Nipro diamax manual




















Se pueden programar tiempos de reposo. Tiempo de lavado: 20 a 60 min. La siguiente tabla muestra un ejemplo de temperaturas de almacenamiento e intervalos de carga. Circuito de sangre 9- 3 9.

Nombres y funciones del panel del circuito de sangre No. Apague el sonido, presione el interruptor MUDO. La bomba de sangre y la bomba de la jeringa heparina se detienen. Procedimiento cuando se enciende la alarma Siga los siguientes procedimientos cuando la alarma se activa. NOTA Si han transcurrido dos minutos sin remover las causas de alarma, el zumbador se activa nuevamente.

Eliminar la causa de la alarma. Describe las condiciones de una alarma a reiniciar. En este campo se describen condiciones especiales y referencias. Se detienen todas las operaciones en el presente proceso. Test de inicio.

Control retroactivo de paradas de P4 y P5. Cada 1 seg. Una fuga de sangre fue descubierta durante el cebado del dializador. Una fuga de sangre fue descubierta durante el modo cebado del dializador. No monitoree cuando se activa la alarma Nota No supervise durante el drenaje.

Nota Produce un sonido hasta que se reajuste. Produce un sonido hasta que se reajuste. Y TEMP. Limpieza externa Limpieza del conector de concentrado de dializado y puerto de lavado.

Presione la tecla ESC para borrar el teclado y regresar a la pantalla anterior. Pueden ser seleccionados y mostrados.

Diagrama de flujo del proceso. Proceso de lavado 1. Primer paso, confirme los siguientes puntos. Verifique el contenido del mismo. Confirmar el proceso lavado mostrado. Cuando se escucha un sonido, el proceso de lavado comienza. Si se encuentra cualquier anormalidad, tome las medidas adecuadas.

Encender el interruptor principal. Verifique si no hay desinfectante residual presente. Seleccionar el concentrado a utilizar. Tampoco use dializado de bicarbonato como concentrado de dializado para acetato.

La pipeta se pone en el tanque A — concentrado A. Coloque el concentrado de dializado de acetato como se muestra en la figura de abajo. NOTA Coloque los concentrados del dializado de bicarbonato como se muestra en la figura.

Al tocar el icono de la lupa, las diversas informaciones mostradas en la tabla de abajo se pueden mostrar. Sujete la parte inicial del segmento de bomba con el clamp A Ver figura 1. Coloque el segmento de bomba y luego clampe la parte final del segmento con el clamp del tubo B Figure 5. Por favor sea cuidadoso y no genere una torcedura o mordedura en la tubuladura.

Tenga cuidado de no morder la tubuladura. Abrir la cubierta de la bomba de sangre y fijar el segmento bomba de sangre lado de la arterial, a la bomba, girando el rotor con la mano en el sentido horario. Conectar la bomba de jeringa para inyectar el anticoagulante.

Confirm that the pressure has not dropped by the measurement one minute after the value of PG5 becomes stable. Remove the bloodline and turn OFF the power supply after the measurement is complete. Confirmation of real flow rate Confirm the real flow rate of the blood pump. Judged as PASS if the 2. Operate the blood pump and fill the bloodline with water. Measure the real flow rate for a minute with an electronic balance, etc. Inspection of Syringe Pump HP 7.

Operation of pusher Confirm that the pusher is operating properly. Pick up the pusher lever to release its lock. Slide it up and down to check for smooth pusher operates smoothly. Confirmation of play and abnormal noise Confirm the operation of the syringe pump.

Confirm that there is no abnormal noise, etc. DawCorning 5. Open the front door and grease up the syringe Corp. Confirmation of overload switch operation Confirm that the syringe pump overload switch works properly. Prepare the syringe with sufficient water inside and pressure is 0.

Connect the tip of the syringe to the pressure. Measure the pressure when the overload switch is activated.

Remove the syringe pump and turn OFF the power supply after measurement is complete. Confirmation of infusion volume Confirm the discharge volume of the syringe pump. Prepare a syringe with plenty of water inside and measured volume is 2. Receive the water discharged for 30 minutes with a container and measure the discharge amount with an electronic balance. Remove the syringe pump and turn OFF the power supply when measurement is complete. Confirmation of temperature sensor T1- 4 Confirm the temperature sensors operate properly.

