Gambro AK 96 Dialysis Machine Manuals

Gambro AK 96 Dialysis Machine Manuals

Manuals and User Guides for Gambro AK 96 Dialysis Machine. We have 1 Gambro AK 96 Dialysis Machine manual available for free PDF download: Operator's Manual

Gambro AK 96 Operator's Manual

Gambro AK 96 Operator's Manual (510 pages)

Dialysis Machine

Brand: Gambro | Category: Medical Equipment | Size: 15.87 MB

Table of Contents

Important Information
1
Machine in this Manual
1
Previous Version of the Machine
1
Table of Contents
7
Before You Get Started - General Information
7
How to Use this Manual
8
- How to Find What You Are Looking for . . . . . . . . . . . . . . . . . . Chapter Descriptions
  8
  - Chapter Descriptions
    9
  - Deﬁnitions of Expressions Used in this Manual
    11
  - Warning
    11
  - Caution
    11
  - User
    12
  - Operator
    12
  - Authorized Technician
    12
  - Machine
    12
- Other Keywords Used in this Manual
  12
- Figures
  13
- Symbols Within this Manual
  14
- Symbols Within the User Interface
  14
- Symbols Fixed on to the Machine
  15
General Precautions before Use
17
Intended Use
20
Safety Philosophy
21
- Ultraﬁltration
  21
- Venous Pressure
  21
- Air Detector
  22
- Blood Leak Detector
  22
- Blood Pump
  22
- Chemical Disinfectant Intake
  22
The Preparation of Dialysis Fluid
23
List of Concentrates, Accessories and Disposables
24
Chapter 2 Description - the Machine and Its Components Contents

30
- The Blood Part of the Machine
  30
- Blood Part Component Terms
  31
- Blood Part Component Details
  32
  - Operator's Panel
    32
  - Remote Operator's Panel
    32
  - Top Tray
    32
  - Arterial Pressure Transducer Connector
    34
  - Venous Pressure Transducer Connector
    34
  - Heparin Pump
    37
  - Priming Detector
    37
  - Arterial Blood Line Clamp
    38
  - Potential Equalization Connection
    38
  - Venous Blood Line Clamp
    38
  - Arm for Dialyzer Holder
    39
  - Expansion Chamber Holder
    39
  - Blood Line Guides
    40
  - BPM Connector
    40
  - Level Adjustment Knob
    40
  - BPM Cuff Holder
    41
  - Infusion Pole
    41
  - The Fluid Part of the Machine
    43
  - Fluid Part Component Terms
    44
  - Fluid Part Component Details
    45
    
    Safety Couplings for the Dialysis Fluid Tubes
    45
    
    Machine Inlet Dialysis Fluid Tube
    46
    
    Machine Outlet Dialysis Fluid Tube
    46
    
    Disinfection Port for Yellow Disinfectant Connector
    47
    
    Parking Port Marked P, for Yellow Disinfectant Connector
    47
    
    Yellow Disinfectant Connector
    48
    
    Base Plate
    49
    
    Blue Concentrate Connector with White Tube Marking
    49
    
    Red Concentrate Connector
    49
    
    Pick-Up Tube
    50
    
    Pick-Up Tube Holder
    50
    
    Stand-By Port for Red Concentrate Connector
    50
    
    Bicart Cartridge Holder
    51
    
    Stand-By Port for Blue Concentrate Connector
    51
    
    Dialysis Fluid Filter
    52
  - The Rear of the Machine
    54
  - Rear Component Terms
    55
  - Rear Component Details
    56
  - Transportation Handle
    56
  - Air Filters
    56
  - Halt Button
    56
  - Battery Connect Indicator
    57
  - Battery Charge Indicator
    57
  - Outlet Tube
    57
  - Inlet Water Tube
    58
  - Disinfectant Inlet Tube
    58
  - External Communication Port
    58
  - Attachment for Service Table
    59
  - Mains Connection
    59
  - Fuses
    59
  - Main Switch
    60
  - Wheels
    60
  - Operating the Machine - Handling Guidelines
    62
Chapter 3 Operating the Machine - Handling Guidelines Contents

