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Service Manual
Contents:
Chapter 3 Replacements
Gambro Lundia AB
Monitor Division
Workshop
Magistratsvägen 16
PO Box 10101
SE-220 10 Lund
Sweden
Technical support
For technical support please contact your local
Gambro Service representative.
Valid revision
Gambro Lundia AB
Monitor Division
Box 10101
SE-220 10 Lund
Sweden
Tel: +46 46 16 90 00
Fax: +46 46 16 96 96
www.gambro.com
This page is intentionally left blank
Installation Guide
AK 200 S / AK 200 ULTRA S
July 2005
Installation Guide
Installation Guide
General
Unpacking and inspection ............................... 1:2
Environment and Physical Data ..................... 1:2
Operating Environment .................................. 1:2
Transport and Storage Environment ............. 1:2
Physical Data ................................................... 1:2
Mains Voltage and Power Consumption ......... 1:3
Power Supply ................................................... 1:3
Earth leakage current ..................................... 1:3
Patient leakage current .................................. 1:3
Fuses ............................................................... 1:3
Service Outlets ................................................ 1:3
Line Fuses ....................................................... 1:3
Mains Water Supply ........................................ 1:3
Tools ................................................................ 1:4
Battery ............................................................. 1:4
Back-up Battery ............................................... 1:4
Monitor Stand
Assembling the Monitor Stand ....................... 1:5
MS 200 - Adj. hight: five fixed positions ......... 1:6
MS 200 - Adj. for installation of WRO 300 .... 1:10
MS 202 - Adj. hight: continuous variable...... 1:15
Start-up Procedure
Start-up Procedure ........................................ 1:33
Functional check - Fch .................................. 1:33
Checklist ........................................................ 1:35
AK 200 S & AK 200 ULTRA S Installation Guide 1:1
HCEN9282 Rev. 07.2005
Installation Guide
Total Height:
fig. Units and Components Five position stand: 1152 - 1382 mm
Adjustable heights 1175-1340mm
Ensure that the specified equipment has been
delivered. Do the packages contain the specified Floor Area 573 x 753 mm
monitors and options? Are there any units/
components missing? Compare the delivered Weight Blood Monitor 15 - 17 kg
equipment with the figure above. Weight Fluid Monitor 40 kg
If in doubt, please contact your Gambro Service Weight Stand 24 - 31 kg
representative.
Infusion Stand
Ensure that the voltage specified on the voltage Height 1300 - 2150 mm
tag matches the mains voltage. If in doubt, please Max. load 10 kg
contact your Gambro Service representative.
Batteries
9V Battery
The rechargeable 9 V battery, mounted inside
the blood monitor, is used to drive the buzzer
alarm during main's power failure. The battery
is not connected at delivery.
The battery is tested during every functional In a mains failure situation following attention
check to ensure that the capacity is enough in will be given.
the battery, otherwise an attention will be
given: POWER FAILURE BATTERY OPERATION
Batteri operated for x minutes
BATTERY FAILURE
Change/recharge battery Before the battery is empty following attention
will be given.
• Lower frame, cover, pillar and upper frame, • Rear handle bar.
battery back-up and transformer.
Step 1
Description:
Note!
This can also be done after that the lower frame
has been fastened (Step 4, Item 1).
3 Step 2
Description:
Silicone
Step 3
Description:
Step 4
Description:
Note!
Before mounting the PC-connector, remove
two pins.
Step 5
Description:
Step 6
Description:
2
1. Attach the grounding sign beside the earth
5 cm screw.
1
4 2. Assemble the earth cable to the earth screw.
3
3. Separate the rubber casing on the battery
cable (5 cm) and put it in the opening of the
upper edge.
Step 7
Description:
1
1. Fasten the upper frame to the pillar with 4
screws (100389903).
Step 8
Description:
Step 1
Description:
Step 2
Description:
Step 3
Description:
Note!
- Be careful to match the parts exactly to get
the correct passing at once (due to the sili-
cone).
- Be careful not to damage the earth cable and
the battery cable when placing the parts
together.
Step 4
Description:
2
1. Fasten the lower frame (cover included) to
the pillar with 4 hex-head screws
3 (100382030), with a hexagon socket wrench.
Note!
Before mounting the PC-connector, remove two
pins.
Step 5
Description:
Fuse
1. Move the backup-batteries (1a)* from the
holder included in the battery-backup kit
(K18652001) to the battery holder adjusted
for WRO 300 (1b) according to the illustra-
2 tion.
Step 6
1 Description:
!
a nl
veicr e M ua
P C B
C ont
ya tte r
X 1V2)
R ed
B la kc
: 2 A h
L e a d A c id B
Vo lta g e2:4V (2
H a n d linsge: e S
6 -1
C a p a c ity
+
-
+
-
2
F use
3
1
Step 7
Description:
Step 8
Description:
Step 9
Description:
Step 10
Description:
Step 1
Description:
Note!
This can also be done after that the lower
frame has been fastened (Step 4, Item 1).
3 Step 2
Description:
Silicone
1. Turn the pillar (stand leg) upside-down.
Note!
MS 202 is variable adjustable in height.
Total height including the AK-monitor is
1175 to 1340 mm.
Step 3
Description:
Note!
- Be careful to match the parts exactly to get
the correct passing at once (due to the sili-
cone).
- Be careful not to damage the earth cable and
the battery cable when placing the parts
together.
Step 4
Description:
Note!
Adjust the stand up and down until the screw
can be inserted.
(cont.)
Step 4
Description:
(cont.)
6 7 Note!
Before mounting the PC-connector, remove
two pins.
Step 5
Description:
Step 6
Description:
1
(cont.)
Step 6
Description:
9
(cont.)
WARNING!
Beware of the movement/rotation and the sharp
edges of the pillar.
Step 7
Description:
1
1. Fasten the upper frame to the pillar with 4
screws (100389903).
3
2. Raise the stand 20 cm with the remote
control.
Step 8
Description:
• Observe that the plugged tubes from • Cover the dialysis machine with the fluid
the fluid monitor at the bottom of the protective tray.
machine fits into the holes in the stand
AK 200 S
Step 2
Description: pH-sensor
Note!
pH-sensor calibration
If the AK 200 S is equipped with the pH-sensor
option, this must be calibrated during installa-
tion.
Information about the calibration is available in
the AK 200 S Service Manual, chapter Calibra-
tions.
Step 3
Description: Dialyser connector set, blue
Step 3 cont.
Description: Dialyser connector set, red
Step 4
Description: Pressure regulator
2
1. Assemble the pressure regulator (100313255)
1
to the upper holder for the infusion pole
Step 5
Description: Infusion stand and service handle
Step 7
Description: BM - 9V battery
Warning!
Jumper J11 on the BM CPU board must be
mounted for the rechargeable battery.
Step 8
Description: Connection of hoses
Step 9
Description: Power supply
1. Connect the machine to a grounded power
socket, not more than 3.0 metres in distant.
Note!
The 115 V-version require two grounded power
sockets within 3.0 metres.
Warning!
The mains power cable from the AK 200 S must
Mains voltage, 115 V be plugged into a socket with Protected Earth
(PE) to avoid risk of electrical shock.
Step 10
Description: Connection of external equipment
1 1
AK 200 S
Step 2
Description: pH-sensor
Note!
pH-sensor calibration
If the AK 200 S / AK 200 ULTRA S is equipped
with the pH-sensor option, this must be cali-
brated during installation.
Information about the calibration is available in
the AK 200 S / AK 200 ULTRA S Service
Manual, chapter Calibrations.
Step 3
Description: Dialyser connector set, blue
Step 3 cont.
Description: Dialyser connector set, red
Step 4
Description: Pressure regulator
2
1. Assemble the pressure regulator (100313255)
1
to the upper holder for the infusion pole
Step 5
Description: Infusion stand and service handle
Step 7
Description: BM - 9V battery
Warning!
Jumper J11 on the BM CPU board must be
mounted for the rechargeable battery.
Step 8
Description: Connection of hoses and Water-
filter
AK 200 S
U-FILTER U-FILTER
Airgap / Drain
Water filter
Step 9
Description: Power supply
1. Connect the machine to a grounded power
socket, not more than 3.0 metres in distant.
Note!
The 115 V-version require two grounded power
sockets within 3.0 metres.
Warning!
The mains power cable from the AK 200 ULTRA S
Mains voltage, 115 V must be plugged into a socket with Protected
Earth (PE) to avoid risk of electrical shock.
Step 10
Description: Connection of external equipment
Start-up Procedure
The main switch on the power supply should
always be in ON position, even when the
AK 200 S / AK 200 ULTRA S is not in use. This
“Stand by” mode is indicated by a lit segment on
the TIME display on the operators panel.
h.min
Time
OFF
machine on or off.
pH-sensor calibration
If the AK 200 S / AK 200 ULTRA S is equipped
with the pH-sensor option, this must be cali-
brated during installation. How to do, please see
the Service Manual, chapter Calibrations, pH
sensor calibration.
(WRO 300)
neer responsible for the installation.
This record is to be signed and filed by the Service Engineer responsible for the installation.
Date............................Signature........................................................................
Tel:+46 46 16 90 00
Fax:+46 46 16 96 96
www.gambro.com
front_rearAK200Smaint_en_4.pdf 2004-09-13 11:38:04
Maintenance Manual
AK 200 S / AK 200 ULTRA S
05.2006
CM
MY
CY
CMY
GAMBRO
Maintenance Manual
General
To ensure proper operation of the AK 200 S / To fulfill the preventive maintenance procedures
AK 200 ULTRA S, a qualified service technician for AK 200 S / AK 200 ULTRA S some parts must
must perform a complete series of preventive be exchanged. The necessary parts to be ex-
maintenance procedures at regular intervals. changed are available in a Base-kit and two
The maintenance and calibration information complementary kits:
that you need to use is provided in this manual.
• Base-kit (K40165001)
The preventive maintenance procedures have
been devised to require a minimum of time while • A-kit (K40166001): Includes exterior parts
ensuring that the machine is maintained in
optimum operation condition. • B-kit (K40167001): Overhauling service-kit
Test equipment
* If installed
Parts
The Base-kit (K40165001) includes all parts
necessary to fulfill the mandatory preventive
maintenance procedures for AK 200 S /
AK 200 ULTRA S.
Note!
As a complement to the Base-kit, two additional
kits are available; A- and B-kit.
1. First perform a combined heat disinfection 4. Change air filters in the AC/DC unit.
program with CleanCart C or liquid citric
acid.
Then perform a heat disinfection program in
combination with CleanCart A or a Chemical
disinfection program with sodium hypochlo-
rite. Refer to the AK 200 S or
AK 200 ULTRA S Operator’s Manual.
2. Change air filters in the Blood Monitor. 5. Change the upper and lower O-rings in the
BiCart holder.
2
3
1
o-ring
3. Change air filter in the Fluid Monitor. 6. Change the upper and lower O-rings in the
SelectCart holder.
2
3
1
o-ring
7. Change the O-rings and square-rings in the 10. Change the particle filter after the SelectBag
ultrafilter holders. (Only for AK 200 S with holder (50 µm).
UFD-kit and AK 200 ULTRA S)
o-ring
o-ring
square-
ring
8. Change the upper and lower filters on the 11. Change the filter for the heating vessel
BiCart holder (50 µm). (250 µm).
9. Change the lower filter on the SelectCart 12. Change the V-rings in the heating vessel.
holder (50 µm).
A B
13. If ULTRA: Change the membrane for the 16. Change the sealing ring and the ring on the
internal pressure regulator. inlet unit inside the heating vessel.
15. Change the sample ports. 18. Mark month and year for the next scheduled
preventive maintenance. Attach the label to
the rear cover of the machine.
05 10
06 09
07 08
05 10
06 09
07 08
6. Check the protective earth resistance in BM. 8. Erase the error code buffers. Enter
Measure between TP 8 (Z0VL) on the BM- service menu > Diagnose > System >
CPU board and the earth point on the bottom Errors > Erase
plate. Measure in MΩ, should be > 1 MΩ.
The machine must be empty and switched off
during measurement.
Note! The BM must be connected to the FM.
TP4
TP5 TP9
TP7 TP10
TP11
TP17
TP14 TP18
TP12 TP22
TP13
TP6
TP8
TP15
TP16
TP21
TP3 E01342007
TP19
TP2 TP20
1074
TP1 TP4
TP2 TP3
TP7
TP8
TP5
TP6
E01345009
9.5 Check of pressure transducer calibration and 10. Calibrate the Priming detector (BM 6).
measured pressure
10.1 Enter Service/Calibr/BM and set the
By entering this test mode it will be possible to AK 200 S / AK 200 ULTRA S display to:
check the actual pressure value for the BPM
pressure on the AK 200 S / PRIMING DETECTOR
BM 6
AK 200 ULTRA S display.
Before entering the test mode, pressure trans- 10.2 Press to start calibration routine.
ducer calibration tube kit K13983002 to be
connected to the BPM connector on the rear of
the AK 200 S / AK 200 ULTRA S . No cuff and 10.3
cuff hose to be connected.
