Gambro AK 98 Operator's Manual
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Gambro AK 98 Operator's Manual

Dialysis machine
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AK 98 Dialysis Machine
Operator's Manual
Program version 2.xx
Order number:
MHCEN12745-10/16

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Questions and answers

lynn
May 19, 2025

what type of voltage- single or three phase?

0
1 comments:
Mr. Anderson
May 23, 2025

The Gambro AK 98 uses single-phase voltage.

This answer is automatically generated

0
omid
March 26, 2025

Troubleshooting error messages usf

0
1 comments:
Mr. Anderson
March 26, 2025

To troubleshoot error messages on the Gambro AK 98 dialysis machine:

1. Identify the Error Code: Check the displayed error message or code on the machine.
2. Refer to the Error List: Look up the specific error code in the manual for details on the issue.
3. Perform Recommended Actions:
- If the issue is related to fluid flow, temperature, or conductivity, ensure proper calibration and sensor functionality.
- If an alarm is triggered, follow the general alarm handling procedures.
- For blood leak detector failure, clean the detector and confirm the action.
- If the machine restarts due to an error, monitor if the issue recurs in subsequent functional checks.
4. Automatic Restart: Some errors trigger an automatic restart of the FM functional check. If the issue reoccurs, a technical error will be issued.
5. Check for Maintenance Needs: If calibration or preventive maintenance is required, perform the necessary procedures.
6. Escalate if Needed: If troubleshooting does not resolve the issue, further technical support may be required.

Following these steps ensures proper diagnosis and resolution of errors on the Gambro AK 98 machine.

This answer is automatically generated

0
Omar
June 11, 2025

0117049003005 رقم الخطأ

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0
Zeeshan
February 4, 2025

Buzzer test error Ak 98

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0

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Summary of Contents for Gambro AK 98

  • Page 1 AK 98 Dialysis Machine Operator’s Manual Program version 2.xx Order number: MHCEN12745-10/16...
  • Page 2 Trademarks AK 98, BiCart, CleanCart, Diascan, Evodial, Gambro, Polyflux, Revaclear, SoftPac and U9000 are trademarks of Baxter International Inc. or its subsidiaries. Dialox is a trademark of Bioxal. Hastelloy is a trademark of Haynes International Inc. Manufacturer Gambro Lundia AB Box 10101 Magistratsvägen 16...
  • Page 3 A:117 Measuring blood pressure ....................A:127 DIASCAN ........................... A:135 Disinfection and cleaning ....................A:143 Disinfection with the AK 98 dialysis machine and WRO system.........A:159 Connectivity........................A:165 Maintenance handling...................... A:171 Technical data and specifications .................. A:177 Local regulatory registration (if applicable) ..............

  • Page 4: Table Of Contents

    1.2.4 Treatment location ....................A:18 1.2.5 Central venous catheter ..................A:18 1.2.6 Connection of external electrical equipment............A:18 1.2.7 How to move the AK 98 dialysis machine ............A:18 1.2.8 Safety philosophy ....................A:19 Intended use ......................A:19 1.3.1 Intended use......................A:19 1.3.2...
  • Page 5 Rear component ...................... A:44 2.3.1 Rear components ....................A:44 2.3.2 Rear component details..................A:45 Handling the dialysis machine ..................A:51 Operator's position....................A:53 3.1.1 Operator's position ....................A:53 Switch the dialysis machine on and off ..............A:53 3.2.1 Main switch......................A:53 3.2.2 On/off...
  • Page 6 Operate the machine during power failure ............A:71 3.6.1 Power failure with battery back-up ............... A:71 3.6.2 Power failure without battery back-up ..............A:71 3.6.3 Return the blood to the patient manually..............A:71 Change of dialyzer and blood lines during treatment.......... A:72 Change of BICART cartridge during Treatment............
  • Page 7 Isolated ultrafiltration....................... A:113 Basic functionality....................A:114 Handling isolated ultrafiltration ................A:114 6.2.1 Activate isolated ultrafiltration................A:114 6.2.2 How to add a second and subsequent phase of isolated UF ......A:115 6.2.3 Deactivate isolated ultrafiltration................. A:115 Additional information ................... A:115 6.3.1 Heparin .......................
  • Page 8 10.7.2 Cleaning and disinfection schedule ..............A:156 10.7.3 Flow path ......................A:157 Disinfection with the AK 98 dialysis machine and WRO system.........A:159 11.1 General description....................A:160 11.2 Integrated heat disinfection with a WRO 300 H unit .......... A:160 11.2.1 Description of integrated heat disinfection with a WRO 300 H unit ....A:160 11.2.2...
  • Page 9 11.3 Central chemical disinfection program with a WRO unit ........A:161 11.3.1 Description of central chemical disinfection program with a WRO unit ....A:161 11.3.2 Start a central chemical disinfection with a WRO unit ........A:161 11.4 Settings for rinse ....................A:163 11.4.1 Rinse settings .....................
  • Page 10 14.1.11 Disinfection and cleaning - heat disinfection ............A:181 14.1.12 Auto heat disinfection ..................A:182 14.1.13 Heat disinfection program including WRO 300 H ..........A:182 14.1.14 Disinfection and cleaning – rinse/drain...............A:182 14.1.15 Disinfection and cleaning – exterior cleaning .............A:183 14.1.16 Water supply....................... A:183 14.1.17 Power supply ......................

  • Page 11: Before You Get Started

    1.2.4 Treatment location ....................A:18 1.2.5 Central venous catheter ..................A:18 1.2.6 Connection of external electrical equipment............A:18 1.2.7 How to move the AK 98 dialysis machine ............A:18 1.2.8 Safety philosophy ....................A:19 Intended use ......................A:19 1.3.1 Intended use......................A:19 1.3.2...

  • Page 12: Important While Reading The Operator's Manual

    Important while reading the operator’s manual 1.1.1 About this operator´s manual This operator’s manual provides instructions necessary for the proper operation of the AK 98 dialysis machine. It is not a guide for the administration of haemodialysis. 1.1.2 Safety definitions Warning...

  • Page 13: About The Screen

    1.1.5 About the screen The operator´s panel of the AK 98 dialysis machine has a colour touch screen. The screen allows the operator to interact with the dialysis machine by pressing various buttons. Figure 1-1. The operator´s panel Press a button or menu item to activate its function.

  • Page 14: Symbols

    Off (disconnection from the mains power) On (connection to the mains power) Equipotential connector The AK 98 dialysis machine is protected against solid foreign objects ≥12.5 mm Ø and vertically falling water drops. Type B, applied part NIBP type BF applied part The product does not contain latex.
  • Page 15 Warning, dangerous voltage. Contact may cause electric shock or burn. The symbol colour is black on a yellow background. Warning. Do not lean the AK 98 dialysis machine more than 5° from the horizontal plane. The symbol colour is black on a yellow background.
  • Page 16 Management System. The CE conformity mark is only valid for the AK 98 dialysis machine. Disposables and any accessories specified for use with the AK 98 dialysis machine are marked with CE conformity marks in their own right. CSA marking...

  • Page 17: General Warning And Precautions Before Use

    WARNING! The mains power cable from the AK 98 dialysis machine (cable length is 3.5 metres) shall be connected to a socket with protected earth (PE) to avoid risk of electrical shock.
  • Page 18 The AK 98 dialysis machine will perform as designed only if it is used and maintained in accordance with Baxter’s instructions. Any warranties made by Baxter with respect to the AK 98 dialysis machine are void if the equipment is not used in accordance with the instructions provided. Baxter will not accept responsibility for any damage or injury resulting from improper use or maintenance or unauthorised repair.

  • Page 19: Responsibility And Disclaimer

    Make sure that any used chemical disinfectants are stored according to manufacturer’s recommendations. CAUTION! Make sure not to position the AK 98 dialysis machine in a way that it becomes difficult to operate the mains power switch. NOTE! The AK 98 dialysis machine must be installed according to the Installation guide.

  • Page 20: Leakage Current And Potential Equalisation Connection

    1.2.4 Treatment location The user must make sure that the location where the AK 98 dialysis machine is installed, including the patient environment, is suitable for dialysis treatment. The location shall be maintained at a hygienic standard suitable for dialysis treatment and kept free from pets and pests.

  • Page 21: Safety Philosophy

    1.3.1 Intended use The AK 98 dialysis machine is intended for use as a single patient machine to perform haemodialysis treatments of patients with renal failure or fluid overload upon prescription by a physician. Patient counselling and teaching of treatment techniques are directly under the supervision and discretion of the physician.

  • Page 22: Training

    CAUTION! The physician is responsible to ensure that the operator has access to the AK 98 operator’s manual when performing haemodialysis in a home healthcare environment.

  • Page 23: Inlet Water Requirements

    Using other material may reduce Baxter’s warranties for the dialysis machine. WARNING! To ensure proper functionality of the AK 98 dialysis machine, use only concentrates, chemical disinfectants, accessories, and disposables specified as follows as these has been tested and validated for use with the AK 98 dialysis machine.

  • Page 24: Concentrates

    Therefore it is important to use the right disinfectant and be aware of the precautions for a certain chemical disinfectant before use, see Section 10.4.7 “About chemical disinfectants” on page A:152. HCEN12745 Revision 10.2016 A:22 AK 98 Dialysis Machine - Before you get started Program version 2.xx...

  • Page 25: Blood Lines

    AK 98 dialysis machine. CAUTION! Do not use the neonatal blood lines: A-5.128-B4, V-5.127-X, A-5.129-B4 or V-5.129-X with AK 98 dialysis machine as these neonatal blood lines are not intended for use with the AK 98 dialysis machine. Table 1-4. Blood lines...

  • Page 26: Ultrafilter

    The listed dialyzers have been determined by Baxter to meet the specifications and instructions for use given for the AK 98 dialysis machine with regards to e.g. the recommended priming procedure; in addition, the connectors and the ports of the dialyzers comply with ISO 8637 and EN 1283.

  • Page 27: Glossary

    28 - 37 cm Large Adult 36 - 46 cm Small Adult 21 - 29 cm GAMBRO Cuff hose 3.0 m Cuff hose is used to connect cuff and AK 98 dialysis machine. Glossary 1.5.1 Glossary Table 1-9. Defintions Authorised service technician A service technician certified by Baxter.
  • Page 28 AK 98 dialysis machine is being used. The user decides which local routines are applicable for the AK 98 dialysis machine. HCEN12745 Revision 10.2016 A:26 AK 98 Dialysis Machine - Before you get started Program version 2.xx...

  • Page 29: Machine Description

    Fluid part components ..................A:36 2.2.2 Fluid part component details ................A:37 Rear component ...................... A:44 2.3.1 Rear components ....................A:44 2.3.2 Rear component details..................A:45 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:27 Program version 2.xx...

  • Page 30: Blood Part

    Blood part 2.1.1 Blood part components Figure 2-1. Blood part component terms HCEN12745 Revision 10.2016 A:28 AK 98 Dialysis Machine - Machine Description Program version 2.xx...

  • Page 31: Blood Part Component Details

    Operator's panel The controls on the operator's panel are described in Section 3.4.1 “Screen overview” on page A:55 and Section 3.3.2 “Buttons on the operator´s panel” on page A:54. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:29 Program version 2.xx...
  • Page 32 The arterial pressure supervision measures and guards against too high or too low arterial pressure. HCEN12745 Revision 10.2016 A:30 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 33 Syringes must comply with ISO 7886-2. Read more in Section 4.2.6 “Attach the heparin syringe” on page A:89. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:31 Program version 2.xx...
  • Page 34 The venous blood line clamp closes the venous blood line in certain alarm situations, and is also used when performing single needle treatment. HCEN12745 Revision 10.2016 A:32 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 35 Take care not to wrap the blood lines around the dialyzer holder when rotating it. This could cause kinking of the blood lines, and lead to hemolysis. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:33 Program version 2.xx...
  • Page 36 The blood lines are placed in the blood line guides. Level adjustment knob Turn the knob to raise or lower the level of blood in the venous drip chamber. HCEN12745 Revision 10.2016 A:34 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 37 A mechanical stop limits the movement. The height of the infusion stand can also be adjusted. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:35 Program version 2.xx...

