baxter AK 98 Training Material
  1. Manuals
  2. Brands
  3. baxter Manuals
  4. Medical Equipment
  5. AK 98
  6. Training material

baxter AK 98 Training Material

Dialysis machine introduction module
Hide thumbs Also See for AK 98:
Table of Contents

Advertisement

Quick Links

AK 98 Machine Introduction
Training Material

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the AK 98 and is the answer not in the manual?

Questions and answers

Subscribe to Our Youtube Channel

Related Manuals for baxter AK 98

Summary of Contents for baxter AK 98

  • Page 1 AK 98 Machine Introduction Training Material...
  • Page 2 AK 98 Dialysis Machine Introduction Module Reference: AK 98 Operator’s Manual 3.xx Chapters 2 & 3...

  • Page 3: Intended Use

    INTENDED USE | Refer to Operator’s Manuals SW 3.xx Special Considerations: CAUTION! If treating patients weighing below 25 kg it is recommended that UF supervision alarm limits are configured accordingly by an authorized service technician. CAUTION! The treatment of patients with a weight below 25 kg shall be performed under the full supervision of the physician. In these cases, additional measures to supervise the patient weight loss as per standard of care for low body weight is recommended.
  • Page 4 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.

  • Page 5: Learning Objectives

    LEARNING OBJECTIVES The aim of this module is to obtain an overview of the AK 98 dialysis machine with special focus • The blood part of the machine • The fluid part of the machine • The operator’s panel • Setting of the treatment parameters and activating functions...
  • Page 6 MACHINE EXTERNAL COMPONENTS | Blood Part Remote Operator’s panel (not available in all markets) Operator’s panel Air detector Venous pressure transducer connector Arterial pressure transducer connector Blood pump Heparin pump Priming detector Arterial blood line clamp 10.Venous blood line clamp 11.Prime bucket (not available in all markets) HC10139 |...
  • Page 7 MACHINE EXTERNAL COMPONENTS | Blood Part Arm for dialyzer holder Expansion chamber holder Blood pressure monitor (BPM) Blood line guides Level adjustment knob BPM cuff holder Top tray Infusion stand HC10139 |...
  • Page 8 MACHINE EXTERNAL COMPONENTS | Fluid Part Stand-by ports for dialysis fluid tubes Dialysis fluid tube from machine to dialyzer (blue) Dialysis fluid tube from dialyzer to machine (red) Stand-by port for red concentrate connector Stand-by port for blue concentrate connector Concentrate connector, red Concentrate connector, blue HC10139 |...
  • Page 9 MACHINE EXTERNAL COMPONENTS | Fluid Part Pick-up tube Pick-up tube holder BiCart cartridge holder Blood leak detector Ultrafilter Leakage detector tray HC10139 |...
  • Page 10 MACHINE EXTERNAL COMPONENTS | Rear Transportation handle Air filters Inlet water tube Outlet tube (drain) Citric acid inlet tube Mains connection Fuses Main switch HC10139 |...
  • Page 11 MACHINE EXTERNAL COMPONENTS | Rear Ethernet port USB port External communication port Potential equalisation connection Remote panel contacts HC10139 |...

  • Page 12: The Operator's Panel

    THE OPERATOR’S PANEL | Alarm Indication Light • The machine has an alarm indication light placed on the top of the operator’s panel. • It can either be a blue yellow flashing light, depending on the attention or alarm status. •...

  • Page 13: Hard Buttons

    THE OPERATOR’S PANEL | Hard Buttons On / off button Schedule indicator Main switch indicator Mute button Blood pump increase Blood pump start/stop button Blood pump decrease Read instructions before use HC10139 |...

  • Page 14: Touch Screen Layout

    THE OPERATOR’S PANEL | Touch Screen Layout HC10139 |...