64
- The Basics
  64
- The Handling Philosophy
  65
- The Flow Diagram
  65
- The Buttons
  65
- The Operators Panel
  67
- Time Display
  67
- Flow Diagram
  67
  - The Blood Path
    67
  - The Bypass Path
    68
  - The Dialyzer Path
    68
  - The Ultraﬁltration Path
    68
  - Page References for the Buttons in this Section
    69
    
    On/Off Button
    71
    
    Priming Button
    71
    
    Discontinuing Button
    72
    
    Rinse/Disinfection Button
    72
    
    Venous Pressure Button
    72
    
    Arterial Pressure Button
    73
    
    Time Button
    73
    
    Blood Flow
    74
    
    Blood Path Button
    74
    
    Heparin
    75
    
    Single Needle
    75
    
    BPM Button
    76
    
    Fluid Bypass Button
    76
    
    Fluid Path Button
    76
    
    UF Start/Stop Button
    76
    
    Temperature
    77
    
    Conductivity
    78
    
    Dialysis Fluid Flow Rate
    78
    
    Diascan
    78
    
    Transmembrane Pressure
    79
    
    Air Detector Button
    80
    
    Alarm Button
    80
    
    Attention Button
    80
    
    Mute Button
    80
    
    Blood Pump Button
    81
    
    Blood Pump Up/Down Keys
    81
    
    Keypad
    81
    
    Select Key
    81
    
    Back Key
    82
    
    Cursor Keys
    82
    
    Display Up/Down Keys
    82
    
    Left Cursor Key
    82
  - Information Display
    83
  - Viewing Angle Adjustment
    83
  - Cursor Brace
    84
  - Cursors
    84
  - Lower Cursor
    84
  - Overview Displays
    84
    
    Upper Cursor
    84
    
    The Ultraﬁltration Control
    86
  - Battery Back-Up Operation
    88
  - Override Battery Back-Up Operation
    88
  - Power Failure
    88
  - Machine Shut down
    89
  - Return the Blood During Machine Shut down
    89
  - Recovery from Machine Shut down
    90
  - Concentrate Stand-By Mode
    91
  - Handling Features
    91
    
    Procedure for Manual Activation
    92
    
    Resume Fluid Preparation
    92
    
    Change of Bicart Cartridge During Treatment
    93
  - Miscellaneous
    93
  - Change of Blood Pump Segments
    94
  - Change of Dialyzer and Blood Lines During Treatment
    95
  - Resume Treatment
    96
  - Infusions During Treatment
    97
  - Post-Blood Pump Infusions
    97
  - Pre-Blood Pump Infusions
    97
- Hemodialysis - Double Needle Treatment
  98
Chapter 4 Hemodialysis - Double Needle Treatment Contents

99
- Start the Machine
  99
- Check before Switching the Machine on
  99
- Switch the Machine on
  99
- Function Check
  100
- Set-Up the Machine
  104
  - Connect/Conﬁrm Concentrates
    104
  - Concentrate Combinations
    105
    
    Acidic Concentrate and Bicart Cartridge
    106
    
    Attach Acidic Concentrate
    106
    
    Attach Bicart Cartridge
    106
    
    Acidic Concentrate and Liquid Bicarbonate Concentrate
    108
    
    Attach Liquid Bicarbonate Concentrate
    108
    
    Conﬁrm Concentrates
    108
    
    Acetate Concentrate
    109
    
    Attach Acetate Concentrate
    109
  - Attach Disposables
    110
  - Dialyzer - Attach
    112
  - Arterial Blood Line - Attach
    113
  - Details
    115
    
    If Automatically Threaded
    115
    
    If Manually Threaded
    116
    
    Blood Line Guide
    118
    
    Dialyzer Connection
    118
    
    Arterial Line Clamp
    119
    
    Arterial Patient Connector
    119
    
    Arterial Pressure Connector
    120
    
    Check All Necessary Clamps
    120
  - Preparations if the Heparin Pump Is to be Used
    121
  - Venous Blood Line - Attach
    124
  - Details
    126
    
