AK 96 ® Operator's Manual - Operating the Machine 3:31 HCEN12239 Revision 12.2010...
  • Page 93 "Machine aftercare", page 4:63 in part 1. Instructions on how to attach the cartridge can be read in "Acidic concentrate and BiCart® cartridge", page 4:9 in part 1. 3:32 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010...
  • Page 94 5. Confirm the attention alarm: by pressing the Select key. AK 96 ® Operator's Manual - Operating the Machine 3:33 HCEN12239 Revision 12.2010...
  • Page 95 4.b. Clamp the arterial and venous blood lines and disconnect the blood lines from the patient. 4.c. Continue to point 5 in these instructions. 3:34 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 96 If the Diascan or Profiling functions have been previously activated, attention alarms will be generated to give the operator instructions on how to set/adjust the values for the continuing treatment. AK 96 ® Operator's Manual - Operating the Machine 3:35 HCEN12239 Revision 12.2010...
  • Page 97 This is to prevent air from entering the patient's blood stream since the pressure in the central venous catheter is sometimes negative. WARNING 3:36 AK 96 ® Operator's Manual - Operating the Machine HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 98 Machine aftercare ........4:63 AK 96 ®...
  • Page 99 The operator must look and check that the lamps are functioning. If any lamp does not light up, contact an authorized service technician. The machine will also test the buzzer sound. AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 100 “F.Ch” disappears from the Time Display. Note that if the optional Dialysis Fluid Filter, see "UFD- Ultrafiltered Dialysis Fluid (option)" page 1:17 in part 1, has been installed, the AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 101 Priming button lights up. Priming may be started (the blood lines and the blood compartment of the dialyzer) during function check (after complete blood part checks). AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 102 See information in "Concentrate Stand-by Mode" on page 3:30 in part 1. Note AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 103 This page is intentionally left blank AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 104 Bicarbonate to Acetate mode during treatment. • Fixed conductivity alarm limits (±5 %) will be set automatically, centred around the conductivity set value. Note AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 105 Acetate concentrate, see page 4:12 in part 1 for instructions. For details about the following mentioned machine components, see corresponding information in "Fluid Part Component Details" starting on page 2:19 in part 1. AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 106 Open the lower latch 2.b. Place the bottom port of the BiCart cartridge into the hole of the lower latch as shown in the corresponding figure. AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 107 Press the Fluid path button and select CONC. Go into the sub menus and check/select the connected concentrates using the Keypad. 4:10 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 108 Press the Fluid path button and select CONC. Go into the sub menus and check/select the connected concentrates using the Keypad. AK 96 ® Operator's Manual - Double Needle Treatment 4:11 HCEN12239 Revision 12.2010...
  • Page 109 Press the Fluid path button and select CONC. Go into the sub menus and check/select the connected concentrates using the Keypad. 4:12 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 110 (lit Priming button). Note AK 96 ® Operator's Manual - Double Needle Treatment 4:13 HCEN12239 Revision 12.2010...
  • Page 111 This page is intentionally left blank 4:14 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 112 Place the dialyzer in the holder by gently pushing it into the holder until it clicks in. If necessary, squeeze the spring-clip as shown in the corresponding figure, to place the dialyzer in the holder. AK 96 ® Operator's Manual - Double Needle Treatment 4:15 HCEN12239 Revision 12.2010...
  • Page 113 Arterial Blood Line - Attach WARNING Do not use the pediatric blood lines; A-5.128-B4 or V-5.127-X. The blood line clamps of the AK 96 dialysis machine cannot clamp these thin blood lines. WARNING Follow the Instructions For Use for the particular arterial blood line being used.
  • Page 114 8. Heparin Pump (option) If desired, more information concerning the following mentioned components can be read in the list "Blood Part Component Details" on page 2:6 in part 1. AK 96 Operator's Manual - Double Needle Treatment ® 4:17 HCEN12239 Revision 12.2010...
  • Page 115 figure. While keeping the segment in place, close the blood pump cover by pressing at the point shown in the corresponding figure. AK 96 ® Operator's Manual - Double Needle Treatment 4:19 HCEN12239 Revision 12.2010...
  • Page 116 The pins on the blood pump rotor, pointed out as in the figure, hold the segment in place. 4:20 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 117 figure. The cross-bar holds the segment in place during treatment and it is also easier to thread the blood pump segment through the pump. AK 96 ® Operator's Manual - Double Needle Treatment 4:21 HCEN12239 Revision 12.2010...
  • Page 118 4. Blood Line Guide Press lightly on the blood line to place it in one of the grooves of the guide. 4:22 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 119 Connect the patient end of the arterial blood line to the priming fluid. Follow the manufacturer's instructions for use for type of priming fluid to be used for the particular dialyzer and blood lines. AK 96 ® Operator's Manual - Double Needle Treatment 4:23 HCEN12239 Revision 12.2010...
  • Page 120 See the following pages (continuing point 8) for instructions on how to attach the syringe to the heparin pump and how to set the heparin pump values in the machine. 4:24 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 121 To change the position of the piston, press the end of the piston, hold it in and move the holder. When the piston is released the holder cannot move. AK 96 ® Operator's Manual - Double Needle Treatment 4:25 HCEN12239 Revision 12.2010...
  • Page 122 8.m. Set a heparin solution flow rate in ml/hour (FLOW RATE) suitable for the patient. Note that during priming it is not possible to run the heparin pump with normal FLOW RATE. 4:26 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 123 Note that to stop the heparin pump from running during priming; set bolus volume (BOLUS) to zero. AK 96 ® Operator's Manual - Double Needle Treatment 4:27 HCEN12239 Revision 12.2010...
  • Page 124 Venous Blood Line - Attach WARNING Do not use the pediatric blood lines; A-5.128-B4 or V-5.127-X. The blood line clamps of the AK 96 dialysis machine cannot clamp these thin blood lines. WARNING Follow the Instructions For Use for the particular venous blood line being used.
  • Page 125 If desired, more information concerning the following mentioned components can be read in the list "Blood Part Component Details" on page 2:6 in part 1. 4:29 HCEN12239 Revision 12.2010 AK 96 Operator's Manual - Double Needle Treatment ® Program version 3.xx...
  • Page 126 Compress the venous drip chamber as shown in corresponding figure and push it in to the air detector. Press on the middle of the venous drip chamber, while closing the cover. AK 96 ® Operator's Manual - Double Needle Treatment 4:31 HCEN12239 Revision 12.2010...
  • Page 127 3. Blood Line Guide Press lightly on the blood line to place it in one of the grooves of the guide. 4:32 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 128 figure. For further information see point 9 "Priming Detector", in Blood Part Component Details" starting on page 2:5 in part 1. AK 96 ® Operator's Manual - Double Needle Treatment 4:33 HCEN12239 Revision 12.2010...
  • Page 129 7. Venous Pressure Connector Attach the venous pressure transducer protector of the blood line to the venous pressure connector; press and simultaneously turn. Check all necessary clamps. 4:34 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 130 Flow Diagram lights up green before disconnecting the dialysis fluid tubes Note If assisted priming is performed disregard note this note AK 96 ® Operator's Manual - Double Needle Treatment 4:35 HCEN12239 Revision 12.2010...
  • Page 131 3. Release the button and simultaneously push the connector into place until it clicks in. Make sure that it clicks in properly to prevent leakage during treatment. 4:36 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 132 figure. 6. Release the button and simultaneously push the connector into place until it clicks in. Make sure that it clicks in properly to prevent leakage during treatment. AK 96 ® Operator's Manual - Double Needle Treatment 4:37 HCEN12239 Revision 12.2010...
  • Page 133 filled with priming solution. The blood pump start can be preset to either not consider, or wait for correct dialysis fluid conductivity and temperature. 4:38 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 134 This is to compensate for the priming fluid being ultrafiltrated from the closed circuit. For information on how to connect the priming fluid, see “Infusions during Treatment”, page 3:36 in part 1 of this manual. AK 96 ® Operator's Manual - Double Needle Treatment 4:39 HCEN12239 Revision 12.2010...
  • Page 135 Adjust as necessary using the Blood Pump Up/Down keys; the blood flow menu will be displayed, adjust SET QB. If the blood pump segment has been automatically threaded, check for possible kinks. 4:40 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 136 4:35 in part 1 for instructions on how to attach the tubes. Especially note that if UFD (dialysis fluid filter) is installed, the dialysis fluid tubes cannot be moved until the bypass path of the Flow Diagram lights up green. AK 96 ® Operator's Manual - Double Needle Treatment 4:41 HCEN12239 Revision 12.2010...
  • Page 137 If necessary, select a new priming procedure (NEW PRIMING) where priming will be repeated from the start and the set priming volume value be set to zero. 4:42 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 138 See information in "Concentrate Stand-by Mode" on page 3:30 in part 1. Note AK 96 ® Operator's Manual - Double Needle Treatment 4:43 HCEN12239 Revision 12.2010...
  • Page 139 fluid being ultrafiltrated from the closed circuit. For information on how to connect the priming fluid, see “Infusions during Treatment”, page 3:36 in part 1 of this manual. 4:44 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 140 NEW PRIMING when the priming volume achieved menu is displayed, using the Keypad. The machine will reactivate priming and it is possible to repeat the priming procedure from the start. AK 96 ® Operator's Manual - Double Needle Treatment 4:45 HCEN12239 Revision 12.2010...