Compare the temperatures of T1 with T3, and T2 with T4 after the temperatures become stable. Stop the process and turn OFF the power supply after the confirmation is complete. Confirmation of conductivity sensor CD1- 4 Confirm the conductivity sensor operates properly. Stop the process, execute the rinse process to wash the inside of the dialysate line sufficiently, and then turn OFF the power supply. Confirmation of blood leak detector BLD Confirm the blood leak detector operates properly. When cleaning the liquid permeable part, rinse with disinfectant without disassembling the machine.

NOTE Perform the rinse process with disinfectant in advance when checking the blood leak detector. Judged as PASS if an 2. Remove the cover plate of the blood leak detector. Insert the filter plate into the place where the cover plate was removed. Confirm that an alarm bell sounds.

Remove the filter plate, restore the original cover plate, and turn OFF the power supply, interrupting the dialysis preparation process. Confirmation of air bubble detector ABD Confirm that the air bubble detector operates properly. Prepare bloodline, dialyzer, and dialysate, and start alarm occurs. Fill the bloodline with water. Open the cover at the clamp section to make the air process. Stop the process, execute the rinse process to sufficiently wash the inside of the dialysate line, and then turn OFF the power supply.

Confirmation of insulation resistance Confirm that dielectric breakdown has not occurred by measuring the insulation resistance. Prepare an insulation-resistance tester and connect Judged as PASS if the Applied voltage it to the power plug and ground terminal at the insulation resistance is 5 V.

M or more. Measure the insulation resistance by operating the insulation-resistance tester. Confirmation of earth leakage current Confirm there is no current leak by measuring the earth leakage current.

Content of work Judgment standard Remarks Prepare a measurement instrument for the earth Judged as PASS if Prepare a leakage current and measure the leakage current of leakage current is 0. Confirmation of backup battery performance Check the battery performance if the backup battery Option is furnished. Prepare the bloodline, set it to the machine, and fill blood pump and the it with water.

Keep the pumps ON, pull out the power cable, and confirm that the pumps operate properly for 30 minutes. Connect the power cable again, detach the bloodline, and then turn OFF the power supply. Keep the breaker ON to charge electricity again.

NOTE Though a new battery has the capability to operation the machine for 30 minutes or more, it deteriorates as time passes by regardless of the frequency of use. When deterioration is observed on the periodical inspection, replace the battery as soon as possible. Inspection of Safety-related Devices 7.

Confirmation of temperature error alarm Confirm that the temperature error alarm is given properly. Judged as PASS if alarm 2.

Prepare dialysate and start the dialysis preparation bell sounds. Change the value of T1 MAX or T1 MIN to change to a value within the range where an alarm is output at the present value of T1 displayed at the upper section in the screen. Stop the dialysis preparation process and turn OFF the power supply after executing the rinse process to wash the dialysate line sufficiently.

Confirmation of conductivity error alarm Confirm the conductivity error alarm is output properly. After confirming that the alarm sounds, return the set value to the original value and then press EXIT button at the lower right in the screen to restore the original screen. Confirmation of hydraulic pressure error alarm Confirm that the pressure error alarm is output properly. Prepare dialysate and start the dialysis preparation alarm is output properly process.

Confirm the alarm occurs, and return the value to the original value. Inspection of venous clamp CL Confirm the blocking performance of the clamp. Prepare the venous side bloodline filled with water Judged as PASS if the and set it to the venous clamp section. Connect the difference between the bloodline to the dialysate pressure sensor value recorded in Step 6 connection port. Clamp the dialyzer connection end of the bloodline and the needle connection end with a clamp etc.

Inject water into the chamber of the bloodline with the syringe so that the value of PG5 becomes mmHg 1. Remove the clamp on the needle connection end side and wait for two minutes.

Record the value of PG5 when the clamp is removed. Record the value of PG5 in two minutes. Remove the bloodline and turn OFF the power supply. Confirmation of dialysate making Confirm that the dialysate is appropriately made. Prepare dialysate, bloodline, dialyzer, and start the measured conductivity is dialysis preparation process.