    Venous Line Clamp
    128
    
    Venous Patient Connector
    129
    
    Venous Pressure Connector
    129
  - Dialysis Fluid Tubes - Attach
    130
    
    Attaching Procedure
    131
    
    Assisted Priming
    133
    
    Manual Priming
    133
    
    Priming
    133
    
    Priming Part
    133
    
    Extra Priming Part
    134
    
    Recirculation Priming Part
    134
  - Check before Priming
    135
  - Manual Priming and Rinsing Procedure
    135
  - Priming Procedure
    135
    
    If the Attention Alarm
    137
    
    When the Priming Volume
    137
  - Extra Priming Procedure
    139
  - Recirculation Priming Procedure
    139
  - Assisted Priming and Rinsing Procedure
    141
  - Check before Priming
    141
  - Extra Priming Procedure
    145
  - Recirculation Priming Procedure
    145
  - Always Check/Adjust
    147
  - Set Treatment Parameters
    147
  - Connect the Patient
    148
  - Start the Treatment
    151
  - Alarm Limit Centralizing Function
    152
  - Pressure Alarm Limits Setting
    152
  - Tmp
    153
  - Confirm Treatment End
    154
  - Discontinuing
    154
  - Return the Blood
    155
  - Confirm Patient Disconnection
    157
  - Machine Aftercare
    158
  - Hemodialysis - Single Needle Treatment (Option)
    162
  - Glossary of Single Needle Parameters and Key Terms
    163
  - Preparations
    164
  - Isolated Ultraﬁltration
    174
Chapter 6 Isolated Ultraﬁltration Contents

175
- Isolated UF - General
  175
- Isolated UF - Performing
  176
- Before Treatment
  176
- During Treatment
  177
- After Treatment
  178
- Proﬁling
  180
Chapter 7

181
- Profiling of Na and HCO Dialysis Fluid Concentration
  181
- General
  181
  - Decreasing Graph in Steps for UF Rate Proﬁling
    182
  - Decreasing Linear Graph for UF Rate Proﬁling
    182
  - Proﬁling of Ultraﬁltration Rate
    182
  - Graph in Intervals for UF Rate Proﬁling
    183
  - Change of UF Rate Linear Graph When Time Has Been Changed
    184
  - Change of UF Rate Linear Graph When UF Volume Has Been Changed
    184
  - Proﬁling Models
    185
  - Profiling Setting/Activation
    185
  - Profiling Without Preset Model
    186
  - Setting and Activating the Model
    186
  - Ultrafiltration
    186
  - Bicarbonate
    187
  - If Linear Graph
    187
  - If Step or Interval Graph
    187
  - Sodium
    187
  - Profiling with Preset Model
    189
  - Selecting and Activating the Model
    189
- Hygiene and Maintenance
  192
Chapter 8 Hygiene and Maintenance Contents

193
- Hygiene and Maintenance - General
  193
- Glossary of Disinfection Terms
  194
- Disinfection History
  195
- Schedule for Hygiene and Maintenance
  197
- When the Machine Is Planned Not to be in Use
  198
- Disinfection, Decalcification and Cleaning Agents - Characteristics 8:8
  199
- Hygiene - Heat Disinfection
  200
- Heat Disinfection - General
  200
- Heat Disinfection Program - Performing
  202
  - Check before Starting the Procedure
    202
  - Heat Disinfection Program with Cleancart® Cartridge - Performing 8:13
    204
  - Heat Disinfection Program with Liquid Citric Acid - Performing
    207
  - Integrated Heat Disinfection Program with WRO 300 H
    210
  - Performing
    210
    
    Automatic Start of the Low Flow Heat Phase
    211
    
    Manual Start of the Low Flow Heat Phase
    212
  - Check Whenever Activated
    214
  - Heat Disinfection Program - Automatic Start
    214
    