  • Page 15: Touch Screen Buttons

    THE OPERATOR’S PANEL | Touch Screen Buttons machine state indicator shows the current state of the machine; functional check, treatment or disinfection. time indictor shows Diascan button opens the It is possible to set a in h:mm the remaining Diascan menu. customized name, or time in different machine identifier for the machine.
  • Page 16 THE OPERATOR’S PANEL | Arterial and Venous Pressure Controls arterial and venous pressure controls show the current pressure as a numerical value and graphically as the grey pointer. The values in white text are the alarm limits, beyond these points, alarms will be generated.
  • Page 17 THE OPERATOR’S PANEL | Direct Actions to the Alarm Limits Widen both the arterial and venous alarm limits to their widest point. Centralize the arterial and venous pressures around the current value. Extend the alarm windows for the arterial and venous pressures. This functionality will automatically be deactivated as soon as the treatment is finished.

  • Page 18: Flow Paths

    THE OPERATOR’S PANEL | Flow Paths Depending on the status of the machine the flow paths are lit in different colors. Function Check Bypass Treatment Isolated ultrafiltration Incorrect dialysis fluid HC10139 |...
  • Page 19 THE OPERATOR’S PANEL | Treatment Overview Fields in mL/min. Pressing it opens the blood menu. Blood flow rate Accumulated blood volume treated in L. Pressing it opens the blood menu. Accumulated heparin volume delivered in mL. Pressing it opens the blood menu. in L.
  • Page 20 THE OPERATOR’S PANEL | Alarms, Attentions & Graphs When the machine has information to display to the operator it can be found in the information field • If it is an alarm then the alarm tab will be flashing. If it is an attention or operator message then the information tab will be flashing.

  • Page 21: Status Information Bar

    THE OPERATOR’S PANEL | Status Information Bar status information bar is found at the bottom of the screen. When text appears in grey on the bar that function is not activated. Text in white shows active functions. The icons that appear on the status information bar are; •...
  • Page 22 THE OPERATOR’S PANEL | Touch Screen Buttons • The patient button opens the patient page where information regarding the patient is handled. • The available functionality will depend on the CIS (Clinical Information System) in use in the clinic. HC10139 |...
  • Page 23 THE OPERATOR’S PANEL | Touch Screen Buttons • The opens the functions page. functions button Pause the ongoing treatment Change to a new blood circuit during an ongoing treatment Start the rinse back procedure Select manual or Assisted priming Turns off the Operator’s panel* Allows the screen to be cleaned Opens the service menu * If the Operator’s panel is pressed or in case of any alarms/attentions, the Operator’s panel is reactivated...
  • Page 24 THE OPERATOR’S PANEL | Touch Screen Buttons • The disinfection/rinse button opens the disinfection/rinse menu where the different disinfection/rinse programs can be selected and activated. • Also, the disinfection history tab can be found here as well as e.g. the ultrafilter data incl.
  • Page 25 THE OPERATOR’S PANEL | Touch Screen Buttons opens the fluid menu, fluid button blood button opens the blood which contains the tabs used for setting menu, which contains the tabs parameters relating to fluid. used for setting parameters relating to blood. HC10139 |...
  • Page 26 THE OPERATOR’S PANEL | Touch Screen Buttons When the fluid bypass button starts to flash, the dialysis fluid is ready and in bypass. This can be also seen on the fluid flow path. When the ultrafiltration button is lit, ultrafiltration is performed.
  • Page 27 THE OPERATOR’S PANEL | Menus All of the menus are handled in the same manner described here Other accessible menu tabs are dark blue Current menu tab shown in white Key actual values are shown on the tab Press the blue bars to open keypads to change the value Not currently available in this phase;...
  • Page 28 THE OPERATOR’S PANEL | Setting Parameters Keypad Keypad name Increase Value Decrease Calculated rate Clear When setting treatment time, use the overtype method. To set 3:45 type in the number 3, then 4, and then 5. A decimal The colon : is added automatically and the time will point is used be set to 3:45 when setting...
  • Page 29 THE OPERATOR’S PANEL | Setting Parameters Selectpad Some of the machine parameters can also be set using a selectpad. The dark blue bar and check mark To change press one of the show the selected parameter light blue bars. Press to confirm a change or cancel to exit.
  • Page 30 End of Introduction Module Baxter, AK 98, Diascan, and BiCart are trademarks of Baxter International Inc., or its subsidiaries.
  • Page 31 AK 98 Dialysis Machine Preparation module Reference: AK 98 Operator’s Manual 3.xx Chapters 4 & 12...
  • Page 32 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.

