baxter ARENA Manuals

baxter ARENA Manuals

Manuals and User Guides for baxter ARENA. We have 1 baxter ARENA manual available for free PDF download: Service Manual

baxter ARENA Service Manual

baxter ARENA Service Manual (293 pages)

Hemodialysis Instrument

Brand: baxter | Category: Medical Equipment | Size: 11 MB

Table of Contents

Section 1

7
- Table of Contents
  7
- Introduction
  9
- General
  9
- Instrument Description
  10
- Configurations and Options
  11
- Standard Features
  11
- Optional Features
  12
- General
  13
- Procedural
  13
- Warnings
  13
- Definitions of Terms
  13
- General Warnings and Cautions
  13
- Electrical Safety
  14
- Olhdf
  15
- Biohazard
  15
- Disinfection/Cleaning
  16
- Cautions
  17
- Electrical
  17
- Fluid
  18
- Contraindications
  19
- Indications
  19
- Cleaning and Disinfection
  19
- Procedural
  19
- Related Publications
  20
- Tools and Test Equipment
  20
- Testing after Parts Replacement
  21
- Manual Revisions
  21
- Questions and Feedback
  21
Section 2

23
- Instrument Modes
  25
- Preparation for Treatment
  25
- During Treatment
  27
- Prime Mode
  27
- Dialyze Mode
  28
- Alarm Mode
  30
- Following Treatment
  31
- Heat Disinfection Mode
  31
- Cool down Mode
  32
- Chemical Mode
  33
- Shut down
  34
- Calibration Mode
  35
- Service Modes
  35
- Soft Power off
  35
- Technician Mode
  35
Section 3

37
- Hydraulic Theory
  39
- Overview
  39
- Dialysate Circuit
  40
- Incoming Water Pressure Regulator
  40
- Heat Exchanger
  41
- Heater, Thermistor, Safety Thermostat
  41
- Water On/Off Valve
  41
- Concentrate Line Regulator(S) and Concentrate Central Delivery Systems (Optional)
  42
- Supply Manifold
  42
- Volumetric Proportioning System
  42
- A" & "B" Rinse Fittings
  45
- Air Removal System
  45
- Supply Pump Recirculation Loop
  45
- End-Of-Stroke Sensors
  48
- Input Pressure Equalizer, Flow Equalizer, and Output Pressure Equalizer
  48
- Dialysate Monitoring Manifold
  50
- Dialysate Bypass Valve and Sensor
  52
- Dialysate Sample Ports
  53
- Rinse Block
  53
- Ultrafiltration System
  53
- Blood Leak Detector
  54
- Other Components
  54
- Rinse Valve
  54
- Citric Acid Valve Manifold (Optional)
  55
- Heat Disinfection Recirculation Valve
  55
Section 4

58
- Electronic System Architecture
  60
- Overview
  60
- Soft and Hard Power On/Off
  62
- Input Power Distribution
  63
- Power Requirements
  63
- Power System
  63
- Card Cage
  73
- Slot # 1: 4-Comm (Touch Screen) Board
  74
- Hardware
  75
- Slot # 2: Single Board Computer (SBC)
  75
- SDRAM Installation
  76
- Bios
  77
- Hardware Control
  77
- Operating System Software (Host)
  78
- Slot # 4: Hemavision Board (Optional)
  80
- Slot # 5: Single (and Optional Double) Blood Pump Controller
  80
- Slot # 6: Input/Output Controller
  82
- Slot # 7: Ultrafiltration- Proportioning Controller
  82
- Slot # 8: Memory Board
  83
- Blood Pump Power Board
  87
- UF-Proportioning Power Board
  87
- Fuses
  88
- Light-Emitting Diodes (Leds)
  89
- Test Points
  90
- Fuses
  92
- I/O Hydraulics Power Board
  92
- Light-Emitting Diodes (Leds)
  93
- Test Points
  93
- Bypass System and Flow Sensor
  95
- I/O Electronics Power Board
  96
- Peripheral Interface Boards
  98
- Electrical
  101
- Functional
  101
- Fuses
  103
- Arena Interconnect Diagram
  104
Section 5