INSERT EMPTY REFERENCE TUBE
Press SET key when ready
11. Calibrate the Level detector 12. Measure the power on battery B1 on the
(Air detector) (BM 5). BM-CPU board, exchange if the value is
below 2,6 V (Note! The machine must be
11.1 Enter Service/Calibr/BM and set the switched on when measuring).
AK 200 S / AK 200 ULTRA S display to:
LEVEL DETECTOR
BM 5
13. Control of the blood pump occlusion The GO pin should barely pass within the cali-
brating area.
Check surface on the roller at the pump rotor, if
it is damaged exchange the unit. The roller unit The STOP pin is NOT allowed to pass in any
should easily go back to upper end position when point within the calibrating area.
it has been pressed down to end position, ex-
change unit if it gets stuck in any position. Note! Put grease on the GO and STOP pins
when not used and store gage in plastic bag to
Note! If the blood lines/infusion lines have a prevent it from corroding.
different wall thickness, the occlusion of the
blood pump must be adjusted to the right size. Note! The gauge pins can also be ordered sepa-
rately:
Use the gauge pins (stop/go) available in the kit T=1.1 (white) K40158002
K40158001. The kit includes following three T=1.6 mm (red) K40158003
different gauge pins: T=2.0 mm (blue) K40158004
= Measuring
14. Enter Service/Calibr/BM and set the 15. Enter Service/Calibr/BM and set the
AK 200 S / AK 200 ULTRA S display to: AK 200 S / AK 200 ULTRA S display to:
16. Enter Service/Calibr/BM and set the 17. Enter Diagnose/BM/Pumps and check that
AK 200 S / AK 200 ULTRA S display to: the blood pump(s) stops when the cover is
opened.
PRESSURE VENOUS
BM 3
1 2
19. Enter Service/Calibr/FM and set the 20. Enter Service/Calibr/FM and set the
AK 200 S / AK 200 ULTRA S display to: AK 200 S / AK 200 ULTRA S display to:
19.1 Press to start calibration routine. 20.1 Press to start calibration routine.
19.2 Disconnect a tube to achieve zero pressure 20.2 Disconnect a tube to achieve zero pressure
(see picture). (see picture).
19.3 Check zero level of the Degassing Pressure 20.3 Check zero level of the Flow Output Pres-
Transducer. sure Transducer.
Tolerance: ± 5 mmHg. Tolerance: ± 5 mmHg.
Calibrate if necessary (see chapter calibration Calibrate if necessary (see chapter calibration
for details). for details).
21. Enter Service/Calibr/FM and set the 22. Enter Service/Calibr/FM and set the
AK 200 S / AK 200 ULTRA S display to: AK 200 S / AK 200 ULTRA S display to:
23. Enter Service/Calibr/FM and set the 24. Enter Service/Calibr/FM and set the
AK 200 S / AK 200 ULTRA S display to: AK 200 S / AK 200 ULTRA S display to:
23.1 Press to start calibration routine. 24.1 Press to start calibration routine.
23.2 Disconnect a tube to achieve zero pressure 24.2 Disconnect a tube to achieve zero pressure
(see picture). (see picture).
23.3 Check zero level of the Dialysis Fluid Pres- 24.3 Check zero level of the Safety Guard Pres-
sure Transducer. sure Transducer.
Tolerance: ± 5 mmHg. Tolerance: ± 5 mmHg.
Calibrate if necessary (see chapter calibration Calibrate if necessary (see chapter calibration
for details). for details).
OR
25. If installed: Calibrate the pH-sensor 28. Check the conductivity indications, at ap-
(FM 13) with a buffer solution. proximately 14 mS/cm.
26. Remove the blood leak detector cover and Use GXL – fluid monitor screen and a refer-
clean the inside of the blood leak housing. ence instrument connected to the dialysis
fluid tubes.
Mount a blood leak calibration cover. Make
sure that the filter is in horisontal position, The indicated conductivity values in GXL
start the AK 200 S / AK 200 ULTRA S. should correspond to the indication on the
reference instrument. The maximum devia-
Enter the Service menu, select calibration, tion is ±0.1 mS/cm.
FM, intern and Blood Leak Detector
(FM24). 29. Check the temperature indications, at ap-
Place A-pickup tube in concentrate contai- proximately 37 °C.
ner and let it stabilise for 15 minutes. Use GXL – fluid monitor screen and a refer-
ence instrument connected to the dialysis
Note! Let the AK 200 S / AK 200 ULTRA S fluid tubes.
stabilize at 37° C The indicated temperature value (at the
conductivity cell 2, guard) should correspond
to the indication on the reference instru-
Press to enter the blood leak calibra- ment. The maximum deviation is ±1.5 °C.
tion routine.
If the deviation is more than the stated
tolerance; the affected temperature trans-
Check the blood leak detector limits 0 and
ducer must be exchanged.
100 ±10.
Calibrate if necessary (see chapter
30. Place the B-pickup tube in the concentrate
calibration for details).
container.
Perform an FRN calibration. Enter service
27. Check the water level in the heating vessel,
menu/Calibr/FM/Other/UF/Restr.
should be approximately 1cm above the
centerline, adjust if necessary.
31. Let the machine pass Fch. Check the DC 38. If ULTRA: Calibration of internal pressure
leakage between TP 7 (Z0VL) on the Power regulator.
distribution board and the earth point on the
back plate. Measure in DC Voltage, should be
< 1 V. 38.1 Press and set the main flow to
35. Check the DC leakage between TP 7 (Z0VL) 38.6 Connect a tube between the infusion port
on the Power distribution board and the Flow and an external pressure reference instru-
Out pump head. Measure in DC Voltage, ment.
should be < 1 V.
36. Check the DC leakage between TP 7 (Z0VL) 38.7 Press to obtain main flow through the
on the Power distribution board and the
cover on the Flow In pump motor. Measure pressure regulator.
in DC Voltage, should be < 1 V.
38.8 Adjust the pressure regulator to
37. Check the DC leakage between TP 7 (Z0VL) +55 mmHg ±5 mmHg.
on the Power distribution board and the Flow
In pump head. Measure in DC Voltage,
should be < 1 V. 38.9 Press and remove the reference
instrument and tube.
39. Perform a simulated treatment according to · Check the residual volume at TIME=0:00
following instruction: · Approved residual volume:
100 ml ±50 ml.
· If the BVS is installed, switch it on. · Approved difference between actual
· The machine must be in volume control. UF volume and UF Supervision
· Insert a filled venous drip chamber in the volume is 120 ml.
level detector.
· When the priming button is flashing, simulate · The BVS test tool simulates a hemoglobin
a venous pressure of approximately 50 mmHg. value within the range 60 – 160 g/l.
· (Insert the BVS test tool, K22281001).
· Set the UF-volume to 0.9 and treatment TIME When inserted into the BVS unit it is possible
to 1:00h. to check the switch, that a reference value is
· Connect a T-piece to the dialysis tubings. Put taken and that a graph is shown on the infor-
the end of the tube in a measuring glass filled mation display when the BVS key is pressed.
with more than 1 liter of water, approx. 37 °C .
· Press fluid bypass. Check that the tube to the The value for relative blood volume will be
meassuring glass is filled with water and all approx. 0 % with some deviations. Do note
air bubbles are evacuated. that the blood flow must be more than 180 ml/
· Set the blood pump speed to 200 ml/min, press min for 5 minutes before a reference value is
the priming button and start the blood pump. taken.
· Press UF-rate and set priming UF rate and
minimum UF-rate to 0.0 l/h.
· Make sure the measuring glass is filled to 1.00
liter adjust if necessary.
C: Press .
Parts
The A-kit is designed to be used as a complemen-
tary addition to the Base-kit for the preventive
maintenance procedures of AK 200 S and
AK 200 ULTRA S.
Note!
All parts in the A-kit are possible to exchange
without opening the dialysis machine.
1. Change the pick-up tube A (red). 4. Change the dialyser connector set red,
locking ring, nipple, conical filter and O-ring.
5 mm
2. Change the pick-up tube B (blue-white). 5. Change the non-return valve on the water
inlet tube.
3. Change the dialyser connector set blue and 6. Add/change the washers for the blood pump
the locking ring. rotors.
5 mm
1. First perform a heat disinfection program. Use following formula to calculate which gage
Refer to the AK 200 S or AK 200 ULTRA S pin to use:
Operator’s Manual. 2 * wall thickness * 0,7 (mm)
2. After the heat disinfection; re-tighten the nuts Check the range between the blood pump rollers
of the dialyser connector set to the machine. and the path according to the picture below.
Nuts 5 mm
= Measuring
3. Let the machine pass FCH. Adjust range between the blood pump rollers and
A leakage test of the dialyser connector set is the path if it is necessary.
peformed in state 24.
The GO pin should barely pass within the cali-
brating area.
Parts
The B-kit is designed to be used as a complemen-
tary addition to the Base-kit for the preventive
maintenance procedures of AK 200 S and
AK 200 ULTRA S.
2. Change following complete valves: 5. Change all the Santoprene tubes in the fluid
FOVA, DIVA, TAVA, BYVA, DRVA, BCVA,TPVA monitor.
and PBVA.
3. Change complete Recirculation valve. 6. Change the (complete) venous pressure line.
Tel: +46 46 16 90 00
Fax: +46 46 16 96 96
www.gambro.com
Replacements
Replacements
General information.......................................... 2
Raplacement matrix, BM .................................... 2
Raplacement matrix, FM .................................... 3
Change actions .................................................... 4
Flow path, AK 200 S ............................................ 6
Flow path, AK 200 ULTRA S ............................... 7
General information
The actions to carry out after a component This information is a guideline for service techni-
replacement in AK 200 S / AK 200 ULTRA S cians, which actions to perform when a compo-
are brought together in two tables: nent has been replaced.
- a replacement matrix for the blood monitor (BM)
- a replacement matrix for the fluid monitor (FM) Note! If the fluid path has been opened for
troubleshooting, a heat disinfection must be
The numbers in the matrix show which actions performed before the machine is ready for next
and in which order they will be done. It is impor- treatment.
tant that the actions are done and in correct
order.
Replacement matrix
- BM components
Replaced BM components
Blood Volume Sensor (BVS) E
Pressure Transducer
Replacement matrix
Clamp unit complete
Blood pump rotor
Operator's panel
Priming detector
BM CPU board
BM components
Heparin pump
I2c scan 1
Check/load program (GXD) 1
Total default 2
Load preset file 4
J
Fch 1 2J 2 8
J
2J 2J 2J 1J 3J 2J 1J
Set time and date 3
Actions to be done
PLT-test
Remarks:
A
Not necassary to calibrate if new spare part is installed (factory calibrated)
B
Important to follow the order of the calibrations/actions for machine performance
C
Contact International Technical Services
D
Only AK 200 ULTRA S
E
BVS unit and BVS board must have the same serial number
F
Heating vessel: Level detector, stirrer, temp. Transducer
G
Heating vessel: Heating unit complete, inlet unit complete
H
FCH with BiCart
I
FCH in BiCart Select-mode
J
FCH without inlet water (ready when Priming-button is flashing)
HCEN9284 Rev.05.2006
AK 200 S/AK 200 ULTRA S
Replaced FM components
D
C
AK 200 S / AK 200 ULTRA S
B
B
D
Replacement matrix
B
B
F
G
B
D
FM components
B
Level detector
Degassing Pressure
FIP restrictor
FIP Transducer
FM CPU board
FOP restrictor
FOP Transducer
Internal pressure regulator
Non-return valve
Runtime meter board
ACDC
BiCart bubble trap
BiCart holder
BiCart Select
Control Pump
BiCart Select
BiCart Select
Protective Pump
Bloodleak
BPM
Carbon tubes
(dialyzer isolation kit)
Conductivity Cell A
Conductivity Cell B
Conductivity Cell C - Diascan
Degassing chamber
Transducer
Degassing pump
Expansion chamber
External pressure regulator
Feeding pump A
Feeding pump B
FIP pump
Flow Restrictors, except FIP
and FOP restrictors
FOP pump
Heat exchanger
Heating vessel
Heating vessel
HPG Transducer
Infusion port
Mixing chamber
Particle filters
PD Transducer
pH cell
Protective earth screw
SAG Transducer
SelectBag holder
SelectCart bubble trap
SelectCart holder
UF-cell
Va lves , e xcept FOVA
Valves, FOVA
Actions to be done
1
detector
Fch 2 1H 1H 2 2 2 3 2 2 4 5 3 1 3 1 1 2 1 1 3 3 5 1 7 3 3 5 1 1 2 3 1 2 1 1 1 3 4 1 3 1I 1I 1I 3 1 3
Heat Disinfection 2 2 3 3 3 4 5 6 7 5 2 4 2 2 2 2 4 4 6 2 8 4 4 6 2 2 5 4 2 3 2 2 2 4 5 4 2 2 2 5 2 4
Check conductivity value 5 6 4
Simulated treatment 4
Calibrate pressure according
1
to Technical Data
Check BPM 1
PET-test 1 1 1 1
ELT-test 3 3 3 2
PLT-test 4 4 4 3
Remarks:
A
Not necassary to calibrate if new spare part is installed (factory calibrated)
B
Important to follow the order of the calibrations/actions for machine performance
C
Contact International Technical Services
D
Only AK 200 ULTRA S
E
BVS unit and BVS board must have the same serial number
F
Heating vessel: Level detector, stirrer, temp. Transducer
G
Heating vessel: Heating unit complete, inlet unit complete
H
FCH with BiCart
I
FCH in BiCart Select-mode
J
FCH without inlet water (ready when Priming-button is flashing)
Replacements
3:3
Replacements
Clean the machine from calcium and then from Calibrate BiCart Select Control and Protective
proteins and fats Pump
Perform actions according to Operators manual. Perform actions according to calibration instruc-
tions in the Service Manual chapter 10,
I2C scan Calibration manual.