Proceed the process the set value 0. Sample the dialysate from the sample port after the conductivity becomes stable and confirm that its conductivity is the set value.

Contents of check Result Remarks Contents of work, Exchanged parts, etc. In addition, installation work described in this chapter must be done by qualified persons who have received the specified training of this machine by the manufacturer. WARNING Installation of the machine must be done only by the persons who have received the training of this machine provided by the manufacturer and sufficiently mastered its skills and experience.

Power Supply The following shows the ratings of the power equipment for this machine. If you need replace the cable, please contact the nearest branch or agency. Water Supply Conditions, Drainage Conditions Check the following points for the proper operation of the machine. Water supply conditions Water quality: Clean water for dialysis Quality water must satisfy the requirements enforced in the hemodialysis system U.

Drainage height: cm Head: 5 cm or more Distal end of the drain tube must not contact with the surface of the water in the waste channel. Drainage tube: Tube can be used less than 3meters long. Surrounding Space Following clearance must be secured against outside dimensions of equipment.

Top clearance: 5 cm or more Side clearance: 10 cm or more Rear clearance: 20 cm or more For ventilation, there must be a ventilation opening of 20cm or more, or one of top, side, and rear must be open to atmosphere. An improper installation environment may cause serious damage to the health of the operator or the patient as well as machine malfunctions. Read and follow the EMC-related information in the attached document of instruction manual carefully for installation and use.

Never open the package if no one else is present. Handle the system carefully to avoid dropping it. Unpacking Carton and Confirmation of accessories Confirm that the following items are included inside the carton after unpacking the carton. IV Pole Dialyzer Holder. Disinfectant Tray Tray. Assembling accessories into machine Following tools need to be prepared to assemble accessories into the machine.

Phillips-head screwdriver Spanner 26 mm. Work on a level and stable surface. Ensure enough space for assembling. Use the tools that meet the metric screw threads. Unscrew the 8 screws [ A circled in the figure] to remove the back cover of the hydraulic line.

Since the tubes and wires are connected to the main machine, work carefully not to pull out them. Through the holes [ B circled in the figure above], attach the disinfectant nozzle holder on the backside of the removed back cover using the provided screws. Attach the nozzle holder with the flat side up.

Tighten the nozzle holder together with the cable fixture [ C circled in the figure on the left]. Fix the connector as D circled in the figure with the cable fixture tightened in step 2. Using the Phillips-head screwdriver, fix the disinfectant tray with the truss head screws removed in the step 4.

Follow the step 1 procedure in reverse to re-install the back cover. Make sure not to fold the tubes or pinch the wires. Connect the disinfectant nozzle to the edge of the thin tube hanging from the below the fan of the back cover of the hydraulic line. When the disinfectant nozzle is not used, store it as in the figure on the right. Insert the hanger to the fixed pole as the figure above. Attach the handle for pole into the thread on the fixed pole. Fix the IV pole at an adequate height by tightening up the handle for pole.

Insert color lamp to the bracket. Fix the color lamp using the spanner 26 mm as the figure above. Wiring for color lamp Connect the cables for the color lamp. Remove the screws at seven circled sections in the right figure with the phillips screwdriver. Remove the backside panel by sliding it in the arrow direction. The earth cable and the fan harness are connected to the backside panel. Turn over the backside panel, taking caution not to damage the power supply cord, remove the fan connector, and remove the earth cable with the Phillips screwdriver.

There is an unconnected connector at the circled portion in the right figure. Connect the connector of the color lamp with the unconnected connector. Re-install the backside panel in the order reverse to the above procedures. Ensure to connect the earth of the backside panel and the fan harness.

When re-installling the backside panel, pass the cable for the color lamp through the recess at the circled Recess for Color Lamp portion in the right figure. Cable Take caution not to catch the cable. To release the hinge, insert the Phillips screwdriver into the holes on the right and left sides shown in the right figure and remove the fixing screws. Dimensions of connectors at water supply inlet and drain outlet The connectors for the water supply inlet and the drain outlet are as shown in the right figure.

