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baxter AK 98 Manual

Independent home dialysis system
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AK 98 sw 3.0xx
Independent Home Dialysis System

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Summary of Contents for baxter AK 98

  • Page 1 Welcome Home! AK 98 sw 3.0xx Independent Home Dialysis System...

  • Page 2: Table Of Contents

    These instructions are based on the use of the WRO 300 H unit, if you are using another WRO you should follow the instructions for use for that unit. These short instructions are for the use of the AK 98 dialysis machine running with software version 3.0xx. The operator of the machine should still read and understand the full text of the AK 98 dialysis machine Operator's Manual, sw 3.0xx, HC12810002 20/01/01, before performing a patient treatment.

  • Page 3: (Section 4.2.1-4.2.3)

    3. Check to ensure rinse light is not on, and the RO disinfect is completed properly. 4. Ensure the main power to the WRO 300 H and AK 98 machine are turned on. 5. Ensure all fluid and drain tubes are connected.
  • Page 4 If you are performing SN dialysis, include the steps marked Single Needle. 1. Turn the AK 98 machine on. When the machine has turned on, the WRO 300 H unit will automatically start. Note: There will be a slight delay of approximately 1-1.5 minutes.
  • Page 5 5. The ‘Confirm Concentrate’ menus will automatically appear. Select the concentrate combination to be used from the preset options on the screen. 6. Fix the dialyzer in the holder. Hang 2 saline bags on the stand. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 6: (Section 4.2.4)

    5. Insert the blood pump segment of the tubing into the blood pump housing (heparin line on top). 6. Make sure the blood pump segment collars are outside the pump housing. 7. Push the blood line into the blood line guides. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 7 9. Introduce the blood line into the arterial clamp (marked with a red dot). Pull the blood line lightly downwards. 10. Attach the arterial pressure transducer to the pressure connector by turning clockwise to secure the connection. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 8 6. Secure the infusion line to the arterial infusion line. There are different infusion lines and saline bags. This is just one example. The purpose of the infusion is to avoid episodes of hypotension. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 9: (Section 4.2.5)

    Single Needle: Install the venous expansion chamber at the front of the holder (section 5.2). CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 10 7. Clamp the lines on the top of the venous drip chamber. Single Needle: Tilt the expansion chamber holder backwards until it clicks into position. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 11: (Section 4.2.6)

    If you use a 10 cc syringe it should fit in the adapter (2). Important: The device must be programmed by a Technician to use a 13 mm (10cc) syringe. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 12 Note: The heparin pump will start to run at treatment start when blood is detected in the venous bloodline. The heparin pump is pre-set and will automatically stop ___min before the end of treatment. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 13: (Section 4.2.7.3)

    2. Open clamp on arterial line. 3. Start the Blood pump to activate the assisted priming procedure. The procedure will start with the fill up phase. Make sure blue end is up and press Confirm. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 14 The level should be well above the air detector head. 5. When the blood pump has stopped, turn the dialyzer (red end up). CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 15 Confirm to continue. Extra priming: If extra priming is necessary, continue priming by selecting EXTRA PRIMING and then the flashing Blood pump button. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 16 Single Needle: Verify levels in the expansion chambers have been filled to be level with the grooves of the chambers and close their respective clamps. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 17: (Section 4.2.9-4.2.11)

    Use the Keypad or the Display Up/Down keys to change the SET time. Press OK. To program the UF volume (weight loss), press UF volume. Use the Keypad, or the Display Up/Down keys, to change the set UF volume. Press OK. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 18 2. If necessary, set the following parameters: Exit out of menu once complete. a. Heparin b. Sodium (Na+) c. Bicarbonate (HCO3) 3. BPM: Take standing and sitting Blood Pressure (or other, as per your unit policy). CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 19 Press the Blood button and open the Blood menu. Press the Single Needle tab and set a minimum stroke volume limit, and then activate single needle. The machine is now ready for patient connection. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 20: (Section 4.2.12)

    The blood pump will start at 100mL/min. Single Needle: Verify that the expansion chambers are in upright position and filled to the correct level (Section 5.5). Activate the single needle function in the blood menu. Confirm the stroke volume. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 21 Connect to the Dialysis System – cont’d 9. When machine detects blood, the blood pump stops. 10. Press Confirm. 11. Start the blood pomp. 12. The Treatment Overview Screen will display the following. Verify your parameters. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 22: (Section 4.2.13)

    Your desired blood flow is _mL per min. Note : The arterial venous pressure limits will centralize automatically after 15 seconds of stable blood flow. 3. Press the flashing Ultrafiltration button to start ultrafiltration. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 23 7. Check both the arterial venous lines are in the line clamps. Single Needle: Verify that both expansion chambers are in upright position and filled to the correct level. (Section 5.6). CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 24 Start the Treatment – cont’d 8. Ensure both bloodlines are securely connected to the access and to the dialyzer. Record in log sheet with actual pump speed (if required by unit policy). CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 25: (Section 4.3.1)

    Before the end of treatment, take note of the following parameters: Single Needle: Press the Blood Path button. Single Needle: Press the single needle option to deactivate the single needle function (Section 5.8). CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 26 5. Connect the arterial blood line to the rinse back solution and open the clamp. 6. Start the blood pump. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 27 (Extra rinse back can be repeated as necessary by pressing EXTRA RINSE BACK). When rinse back is complete, 8. Clamp the venous bloodline and access. 9. Disconnect the venous line from the access as per hospital policy. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 28 End of Treatment and Disconnection – cont’d 10. Patient disconnection confirmation: a. Verify that the arterial venous lines are disconnected from patient. b. Press Disconnect patient c. Confirm the following message displays: CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 29 5. Turn the dialyzer so the blue end is up. 6. Open arterial line clamp. 7. Start Blood pump. 8. When the circuit is empty, stop Blood pump. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 30 11. Connect the acid concentrate connector to standby port. 12. Press Confirm to drain the BiCart. 13. Remove the BiCart when emptied. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

  • Page 31: (Section 10.3.4)

    3. Select HEAT CLEANCART. Press Confirm. 4. Install CleanCart when attention alarm appears. 5. Press the On/Off button on AK 98 to turn the machine off. When the disinfection process is completed, the AK 98 will shut down. 6. When the disinfection process of the AK 98 is completed, the WRO unit will go into standby mode.

  • Page 32: (Section 10.3.7)

    Integrated Disinfection (Section 10.3.7) Please refer to the Water Treatment document for integrated disinfection. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 33 Press MUTE to silence the buzzer. Note the three digit number and have it available if technical assistance is required. Refer to the alarm chapters of the WRO 300 H series included with the patient training materials. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...
  • Page 34 7125 Mississauga Road, Mississauga, ON L5N 0C2 Canada Telephone: 1-800-387-8399 Visit us at www.baxter.ca Copyright 2020, Baxter Corporation. All rights reserved. GAMBRO, BiCart and CleanCart are trademarks belonging to Baxter International Inc., or its subsidiaries. CAMP/MG208/20-0006 AK 98 Independent Home Dialysis System...

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