Perform actions according to Service Manual
chapter 4, Service Technicians Guide, Diagnostic Calibrate Internal Pressure Regulator
Flow diagram, FM. Perform actions according to calibration instruc-
tions in the Service Manual chapter 10,
Check/Load program (GXD) Calibration manual.
Perform actions according to instructions in
Service Manual chapter 4, Service Technicians Calibrate BiCart Select Level detector
Guide, Downloadnew program version. Perform actions according to calibration instruc-
tions in the Service Manual chapter 10,
Total default Calibration manual.
Perform actions according to instructions in
Service Manual chapter 4, Service Technicians Fch
Guide. Start the machine and let it perform a Fch.
Occlusion
Calibrate according to calibration instructions in
the Service Manual, chapter Maintenance
Manual.
PET
Perform the Protective Earth Test (PET)
according to instructions available in
HCEN12190, Electrical safety inspections for
AK-machines.
ELT
Perform the Earth Leakage Test (ELT)
according to instructions available in
HCEN12190, Electrical safety inspections for
AK-machines.
PLT
Perform the Patient Earth Leakage Test (PLT)
according to instructions available in
HCEN12190, Electrical safety inspections for
AK-machines.
Select
Non- Select Bag PBVA
return
valve FOVA Restrictor
Pressure Filter
regulator Feeding pump A Flow Flow
P
output output
Filter
BCVA Feeding pump B pump pressure
TPVA ZEVA
Filter BiCart
BiCart
Blood leak
Bubble trap detector UF-measuring
Flow input EVVA EMVA cell
pressure P T
Cond
Flow input cell C
Deairating 2 1
Restrictor pump
Pure Particle P chamber with
water filter PD level detector TAVA
inlet P
SAG Safety HPG
Drain P by-pass
BYVA
unit
DIVA
Pure water
SelectBag concentrate
SelectCart concentrate
A concentrate
B concentrate
Dialysis fluid
Dialysate
HCEN9284 Rev.05.2006
AK 200 S/AK 200 ULTRA S
AK 200 ULTRA
S S Flow path
HCEN9284 Rev.05.2006
AK 200 S/AK 200 ULTRA S
Flow Recirculation Expansion
restrictor RFVA valve chamber
Water filter U8000S Mixing Degassing Degassing
FLVA Heating Over Flow chamber DRVA pressure chamber with
vessel flow restrictor
Degassing level detector
P
Flow PAVA M restrictor
Filter C P
restr- Heat Filter
ictor Ex- T T pH-sensor
changer Cond T P
Non- cell A
Non- Degassing
return
return valve pump P T
LDVA
valve Control pump
Level Cond
INVA detector cell B
Protective pump T
C
Select
Non- Select Bag PBVA
return
valve FOVA Restrictor
Pressure Filter
regulator Feeding pump A Flow Flow
P
output output
Filter
BCVA Feeding pump B pump pressure
TPVA ZEVA
Filter BiCart
BiCart
Blood leak
Bubble trap detector UF-measuring
Flow input EVVA EMVA cell
pressure P T
Cond
Flow input cell C
Deairating 2 1
Restrictor pump
Pure Particle P chamber with
water filter PD level detector TAVA
inlet P
SAG Safety CWVA HPG
P Pressure Dialysis fluid
Drain by-pass
HDVA regulator filter BYVA
unit
3:7
Replacements
Operator’s panel.................................................. 2
Hygiene group .................................................... 2
Mode group ......................................................... 2
Therapy group .................................................... 2
Treatment overview group ................................ 2
Stand-by group ................................................... 2
Display and setting group .................................. 2
Treatment overview ........................................... 4
Parameter buttons and displays ........................ 4
Stand-by group ................................................... 5
Alarm buttons ..................................................... 5
Display and setting group .................................. 6
Viewing trends on the screen ............................ 6
Bargraph contrast .............................................. 7
Backlight ............................................................. 7
Colours in parameter displays ........................... 7
Treatment overview screen ............................... 8
Function check overview screen ....................... 9
Operator’s panel
Below follows a short presentation of the
operator´s panel. This is intended for the service
technicians use. If you want a more detailed
information about all buttons and their functions
see Operator´s manual.
1. Hygiene group
These buttons are used to select machine modes
mainly related to disinfection, rinsing and drain-
ing of the fluid monitor.
2. Mode group
The buttons in this group are used to select
different treatment modes.
3. Therapy group
These buttons are used to initiate priming, select
heparin data and special treatment therapies.
The HF-button is only available for
AK 200 ULTRA S.
5. Stand-by group
These buttons can be used for direct control and
stand-by of certain functions.
AK 200 S
2 1
4 6
3 5 7
Flow diagram
Trend graph
The ticks to the right of each test show that the mS/cm test of the conductivity cell
test has been successfully performed. The green
field on the progress bar shows the successfully mS/cm test of the conductivity cell
performed part of the function check. The time
in minutes at the bottom of the screen shows °C test of the temperature sensor
elapsed time of the function check.
°C test of the temperature sensor
If desired, the Function check overview screen
can be removed by preset and in that case the mmHg leakage test of the fluid monitor
Technical alarm button is to be pressed to display
the screen when the information display is unlit. FRN test of UF supervision system
The picture below shows an example of the FRN test of UF supervision system
Function check overview screen:
BiCart priming of the BiCart cartridge
Set the code with the Set knob (two digits for
each button). If you do not press the buttons
within 30 seconds, restart from the first figure is
required.
• Type of units
• Options Configur- Preset Language and
• Language versions for the display ation with PC defaults
• Defaults
Choose the button below ”Config” to select unit.
• Type of concentrates
• Start up mode
• GXP - Gambro external PC -preset program
pH
installed (present)
MAINTENANCE SUPPORT SELECTION
Fch Preset Service Press
pH REF SET
installed installed
•Preset concentrates must be verified by This procedure is applicable for the following
laboratory test of the dialysate produced by the alternatives:
AK 200 S / AK 200 ULTRA S .
• pH (installed/not installed)
•Preset for pump segments must be verified by • BM200/202 (either)
comparing the pumped volume and a reference • System pressure transducer (installed/
volume. not installed)
• BVS (installed/not installed)
• RS 232 / RS 422 (either)
• BPM (installed/not installed)
• Diascan (installed/not installed)
• Access flow (installed/not installed)
• Voltage (230 V/115 V)
PUSH DIRECT KEY OR SELECT BELOW PUSH DIRECT KEY OR SELECT BELOW
Exit Config PC Pres Others Exit Config PC Pres Others
Select the button below ”others” to select Select the button below ”others” to select lan-
language, clock or defaults. guage, clock or defaults.
Select the button below ”language” . Choose the button below “Clock”.
- English
- French
- Spanish
- Swedish
- German
- Finnish
- Italian
- Dutch
- Danish
- CZECH
- Norway
- Serbian
- Hungari.
- Portugal
- Greek
- Russian
Start up mode
UF rate
Default: in TMP LL 0,00 HL 1,50,
UF priming, 0,10 Min UF 0,10
Heparin
Volume (6,0 - 30,0 ml) and length (31,0 -119,0
mm) of syringe.
Default: volume 30,0 ml, length 81,0 mm.
Blood flow
Default: pump segment, mm Alt1, 7,90
Alt2, 6,35 Alt3, 4,00.
Note that AK 200 S / AK 200 ULTRA S has to be
in DN mode to be able to adjust the blood line
inner diameter and the the blood pump has to be
stopped.
For adjustment of the occlusion, please see the
Calibration Manual .
SN data
Default: System press, mmHg LL 10 HL 175
Temp
Default: LL 35,0° C Set 37,0° C HL 39,0° C
Cond
Default in Acetate mode: 140 mmol/l
Default in Bicarbonate mode: Na=140 mmol/l
HCO3=34 mmol/l
The degassing pressure is presettable between -400 to -700 mmHg. This is used when AK 200 S /
AK 200 ULTRA S is operating at high altitudes, see table below.
Altitudes Normal air pressure Recommended degassing pressure Water boiling temperature
(m) (mmHg) (mmHg) (°C)
0 760 -630 100
500 710 -580 98.1
1000 663 -530 96.2
1500 620 -490 94.4
2000 580 -450 92.6
2500 540 -410 90.7
Preset of concentrates
IONS A: Na
mmol/l Forw xxxx.xx
Select where to store concentrate (alt 1).
Select mmol/l.
SET 201
LABEL Forw BiCart Backw
PARAMETER CALCULATION
Press HOLD key to abort
STORE IN EEPROM
Press START/STOP key Backw
Display the
logging parame-
ters on the
Memory Logging 0 Error message from CPU P:
information
(Do not use) FCN 1.06.002
display
Which CPU
No. of error (0-9)
Arrow, indicating more
Error code than one error
SET UP PAR INH FIELD CONFIRM
Use the set knob when
Array On 0 setting the parameters.
The setting of the parameter
Select informa- inhibiter determines if the
The "titel" Parameter logging display shall remain
tion display
key inhib– lit or not when a parameter
field (0-2)
itor. key is pressed.