  • Page 141 Select key for three seconds to activate assisted priming mode. 1. Check that the Priming button is lit. Follow the manufacturer's instructions for use of the dialyzer and the blood lines. 4:46 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 142 CONNECT PATIENT is selected or when blood is detected. The activated air detector alarm function is indicated by an unlit button. AK 96 ® Operator's Manual - Double Needle Treatment 4:47 HCEN12239 Revision 12.2010...
  • Page 143 filled from bottom to top to ensure proper de-airation. 9. Press the flashing Blood pump button to restart the blood pump and to continue the procedure. 4:48 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 144 If necessary, select a new priming procedure (NEW PRIMING) where priming will be repeated from the start and the set priming volume value be set to zero. AK 96 ® Operator's Manual - Double Needle Treatment 4:49 HCEN12239 Revision 12.2010...
  • Page 145 fluid during the complete procedure. Before starting the procedure, the extracorporeal blood circuit must be prepared for recirculation priming in accordance with 4:50 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 146 NEW PRIMING when the priming volume achieved menu is displayed, using the Keypad. The machine will reactivate priming and it is possible to repeat the priming procedure from the start. AK 96 ® Operator's Manual - Double Needle Treatment 4:51 HCEN12239 Revision 12.2010...
  • Page 147 COND and adjust if necessary. Also check/adjust the set value for dialysis fluid temperature; press the Fluid Path button, select TEMP and adjust if necessary. 4:52 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 148 flashing Blood pump button later is pressed. If desired, adjust the blood flow rate using the Blood Pump Up/Down keys to the proper value for treatment start. AK 96 ® Operator's Manual - Double Needle Treatment 4:53 HCEN12239 Revision 12.2010...
  • Page 149 Bear in mind that when this preset is active, the operator is fully responsible for manually clamping the venous blood line and checking it from air whenever necessary during patient connection. Note 4:54 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 150 The Venous Pressure and Arterial Pressure button will be flashing. The UF Start/Stop button will be flashing. See "Start the Treatment" in the next following section for information on how to continue. AK 96 ® Operator's Manual - Double Needle Treatment 4:55 HCEN12239 Revision 12.2010...
  • Page 151 Check that the minimum UF rate is set to the correct value. Press the Fluid Path button, select UF and check the value in SET MIN UFR. Adjust if necessary. 4:56 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 152 If necessary the alarm limits can be manually set/adjusted within the preset alarm window. Press the corresponding button and the pressure menu will be shown on the Information Display. Manually adjust the AK 96 ® Operator's Manual - Double Needle Treatment 4:57 HCEN12239 Revision 12.2010...
  • Page 153 However, it is possible for the authorized technician to preset the machine so that when negative TMP alarm limits have been set, such an attention alarm occurs. CAUTION 4:58 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 154 The TMP alarm limits will automatically be widened. The time shown on the Time Display will continue to count down but will show negative figures. AK 96 ® Operator's Manual - Double Needle Treatment 4:59 HCEN12239 Revision 12.2010...
  • Page 155 Select key for 3 seconds to activate discontinuing mode. The menu will change and request the operator to press the flashing Blood pump button when ready for rinse-back. 4:60 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010...
  • Page 156 The RINSE BACK VOLUME ACHIEVED menu appears together with an attention alarm. 6.c. Manually, when desired, by pressing the Blood Pump button. AK 96 ® Operator's Manual - Double Needle Treatment 4:61 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 157 DISCONNECT PATIENT MENU. When patient disconnection has been confirmed, the air detector will be deactivated and the dialysis fluid will automatically be bypassed from the dialyzer. 4:62 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 158 Information Display. 19. When the BiCart cartridge is empty (or directly if manual emptying has been chosen), continue by following the instructions on how to remove the cartridge from the holder. AK 96 ® Operator's Manual - Double Needle Treatment 4:63 HCEN12239 Revision 12.2010...
  • Page 159 8 "Hygiene and Maintenance" in part 1. Follow the instructions for hygiene and maintenance of the AK 96 dialysis machine in chapter 8 in part 1. 21. Remove the dialyzer and the blood lines, dispose of according to local regulations.
  • Page 160 21.2. Open the cover of the air detector (press on the middle of the cover at the same time as the cover is being opened). Compress the venous drip chamber and then pull it out as shown in the corresponding figures. AK 96 ® Operator's Manual - Double Needle Treatment 4:65 HCEN12239 Revision 12.2010...
  • Page 161 filter, there is a risk of contamination of the machine. It is necessary to call an authorized technician who must replace and clean machine components that may have been contaminated. WARNING 4:66 AK 96 ® Operator's Manual - Double Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 162 Discontinuing ........5:12 AK 96 ®...
  • Page 163 • When performing single needle treatment there is always a certain amount of recirculation. The AK 96 dialysis machine is equipped with a clamp on the arterial side in order to minimize recirculation. To further minimize recirculation the stroke volume should be maximized.
  • Page 164 2. The edge inside the holder should fit into the groove of the expansion chamber as shown in the corresponding figure. 3. Connect the dialyzer end of the venous blood line to the blood line with the expansion chamber. AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010...
  • Page 165 Check that the venous expansion chamber has been filled to be level with the groove of the chamber. Make sure to close the clamp at the top of the expansion chamber. AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010...
  • Page 166 If desired, adjust the blood flow rate using the Blood Pump Up/Down keys to the proper value for treatment start. 5. Press the Blood Path button. AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010...
  • Page 167 It is not the mean blood flow rate for the single needle treatment. AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010...
  • Page 168 The Venous Pressure and Arterial Pressure button will be flashing. The UF Start/Stop button will be flashing. See "Start the Treatment" in the next following section for information on how to continue. AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 169 The high alarm limit will be set to +350 mmHg and the low alarm limit will be set to +150 mmhg. AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010...
  • Page 170 A decreasing stroke volume and/or a decreasing mean blood flow rate may indicate clotting or a kinked venous blood line. To optimize the treatment: Note → → → AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 171 Set a minimum UF rate according to the instruction for the specific dialyzer. CAUTION For further information, see "Glossary of single needle parameters and key terms", page 5:2 in part 1. 5:10 AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 172 WARNING Venous Pressure The alarm limits are to be manually adjusted. See in previous instructions, "Start the Treatment". point 5. AK 96 ® Operator's Manual - Single Needle Treatment 5:11 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 173 CAUTION Discontinuing Follow the instructions for discontinuing in "Discontinuing", page 4:59 in part 1, without deactivating the single needle function. 5:12 AK 96 ® Operator's Manual - Single Needle Treatment HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 174 After Treatment ........AK 96 ®...
  • Page 175 (the default preset) has not been changed. It is possible to change the preset so that time and UF volume will be included instead of added. The following instructions are based on the default preset. AK 96 ® Operator's Manual - Isolated UF HCEN12239 Revision 12.2010...
  • Page 176 If necessary, isolated UF can be deactivated at any time during the phase, by pressing the Select Key for 3 seconds when the isolated UF menu is displayed. AK 96 ® Operator's Manual - Isolated UF HCEN12239 Revision 12.2010...
  • Page 177 Select Key for 3 seconds when the isolated UF menu is displayed. When the time for the isolated UF phase is finished, the machine will automatically switch to diffusion phase. Check UF parameter settings. AK 96 ® Operator's Manual - Isolated UF HCEN12239 Revision 12.2010...
  • Page 178 BOLUS, FLOW RATE and STOP LIMIT. This means that the stop time will be adjusted in accordance with the time for the added isolated UF phase. AK 96 ® Operator's Manual - Isolated UF HCEN12239 Revision 12.2010...
  • Page 179 When the time for the isolated UF phase equals 0:00, the attention alarm TREATMENT TIME EXPIRED appears and the treatment is to be discontinued as usual procedure. AK 96 ® Operator's Manual - Isolated UF HCEN12239 Revision 12.2010...
  • Page 180 Profiling with Preset Model ....... . 7:10 Selecting and Activating the Model ......7:10 AK 96 ®...
  • Page 181 See the following figure. Figure 7:1 Linear graphs for sodium and bicarbonate profiling AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 182 UF rate in steps during the treatment time when profiling has been activated. See the following figure. Figure 7:3 Decreasing graph in steps for UF rate profiling AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010...
  • Page 183 Graph in intervals for UF rate profiling For all the UF rate graphs, the operator is requested to readjust the TMP alarm limits during treatment in accordance with the UF rate and the dialyzer UF coefficient. AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010...
  • Page 184 Note • For any UF rate graph, always check the UF profiling settings if UF volume or treatment time is changed after UF profiling activation. Note AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 185 Profiling Models The profiling function of the AK 96 dialysis machine consists of three different models (memories). Profiles for sodium (NA), bicarbonate (HCO3) and ultrafiltration rate (UF) can be set for each model. It is possible to set profiles for all three parameters at the same time or just pick one or two parameters within the model.
  • Page 186 4. Select UF, NA, or HCO3 and continue by following the corresponding instructions for each parameter below. Ultrafiltration 5. Press the Select key to go into the sub menu for UF. AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010...
  • Page 187 Bicarbonate 5. Press the Select key to go into the sub menu for HCO3 and the HCO3PROFILING MENU will be displayed. AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 188 UF profiling graph will automatically change according to remaining UF volume and treatment time. Always check the UF profiling settings after deactivating and reactivating UF profiling. Note AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 189 3. Press the Select key and the PROFILING MENU will be displayed on the Information Display. 4. Below PRESET MODULES, select MODULE 1, MODULE 2 or MODULE 3 using the Keypad. 7:10 AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 190 UF profiling. • If profiling is activated (preset model) during treatment, the profiling graph will still follow the preset parameters within the remaining treatment time. Note AK 96 ® Operator's Manual - Profiling 7:11 HCEN12239 Revision 12.2010...