  • Page 33: Learning Objectives

    LEARNING OBJECTIVES The aim of this module is to obtain an overview of the AK 98 dialysis machine with special focus on: • Attaching the concentrates • Attaching the blood lines and heparin syringe • Priming the extracorporeal circuit • Setting the treatment parameters...

  • Page 34: Preparing The Machine

    PREPARING THE MACHINE | Switch On & Functional Check • Check the connections to water/drain and electricity, and then switch the machine on by lightly pressing the On/Off button. • The functional check will start, the lights of the operator’s panel hard buttons, the screen, the alarm indication light and the buzzer will be tested first.
  • Page 35 PREPARING THE MACHINE | Concentrates • Turn the red concentrate connector clockwise and then remove it from the stand-by port of the machine. • Connect the red concentrate connector to a pick-up tube until a ‘click’ is heard. • Place the pick-up tube into the proper acidic concentrate container. •...
  • Page 36 PREPARING THE MACHINE | Arterial Blood Line The machine is ready to be lined once the blood pump button is flashing. NOTE: The connectors of the arterial blood line are red, but the blood lines may differ in appearance Blood pump* Blood line guide Dialyzer connection Blood line guide...
  • Page 37 PREPARING THE MACHINE | Attach the Heparin Syringe Connect the prepared luer lock syringe to the heparin line Manually prime the heparin solution all the way up to the arterial blood line Press in the end of the piston and move it all the way out to the right hand side HC10139 |...
  • Page 38 PREPARING THE MACHINE | Attach the Heparin Syringe It is important to correctly install the heparin syringe, it should be installed as follows; Insert the plastic collar of the syringe into the groove of the pump NOTE: To be able to use a syringe with a 13 mm inner diameter, a heparin pump adapter must be installed in the heparin pump Insert the plate on the end of the plunger into the groove...
  • Page 39 PREPARING THE MACHINE | Setting the Heparin To set the heparin: • Press the blood button to open the blood menu. • Choose the heparin tab • Pressing each of the blue buttons will open a keypad to set the desired value. Note that it is possible to set a heparin bolus volume as well as a continuous heparin flow rate.
  • Page 40 PREPARING THE MACHINE | Venous Blood Line NOTE: The connectors of the venous blood line are blue, but the blood lines may differ in appearance Air detector Dialyzer connection Venous line clamp Priming detector Venous patient connector Waste bag/Prime bucket Venous pressure transducer connector HC10139 |...
  • Page 41 PREPARING THE MACHINE | Manual Priming • In manual priming the operator is in charge of the priming process. Priming of the blood side of the circuit can start as soon as the blood pump button is flashing, and • the blood lines have been attached.
  • Page 42 PREPARING THE MACHINE | Assisted Priming assisted priming the machine will guide the operator through the priming procedure. • By pressing the functions button functions menu will be opened, the preset priming mode is shown, here its manual priming. • It is possible to change to assisted priming using the keypad. •...
  • Page 43 PREPARING THE MACHINE | Activating the Air Detector The level of the priming fluid in the venous drip chamber should be increased during the priming phase using the adjustment knob. Priming fluid level The level should be well above the air detector head. Once the level is set press the air detector icon in the information field to activate the air detector.
  • Page 44 PREPARING THE MACHINE | Extra Priming & Recirculation • It is possible after the completion of either manual or assisted priming, to perform extra priming or to recirculate the priming solution • For both procedures the operator must ensure that there is enough priming solution to complete the action. •...
  • Page 45 PREPARING THE MACHINE | Concentrate Stand-by Mode The machine can be preset to enter concentrate stand-by mode when; 1. The green fluid path is achieved, or a preset time thereafter 2. Or when the set priming volume is achieved If concentrate stand-by mode has not been preset, it can be activated manually by pressing the fluid button and then...