Set "on" or "off"
Arrays
Second letter,
R: RAM variable, P: Process, F: Function
Third letter,
B: Byte (0 - 255)
I: Integer (whole numbers)
L: Logic
R: Real (floating point numbers)
W: Word (0 - 65535)
Select
Non- Select Bag PBVA
SRL(50)
return
valve FOVA Restrictor
Filter SRL(48)
Pressure
regulator Feeding pump A Flow Flow
Rel pump speed: SRI(71) P
output output SRI(10)
Filter
BCVA SRL(58) Feeding pump B Rel pump speed (acetate): SRI(73) pump pressure
Rel pump speed (bicarb): SRI(72)
SRL(53 ) Duty cycle: SRI(31)
TPVA ZEVA
SRL(59) SRI(24) Current (mA): SRI(29)
Filter BiCart
BiCart
Pressure range high limit: SRI(43) Blood leak
Bubble trap Pressure range low limit: SRI(44) SRL(46) detector UF-measuring
SRL(45)
Flow input Low: SRL(60) EVVA EMVA cell
pressure P T
Cond
Flow diagram, FM with S-variables
DIVA
Pure water SRL(43)
SelectBag concentrate
SelectCart concentrate
A concentrate
B concentrate
Dialysis fluid
Dialysate
Service Technicians Guide
4:21
4:22
AK 200 S UFD Flow path
Control Cond: SRI(13)
Control Temp: SRI(15)
High level: SRL(20) PRS Cond: SRI(114)
Flow Low level: SRL(19) PRS Temp: SRI(116) Recirculation Expansion
restrictor RFVA SRL(51) valve chamber
Heat Filter
Stick B: SRL(1)
Ex- Stick A: SRL(0) Duty cycle (%): SRI(89) T
T Cond T pH-sensor
changer P pH value: SRI(23)
SRI(14)
Non- cell A
Degassing
return
valve SRL(110) LDVA pump P T
Control pump Cond
Level Control Cond: SRI(12)
INVA detector Control Temp: SRI(115) cell B
SRL(49) PRS Cond: SRI(11)
Protective pump T
PRS Temp: SRI(16) C
Select
Non- Select Bag PBVA
SRL(50)
return
valve FOVA Restrictor
Filter SRL(48)
Pressure
regulator Feeding pump A Flow Flow
Rel pump speed: SRI(71) P
output output SRI(10)
Filter
BCVA SRL(58) Feeding pump B Rel pump speed (acetate): SRI(73) pump pressure
Rel pump speed (bicarb): SRI(72)
SRL(53 ) Duty cycle: SRI(31)
TPVA ZEVA
SRL(59) SRI(24) Current (mA): SRI(29)
Filter BiCart
BiCart
Pressure range high limit: SRI(43) Blood leak
Bubble trap Pressure range low limit: SRI(44) SRL(46) detector UF-measuring
SRL(45)
Flow input Low: SRL(60) EVVA EMVA cell
pressure P T
Cond
SRI(9) Level: SRI(27) Ch2: Coil current: SRI(37)
Flow input cell C Flow
SRI(26) Main flow set point: SRI(67)
Calc set level: SRI(85) Deairating
PRS PD: SRI(2) Tar timer:
2 1 Flow Ch1: SRI(25)
Restrictor pump
Pure Particle Slow (TMP): SRI(3) P chamber with SRL(52) SRI(74) FRN: SRI(110)
filter Fast (Reg): SRI(4 ) PD level detector TAVA
water Duty cycle: SRI(35)
inlet Current (mA): SRI(33) P
SRI(7)
SAG Safety HPG
FIVA Dialysis fluid Slow: SRI(5)
Drain P by-pass SRL(56)
filter BYVA Fast(reg): SRI(6)
unit SRL(42)
U8000S DIVA
Pure water SRL(43)
SelectBag concentrate
SelectCart concentrate
A concentrate
B concentrate
Dialysis fluid
Dialysate
Select
Non- Select Bag PBVA
SRL(50)
return
valve FOVA Restrictor
Filter SRL(48)
Pressure
regulator Feeding pump A Flow Flow
Rel pump speed: SRI(71) P
output output SRI(10)
Filter
BCVA SRL(58) Feeding pump B Rel pump speed (acetate): SRI(73) pump pressure
Rel pump speed (bicarb): SRI(72)
SRL(53 ) Duty cycle: SRI(31)
TPVA ZEVA
SRL(59) SRI(24) Current (mA): SRI(29)
Filter BiCart
BiCart
Pressure range high limit: SRI(43) Blood leak
Bubble trap Pressure range low limit: SRI(44) SRL(46) detector UF-measuring
SRL(45)
Flow input Low: SRL(60) EVVA EMVA cell
pressure P T
Cond
SRI(9) Level: SRI(27) Ch2: Coil current: SRI(37)
Flow input cell C Flow
SRI(26) Main flow set point: SRI(67)
Calc set level: SRI(85) Deairating
PRS PD: SRI(2) Tar timer:
2 1 Flow Ch1: SRI(25)
Restrictor pump
Pure Particle Slow (TMP): SRI(3) P chamber with SRL(52) SRI(74) FRN: SRI(110)
filter Fast (Reg): SRI(4 ) PD level detector TAVA
water Duty cycle: SRI(35)
inlet Current (mA): SRI(33) P
SRI(7)
SAG Safety CWVA HPG
SRL(57) Dialysis fluid
Drain P by-pass Pressure Slow: SRI(5)
HDVA regulator filter BYVA Fast(reg): SRI(6)
unit SRL(61) SRL(42)
4:23
Service Technicians Guide
BM 202, S-variables
BM BOARD TEMP.:
SRI(17)
Pump cover open = Level det. transmit level=SRB(0)
Pump cover open =
SRL(24) Level det. comparator level=SRB(89)
SRL(25)
High level = SRB(1) SRI(1) SRI (82)
Blood flow = SRI(84) Low level = SRB(2) Blood flow = SRI(83)
Blood = SRL(23)
SELECT MONITOR
BM FM HDF
SELECT CALIBRATION
BM FM HDF
PRESSURE SYSTEM
BM1
PRESSURE ARTERIAL
BM2
PRESSURE VENOUS
BM3
LEVEL DETECTOR
BM5
PRIMING DETECTOR
BM6
COND.TRANSDUCER 1
PRESSURE DEGASSING
Control/Guard FM30
FM7
COND.TRANSDUCER 1
PRESSURE FLOW OUT PUMP
Guard FM29
FM8
COND.TRANSDUCER 2 COND.TRANSDUCER 2
GUARD FM16 Control/Guard FM19
Set
System pressure
pH EEPROM NOT INITIALAZED
transducer not instal-
Escape led.
By pressing "Erase"
you reach the erase
TECHNICAL ERROR SUPPORT SELECT menu and can erase
View Erase the buffers.
Diagnostics BM
DIAGNOSTICS BM MENU
Text Pumps Others
Diagnostics FM
DIAGNOSTICS FM MENU
Pumps Valves
PU SCAN PU MODE SCA VAR SCA SET SELECT RECIRC DIAGNOSTIC MODE
HPG/PRI NONE CLOSE OPEN
NONE
TEMP
COND
HPG
PR FL 0
PR FL I
Select with "Set"-knob
In utility it is possible to interrupt the chemical disinfection phase for service purposes. Note that
this is only intended to be used as a service tool.
WARNING! Check that no disinfection solution has been intaken, if so, a complete Chemical rinse
program must be performed.
Technical Description
Note!
This chapter is not available yet. Until it is released,
refer to Technical Description - AK 200 ULTRA S,
HCEN9296, Rev. 02.2003.
Technical Description
Treatment flexibility
• Standard or high-flux HD with ultrapure
dialysis fluid For information about setting the parameters
• On-line HDF, with pre- or postdilution in level 2 and 3, see chapter Service
• On-line HF, with pre- or postdilution Technician’s Guide.
• On-line preparation of substitution fluid for
HF and HDF For information about the use and functions of
• Adjustable dialysis fluid flow rate 300-700 the parameters in level 4, see the
ml/min AK 200 ULTRA S Operator’s Manual.
• Profiling of Na+ and HCO3-, and UF
• Designed for Gambro BiCart Select® system
• Blood volume meassurement, BVS
• SN/SP and SN/DP with low recirculation
• Isolated UF
Disinfection
• Chemical and heat disinfection
• Automatic disinfection, integrated
disinfection
• CleanCart™ cleaning, decalcification,
disinfection
• Chemical disinfection memory
Options
• pH 200 K18266001
• Battery Backup K18614001 (24V)
• Electrically adjustable stand, MS 200
Others
• Automatic Power On Test
• External Logging via PC, GXL
• Presetting of system parameters (internal or
via external PC)
• Download of new software via PC, GXD
Fluid Monitor, FM
filter T T
Select T
Cart
Protective pump Cond
Select cell "B"
Bag
Filter T
FOVA
Restrictor, V
Feeding pump "A" Flow output
pressure
P
Flow
BCVA TPVA output
Feeding pump "B"
Filter ZEVA pump
BiCart
UF-measuring
BiCart cell
bubble
Filter trap
2 1
EMVA
˚C
BYVA
Particle Pressure
filter regulator
HDVA
FIVA
From
dialyzer Dialysis fluid outlet Substitution
(HD and HDF) outlet
Flow Diagram, Fluid filter
AK 200 ULTRA S (U8000S)
Technical Description
5:5
Technical Description
The inlet valve (INVA) is normally open. The If conductivity is outside the preset limits, the
water level in the heating vessel is regulated by dialyzer is bypassed and the dialysis fluid goes
means of a float valve in the bottom of the directly to the drain (the direct valve - DIVA - is
heating vessel. The float valve is closed when closed and the bypass valve - BYVA - is opened).
the water level reaches maximum and is opened This situation may arise if there is not sufficient
when it falls to minimum. The flushing valve concentrate, the concentrate pick-up tube is not
(FLVA), which is used during disinfection, is properly inserted in the concentrate container,
closed during treatment. the flow through the tube is obstructed or the
water supply is insufficient.
A non-return valve, placed between the The proportioning bypass valve - PBVA - is
recirculation loop, in front of the return flush closed during treatment. The PBVA is open
valve (RFVA) and behind the inlet water valve during disinfection. The reason for this is that
(INVA) is used to enable disinfection of the first there is an under pressure after the feeding
ultra filter. pump. When the fluid monitor is disinfected, the
system can be quickly filled with disinfectant if
The temperature transducer in the heating the PBVA is open.
vessel measures the water temperature and
controls the heating. The heating vessel has two
heaters and a stirrer. The stirrer is used to Concentrate - FM
ensure a constant water temperature. The FM can operate in either acetate mode or
bicarbonate mode (selectable by the operator).
From the heating vessel the feed water passes The concentrate (acetate) is fed in via the B-
via a filter and a restrictor to an expansion inlet.
chamber. The function of the restrictor is to
produce the negative pressure that is necessary In bicarbonate mode two concentrates are used,
for degassing the fluid. The bubbles are referred to as A- and B- concentrates.
separated in the degassing chamber. The
recirculation is controlled by a stepping motor. First the A- concentrate is mixed with water in
The degassing restrictor bypass valve (DRVA), the mixing chamber. The fluid then passes to
which is used during disinfection, is closed the expansion chamber, where the B-
during treatment. Constant pressure in the concentrate is added. The amounts of
expansion chamber and constant level in the concentrate are regulated with two feed pumps
degassing chamber are maintained by means of (piston pumps). The conductivity is measured by
the degassing pump and the recirculation valve. means of two cells. The conductivity cell in unit
1 measures the conductivity at the first stage.
The second cell measures conductivity after the
Concentrate B component has been added.
The dialysis fluid is a mixture of water and
acetate based concentrate. (Salt is added to the
Dialysis Fluid
BiCart Select System
The dialysis fluid is forwarded by the degassing
The BiCart Select system is a new concept for pump (gear-wheel pump) to the bubble trap.
preparing the A- and B-concentrate in bicarbo- The restrictor and the flow pump produce a
nate dialysis treatments. negative pressure (approx. -600 mmHg), that
separates the air from the fluid. The air is led
The A-concentrate is prepared “on-line” during from the degassing chamber back to the heating
the treatment from the SelectBag, containing vessel (there is atmospheric pressure in the
the small electrolytes in a highly concentrated degassing chamber). The flow pump is also used
solution, and from the dry sodium chloride to regulate the fluid level in the degassing
cartridge, SelectCart. chamber. The level is monitored by a level
detector.
The bicarbonate concentrate is continuously
prepared from the dry bicarbonate powder It is very important that the dialysis fluid
contained in the BiCart column. The BiCart Se- should have the correct conductivity. It is very
lect system improves transportation, storage and important that the system is able to detect if an
handling efficiency. It introduces a possibility for incorrect concentrate is being used. The pH-
individualized sodium and bicarbonate concentra- sensor (optional) is used as an improved
tions, independent from the prescribed concen- safeguard against faulty and/or incorrect
trations of the small electrolytes. concentrates. (There is some disinfection
solutions that can give correct conductivity. But
The control system feeds the contents of the these solutions do normally not have the correct
SelectBag in a volumetric proportion (1:400) to pH value.) If the concentrate pick-up tubes are
the dialysis fluid flow rate. incorrectly inserted, this will also produce an
incorrect pH value.
The flow of sodium chloride solution from the
SelectCart is controlled using the ordinary A- After the pH-sensor there is a flow reducer and
step control loop but the B-step is unchanged. a bypass valve (FOVA). The function of the flow
reducer is to create a negative pressure.
The use of AK 200 ULTRA S with BiCart Select
system is equal to the use of standard treat- The main flow is variable between 300 and 700
ments with one exception: ml/min.
• Select concentrates do not run with any
canister bicarbonate but only with BiCart. The bypass valve FOVA (closed during
treatment) is used in disinfection mode. The
The correct proportioning of the minor flow through the dialyzer is controlled by means
electrolytes is monitored by the protective pump of two pumps: flow output pump and flow input
and an infrared level detector. The level pump (gear-wheel pumps). The function of the
detector consists of an IR-LED and an IR- pumps is to maintain a constant flow, to and
transistor placed on a fluid chamber. from the dialyzer.
A saturated solution of sodium chloride (NaCl) Treatment can be either volume controlled (UF)
is produced from dry salt contained in the or pressure controlled (TMP). The mode is
SelectCart column. selected from the operator’s panel.