  • Page 191 This page is intentionally left blank 7:12 AK 96 ® Operator's Manual - Profiling HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 192 BPM Cuff ......... . . 8:42 AK 96 ®...
  • Page 193 The AK 96 dialysis machine may be disinfected using heat where the fluid flow path is heated up. The AK 96 dialysis machine may also be disinfected by filling the fluid path with chemical disinfectants. For information concerning description and handling instructions of the different disinfection programs, see further on in this chapter.
  • Page 194 fluid path of the machine downstream of the dialyzer. Dwell Time is the time when the fluid path of the machine is filled with the correct concentration of disinfectant. AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 195 Information Display. The time shown to the left is the time for when the disinfection program was started. Go back from the disinfection history list by pressing the Back key. AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 196 This page is intentionally left blank AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 197 Schedule for Hygiene and Maintenance The schedule below is recommended for use by the operator/user of the AK 96 dialysis machine. This recommendation is to keep a high level of performance of the machine. It is also a guideline for maintaining the hygiene of the fluid path and the exterior of the machine to ensure...
  • Page 198 Fill the machine with a proper chemical disinfectant in order to preserve it. See "Filling the machine with chemical disinfectant" on page 8:29 for instructions. The period of time can be preset AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 199 Characteristics The table below summarizes the characteristics of some generic substances used for internal disinfection, decalcification and cleaning of the AK 96 dialysis machine. For more specific information about a certain commercial product, see manufacturer's information. Disinfection, decalcification and cleaning Efficiency...
  • Page 200 fluid path. The standard heat disinfection program consists of 12 such cycles. The AK 96 dialysis machine fluid path is constructed in a way that prevents possible contaminants in the post-dialyzer fluid path from reaching the patient. The construction principle is called single pass, which means no recirculation in the fluid path, and a separation...
  • Page 201 "Disinfection and Cleaning - Heat Disinfection" on page 9:9 in part 1. Handling instructions of above mentioned heat disinfection programs are described on the following pages in this chapter. 8:10 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 202 4. Check that HEAT is displayed as the selected program. If HEAT is displayed, continue to point 5. If not, do point 4.a and 4.b before continuing to point 5. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:11 HCEN12239 Revision 12.2010...
  • Page 203 PRESS SELECT 3 SECONDS TO START FCH will be displayed. Press the Select key for 3 seconds to start a new function check and simultaneously reset previous values to zero. 8:12 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 204 If the key CleanCart is displayed, continue to point 5. If not, do point 4.a and 4.b before continuing to point 5. 4.a. Select CHANGE. 4.b. Select the key CleanCart. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:13 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 205 By preset, an attention alarm can appear to request the operator to empty the cartridge. In this case do point 8 before continuing to point 9. 8:14 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 206 PRESS SELECT 3 SECONDS TO START FCH will be displayed. Press the Select key for 3 seconds to start a new function check and simultaneously reset previous values to zero. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:15 HCEN12239 Revision 12.2010...
  • Page 207 If CITRIC 20% is displayed, continue to point 5. If not, do point 4.a and 4.b before continuing to point 5. 4.a. Select CHANGE. 8:16 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 208 On/Off button for 3 seconds. When the program is complete, drain sequence included, the Priming button starts to flash (not if an automatic switch off has been done). AK 96 ® Operator's Manual - Hygiene and Maintenance 8:17 HCEN12239 Revision 12.2010...
  • Page 209 PRESS SELECT 3 SECONDS TO START FCH will be displayed. Press the Select key for 3 seconds to start a new function check and simultaneously reset previous values to zero. 8:18 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 210 Integrated Heat Disinfection Program with WRO 300 H - Performing By an authorized technician, the AK 96 dialysis machine can be preset to perform Integrated Heat disinfection program supported by the WRO 300 H water purification unit. This program is recommended when possible, since it includes heating of the inlet water tube.
  • Page 211 WRO. 7. The process will continue automatically from here. When the heat disinfection of the AK 96 dialysis machine and the low flow heat are finished the Priming button will start to flash (not if an automatic switch off has been done). The WRO will perform a heat disinfection of its fluid path after...
  • Page 212 HEAT is displayed, continue to point 4. If not, do point 4.a and 4.b before continuing to point 5. 4.a. Select CHANGE. 4.b. Select HEAT. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:21 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 213 Follow the attention alarm request according to the instructions in the Operator’s manual for WRO 300 H. Then press the Select key to confirm this. 8:22 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 214 Key pad, see "Keypad" in chapter 3. part 1 1. Press the Rinse/Disinfection button briefly. 2. The RINSE/DISINFECTION MENU will be displayed on the Information Display. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:23 HCEN12239 Revision 12.2010...
  • Page 215 Remove the empty CleanCart cartridge and close the latches of the BiCart holder when the program is finished before restarting the machine. 8:24 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 216 Display. When the program is complete, the machine is automatically switched off. Integrated Heat Disinfection The AK 96 dialysis machine can be programmed to perform integrated heat disinfection. In this mode, the machine receives hot water from the central water supply system when performing the heat disinfection program.
  • Page 217 (such as the Dialox and Dialox HP disinfectants), sodium hypochlorite and formaldehyde are compatible with the materials in the AK 96 dialysis machine, provided that they are used in accordance with the recommendations in "Disinfection and Cleaning - Chemical Disinfection"...
  • Page 218 "Disinfection, Decalcification and Cleaning Agents - Characteristics", on page 8:8. For further information concerning disinfectants, please contact your local Gambro representative. Chemical Disinfection Program - Performing Note • The program can be interrupted at any time when the program is running;...
  • Page 219 8. When the program is complete the Priming button starts to flash and DISINFECTION COMPLETED: is displayed. 9. Switch the machine off by pressing the On/Off button for 3 seconds. 8:28 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 220 There may be a need to fill the machine with a chemical disinfectant during storage or when the AK 96 dialysis machine is planned to be left unused for a long period of time. This function has to be preset by an authorized technician, as well as the type of disinfectant.
  • Page 221 CAUTION Note • The pick-up tubes must be rinsed/disinfected separately. See "Pick-up Tubes” on page 8:41 for instructions. Note 8:30 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 222 Press the Rinse/Disinfection button and start a new rinse/drain procedure (the button lights up). When this is finished, repeat the handling procedure described above. If the machine still shows disinfectant residues, contact an authorized technician. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:31 HCEN12239 Revision 12.2010...
  • Page 223 It is advisable to turn the AK 96 dialysis machine off if it is not supposed to be disinfected; this is to make sure that no disinfection solution will enter the machine when not desired.
  • Page 224 Priming button is flashing, by an authorized technician. CAUTION After the Chemical disinfection procedure a test for residues must have been performed prior to connecting to a patient. CAUTION AK 96 ® Operator's Manual - Hygiene and Maintenance 8:33 HCEN12239 Revision 12.2010...
  • Page 225 If only drain shall be performed: Select CHANGE and in the menu that appears select DRAIN. 4. Start the program by pressing the Select key for 3 seconds, Rinse/Disinfection button lights up. 8:34 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 226 PRESS SELECT 3 SECONDS TO START FCH will be displayed. Press the Select key for 3 seconds to start a new function check and simultaneously reset previous values to zero. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:35 HCEN12239 Revision 12.2010...
  • Page 227 Key pad, see "Keypad" in chapter 3. part 1 1. Press the Rinse/Disinfection button briefly. 2. The RINSE/DISINFECTION MENU will be displayed on the Information Display. 3. Select RINSE. 8:36 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 228 This will make all of the operator panel lights go out, except for the Rinse/Disinfection button and the time display. When the program is complete, the machine automatically switches itself off. AK 96 ® Operator's Manual - Hygiene and Maintenance 8:37 HCEN12239 Revision 12.2010...
  • Page 229 • In order to enable the cleaning agents to remove fats, proteins etc. efficiently, cleaning should be carried out after decalcification. Note 8:38 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 230 5. Confirm the change of ultrafilter (see Ultrafilter replacement reminder on page 8:39). 6. Label the ultrafilter with date for change. 7. Perform a Heat disinfection program before the AK 96 dialysis machine is used for treatment after the ultrafilter has been changed. Ultrafilter replacement reminder If UFD (Ultrafilter Dialysis Fluid) is installed the operator will...
  • Page 231 Select key. Then press the Select key for 3 seconds to confirm. All three counters will now begin from zero again. To change the limits call for a service technician. 8:40 AK 96 ® Operator's Manual - Hygiene and Maintenance HCEN12239 Revision 12.2010...
  • Page 232 The top tray may be cleaned and disinfected with ethanol (70 %) or isopropanol (60 %). CAUTION In order to protect the internal parts of the AK 96 dialysis machine against spillage, the top tray must always be placed on top of the machine, except during technical service.
  • Page 233 The AK 96 dialysis machine must be turned off before the blood leak detector is cleaned. Unscrew the blood leak detector cover and clean the lenses with a soft non-fluffy cloth, moistened with disinfectant solution. Note • Make sure that the sealing ring on the inside of the cover is securely in place when replacing the cover.
  • Page 234 References ..........9:23 AK 96 ®...
  • Page 235 10 to 500 mmHg (±50 mmHg), venous pressure control Accumulated blood volume 0 - 327 liters Volume accuracy ±0.6 l * treatment time (h) or ±10 % AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 236 -500 to 500 mmHg. ±10 % within range 500 to 750 mmHg. At 300 ml/min dialysis fluid flow maximum venous pressure during treatment is approximately 250 mmHg. AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010...