  • Page 46: Setting Treatment Parameters

    PREPARING THE MACHINE | Setting Treatment Parameters To set the treatment parameters press the time indicator , the time menu will open, from here both the time and the UF volume can be set using the keypads. Check and adjust additional parameters by pressing the blood or fluid buttons to view their menus. HC10139 |...
  • Page 47 PREPARING THE MACHINE | IT Connectivity Confirming patient ID and retrieving the patient prescription from the CIS. HC10139 |...
  • Page 48 PREPARING THE MACHINE | IT Connectivity Reviewing the prescription Prescription parameters from the CIS CIS prescription parameters that have been altered by the operator Prescription parameters with no icon are set to the machine default or preset settings Once OK has been pressed in the prescription, then the prescription icon will appear in the settings tab...
  • Page 49 Preparing the machine | IT connectivity Using patient ID as a label Setting station ID HC10139 |...
  • Page 50 Hands on • Connect and confirm the concentrate combination • Attach the blood lines and heparin syringe • Manual priming • Priming Recirculation • Concentrate standby mode • Set the prescription: • Time 3:00 • UF Volume 1.5 L • Fluid flow 600 mls/min •...
  • Page 51 End of preparation module Baxter, AK 98, BiCart and SoftPac are trademarks of Baxter International Inc., or its subsidiaries.
  • Page 52 AK 98 Dialysis Machine Treatment module Reference: AK 98 Operator’s Manual 3.xx Chapters 4 & 8...
  • Page 53 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.

  • Page 54: Learning Objectives

    LEARNING OBJECTIVES The aim of this module is to get an overview of the AK 98 dialysis machine with special focus on: • Connecting the patient and starting the treatment • Actions during treatment – heparin bolus and BPM • Pause the treatment •...

  • Page 55: Check The Settings

    HEMODIALYSIS TREATMENT | Check the Settings • Before starting the patient treatment, the operator should carefully inspect that the machine has been lined and primed in the correct manner. • Pay special attention to the position of the venous blood line in the priming detector, and observe that there are no kinks in the blood lines, as well as checking all of the treatment settings have been set to appropriate values for the patient.

  • Page 56: Connect The Patient

    HEMODIALYSIS TREATMENT | Connect the Patient • The patient connection can take place with either just the arterial line connected to the patient (bleed out), or both the arterial and venous blood lines connected to the patient (straight connection). • The operator should make all the relevant safety checks and then start the blood pump.

  • Page 57: Start The Treatment

    HEMODIALYSIS TREATMENT | Start the Treatment • When the machine detects blood , by default the blood pump will stop. • Press the flashing blood pump button to restart the blood pump and then use the blood pump up and down buttons to adjust the blood flow.
  • Page 58 HEMODIALYSIS TREATMENT | Heparin Bolus If an additional bolus of heparin is required by the patient during the treatment, this can be delivered by the machine. • Press the heparin bolus volume settings bar use the keypad to set to correct volume. •...
  • Page 59 HEMODIALYSIS TREATMENT | BPM Single and Interval To take a single blood pressure reading press the BPM read out field and the measurement will start. To set up automatic blood pressure readings open the setup tab and press the auto mode bar. From here the interval time can be set between 5 and 60...
  • Page 60 HEMODIALYSIS TREATMENT | BPM History and Alarm Limits blood pressure menu also has tabs for accessing the BPM alarm limits and history. within the blood pressure history tab menu contains the data from all the blood pressure readings performed during the treatment.
  • Page 61 HEMODIALYSIS TREATMENT | Pause the Treatment Press the functions button to open the functions menu Press pause treatment Select pause with or without blood return and press OK Follow the instructions on the screen to proceed To resume the treatment, press the blood pump button to stop the blood pump Select connect patient, connect the blood lines to the patient and press confirm...
  • Page 62 HEMODIALYSIS TREATMENT | End the Treatment • When the treatment time is completed the operator’s is alerted by an audible buzzer, a lit alarm indication light and an attention message. • After pressing confirm , the on screen instructions should be followed. •...
  • Page 63 HEMODIALYSIS TREATMENT | Rinse Back After the treatment time expired attention has been confirmed, the rinse back menu will automatically appear: 1. Press the rinse back button confirm . The blood pump stops 2. Disconnect the arterial line from the access and connect it to the rinse back solution 3.
  • Page 64 HEMODIALYSIS TREATMENT | Machine Aftercare • After the end of the treatment , once the patient has been confirmed as being disconnected from the machine, and the venous blood line has been removed from the priming detector, there will be handling instructions on the screen on how to prepare the machine for disinfection.
  • Page 65 Hands on • Straight connection Start treatment • • Heparin bolus 0.5 ml • Single BPM measurement • Set the BPM alarm limits Pause treatment • • End treatment • Rinse back • Drain dialyzer and BiCart cartridge HC10139 |...
  • Page 66 End of treatment module Baxter, AK 98, Diascan and BiCart are trademarks of Baxter International Inc., or its subsidiaries.
  • Page 67 AK 98 Dialysis Machine Isolated UF, Profiling and Diascan module Reference: AK 98 Operator’s Manual 3.xx Chapters 6, 7 & 9...
  • Page 68 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.