  • Page 38: Fluid Part

    Fluid part 2.2.1 Fluid part components Figure 2-2. Fluid Part Component Terms HCEN12745 Revision 10.2016 A:36 AK 98 Dialysis Machine - Machine Description Program version 2.xx...

  • Page 39: Fluid Part Component Details

    To remove a dialysis fluid tube from a safety coupling; press and hold the button on the dialysis fluid tube connector and pull out. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:37 Program version 2.xx...
  • Page 40 When this is done the dialysis machine can start to use the concentrate. See Section 4.2.3 “Set up the dialysis machine” on page A:77. HCEN12745 Revision 10.2016 A:38 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 41 Turn the connector clockwise to unlock it. Pull out the connector. To attach a concentrate connector to its port: Hold the connector slightly turned clockwise in front of the port. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:39 Program version 2.xx...
  • Page 42 Use the white pick-up tube for acidic concentrate. Use the blue pick-up tube for bicarbonate. Use the yellow pick-up tube for chemical disinfectant. HCEN12745 Revision 10.2016 A:40 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 43 The blood leak detector checks for blood in the dialysis fluid. To open the blood leak detector cover see Section 13.3 “Clean the blood leak detector” on page A:173. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:41 Program version 2.xx...
  • Page 44 The detected volume could be an excessive UF volume. An attention will be displayed if the fluid level reaches the level of the detector. HCEN12745 Revision 10.2016 A:42 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 45 This page is intentionally left blank. This page is intentionally left blank.

  • Page 46: Rear Component

    Rear component 2.3.1 Rear components Figure 2-3. Rear Component Terms HCEN12745 Revision 10.2016 A:44 AK 98 Dialysis Machine - Machine Description Program version 2.xx...

  • Page 47: Rear Component Details

    “How to move the AK 98 dialysis machine” on page A:18 Air filters Filter 1 protects the power supply unit. Filter 2 protects the inside of the dialysis machine from dust. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:45 Program version 2.xx...
  • Page 48 It indicates that the battery charge is ongoing. The lamp is marked BACH. Battery connect indicator This green lamp is lit if battery back-up has been installed. The lamp is marked BACO. HCEN12745 Revision 10.2016 A:46 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 49 Outlet tube (drain) The outlet tube is used to transport used dialysis fluid out of the dialysis machine. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:47 Program version 2.xx...
  • Page 50 “Connection of external electrical equipment” on page A:18. USB port This port is to be used by the authorised technician. See Section 1.2.6 “Connection of external electrical equipment” on page A:18. HCEN12745 Revision 10.2016 A:48 AK 98 Dialysis Machine - Machine Description Program version 2.xx...
  • Page 51 Make sure that the cable clip is properly fixed. Fuses The fuses shall only be exchanged by an authorised service technician. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Machine Description A:49 Program version 2.xx...
  • Page 52 Main switch The main switch should always be on when plugged into mains power. This allows the battery to charge. HCEN12745 Revision 10.2016 A:50 AK 98 Dialysis Machine - Machine Description Program version 2.xx...

  • Page 53: Handling The Dialysis Machine

    Power failure without battery back-up ..............A:71 3.6.3 Return the blood to the patient manually..............A:71 Change of dialyzer and blood lines during treatment.......... A:72 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:51 Program version 2.xx...
  • Page 54 Change of BICART cartridge during Treatment............ A:73 The ultrafiltration control..................A:73 HCEN12745 Revision 10.2016 A:52 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 55: Operator's Position

    The On/Off button is located on the operator's panel (to the right of the screen). See Figure 3- “” on page A:54. Press the On/Off button lightly to turn the machine on or off. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:53 Program version 2.xx...

  • Page 56: Indication Light And Buttons

    3.3.2 Buttons on the operator´s panel The buttons on the operator´s panel are placed to the right of the screen. On/Off button HCEN12745 Revision 10.2016 A:54 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 57: The Screen

    Decrease blood pump speed. The screen 3.4.1 Screen overview The touch screen contains of menues and buttons for preparing, running, finishing and maintaining the dialysis machine. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:55 Program version 2.xx...

  • Page 58: Venous And Arterial Pressure Controls (1, 2

    The pressure controls show the pressure in the blood line from the patient and the resistance of the blood returning to the patient. The corresponding alarm limits are also shown in the pressure controls. HCEN12745 Revision 10.2016 A:56 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 59: Machine State Indicator

    3.4.5 Blood path (5) When blood is detected in the venous blood line the blood path turns red, treatment starts and alarms are activated. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:57 Program version 2.xx...

  • Page 60: Fluid Path

    3.4.10 Treatment overview (11–15) In the treatment overview fields actual values from the treatment are shown. These fields are indicators of the treatment progress. HCEN12745 Revision 10.2016 A:58 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 61: Information Tab

    The time scale is based on the treatment settings. 3.4.14 Information field (19) The information field have three tabs; for selecting information alarm, attentions and treatment graph. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:59 Program version 2.xx...

  • Page 62: Patient Page (20

    Priming button (21) The Priming button opens the Priming menu. It continues to be lit until blood is detected. 3.4.17 Rinse back button (22) HCEN12745 Revision 10.2016 A:60 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...
  • Page 63 WRO 300 H unit is connected. Rinse ● Rinse: Start the rinse program. ● Drain: Start the drain program. Chemical HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:61 Program version 2.xx...

  • Page 64: Blood Button

    The Blood button opens the Blood Menu, which contain tabs for handling parameters related to the blood path. The Tools tab is used to enter the Service menu. Heparin HCEN12745 Revision 10.2016 A:62 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...
  • Page 65 High venous pressure limit: Set the high alarm limit for the venous pressure. Automatically set when the treatment has been started and the venous pressure limits are centralized. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:63 Program version 2.xx...

  • Page 66: Fluid Button

    The Fluid button opens the Fluid Menu, which contain tabs for handling parameters related to the fluid path. WARNING! The maximum UF rate must be preset by an authorised technician according to the patient’s prescription, when AK 98 dialysis machine is used in home healthcare environment. UF rate ●...
  • Page 67 ● Concentrate standby mode: Activate standby mode to pause the preparation of dialysis fluid, see Section 3.5 “Concentrate standby mode” on page A:70. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:65 Program version 2.xx...

  • Page 68: Fluid Bypass Button (26

    The Ultrafiltration button is used to start or stop the ultrafiltration. 3.4.23 Treatment history page (28) The History button opens the treatment history page, which contain tabs for: Treatment history log. HCEN12745 Revision 10.2016 A:66 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...
  • Page 69 Alarm history log for the actual treatment. The last generated alarm is shown at the top of the list. Graph history log with treatment graphs. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:67 Program version 2.xx...

  • Page 70: Status Bar (29

    Heparin ● Scheduled disinfection 3.4.25 Service menu The Blood button opens the Blood Menu, which is also the entry point to the Service menu. HCEN12745 Revision 10.2016 A:68 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...
  • Page 71 Through the Logging tab it is possible to select parameters to be logged. This feature is used by the authorised service technician to check condition and status of hardware or software components. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:69 Program version 2.xx...

  • Page 72: Concentrate Standby Mode

    Press the activate button to activate concentrate standby mode. 3.5.3 To resume preparation of dialysis fluid Procedure Select the Information tab. Press Confirm in the message. HCEN12745 Revision 10.2016 A:70 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 73: To Automatically Enter Concentrate Standby Mode

    Check that the arterial blood line is connected to the rinseback solution to prevent patient blood loss. If the dialysis machine is shut down, you can manually return the blood to the patient. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Handling the dialysis machine A:71 Program version 2.xx...

  • Page 74: Change Of Dialyzer And Blood Lines During Treatment

    “Set up the dialysis machine” on page A:77. Prime and remove the air from the new blood lines, see Section 4.2.7 “Priming the dialysis circuit” on page A:91. HCEN12745 Revision 10.2016 A:72 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 75: Change Of Bicart Cartridge During Treatment

    WARNING! The maximum UF rate must be preset by an authorised technician according to the patient’s prescription, when AK 98 dialysis machine is used in home healthcare environment. CAUTION! After recovery, check treatment parameters to ensure that treatment is continued according to prescription.
  • Page 76 However, it is possible for the authorised service technician to preset the machine so that when negative TMP alarm limits have been set, such an attention occurs. HCEN12745 Revision 10.2016 A:74 AK 98 Dialysis Machine - Handling the dialysis machine Program version 2.xx...

  • Page 77: Haemodialysis - Double Needle Treatment

    End a double needle treatment ................A:100 4.3.1 End the treatment ....................A:100 4.3.2 Confirm disconnect patient ................A:101 4.3.3 Machine aftercare....................A:101 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:75 Program version 2.xx treatment...

  • Page 78: Basic Functionality

    During a functional check the blood pump rotor is moving. Do not open the blood pump door until the Blood pump button is flashing. HCEN12745 Revision 10.2016 A:76 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 79: Set Up The Dialysis Machine

    A non-intended content may lead to hemolysis. Procedure Remove the red concentrate connector from the stand-by port. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:77 Program version 2.xx treatment...
  • Page 80 Fold the lower latch out and down. Remove the caps from the BiCart cartridge and attach it bottom down. HCEN12745 Revision 10.2016 A:78 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 81: Attach The Arterial Blood Line

    Attach the arterial blood line CAUTION! Do not use the neonatal blood lines: A-5.128-B4, V-5.127-X, A-5.129-B4 or V-5.129-X with AK 98 dialysis machine as these neonatal blood lines are not intended for use with the AK 98 dialysis machine. HCEN12745 Revision 10.2016...
  • Page 82 Arterial pressure transducer Blood line guide connector Arterial line clamp Heparin pump When the dialysis machine is lined, check that the appropriate clamps are closed. HCEN12745 Revision 10.2016 A:80 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...
  • Page 83 Place the blood pump segment over the blood pump rotor. Make sure that the blood pump segment collars are outside the pump housing. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:81 Program version 2.xx treatment...
  • Page 84 WARNING! Check that the arterial blood line is firmly attached to the dialyzer to prevent patient blood loss. HCEN12745 Revision 10.2016 A:82 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...
  • Page 85 NOTE! Make sure the blood line between the arterial clamp and blood pump is not too stretched HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:83 Program version 2.xx treatment...

  • Page 86: Attach The Venous Blood Line

    Check that all relevant clamps are closed to prevent undetected blood loss. 4.2.5 Attach the venous blood line The venous blood line has blue connectors. HCEN12745 Revision 10.2016 A:84 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...
  • Page 87 When the dialysis machine is lined, check that the appropriate clamps are closed. Procedure Check that the waste bag is securely attached to the end of the venous blood line. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:85 Program version 2.xx treatment...
  • Page 88 Pinch the venous drip chamber and place it in the air detector. HCEN12745 Revision 10.2016 A:86 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...
  • Page 89 Place the blood line in the venous clamp (marked with a blue dot). CAUTION! Protect your fingers. Do not put fingers in the clamp. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:87 Program version 2.xx treatment...
  • Page 90 Press to pierce the membrane and then turn to secure the connection. HCEN12745 Revision 10.2016 A:88 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 91: Attach The Heparin Syringe

    If not, the patient could be either over or under coagulated. Procedure Attach the prepared syringe to the heparin line. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:89 Program version 2.xx treatment...
  • Page 92 Check by lightly pulling on the plunger. When doing so, it must be impossible to pull the syringe out of the heparin pump. HCEN12745 Revision 10.2016 A:90 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 93: Priming The Dialysis Circuit

    OK, and the dialyzer is free from air, activate the air detector. When the blood pump stops, turn the dialyzer over so that the red end is up. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:91 Program version 2.xx treatment...
  • Page 94 Press Connect patient. HCEN12745 Revision 10.2016 A:92 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 95: Assisted Priming

    When the level in the venous drip chamber is OK, activate the air detector. When the assisted priming procedure is completed, press Confirm. Press Connect patient. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:93 Program version 2.xx treatment...

