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AK 98
Gambro AK 98 Operator's Manual
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HCEN12745
Revision
10.2016
Program
version
2.xx
AK
98
Dialysis
Machine
-
Attentions
B:99
524
Dialysis
fluid
is
bypassed
524
Dialysis
fluid
is
bypassedī¼
Check
fluid
tube
connections
to
the
dialyzer.
Deactivate
fluid
bypass.ī¼
Appears:
When
fluid
is
bypassed
by
the
operator
during
recirculation
and
extra
recirculation.
Machine
actions:
During
bypass
the
remaining
recirculation
time
is
not
updated.
Operator
action:
Press
the
Fluid
bypass
button.
Mute
time:
Permanent.
298
300
Table of Contents
Default Chapter
4
Table of Contents
4
1 Before You Get Started
11
Important While Reading the Operator's Manual
12
About this OperatorĀ“s Manual
12
Safety Definitions
12
Values and Settings
12
Buttons
12
About the Screen
13
Symbols
14
General Warning and Precautions before Use
17
General Precautions before Use
17
Responsibility and Disclaimer
19
Leakage Current and Potential Equalisation Connection
20
Treatment Location
20
Central Venous Catheter
20
Connection of External Electrical Equipment
20
How to Move the AK 98 Dialysis Machine
20
Safety Philosophy
21
Intended Use
21
Training
22
Disinfection and Functional Check
22
Inlet Water Requirements
23
Hygienic Quality of Central Delivery Systems
23
Preparing Dialysis Fluid
23
Accessories
23
Concentrates
24
Chemical Disinfectants
24
Blood Lines
25
Accessories
25
Ultrafilter
26
Dialyzers
26
Blood Pressure Measurement Accessories
26
Glossary
27
2 Machine Description
29
Blood Part
30
Blood Part Component Details
31
Fluid Part
38
Fluid Part Components
38
Fluid Part Component Details
39
Rear Component
46
Rear Components
46
Rear Component Details
47
3 Handling the Dialysis Machine
53
Operator's Position
55
Switch the Dialysis Machine on and off
55
Main Switch
55
On/Off Button
55
Indication Light and Buttons
56
Indication Light
56
Buttons on the OperatorĀ“s Panel
56
The Screen
57
Screen Overview
57
Venous and Arterial Pressure Controls (1, 2
58
Machine State Indicator
59
Time
59
Blood Path (5
59
Fluid Path
60
Bypass Path
60
Blood Pressure Area (7, 8
60
Diascan Read out Field and Diascan Button (9, 10
60
Treatment Overview (11-15)
60
Information Tab
61
Treatment Graph Tab (18
61
Information Field
61
Patient Page (20
62
Priming Button (21
62
Rinse Back Button (22)
62
Blood Button
64
Fluid Button
66
Fluid Bypass Button (26
68
Ultrafiltration Button (27
68
Status Bar (29
70
Service Menu
70
Concentrate Standby Mode
72
About Concentrate Standby Mode
72
To Manually Activate Concentrate Standby Mode
72
To Resume Preparation of Dialysis Fluid
72
To Automatically Enter Concentrate Standby Mode
73
Operate the Machine During Power Failure
73
Power Failure with Battery Back-Up
73
Power Failure Without Battery Back-Up
73
Return the Blood to the Patient Manually
73
Change of Dialyzer and Blood Lines During Treatment
74
Change of BICART Cartridge During Treatment
75
The Ultrafiltration Control
75
4 Haemodialysis - Double Needle Treatment
77
Basic Functionality
78
Start a Double Needle Treatment
78
Check before Treatment
78
Start Functional Check
78
Set up the Dialysis Machine
79
Attach the Arterial Blood Line
81
Attach the Venous Blood Line
86
Attach the Heparin Syringe
91
Priming the Dialysis Circuit
93
Priming Description
93
Assisted Priming
95
Priming Options
96
Recirculation
96
Set Treatment Time
97
Set Ultrafiltration Volume
97