  • Page 69: Learning Objectives

    LEARNING OBJECTIVES The aim of this module is to get an overview of the AK 98 dialysis machine with special focus on: • Isolated ultrafiltration • Profiling – UF, sodium and bicarbonate • Diascan monitoring system HC10139 |...
  • Page 70 FEATURE| Isolated Ultrafiltration Activation are reached by Isolated UF settings pressing the fluid button and then isolated UF in the fluid menu. Once in the isolated UF menu , the time and volume for isolated UF are set and isolated UF is activated HC10139 |...
  • Page 71 FEATURE | Isolated Ultrafiltration Activation Once the isolated UF time and volume are set , they are automatically added, by default to the total treatment time and UF volume. When the isolated UF phase is completed the machine will automatically switch into the diffusive phase.
  • Page 72 FEATURE| Isolated Ultrafiltration 2nd Phase & Deactivation • Second and subsequent phases of isolated UF can be activated at any point during the treatment. The time and volume for the new phase must be added to the previous to create a cumulative amount.
  • Page 73 FEATURE | Profiling Sodium and Bicarbonate • Both sodium and bicarbonate concentrations in the dialysis fluid can be profiled • They can either be profiled upwards or downwards at a smooth liner rate. • When deactivating a profile, check the set value that the treatment will continue at. HC10139 |...
  • Page 74 FEATURE | Profiling Ultrafiltration There are three profile types available for ultrafiltration profiling; • Linear • Step • Interval Changes to the UF are determined by; • Total UF volume • Treatment time • Starting value for the UF rate •...
  • Page 75 FEATURE | Profiling Ultrafiltration With linear profiles the machine knows the set time and UF volume, the operator sets the start UF rate , and the machine will calculate a smooth decreasing profile. With step profiles the machine knows the set time and UF volume, the operator sets the start UF rate , and the...
  • Page 76 FEATURE | Profiling Settings and Activation All of the are reached by pressing the profiling settings fluid button and then profiling , in the fluid menu. ; depending on which Choose the desired mode mode is selected, set and OK the other parameters.
  • Page 77 FEATURE | Profiling when using a Profiling Model All of the profiling settings are reached by pressing fluid button then profiling , in the fluid menu. Choose the desired preset model , and check that the preset values are appropriate for the patient.
  • Page 78 FEATURE | Changes to the Ultrafiltration Profile When running an ultrafiltration profile, any changes to the treatment time and/or the ultrafiltration volume will have an effect on the ultrafiltration rate and change the shape of the profile. The original profile in black and The original profile in black and changes to the UF volume in grey changes to the treatment time in...