  • Page 96: Priming Options

    Press Recirculation. Connect the two patient ends of the blood lines to make a closed circuit. Use a sterile disposable blood line connector. HCEN12745 Revision 10.2016 A:94 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 97: Set Treatment Time

    WARNING! The maximum UF rate must be preset by an authorised technician according to the patient’s prescription, when AK 98 dialysis machine is used in home healthcare environment. CAUTION! All parameters and alarm limits must be suitable for the patient’s needs and tolerance.

  • Page 98: Set Heparin Values

    Make sure to set the prescribed heparin values. Incorrect heparin settings may cause blood coagulation or internal bleeding. Procedure Press the Blood button. Select the Heparin tab. HCEN12745 Revision 10.2016 A:96 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 99: Connect The Patient

    Select Connect Patient before connecting the blood lines to the access. This allows the machine to detect blood and to start the treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:97 Program version 2.xx treatment...
  • Page 100 HCEN12745 Revision 10.2016 A:98 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 101: Start The Treatment

    If this is not the case, check that the venous blood line is correctly placed in the priming detector. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:99 Program version 2.xx treatment...

  • Page 102: End A Double Needle Treatment

    Press the Rinse back button that appears in the Information field. Press Confirm. The blood pump stops. Disconnect the arterial blood line from the access. HCEN12745 Revision 10.2016 A:100 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...

  • Page 103: Confirm Disconnect Patient

    Procedure Turn the dialyzer so that the blue connectors are up. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:101 Program version 2.xx treatment...
  • Page 104 Remove the BiCart cartridge. Close the BiCart cartridge holder latches. Press the flashing Disinfection button to start a disinfection program, see Section “Disinfection and cleaning” page A:143. HCEN12745 Revision 10.2016 A:102 AK 98 Dialysis Machine - Haemodialysis - Double needle Program version 2.xx treatment...
  • Page 105 Disconnect and remove the arterial and venous blood lines. Only for single needle treatment: Remove the venous expansion chamber together with the blood line set. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Double needle A:103 Program version 2.xx treatment...
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  • Page 107: Haemodialysis - Single Needle Treatment

    Haemodialysis - Single needle treatment Basic functionality....................A:106 Preparations......................A:106 Connect the patient ....................A:109 Start the treatment....................A:110 End a single needle treatment................A:112 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment A:105 Program version 2.xx...

  • Page 108: Basic Functionality

    “Set up the dialysis machine” on page A:77. Attach the arterial blood line. Follow the steps in Section 4.2.4 “Attach the arterial blood line” on page A:79. HCEN12745 Revision 10.2016 A:106 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment Program version 2.xx...
  • Page 109 Connect the end of the venous blood line to the expansion chamber blood line. Connect the other blood line from the expansion chamber to the dialyzer. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment A:107 Program version 2.xx...
  • Page 110 Section 4.2.10 “Set ultrafiltration volume” on page A:95. Set the heparin values. Follow the steps in Section 4.2.11 “Set heparin values” page A:96. HCEN12745 Revision 10.2016 A:108 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment Program version 2.xx...

  • Page 111: Connect The Patient

    HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment A:109 Program version 2.xx...

  • Page 112: Start The Treatment

    UF system is not controlling the patient ultrafiltration. If the air detector has not been activated during priming it will be automatically activated when the priming volume is achieved. HCEN12745 Revision 10.2016 A:110 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment Program version 2.xx...
  • Page 113 Check the blood flow rate. Adjust the blood flow rate using the Blood pump up and Blood pump down buttons. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment A:111 Program version 2.xx...

  • Page 114: End A Single Needle Treatment

    Section 4.3.1 “End the treatment” page A:100. Remove the dialyzer and the blood lines. Follow the steps in Section 4.3.3 “Machine aftercare” on page A:101. HCEN12745 Revision 10.2016 A:112 AK 98 Dialysis Machine - Haemodialysis - Single needle treatment Program version 2.xx...
  • Page 115 How to add a second and subsequent phase of isolated UF ......A:115 6.2.3 Deactivate isolated ultrafiltration................. A:115 Additional information ................... A:115 6.3.1 Heparin ....................... A:115 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Isolated ultrafiltration A:113 Program version 2.xx...

  • Page 116: Basic Functionality

    UF phase. Press Activate. Isolated UF will be started when the Ultrafiltration button is pressed. Follow the instructions in Section 4.2.13 “Start the treatment” on page A:99. HCEN12745 Revision 10.2016 A:114 AK 98 Dialysis Machine - Isolated ultrafiltration Program version 2.xx...

  • Page 117: How To Add A Second And Subsequent Phase Of Isolated Uf

    If the heparin pump is used, it will run during the complete isolated UF, unless isolated UF is performed after the diffusion phase. Settings for Heparin bolus volume, Heparin flow rate and Stop time are kept. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Isolated ultrafiltration A:115 Program version 2.xx...
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  • Page 119: Profiling

    Profiling ultrafiltration without a preset model.............A:122 7.5.2 Profiling sodium without a preset model.............A:123 7.5.3 Profiling bicarbonate without a preset model............A:124 Set and activate profiling with a preset model ........... A:125 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Profiling A:117 Program version 2.xx...

  • Page 120: General

    If profiling is reactivated without changed profiling parameters, the machine will continue running from the point where profiling was deactivated. HCEN12745 Revision 10.2016 A:118 AK 98 Dialysis Machine - Profiling Program version 2.xx...

  • Page 121: Profiling Of Ultrafiltration Rate

    Always check the ultrafiltration profile settings after changing ultrafiltration volume or treatment time when a profile is active, since such changes affect the ultrafiltration rate. Figure 7-2. Decreasing linear mode for UF rate profiling HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Profiling A:119 Program version 2.xx...
  • Page 122 Changed rate is shown in grey and original rate in black. When the treatment time is changed and the new stop value reaches the minimum UF rate, the slope will change. HCEN12745 Revision 10.2016 A:120 AK 98 Dialysis Machine - Profiling Program version 2.xx...
  • Page 123 Always check the UF profile settings if UF volume or treatment time is changed when a UF profile is activated, see Section “Profiling of ultrafiltration rate” on page A:119 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Profiling A:121 Program version 2.xx...

  • Page 124: Profiling Setting/Activation

    When the isolated UF phase is complete, the profiling will automatically be reactivated starting where it was interrupted. Profiling without a preset model 7.5.1 Profiling ultrafiltration without a preset model Procedure Press the Fluid button. HCEN12745 Revision 10.2016 A:122 AK 98 Dialysis Machine - Profiling Program version 2.xx...

  • Page 125: Profiling Sodium Without A Preset Model

    Change HCO (if applicable). See Section 7.5.3 “Profiling bicarbonate without a preset model” on page A:124. 7.5.2 Profiling sodium without a preset model Procedure Press the Fluid button. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Profiling A:123 Program version 2.xx...

  • Page 126: Profiling Bicarbonate Without A Preset Model

    Profiling bicarbonate without a preset model Procedure Press the Fluid button. Select the UF rate tab or Cond tab. Press Profiling. Press HCO Set Start and Stop values. Press Activate. HCEN12745 Revision 10.2016 A:124 AK 98 Dialysis Machine - Profiling Program version 2.xx...

  • Page 127: Set And Activate Profiling With A Preset Model

    Section 7.5.1 “Profiling ultrafiltration without a preset model” on page A:122. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Profiling A:125 Program version 2.xx...
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  • Page 129: Measuring Blood Pressure

    Patient care during blood pressure measuring..........A:132 8.7.1 All patients ......................A:132 8.7.2 Patients with high blood pressure............... A:133 8.7.3 Patients with arrhythmia ..................A:134 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Measuring blood pressure A:127 Program version 2.xx...

  • Page 130: Blood Pressure Monitor (Bpm

    Section 8.6 “Set alarm limits” on page A:131 Blood pressure cuff The cuff for measuring blood pressure is attached to the side of the dialysis machine. HCEN12745 Revision 10.2016 A:128 AK 98 Dialysis Machine - Measuring blood pressure Program version 2.xx...
  • Page 131 Pressurisation of the cuff can temporarily cause loss of function of simultaneously used monitoring equipment on the same limb. CAUTION! To ensure proper measurement avoid compression or restriction of the connection tubing. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Measuring blood pressure A:129 Program version 2.xx...

  • Page 132: Direct Blood Pressure Measuring

    Set how often the blood pressure monitor should measure blood pressure, a value between 5 and 60 minutes. Press OK. Press Activate to activate interval blood pressure measurement. HCEN12745 Revision 10.2016 A:130 AK 98 Dialysis Machine - Measuring blood pressure Program version 2.xx...

  • Page 133: Measurement History

    Set alarm limits It is possible to set high and low alarm limits for systolic, diastolic and mean blood pressure as well as pulse rate. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Measuring blood pressure A:131 Program version 2.xx...

  • Page 134: Patient Care During Blood Pressure Measuring

    CAUTION! Too frequent blood pressure measurements may cause injury to the patient due to blood flow interference. HCEN12745 Revision 10.2016 A:132 AK 98 Dialysis Machine - Measuring blood pressure Program version 2.xx...

  • Page 135: Patients With High Blood Pressure

    It is recommended that the patient relax and refrain from talking during the measurement procedure. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Measuring blood pressure A:133 Program version 2.xx...

  • Page 136: Patients With Arrhythmia

    flat on the floor. Back and arm should be supported. 8.7.3 Patients with arrhythmia Do not use the AK 98 blood pressure measurement device for patients with arrhythmia. HCEN12745 Revision 10.2016 A:134 AK 98 Dialysis Machine - Measuring blood pressure Program version 2.xx...

  • Page 137: Diascan

    A:137 Measurement history .................... A:138 Set a Kt/V target value................... A:139 Set an alarm for low K or Kt/V ................A:140 Factors that affect measuring ................A:140 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - DIASCAN A:135 Program version 2.xx...

  • Page 138: How Diascan Function Works

    How DIASCAN function works NOTE! The DIASCAN feature is not available on all product configurations of the AK 98 dialysis machine. The DIASCAN function measures clearance. The DIASCAN function can be used to: ● review the current dialysis efficiency for the ongoing treatment ●...

  • Page 139: Check Kt/V

    To get a reliable Kt/V value, it is very important that the dialysis machine calculates with an accurate distribution volume for the patient. Therefore fill in the patient information with care in Distribution volume. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - DIASCAN A:137 Program version 2.xx...

  • Page 140: Measurement History

    ● time of latest measurement. ● current/estimated end of treatment Kt/V. The Diascan button (opens the Diascan menu). Measurement history Procedure Press the Diascan button. HCEN12745 Revision 10.2016 A:138 AK 98 Dialysis Machine - DIASCAN Program version 2.xx...

  • Page 141: Set A Kt/V Target Value

    Press the Diascan button. Select the Setup tab. Press Alarm settings. Press Kt/V target. Enter a target value for Kt/V. Press OK. Press Activate and close the menu. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - DIASCAN A:139 Program version 2.xx...