Set Heparin Values
98
Connect the Patient
99
Start the Treatment
101
End a Double Needle Treatment
102
End the Treatment
102
Confirm Disconnect Patient
103
Machine Aftercare
103
5 Haemodialysis - Single Needle Treatment
107
Basic Functionality
108
Preparations
108
Connect the Patient
111
Start the Treatment
112
End a Single Needle Treatment
114
6 Isolated Ultrafiltration
116
Basic Functionality
116
How to Add a Second and Subsequent Phase of Isolated UF
117
Deactivate Isolated Ultrafiltration
117
Additional Information
117
Heparin
117
7 Profiling
119
General
120
Profiling of Sodium and Bicarbonate Concentrations
120
Profiling of Ultrafiltration Rate
121
Profiling Setting/Activation
124
Profiling Without a Preset Model
124
Profiling Ultrafiltration Without a Preset Model
124
Profiling Sodium Without a Preset Model
125
Profiling Bicarbonate Without a Preset Model
126
Set and Activate Profiling with a Preset Model
127
8 Measuring Blood Pressure
129
Blood Pressure Monitor (BPM
130
Blood Pressure Cuff
130
Direct Blood Pressure Measuring
132
Interval Blood Pressure Measuring
132
Measurement History
133
Set Alarm Limits
133
Patient Care During Blood Pressure Measuring
134
Patients with High Blood Pressure
135
Patients with Arrhythmia
136
9 Diascan
137
How DIASCAN Function Works
138
What DIASCAN Function Checks
138
Check K and Kt
138
Check Kt/V
139
Measurement History
140
Set a Kt/V Target Value
141
Set an Alarm for Low K or Kt/V
142
Factors that Affect Measuring
142
10 Disinfection and Cleaning
145
Disinfection and Cleaning - General
146
Check before You Start
146
Heat Disinfection
147
Description of Heat Disinfection
147
Cleaning and Decalcification
147
Start a Heat Disinfection with a CLEANCART Cartridge
148
Start a Heat Disinfection with Liquid Citric Acid
148
Start a Short Heat Disinfection with Liquid Citric Acid
149
To Schedule a Heat Disinfection Program
149
To Turn off a Scheduled Program
150
Integrated Heat Disinfection with a WRO 300 H Unit
151
Chemical Disinfection
151
About Chemical Disinfection
151
Start a Chemical Disinfection
151
Start a Central Chemical Disinfection
152
Chemical Disinfection Program with a WRO Unit
153
Disinfection History
154
About Chemical Disinfectants
154
Rinse and Drain
155
Start Rinse or Drain
155
To Schedule a Rinse Program
155
To Turn off Rinse Program for a Certain Day
156
Machine Storage with Chemical Disinfectant
156
Fill the Dialysis Machine with Chemical Disinfectant
156
Start Using a Dialysis Machine Filled with Chemical Disinfectant
157
Reference
158
Disinfection, Decalcification and Cleaning Agents - Characteristics
158
Flow Path
159
11 Disinfection with the AK 98 Dialysis Machine and WRO System
161
General Description
162
Integrated Heat Disinfection with a WRO 300 H Unit
162
Description of Integrated Heat Disinfection with a WRO 300 H Unit
162
Schedule an Integrated Heat Disinfection
162
Start an Integrated Heat Disinfection Manually
162
Central Chemical Disinfection Program with a WRO Unit
163
Description of Central Chemical Disinfection Program with a WRO Unit
163
Start a Central Chemical Disinfection with a WRO Unit
163
Settings for Rinse
165
Rinse Settings
165
12 Connectivity
167
Basic Functionality
168
Confirmed Patient ID and Retrieval of Patient Prescription When the Patient ID Is Confirmed
168
Cancel Prescription Retrieval
170
Clearing Patient ID and Patient Prescription
170
Setting Treatment Parameters Manually
171
Setting Station ID
171
