A:144 AK 98 Dialysis Machine - Disinfection and cleaning
HCEN12745 Revision 10.2016
Program version 2.xx
10.1 Disinfection and cleaning ā general
In order to maintain a high microbiological quality of the dialysis fluid, it is important
that you tend to the hygiene and maintenance of the machine.
Clean and disinfect the dialysis machine only according to the recommendations in this
operatorās manual.
It is recommended that you choose integrated heat disinfection when possible, since
this program also disinfects the inlet water tubing. See Section 10.3.7.1 āIntegrated
heat disinfectionā on pageīA:147 and Section 11.2 āIntegrated heat disinfection with a
WRO 300 H unitā on pageīA:160.
WARNING!
To ensure proper functionality of the dialysis machine, preventive maintenance shall
be performed according to instructions in Section 1.2.1 āGeneral precautions before
CAUTION!
No further cleaning and disinfection other than that described in this chapter shall be
performed by the operator/user of the machine. The casing must only be opened by
an authorised service technician, refer to the AK 98 Service manual.
There are different programs for cleaning and disinfecting the dialysis machine:
ā Heat and cleaning programs
ā Heat disinfection
ā Cleaning
ā Decalcification
ā Chemical disinfection
ā Rinse
Failure to clean and disinfect the machine according to recommendation may lead to
patient reactions due to endotoxins.
10.2 Check before you start
CAUTION!
Before starting a chemical disinfection program, check that there is enough
disinfectant in the container for the program. If not, the machine will not be properly
disinfected.
Check this before you start any kind of cleaning or disinfecting activity:
ā The dialysis fluid tubes are connected to the safety couplings.
ā The latches for the BICART cartridge holder are closed to avoid fluid leakage from
the machine.
ā The concentrate connectors are placed in their corresponding stand-by ports.
ā The arrangement of the drain connection from the machine, i.e. there must be a
sufficient air gap between the drain tube of the machine and the drainage system
to avoid back contamination from the drainage system.
NOTE!
For best results when cleaning (CLEANCART A cartridge or sodium hypochlorite),
perform a decalcification first.
NOTE!
The pick-up tubes must be rinsed/disinfected separately. See Section 13.5 āPick-up
tubesā on pageīA:173 for instructions.