Both components are mixed on-line to produce In both UF and TMP mode, a variable main
the A-concentrate. The mixing of this acidic flow (300 - 700 ml/min) to the dialyzer is
concentrate with water is conductivity- obtained by means of the flow output pump.
controlled. The pressure over the flow reducer is
adjustable, and thereby, a variable main flow is
Bicarbonate concentrate is produced separately obtained.
by means of the BiCart column. Its mixing is also
conductivity-controlled. Constant flow after the dialyzer is obtained by
means of the flow-input pump. The input flow is
The final supervision of the dialysis fluid is normally higher than the output flow. Dialysis
performed by an independent conductivity cell. patients are water retentive and the excess is
removed during treatment. The UF rate is a
PAVA and PBVA are open during the priming of measure of the quantity removed. If the output
the SelectCart and the BiCart columns. flow is 500 ml/min, the input flow may, for exam-
ple, be 502 ml/min. In UF mode, the differential bypass valve is opened. The dialysis fluid is led
flow from the UF measuring cell and the re- past the dialyzer directly to the drain. The
quired UF rate (selected by the operator) is used following situations result in a bypass:
to regulate the flow input pump so that the de-
sired pressure is obtained. After the flow input • Blood leak detected
pump there is a positive pressure. • Temperature out of limits
• Conductivity out of limits
In TMP mode, TMP is used to regulate the flow- • pH alarm (optional)
input pump. The UF measuring cell is used to • Technical error message
measure the UF rate, but the measuring cell is
not involved in the regulation of the flow input From the direct valve (DIVA) the dialysis fluid
pump. is forwarded to a second ultra filter and further
on through an infusion-outlet-port, a pressure
Every 30 minutes during treatment, the UF regulator and the clean water valve (CWVA).
measuring cell is automatically calibrated to
ensure correct performance. (This has to be done The infusion line set is connected to the infusion
because waste products in the fluid returned outlet-port to access the infusion solution.
from the patient may be deposited in layers on
the inside of the measuring channels.) The pressure regulator is used to always
The calibration can be divided into three maintain a positive fluid pressure (approx. +50
phases. During phase 1 the UF measuring mmHg) to ensure that the infusion line segment
system is calibrated. During phase 2 the UF does not collapse during operation.
measuring unit and the dialyzer are bypassed,
i.e. there is no fluid passing through neither of The filter valve (FIVA, closed during treatment)
the two channels (DIVA, TAVA, and BYVA is used for disinfection of the second
valves are closed and ZEVA valve is open). Thus ultrafilter.
the offset of the two measurement channels can
be measured. From the clean water valve (CWVA) the dialysis
Finally during phase 3 the dialysis fluid fluid is passed on to the dialyzer or in bypass
bypasses dialyzer but passes through the UF mode to drain.
measuring unit, i.e. the same amount of fluid is
passing through both channels of the UF In hemofiltration mode (HF mode) the clean
measuring cell (DIVA, TAVA, and ZEVA valves water valve (CWVA) is always in bypass mode
are closed and BYVA valve is open). but for hemo dialysis mode (HD mode) or hemo
diafiltration mode (HDF mode) it may operate
With channel 1 as a reference, channel 2 can be in both modes. The dialysis fluid is forwarded to
calibrated. The UF rate is now zero. Calibration the dialyzer via the output tube.
takes totally about 60 - 90 seconds.
Treatment is then resumed. From the dialyzer the dialysis fluid (mixed with
waste products) is returned to the fluid monitor
After the UF measuring cell there is a pressure via the input tube. The input tube nipple is
transducer (high-pressure guard) which is fitted with a filter.
activated if the pressure before the dialyzer
becomes too high. For example, if there is a The taration valve (TAVA) is normally open.
blockage somewhere in the tubes, the high During the UF measuring cell calibration, the
pressure guard is activated, the flow is stopped taration valve is closed.
and the system goes into bypass mode (see
below). The zero setting valve (ZEVA) is normally
closed. During the UF measuring cell
The bypass unit includes high-pressure guard calibration phase 2, the zero setting valve is
and two valves: the direct valve (DIVA) and open.
bypass valve (BYVA). The direct valve is
normally open during treatment (if the The pressure transducer, Pd, measures the
temperature, pressure, conductivity etc. are dialysis fluid pressure. The measurement is used
within the predefined limits). In an emergency in the calculation of the TMP. The pressure
situation (e.g. in the event of a blood leak being transducer also activates an alarm if the pres-
detected), the direct valve is closed and the sure becomes too high.
3 4 5
7
2 8
9
15 14 13 12 11 10
6 Particle Filter
7 Degassing Chamber
8 Heating Vessel Unit
9 Bypass Unit
10 Concentrate pick-up tube connections
3 4 5 6 7
2 9
10
11
6 Feeding Pump B
7 Mixing Chamber
8 Top Priming Chamber
9 Heat exchanger
10 Reducer Unit
3 4 5
6
2
10 9
Mixing chamber
Water and concentrate are mixed in the mixing
chamber.
Heat exchanger
The temperature of the incoming water is raised
a couple of degrees in the heat exchanger. This
reduces the power consumption of the heating
elements. The heat exchanger is located on the
back plate of the AK 200 ULTRA S.
EMVA
ZEVA
TAVA
CWVA
FIVA
HDVA
BYVA
DIVA
BCVA
PBVA
PAVA
TPVA
LDVA
P18 is a 20 pins JTAG test connector. Signals are Jumpers on the FM CPU board
the five JTAG test signals connected to the
FPGA and 8 further signals that can be used for J1
J2
Short-circuiting causes the protective node Q to send a service message
Short-circuiting resets the protective node Q
test of the FPGA. Power: +5V. J3 The jumper, connected to the FPGA, can be used for test purpose
J4 Short-circuiting resets the Select supervision node
J5 Short-circuiting resets the control communication node
J6 Short-circuiting causes the control communication node to send a service
P19 is a 20 pins connector for the Select message
supervision node used for emulation. The reset J7 Short-circuiting causes the Select supervision node to send a service message
J8 Short-circuiting resets the protective flow restrictor node
and the service pin of the neuron chip are J9 Sets CPU F, OB and P in boot load mode ready to receive new software
J10 Short-circuiting resets the Select control node
connected to P19 together with the 11 I/O pins. J11 Short-circuiting causes the Select control node to send a service message
Power: +5 V. J12 Short-circuiting causes the protective flow restrictor node to send a service
message
Blood Monitor - BM
Single Needle Treatment - Single pump When the AK 200 ULTRA S is used for single
Following figures illustrate the flow diagrams needle-single pump treatment, the arterial and
when the AK 200 ULTRA S is used for single venous phases are time- or pressure -controlled.
needle treatment.
Arterial blood is removed from the patient when
the arterial line clamp is open and the venous
line clamp is closed. The running time of the ar-
terial blood pump is determined by the operator.
In this way a positive pressure is created. In the
Dialyzer
Expansion
chamber
Venous
pressure
next phase, the blood pump is stopped, the arte-
rial line clamp is closed and the venous line
clamp is opened, i.e. the blood is returned to the
patient by means of the positive pressure.
Expansion Venous
Dialyzer chamber pressure
needle treatment, both blood pumps are used. Arterial pump: Run, until
system pressure high limit
Note that the pumps are running in divergent is reached...
directions. Dialyzer
Venous
The treatment is controlled by a predefined pressure
Since the two blood pumps run alternately, the Simplified Flow Diagrams -
drip chamber acts as an expansion chamber to Single Needle Treatment - Double Pump
even out pressure pulsation.
Venous Venous
drip chamber pressure BVS
Dialyzer
Venous Level detector Arterial
pump pump
Arterial pressure
Expansion Priming
detector
chamber U2000 System
pressure
Patient
Venous Venous
drip chamber pressure BVS
Dialyzer
Venous Level detector Arterial Infusion
pump pump port FM
Arterial pressure
Priming
detector
System
pressure
Simplified Flow Diagram -
Double Needle Treatment - post dilution
Venous Arterial Heparin pump
clamp clamp
Patient
Infusion
port FM
J4, J5 Termination of EPRP and EPRN when system pressure is not mounted
J6 Termination of BPVC/ in case of single pump
P74
Power Supply
AC to the heating rods
Power supply
Mains voltage is fed to an AC/DC converter. mains directly. Consequently, in this case two
The AC/DC converter supplies the DC/DC units mains cables are required: one is connected
in the fluid monitor and in the blood monitor between the power unit and the power supply
respectively with supply voltage (+24 V). and one is connected between the power unit
and the fluid monitor.
A mains transformer and a stabilizer provide
the power control logic in the blood monitor In a mains power failure situation, the AK 200
with necessary supply voltage (+12 V). gives an intermittent buzzer alarm and is
disconnected from the +24 V supply by means
The power supply also supplies the heater rods of signal REMO. Signal REMO is obtained
in the fluid monitor with their supply voltage from the power control logic in the blood moni-
(mains). If the power supply is of 115 V type, tor.
the heater rods must be supplied from the
Monitor Stand
Electrical operated
Height adjustable
6
4
Monitor Stand
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:1
Performance and specification - Control
System
Note
• When accuracy ranges are written as e.g. “(±1 ml/min or ±1%)” the
widest range is valid.
Double Needle
HCEN9287 Revision.02.2006
6:2 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Air Detection
Sensitivity Bubbles larger than 1 µl will be trapped by
the drip chamber. An alarm will be issued
if the blood level falls below the middle of
the air detector.
Venous drip chamber size 22 mm
(diameter)
Heparin Administration
Heparinization 0/0.5 to 10 ml/h (±1 ml or 0.2 ml *
heparinization time (h) or ±5%)
Stop time, can be preset 0 to 4.00 h.min (±1 min) (20 min)
(Default)
Syringe size, can be preset 6 to 30 ml (30 ml)
(Default)
Maximum counter pressure +650 mmHg
The accuracy is based on tests with 20 ml and 30 ml syringes
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:3
Dialysis fluid preparation
Temperature
Fluid flow
Conductivity
Concentration
Concentrates
pH supervision
HCEN9287 Revision.02.2006
6:4 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Degassing
Ultrafiltration control
UF volume max. 30 litres (±50 ml or ±50 ml * passed
treatment time (h) or ±2.5%)
UF-rate 0.0 to 4.0 l/h
Treatment Time 0.05 to 9.59 hour.minute (±1 minute)
Profiling
UF-rate 0 to 4 l/h
Na+, Acetate mode 115 to 160 mmol/l
Na+, Bicarbonate mode 130 to 150 mmol/l
HCO3-, Bicarbonate mode 20 to 40 mmol/l
Half-times:
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:5
Diascan
Accuracy is valid in HD double needle and on-line HDF postdilution, for
blood flows 200 to 500 ml/min and fluid flows 500 to 700 ml/min, UF
profiling is allowed.
Temperature 93 °C
Fill up phase 10 minutes (13 minutes with UFD-kit,
(optional))
Circulation phase 15 minutes
Drain phase 4 minutes
Total time 29 minutes (32 minutes with UFD-kit,
(optional))
Decalcification CleanCart-C
Cleaning CleanCart-A
Temperature 93 °C
Fill up and mixing phase 12 minutes (13 minutes with UFD-kit,
(optional))
Circulation phase 15 minutes
Rinse/Drain phase 5 minutes (15 minutes with UFD-kit,
(optional))
Total time 32 minutes (43 minutes with UFD-kit,
(optional))
HCEN9287 Revision.02.2006
6:6 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Heat disinfection Program with liquid citric acid
Temperature 93 °C
Concentration 20 % citric acid
Concentration in machine 2 % citric acid; i.e. diluted 1 + 9
Consumption Approx. 200 ml
(Approx. 230 ml with UFD-kit, (optional))
Fill up and mixing phase 15 minutes
(18 minutes with UFD-kit, (optional))
Circulation phase 15 minutes
Rinse/Drain phase 13 minutes
(14 minutes with UFD-kit, (optional))
Total time 43 minutes
(47 minutes with UFD-kit, (optional))
Temperature 93 °C
Fill up phase 10 minutes (13 minutes with UFD-kit,
(optional))
Circulation phase 15 minutes
Low flow heat phase 20 minutes
Drain phase 4 minutes
Total time 49 minutes (52 minutes with UFD-kit,
(optional))
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:7
Low concentration Peracetic Acid Program
Hypochlorite Program
Formaldehyde Program
HCEN9287 Revision.02.2006
6:8 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Central Disinfection Program
Water supply
Water Supply Flow Rate
Treatment 300 to 750 ml/min
Disinfection 0 to 1150 ml/min
Inlet Water Pressure
to regulator 120 to 800 kPa
to machine 85 to 120 kPa
Inlet Water Temperature
Treatment +5 to +30 °C
Disinfection +5 to +90 °C
Inlet Water Quality Inlet water quality must comply with local
regulations and if no such regulation is
available follow ISO 13959. Level for
conductivity shall not exceed 0.1 mS/cm.
It is possible to use water with higher
conductivity if it consists mainly of sodium
salts. This may however affect the accuracy
of the fluid composition.
Inlet tube length Maximum 5 m or the specially designed
spiral PEX tubing
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:9
Drain
Drain (length of tube) Maximum 5 m
Drain capacity Minimum 1.0 l/min
Drain outlet Maximum 1.2 m above floor
If the optional air-gap on the machine is used the distance between the
air-gap and the drain must not be less than 0.3 m. For an electrically
adjustable stand in its lowest position this means that the drain must not
be higher than 580 mm. For a mechanically adjustable stand in its lowest
position the drain must not be higher than 550 mm.
Power supply
Mains Voltage 115; 230 V AC (±10%)
Frequency 50 to 60 Hz (±5 Hz)
Power Consumption Max. 2250 W at 230 V
Max. 1650 W at 115 V
Cable: 3 conductor cable, Length max. 3 m rating
250 V 10 A
Connector: Certified to IEC 320/C13.
Mains plug: Earthed plug, 250 V AC / 10 -16 A,
approved or Hospital grade, earthed plug,
125 V AC / 15 A, approved.
Earth Leakage Current max 500 µA, typical <100 µA (115 V), max
500 µA, typical <145 µA (230 V)
Patient Leakage Current max 100 µA, typical <10 µA (115 V), max
100 µA, typical <10 µA (230 V)
Fuses 2 x T 12 A
All leakage currents are specified without external equipment connected
to the machine.