106
- Overview
  108
- Temperature Control
  108
- Temperature Control and Back up Temperature Alarm
  108
- Temperature Monitoring and Primary Temperature Alarm
  111
- Automatic Safety Tests
  112
- Internal Cabinet Temperature Control
  113
Section 6

116
- Dialysate Proportioning
  118
- Overview
  120
- Sodium and Bicarbonate Profiling
  120
- Volumetric Proportioning System
  120
- A" and "B" Concentrate Reciprocating Rotating Piston Pumps
  123
- Dialysate Proportioning Control
  125
- Deaeration Pump
  126
- Dialysate Flow Control
  126
- Dialysate Pump
  126
- Supply Pump
  127
- Dialysate Pressure Relief (Rinse) Valve
  128
- Flow Equalizer Drive Circuitry
  128
- Pump Drive Circuitry
  128
- Conductivity Measurement
  129
- Conductivity Measurement and Monitoring
  129
- Conductivity Monitoring
  129
- End-Of-Stroke Sensors
  129
- Conductivity Calibration
  131
- Central Concentrate Supply Systems
  132
Section 7

136
- Overview
  138
- Ultrafiltration
  138
- UF Removal
  139
- Description
  140
- Supply Pump
  143
- Input Pressure Equalizer
  144
- Particle Filter ("Post" Supply Pump)
  144
- Supply Pressure Regulator
  144
- Flow Equalizer
  146
- Phase 1
  147
- Phase 2
  147
- Output Pressure Equalizer
  148
- Phase 3
  148
- Dialyzer Connectors and Dialyzer
  149
- Flow Restrictor ("Post" Blood Leak Detector)
  149
- Dialysate Pressure Pump
  150
- Dialysate Pressure Pump Recirculation Loop
  150
- Particle Filter ("Pre" Dialysate Pressure Pump)
  150
- UF Flow Meter
  151
- UF Removal Regulator
  151
- Control Steps
  152
- UF Drain Line Connector (Sample Port)
  152
- Profiling
  153
- UF Only
  153
- UF Data Report
  155
Section 8

156
- Disinfection and Cleaning
  158
- Special Terminology
  158
- Disinfection Overview
  159
- Heat Clean
  161
- Heat Disinfection
  161
- Automatic Cool down
  163
- Auto off (Automatic Soft Power Off)
  164
- Citric Acid Solution Preparation and Infusion
  164
- Heat Clean with Citric Acid
  164
- Automatic Infusion
  166
- Manual Infusion
  166
- Integrated Heat Clean
  168
- Chemical Disinfection
  169
- Chlorine-Based Disinfectants
  169
- Single Pass Chemicals
  169
- Amuchina
  170
- Actril, Dialox, and Doxan
  171
- Dwell Chemicals
  171
- Automated Chemical Disinfection
  172
- Formaldehyde
  172
- Actril, Dialox, Doxan, and Formaldehyde
  173
- Amuchina and Sodium Hypochlorite
  173
- Forced Rinse
  174
- Disinfect Incoming Water Line
  175
- Preconditions
  175
- Procedure
  175
- Supplies Needed
  175
- Disinfect Infusion Monitor
  177
- Prerinse for Chemical Disinfect
  177
- Chemical Infusion
  179
- Recirculation
  180
- Forced Rinse
  181
- Troubleshooting Chemical Infusion Problems
  181
- Flowpath Cleaning
  182
- Overview
  182
- Rinse Fluid Path with Vinegar
  182
- Precondition
  183
- Procedure
  183
- Supplies Needed
  183
- Biological Deposits in the Drain Line
  184
- Overview
  184
- Precondition
  184
- Supplies Needed
  184
- Procedure
  185
- Clean / Disinfect External Surfaces
  186
- Procedure
  186
- Supplies
  186
- Bacteria, Sterilization, and Disinfection
  188
- Bacterium
  188
- Definitions
  188
- Disinfection
  188
- Sterilization
  188
- Bacteria in Dialysis Systems
  189
- Bacteria Contamination
  190
- Contributors
  190
- Allowable Limits
  191
- Responsibilities
  192
- Culture Sampling
  193
- Disinfection Verification
  193
- Water Supply Sample Collection
  193
- Dialysate Sample Collection
  194
- Laboratory Procedures
  195
- Central Concentrate Delivery Systems
  196
- Maintaining Minimum Bacteria Growth Levels
  197
- Gather Data
  198
- Troubleshooting Bacteria Problems
  198
- Identify Contributors
  199
- Analyze
  200
- Examine the Symptoms
  200
- Look for the Source and Cause
  201
- Taking Corrective Action
  203
- References
  204
- Arena Hydraulics Disinfection Mode Diagram
  206
- Dwell Disinfectants
  206
- Recirculation Phase for Heat Clean or
  206
- Infusion Phase for Single Pass Disinfectants
  207
Section 9