When selecting a hose to use for water supply and drainage, select one in the dimensions suit for the connectors. Unit: mm 9. Connecting the water supply hose When connecting a hose that can resist water supply specifications to the water supply inlet, fully insert it to the depth of the inlet port and be sure to secure it with the hose band. Use a hose band to secure the connection.

Connection to drain outlet Use a hose for drain outlet equal to the one used for the water supply inlet. When connecting a hose to the drain outlet, fully insert it to the depth of the outlet and be sure to secure it with the hose band. Also, regulate the length of the drain tube within 3 meters and avoid connecting the hose with the drain outlet at the height of 60 cm or less from the floor level. Drain hose Drain outlet. Connecting the power plug Securely insert the power plug to the depth of the specified outlet.

Be sure to apply the proper voltage when connecting to the machine. If equipotential grounding cannot be established at an outlet at the installation location, use the equipotential grounding terminal at the rear of the machine. The terminal can be used only for equipotential grounding. DANGER Make sure that the electric power equipment at the installation location provides the voltage that is proper to the machine before connecting them.

Improper voltage may cause serious accidents as well as machine malfunctions. DANGER If the protective grounding of the machine is incorrect, an electric shock due to a machine malfunction or short circuit may happen. Make sure that a double-pole-grounding outlet is correctly connected and protective grounding is assured at the installation location. Preparing the system 9. Filling water in the hydraulic Fill the dialysate line with water by executing the water supply program.

When the machine is operated with water not filled in the dialysate line, the machine may be defected. The bottle containing the water of mL or more is prepared. Verify the water supply inlet and the drain outlet are properly connected and water is sufficiently supplied. Turn ON the Power Breaker. AC power supply lamp turns ON. Then, the Startup test screen is displayed and the Rinse Standby screen appears after a while.

Hold the button pressed for approximately two seconds, then the filing water operation start. NOTE The color lamps blink in the order of red yellow green blue while the water supply program runs. The water supply program is made up of 9 steps in total, and completes less than 15 minutes. The chime will ring, informing the end of the program.

After all the steps complete, press EXIT button to restore the original screen. Setting date and clock The date and time of the machine are set to the Japan Standard Time on its shipment. Change them to suit for the country or region where the machine is installed before operating the machine. Display the ten keys by touching the numerals to be changed, and set to the date and time in the region.

Press SET button at the lower section in the screen. Then, the input date and time will be reflected into the setting. Setting a diameter of pump segment in the blood pump Select the diameter of a pump segment used for the bloodline set to the blood pump. Two options of pump segment 8. The inner diameter is set to 8. Change the setting only when the diameter of the pump segment being used is 6. Press the inner diameter button of a tube to be used. Press EXIT button to restore the original screen.

NOTE If you change the setting to 6. Please refer to Chapter Setting the dialysate solution to be used Register the dialysate solution to be used in this machine. Prepare dialysate to be registered. Four dialysate No. Press the tab of the No. Pull out both aspiration nozzles for dialysate A and B from the machine and put them into each dialysate prepared in Step 1.

It completes less than 10 minutes. NOTE The color lamps blink in the order of red yellow green blue during the calibration of the dialysate. Register the other dialysate solution repeating Steps , if needed. After required registration is complete, press EXIT button to restore the original screen.

Verifying operation after installation When machine installation is complete, operate the system in the following mode to verify normal operation. The process completes without errors.

Verify the following: The temperature of the prepared dialysate is 0. The concentration of the prepared dialysate is 0. Disposal of Machine Following matters should be concerned when disposing the machine. Keep the following matters in mind and dispose the machine properly in accordance with the local regulation in your area. Disposal of main machine The primary materials composing the machine are electric circuit boards, harness, resins in rubber, exterior, etc.

Dispose these parts as industrial wastes or in accordance with the local regulation when applicable. Dispose the display after checking if a disposal method is specified in your area. Disposal of backup battery The backup battery used in case of power failure is equipped as an option of this machine.

It is a lead storage battery. Process the backup battery in accordance with the local regulation in your area. Be sure to follow the following points when disposing the battery: 1. Do not throw the battery into fire or apply heat, as it may result in battery leakage, fire disaster, or explosion.