  • Page 79 FEATURE | Diascan Monitoring System Checking K, Kt & Kt/V The Diascan monitoring system measures and calculates the following parameters; • Clearance (K) – How much blood has been cleaned per unit of time (mL/min) • Clearance multiplied by treatment time (Kt) – The volume of the blood that has been cleaned so far in the treatment...
  • Page 80 FEATURE | Diascan Monitoring System Measurement Frequency • The Diascan monitoring system measurements can take place every 30 or 60 minutes, or as a single reading. • This is done by pressing interval within the setup tab. HC10139 |...
  • Page 81 FEATURE | Diascan monitoring System Setting the V Value To get a Kt/V reading, the patients distribution volume has to be entered into the machine. This can either be done in the setup tab if the distribution volume is known, or through the Watson tab if it needs to be calculated.
  • Page 82 FEATURE | Diascan Monitoring System Targets & Alarms It is possible to set both targets and alarms for the Diascan monitoring system readings. is set here, an alarm can also target Kt/V be set to alert the operator if the Kt/V will be lower than desired.
  • Page 83 FEATURE | Diascan Monitoring System History clearance rate from the most recent reading of the Diascan monitoring system is always displayed in the clearance area, alongside the current and forecast Kt/V. To view the previous clearance rates Kt/V actual forecast , and the at the time of the reading, press the...
  • Page 84 Hands on • Assisted priming • Time 3:30, UF Vol 0,5L • Fluid flow 700 ml/min • Heparin: – Bolus 1.5 mls – Flow rate 1.0 ml/hr – Stop time 0 min • Isolated UF: – 0.2 L – 10 minutes •...
  • Page 85 End of Isolated UF, Profiling and Diascan module Baxter, AK 98 and Diascan are trademarks of Baxter International Inc., or its subsidiaries.
  • Page 86 AK 98 Dialysis Machine Troubleshooting module Reference: AK 98 Operator’s Manual 3.xx Chapter 3 & Alarm handbook...
  • Page 87 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.
  • Page 88 Aims & objectives The aim of this module is to get an overview of the AK 98 dialysis machine with special focus on: • Troubleshooting • UF supervision • Fluid leakage • Halt button • Power failure • Manual rinse back •...
  • Page 89 MACHINE FUNCTIONALITY | UF Supervision Alarm There is one alarm associated with the UF supervision The alarm appears when the UF volume measurements are not within the specification of the machine, this can happen when: • The UF control is not calibrated or incorrectly calibrated •...
  • Page 90 MACHINE FUNCTIONALITY | Fluid Leakage Alarm Alarm There is one alarm associated with fluid leakage The alarm appears when the machine has detected a fluid leakage during treatment. In case of an ultrafilter leakage, the detected volume could be an excessive UF volume HC10139 |...