  • Page 142: Set An Alarm For Low K Or Kt/V

    Factors that affect measuring CAUTION! Medical decisions must not only be based on information from the DIASCAN function, as there are many other factors which should be taken into account. HCEN12745 Revision 10.2016 A:140 AK 98 Dialysis Machine - DIASCAN Program version 2.xx...
  • Page 143 Activating or deactivating sodium or bicarbonate profiling ● Activating isolated UF ● An alarm sending dialysis fluid to bypass the dialyzer ● An alarm stopping the blood pump HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - DIASCAN A:141 Program version 2.xx...
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  • Page 145: Disinfection And Cleaning

    10.7 Reference ....................... A:156 10.7.1 Disinfection, Decalcification and Cleaning Agents - Characteristics ....A:156 10.7.2 Cleaning and disinfection schedule ..............A:156 10.7.3 Flow path ......................A:157 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection and cleaning A:143 Program version 2.xx...

  • Page 146: Disinfection And Cleaning - General

    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: ●...

  • Page 147: Heat Disinfection

    During the heat disinfection program the inlet water is heated up and flushed through the fluid monitor. The AK 98 dialysis machine fluid path is constructed in a way that prevents possible contaminants in the post-dialyzer fluid path from reaching the patient.

  • Page 148: Start A Heat Disinfection With A Cleancart Cartridge

    Procedure Press the Disinfection button. Select the Heat tab. Press Citric 20%. Make sure that the disinfectant inlet tube is placed in the disinfectant solution. HCEN12745 Revision 10.2016 A:146 AK 98 Dialysis Machine - Disinfection and cleaning Program version 2.xx...

  • Page 149: Start A Short Heat Disinfection With Liquid Citric Acid

    It is possible to schedule the dialysis machine to run a heat disinfection any day of the week. Set the time for when the disinfection shall finish. Procedure Press the Disinfection button. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection and cleaning A:147 Program version 2.xx...

  • Page 150: To Turn Off A Scheduled Program

    10.3.7.3 To turn off a scheduled program Procedure Press the Disinfection button. Select the Tools tab. HCEN12745 Revision 10.2016 A:148 AK 98 Dialysis Machine - Disinfection and cleaning Program version 2.xx...

  • Page 151: Integrated Heat Disinfection With A Wro 300 H Unit

    This means that also the inlet water tube is disinfected. Therefore, choose integrated heat disinfection if possible. For more information, see Section 11 “Disinfection with the AK 98 dialysis machine and WRO system” on page A:159 10.4...

  • Page 152: Start A Central Chemical Disinfection

    When you get an attention that the dwell time is over, and you have confirmed that no disinfectant is circulated in the central water system the machine starts a rinse program. HCEN12745 Revision 10.2016 A:150 AK 98 Dialysis Machine - Disinfection and cleaning Program version 2.xx...

  • Page 153: Chemical Disinfection Program With A Wro Unit

    The dialysis machine and a WRO water purification unit can work together and do an integrated chemical disinfection. Both the dialysis machine and the WRO unit must be preset by an authorised service technician. For more information, see Section 11 “Disinfection with the AK 98 dialysis machine and WRO system” on page A:159. 10.4.5...

  • Page 154: Disinfection History

    DIALOX and DIALOX HP disinfectants) and sodium hypochlorite, provided you use them as intended. For information about different disinfectants, for example dwell times, concentrations, consumption and mixing instructions, see Section 14.1.10 HCEN12745 Revision 10.2016 A:152 AK 98 Dialysis Machine - Disinfection and cleaning Program version 2.xx...

  • Page 155: Rinse And Drain

    The Rinse program ends with a Drain phase. 10.5.2 To schedule a rinse program Procedure Press the Disinfection button. Select the Tools tab. Press Auto schedule. Press Rinse/Disinfection process. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection and cleaning A:153 Program version 2.xx...

  • Page 156: To Turn Off Rinse Program For A Certain Day

    It is recommended to use peracetic acid as disinfectant during storage. This function has to be preset by an authorised service technician. HCEN12745 Revision 10.2016 A:154 AK 98 Dialysis Machine - Disinfection and cleaning Program version 2.xx...

  • Page 157: Start Using A Dialysis Machine Filled With Chemical Disinfectant

    An operator message appears when the disinfection program is ready. To start a new treatment: Press Confirm to reset previous values and start the functional check (extended). HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection and cleaning A:155 Program version 2.xx...

  • Page 158: Reference

    “Cleaning and disinfection schedule” on page A:157 is recommended for use by the operator/user of the AK 98 dialysis machine. This recommendation is to keep a high level of performance of the machine. It is a guideline for maintaining the hygiene of the fluid path and the exterior of the machine to ensure the safety of the patient.

  • Page 159: Flow Path

    An increased level of cleaning may be necessary, depending on the conditions described above. To see a general schedule for cleaning, go to Section 10.7.2 “Cleaning and disinfection schedule” on page A:156. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection and cleaning A:157 Program version 2.xx...
  • Page 160 If ultrafiltration values are not correct, you may need to clean the UF cell. Clean the UF cell once a week using heat disinfection program with CLEANCART A cartridge. HCEN12745 Revision 10.2016 A:158 AK 98 Dialysis Machine - Disinfection and cleaning Program version 2.xx...

  • Page 161: Disinfection With The Ak 98 Dialysis Machine And Wro System

    Start a central chemical disinfection with a WRO unit ........A:161 11.4 Settings for rinse ....................A:163 11.4.1 Rinse settings ..................... A:163 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection with the AK 98 dialysis A:159 Program version 2.xx machine and WRO system...

  • Page 162: General Description

    The AK 98 dialysis machine and the WRO water purification unit is a system that can perform integrated heat disinfection and central chemical disinfection. An interface cable is used to connect the AK 98 dialysis machine with the WRO unit. The cable is ordered separately.

  • Page 163: Central Chemical Disinfection Program With A Wro Unit

    After a chemical disinfection program, a test for residues shall be performed prior to connecting a patient to the dialysis machine to make sure that no residues exist in the dialysis machine. The following steps are made in the AK 98 dialysis machine. Procedure Press the Disinfection button.
  • Page 164 Remove the wand from the container and flush it with water. HCEN12745 Revision 10.2016 A:162 AK 98 Dialysis Machine - Disinfection with the AK 98 dialysis Program version 2.xx machine and WRO system...

  • Page 165: Settings For Rinse

    Auto rinse must be activated before the dialysis machine is switched off. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Disinfection with the AK 98 dialysis A:163 Program version 2.xx machine and WRO system...
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  • Page 167: Connectivity

    12.4 Clearing Patient ID and patient prescription............A:168 12.5 Setting treatment parameters manually .............. A:169 12.6 Setting Station ID....................A:169 12.7 Unconfirmed patient with data transfer only ............A:170 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - IT Connectivity A:165 Program version 2.xx...

  • Page 168: Basic Functionality

    12.1 Basic functionality The AK 98 dialysis machine can be configured to communicate with the CIS, Clinical Information System. If configured, the AK 98 dialysis machine will send treatment data regularly to the CIS. Depending on the CIS, three levels of support can be configured: Confirmed Patient ID and retrieval of patient prescription when the Patient ID is confirmed.
  • Page 169 Setting tab and in front of the patient name in the Patient menu. In the main window the icon in the patient button will be filled black completed with a checkmark. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - IT Connectivity A:167 Program version 2.xx...

  • Page 170: Cancel Prescription Retrieval

    The treatment parameters will revert to default/startup values if the Clear button is pressed before the treatment starts. If the Clear button is pressed when the AK 98 dialysis machine is in treatment mode, only the patient's ID will be cleared. Parameter settings will remain unchanged.

  • Page 171: Setting Treatment Parameters Manually

    (25)” on page A:64. 12.6 Setting Station ID It is possible to set a Station ID that indicates where the AK 98 dialysis machine is located at the clinic. The Station ID is saved togheter with the patient treatment data. Procedure Press the Station ID button.

  • Page 172: Unconfirmed Patient With Data Transfer Only

    12.7 Unconfirmed patient with data transfer only If the AK 98 dialysis machine is configured to not handle patients it is still possible to label the information sent to the CIS, Clinic Information System by entering a patient Procedure Press the Patient button.

  • Page 173: Maintenance Handling

    13.4 Water inlet tube...................... A:173 13.5 Pick-up tubes ......................A:173 13.6 Surface ........................A:174 13.7 Change ultrafilter....................A:174 13.8 Storage ........................A:175 13.9 Service........................A:175 13.10 Disposal........................A:176 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Maintenance handling A:171 Program version 2.xx...

  • Page 174: Maintenance

    13.1 Maintenance The contents of this chapter concerns the maintenance of the AK 98 dialysis machine that can be carried out by the operator of the machine. Maintain the dialysis machine according to recommendations in AK 98 Operator’s manual. CAUTION! To ensure proper functionality of the dialysis machine, only perform maintenance activities that are described in AK 98 Operator’s manual.

  • Page 175: Clean The Blood Leak Detector

    The pick-up tubes can be soiled by salts and concentrates. After each treatment, flush the pick-up tube with water. Let them dry naturally – do not wipe them. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Maintenance handling A:173 Program version 2.xx...

  • Page 176: Surface

    Wipe them with a cloth moistened with ethanol (70 %) or isopropanol (60 %). CAUTION! In order to protect the internal parts of the AK 98 dialysis machine against spillage, the top tray shall always be placed on top of the machine, except during technical service.

  • Page 177: Storage

    “Fill the dialysis machine with chemical disinfectant” on page A:154. 13.9 Service An authorised service technician should regularly inspect the dialysis machine according to the instructions in the service manual. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Maintenance handling A:175 Program version 2.xx...

  • Page 178: Disposal

    Disposal The dialysis machine should be separately collected and not disposed with general waste. For more information, check with your local Baxter representative and national regulations. HCEN12745 Revision 10.2016 A:176 AK 98 Dialysis Machine - Maintenance handling Program version 2.xx...

  • Page 179: Technical Data And Specifications

    Transportation and storage ................A:188 14.6.3 Electromagnetic environment ................A:188 14.6.4 Expected service life................... A:191 14.6.5 Energy and water consumption ................A:192 14.7 Standards ....................... A:192 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:177 Program version 2.xx...

  • Page 180: Performance And Specification - Control System

    ±10 % within range 500 to 750 mmHg 14.1.4 Blood pressure monitor (BPM) Blood pressure monitoring is only available if the blood pressure monitor is installed. HCEN12745 Revision 10.2016 A:178 AK 98 Dialysis Machine - Technical data and specifications Program version 2.xx...
  • Page 181 , 20 to 40 mmol/L Conductivity 9 to 16 mS/cm measuring range Accuracy ±0.2 mS/cm Alarm limits ±5 % of the calculated conductivity set value HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:179 Program version 2.xx...

  • Page 182: Ultrafiltration Control

    0.1 %; i.e. diluted 1 + 34 (1:35) machine Volume Approximate volume disinfectant used during disinfection program, 100 ml (with UFD approximately 125 ml) Contact time between 10 minutes treatments HCEN12745 Revision 10.2016 A:180 AK 98 Dialysis Machine - Technical data and specifications Program version 2.xx...

  • Page 183: Disinfection And Cleaning - Heat Disinfection

    CLEANCART cartridge disinfection / heating program alternative. The default settings are as follows: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:181 Program version 2.xx...

  • Page 184: Auto Heat Disinfection

    (if preset, see WRO 300 H service manual). 14.1.14 Disinfection and cleaning – rinse/drain Total time for disinfection programs is estimated and may vary. HCEN12745 Revision 10.2016 A:182 AK 98 Dialysis Machine - Technical data and specifications Program version 2.xx...