Electric energy yet remains in a used battery. Insulate a used battery to avoid interelectrode contact by taping battery terminals, harnesses, etc. Do not apply strong impact on the battery by throwing or dropping. Never disassemble the battery because the battery contains dilute sulfuric acid. DANGER If a battery damage results in leakage and electrolytic solution spills on skin or clothes, flush with plenty of water without delay. If the spilled electrolytic solution contacts the eye, flush with plenty of water and receive treatment from a doctor immediately.

Dilute sulfuric acid can cause loss of sight and skin burn. V2 Re-circulation solenoid valve P6 Blood chamber level adjustment pump. Serial No. Model Type Serial No. No Orifice Other than Type 1 models those above model. BP board Air bubble detector P.

Maintenance of bottom part of machine Service the dialysate line and the rear part of the front door in the following procedures. Insert an Allen wrench 8mm to the hole on the right side of the front door and turn it in the arrow direction shown in the right figure. Press the buttons at two latches at Section A in the left figure simultaneously to release them.

Unscrew the 8 screws placed in the right figure using the Phillips screwdriver. Disconnect the connector of the fan mounted at the backside cover of the dialysate line section.

Method to remove the backside cover of the power supply section. Remove the backside cover at the power supply section by carefully sliding it in the arrow direction so as not to damage the wiring for the color lamp. The earth cable and the harnesses of the each component are connected to the backside cover. Turn over the backside panel so as not to damage the power cable and disconnect the connector of the fan and then remove the earth cable.

Method to remove the rear cover at the operating panel. Lean the operating panel forward and remove the stopper Portion B in the right figure at the hinges on both the right and left sides.

Unscrew the 6 screws placed in the right figure to remove the rear cover of the operating panel. EMC Shield Cover. Manufactured by Voltex. Unit Electric. Heater Tank Type 1 Type 1 Type 2. NOTEThe parts with hatched on the list above constitute as an assembly, and cannot be purchased separately. Heat exchanger Assy 1 T different diameter joint Silicone rubber 2 Double tube Stainless Steel Description Code No.

Temperature sensorT1 to 4 Not compatible with BPC or later version that is for Thermistor types it is equipped with equal or after 04AE. Temperature sensor Pt Pt type Assy. Conductivity sensor CD 1 to 4. Type 2 Heater Tank. Type 1 Heater Tank. To replace heater, confirm specifications of heater and machine.

Assembling direction of diaphragm. Dimension of Proximity sensor Assembling unit: mm. Dialysate pressure sensor PG3 Other machines are equipped with Type2. To replace parts, be careful not to touch diaphragm. Magnet Gear pump Set of No. Since the parts with hatched No. Take special caution not to contaminate with dust or other contaminant when assembling. In addition, some parts are in similar forms. Avoid confusing these parts when assembling.

Remove 3 cross-recessed head machine screws 33 and take out the pump part from the motor. Remove the cross-recessed head machine screw Remove the mounting plate 7 , packing B 20 , bracket 8 , and gasket B 19 from the pump part.

Remove the rear casing 5 while keeping the packing C 21 on the rear casing. Take precautions, because fluid may still be inside the rear casing.

When removing the rear casing 5 , do so while turning the front bearing 13 and rear casing 5. If the rear bearing 14 remains inside the rear casing 5 , hold the shaft of the driven gear 9 and carefully pull it out. Hitch it to Driven gear 6. Remove the magnet retaining ring 2 and the the magnet retainer spring Magnet retaining ring Forceps.

The magnet retaining ring might distort if it is pulled forcibly. Remove the magnet can 6 from the driven gear 9. Store the removed magnet can in a place where no iron filings, etc. Disassemble in the order of rear bearing 14 , rear plate 16 , driven gear 9 , idler gear 10 , gear case 11 , 2 straight pins 12 , front plate 15 , and front bearing Handle parts carefully so that they will not be damaged.

Store them where no dust, etc. Install the O ring 23 to the front bearing 13 and rear bearing Be sure to apply a thin layer of silicon grease on the O ring to prevent a leak. Install the straight pins 12 , front plate 15 , and gear case 11 on the front bearing When installing the straight pins 12 , insert them so that the side with a groove is facing the front bearing see the figure below.