  • Page 237 40 - 200 bpm (40 bpm) High alarm limit 40 - 200 bpm (150 bpm) Meets ANSI/AAMI SP-10 (1992). Mean error ±5 mmHg. Standard deviation 8 mmHg AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 238 (-650 mmHg with 700 ml/min flow rate). Accuracy ±40 mmHg Dialysis fluid pressure Dialysis fluid pressure -400 to +300 mmHg Accuracy ±10 mmHg or ±5 % AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 239 9.59 hour. minute (±1 minute) Profiling UF-rate 0.0 to 4.0 l/h 130 to 160 mmol/l , Acetate/Bicarbonate mode , Bicarbonate mode 20 to 40 mmol/l AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 240 0 to 100 l (± 6% (± 1SD, based on 7 cleared of Kt measurements) Dialysis dose Kt/V 0 to 3 Measurement interval 15, 30 or 60 minutes AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 241 (recommended with UFD) Total time 119 minutes (230V and 115V) 150 minutes (230V) with UFD 165 minutes (115V) with UFD Time includes 20 min contact time AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 242 One of three alternatives for heat disinfection can be selected. The second alternative is presetable for a combined heating program and the third is a CleanCart / heating alternative. The default settings are as follows: Heat disinfection AK 96 Disinfection Total Time (min) programs 230 V...
  • Page 243 4 min. Disinfection and Cleaning - Exterior Cleaning All outside parts of the machine can be cleaned with ethanol (70 %) or isopropanol (60 %). 9:10 AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 244 Inlet pressure switch (INPS) Increasing: +150 mmHg, ±20 mmHg Decreasing: +99 mmHg, ±20 mmHg Safety guard switch Increasing: -59 mmHg, ±7 mmHg (SAGS) Decreasing: -74 mmHg, ±7 mmHg AK 96 ® Operator's Manual - Technical Data 9:11 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 245 500 μA Earth leakage current Patient leakage current max 100 μA AC max 10 μA DC All leakage currents specified are without external equipment connected to the AK 96. 9:12 AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010...
  • Page 246 Battery back-up of power 24 V, 7.0 Ah supply Battery type Sealed Lead Acid, 2 x 12 V Running time >30 minutes Fuse 12 AT AK 96 ® Operator's Manual - Technical Data 9:13 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 247 Extracorporeal blood loss due to coagulation Detection method Supervision of the stop time of the blood pump Alarm The attention "BLOOD PUMP STOP TIME EXPIRED, Start blood pump" 9:14 AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 248 Dialysis Fluid ±0.2 pH units for pH 5 to 9 ±0.5 pH units for pH < 5 or pH > 9 Alarm limits 5.0 to 9.0 pH AK 96 ® Operator's Manual - Technical Data 9:15 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 249 Approx. 620 mm Depth; stand Height Approx. 1305 mm (without infusion stand). Weight Approx. 60 kg (without options) Infusion stand Maximum total load 2 kg 9:16 AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 250 PTFE (Polytetrafluoro ethylene) Metals Stainless steel SS2343 Stainless steel SS2353 Stainless steel SS2562 Titanium Platinum Others Carbon Ceramic, Steatite 221 Ceramic, Aluminum oxide (Al Glass AK 96 ® Operator's Manual - Technical Data 9:17 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 251 500 to 1060 hPa pressure) Electromagnetic environment The AK 96 is intended for use in the electromagnetic environment specified below. The customer or the user of the AK 96 should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment –...
  • Page 252 5 cycles interruptions, it is recommended that input lines. 70 % U 70 % U the AK 96 dialysis machine be powered IEC 61000-4-11 (30 % dip in U (30 % dip in U from an uninterruptible power supply or...
  • Page 253 If the measured field strength in the location in which the AK 96 dialysis machine is used exceeds the applicable RF compliance level above, the AK 96 dialysis machine should be observed to verify normal operation.
  • Page 254 The AK 96 dialysis machine is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the AK 96 dialysis machine can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the AK 96 dialysis machine as recommended below, according to the maximum output power of the communications equipment.
  • Page 255 EN 1060-1 Non-invasive sphygmomanometers Part 1: General requirements EN 1060-3 Non-invasive sphygmomanometers Part 3: Supplementary requirements for electromechanical blood pressure measuring systems 9:22 AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 256 References Assembly Drawings K29000, K29001 AK 96 ® Operator's Manual - Technical Data 9:23 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 257 This page is intentionally left blank 9:24 AK 96 ® Operator's Manual - Technical Data HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 258 Chapter 4, part 1 ........10:2 Chapter 13, Alarm Handbook ......10:2 AK 96 ®...
  • Page 259 Program Version 2.xx and 3.xx Complete Manual The paper version of the Operator’s manual for the AK 96 dialysis machine has been divided up into three parts according to their contents and placed in a box. The first part is in A4 format, the second and third in A5.
  • Page 260 It appears when the CONNECT PATIENT procedure has been started, the connect patient volume is achieved and no blood has been detected in the venous blood line. See in “Alarms” for information. AK 96 ® Operator's Manual - Major Changes 10:3 HCEN12239 Revision 12.2010...
  • Page 261 setting ....4:52 Dialysis fluid tubes ..4:41, 4:48 Air detector 2:6, 4:31, 4:41, 4:47, 9:14 Dialyzer ..1:21, 4:15, 4:22, 4:32 Air detector head .
  • Page 262 activate ....6:4 profiling ....7:7 Recirculation UF rate .
  • Page 263 This page is intentionally left blank HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 264 Note • Please observe that this part of the Operator's manual for the AK 96 dialysis machine is one out of three. To assimilate these instructions the complete manual must be available. For information see “How To Use this Manual” on page 1:2 in part 1.
  • Page 265 This page is intentionally left blank HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 266 Automatic - Continuous Measuring ... . . 11:13 Procedure ......11:13 AK 96 ®...
  • Page 267 "Automatic - Continuous Measuring", page 11:13 for instructions. The BPM cuff and cuff hose are protected against the discharge from a defibrillator (NIBP type BF applied part, defibrillator proof). AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:2...
  • Page 268 The line from the cuff (cuff hose) is attached to the side of the AK 96 dialysis machine, see "Blood Part Component Details", page 2:5 in part 1, look for "BPM Connector"...
  • Page 269 Do not apply a cuff to a limb that has restricted blood flow. • Avoid applying a cuff to a limb that has an intravenous line in place. AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:4 Program version 3.xx...
  • Page 270 The manufacturer advises the user that the information originating from the Blood Pressure Monitor cannot be used alone as unique source of information to induce any therapeutic or pharmacological actions. CAUTION AK 96 ® Operator's Manual - BPM 11:5 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 271 TIME shows current time for when the blood pressure measurement check was completed. SYS/DIA shows systolic/diastolic blood pressure. MEAN shows mean blood pressure. The value below PULSE shows pulse rate. AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:6...
  • Page 272 The BPM MENU will remain on the Information Display during the ongoing measurement check. The current pressure in the blood pressure measurement cuff is displayed in P CUFF. AK 96 ® Operator's Manual - BPM 11:7 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 273 The value beside PULSE shows pulse rate. To read previous measuring results; select LOG using the Keypad to open the *** BPM LOG LIST ***. See "BPM Log List", page 11:6. AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:8...
  • Page 274 The BPM MENU will be shown on the Information Display. 2. Select AUTO using the Keypad. The AUTO BPM MENU will be shown on the Information Display. AK 96 ® Operator's Manual - BPM 11:9 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 275 BPM ALARM MENU. 5.a. First check or set ALARM to ON using the Keypad. 5.b. Then select SET LIMITS and the menu will change. AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:10 Program version 3.xx...
  • Page 276 Note especially that it is possible to start a single measurement check at any time between the automatic measurement checks if necessary. When the Treatment Overview Menu is displayed; press the BPM button and AK 96 ® Operator's Manual - BPM 11:11 HCEN12239 Revision 12.2010...
  • Page 277 Select key been activated. Press the for 3 seconds to deactivate the automatic measuring. Note AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:12 Program version 3.xx...
  • Page 278 The BPM MENU will be shown on the Information Display. 2. Select AUTO using the Keypad. The AUTO BPM MENU will be shown on the Information Display. AK 96 ® Operator's Manual - BPM 11:13 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 279 P CUFF on the BPM MENU. BPM will be flashing at the activity field of the Treatment Overview Menu during the 5 minute period when the blood pressure measurement checks are being performed. AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:14 Program version 3.xx...
  • Page 280 The value beside PULSE shows pulse rate. To read previous measuring results; select LOG using the Keypad to open the *** BPM LOG LIST ***. See "BPM Log List", page 11:6. AK 96 ® Operator's Manual - BPM 11:15 HCEN12239 Revision 12.2010...
  • Page 281 This page is intentionally left blank AK 96 ® Operator's Manual - BPM HCEN12239 Revision 12.2010 11:16 Program version 3.xx...
  • Page 282 Kt/V ........12:20 AK 96 ®...
  • Page 283 Continuous measuring of Kt/V and clearance ..12:27 Procedure ......12:27 AK 96 ®...
  • Page 284 The distribution volume is patient-related (based on the patient's dry weight) and has to be properly estimated and set by the machine operator in order to obtain a correct Kt/V value. AK 96 ® Operator's Manual - Diascan 12:3 HCEN12239 Revision 12.2010...
  • Page 285 K is clearance. Clearance tells the operator how much blood, in ml/min, is cleaned of urea after it has passed the dialyzer. This value can be compared with the current blood flow rate at that time. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:4 Program version 3.xx...