  • Page 185: Disinfection And Cleaning - Exterior Cleaning

    115 V AC, 60 Hz 230 V AC, 50 Hz 230 V AC, 60 Hz Protection class Machine: Class 1 type B BPM: Type BF HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:183 Program version 2.xx...

  • Page 186: Network Connection

    500 μA Patient leakage max 100 μA AC current max 10 μA DC All leakage currents specified are without external equipment connected to the AK 98 dialysis machine. 14.1.18 Network connection Cable Network cable shall be of type Cat5e shielded cable. Shielding shall be F/UTP, S/UTP or SF/UTP 14.1.19...

  • Page 187: Battery Back-Up

    The air infusion detector prevents the following from reaching the patient: ● A continuous air flow ≥ 0.03 mL/kg/min ● An infusion of an air bolus > 0.1 mL/kg HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:185 Program version 2.xx...

  • Page 188: Extracorporeal Blood Loss Due To Coagulation

    (A). The default preset is 65 dB (A). 14.4 Physical data 14.4.1 Dimensions and weight Width; machine Approx. 345 mm Width; stand Approx. 585 mm HCEN12745 Revision 10.2016 A:186 AK 98 Dialysis Machine - Technical data and specifications Program version 2.xx...

  • Page 189: Infusion Stand

    Stainless steel EN 1.4435 Stainless steel EN 1.4436 Stainless steel EN 1.4539 Titanium Platinum HASTELLOY C-22 14.5.3 Other materials Carbon Ceramic, Aluminium oxide (Al2O3) Glass HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:187 Program version 2.xx...

  • Page 190: Environmental Data

    The AK 98 dialysis machine is intended for use in the electromagnetic environment associated with a Professional healthcare facility environment or a Home healthcare environment as specified below. The customer or the user of the AK 98 dialysis machine should assure that it is used in such an environment.
  • Page 191 Electromagnetic immunity by degrading the shield. Ageing can also degrade Electromagnetic immunity and can be caused by condensation, liquid spillages, dust and cleaning etc. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:189 Program version 2.xx...
  • Page 192 If the measured field strength in the location in which the AK 98 dialysis machine is used exceeds the applicable RF compliance level above, the AK 98 dialysis machine should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the AK 98 dialysis machine.

  • Page 193: Expected Service Life

    Recommended separation distances between portable and mobile RF communications equipment and the AK 98 dialysis machine The AK 98 dialysis machine is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the AK 98 dialysis...

  • Page 194: Energy And Water Consumption

    IEC 60601-1-11:2015 Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral Standard: Requirements for HCEN12745 Revision 10.2016 A:192 AK 98 Dialysis Machine - Technical data and specifications Program version 2.xx...
  • Page 195 EN 1041:2008 +A1:2013 Information supplied by the manufacturer of medical devices. No 6 Provisions for IFU and labeling of Medical device. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Technical data and specifications A:193 Program version 2.xx...
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  • Page 197: Local Regulatory Registration (If Applicable

    15 Local regulatory registration (if applicable) HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Local regulatory registration (if A:195 Program version 2.xx applicable)
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  • Page 199 Index Fluid leakage detector tray A:42 Air detector A:19, A:30 Functional check A:16, A:25 Air gap A:76, A:144, A:183 Alarm limits A:112 Heparin pump A:31 centralising function A:112 Arterial clamp A:32 Arterial phase A:106 Kt A:136 single needle A:106 Kt/V A:136 Arterial pressure A:112 Arterial pressure connector A:30 Authorised service technician A:25 Main switch A:50, A:76 Mean blood flow rate (single needle) A:106 Minimum UF rate A:95 Backfiltration A:73...
  • Page 200 UF A:114, A:122-125 activate A:114 profiling A:122-125 UF rate A:73, A:95, A:119 profiling A:119 setting A:95 UF settings A:73 UF volume A:73, A:95, A:112 calculate A:95 setting A:112 Ultrafilter A:24, A:42 Ultrafiltration A:180 User A:26 Venous clamp A:32 Venous phase A:106 single needle A:106 Venous pressure A:112 setting (single needle) A:112 Venous pressure detector A:30 Warning A:10 Water supply A:21, A:76, A:183 HCEN12745 Revision 10.2016 Program version 2.xx...
  • Page 201 Profiling .................. A:117 Measuring blood pressure ........... A:127 DIASCAN ................A:135 Disinfection and cleaning ............. A:143 Disinfection with the AK 98 dialysis machine and WRO system ..................A:159 Connectivity............... A:165 Maintenance handling............A:171 Technical data and specifications ........A:177 Local regulatory registration (if applicable) .......
  • Page 202 Table of contents Alarms ..................General about alarms............ B:11 1.1.1 Alarm indication ............B:11 1.1.2 General alarm handling ..........B:12 1.1.3 External alarm ............B:12 1.1.4 Alarm history.............. B:13 1.1.5 Error list ..............B:14 1.1.6 How to find the alarm in the alarm handbook...............
  • Page 203 121 No change in SN venous blood pressure ..............B:38 122 Restarted after power failure ......B:39 123 Technical error ............ B:40 124 Technical error ............ B:41 223 No BPM values........... B:42 Medium priority alarms ..........B:43 200 Arterial pressure limits too wide......
  • Page 204 Attentions................. B:69 Attention indication............B:73 General attention handling ...........B:73 How to find the attention ..........B:74 List of attentions............B:74 500 Air detector not activated........B:74 501 Air leakage in fluid path ........B:76 502 Arterial clamp test failed ........B:77 503 Battery failure .............
  • Page 205 527 Diascan clearance measurement failed ..............B:102 528 Diascan clearance measurement is not restarted .............. B:103 529 Diascan clearance measurements paused during isolated UF ..........B:104 530 Diascan not possible during UF profiling ..............B:105 531 Diascan sodium limit is reached .......
  • Page 206 557 Heparin functional check failed......B:131 558 Heparin infusion is completed ......B:132 559 Heparin pump is overloaded......B:133 560 High inlet water conductivity ......B:134 561 High inlet water conductivity ......B:135 562 Improper auto start setting........ B:136 563 Improper time and/or UF volume settings ..............
  • Page 207 597 UF has been stopped for too long ....B:166 598 UF rate limit is reached........B:167 599 UF rate lower than minimum set....... B:168 600 Profiling is not restarted........B:169 601 Actual UF may differ from set UF ..... B:170 602 UF volume is achieved too early ......
  • Page 208 This page is intentionally left blank. This page is intentionally left blank.
  • Page 209 118 Low pulse rate ............ B:35 119 Low systolic blood pressure........ B:36 120 Low venous pressure ......... B:37 121 No change in SN venous blood pressure ..............B:38 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms Program version 2.xx...
  • Page 210 B:63 221 UF volume deviation........... B:64 222 Venous pressure limits too wide ......B:65 224 Second internal fluid leakage detected..............B:66 225 Internal fluid leakage detected......B:67 HCEN12745 Revision 10.2016 B:10 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 211: General About Alarms

    (5 sec) (5 sec)... For medium priority alarms the alarm is a recurring sound of three tones that are repeated with a 5 second intermission. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:11 Program version 2.xx...

  • Page 212: General Alarm Handling

    When an alarm is generated, the external alarm unit is activated. The external alarm is controlled by the indication light on the AK 98 dialysis machine. When the alarm situation ceases, the external alarm is deactivated.

  • Page 213: Alarm History

    Each remote visual / acoustic indicator (external alarm unit) shall be connected to only one AK 98 dialysis machine to ascertain the correct location of the source of the remote alarm. WARNING! The clinical staff are responsible for ensuring that an alarm refers to only one AK 98 dialysis machine.

  • Page 214: Error List

    How to find the alarm in the alarm handbook The alarm descriptions in this chapter are arranged in numerical order. Each alarm description has the following sections: HCEN12745 Revision 10.2016 B:14 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 215: High Priority Alarms

    Check that the arterial needle is in proper position. Start the blood pump to resolve the alarm situation, by pressing the Timer button in the alarm message. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:15 Program version 2.xx...
  • Page 216 Check that there is no air in the infusion line. Start the blood pump by pressing Confirm in the alarm message. Adjust the blood flow rate. HCEN12745 Revision 10.2016 B:16 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 217: Blood Detected In Fluid Path

    Adjust the blood flow rate manually. Measures can vary between immediately stopping the treatment without returning the blood to the patient, to continuing the treatment without any action. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:17 Program version 2.xx...
  • Page 218 Press Confirm to reset the alarm function. WARNING! When entering override, the operator is responsible for monitoring the treatment since this is not done by the dialysis machine during the override time. HCEN12745 Revision 10.2016 B:18 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 219: Blood Is Detected During Functional Check

    Make sure that the patient is not connected to the blood lines. Clean the priming detector lens. If previous steps do not help, call an authorised technician. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:19 Program version 2.xx...

  • Page 220: Blood Is Detected In Assisted Priming

    Make sure that the patient is not connected to the blood lines. Clean the priming detector lens. If previous steps do not help, call an authorised technician. HCEN12745 Revision 10.2016 B:20 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 221: Blood Is Not Detected

    When the priming detector detects blood, the blood path on the screen lights up red and treatment time starts to count down. Press Confirm. Select Continue connect patient and press Confirm. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:21 Program version 2.xx...

  • Page 222: Blood Pump Door Is Not Closed

    The blood pump stops. Operator action: Check that the blood pump segment is positioned correctly. Check that the blood pump rotor is positioned correctly. Close the blood pump door. HCEN12745 Revision 10.2016 B:22 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 223: Blood Pump Is Overloaded

    Check that the blood pump rotor is positioned correctly. Press the Blood pump button to start the blood pump. If the alarm appears again, call an authorised technician. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:23 Program version 2.xx...

  • Page 224: Blood Pump Is Stopped For Too Long

    Press the Blood pump button to start the blood pump when the patient is connected and the dialysis machine detects blood. Make sure that the cause of the alarm has been corrected. HCEN12745 Revision 10.2016 B:24 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 225: Fluid Path Obstruction

    Press the Fluid bypass button. If the alarm does not disappear, the obstruction is internal. Call an authorised technician. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:25 Program version 2.xx...

  • Page 226: High Arterial Pressure

    When the arterial pressure is within the set alarm limits again, the blood pump starts automatically and the venous blood line clamp opens. HCEN12745 Revision 10.2016 B:26 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 227: High Diastolic Blood Pressure

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press Diastolic High and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:27 Program version 2.xx...

  • Page 228: High Mean Blood Pressure

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press MAP High and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 B:28 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 229: High Pulse Rate

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press Pulse High and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:29 Program version 2.xx...

  • Page 230: High Systolic Blood Pressure

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press Systolic High and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 B:30 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 231: High Venous Pressure

    Check the arterial and venous pressures and press the flashing pressure control to re-centralise the alarm limits. When the venous pressure is within the set alarm limits again, the blood pump starts automatically. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:31 Program version 2.xx...

  • Page 232: Low Arterial Pressure

    When the arterial pressure is within the set alarm limits again, the blood pump starts automatically and the venous blood line clamp opens. HCEN12745 Revision 10.2016 B:32 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 233: Low Diastolic Blood Pressure

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press Diastolic Low and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:33 Program version 2.xx...

  • Page 234: Low Mean Blood Pressure

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press MAP Low and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 B:34 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 235: Low Pulse Rate

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press Pulse Low and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:35 Program version 2.xx...