Bottom of the screw hole side. Left side: Larger hole Right side: Smaller hole. CAUTION Inserting the straight pins inversely would lower the dialysate suction force, and this can result in discharge failure and damage in the pump part. Make sure the direction of straight pins, when inserting. Assemble carefully in the order of driven gear 9 , idler gear 10 , rear plate 16 , and rear bearing 14 , so that holes in the parts align.

Be sure to insert the driven Bring this hole gear 9 and idler gear 10 in the on the left side direction shown in the figure below. Face the notch side up. Face the longer side down. Front bearing Rear bearing side side. Insert the magnet can 6 into the driven gear 9 and fix them with the magnet retaining ring 2. Insert the retainer spring 22 , rear casing 5 , and packing C When installing the magnet can, check if no dust is present around the circumference in advance. Assemble after aligning the key and screw slotting.

Key internal diameter portion. Squeeze in advance Driven gear Magnet retaining ring. Be sure to squeeze before insertion. Insert the magnet retaining ring firmly onto the groove of the projecting driven gear. Do not turn the rear casing itself. Assemble the rear casing by pushing in vertically, until the O ring of the front bearing is fully covered. Install the gasket B 19 , bracket 8 , and gasket A 18 on the front bearing Align the 2 concave and convex portions of the parts.

Convex portion Convex portion. Concave portion Concave portion. Tack the pump head 17 with 4 Face the arrow on cross-recessed head machine the right side screws Fix the packing B 20 and mounting plate 7 with 4 cross-recessed head machine screws Concave portion Use 0.

Gasket A. Convex portion Convex portion Bracket Bracket 7. Fix the pump head 17 that has been tacked. Use 0. Tighten gradually and evenly in the diagonal order shown below. In the end, bring it to the regulation torque. CAUTION When the pump head is installed with higher torque than regulation or only one side is being tightened, the screw part of the front bearing may be damaged. Install the assembled pump head part to the motor using 3 cross recessed heard machine screws Piston pump Type 1 Encoder monitors rotation only.

If assembled incorrectly, it may cause a failure of the pump. Therefore, take special caution not to mix the parts of each pump when disassembling these pumps.

Unscrew Part A M6 cap screw shown in the right figure from the bottom of the pump metering pump with an Allen wrench 5 mm. Pull out the shaft engaged in the sphered ball bearing, moving the head in the arrow direction in the right figure. Pump head is removed. Rotate Part B hex. Pull out Part F plunger carefully with D in the right figure. Remove Parts H lip seal and G back seat.

Insert the new parts G and H through part F in the order shown in the right figure. Take caution that Parts H are correctly oriented. When inserting Parts H, carefully insert them with special care. After Parts H are assembled, wipe foreign matter or oil out from surface. Assemble the parts according to the procedures opposite to the disassembly.

The tightening torque of Part B should be 3. Perform the hot rinse process at 85C after installing the pump to the machine and connecting the tubes and harness correctly. Confirm that there is no leak from pump head and tubes in the hot rinse process at 85C. Tighten Part B Hex.

Take sufficient caution and appropriate protection not to get burnt by when retightening Part B Hex. Once Part B Hex. Reference 2 How different between each Piston pumps. UF pump and Concentration pump looks similar but there are no compatible. Please pay attention to those parts are not compatible as well. Different between those pumps are described as below table. Piston haed Assy type Degree of head.

Other machines are equipped with Type2 valve. Please use type 2 valve. NOTE Two-way solenoid valve specifies flow direction and shown on the valve body. Confirm the direction when replacing these valves.

Check valve Please use type 2 check valve. Please use type 2 Relief valve. Please adjust it for each purpose when you install it to machine. Dialyzer coupler holder Name Remarks Material Code No. Open the door at the rear side of the dialysate line.

Type 2 Pressure regulator can not readjust. Please refer Chapter Do not wet inside of the machine when removing the tubing in the dialysate line. Wipe off immediately if wet. Inspection of Blood Pump BP. Turn the rotor with hand and confirm that there is no.

Prepare the bloodline on the arterial side and set it. Prepare the syringe with sufficient water inside and. Measure the pressure when the overload switch is activated. Remove the syringe pump and turn OFF the power supply after measurement is complete. Prepare dialysate and start the dialysis preparation. The window of the liquid permeable part of the blood leak detector is made of glass, and it cracks easily.