  • Page 286 Kt or Kt/V value to be achieved at treatment end. Target in this context is the desired Kt/V value set by the operator that is to be achieved at treatment end. AK 96 ® Operator's Manual - Diascan 12:5 HCEN12239 Revision 12.2010...
  • Page 287 The operator is requested to confirm that the measurement check has been interrupted by pressing the Select key, and the machine will automatically reschedule measuring as soon as possible. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:6 Program version 3.xx...
  • Page 288 Diascan measuring results to be obtained. See chapter 9 "Technical Data and Specifications" in part 1 for further details. Note AK 96 ® Operator's Manual - Diascan 12:7 HCEN12239 Revision 12.2010...
  • Page 289 Measurement result values without Kt/V measurement - LAST DIASCAN shows current time for when the Diascan measurement check was carried out. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:8 Program version 3.xx...
  • Page 290 For further information, see "Forecast" in this section. - LOG shows the 20 last measurement results. Scroll up and down in the list using the Display Up/Down keys. AK 96 ® Operator's Manual - Diascan 12:9 HCEN12239 Revision 12.2010...
  • Page 291 first Diascan measurement check has been performed. If distribution volume has not been set, the machine will only calculate and display the Kt forecast value. The calculated forecast AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:10 Program version 3.xx...
  • Page 292 This estimated time can be compared with the treatment time set but there will not be an attention alarm generated to make the operator attentive to any differences. AK 96 ® Operator's Manual - Diascan 12:11 HCEN12239 Revision 12.2010...
  • Page 293 If UFD is installed, the duration of the Diascan measurement check is extended. When 15 minute intervals have been set, the intervals may be automatically extended to around 30 minutes. Note AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:12...
  • Page 294 To set the alarm limit for minimum clearance, select K LIMIT and set a proper alarm limit value using the Keypad. For further information; see "Clearance alarm limit", page 12:18. AK 96 ® Operator's Manual - Diascan 12:13 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 295 When the calculation has been done, a (W) will be displayed beside the distribution volume value provided, showing that the value has been calculated by the machine. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:14 Program version 3.xx...
  • Page 296 VOLUME. A (W) in brackets is shown beside the value indicating that the value has been calculated by the machine. Note that if the distribution volume value (VOLUME) is changed, the (W) beside the value will disappear. AK 96 ® Operator's Manual - Diascan 12:15 HCEN12239 Revision 12.2010...
  • Page 297 This time to target (TTT) will be displayed in the viewing menu as soon as the first Diascan measurement check has been performed. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:16 Program version 3.xx...
  • Page 298 This page is intentionally left blank AK 96 ® Operator's Manual - Diascan 12:17 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 299 If the measured clearance value is below the alarm limit set, an attention alarm will be generated: Check cause, adjust treatment parameters to increase clearance or adjust the alarm limit for clearance as above. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:18 Program version 3.xx...
  • Page 300 Kt/V alarm limit set, an attention alarm will be generated: Check cause, adjust treatment parameters or adjust the alarm limit for Kt/V as above. AK 96 ® Operator's Manual - Diascan 12:19 HCEN12239 Revision 12.2010...
  • Page 301 The occasion chosen is dependent on when the self-calibrations of the machine are to be performed. DIASCAN will be shown at the activity field of the Treatment Overview Menu when the function has been activated. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:20...
  • Page 302 To ensure a correct result a single clearance measurement check should be activated no later than 30 minutes before discontinuing treatment. This is to have enough time to obtain a measurement result. Note AK 96 ® Operator's Manual - Diascan 12:21 HCEN12239 Revision 12.2010...
  • Page 303 The occasion chosen is dependent on when the self-calibrations of the machine are to be performed. DIASCAN will be shown at the activity field of the AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:22 Program version 3.xx...
  • Page 304 Information Display . Press the Select key to enter the LOG menu. The measurement result values are also displayed in the Diascan viewing menu. AK 96 ® Operator's Manual - Diascan 12:23 HCEN12239 Revision 12.2010...
  • Page 305 3. When DIASCAN OFF has been selected, press the Select key. 4. Select SINGLE using the Display Up key. Single measurement is now activated. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:24 Program version 3.xx...
  • Page 306 The occasion chosen is dependent on when the self-calibrations of the machine are to be performed. DIASCAN will be shown at the activity field of the Treatment Overview Menu when the function has been activated. AK 96 ® Operator's Manual - Diascan 12:25 HCEN12239 Revision 12.2010...
  • Page 307 To ensure a correct result a single clearance measurement check should be activated no later than 30 minutes before discontinuing treatment. This is to have enough time to obtain a measurement result. Note AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:26...
  • Page 308 K LIMIT. Press the Select key and set a suitable alarm limit value using the Display Up key. For further information; see "Clearance alarm limit", page 12:18. AK 96 ® Operator's Manual - Diascan 12:27 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 309 12:4. 7. To set the alarm limit for minimum Kt/V, select Kt/V LIMIT and set a proper alarm limit value using the Keypad.. AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:28 Program version 3.xx...
  • Page 310 Information Display . Press the Select key to enter the LOG menu. The measurement result values are also displayed in the Diascan viewing menu. AK 96 ® Operator's Manual - Diascan 12:29 HCEN12239 Revision 12.2010...
  • Page 311 This is in order to ensure that the Kt/V value is a relevant one. Note AK 96 ® Operator's Manual - Diascan HCEN12239 Revision 12.2010 12:30...
  • Page 312 remove ... 4:63 Blood pump . . 2:8, 4:19, 8:41 Air detector ..2:6, speed ..4:54, 5:6 4:31, 4:41, 4:47, 9:14 Blood pump segment .
  • Page 313 Disinfectant . . . 8:8, 8:26, 9:8 Disinfection ..8:2 Pediatric blood line ..1:20, chemical ..8:26, 9:8 4:16, 4:28 heat ... 8:9, 9:9 .
  • Page 314 Stroke volume ..5:9 UF start/stop . . 4:52, 4:56, 5:9 Syringe ... . 2:10 UF volume . . 3:16, 3:25, 4:52 setting ..4:52, 5:9 Ultrafilter .
  • Page 315 This page is intentionally left blank HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 316 Note • Please observe that this part of the Operator's manual for the AK 96 dialysis machine is one out of three. To assimilate these instructions the complete manual must be available. For information see “How To Use this Manual” on page 1:2 in part 1.
  • Page 317 This page is intentionally left blank HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 318 Connect Patient Alarm ..... . .13:49 Technical Alarm ......13:51 AK 96 ®...
  • Page 319 Alarms - Overview Below is an overview of all alarms that can be generated by the AK 96 dialysis machine. It shows which button lights up, displayed alarm texts and page references to the Alarm List for each alarm. Button...
  • Page 320 See page 13:26. Blood Pressure Alarms See page 13:26. See page 13:26. See page 13:22. Blood Path Alarms See page 13:24. Blood Leak Alarm See page 13:34. 13:3 AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 321 See page 13:41. Fluid Path Alarms See page 13:41. See page 13:45. See page 13:47. Connect Patient Alarm See page 13:49. Technical Alarm See page 13:51. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:4 Program version 3.xx...
  • Page 322 Information Display. At the same time as the Alarm button is being pressed, the buzzer will be simultaneously muted for 2 min. AK 96 ® Operator's Manual - Alarms 13:5 HCEN12239 Revision 12.2010...
  • Page 323 When the Back key is pressed, and the alarm list is displayed on the Information Display, the menu that was previously opened will return. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:6 Program version 3.xx...
  • Page 324 Display Up/Down keys of the Keypad. The time for when the alarm was generated is shown to the left on the Information Display. AK 96 ® Operator's Manual - Alarms 13:7 HCEN12239 Revision 12.2010...
  • Page 325 Describes which actions that will automatically be taken by the machine due to the alarm. Measures: Describes which actions that are expected from the operator when an alarm appears. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:8...
  • Page 326 Air or infusion fluid have entered the arterial blood line between the arterial needle and the blood pump e.g. when an infusion is connected to the arterial blood line prior to the blood pump. AK 96 ® Operator's Manual - Alarms 13:9 HCEN12239 Revision 12.2010...
  • Page 327 Arterial Pressure button will start to flash. Press the flashing button to centralize the alarm limits around the current value. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:10 Program version 3.xx...
  • Page 328 The arterial blood line is kinked or clotted between the arterial needle and the arterial pressure measurement point. The position of the arterial needle has changed. AK 96 ® Operator's Manual - Alarms 13:11 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 329 If necessary, repeat the override procedure. See also "General Alarm Handling", page 13:5. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:12 Program version 3.xx...
  • Page 330 When entering override, it is essential to remember that the machine does not monitor that specific parameter. The operator is responsible for the monitoring during the override time. WARNING AK 96 ® Operator's Manual - Alarms 13:13 HCEN12239 Revision 12.2010...
  • Page 331 The position of the venous needle has changed. Clotting has occurred in the venous blood line after the venous pressure measurement point; in the blood line, in the venous drip chamber, or in the needle. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:14 Program version 3.xx...
  • Page 332 Venous Pressure button will start to flash. Press the flashing button to centralize the alarm limits around the current value. AK 96 ® Operator's Manual - Alarms 13:15 HCEN12239 Revision 12.2010...
  • Page 333 The venous blood line has separated from the dialyzer. The venous blood line has separated from the venous needle. The position of the venous needle has changed. Clotting before or in the dialyzer. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:16...
  • Page 334 If necessary, repeat the override procedure. See also "General Alarm Handling", page 13:5. AK 96 ® Operator's Manual - Alarms 13:17 HCEN12239 Revision 12.2010...