    Programming and Activation Procedure
    214
    
    In Combination with Cleancart Cartridge
    215
  - Heat Disinfection Program - Automatic Switch off
    216
  - Integrated Heat Disinfection
    216
  - Chemical Disinfection - General
    217
  - Hygiene - Chemical Disinfection
    217
  - Chemical Disinfection Program - Performing
    218
  - Filling the Machine with Chemical Disinfectant
    220
  - Residual Test after Chemical Disinfection
    222
  - Central Chemical Disinfection - Performing
    223
  - Hygiene - Rinse/Drain
    225
  - Rinse/Drain - General
    225
  - Rinse/Drain Program - Performing
    225
  - Check Whenever Activated
    227
  - Rinse/Drain Program - Automatic Start
    227
  - Rinse/Drain Program - Automatic Switch off
    228
  - Cleaning
    229
  - Decalcification
    229
  - Maintenance - the Flow Path
    229
  - The Flow Path
    229
  - Procedure
    230
  - Ultrafilter - How to Change
    230
  - Ultrafilter Replacement Reminder
    230
  - Blood Leak Detector
    232
  - Blood Pump
    232
  - Maintenance - the Exterior
    232
  - Pick-Up Tubes
    232
  - The Exterior Surfaces
    232
  - Top Tray
    232
  - BPM Cuff
    233
- Technical Data and Speciﬁcations
  234
Chapter 9 Technical Data and Speciﬁcations Contents

235
- Performance and Specification - Control System
  235
- Blood Flow Control
  235
- Heparin Pump
  236
- Blood Pressure
  236
- Blood Pressure Monitor (BPM)
  237
- Dialysis Fluid Preparation
  238
  - Proportioning of Concentrates
    239
  - Ultraﬁltration Control
    239
- Profiling
  239
  - Diascan
    240
  - Disinfection and Cleaning - Chemical Disinfection
    241
  - Auto Heat Disinfection
    242
  - Disinfection and Cleaning - Heat Disinfection
    242
    
    Disinfection and Cleaning - Exterior Cleaning
    243
    
    Disinfection and Cleaning - Rinse/Drain
    243
  - Heat Disinfection Program Including WRO 300 H
    243
  - Water Supply
    244
  - Power Supply
    245
  - Battery Back
    246
  - Connection of External Equipment
    246
  - Air Detection
    247
  - Extracorporeal Blood Loss to the Environment
    247
  - Performance and Specification - Supervisory System
    247
  - Blood Leakage Detection
    248
  - Dialysis Fluid Preparation
    248
  - Ultrafiltration Supervision
    248
  - Infusion Stand
    249
  - Physical Data
    249
  - Materials in Contact with Dialysis Fluid, Concentrates and Water
    250
  - Metals
    250
  - Others
    250
  - Polymers
    250
  - Electromagnetic Environment
    251
  - Environmental Data
    251
  - Operation
    251
  - Operator's Manual - Technical Data 9:1
    251
  - Transportation and Storage
    251
  - Separation Distance According to Frequency of Transmitter
    254
  - Standards
    255
  - Major Changes in Operator's Manual
    258
  - Major Changes between Program Version 2.XX and 3.XX
    259
  - Index
    261
Chapter 1

264
- Before You Get Started - General
  264
- BPM – Blood Pressure Monitor
  266
Chapter 11 BPM - Blood Pressure Monitor (Option) Contents

267
- General
  267
- Patient Factors Which Affect Readings
  269
- BPM Log List
  271
- Single Measuring
  272
- Automatic - Interval Measuring
  274
- Automatic - Continuous Measuring
  278
- Procedure
  278
- HCEN12239 Revision 12.2010 AK 96 ® Operator's Manual - BPM 11:1
  278
  - Application
    284
  - How the Measuring Process Is Performed by the Machine
    285
  - Glossary of Diascan Parameters and Key Terms
    285
  - Precautions before Use
    287
  - Menus
    289
  - The Viewing Menu
    289
  - Measurement Result Values Without Kt/V Measurement
    289
  - Measurement Result Values, Kt/V Measurement Included
    291
  - Time to Target
    292
  - The Setting Menu
    293
  - Activation/Deactivation and Measurement Mode Setting
    293
  - Alarm Limit for Clearance
    294
  - Distribution Volume
    295
  - Distribution Volume Setting
    295
  - Alarm Limit for Kt/V
    297
  - Target for Kt/V
    297
  - Alarms
    299
  - Clearance Alarm Limit
    299
  - Kt/V Alarm Limit
    300
  - Step-By-Step Instructions for Measuring Clearance and Kt/V
    301
  - Single Clearance Measurement Check
    301
  - Continuous Measuring of Clearance
    303
  - Single Kt/V and Clearance Measurement Check
    305
  - Continuous Measuring of Kt/V and Clearance
    308
Chapter 13 Alarms Contents