HCEN9287 Revision.02.2006
6:10 AK 200 S Service manual - Technical data and specifications Program version 8.xx
External serial interface:
RS-232
RS-422
External interface:
External interface:
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:11
Battery Back-up
Battery back-up of power 24 volt, 6.5 Ah
supply
Running time >15 minutes
Fuse T 15 A
HCEN9287 Revision.02.2006
6:12 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Performance and specification - Supervisory
system
Note
• When accuracy ranges are written as e.g. “(±1 ml/min or ±1%)” the
widest range is valid.
Note
Venous Pressure
Arterial Pressure
System Pressure
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:13
Air Detection
Sensitivity Bubbles larger than 1 µl will be trapped by
the drip chamber. An alarm will be issued
if the blood level falls below the middle of
the air detector.
Venous drip chamber size 22 mm
(diameter)
Heparin Administration
Heparinization volume ±0.3 ml of set value (±1 ml or 0.2 ml *
alarm limit heparinization time (h) or ±5%)
The accuracy is based on tests with 20 ml and 30 ml syringes
Conductivity
HCEN9287 Revision.02.2006
6:14 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Ultrafiltration
Dialysis fluid flow operating 300 - 700 ml/min
range
UF rate supervision -4.0 to +4.0 l/h (±2 ml/min) Accuracy ±5
ml/min verified at start-up.
UF rate supervision, max ±1-10 ml/min, (±5 ml/min)
allowed difference between
control and protective
system, can be preset
(Default)
Accumulated UF volume ±0.10 - 2.0 l (±0.80 l) or ±0.10 l/h * passed
alarm limit, can be preset treatment time (h)
(Default)
Treatment Time Control 0.05 to 9.59 hour.minute (±1 minute)
TMP supervision alarm -200 to +550 mmHg (±15 mmHg)
For AK 200 S, TMP is defined as the
difference, Pb out - Pd out, where Pb out
is the venous drip chamber pressure and
Pd out is the pressure measured in the
dialysis fluid, where it enters the machine
after the dialyzer.
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:15
Physical data
References
Assembly Drawing: K22100
HCEN9287 Revision.02.2006
6:16 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Materials in contact with water, concentrates
and dialysis fluid
Polymers
Silicon rubber
Santroprene
PVC (Polyvinylchloride)
PEEK (Polyetherketone)
PEX (Polyethylene)
PP (Polypropylene)
PP (Polypropylene reinforced with talcum)
PSU (Polysulphone)
PVDF (Polyvinylidene fluoride)
PTFE (Polytetrafluoro ethylene)
Metals
Stainless steel SS2343
Stainless steel SS2353
Stainless steel SS2562
Titanium
Platinum
Others
Carbon
Ceramic, Steatite 221
Ceramic, Aluminium oxide (Al2O3)
Ceramic, Zirconium oxide (ZrO2)
Glass
Ferrite (Barium-Strontium- Ferrit)
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:17
Environmental data
Operation
If condensation occur when moving the equipment between locations
with different temperatures and high relative humidity (e.g. outdoor and
indoor locations), the inside of the equipment shall be allowed to dry
before switching on the equipment.
Electromagnetic environment
The AK 200 S is intended for use in the electromagnetic environment
specified below. The customer or the user of the AK 200 S should assure
that it is used in such an environment.
HCEN9287 Revision.02.2006
6:18 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Immunity test IEC 60601 Compliance level Electromagnetic enviroment-guidance
test level
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete or ceramic
discharge (ESD), ±8 kV Air ±8 kV Air tile. If floors are covered with synthetic
IEC 61000-4-2 material, the relative humidity should be at
least 30 %.
Electrical fast ±2 kV for power ±2 kV for power Mains power quality should be that
transient/burst, lines lines of a typical commercial or hospital
IEC 61000-4-4 ±1kV for ±1kV for environment.
input/output lines input/output lines
Surge ±1kV for ±1kV for Mains power quality should be that of a
IEC 61000-4-5 differential mode differential mode typical commercial or hospital environment
±2kV for ±2kV for common
common mode mode
Voltage <5 % UT <5 % UT Mains power quality should be that
dips, short (>95 % dip in UT) (>95 % dip in UT) of a typical commercial or hospital
interruptions and for 0,5 cycle for 0,5 cycle environment. If the user of the AK 200 S
voltage variations 40 % UT 40 % UT requires continued operation during power
on power supply (60 % dip in UT) (60 % dip in UT) mains interruptions, it is recommended
input lines. for 5 cycles for 5 cycles that the AK 200 S be powered from an
IEC 61000-4-11 70 % UT 70 % UT uninterruptible power supply or a battery.
(30 % dip in UT) (30 % dip in UT)
for 25 cycles for 25 cycles
<5 % UT <5 % UT
(>95 % dip in UT) (>95 % dip in UT)
for 5 sec for 5 sec
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should
(50/60 Hz) be at levels characteristic of a typical
magnetic field location in a typical commercial or hospital
IEC 61000-4-8 environment.
Note
• UT is the a.c. mains voltage prior to application of the test level.
Note
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:19
Immunity test IEC 60601 Compliance level Electromagnetic enviroment-guidance
test level
Portable and mobile RF communications
equipment should be used no closer to any
part of the AK 200 S, including cables,
than the recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3V d = 1.2 P
IEC 61000-4-6 150 kHz to 80
MHz
Radiated RF 3 V/m 3 V/m d = 1.2 P 80 MHz to 800
IEC 61000-4-3 80 MHz to 2,5
d = 2.3 P 800 MHz to 2,5 GHz
GHz
Radiated RF - 30V/m where P is the maximum output power
mobile phones rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters,
as determined by an electromagnetic site
survey2, should be less than the compliance
level in each frequency range3.
Interference may occur in the vicinity of
equipment marked with the following
symbol:
Note
• At 80 MHz and 800 MHz, the higher frequency range applies.
• These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and reflection from structures,
objects and people.
Note
2 Field strengths from fixed transmitters, such as base stations for radio
(cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM
radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic
site survey should be considered. If the measured field strength in the location in which
the AK 200 S is used exceeds the applicable RF compliance level above, the AK 200 S
should be observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as reorienting or relocating the AK 200 S.
3 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than
3 V/m.
HCEN9287 Revision.02.2006
6:20 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Recommended separation distances between portable and mobile RF communications equipment
and the AK 200 S
The AK 200 S is intended for use in an electromagnetic environment in which radiated RF disturbances
are controlled. The customer or the user of the AK 200 S can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the AK 200 S as recommended below, according to the maximum output power of the
communications equipment.
Rated maximum Separation distance according to frequency of transmitter
output power of (m)
transmitter
W
150kHz - 80MHz 80MHz - 800MHz 800MHz - 2500MHz
3,5 3,5 7
d = P d = P d= P
3 3 3
100 12 12 23
Rated maximum - - 7
d= P
output power of 30
mobile phone
2W - - 0.33
GSM/3G
For transmitters rated at a maximum output power not listed above, the recommended separation distance d
in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is
the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note
• At 80 MHz and 800 MHz, the separation distance for the higher
frequency range applies.
HCEN9287 Revision.02.2006
Program version 8.xx AK 200 S Service manual - Technical data and specifications 6:21
Standards
The machine complies with the following standards:
HCEN9287 Revision.02.2006
6:22 AK 200 S Service manual - Technical data and specifications Program version 8.xx
Spare Parts List
AK 200 S & AK 200 ULTRA S
June 2005
Item Denomination Order no. Remarks
Contents:
Fluid Monitor Monitor Stand
AK 200 S, FM-valves ........................................ 7-1 Monitor stand MS 200 ...................................... 7-36
Flow output pump ............................................ 7-2 AC/DC unit ....................................................... 7-37
Flow input pump .............................................. 7-3
Degassing pump ............................................... 7-4 AK 200 ULTRA S unique parts
Water inlet, Heat exchanger ........................... 7-5 AK 200 ULTRA S, FM-valves .......................... 7-38
Non-return valve, inlet nipples ....................... 7-39
FM, rear components ....................................... 7-6 Internal pressure regulator, infusion port ...... 7-40
Conductivity cells, Bubble chamber ................. 7-7 Ultrafilter holder .............................................. 7-41
Heating vessel, Degassing chamber ................ 7-8 Water inlet-, drain-connections ....................... 7-42
Mixing chamber ................................................ 7-9
UF measuring unit ........................................... 7-10 Collection of parts:
Printed circuit boards ...................................... 7-43
Bypass unit ....................................................... 7-11
Cablings ............................................................ 7-44
Valve units, ZEVA,TAVA, Deairating chamb .. 7-12
Tubes and silicone connectors ......................... 7-45
Safety bypass unit, Dia connectors,
PEX tubes ......................................................... 7-46
Blood leak detector. ......................................... 7-13
Bottom box ....................................................... 7-14
Air gap, optional ............................................... 7-15
Blood Monitor
Blood pump ....................................................... 7-27
Blood pump motor unit .................................... 7-28
Operator's Panel ............................................... 7-29
BM components ................................................ 7-30
BM cover ........................................................... 7-31
EVVA
ZEVA
EMVA
BYVA,DIVA
TAVA
PAVA BCVA
PBVA
TPVA
LDVA
4 BYVA K15235A
5 Solenoid valve K15035001
6 BYVA complete K20248001 incl. 4,5+7,8
7 DIVA K15235A
8 Solenoid valve K15035001
9 DIVA complete K20248001 incl. 7,8+4,5
10 DRVA K15235A
11 Solenoid valve K15035001
12 DRVA complete K15078001 incl. 10,11
13 EMVA K21139002
14 Solenoid valve K15035002
15 EMVA complete K15285004 incl. 13,14
16 EVVA K15619A
17 Solenoid valve K15035001
18 EVVA complete K15623001 incl. 16,17
19 FLVA K16007B
20 Solenoid valve K15035001
21 FLVA complete K21348001 incl. 19,20
22 FOVA K15235A
23 Solenoid valve K15035001
24 FOVA complete K15622001 incl. 22,23
25 INVA K15996A
26 Solenoid valve K15035001
27 INVA complete K21349001 incl. 25,26
28 LDVA K15235A
29 Solenoid valve K15035001
30 LDVA complete K21771001 incl. 28,29
31 RFVA K15235A
32 Solenoid valve K15035001
33 RFVA complete K15078001 incl. 31,32
34 TAVA K15235A
35 Solenoid valve K15035001
36 TAVA complete K15078001 incl. 34,35
37 TPVA K15235A
38 Solenoid valve K15035001
39 TPVA complete see reducer unit, 7-16
40 PAVA K21139002
41 Solenoid valve K15035002
42 PAVA complete K15285004 incl. 40,41
EVVA
ZEVA
EMVA
BYVA,DIVA
TAVA
PAVA BCVA
PBVA
TPVA
LDVA
46 ZEVA K15235A
47 Solenoid valve K15035001
48 ZEVA complete K15078001 incl. 46,47
11,12,13,26 23
5,8,21
1 25
2,14 234
88
3 4,9
6 23487
7 10
24
3
15
18
16 22
20
19 17
6 Washer K19013001
7 Screw 100369360
8 O-ring 100319007
9 O-ring 100319029
10 Valve solenoid K15035001
16 O-ring 100319056
17 Motor K18472A
18 Pump complete K40124001
19 Gasket K13572001
20 End bracket K13429A
21 Adapter K22547001
22 Screw 100378430
23 Connector, angled (small) K12951001
24 Tube connector, straight K10986001
25 Connector, T K12961001
26 Membrane K08056C
9,10,11,12 4
1
2,15
3 18,19,20
3
16
17 8
14 6
13
7 5
11 Screw 100378325
12 Membrane K08056C
13 End bracket K13429A
14 Screw 100378430
15 Screw 100378304
16 Nipple K14158001
17 O-ring 100319056
18 Connector, angled (small) K12951001
19 Nipple K01515002
20 Compressing gland K14540002
Note!
For machines without Differential Pressure Transducer;
- AK 200 S with serial number below 14265
- AK 200 ULTRA S with a serial number below 12108
refer to AK 200 S / AK 200 ULTRA S Spare Parts List, HCEN9288,
Revision 02.2003.