  • Page 335 When entering override, it is essential to remember that the machine does not monitor that specific parameter. The operator is responsible for the monitoring during the override time. WARNING AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:18...
  • Page 336 The blood lines or the dialyzer has not been properly de-aired during priming. Air have entered the blood lines e.g. when an infusion is connected to the blood lines. The arterial needle is dislocated. AK 96 ® Operator's Manual - Alarms 13:19 HCEN12239 Revision 12.2010...
  • Page 337 Especially note that the blood flow rate will remain at 100 ml/min after the override period and has to be manually adjusted. See also "General Alarm Handling", page 13:5. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:20...
  • Page 338 When entering override, it is essential to remember that the machine does not monitor that specific parameter. The operator is responsible for the monitoring during the override time. WARNING AK 96 ® Operator's Manual - Alarms 13:21 HCEN12239 Revision 12.2010...
  • Page 339 The blood pump has been automatically stopped too long due to machine alarm actions. The operator has left the blood pump in stop position too long. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:22...
  • Page 340 flow rate is set above the alarm limit value. If necessary, adjust the alarm limit value by pressing the Select key to enter the BLOOD FLOW MENU. Adjust the alarm limit; SET LOW, as necessary. AK 96 ® Operator's Manual - Alarms 13:23 HCEN12239 Revision 12.2010...
  • Page 341 STROKE is lower than the set stroke volume SET. Machine actions: None. Possible cause: Decreased performance of the patient's blood access. Adjustments to optimize the single needle treatment may have been overlooked. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:24 Program version 3.xx...
  • Page 342 SINGLE NEEDLE and then adjust MIN STROKE using the Keypad. See in the chapter "Hemodialysis - Single Needle Treatment (option)" starting on page 5:1 in part 1 for further information. AK 96 ® Operator's Manual - Alarms 13:25 HCEN12239 Revision 12.2010...
  • Page 343 The patient's systolic blood pressure is outside the low or high alarm limits set. Machine actions: None. Possible cause: Circulatory disturbances in the patient. Inaccurate setting of alarm limits for the particular patient. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:26 Program version 3.xx...
  • Page 344 If possible, adjust the alarm limits in accordance with the status of the patient. When the BPM log list is displayed, press Back button and navigate to ALARM to adjust the limits, using the Keypad. AK 96 ® Operator's Manual - Alarms 13:27 HCEN12239 Revision 12.2010...
  • Page 345 The patient's diastolic blood pressure is outside the low or high alarm limits set. Machine actions: None. Possible cause: Circulatory disturbances in the patient. Inaccurate setting of alarm limits for the particular patient. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:28 Program version 3.xx...
  • Page 346 If possible, adjust the alarm limits in accordance with the status of the patient. When the BPM log list is displayed, press Back button and navigate to ALARM to adjust the limits, using the Keypad. AK 96 ® Operator's Manual - Alarms 13:29 HCEN12239 Revision 12.2010...
  • Page 347 The patient's mean blood pressure is outside the low or high alarm limits set. Machine actions: None. Possible cause: Circulatory disturbances in the patient. Inaccurate setting of alarm limits for the particular patient. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:30 Program version 3.xx...
  • Page 348 If possible, adjust the alarm limits in accordance with the status of the patient. When the BPM log list is displayed, press Back button and navigate to ALARM to adjust the limits, using the Keypad. AK 96 ® Operator's Manual - Alarms 13:31 HCEN12239 Revision 12.2010...
  • Page 349 The patient's puls rate is outside the low or high alarm limits set. Machine actions: None. Possible cause: Circulatory disturbances in the patient. Inaccurate setting of alarm limits for the particular patient. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:32 Program version 3.xx...
  • Page 350 If possible, adjust the alarm limits in accordance with the status of the patient. When the BPM log list is displayed, press Back button and navigate to ALARM to adjust the limits, using the Keypad. AK 96 ® Operator's Manual - Alarms 13:33 HCEN12239 Revision 12.2010...
  • Page 351 The machine indicates the alarm by a flashing part of the fluid flow path. Possible cause: A dialyzer leakage, resulting in blood flowing from the blood compartment to the dialysis fluid compartment, has occurred. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:34 Program version 3.xx...
  • Page 352 Especially note that the blood flow rate will remain at 50 ml/min after the override period and has to be manually adjusted. See also "General Alarm Handling", page 13:5. AK 96 ® Operator's Manual - Alarms 13:35 HCEN12239 Revision 12.2010...
  • Page 353 When entering override, it is essential to remember that the machine does not monitor that specific parameter. The operator is responsible for the monitoring during the override time. WARNING AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:36...
  • Page 354 UF-control system of the machine the set treatment time has been decreased the set UF volume has been increased clogged dialyzer, partly or complete decreased blood flow rate AK 96 ® Operator's Manual - Alarms 13:37 HCEN12239 Revision 12.2010...
  • Page 355 Select key to confirm the settings i.e. that the current TMP value and the automatically set TMP alarm limits are set in accordance with the current UF rate and the UF coefficient of the dialyzer being used. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:38 Program version 3.xx...
  • Page 356 The following points may cause low TMP alarm: changes in the UF-control system of the machine the set treatment time has been increased the set UF volume value has been decreased increased blood flow rate AK 96 ® Operator's Manual - Alarms 13:39 HCEN12239 Revision 12.2010...
  • Page 357 Select key to confirm the settings i.e. that the current TMP value and the automatically set TMP alarm limits are set in accordance with the current UF rate and the UF coefficient of the dialyzer being used. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:40 Program version 3.xx...
  • Page 358 The machine has not yet stabilized the dialysis fluid temperature after the function check. The machine has not yet stabilized the dialysis fluid temperature after an interruption of the water supply to the machine. AK 96 ® Operator's Manual - Alarms 13:41 HCEN12239 Revision 12.2010...
  • Page 359 Check cause (inlet water supply, power supply) and do necessary actions in accordance with this. Wait for correct dialysis fluid temperature to be resumed. If necessary, call for an authorized technician or discontinue treatment. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:42...
  • Page 360 The machine has not yet stabilized the dialysis fluid temperature after an interruption of the water supply to the machine. The power supply to the heating rods in the machine has been interrupted. AK 96 ® Operator's Manual - Alarms 13:43 HCEN12239 Revision 12.2010...
  • Page 361 Check cause (inlet water supply, power supply) and do necessary actions in accordance with this. Wait for correct dialysis fluid temperature to be resumed. If necessary, call for an authorized technician or discontinue treatment. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:44...
  • Page 362 (see "Acidic concentrate and BiCart® cartridge" on page 4:9 in part 1), the concentrate tube is kinked or occluded, the filter integrated on the concentrate tubes are clogged etc. AK 96 ® Operator's Manual - Alarms 13:45 HCEN12239 Revision 12.2010...
  • Page 363 Check cause (concentrates, tubes, connectors) and do necessary actions in accordance with this. Wait for correct dialysis fluid conductivity to be resumed. If necessary, call for an authorized technician or discontinue treatment. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:46...
  • Page 364 • Incorrect concentrate has been connected. • Either the acidic container or the bicarbonate container/BiCart cartridge is empty (when using bicarbonate concentrates). AK 96 ® Operator's Manual - Alarms 13:47 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 365 Check cause (concentrates, tubes, connectors) and do necessary actions in accordance with this. Wait for correct pH of the dialysis fluid to be resumed. If necessary, call for an authorized technician or discontinue treatment. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:48...
  • Page 366 Machine actions: The blood pump stops. The venous blood line clamp closes. Possible cause: The venous blood line is not properly inserted into the priming detector. AK 96 ® Operator's Manual - Alarms 13:49 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 367 Diagram lights up red and the treatment time starts to count down on the Time Display. Press the Select key to confirm. When done select CONTINUE CONNECT PATIENT and press the Select key. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:50 Program version 3.xx...
  • Page 368 The machine actions differ depending on the kind of technical error. The machine sometimes automatically enters a state which makes it impossible to continue the treatment. Possible cause: AK 96 ® Operator's Manual - Alarms 13:51 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 369 Technical error during treatment;call the authorized technician. If necessary during treatment, manually return the blood to the patient. See "Power Failure" on page 3:27 in part 1 for instructions. AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:52...
  • Page 370 If the technical error reoccurs, call the authorized technician. WARNING A restart attempt after technical error during treatment may create a potential hazard for the patient. WARNING AK 96 ® Operator's Manual - Alarms 13:53 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 371 This page is intentionally left blank AK 96 ® Operator's Manual - Alarms HCEN12239 Revision 12.2010 13:54 Program version 3.xx...
  • Page 372 How to find the Attention Alarm ....14:4 Attention Alarm List ......14:5 AK 96 ®...
  • Page 373 Press the flashing Attention button. The button lights up and the attention alarm text (which gives information on what has triggered the attention alarm) is displayed in the attention list on the Information Display. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:2 Program version 3.xx...
  • Page 374 flash when the new attention alarm is generated. The flashing button is to be pressed until all attention alarms have been shown on the Information Display; i.e. when the Attention button lights up. AK 96 ® Operator's Manual - Attention Alarms 14:3 HCEN12239 Revision 12.2010...
  • Page 375 Min. = minutes. Buzzer sound: Describes which kind of buzzer sound is used for the attention alarm, see page 14:2. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:4 Program version 3.xx...