319
- Alarms - Overview
  319
- Alarms - General
  322
- Alarm Indication
  322
- General Alarm Handling
  322
- Alarm History
  324
- How to Find the Alarm
  325
  - Appears
    325
  - Machine Actions
    325
  - Alarm List
    326
  - Arterial Pressure Alarms
    326
  - Venous Pressure Alarms
    331
  - Air Detector Alarm
    336
  - Low Blood Flow Rate Alarm
    339
  - Single Needle Stroke Volume Alarm
    341
  - Blood Pressure Alarms
    343
  - Blood Leak Alarm
    351
  - TMP Alarms
    354
  - Temperature Alarms
    358
  - Conductivity Alarm
    362
  - Ph (Option) Alarm
    364
  - Connect Patient Alarm
    366
  - Technical Alarm
    368
- Attention Alarms
  372
Chapter 14 Attentionalarms Contents

373
- Attention Alarms - General
  373
- Attention Alarm Indication
  373
- General Attention Alarm Handling
  373
- How to Find the Attention Alarm
  375
- Attention Alarm List
  376
  - Air Leakage
    377
  - Art Press Menu Has Been Closed
    378
  - Change Has Been Executed
    378
  - Art Pressure Limits too Wide
    379
  - Attach Tubes to Safety Bypass
    380
  - Battery Failure
    382
  - Bicart HOLDER NOT CLOSED
    383
  - Bicart HOLDER NOT INSTALLED
    384
  - Bicart NOT ATTACHED to HOLDER
    385
  - Blood Detected in Assisted Prim
    386
  - Blood in Priming Detector
    387
  - Blood Leak Detector Failure
    388
  - Blood Path Menu Has Been Closed
    389
  - Blood Path Pressure Test Failed
    390
  - Blood Pump Door Not Closed
    391
  - Blood Pump Overload
    392
  - Blood Pump Overload in Fch
    393
  - Blood Pump Stop Time Expired
    394
  - Bpm Failure
    395
  - Bpm Menu Has Been Closed
    396
  - Central Chem Disinf. Completed
    397
  - Check Rotor/Tube Distance
    398
  - Chemical Fillup Not Sufficient
    399
  - Cleancart FILL COMPLETED
    400
  - Cleancart NOT ATTACHED to HOLDER
    401
  - Cleaning Required
    402
  - Clearance too LOW
    403
  - Connect Concentrate When Time to Prepare Machine for Treatment
    404
  - Decalcification Required
    405
  - Dialysis Fluid Flow too Low
    406
  - Dialysis Fluid Not Ready for Treatment
    407
  - Dialysis Fluid Ready
    408
  - Diascan FAILURE
    409
  - Turn off Diascan
    409
  - Diascan Is Not Restarted
    410
  - Diascan MEASUREMENT FAILED
    411
  - Diascan NOT POSSIBLE During
    412
  - Diascan PAUSED
    413
  - Diascan RESCHEDULED TWICE
    415
  - Disconnect Arterial Pressure
    417
  - Disconnect Venous Pressure
    418
  - Disinfection in PROGRESS
    419
  - Disinfection Required
    420
  - Fch Is Waiting
    421
  - Fluid Path Menu Has Been Closed
    426
  - Fluid Path Obstruction
    427
  - Fluid Tube Sensor Test
    428
  - Fluid Tube Sensor Test Failed
    429
  - Fluid Tubes in Safety Bypass
    431
  - Mute Time
    432
  - Buzzer Sound
    432
  - Fluid Tubes Not in Safety Bypass
    433
  - Fluid Path Obstruction During Disinfection
    434
  - Function Check Prolonged Due to Power Failure
    435
  - Function Check Prolonged Due to Wro
    436
  - Function Check Restarted
    437
  - Heater Efficiency Not Sufficient
    438
  - Heparin Flow Rate Set to Zero
    439
  - Heparin Pump Overload
    440
  - HCO3- Setting Has Been Changed
    441
  - High Conductivity Not Obtained
    442
  - High Inlet Water Cond.