When cleaning the liquid permeable part, rinse with disinfectant without disassembling the machine. Perform the rinse process with disinfectant in advance when checking the blood leak detector. Insert the filter plate into the place where the cover. Remove the filter plate, restore the original cover plate, and turn OFF the power supply, interrupting the dialysis preparation process.

Prepare bloodline, dialyzer, and dialysate, and start. Confirm that dielectric breakdown has not occurred by measuring the insulation resistance. Check the performance of the backup battery under the condition where the battery is fully charged.

Prepare the bloodline, set it to the machine, and fill. Though a new battery has the capability to operation the machine for 30 minutes or more, it deteriorates as time passes by regardless of the frequency of use. When deterioration is observed on the periodical inspection, replace the battery as soon as possible.

Inspection of Safety-related Devices 7. Confirmation of temperature error alarm. Stop the dialysis preparation process and turn OFF the power supply after executing the rinse process to wash the dialysate line sufficiently. Welcome to ManualMachine. We have sent a verification link to to complete your registration.

Log In Sign Up. Forgot password? Enter your email address and check your inbox. Please check your email for further instructions. Enter a new password. Precaution for Fluid Penetration Keep the machine out of water. Precaution for Flammable Atmospheres Do not use this machine in flammable atmospheres.

Safety Precautions Appropriate operation and regular maintenance are essential for safer use of this machine. Carefully read and thoroughly understand the safety precautions described in this manual before using or servicing this machine.

Degree of damage to health and property, and its indication Alert symbols and signal words The degree of the foreseeable damage to health and property when the machine is misused is classified into the following three categories, and each category is expressed by the following alert symbol and signal word.

DANGER Indicates an imminent hazardous situation which, if the machine is misused, will result in death or serious injury. CAUTION Indicates a potentially hazardous situation which, if the machine is misused, may result in minor or moderate injury or property damage.

Precautions 1. Do not modify the machine. Maintenance 1 Make the special maintenance personnel check the machine and its parts periodically. Others 1 Check the concentration of the dialysate before use by the osmotic pressure measurement method and the like. Precaution for Software The Version number of manuals is described on the front cover of each document. You can check the software version in the start-up screen. Without Base D: mm Body.

Enclosure leakage current: 0. Bicarbonate Dialysis Specification Bicarbonate Setting 1. Dialysate Temperature Specification Setting range Specification Type One cylinder type Setting range 0. Single Needle Single Pump. Setting is possible by 1 sec. Rotation limit over 1 to mL On shipment mL alarm Setting range of Lower limit: to mmHg Relative value from present blood pressure Setting is possible by 10 mmHg increment.

Possible setting Min. Precautions Before Working 5. Maintenance personnel Maintenance of the machine must be done only by the persons who have received the training of this machine provided by the manufacturer and sufficiently mastered its skills and expertise.

Handling of Machine 5. Maintenance procedure Carefully read the service manual, the instruction manual, etc. Precautions when working Perform maintenance after establishing the conditions in which any influence is given to other equipment such as those in the power supply system, the water supply and drainage lines, etc.

CAUTION There is a possibility of infection if performing maintenance of the dialysate line without performing sufficient disinfection. Replacement of Parts Use only parts specified by the manufacturer when replacing a part. Daily Inspection by Operator The operator needs to check the following points to make sure that the machine is in a good condition before and after using it every day. Inspection to be done after Long-Term Storage When using the machine after the interval for two weeks or more, perform acid washing and disinfection sufficiently, and also be sure to perform maintenance inspection.

Inspection of connection tube conditions Verify that there is no deterioration, damage, etc. Contents of work Judgment standard Remarks Visually check that there is no fold, deterioration, and Judged as PASS when no damage with the water supply and drainage hoses.

Inspection of connecting conditions of water supply and drainage hoses Verify that the water supply hose and the drainage hoses are correctly connected. Contents of work Judgment standard Remarks Visually check that the water supply hose and drainage Judged as PASS when hoses are properly connected to their inlet and outlet correctly connected to the connectors respectively.