  • Page 236: Low Systolic Blood Pressure

    If possible, adjust the alarm limits to the patient’s status: - Press the BPM button. - Select the Alarm tab. - Press Set limits. - Press Systolic Low and adjust the alarm limit. Press OK. HCEN12745 Revision 10.2016 B:36 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 237: Low Venous Pressure

    Check the arterial and venous pressures and press the flashing pressure control to re-centralise the alarm limits. When the venous pressure is within the set alarm limits again, the blood pump starts automatically. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:37 Program version 2.xx...

  • Page 238: No Change In Sn Venous Blood Pressure

    The blood pump stops. Operator action: Check the venous blood line for kinks or clamps. Check for blood in the pressure transducer protector. Check the arterial blood flow rate. HCEN12745 Revision 10.2016 B:38 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 239: Restarted After Power Failure

    To continue press Confirm.  Appears: When the machine has recovered from power failure. Machine actions: None. Operator action: Press Confirm. Check power supply, mains cable and backup battery. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:39 Program version 2.xx...

  • Page 240: Technical Error

    Technical error during functional check; restart the machine using the On/Off button and the machine will perform a new functional check. If the technical error reoccurs, call an authorised technician. HCEN12745 Revision 10.2016 B:40 AK 98 Dialysis Machine - Alarms Program version 2.xx...
  • Page 241 “Return the blood to the patient manually” page A:71 in Operators handbook. WARNING! A restart attempt after technical error during treatment may create a potential hazard for the patient. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:41 Program version 2.xx...

  • Page 242: No Bpm Values

    2 minutes, the machine alarm actions will automatically recur. Make sure that the BPM cuff is correctly wrapped around the patient’s arm. Restart measurement. HCEN12745 Revision 10.2016 B:42 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 243: Medium Priority Alarms

    The arterial pressure control is activated. Operator action: Check that correct blood flow rate is set. Press the arterial pressure control. Press Center arterial. Check that the arterial pressure limits are correct. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:43 Program version 2.xx...

  • Page 244: Blood Flow Is Too Low

    If necessary, adjust the low alarm limit. - Press the Blood button. - Select the Blood flow tab. Press Low alarm limit and set a suitable alarm limit for low blood flow. HCEN12745 Revision 10.2016 B:44 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 245: Fluid Tubes In Safety Couplings

    When the dialysis fluid tubes are connected to the safety couplings during treatment. Machine actions: None. Operator action: Move the dialysis fluid tubes from the safety couplings to the dialyzer. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:45 Program version 2.xx...

  • Page 246: Heparin Pump Is Overloaded

    Check that the heparin syringe is filled. Check for kinks and clamps on the heparin line. When the pressure in the syringe is within limits again the heparin pump starts automatically. HCEN12745 Revision 10.2016 B:46 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 247: High Dialysis Fluid Temperature

    Wait until the dialysis fluid temperature is correct. Then the dialysis fluid automatically enters the dialyzer and the alarm disappears. If necessary, call for an authorised technician or end the treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:47 Program version 2.xx...

  • Page 248: Incorrect Acidic Concentrate

    Select the Conc tab. Check that the concentrate that is set is the same as the concentrate connected. Check that the proper concentrate has been connected correctly. HCEN12745 Revision 10.2016 B:48 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 249: Incorrect Bicarbonate Concentrate

    Check that the concentrate that is set is the same as the concentrate connected. Check that the proper concentrate has been connected correctly. Check that there is no air in the concentrate tube. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:49 Program version 2.xx...

  • Page 250: Incorrect Dialysis Fluid Composition

    Check that the concentrate that is set is the same as the concentrate connected. Check that the proper concentrate has been connected correctly. Check that there is no air in the concentrate tube. HCEN12745 Revision 10.2016 B:50 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 251: Insufficient Inlet Water Pressure

    Check that the water supply works as intended. If not, take appropriate actions depending on the cause. Check that the external water supply valve is open. Check that the water supply tube is not blocked. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:51 Program version 2.xx...

  • Page 252: Low Battery Power

    The machine will automatically be switched off. ● Power failure sound will appear. Operator action: Consider to end the treatment manually. The battery may need to be replaced. HCEN12745 Revision 10.2016 B:52 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 253: Conductivity Out Of Limits

    Check that the BiCart cartridge is properly attached. See Section 4.2.3 “Set up the dialysis machine” page A:77 in Operators handbook. Check connectors and tubes and make sure there is no leakage. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:53 Program version 2.xx...
  • Page 254 When the dialysis fluid conductivity is within the set alarm limits again, the dialysis fluid automatically enters the dialyzer. HCEN12745 Revision 10.2016 B:54 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 255: Low Dialysis Fluid Temperature

    Wait until the dialysis fluid temperature is correct. Then the dialysis fluid automatically enters the dialyzer. If necessary, call for an authorised technician or end the treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:55 Program version 2.xx...

  • Page 256: Power Failure

    The displayed minutes indicate how long the power failure has lasted. Machine actions: Only the blood unit will run during a power failure. Operator action: Check power supply and mains cable. HCEN12745 Revision 10.2016 B:56 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 257: Pv And Qd Settings In Conflict

    5 minutes, until the dialysis fluid enters the dialyzer again. If the alarm goes off again, consider ending the treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:57 Program version 2.xx...

  • Page 258: Single Needle Stroke Volume Is Too Low

    - Press Minimum stroke volume limit. - Adjust the limit value. For more information, see Section 5 “Haemodialysis - Single needle treatment” on page A:105 in Operators handbook. HCEN12745 Revision 10.2016 B:58 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 259: Heparin Pump Technical Error

    Set the heparin values to zero to confirm that the heparin pump is not going to be used: - Press the Blood button. - Select the Heparin tab. - Set the heparin values to zero. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:59 Program version 2.xx...

  • Page 260: Tmp Is Too High

    Confirm that the actual TMP value and alarm limits are in accordance with the actual UF rate and UF coefficient. If necessary, end the treatment and call an authorised technician. HCEN12745 Revision 10.2016 B:60 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 261: Tmp Is Too Low

    Confirm that the actual TMP value and alarm limits are in accordance with the actual UF rate and UF coefficient. If necessary, end the treatment and call an authorised technician. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:61 Program version 2.xx...

  • Page 262: Uf Rate Stopped Due To High Venous Pressure

    If it is not possible to decrease the actual venous pressure, wait (maximum 5 minutes) until the dialysis fluid enters the dialyzer again. If the alarm reappears, consider ending the treatment. HCEN12745 Revision 10.2016 B:62 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 263: Uf Volume Deviation

    If patient weight loss is acceptable it is possible to continue treatment. Press Confirm to continue treatment. If the alarm occurs a second time, always end the treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:63 Program version 2.xx...
  • Page 264 UF sensor does not work correctly. Machine actions: The dialysis fluid bypasses the dialyzer. Operator action: End the treatment and call an authorised service technician. HCEN12745 Revision 10.2016 B:64 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 265: Venous Pressure Limits Too Wide

    The venous pressure control is activated. Operator action: Check that correct blood flow rate is set. Press the venous pressure control. Press Center venous. Check that the venous pressure limits are correct. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:65 Program version 2.xx...

  • Page 266: Second Internal Fluid Leakage Detected

    Machine actions: ● Close valves to stop leakage to the environment. Operator action: Check patient weight loss. Discontinue treatment. Check patient and call service technician Call technical service. HCEN12745 Revision 10.2016 B:66 AK 98 Dialysis Machine - Alarms Program version 2.xx...

  • Page 267: Internal Fluid Leakage Detected

    When the machine has detected a fluid leakage during treatment. Machine actions: ● Close valves to stop leakage to the environment. Operator action: Check patient weight loss. Wipe the fluid detector tray dry. Continue treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Alarms B:67 Program version 2.xx...
  • Page 268 This page is intentionally left blank. This page is intentionally left blank.

  • Page 269: Attentions

    523 Dialysis fluid flow is too low ........ B:98 524 Dialysis fluid is bypassed........B:99 525 Dialysis fluid not ready for treatment ....B:100 526 Diascan clearance is too low ......B:101 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:69 Program version 2.xx...
  • Page 270 553 Functional check restarted ....... B:127 554 Profiling is not restarted........B:128 555 Heat disinfection temperature is too ............... B:129 556 Heparin flow rate set to 0.0 mL/h...... B:130 HCEN12745 Revision 10.2016 B:70 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 271 B:161 593 Time to prepare for treatment ......B:162 594 Too high TMP required ........B:163 595 Total set UF volume.......... B:164 596 Treatment time expired........B:165 HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:71 Program version 2.xx...
  • Page 272 614 Leakage detected ..........B:181 615 Internal fluid leakage detector functional check failed ..............B:182 616 Network connection failed ........ B:183 617 Leakage detected during disinfection ....B:184 HCEN12745 Revision 10.2016 B:72 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 273: Attention Indication

    Press the Information tab. The attention message is displayed. The Mute button lights up and the buzzer is muted (the mute time varies depending on the attention). HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:73 Program version 2.xx...

  • Page 274: How To Find The Attention

    During priming, 15 seconds after the venous drip chamber has been filled upon another attention request. Machine actions: None. Operator action: Press the Air detector button to activate the air detector alarm function. HCEN12745 Revision 10.2016 B:74 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 275 Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:75 Program version 2.xx...

  • Page 276: Air Leakage In Fluid Path

    Operators handbook. Mute time: 2 minutes. WARNING! If no action is taken for this attention, the patient may get incorrect weight loss during the treatment. HCEN12745 Revision 10.2016 B:76 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 277: Arterial Clamp Test Failed

    When the arterial clamp test fails. Machine actions: The machine stops the arterial clamp test until the attention is confirmed. Operator action: Press Confirm. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:77 Program version 2.xx...

  • Page 278: Battery Failure

    After treatment if the backup battery test fails. If the functional check fails, the alarm sound will be delayed for 1 minute. Machine actions: None. Operator action: Press Confirm. Mute time: Permanent. HCEN12745 Revision 10.2016 B:78 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 279: Battery Power Is Low

    Appears: During power failure when the battery power is too low during priming or disinfection. Machine actions: The dialysis machine stops. Operator action: None. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:79 Program version 2.xx...

  • Page 280: Bicart Holder Is Not Closed

    When the BICART cartridge holder is not properly closed. Machine actions: After 2 minutes there is a buzzer sound. Operator action: Close the BICART cartridge holder. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:80 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 281: Bicart Is Not Attached To Holder

    After 2 minutes there is a buzzer sound. Operator action: Attach or check BICART cartridge. See Section 4.2.3 “Set up the dialysis machine” on page A:77 in Operators handbook. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:81 Program version 2.xx...

  • Page 282: Blood Leak Detector Failure

    Clean the blood leak detector, see Section 13.3 “Clean the blood leak detector” on page A:173 in Operators handbook. Press Confirm to continue. If the attention appears again, contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:82 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 283: Blood Pump Door Is Not Closed

    Machine actions: ● The blood pump stops. ● After 2 minutes there is a buzzer sound. Operator action: Close the blood pump door. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:83 Program version 2.xx...

  • Page 284: Blood Pump Is Overloaded

    Section 4.2.4 “Attach the arterial blood line” page A:79 in Operators handbook. Press Confirm to continue. If the attention appears again, contact an authorised technician. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:84 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 285: Blood Pump Overloaded

    Section 4.2.4 “Attach the arterial blood line” page A:79 in Operators handbook. Press Confirm to continue. If the attention appears again, contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:85 Program version 2.xx...

  • Page 286: Blood Pump Test Failed

    Machine actions: The machine stops the blood pump test until the attention is confirmed. Operator action: Check the blood line and confirm the attention. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:86 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 287: Bpm Failure

    Machine actions: None. Operator action: Press Confirm to confirm that the BPM will not be used. If the attention appears again, contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:87 Program version 2.xx...