208
- Blood Pump Control System
  210
- Primary and Secondary Blood Pumps
  210
- Primary Blood Pump
  212
- Secondary Blood Pump (Optional)
  213
- BP Doors and Switches
  214
- Rotor Assembly
  215
- BP Control and Power
  216
- Venous Line Clamp
  219
- Venous Line Clamp System
  219
- VLC Driver Board
  219
- Linear VLC Optical Sensor
  220
- Rotary VLC Optical Sensor
  221
Section 10

222
- Customization
  224
- Heparin Delivery
  224
- Usage
  225
- Arm and Arm Shaft
  226
- Engage/Disengage Optical Sensor
  226
- Physical Description
  226
- Slide Assembly
  226
- Motor Pump Assembly
  227
- Syringe Overpressure Alarm
  227
- Functional Description
  228
- Heparin Pump State
  228
- Bolus Infusion Control
  229
- Stepper Motor Drive Control
  229
- Stepper Motor Driving Monitoring
  229
- Arm Engage/Disengage Failure
  230
- Overpressure Alarm
  230
- Overspeed Alarm
  230
- Troubleshooting
  230
- Coil Resistance
  231
Section 11

232
- Extracorporeal Circuit
  234
- Pressure Monitoring
  234
- Monitoring
  236
- Measurement
  237
- Drip Chamber Level Adjust
  239
- Transmembrane Pressure
  243
- NIBP Option
  245
- Overview
  245
- Troubleshooting
  246
Section 12

248
- Blood/Saline and Air Detectors
  250
- Air Detector
  251
- Blood/Saline Detector
  251
- Functional Description
  251
- Air Detector Tests
  253
Section 13

256
- Blood Leak Detector
  258
- Overview
  258
- Physical Description
  259
- Functional Description
  261
- Post Blood Leak Detector Flow Restrictor
  263
- Troubleshooting
  265
- General
  268
- Patient Data Card System
  268
- Patient Data Card (PDC)
  269
- PDC Programmer
  269
- PDC Reader
  273
- PDC System Troubleshooting
  274
- Peripheral Interface Board (PIB)
  274
Preventive Maintenance/Maintenance Log

276
- Overview
  278
- Preventive Maintenance
  278
- Supplies Needed
  278
- General Preconditions
  279
- Annual
  280
- As Required by Local Code
  280
- Before Prolonged Storage
  280
- Recommended Maintenance
  280
- Routine
  280
- Clean Blood Leak Detector
  281
- Clean Fan Filter
  281
- Clean Hydraulics Module Overflow Drain and Drain Line
  281
- Cleaning Procedures
  281
- As Required
  282
- Concentrate Connectors
  283
- Dialyzer Connectors
  283
- O-Ring Replacement
  283
- Overview
  283
- Overview
  284
- Particle Filter Replacement
  284
- Particle Filters
  284
- Flow Equalizer Diaphragm Replacement
  286
- UF Flow Meter Diaphragm Replacement
  287
- A/V Pressure Transducer Assessment and Disinfection Procedure
  288
- Additional Supplies Needed
  288
- Contamination Assessment Procedure
  289
- Transducer Protector Replacement and Disinfection Procedure
  290
- Maintenance Log
  292

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