Inspection of power cable damage Verify that there is no deterioration, damage, etc. Inspection of appearance Verify that there is no damage, deforming, stain, etc. Content of work Judgment standard Remarks Open the front door, and visually check that each tube Judged as PASS when no has no damage, deforming, deterioration, etc.

Also, fold, damage, visually check that screws are not loose. Content of work Judgment standard Remarks screen. Open or close each valve on the screen by the pressing a each valve. Confirm the operation sound heard when each valve opens or closes. Return to the original screen by pressing EXIT button at the bottom in the screen. Confirmation of Pressure regulator PR1 operation Confirm that reducing valves operate properly. Content of work Judgment standard Remarks 1.

Stop the water supply. Open the door at the rear side of the dialysate line MPa 0. Turn ON the power supply and begin the dialysis preparation process. Measure the pressure on the reducing valve OUT side while filling the chamber, referring to the flowchart.

Return to the previous screen by pressing EXIT button at the lower right in the screen and stop the dialysis preparation process after the measurement is completed. Turn OFF the power supply, stop the water supply, remove the pressure gauge, and restore the original piping.

NOTE Do not wet inside of the machine when removing the tubing in the dialysate line. Confirmation of deaeration pressure Confirm that the deaeration pressure is normal.

Open the back cover at the rear side of the Judged as PASS if the Measure the dialysate line and connect a pressure gauge pressure is - 0. Turn ON the power supply and start the dialysis gauge has preparation process. Read out the indication of the pressure gauge.

Stop the dialysis preparation process after the measurement is completed. Turn OFF the power supply, remove the pressure gauge, and then restore the original piping. Confirmation of deaeration pump P1 flow rate Confirm the flow rate of the deaeration pump. Press - tab, select - higher. Read out the flow rate display of P1 after the operation in the line has become stable about 5 minutes.

Stop the dialysis preparation process after the measurement is complete. Turn OFF the power supply. Confirmation of dialysate pump P2 flow rate Confirm the flow rate of the dialysate pump. Read out the flow rate indication of P2. Stop the dialysis preparation process after the Content of work Judgment standard Remarks measurement is complete.

Operating condition of deaeration tank AS1 Confirm that the air separation tank is working properly. Judged as PASS if water 2. Turn ON the power supply and start the dialysis flow is not visually preparation process. Visually check the piping on top of the deaeration tank in which deaerated air flows. Stop the dialysis preparation process after confirmation is complete. Confirmation of relief valve RV1 operation Confirm the relief valve operates properly.

Open the back cover at the rear side of the pressure is 0. Turn ON the power supply and start the dialysis become stable. Measure the pressure after filling of the chamber, referring to the flow chart after the indication of the pressure gauge has become stable about 5 minutes.

Return to the previous screen by pressing EXIT button at the lower right in the screen and stop the dialysis preparation process after the measurement is complete. Inspection of Blood Pump BP 7. Confirmation of play and abnormal noise at rotating part Check the operating condition of the blood pump.

Turn ON the power supply. Prepare the bloodline and set it to the blood pump. Operate the blood pump and fill the bloodline with and no backlash or clack collect bubbles. Confirm that there are no abnormal noise, etc. Turn the rotor with hand and confirm that there is no abnormality such as play, clack, etc. Confirmation of blocking Confirm that the blood pump is correctly blocking the tube. Prepare the bloodline on the arterial side and set it pressure of approx.

Operate the blood pump and fill the bloodline with blocked and the pressure indication of water. Confirm the bloodline to be filled with water, in one minute is within PG5 has stop the blood pump. Clamp the bloodline of arterial connection end of 0.

Connect the pressure sensor connection end of the blood pump POST side chamber to the venous chamber connection port of the machine. Open the cover of the blood pump and set the value of PG5 to mmHg 0. Confirm that the pressure has not dropped by the measurement one minute after the value of PG5 becomes stable. Remove the bloodline and turn OFF the power supply after the measurement is complete. Confirmation of real flow rate Confirm the real flow rate of the blood pump.

Judged as PASS if the 2. Operate the blood pump and fill the bloodline with water. Measure the real flow rate for a minute with an electronic balance, etc. Inspection of Syringe Pump HP 7.



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