  • Page 91: Troubleshooting

    TROUBLESHOOTING | Halt Button • If it is necessary to perform a ‘reset’ of the machine, this can be done by pressing and holding in the halt button on the rear of the machine. • This interrupts the power supply to the machine and overrides the battery back up.

  • Page 92: Power Failure

    TROUBLESHOOTING | Power Failure Battery connect indicator is lit green if the • If there is a power failure, the machine has a battery back-up has been installed battery back-up which lasts approximately 30 minutes and keeps the screen and the blood pump operational.
  • Page 93 Immediately at power failure when battery back- up is operating. The displayed minutes indicate how long the power failure has lasted. Most common, all AK 98 are equipped with battery back-up Machine actions: Only the blood unit will run during a power failure.

  • Page 94: Automatic Restart

    A number of automatic restart attempts will be made. If this is unsuccessful an unconditional or conditional technical alarm will appear. Why does an automatic restart occur? • AK 98 is designed with a that involves a continuous supervision of the computers safety philosophy inside the machine.
  • Page 95 TROUBLESHOOTING | Manual Rinse Back The blood can be returned manually in the event of a power failure when no battery back-up is available. • Connect arterial blood line to the rinse-back solution • Open the blood pump cover • Manually turn the blood pump anti-clockwise When returning the blood manually, the operator is responsible for visually observing all safety parameters that cannot be monitored by the machine during a power failure...
  • Page 96 TROUBLESHOOTING | Air in Venous Drip Chamber When the blood level in the venous chamber drops below the level of the air detector , then alarm #100 Air in venous drip chamber is triggered. • Check the blood circuit connections are tight. •...
  • Page 97 TROUBLESHOOTING | Changing the BiCart Cartridge If the BiCart cartridge needs to be changed during the treatment, follow these steps; 2 sec Remove the empty Close the latches Attach the new BiCart cartridge and wait for 2 seconds BiCart cartridge HC10139 |...
  • Page 98 Trouble shooting | Changing the dialyzer & blood lines If the dialyzer and the blood lines need to be replaced during the treatment this can be done by pressing the functions button • Within new blood circuit there are two options; rinse back if this is possible, or new blood circuit if it is not possible or desired to rinse back.
  • Page 99 Hands on • Resolve an air in venous drip chamber alarm • Change the BiCart cartridge • Change the blood lines and the dialyzer and continue the treatment • End the treatment • Simulate a power failure and rinse back the blood manually HC10139 |...
  • Page 100 End of troubleshooting module Baxter, AK 98 and BiCart are trademarks of Baxter International Inc., or its subsidiaries.
  • Page 101 AK 98 Dialysis Machine Single needle module Reference: AK 98 Operator’s Manual 3.xx Chapter 5...
  • Page 102 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.

  • Page 103: Learning Objectives

    LEARNING OBJECTIVES The aim of this module is to get an overview of the AK 98 dialysis machine with special focus on: • Single needle • Lining and priming • Terminology • Activation Start the treatment • • End the treatment...
  • Page 104 SINGLE NEEDLE | Lining & Priming the Machine Attach the Tilt the expansion Push the venous Attach the venous expansion chamber chamber holder expansion dialyzer line to the dialyzer line to the backwards until it chamber, into the expansion dialyzer. ‘clicks’...
  • Page 105 SINGLE NEEDLE | Terminology In single needle the patient’s blood is removed from, and returned to, the single access point in a cycle with two phases; • The Arterial phase. The venous blood line is clamped, and blood is withdrawn from the patient into the arterial blood line.
  • Page 106 SINGLE NEEDLE | Activation • After priming is completed, check the priming fluid level in the expansion chamber is around the groove and return it to the upright position. • Press the blood button and open the blood menu. Press the single needle tab and set a minimum stroke volume limit, and then...
  • Page 107 SINGLE NEEDLE | Start the Treatment • Once the treatment has been started, press the flashing arterial pressure control to centralize the alarm limits around the current value. • The alarm limits for the venous pressure are once the treatment has started automatically set to +350mmHg (high limit) and +150mmHg (low limit).
  • Page 108 SINGLE NEEDLE | End the Treatment At the treatment end before rinseback, deactivate single needle and proceed according to earlier end the treatment and rinse back instructions . HC10139 |...
  • Page 109 Hands on • Line and prime the machine Connect the patient • • Activate single needle • Optimize the stroke volume • End the treatment Deactivate single needle • • Rinse back HC10139 |...
  • Page 110 End of Single Needle module Baxter and AK 98 are trademarks of Baxter International Inc., or its subsidiaries.
  • Page 111 AK 98 Dialysis Machine Hygienic maintenance module Reference: AK 98 Operator’s Manual 3.xx Chapters 10 & 11...
  • Page 112 AK 98 DIALYSIS MACHINE Important Notice: The contents of this training does not replace the training by the local healthcare provider. It does not replace the users responsibility to read and understand the full text of the Operator’s manual prior to operating the machine.
  • Page 113 LEARNING OBJECTIVES The aim of this module is to get an overview of the AK 98 dialysis machine with special focus on: • Hygienic maintenance Exterior cleaning • • Heat disinfection • Heat citric disinfection Descaling • • Chemical disinfection •...