    443
  - High Monitor Temperature Alarm
    445
  - Turn off the Monitor
    445
  - High Venous Press Test Not Made
    446
  - Impossible Auto Start Setting
    447
  - Check Auto Heat/Rinse Ready Time
    447
  - Impossible Time or Uf Setting
    448
  - Adjust TIME or UFV
    448
  - Improper Position of Chemical Disinfectant Connector
    449
  - Improper Position of Pick up
    450
  - Incorrect Acidic Concentrate
    452
  - Check Concentrate
    452
  - Incorrect Bicarb. Concentrate
    453
  - Incorrect Concentrate
    454
  - Incorrect Dia Fluid Composition
    455
  - Incorrect Language Selection
    456
  - Insufficient Inlet Pressure
    457
  - Kt/V FORECAST too LOW
    458
  - Kt/V TARGET REACHED
    459
  - Low Battery Power
    460
  - Machine Turns off Within One Min
    460
  - Low Flow Heat Aborted
    461
  - Low Flow Heat Not Avail. in Wro
    462
  - Na+ Setting Has Been Changed
    463
  - Negative Uf Rate
    464
  - New Ultra Filter Required
    465
  - No Backfiltration Warning
    468
  - No Bpm Values
    469
  - Check BPM Cuff
    469
  - No Change in Blood Pressure
    470
  - Check Cause, Press BLOODPUMP Btn
    470
  - No Cuff Attached
    471
  - Attach or Check BPM Cuff
    471
  - Power Failure, Battery Operation
    472
  - Battery Operated for $# Minutes
    472
  - Press SELECT Key to Enter
    473
  - BPM History List
    473
  - Press SELECT to Enter
    474
  - Diascan Log List
    474
  - Priming Volume Limit Achieved
    475
  - Check Blood Line
    475
  - Profiling Is Not Restarted
    476
  - Check Settings and Activate
    476
  - Recovered from Power Failure
    477
  - Press SELECT Key to Confirm
    477
  - Pv and Qd Setting in Conflict
    478
  - Increase Qd to 500 Ml/Min
    478
  - Remove Tubes from Safety Bypass
    479
  - Rinse/Dis Menu Has Been Closed
    480
  - Sags Test Failed
    481
  - Check Water Supply
    481
  - Set Dia Fluid Flow Not Reached
    482
  - Readjust Flow or Call Service
    482
  - Start Heat in WRO
    483
  - Start Low Flow Heat in WRO
    484
  - Time Menu Has Been Closed
    485
  - Tmp Limits too Wide
    486
  - To End Treatment, Zero Time in Isolated UF
    487
  - To Obtain Total UFV
    488
  - ISOL UF Must be Started
    488
  - To Start the Air Detector Test
    489
  - Too High Tmp Required
    490
  - Increase Time or Decrease UFV
    490
  - Treatment Time Expired
    491
  - Treatment will Stop in 2 Minutes
    492
  - Uf Rate Limit Reached
    493
  - Uf Volume Achieved too Early
    494
  - Uf Rate Lower than Minimum Set
    495
  - Adjust TIME, UFV or MIN UF
    495
  - UFR Setting Has Been Changed
    496
  - Uf Rate Stopped Due to High Pv
    497
  - Lower PV
    497
  - Uf Stop Time Expired
    498
  - Press UF START/STOP Button
    498
  - Uf Volume Set to Zero
    499
  - Ven Press Menu Has Been Closed
    500
  - VENOUS LOW LIMIT below +10 Mmhg
    501
  - Venous Pressure Limits too Wide
    502
  - Wait 30 Seconds to Bypass Dialysis Fluid
    503
  - Wro Communication Failure
    504
  - Check WRO
    504
  - Wro Not Ready
    505
  - Wrong Disinfectant Agent
    506

Advertisement

Advertisement

Related Products

Gambro Categories

Medical Equipment Water Filtration Systems Laboratory Equipment

More Gambro Manuals