Unconfirmed Patient with Data Transfer Only
172
13 Maintenance Handling
173
Maintenance
174
Blood Pump Rotor
174
Maintenence of the Blood Pump Rotor
174
Clean the Blood Leak Detector
175
Water Inlet Tube
175
Pick-Up Tubes
175
Surface
176
Change Ultrafilter
176
Storage
177
Service
177
Disposal
178
14 Technical Data and Specifications
179
Performance and Specification - Control System
180
Blood Flow Control
180
Heparin Pump
180
Blood Pressure
180
Blood Pressure Monitor (BPM
180
Ultrafiltration Control
182
Ultrafiltration Protective
182
Profiling
182
DIASCAN Function
182
Disinfection and Cleaning - Chemical Disinfection
182
Disinfection and Cleaning - Heat Disinfection
183
Auto Heat Disinfection
184
Heat Disinfection Program Including WRO 300 H
184
Disinfection and Cleaning - Rinse/Drain
184
Disinfection and Cleaning - Exterior Cleaning
185
Water Supply
185
Power Supply
185
Network Connection
186
Connection of External Equipment
186
Battery Back-Up
187
Performance and Specification - Supervisory System
187
Extracorporeal Blood Loss Due to Coagulation
188
Tmp
188
Blood Leakage Detection
188
Alarm Sound Pressure
188
Physical Data
188
Dimensions and Weight
188
Infusion Stand
189
Materials in Contact with Dialysis Fluid, Concentrates, and Water
189
Polymers
189
Metals
189
Other Materials
189
Environmental Data
190
Operation
190
Transportation and Storage
190
Electromagnetic Environment
190
Expected Service Life
193
Energy and Water Consumption
194
Standards
194
15 Local Regulatory Registration (if Applicable
197
General about Alarms
211
General Alarm Handling
212
External Alarm
212
Alarm History
213
Error List
214
How to Find the Alarm in the Alarm Handbook
214
High Priority Alarms
215
Air in Venous Drip Chamber
215
Blood Detected in Fluid Path
217
Blood Is Detected During Functional Check
219
Blood Is Detected in Assisted Priming
220
Blood Is Not Detected
221
Blood Pump Door Is Not Closed
222
Blood Pump Is Overloaded
223
Blood Pump Is Stopped for too Long
224
Fluid Path Obstruction
225
High Arterial Pressure
226
High Diastolic Blood Pressure
227
High Mean Blood Pressure
228
High Pulse Rate
229
High Systolic Blood Pressure
230
High Venous Pressure
231
Low Arterial Pressure
232
Low Diastolic Blood Pressure
233
Low Mean Blood Pressure
234
Low Pulse Rate
235
Low Systolic Blood Pressure
236
Low Venous Pressure
237
No Change in SN Venous Blood Pressure
238
Restarted after Power Failure
239
Technical Error
240
No BPM Values
242
Medium Priority Alarms
243
Arterial Pressure Limits too Wide
243
Blood Flow Is too Low
244
Fluid Tubes in Safety Couplings
245
Heparin Pump Is Overloaded
246
High Dialysis Fluid Temperature
247
Incorrect Acidic Concentrate
248
Incorrect Bicarbonate Concentrate
249
Incorrect Dialysis Fluid Composition
250
Insufficient Inlet Water Pressure
251
Low Battery Power
252
Conductivity out of Limits
253
Low Dialysis Fluid Temperature
255
Power Failure
256
Pv and Qd Settings in Conflict
257
Single Needle Stroke Volume Is too Low
258
Heparin Pump Technical Error
259
TMP Is too High
260
TMP Is too Low
261
UF Rate Stopped Due to High Venous Pressure
262
UF Volume Deviation
263
Venous Pressure Limits too Wide
265
Second Internal Fluid Leakage Detected
266
Internal Fluid Leakage Detected
267
Attentions
269
Attention Indication
273
General Attention Handling
273
How to Find the Attention
274
List of Attentions
274
Air Detector Not Activated
274
Air Leakage in Fluid Path
276
Arterial Clamp Test Failed
277