  • Page 114: Hygienic Maintenance

    HYGIENIC MAINTENANCE | External Components • After each dialysis treatment , the machine exterior surfaces must be disinfected. • Using a cloth moistened with either ethanol 70%, isopropanol 60% or 1% hypochlorite, wipe all of the machines exterior surfaces and the top tray. •...
  • Page 115 HYGIENIC MAINTENANCE | Programs There are different programs for cleaning and disinfecting the machine: • Heat • Chemical • Rinse HC10139 |...

  • Page 116: Operating Conditions

    HYGIENIC MAINTENANCE |Operating Conditions NOTE! Higher concentrations of Calcium and Bicarbonate and/or lower concentrations of acetic/citric acid in the dialysis fluid as well as higher dialysis fluid flows, and/or longer dialysis times, may require more frequent decalcification than needed for the operating conditions shown in the table below HC10139 |...
  • Page 117 HYGIENIC MAINTENANCE I Cleaning, decalcification and disinfection schedule* Frequency Activity Result After each treatment 1. Wipe the outside of the dialysis machine with 70% ethanol or 60% isopropanol or1% sodium Exterior cleaning hypochlorite. In case of cleaning with hypochlorite, wipe afterwards with water. 2.
  • Page 118 HYGIENIC MAINTENANCE I Cleaning, decalcification and disinfection schedule Frequency Activity Result When more than 7 days passed since Run a disinfection program before treatment Disinfection last disinfection Every 1-3 months 1. Change the ultrafilter Disinfection 2. Run a disinfection program •...
  • Page 119 HYGIENIC MAINTENANCE | Disinfection History • To view the disinfection history of the machine, press the disinfection button • Within the disinfection/rinse menu press the history tab . This will open the list where the details of the previous disinfection processes can be found. HC10139 |...
  • Page 120 HYGIENIC MAINTENANCE | Heat with CleanCart * Cartridge • To run a CleanCart cartridge disinfection program, press the disinfection button • Under the heat tab press heat CleanCart to start the process. • Wait for the attention message to appear before inserting the CleanCart cartridge into the BiCart cartridge holder.
  • Page 121 HYGIENIC MAINTENANCE | Heat Disinfection with Liquid Citric Acid • It is possible to run either a short or a longer heat disinfection with liquid citric acid. • The citric acid concentration to be used is configurable and in the example below, preset to 20%. •...
  • Page 122 HYGIENIC MAINTENANCE |Descaling It is possible to initiate a descaling between treatments in order to remove precipitated material: 1. Selecting Descaling 2. Confirm and follow the instructions on the screen HC10139 |...

  • Page 123: Chemical Disinfection

    HYGIENIC MAINTENANCE | Chemical Disinfection • To perform a chemical disinfection, press the disinfection button and then the chemical tab • Chemical disinfections must take place from the front of the machine. • Connect the blue concentrate connector to the yellow pick-up tube.
  • Page 124 HYGIENIC MAINTENANCE | Integration CWP* • The machine can perform a heat disinfection that is integrated with the central water plant (CWP). • During this integrated heat disinfection, the machine automatically switches on, and receives hot water from the CWP, it can also be switched on manually if required. •...
  • Page 125 • The integrated heat disinfection procedure includes the following phases when preset by the service technician: • Heat disinfection of the AK 98 dialysis machine • Low flow heat (LFH), where all the wet parts of the system between the machine and the...

  • Page 126: Changing The Ultrafilter

    HYGIENIC MAINTENANCE | Changing the Ultrafilter 1. Pull the latch and press downwards 2. Pull the ultrafilter gently downwards and remove it 3. Label the new ultrafilter with the actual date 4. Lubricate the ultrafilter connections with RO water 5. Insert the new ultrafilter into the holder and push it gently upwards 6.
  • Page 127 Hands on • Set an auto schedule for heat disinfections • Perform a heat with a CleanCart cartridge • Change the U9000 ultrafilter HC10139 |...
  • Page 128 End of hygienic maintenance module Baxter, AK 98, BiCart, CleanCart, U9000 and WRO 300 H are trademarks of Baxter International Inc., or its subsidiaries.

Table of Contents

Save PDF