  • Page 288: Buzzer Failure

    When the loudspeaker fails to produce sounds in a alarm or attention situation. Machine actions: None. Operator action: Continue treatment and pay attention to visual alarm indications. Mute time: HCEN12745 Revision 10.2016 B:88 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 289: Central Chemical Disinfection Dwell Is Complete

    When the dwell time in central disinfection has passed. The dwell time can be preset. Machine actions: None. Operator action: Press Confirm to continue. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:89 Program version 2.xx...

  • Page 290: Check Rotor/Tube Distance

    Machine actions: None. Operator action: See Section 4.2.4 “Attach the arterial blood line” page A:79 in Operators handbook and press Confirm to clear the attention. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:90 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 291: Chemical Fillup Volume Is Too Low

    Machine actions: The disinfection program stops. Operator action: Check the pick-up tube and the disinfectant container. Press Confirm to start the fill-up phase again. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:91 Program version 2.xx...

  • Page 292: Cleancart Fill Is Completed

    Open the upper latch of the BiCart cartridge holder. Press Confirm. See Section 10.3.4 “Start a heat disinfection with a CLEANCART cartridge” on page A:146 in Operators handbook. Mute time: Permanent. HCEN12745 Revision 10.2016 B:92 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 293: Cleancart Is Not Attached

    If it is already attached, make sure it is properly located. See Section 10.3.4 “Start a heat disinfection with a CLEANCART cartridge” on page A:146 in Operators handbook. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:93 Program version 2.xx...

  • Page 294: Cleaning Is Required

    If the time or situation is not suitable for a cleaning program, press Confirm to clear the attention. Clean the dialysis machine after the treatment, or the attention will appear again during the next treatment. Mute time: Permanent. HCEN12745 Revision 10.2016 B:94 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 295: Concentrate Tube A Is Out Of Position

    When the red concentrate connector is not in the correct position. Machine actions: After 2 minutes there is a buzzer sound. Operator action: Check the placement of the red concentrate connector. Mute time: 5 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:95 Program version 2.xx...

  • Page 296: Concentrate Tube B Is Out Of Position

    When the blue concentrate connector is not in the correct position. Machine actions: After 2 minutes there is a buzzer sound. Operator action: Check the placement of the blue concentrate connector. Mute time: 5 minutes. HCEN12745 Revision 10.2016 B:96 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 297: Decalcification Required

    Confirm to clear the alarm. Disinfect the dialysis machine after the treatment, or the attention will appear again during the next treatment. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:97 Program version 2.xx...

  • Page 298: Dialysis Fluid Flow Is Too Low

    If possible, increase the dialysis fluid flow rate. If this is not possible, contact an authorised technician. If the attention is not solved, it will appear again in the next treatment. Mute time: Permanent. HCEN12745 Revision 10.2016 B:98 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 299: Dialysis Fluid Is Bypassed

    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. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:99 Program version 2.xx...

  • Page 300: Dialysis Fluid Not Ready For Treatment

    Machine actions: None. Operator action: Wait until the attention disappears and the bypass path on the screen lights up green. Disconnect the dialysis fluid tubes. Mute time: HCEN12745 Revision 10.2016 B:100 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 301: Diascan Clearance Is Too Low

    When the measured clearance value is below the set alarm limit. Machine actions: None. Operator action: Check for a cause. Adjust treatment parameters to increase clearance or adjust the alarm limit for clearance. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:101 Program version 2.xx...

  • Page 302: Diascan Clearance Measurement Failed

    The following measurement checks will continue as set. Operator action: Press Confirm to confirm the machine actions. If desired, reactivate the single clearance measurement check. Mute time: HCEN12745 Revision 10.2016 B:102 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 303: Diascan Clearance Measurement Is Not Restarted

    Check that the set clearance measurement parameter values are the correct ones, adjust if necessary. Press Confirm to restart the clearance measurement function. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:103 Program version 2.xx...

  • Page 304: Diascan Clearance Measurements Paused During Isolated Uf

    Isolated UF phase. The clearance measurement starts automatically when the isolated UF phase is complete. Operator action: The attention disappears after 30 seconds. Mute time: Permanent. HCEN12745 Revision 10.2016 B:104 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 305: Diascan Not Possible During Uf Profiling

    UF profiling in steps or intervals active at the same time. Machine actions: The clearance measurement function will automatically be deactivated. Operator action: The attention disappears after 30 seconds. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:105 Program version 2.xx...

  • Page 306: Diascan Sodium Limit Is Reached

    Operator action: Press Confirm to clear the attention. Contact an authorised technician. If this attention appears frequently, discuss preset limits with an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:106 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 307: Disinfection Required

    Confirm to clear the attention. Disinfect the dialysis machine after the treatment, or the attention will appear again during the next treatment. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:107 Program version 2.xx...

  • Page 308: Fluid In Bypass For Too Long

    5 minutes after the dialysis fluid has been bypassed (the Fluid bypass button has been pressed). Machine actions: None. Operator action: Press the Fluid bypass button. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:108 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 309: Fluid Path Leakage Test Enabled

    Ongoing extended fluid path test. Operator action: Wait until the test is finished. It is possible to connect the concentrates when the attention text has disappeared. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:109 Program version 2.xx...

  • Page 310: Fluid Path Obstruction

    Check for obstructions in the extracorporeal circuit, for example kinked blood lines or clotted dialyzer and/or blood lines. Restart the blood pump when the obstruction is corrected. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:110 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 311: Fluid Path Obstruction During Disinfection

    Check the ultrafilter (if a ultrafilter is installed) Restart the disinfection. If the attention appears again, contact an authorised technician. Mute time: 5 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:111 Program version 2.xx...

  • Page 312: Fluid Tube Sensor Test

    Check that the dialysis fluid tubes are properly attached to the safety couplings. Press Confirm. The disinfection or rinse program continues. As an alternative, consult an authorised technician. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:112 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 313: Fluid Tube Sensor Test

    Check that the dialysis fluid tubes are properly attached to the safety couplings. Press Confirm to continue the disinfection or rinse program. As an alternative, consult an authorised technician. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:113 Program version 2.xx...

  • Page 314: Fluid Tube Sensor Test

    Machine actions: None. Operator action: Remove and attach the dialysis fluid tubes from the safety couplings to restart the test. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:114 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 315 Press Confirm to bypass the dialysis fluid tube sensor test and continue the activated disinfection or rinse program. As an alternative, contact an authorised technician. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:115 Program version 2.xx...
  • Page 316 Machine actions: None. Operator action: Remove and attach the dialysis fluid tubes from the safety couplings to restart the test. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:116 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 317 Check that the dialysis fluid tubes are properly attached to the safety couplings. Press Confirm. The dialysis fluid tube sensor test is bypassed. As an alternative, consult an authorised technician. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:117 Program version 2.xx...

  • Page 318: Fluid Tubes In Safety Couplings

    If the dialysis fluid tubes are reconnected to the safety couplings during treatment. Machine actions: None. Operator action: Move the dialysis fluid tubes from the safety couplings to the dialyzer. Mute time: Permanent. HCEN12745 Revision 10.2016 B:118 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 319: Fluid Tubes Not In Safety Couplings

    Operator action: Connect the dialysis fluid tubes to the safety couplings. Make sure they are properly connected. Mute time: 2 minutes during a functional check or disinfection. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:119 Program version 2.xx...

  • Page 320: Functional Check Is On Hold

    The inlet water temperature has not decreased below 39 °C within 5 minutes after the high temperature test is finished. If the attention does not disappear, contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:120 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 321: Functional Check Is Prolonged Due To Power Failure

    547 Functional check is prolonged due to power failure  Appears: During power failure. Machine actions: The functional check is delayed until power returns. Operator action: Please wait. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:121 Program version 2.xx...

  • Page 322: Functional Check Is Stopped

    Operators handbook. Machine actions: None. Operator action: Disconnect the venous pressure transducer. If the attention appears again, contact an authorised technician. Mute time: 5 minutes. HCEN12745 Revision 10.2016 B:122 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 323: Functional Check Is Stopped

    Operators handbook. Machine actions: None. Operator action: Disconnect the arterial pressure transducer. If the attention appears again, contact an authorised technician. Mute time: 5 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:123 Program version 2.xx...
  • Page 324 - Check that the disinfectant connector is properly connected to the parking port. It is not possible to connect the concentrates yet. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:124 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 325 The functional check stops. Operator action: Close the latches of the BICART cartridge holder. It is not possible to connect the BICART cartridge yet. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:125 Program version 2.xx...

  • Page 326: Functional Check Prolonged Due To Wro

    552 Functional check prolonged due to WRO  Water purification unit is not ready.  Appears: When WRO is not accessible during a functional check. Machine actions: None. Operator action: Please wait. Mute time: HCEN12745 Revision 10.2016 B:126 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 327 To continue press Confirm.  Appears: When the functional check is prolonged due to internal tests. Machine actions: The functional check restarts and is therefore prolonged. Operator action: None. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:127 Program version 2.xx...

  • Page 328: Profiling Is Not Restarted

    If not, select HCO and deactivate profiling. Change the values and reactivate profiling as usual procedure. See Section 7 “Profiling” on page A:117 in Operators handbook. Mute time: HCEN12745 Revision 10.2016 B:128 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 329: Heat Disinfection Temperature Is Too Low

    Press Confirm. Let the machine pass the ongoing program and then start a new heat disinfection program. If the attention appears again, contact an authorised technician. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:129 Program version 2.xx...
  • Page 330 After 2 minutes there is a buzzer sound. Operator action: Press Confirm to confirm that the heparin pump is not going to be used for the treatment. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:130 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 331: Heparin Functional Check Failed

    Heparin pump is disabled. To continue without heparin pump press Confirm.  Appears: When the functional check of the heparin pump fails. Machine actions: None. Operator action: Press Confirm to continue. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:131 Program version 2.xx...

  • Page 332: Heparin Infusion Is Completed

    The appearance of the attention can be preset. Machine actions: The heparin pump stops. Operator action: Press Confirm to continue. Mute time: Permanent. HCEN12745 Revision 10.2016 B:132 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 333: Heparin Pump Is Overloaded

    Check the syringe. Check for kinks on the thin line connected to the syringe. See Section 4.2.6 “Attach the heparin syringe” on page A:89 in Operators handbook. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:133 Program version 2.xx...

  • Page 334: High Inlet Water Conductivity

    When the inlet water conductivity is too high (higher than 2.5 mS/cm) during a functional check. Machine actions: A technical alarm is generated. Operator action: Contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:134 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 335 Consult the attending physician before confirming the attention and continuing the treatment. It will not be possible to start a treatment until the attention is confirmed. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:135 Program version 2.xx...

  • Page 336: Improper Auto Start Setting

    The machine does not switch off until the time setting has been changed. Operator action: Change the finish time for the rinse program or heat disinfection program. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:136 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 337: Improper Time And/Or Uf Volume Settings

    Adjust Time (Isolated UF time), or UF volume (UF volume), until the calculated UF rate is lower than the high limit for UF rate. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:137 Program version 2.xx...

  • Page 338: Incorrect Acidic Concentrate

    Check what concentrate is set and what is connected. Make sure they are the same. See Section 4.2.3 “Set up the dialysis machine” on page A:77 in Operators handbook. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:138 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 339: Incorrect Bicarbonate Concentrate

    Check what concentrate is set and what is connected. Make sure they are the same. See Section 4.2.3 “Set up the dialysis machine” on page A:77 in Operators handbook. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:139 Program version 2.xx...