  • Page 376 The Air detector button will be flashing. Measures: Press the flashing Air detector button to activate the air detector alarm function. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:5 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 377 2 min Buzzer sound: Soft buzzer CAUTION Incorrect weight loss may occur if the machine is left for a longer period with this attention alarm. CAUTION AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:6 Program version 3.xx...
  • Page 378 Check that the changed parameter is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min. Mute time: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:7 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 379 None Measures: Press the flashing Arterial Pressure button to centralize the alarm limits around the current value. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:8 Program version 3.xx...
  • Page 380 Select key and the activated program will be resumed. Alternately, consult an authorized technician. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:9 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 381 Select key and the activated program will be resumed. Alternately, consult an authorized technician. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:10 Program version 3.xx...
  • Page 382 Mute time: Permanently muted buzzer Buzzer sound: Soft buzzer (during function check) No buzzer (during disinfectant program) AK 96 ® Operator's Manual - Attention Alarms 14:11 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 383 Measures: Close the BiCart holder. See "Machine aftercare" on page 4:63 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:12 Program version 3.xx...
  • Page 384 Machine actions: None. Measures: Check selected concentrate. See "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:13 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 385 Attach or check BiCart cartridge. See "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Mute time: Permanently muted buzzer Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:14 Program version 3.xx...
  • Page 386 If this is not the case, clean the priming detector lens. Alternatively call the authorized technician. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:15 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 387 If this is not the case, clean the priming detector lens. Alternatively call the authorized technician. Mute time: 2 min. Buzzer sound: Continuous buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:16 Program version 3.xx...
  • Page 388 8:41 in part 1 for instructions. Press the Select key when cleaned. If the attention alarm appears again, call an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:17 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 389 Check that the changed parameter is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min Mute time: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:18 Program version 3.xx...
  • Page 390 Measures: Press Select key. The priming phase will start automatically when the blood pump is started. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:19 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 391 Close the blood pump cover. See "Blood Part Component Details" on page 2:5 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:20 Program version 3.xx...
  • Page 392 1 for instructions. When properly positioned, press the Select key. If the attention alarm appears again, call an authorized technician. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:21 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 393 1 for instructions. When properly positioned, press the Select key. If the attention alarm appears again, call an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:22 Program version 3.xx...
  • Page 394 When the blood pump has been stopped for more than 1 min. Machine actions: None Measures: Start the blood pump. Mute time: 2 min. Buzzer sound: Continuous buzzer AK 96 ® Operator's Manual - Attention Alarms 14:23 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 395 Press BPM button to clear the attention alarm. If the attention alarm recurs, call for an authorized technician. Mute time: Permanently muted buzzer Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:24 Program version 3.xx...
  • Page 396 Check that the changed parameter is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:25 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 397 When the dwell time in central disinfection has passed. Machine actions: None Measures: Press the Select key to continue. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:26 Program version 3.xx...
  • Page 398 See "Change of Blood Pump Segments" on page 3:33 in part 1 and confirm the attention alarm. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:27 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 399 The disinfection program is interrupted. Measures: Check the pick-up tube and the disinfectant container. Machine retries the fill-up phase. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:28 Program version 3.xx...
  • Page 400 Disinfection Program with CleanCart® cartridge - Performing" on page8:13 in part 1. This attention alarm can be removed by preset. Mute time: Permanently muted buzzer Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:29 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 401 "Heat Disinfection Program with CleanCart® cartridge - Performing" on page 8:13 in part Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:30 Program version 3.xx...
  • Page 402 The period of time between the last performed cleaning and the appearance of the attention alarm can be preset. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:31 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 403 Measures: Check cause, adjust treatment parameters to increase clearance or adjust the alarm limit for clearance. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:32 Program version 3.xx...
  • Page 404 Concentrates" on page 4:7 in part 1 for instructions. Measures: Connect the selected concentrate to the machine. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:33 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 405 The period of time between the last performed decalcification and the appearance of the attention alarm can be preset. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:34 Program version 3.xx...
  • Page 406 Mute button, but if the attention alarm is left without taking measures, it will reappear the next treatment. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:35 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 407 fluid flow through the fluid tubes. The period of time for the appearance of the attention alarm is dependent on the dialysis fluid flow rate Mute time: Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:36 Program version 3.xx...
  • Page 408 Machine actions: None. Measures: Press the Fluid bypass button to flush the dialysis fluid tubes for 30 seconds. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:37 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 409 If this attention alarm appears frequently, discuss preset limits with an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:38 Program version 3.xx...
  • Page 410 Diascan parameter values are the correct ones, adjust if necessary. Restart the Diascan function by pressing the Select key for 3 seconds. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:39 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 411 Confirm the machine actions by pressing the Select key. If desired, reactivate the single Diascan measurement check. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:40 Program version 3.xx...
  • Page 412 Note that the Diascan function is no longer active. The attention alarm automatically disappears after 30 seconds. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer. AK 96 ® Operator's Manual - Attention Alarms 14:41 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 413 Isolated UF phase is complete, without further attention alarms. The attention alarm automatically disappears after 30 seconds. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:42 Program version 3.xx...
  • Page 414 Attention alarms in alphabetical order This page is intentionally left blank AK 96 ® Operator's Manual - Attention Alarms 14:43 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 415 UF activation is made The machine was not able to completely perform the measurement check as the measurement check has been interrupted. Machine actions: None. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:44 Program version 3.xx...
  • Page 416 Attention alarms in alphabetical order Measures: Confirm by pressing the Select key and the machine will automatically reschedule measuring as soon as possible. Mute time: No buzzer AK 96 ® Operator's Manual - Attention Alarms 14:45 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 417 Disconnect the arterial pressure transducer and press Arterial button to confirm. If the attention alarm is still generated, consult an authorized technician. Mute time: 5 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:46 Program version 3.xx...
  • Page 418 Disconnect the venous pressure transducer and press Venous button to confirm. If the attention alarm is still generated, consult an authorized technician. Mute time: 5 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:47 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 419 *** ATTENTION LIST *** displayed on the Information Display. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:48 Program version 3.xx...
  • Page 420 The period of time between the last performed disinfection and the appearance of the attention alarm can be preset. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:49 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 421 It is not possible to connect the concentrates yet. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:50 Program version 3.xx...
  • Page 422 Close the latches of the BiCart holder. It is not possible to connect the BiCart cartridge yet. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:51 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 423 °C within 5 minutes after the high temperature test is finished. If attention does not disappear, call for an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Super soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:52 Program version 3.xx...
  • Page 424 Wait for the machine test to be finished, to be able to connect the concentrates. It is possible when the attention alarm text has disappeared. Mute time: Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms 14:53 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 425 Fluid Bypass button button has been pressed. Machine actions: None Measures: Press the Fluid Bypass button. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:54 Program version 3.xx...
  • Page 426 Check that the changed parameter is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:55 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 427 fluid tubes and dialyzer for possible obstruction. If the attention alarm does not disappear, the obstruction is internal. Call an authorized technician. Mute time: 2 min. Buzzer sound: Continuous buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:56 Program version 3.xx...
  • Page 428 Remove and attach the dialysis fluid tubes from the safety couplings of the machine to restart the test. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:57 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 429 Confirm this by pressing the Select key and the dialysis fluid tube sensor test will be bypassed. Alternately, consult the authorized technician responsible for the machine. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:58 Program version 3.xx...
  • Page 430 Remove and attach the dialysis fluid tubes from the safety couplings of the machine to restart the test. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:59 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 431 Machine actions: None Measures: Move the dialysis fluid tubes from the safety couplings to the dialyzer. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:60 Program version 3.xx...
  • Page 432 Attention alarms in alphabetical order Mute time: 1. 2 min. 2. 2 min. 3. Permanently muted buzzer. Buzzer sound: 1. Soft buzzer 2. Supersoft buzzer 3. Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:61 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 433 If a disinfection or rinse program has been started, check that the dialysis fluid tubes are properly connected to the safety couplings. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:62 Program version 3.xx...
  • Page 434 If equipped with UFD, check the UFD-filter. Restart the disinfection. If the attention alarm recurs, call for an authorized technician. Mute time: 5 min. Buzzer sound: Soft buzzer. AK 96 ® Operator's Manual - Attention Alarms 14:63 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 435 During power failure. Machine actions: Function check will be delayed until power returns. Measures: Please wait. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:64 Program version 3.xx...
  • Page 436 FUNCTION CHECK PROLONGED DUE TO Appears: During function check when the WRO is inaccessible. Machine actions: None. Measures: Please wait. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:65 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 437 The function check has been prolonged due to internal tests. Machine actions: Function check is restarted and therefore prolonged. Measures: Mute time: Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:66 Program version 3.xx...
  • Page 438 If the attention alarm reappears, consult an authorized technician. Mute time: 2 min. Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms 14:67 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 439 Press the Select key to confirm that the heparin pump is not going to be used for the treatment. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:68 Program version 3.xx...
  • Page 440 See Heparin Pump in "Arterial Blood Line - Attach" starting on page 4:16 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:69 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 441 Change the values and reactivate profiling as usual procedure. See corresponding instructions in chapter 7 "Profiling" in part 1. Mute time: 2 min. Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:70 Program version 3.xx...
  • Page 442 "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Check also that the correct concentrate has been connected. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:71 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 443 The appearance of the attention alarm can be preset. Machine actions: A technical alarm is generated. Measures: Consult an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:72 Program version 3.xx...
  • Page 444 It will not be possible to start a treatment until the attention alarm is confirmed. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:73 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 445 Machine actions: None Measures: Consult an authorized technician. The air filter may be filled with dust. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:74 Program version 3.xx...