23
10,11,12,13 4,7,21
5 1,14
6
2
24 9
3,8
15
18
16 22
20
19 17
6 Srew 100369360
7 O-ring 100319007
8 O-ring 100319029
9 Valve solenoid K15035001
10 Valve housing, complete K15235A
11 Nut 100316082
12 Screw 100378325
13 Membrane K08056C
14 Screw 100378304
15 Nipple K14158001
16 O-ring 100319056
17 Motor K18472A
18 Pump, complete K40124001
19 Gasket K13572001
20 End bracket K13429A
21 Adapter K22547001
22 Screw 100378430
23 Connector, angled (small) K12951001
24 Connector, T K12961001
14
15
16
17
1,4
2,3
5
6,7
8,9
12
11
13
10
6 Nut 100316082
7 Membrane K08056C
8 Screw 100378325
9 Screw 100378330
10 Tube 100312093
11 Clamp 100334203
12 T-connector K12961001
13 Nipple K19219001
14 Clamp 100314177
15 Heat exchanger K15876005
16 Screw 100378610
17 O-ring 100319042 Between heat exchanger halves
30,34 28
31 29
32
1-11
13
12
14
33, 35
15-20 21-26 27
11 Dummy K13884001 pH
12 Cover, Relay Unit K21205001
13 Screw 100370412
14 Label 100340011
15 Screw 100370406
21 Screw 100378420
22 Locking washer 100322011
23 Nut 100390400
24 Washer 100392902
25 Washer 100322005
31 Screw 100378406
32 Screw 100378306
33 BPM connector 100334255
34 Plate K21199001
35 Cover plug 100316316
6
5
2 1,3 4
19
6 20 25
6
2 26
27
5 6
16 28
18 23
24
12
50 1
3
5 34 35
22
4
21 6
1 32
15 36
49
2 7 29
8 30
9
37
10
38
39
40
11
13 41 17
12 6 44
14 45
46
43
48
42
24
47
6 PT-screw 100369360
7 Top cover, complete K15107C
8 O-ring 100319054
9 Tube K14363001
10 Chamber K14711002
11 O-ring 100319046
12 Screw 100378406
13 Washer K06180001
14 Level transducer K11845A
15 Heating vessel K13566B
26 Ring K13565001
27 O-ring K13582001
28 Holder K13564001
29 Spacer K11875001
30 Screw 100372616
19
6 20 25
6
2 26
27
5 6
16 28
18 23
24
12
50 1
3
5 34 35
22
4
21 6
1 32
36
49 15
2 7 29
8 30
9
10 37
38
39
40
11
13 41 17
12 6 44
14 45
46
43
48
42
24
47
4
5
2
3
10
6
10
4 15
16
11
17
8
13
12
18
3
1
4, 5 13
7
2
14
6 Spacer K13799001
7 Fluid protection K20249001
8 Shielding cover K10701A
9 Fluid protection K18629001
10 Cablings K11291001
11 Cabling K11289001
12 Spacer 100316124
13 Carbon connector K21644001
14 T-connector K12961001
15 Fluid protection K13272001
7
18
5
4 15
21
22
6
19 14
20
2
12 3
11
10
18
11
13 10
1
17
8 9
16
6 O-ring 100319007
7 PT-screw 100369360
8 Valve solenoid K15035001
9 Gasket K14845001
10 Screw 100378325
11 Screw 100378330
12 Connector, straight K10986001
13 Valve house, complete K15235A
14 Valve membrane K08056C
15 Connector, T K12961001
16 Gasket K14846001
17 Screw, MCS 4x6 100378408
18 Connector, angled K12951001
19 Screw 100378416
20 Pressure transducer house K14041001
21 O-ring 100319029
22 Adapter K22547001
9
27
15
7
9
10,5
2
12
23
26
4,8 14
11
13
16
24
25
6
14 12
18
17
19
1 20
15 9 22
27 14
9
10,5
12
2
21
3
4,8
6 Chamber K14711001
7 T-connector K12961001
8 Valve cabling K14808001
9 Connector, angled K12951001
10 Locking nut 100316082
16 Tube K14363001
17 Washer K19013001
18 O-ring 100319007
19 Pressure transducer complete K21400001
20 O-ring 100319046
16
26
1
7 2 16
3
2
18
8 15,21,22,23,24,24,25
4 17
5 5 6 19,20
27
13
12 14
14
11
10
11 Nipple K14028002
12 Dia connector set K14082002 blue, including item 14
13 Dia connector set K14081002 red, including item 14
14 Locking ring K22591001 5mm from end of tube
15 Adapter K22547001
21 Housing K14041001
22 PT-screw 100369360
23 O-ring 100319007
24 Washer K19013001
25 O-ring 100319029
2
3
4
14
6
7,8
12
7,8
14
11
13
5 Nut 100316061
6 Plug 100316275 230V
7 Screw 100316039
8 Screw 100388410
9 O-ring K16214001
6 8
4
9
3
10
11
2
12
13
14
15
27
16
26
17
23
24
25
18
19
20
21
22
6 Screw 100388612
7 Connector angled K12951001
8 Connector K16273004
9 Screw 100372606
10 Connector, straight K10986001
11 Connector K16273002
12 Nut K18032001
13 Hose clamp 100334061
14 Clamp 100334217
15 Reinforced PVC tube K03343A L=60 cm
26 Screw 100388640
27 Water brake K11911001
26
12
26
11
12
11
9
14 8
21 18
21
2 19 10
26
7
17 24
19
4
13
19 3, 6
12
21
1
15
19 21
16
23
20
24
25
11
6 Spacer K21486001
7 Motor holder K15162001
8 Gasket K15038001
9 Strap 100314015
10 Reducer K12812014
16 Pin 100320079
17 Screw 100378430
18 Screw 100378304
19 Locking nut 100316046
20 Locking nut 100316082
21 Screw 100378330
22 Screw 100378408
23 Spacer K15049001
24 Washer 100322003
25 Spring 100346054
26 Nipple K01515002
3,9
4
5
2
10
10 1
1
7 8
10
16 15
14
12
13
35
35
32 33
4 5
11
23
21
2
22
3
18
20
19
7
34 6
1
24
26
27
28
29
30
31
26 27
AK 200 S & AK 200 ULTRA S
HCEN9288 Rev.06.2005
8
7 - 18 Spare Part List
20 Screw 100378410
21 Screw 100378460
22 Fluid protection K18387001 FM/BM
23 Top tray K18253001 included in MS 200 complete
24 Holder K15387001
34 Support 100314197
35 Screw K18442A
7
11
19
1,2,3,4,5
8
7
6 Nipple K01515002
7 Solenoid K15035001
8 Connector, angled K12951001
9 Chamber unit complete K21514001
10 Level guard K40135001 for item 9
2
5
6
4 1
3 18
1 12 1 13
15
17
17 Arm, upper
16
4 18
5 14 15
11
8
16
6,9,10
12
12 13
7,9,10
15 13
8 5 12 2
16
2
17 17
Arm, lower
4
14
11 Tube 100312032
12 Magnet K19049002
13 T-connector K17237001
14 Concentrate filter K16538C
15 O-ring 100319008
16 O-ring 100319046
17 Tube, silicone 100312032
18 Protective ring K22829001
13
9
2-6
7
10
14
1 16 15
11 12
6 Screw 100378304
7 Connector, angled K12951001
8 Non return valve K17978001
9 Connector K17725001
10 Connector, straight K10986001
2 3
4
1
6 14 4 2
8
13 Arm, upper
12 7
9
14
10 8
6
7
2
6
8 2
6 7 11
Arm, lower
11
1 Shaft K17481001
2 T-Connector K17237001
3 Sealing K19064001
4 Arm, upper K23031001
5 O-ring 100319032
6 Magnet K19049002
7 O-ring 100319046
8 O-ring 100319008
9 Bypass nipple K14908001
10 O-ring 100319026
6 Washer K07421001
7 Bypass valve K14425001
8 Connector, L 100334218
13
8,9,10
2,3
7
4,5,6
11
12
6 Membrane K08056C
7 Screw 100378325
8 Nut K18032001
9 Nipple K16273004
10 Connector, straight K10986001
23489
0
21
23
1 50
2178
2
2
21784
3
1
21
23
3
78
21
16
0
13
131
10
2 8
3
9
4,6,7
1
12
11
4 PT-screw 100368226
5 Cover K19693A A=arterial B=venous
incl. magnet
6 Magnet plate K15662001
7 Rotor guard bord K15670003
8 Screw 100379516
9 Cabling K11405001
10 Cover sensor PCB K20112001
11 Screw 100378416
12 Roller K20891001
5
3
1
4
2
8 10
7 9
14
6
13 11
12
7 9
8 10
6
1
2
3
4,5
23 5, 12, 28 2,3
22 4,5
29 6
7, 18 21
15
1
14
12, 13
12, 17
9, 11 9, 30, 31
10 32
8,16
26, 27 26, 27
25
19, 20
12
10
34 33
6 Screw 100372606
7 BYVA Control board K18766001
8 Holder K14893001
9 Rubber foot 100307030
10 Grounding sign 100340001
11 Screw 100378412
12 Screw 100378410
13 Screw 100379412
14 Strap 100314015
15 Label K15818001
16 Screw 100378408
17 Screw 100379412
18 Screw 100379308
19 Screw 100378306
20 Battery cable+holder K19787001
26 Pump K21388001
27 Pump tube K22114001
28 BM distribution board K19433002
29 Press. transd. board K21365001
30 Locking washer 100322011
31 Nut 100390400
32 Bottom plate K21157A
33 Fuse cable air pumps K21895001
34 Fuse cable 1 air pump K21919001
10
15
14,16,17
13
4
6
5
3
12 2
18, 19
17 Washer 100322003
18 BVS-unit K40100001 incl. 19
19 Optical Switch + BVS Harness M6973044
* Dripchamber holder, compl. K1 4034 005 does not incl. item 10 -11
8
4
5 1
6
2
6 Screw 100378406
7 Housing K15765002
8 Piston Holder K15782002
1
3 2
7
8,12
9
10,11
4
6 5
15
14
13
6 Screw 100370416
7 PT-screw 100367308
8 PT-screw 100366258
9 Light guide 1 K21328001
10 Light guide 2 K14835001
11 O-ring 100318111
12 Priming detector board K21057002
13 Shaft K18042001
14 Roller K04402003
15 O-ring 100318067
2
5
6,7
8
5
6
4
7
Venous pressure
Arterial pressure
System
pressure
2
3
4
40 42 35
34
15
7 26 5 39 36
43 31
33(34) 13
27 30
49
32 31
32
32
30 31
38 3 37
14
8
20
2 19
27
16 31
29 24
30
6 31 32
11
1
28
41 51 18
50
47 26 48,25
17
9 21
16 16
23
22
10
16
4
40 42 35
34
15
7 26 5 39 36
43 31
33(34) 13
27 30
49
32 31
32
32
30 31
38 3 37
14
8
20
2 19
27
16 31
29 24
30
6 31 32
11
1
28
41 51 18
50
47 26 48,25
17
9 21
16 16
23
22
10
16
230V
7
115V
2 230V
10
10
6
8,9 1
4
5
EMVA
ZEVA
TAVA
CWVA
FIVA
HDVA
BYVA
DIVA
BCVA
PBVA
PAVA
TPVA
LDVA
1 CWVA K15253B
2 Solenoid valve K15035002
3 CWVA complete K19132001 incl. 1,2,4,5,7,8
4 FIVA K15235A
5 Solenoid valve K15035001
6 FIVA complete K19132001 incl. 1,2,4,5,7,8
7 HDVA K15235A
8 Solenoid valve K15035001
9 HDVA complete K19132001 incl. 1,2,4,5,7,8
7
1-4
5
6
6 Nipple K16273001
7 Connector, T 100334044
4,5,6
15
7
1,2
10
11,12,13,14
9
6 Nut 100316082
7 Screw 100378304
8 Screw 100378408
9 Infusion nipple K16512001
10 Screw 100366314
12
13
14,15
17
21
4 18
3 10,11
5
6
1,2
7 260mm
9
19
8
400mm 7
20
17
16
6
9
13
12
6 Clamp 100334203
7 Tube 100312093
8 Spring 100346058
9 Screw 100371025
10 Nipple K16273001 for Water filter
16 House K17723001
17 O-ring 100319029
18 Nut K18032001
19 Rear cover K17720002
20 PT-screw 100366314
21 Screw 100366258
AK 200 S
U-FILTER U-FILTER
Airgap / Drain
Water filter
9
11 10
14
13
12
Item
Item Denomination no.
Order no. Remarks
Clamp
11 Nipple K19219001
12 Nipple K11817001
13 Plastic nut 100316061
14 Tube 100312012
Note! The numbers on following PEX tubes only corresponds to AK 200 S and AK 200 ULTRA S.
1 Tube no 13 K14984001
2 Tube no 16 K12870001
3 Tube no 19 K14918001
4 Tube no 31 K13231002 length 38mm, straight
5 Tube no 32 K13231003 length 59mm, straight
6 Tube no 32 K15588001
7 Tube no 47 K15372001
8 Tube no 48 K14985001
9 Tube no 49 K14987001
10 Tube no 50 K19010001
11 Tube no 51 K18212001
12 Tube no 54 K18215001
13 Tube no 55 K18216001
14 Tube no 76 K18368001
15 Tube no 111 K15326001
71 Tube B K19042001
72 Tube K13231004 Length 28mm, not marked, straight,
occurs in many different places.
73 Tube K1 6294 001 Not marked, slightly bend, occurs
above pump unit 2 in AK 200 ULTRA S.
74 Tube 100 312 056 Sold per meter
Tel: +46 46 16 90 00
Fax: +46 46 16 96 96
www.gambro.com
Chapter 9
Symbol Description
Note: All symbols in this list may not be represented on this product.