  • Page 340: Incorrect Conductivity

    Operators handbook. Check that the correct concentrate is connected. Check that the SoftPac container pin is broken. Press Confirm. Mute time: 5 minutes. HCEN12745 Revision 10.2016 B:140 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 341: Incorrect Dialysis Fluid Composition

    Check what concentrate is set and what is connected. Make sure they are the same. See Section 4.2.3 “Set up the dialysis machine” on page A:77 in Operators handbook. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:141 Program version 2.xx...

  • Page 342: Inlet Water Pressure Is Too Low

    When the water supply pressure is too low. Machine actions: After 2 minutes there is a buzzer sound. Operator action: Check the water supply. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:142 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 343: Kt/V Target Reached

    None. Operator action: Press Confirm to confirm the attention. It is possible to increase the Kt/V target value. The machine will recalculate time to target. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:143 Program version 2.xx...

  • Page 344: Kt/V Target Will Not Be Reached

    Kt/V forecast value is below the set alarm limit for Kt/V. Machine actions: None. Operator action: Check for a cause, adjust treatment parameters or adjust the alarm limit for Kt/V. Mute time: Permanent. HCEN12745 Revision 10.2016 B:144 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 345: Leakage Test Failed

    The leakage test is repeated until it is approved, or until the function check is stopped. Operator action: Check the fluid tubes and confirm the attention. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:145 Program version 2.xx...

  • Page 346: Low Flow Heat Is Stopped

    The low flow heat phase does not start. Operator action: Press Confirm to confirm the attention. The machine now enters drain phase. Contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:146 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 347: Monitor Temperature Is Too High

    When the temperature inside the monitor is more than 58 °C. Machine actions: None. Operator action: Consult an authorised technician. The air filter may be filled with dust. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:147 Program version 2.xx...

  • Page 348: Profiling Is Not Restarted

    If not, select Na and deactivate profiling. Change the values and reactivate profiling as usual procedure. See Section 7 “Profiling” on page A:117 in Operators handbook. Mute time: HCEN12745 Revision 10.2016 B:148 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 349: Negative Uf Rate

    Check that the UF rate is correct. If not, contact an authorised technician. Mute time: 2 minutes. WARNING! If no action is taken for this attention, the patient may get incorrect weight loss during the treatment. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:149 Program version 2.xx...

  • Page 350: New Ultrafilter Required

    The period of time between the last change and the appearance of the attention can be preset. Machine actions: None. Operator action: Replace the ultrafilter and confirm that the ultrafilter has been replaced. Mute time: Permanent. HCEN12745 Revision 10.2016 B:150 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 351: New Ultrafilter Required

    Machine actions: None. Operator action: Replace the ultrafilter and confirm that the ultrafilter has been replaced. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:151 Program version 2.xx...
  • Page 352 Machine actions: None. Operator action: Replace the ultrafilter and confirm that the ultrafilter has been replaced. Mute time: Permanent. HCEN12745 Revision 10.2016 B:152 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 353: No Backfiltration Warning

    Machine actions: None. Operator action: Since the TMP alarm limits have been set below zero there may be backfiltration to the patient without TMP alarm. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:153 Program version 2.xx...

  • Page 354: No Bpm Cuff Is Attached

    Check for kinks or leakage from the cuff and the cuff hose. ● Check that the cuff hose is properly connected to the machine. Mute time: Permanent. HCEN12745 Revision 10.2016 B:154 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 355: Priming Volume Limit Is Achieved

    If this attention appears during initiation of the treatment, check that the venous blood line is properly inserted into the priming detector. Press Confirm. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:155 Program version 2.xx...

  • Page 356: Profiling Is Not Restarted

    - Select the UF rate tab and then press Profiling. - Select the Cond tab and then press Profiling. Reactivate the profiling function, see Section 7 “Profiling” on page A:117 in Operators handbook. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:156 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 357: Restarted After Power Failure

    When the machine has recovered from power failure during priming or disinfection. Machine actions: None. Operator action: Press Confirm. Check power supply and mains cable. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:157 Program version 2.xx...

  • Page 358: Set Fluid Flow Is Not Reached

    If the treatment can continue with a lower flow, adjust the set value to the actual value. If this is not possible, contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:158 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 359: Start Air Detector Test

    The level of priming fluid should be well above the air detector head. When the venous drip chamber is filled, the machine will finish the functional check. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:159 Program version 2.xx...

  • Page 360: Heat Disinfection

    Confirm.  Appears: When it is time to manually start the heat program in the WRO. Machine actions: None. Operator action: Press Confirm. Mute time: Permanent. HCEN12745 Revision 10.2016 B:160 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 361: Low Flow Heat Disinfection

    When it is time to manually start the low flow heat program in the WRO. Machine actions: None. Operator action: Press Confirm to continue. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:161 Program version 2.xx...

  • Page 362: Time To Prepare For Treatment

    Operator action: Connect the selected concentrate to the machine, see Section 4.2.3 “Set up the dialysis machine” on page A:77 in Operators handbook. Mute time: Permanent. HCEN12745 Revision 10.2016 B:162 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 363: Too High Tmp Required

    Check if the dialyzer is too small or is clotted, act in accordance. ● If possible, adjust treatment time and/or UF volume until TMP decreases. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:163 Program version 2.xx...

  • Page 364: Total Set Uf Volume

    UF volume within the remaining treatment time. Do one of the following things: ● Start Isolated UF. ● Adjust Isolated UF time. ● Adjust Treatment time. Mute time: Permanent. HCEN12745 Revision 10.2016 B:164 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 365: Treatment Time Expired

    Press Confirm to confirm end of treatment. See Section 4.3.1 “End the treatment” on page A:100 in Operators handbook for instructions how to discontinue treatment. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:165 Program version 2.xx...

  • Page 366: Uf Has Been Stopped For Too Long

    UF stopped for {0} min.  Appears: 5 minutes after UF has manually been stopped. Machine actions: None. Operator action: Press the Ultrafiltration button. Mute time: 5 minutes. HCEN12745 Revision 10.2016 B:166 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 367: Uf Rate Limit Is Reached

    Alarm sound is delayed for 2 minutes. Operator action: Adjust treatment time and/or UF volume to allow the machine to calculate a new UF rate. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:167 Program version 2.xx...

  • Page 368: Uf Rate Lower Than Minimum Set

    Change one or several of these settings: ● Decrease the set minimum UF rate ● Decrease treatment time to increase the UF rate ● Increase UF volume Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:168 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 369: Profiling Is Not Restarted

    Confirm. If they are not correct, deactivate profiling. Change the values and reactivate profiling. See Section “Profiling” on page A:117 in Operators handbook. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:169 Program version 2.xx...

  • Page 370: Actual Uf May Differ From Set Uf

    As a reminder after the first UF deviation alarm has been reset. The attention is visible throughout the treatment as a reminder that the UF regulation might be wrong. Machine actions: None. Operator action: None. Mute time: HCEN12745 Revision 10.2016 B:170 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 371: Uf Volume Is Achieved Too Early

    If not, adjust the value. If necessary, consider adjusting treatment time or UF volume within the limits for the patient´s needs and tolerance. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:171 Program version 2.xx...

  • Page 372: Uf Volume Is Set To

    When the priming detector detects blood and the set UF volume is zero. Machine actions: Alarm sound is delayed for 2 minutes. Operator action: Press Confirm to confirm no ultrafiltration during treatment. Mute time: 2 minutes. HCEN12745 Revision 10.2016 B:172 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 373: Venous Clamp Test Failed

    The machine stops the venous clamp test until the attention is confirmed. Operator action: Check that the blood lines are correctly inserted into the venous clamp and confirm the attention. Mute time: 2 minutes. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:173 Program version 2.xx...

  • Page 374: Wro Communication Failure

    Check WRO and cables.  Appears: When the dialysis machine and the WRO unit cannot communicate. Machine actions: None. Operator action: Contact an authorised technician. Mute time: Permanent. HCEN12745 Revision 10.2016 B:174 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 375: Wro Not Ready

    Check WRO status and wait for WRO to get ready.  Appears: When the WRO unit is not accessible. Machine actions: None. Operator action: Check information on WRO unit. Mute time: Permanent. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:175 Program version 2.xx...

  • Page 376: Wrong Disinfectant

    Check that the disinfectant set in the dialysis machine is the same as the actual disinfectant connected to the machine. Press Confirm to repeat the fill-up phase. Mute time: Permanent. HCEN12745 Revision 10.2016 B:176 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 377: Disinfection Fill-Up Phase Completed

    Move concentrate tube B to standby position.  Appears: When chemical disinfection fill-up phase is completed. Machine actions: None. Operator action: Move concentrate tube B to standby position. Mute time: 5 min. HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:177 Program version 2.xx...

  • Page 378: Start Air Detector Test

    When the venous drip chamber is filled, the machine will finish the functional check. Mute time: Permanent. HCEN12745 Revision 10.2016 B:178 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 379: No Patient Id Is Confirmed

    None Operator action: Enter the patient´s id and press Confirm. When it is not required to enter a patient ID: Press the Confirm button. Mute time: Permanent HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:179 Program version 2.xx...

  • Page 380: Treatment History Was Not Transferred To The

    Treatment data in the Clinical Information System is not complete. Treatment information is available in the History tab. Manual documentation on paper, etc. is needed. Press Confirm to continue. Mute time: Permanent HCEN12745 Revision 10.2016 B:180 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 381: Leakage Detected

    Post treatment Machine actions: ● Close valves to stop leakage to the environment. Operator action: Wipe the fluid leakage detector tray dry. Continue treatment. Mute time: 2 min HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:181 Program version 2.xx...

  • Page 382: Internal Fluid Leakage Detector Functional Check Failed

    Press Confirm to continue treatment with the internal leakage detector disabled. Contact an authorised technician if the error remains. Green fluid path will not occur until Confirm is pressed. Mute time: Permanent HCEN12745 Revision 10.2016 B:182 AK 98 Dialysis Machine - Attentions Program version 2.xx...

  • Page 383: Network Connection Failed

    Clinical Information System. Operator action: Check the network cable. Press Confirm to continue. Mute time: HCEN12745 Revision 10.2016 AK 98 Dialysis Machine - Attentions B:183 Program version 2.xx...

  • Page 384: Leakage Detected During Disinfection

    Close valves to stop leakage to the environment. ● Disinfection is stopped. Operator action: Empty the fluid leakage detector. Contact an authorised technician. It is not possible to continue disinfection. Mute time: 2 min HCEN12745 Revision 10.2016 B:184 AK 98 Dialysis Machine - Attentions Program version 2.xx...
  • Page 385 Index Air detector A:19, A:30 Dialysis fluid A:71 Air gap A:76, A:144, A:183 Pause preparation A:71 Alarm limits A:112 Dialysis fluid filter A:42 centralising Dialyzer A:24 function A:112 Disascan A:180 Arterial clamp A:32 clearance A:180 Arterial phase A:106 Disinfectant A:152, A:180 single needle A:106 Disinfection A:144, A:145, Arterial pressure A:112 A:149, A:180, A:181 Arterial pressure chemical A:149, A:180 connector A:30 heat A:145, A:181 Authorised service...
  • Page 386 Treatment A:99, A:110, Note A:10 A:111 start A:99, A:110, A:111 Treatment time A:73 Operator A:26 UF A:114, A:122-125 Paediatric blood line A:23, activate A:114 A:79 profiling A:122-125 Patient A:97, A:109 UF rate A:73, A:95, A:119 connect A:97, A:109 profiling A:119 Patient ID A:26, A:166 setting A:95 Physical data A:186 UF settings A:73 Physician A:26 UF volume A:73, A:95, A:112 Pick-up tubes A:173 calculate A:95 Power supply A:76, A:183...

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