Battery Failure
278
Battery Power Is Low
279
Bicart Holder Is Not Closed
280
Bicart Is Not Attached to Holder
281
Blood Leak Detector Failure
282
Blood Pump Door Is Not Closed
283
Blood Pump Is Overloaded
284
Blood Pump Overloaded
285
Blood Pump Test Failed
286
BPM Failure
287
Buzzer Failure
288
Central Chemical Disinfection Dwell Is Complete
289
Check Rotor/Tube Distance
290
Chemical Fillup Volume Is too Low
291
Cleancart Fill Is Completed
292
Cleancart Is Not Attached
293
Cleaning Is Required
294
Concentrate Tube a Is out of Position
295
Concentrate Tube B Is out of Position
296
Decalcification Required
297
Dialysis Fluid Flow Is too Low
298
Dialysis Fluid Is Bypassed
299
Dialysis Fluid Not Ready for Treatment
300
Diascan Clearance Is too Low
301
Diascan Clearance Measurement Failed
302
Diascan Clearance Measurement Is Not Restarted
303
Diascan Clearance Measurements Paused During Isolated UF
304
Diascan Not Possible During UF Profiling
305
Diascan Sodium Limit Is Reached
306
Disinfection Required
307
Fluid in Bypass for too Long
308
Fluid Path Leakage Test Enabled
309
Fluid Path Obstruction
310
Fluid Path Obstruction During Disinfection
311
Fluid Tube Sensor Test
312
Fluid Tube Sensor Test
313
Fluid Tube Sensor Test
314
Fluid Tubes in Safety Couplings
318
Fluid Tubes Not in Safety Couplings
319
Functional Check Is on Hold
320
Functional Check Is Prolonged Due to Power Failure
321
Functional Check Is Stopped
322
Functional Check Is Stopped
323
Functional Check Prolonged Due to WRO
326
Profiling Is Not Restarted
328
Heat Disinfection Temperature Is too Low
329
Heparin Functional Check Failed
331
Heparin Infusion Is Completed
332
Heparin Pump Is Overloaded
333
High Inlet Water Conductivity
334
Improper Auto Start Setting
336
Improper Time And/Or UF Volume Settings
337
Incorrect Acidic Concentrate
338
Incorrect Bicarbonate Concentrate
339
Incorrect Conductivity
340
Incorrect Dialysis Fluid Composition
341
Inlet Water Pressure Is too Low
342
Kt/V Target Reached
343
Kt/V Target will Not be Reached
344
Leakage Test Failed
345
Low Flow Heat Is Stopped
346
Monitor Temperature Is too High
347
Profiling Is Not Restarted
348
Negative UF Rate
349
New Ultrafilter Required
350
New Ultrafilter Required
351
No Backfiltration Warning
353
No BPM Cuff Is Attached
354
Priming Volume Limit Is Achieved
355
Profiling Is Not Restarted
356
Restarted after Power Failure
357
Set Fluid Flow Is Not Reached
358
Start Air Detector Test
359
Heat Disinfection
360
Low Flow Heat Disinfection
361
Time to Prepare for Treatment
362
Too High TMP Required
363
Total Set UF Volume
364
Treatment Time Expired
365
UF Has Been Stopped for too Long
366
UF Rate Limit Is Reached
367
UF Rate Lower than Minimum Set
368
Profiling Is Not Restarted
369
Actual UF May Differ from Set UF
370
UF Volume Is Achieved too Early
371
UF Volume Is Set to
372
Venous Clamp Test Failed
373
WRO Communication Failure
374
WRO Not Ready
375
Wrong Disinfectant
376
Disinfection Fill-Up Phase Completed
377
Start Air Detector Test
378
No Patient ID Is Confirmed
379
Treatment History was Not Transferred to the
380
Leakage Detected
381
Internal Fluid Leakage Detector Functional Check Failed
382
Network Connection Failed
383
Leakage Detected During Disinfection
384
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Gambro AK 98 Specifications
General
Brand
Gambro
Model
AK 98
Category
Medical Equipment
Language
English
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