  • Page 446 Establish a stable venous pressure over 50 mmHg until the attention alarm disappears. Mute time: 2 min. Buzzer sound: Continuous buzzer 5 min after blood detection AK 96 ® Operator's Manual - Attention Alarms 14:75 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 447 Change the time setting for when the rinse program or heat disinfection program is set to be finished. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:76 Program version 3.xx...
  • Page 448 Adjust Time, SET TIME, or UF volume, SET UF, until the calculated UF rate is lower than the high limit for UF rate. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:77 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 449 fluid can not be prepared. Measures: Check the placement of the yellow disinfectant connector. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:78 Program version 3.xx...
  • Page 450 Buzzer is activated 2 min. after attention alarm is generated. Measures: Check the placement of the red concentrate connector. Mute time: 5 min. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:79 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 451 Buzzer is activated 2 min. after attention alarm is generated. Measures: Check the placement of the blue concentrate connector. Mute time: 5 min. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:80 Program version 3.xx...
  • Page 452 Check concentrate selection and that the proper concentrate has been connected. See "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:81 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 453 Check concentrate selection and that the proper concentrate has been connected. See "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:82 Program version 3.xx...
  • Page 454 Check concentrate selection and that the proper concentrate has been connected. See "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:83 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 455 Check concentrate selection and that the proper concentrate has been connected. See "Connect/Confirm Concentrates" on page 4:7 in part 1 for instructions. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:84 Program version 3.xx...
  • Page 456 The machine uses English temporarily as operator language instead of the selected language. Measures: Contact an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:85 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 457 Measures: Check water supply. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:86 Program version 3.xx...
  • Page 458 Machine actions: None Measures: Check cause, adjust treatment parameters or adjust the alarm limit for Kt/V. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:87 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 459 Confirm by pressing the Select key. It is also possible to increase the Kt/V target value, and the machine will recalculate time to target. Mute time: Permanently muted buzzer. Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:88 Program version 3.xx...
  • Page 460 Consider manually discontinuing the treatment, see "Power Failure" on page 3:27 in part 1 for instructions. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:89 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 461 8:9 in part 1) of the heat disinfection program is complete. Call for an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:90 Program version 3.xx...
  • Page 462 WRO 300 H). Machine actions: None. Measures: Press the Select key. to confirm. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:91 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 463 Change the values and reactivate profiling as usual procedure. See corresponding instructions in chapter 7 "Profiling" in part 1. Mute time: 2 min. Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:92 Program version 3.xx...
  • Page 464 2 min. Buzzer sound: Soft buzzer CAUTION Incorrect weight loss may occur if the machine is left for a longer period with this attention. CAUTION AK 96 ® Operator's Manual - Attention Alarms 14:93 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 465 Machine actions: None. Measures: Replace the ultrafilter and confirm that the ultrafilter has been replaced. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:94 Program version 3.xx...
  • Page 466 Machine actions: None. Measures: Replace the ultrafilter and confirm that the ultrafilter has been replaced. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer. AK 96 ® Operator's Manual - Attention Alarms 14:95 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 467 Machine actions: None. Measures: Replace the ultrafilter and confirm that the ultrafilter has been replaced. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer. AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:96 Program version 3.xx...
  • Page 468 TMP alarm. The appearance of the attention alarm can be preset. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:97 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 469 Check that the cuff is correctly applied to the patient. It could also be that the patient is moving during the measurement check. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:98 Program version 3.xx...
  • Page 470 Machine actions: None. Measures: Check venous blood line for possible kinks or forgotten clamps. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:99 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 471 Check for kinks or leakage from the cuff and the cuff hose. Check also that the cuff hose is properly connected to the machine. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:100 Program version 3.xx...
  • Page 472 Machine actions: Only the blood unit will run after a power failure. Measures: Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:101 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 473 When a single blood pressure measurement check is finished. Machine actions: None Measures: Press Select key to display the BPM log list. Mute time: No buzzer Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:102 Program version 3.xx...
  • Page 474 When a Diascan measurement is finished . Machine actions: None. Measures: Press the Select key to display the Diascan log list. Mute time: Permanently muted buzzer. Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms 14:103 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 475 Press Select key to confirm. Mute time: 2 min Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:104 Program version 3.xx...
  • Page 476 Reactivate the profiling function as usual procedure. See corresponding instructions in chapter 7 "Profiling" in part 1. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:105 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 477 Select key has been pressed. See Recovery from Machine Shut Down" on page 3:29 in part 1 for further information. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:106 Program version 3.xx...
  • Page 478 (maximum 5 minutes) until the dialysis fluid enters the dialyzer again. If the attention alarm reappears consider discontinuing the treatment. Mute time: 5 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:107 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 479 Confirm this by pressing the Select key and the dialysis fluid tube sensor test will be bypassed. Alternately, consult the authorized technician responsible for the machine. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:108 Program version 3.xx...
  • Page 480 Check that the changed setting is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:109 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 481 fluid tube connectors. Machine actions: The disinfection program stops. Measures: Check if the AK 96 dialysis machine is properly connected to the water supply. Mute time: Permanently muted buzzer. Buzzer sound: No buzzer AK 96 ®...
  • Page 482 flow, adjust the set value to correspond with the current value; the attention alarm will disappear. If this is not possible, consult an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:111 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 483 When it is time to manually start the heat program in the WRO. Machine actions: None. Measures: Press the Select key. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:112 Program version 3.xx...
  • Page 484 When it is time to manually start the low flow heat program in the WRO. Machine actions: None. Measures: Press the Select key. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:113 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 485 Check that the changed setting is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:114 Program version 3.xx...
  • Page 486 UF volume have been made. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:115 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 487 ISOL UF. Machine actions: None. Measures: Set ISOL UF time to zero or increase the treatment time. Mute time: Buzzer sound: AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:116 Program version 3.xx...
  • Page 488 UF volume within the set treatment time. Start isolated UF or adjust isolated UF time or treatment time. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:117 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 489 4. Mute time: Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:118 Program version 3.xx...
  • Page 490 If possible, adjust set Time and/or set UF volume until TMP decreases. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:119 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 491 Press the Select key to confirm end of treatment. See "Discontinuing" on page 4:59 in part 1 for discontinuing instructions. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:120 Program version 3.xx...
  • Page 492 2 minutes after this attention alarm has been generated. Measures: Discontinue treatment. Contact authorized technician. Mute time: 2 min. Buzzer sound: Continuous buzzer AK 96 ® Operator's Manual - Attention Alarms 14:121 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 493 Measures: Adjust Time and/or UF volume to allow the machine to calculate a new UF rate. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:122 Program version 3.xx...
  • Page 494 UF volume within the limits for the patient´s needs and tolerance. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:123 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 495 Decrease the set minimum UF rate or increase the UF rate by decreasing the treatment time, or by increasing the UF volume. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:124 Program version 3.xx...
  • Page 496 See corresponding instructions in chapter 7 "Profiling" in part 1. Machine continues with set UF rate Measures: Mute time: 2 min. Buzzer sound: No buzzer AK 96 ® Operator's Manual - Attention Alarms 14:125 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 497 (maximum 5 minutes) until the dialysis fluid enters the dialyzer again. If the attention alarm reappears consider discontinuing the treatment. Mute time: 5 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:126 Program version 3.xx...
  • Page 498 Appears: 5 min after UF has manually been stopped. Machine actions: None. Measures: Press UF Start/Stop button. Mute time: 5 min. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:127 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 499 Buzzer is activated 2 min. after attention alarm is generated. Measures: Press the Select key to confirm no ultrafiltration during treatment. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:128 Program version 3.xx...
  • Page 500 Check that the changed parameter is correct. The attention alarm will automatically disappear after it has been displayed. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:129 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 501 Machine actions: None. Measures: Press Venous Pressure button and adjust the alarm limit to a proper value. Mute time: Permanently muted buzzer. Buzzer sound: Continuous buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:130 Program version 3.xx...
  • Page 502 None. Measures: Press the flashing Venous Pressure button to centralize the alarm limits around the current value. Mute time: 2 min. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:131 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 503 Wait until the attention alarm has disappeared and the bypass path of the Flow Diagram lights up green before bypassing the dialysis fluid. Mute time: Permanently muted buzzer. Buzzer sound: Soft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:132 Program version 3.xx...
  • Page 504 The communication between the machine and the WRO has stopped. Machine actions: None. Measures: Call an authorized technician. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:133 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 505 WRO NOT READY Please wait Appears: WRO inaccessible. Machine actions: None. Measures: Check information on WRO. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms HCEN12239 Revision 12.2010 14:134 Program version 3.xx...
  • Page 506 Check that the selected disinfectant matches the disinfectant connected to the machine, and press the Select key shortly to repeat fill-up phase. Mute time: Permanently muted buzzer. Buzzer sound: Supersoft buzzer AK 96 ® Operator's Manual - Attention Alarms 14:135 HCEN12239 Revision 12.2010 Program version 3.xx...
  • Page 507 remove ... 4:63 Blood pump . . 2:8, 4:19, 8:41 Air detector ..2:6, speed ..4:54, 5:6 4:31, 4:41, 4:47, 9:14 Blood pump segment .
  • Page 508 Disinfectant . . . 8:8, 8:26, 9:8 Disinfection ..8:2 Pediatric blood line ..1:20, chemical ..8:26, 9:8 4:16, 4:28 heat ... 8:9, 9:9 .
  • Page 509 Stroke volume ..5:9 UF start/stop . . 4:52, 4:56, 5:9 Syringe ... . 2:10 UF volume . . 3:16, 3:25, 4:52 setting ..4:52, 5:9 Ultrafilter .

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