Description
Alternating current
This way up
Keep dry
Input /Output
Year of manufacturing
Prohibited behaviour
Equipotentiality
Calibration Manual
General
Calibration
Befpre calibration ............................................... 2
Calibration
General
Before Calibration:
Guidelines for the AK 200 S / AK 200 ULTRA S,
related to Service and Maintenance: Perform both a disinfection and a cleaning/
decalcification to remove both organic and
• During transportation and storage: calcium precipitates, according to the AK 200 S /
AK 200 S / AK 200 ULTRA S must for practical AK 200 ULTRA S Operator’s Manual. This is not
reasons be rinsed and drained, however, as soon necessary if this has been done during mainte-
as the machine is installed, the disinfection nance.
schedule should be followed.
Warning! After completing the check and calibrations, the conductivity value must always be
confirmed by the hospital laboratory or equivalent.
1. Start the AK 200 S / AK 200 ULTRA S and 1. Start the AK 200 S / AK 200 ULTRA S and
enter the servicemenu. enter the servicemenu.
START START
3. Press UF
STOP
to enter calibration routine. 3. Press UF
STOP
to enter calibration routine.
E01339007
START
6. Press UF
STOP
to load the value into the
TP13
EEPROM. TP3
TP14
TP18
TP1 TP19
TP15 TP20
TP6
TP4
TP10
TP8 TP11
TP5 TP12
TP2 TP9 TP16
TP7 TP17
TP22
E01339007
1073
TP21
TP13 TP18
TP3
TP14 TP19
TP1 TP15 TP20
5. Set the “REF SET” on the display to the
TP6
TP4 value shown on the voltmeter (min. 48,96
mV max. 50,88 mV).
TP21
START
3. Press UF
STOP
to enter calibration routine.
TP10
TP8 TP11
TP5 TP12
TP2
E01339007
TP13 TP18
TP3
TP14 TP19
TP1 TP15 TP20
TP6
TP4
TP9 TP16
TP7 TP17
TP22
1073
TP21
START
6. Press UF
STOP
to load the value into the
EEPROM.
4. Disconnect tube no. 224 at the degassing 20. To exit from the Degassing Pressure
pump unit.
Calibration, press .
START
5. Press UF
STOP
to enter the calibration routine.
* If an “ERROR MESSAGE” is shown on the
6. Set the “REF. SET” value on the display to
0 mmHg (with the set knob). display at this point, push and start
again from point no 3. If the error still
exists after a 2nd try, check that the calibra-
7.* Press below “REF. SET” to enter the
tion tubes are intact.
value and wait for the calibration display. If the tubes are correct, repeat the calibra-
tion procedure with a new transducer.
8. Connect a Pressure meter (together with a
calibration tube) in the place of tube no. 224 Ex. of calibration error meassage:
at the degassing pump unit.
6. Set the “REF. SET” value on the display to 16. Press below “REF. SET” to enter the
0 mmHg (with the set knob). value and wait for the calibration display.
8. Connect a Pressure meter (together with a 18. Reconnect tubes no. 226 and 121.
calibration tube) in place of tube no. 121 at
the flow output pump unit.
Equipment needed: Pressure meter, Calibration 12. Press below “REF. SET” to enter the
tube set. value and wait for the calibration display.
1. Start the AK 200 S / AK 200 ULTRA S and 13. The machine will now ask you to confirm to
let it run with fluid for 30 minutes. enter sensitivity calibration.
the EEPROM.
4. Disconnect both end of tube no. K23473 at
the pressure transducer unit.
15. Reconnect tubes no. 32 and K23473.
START
5. Press UF
STOP
to enter the calibration routine. Note!
For machines without Differential Pressure
6. Set the “REF. SET” value on the display to 0 Transducer, refer to the Flow Input Pressure
mmHg (with the set knob). Transducer calibration in the AK 200 S /
AK 200 ULTRA S Maintenance- Manual,
HCEN9293, Revision 02.2003.
7. Press below “REF. SET” to enter
value and wait for the calibration display.
Equipment needed: Pressure meter, Calibration 11. Press below “REF. SET” to enter the
tube set. value and wait for the calibration display.
1. Start the AK 200 S / AK 200 ULTRA S and 12. The machine will now ask you to confirm to
let it run with fluid for 30 min. enter sensitivity calibration.
To confirm: press below “YES”.
2. Initiate drain. When DRAIN starts to flash,
enter the service menu, Calibration and
select Extern. Set the display at the pressure To exit: press (will stop calibration).
transducer to be calibrated.
3. Disconnect tube no. 19 at the bypass unit. 13. Apply a pressure of approx. +500 mmHg.
the EEPROM.
7. Connect a Pressure meter (together with a
calibration tube) in place of tube no. 19 at
17. Reconnect tube no. 19.
the bypass unit.
START
7. Connect a Pressure meter (together with a 17. Reconnect tube no. 130.
calibration tube) in place of tube no. 2 at
the deairating chamber.
START
16. Press UF
STOP
to load the calibration values into
the EEPROM.
Co
nd
uct
m S ivity
/cm
ph
@
37 O
C
ph Co
@ mS ndu
25 /cm ctiv
O
C ity
Te
mp
Scr era
oll ture
Ca Pre
lib ss
rate ure
Tim
er
En
ter
/R
DX ese
t
pH-sensor calibration, FM 13
Equipment needed: Cup with pH 7 buffer solu- 8.* Press below “REF SET” and wait until
tion, bowl with pH 7 buffer solution and bowl the calibration display returns.
with pH 9 buffer solution.
START
A complete calibration procedure consists 10. Remount the pH sensor into the pH sensor
of the following steps: housing.
15. When the calibration display returns, Note! Let the AK 200 S / AK 200 ULTRA S
START stabilize at 37° C
press UF
STOP
to load the calibration values
into the EEPROM. 4. Enter the Service menu, select calibration,
intern and Blood Leak Detector.
16. Remount the pH-sensor into the pH sensor Place A-pickup tube in concentrate contai-
housing. ner and let it stabilise for 15 minutes.
START
12. Press UF
STOP
to store the calibration values.
TEMPERATURE FM CPUBOARD
4 Press and switch to .
FM0
START
5 Connect the dialyzer coupling to the conduc- 4. Press UF
STOP
to enter the calibration routine.
tivity cell on the Pressure meter.
5. Read the room temperature on a
6 Adjust venous pressure to +100 mmHg and Temperatur meter and set the “REF SET”
TMP to +400 mmHg. value on the AK 200 S / AK 200 ULTRA S
display to the same value.
7 Connect a tube between the infusion port and
an external Pressure meter.
6. Press the lit below “REF SET” and
wait for the calibration display to return.
8 Press to obtain main flow through the
START
pressure regulator. 7. Press UF
STOP
to load the calibration value into
the EEPROM.
9 Adjust the pressure regulator to +55 mmHg
±5 mmHg. * Make sure the ref. instrument transducer has
been in room temperature at least 30 min.
1. Start the AK 200 S / AK 200 ULTRA S. Set To exit: press (will stop calibration).
the temperature to 37,5 °C.
START
6. Press “Start”
CALIBRATION IN PROGRESS
Old value xxx Trouble shooting
If the calibration was unsuccessful , the following
The calibration will now be performed automati-
attention is displayed:
cally by the AK 200 S / AK 200 ULTRA S. Two
calibrations are performed and their results are
CALIBRATION FAILED
compared.
Press HOLD key to abort
If the difference are within a limit, the calibra-
tion is approved.
Possible reasons for problems are:
The new values are not checked against the old.
• No SelectBag inserted
When the calibration is ready, the following text
• Fluid tubes faulty connected/leaking
is displayed:
• Pump volumes not calibrated
• Defective level detector/misconnected
CALIBRATION READY
• Air/foam in SelectBag fluid tubes and/or level
Old value xxx New value xxx
detector chamber
• Calibration values differ to much
START
7. Press UF
STOP
for storage of new value. • Pumps defective or faulty connected
• Defective FM CPU-board
PRS EEPROM PARAMETER STORAGE If no obvious errors are found, perform a new
Wait for selection menu calibration.
Before starting the calibration, the following 5. When the priming is completed (no air bubbles
preparations must be done:
left), press below Stop.
1. Disconnect the output tube from the BiCart
Select control pump at the Y-connector, and Calibration
re-connect it to a silicone tube, 100 312 032
via connector L05172001. Put this tube into 6. Move the silicone tube from the fluid contai-
an empty fluid container. ner into the Measuring cylinder.
2. Attach a SelectBag to the SelectBag holder. 7. Press below Start to enter the
2. Select Other
9. To enter the reference volume press and
SELECT FM SUPPORT OPTION the calibration calculation starts.
Lvl det Sel Pump UF
10. When the result of the calculation is dis-
3. Select Sel Pump played, press
START
UF to load the calibration
STOP
Note! 5. Complete
• Before the calibration procedure is started,
perform a heat disinfection. Note! If a separate FRN calibration is desired,
• A UF-cell calibration will automatically be steps 3 and 4 can be replaced by “Restr”
followed by FRN calibration if the machine is
preset for BiCart Select 6. Place Acetate pick-up tube in concentrate and
• If FOP transducer, FIP transducer, FOP connect UF calibration box.
pump or FIP pump is re-calibrated after-
wards, a new FRN calibration must be per- After the UF-cell calibration the FRN part will
formed. be performed:
• If the UF-cell is exchanged a new FRN cali-
bration must be performed. RESTRICTOR UF CALIBRATION
• If following parts are exchanged/calibrated, a CALIB NR 0
new FRN calibration must be performed and
the following conditions must be fulfilled: The calibration will now be performed automati-
- Stable temperature cally. CALIB NR 0-6 will be displayed during
- Deair chamber level must be over 13mm calibration.
- Degassing level must be 50mm
- Stable conductivity When the calibration is ready, the following
Exchanged Calibrated Installed attention is displayed:
FOP transducer X X
FIP transducer X X RESTRICTOR UF CALIBRATION
FOP pump X READY
FIP pump X
pH-cell X X X
Cond.cell B X Trouble shooting
FOP restrictor X
A FRN calibration takes approximately 15 min-
FIP restrictor X
utes. If the calibration is not ready within the
UF cell X X double time, cancel and perform a new calibra-
tion.
At start-up after manufacturing or after FRN Possible reasons for problems are:
node exchange, no calibration value will be • No UF-calibration performed
available. The following error-code will be gener- • No concentrate
ated during FCH and no treatment will be • Problems in fluid part
possible:
Check and replace if problems remains.
FCN 1.39.004 Too many tarations not
approved by node.
Laboratory test
Preset concentrates must be verified by
laboratory test of the dialysate produced by the
AK 200 S / AK 200 ULTRA S.
Put the B suction tube to A concentrate 5. Set the Main flow to 600 ml/min and measure
container (or acetate container), A suction tube the drain flow as described above. The measured
in the heating vessel. and displayed volume should be 1200 ml ±24 ml.
Turn on the equipment on the following Note! Rinse the AK 200 S / AK 200 ULTRA S
order: before leaving it, or before turning it off.
1. Connect the UF calibration box to the mains.
2. Start the AK 200 S / AK 200 ULTRA S with Turn off the equipment in the following
the main switch and the ON/OFF button. order:
1. AK 200 S / AK 200 ULTRA S ON/OFF button.
Enter service mode. 2. AK 200 S / AK 200 ULTRA S main switch.
3. Disconnect the UF calibration box (mains cable).
Connect the fluid tubes to the UF calibration box.
START START
3. Press UF
STOP
to enter calibration routine. 2. Press UF
STOP
to start calibration routine.
4. Measure the voltage between TP 4 and TP 5
on the BM CPU board. (See figure below) 3. Make sure nothing is connected to the trans-
ducer (zero pressure).
S/c
ity
T
37
ph
¤C
T
25
¤C
START
Sc
rol
mS
nd
lib
UF
rat
uc
e
tiv
Te
ity
mp
era
Pr
tur
es
STOP
e
su
re
Tim
er
En
DX
ter
/ Re
se
t
the EEPROM.
S/
ity
T
37
ph
¤C
T
25
¤C
Sc
roll
Co /cm
Ca
mS
nd
lib
rat
uc
e
tiv
Te
ity
mp
era
Pr
tur
es
e
su
re
Tim
er
En
DX
ter
/ Re
se
t
S/
ity
cm
T
37
ph
¤C
T
25
¤C
Sc
roll
Co cm
Ca
mS/
nd
lib
rate
uc
tiv
Te
ity
mpe
ratu
Pr
es
re
su
re
Tim
er
En
DX
ter
/ Re
se
t
3. Insert a filled drip chamber. It is recom- The reason for the error is probably that the drip
mended that both the water and the drip chamber was touched during the calibration.
chamber have a temperature of 37° C. Make Make sure that the drip chamber is correctly
sure that the level detector (Air detector) inserted, that there is no air bubbles in the
and drip chamber are dry and clean. If water and that the temperature is 37 °C. Then
possible, the drip chamber shall be from the repeat the calibration.
same type of bloodline as will be used during
treatment. If the alarm limit is too high or too low, the
following error message is displayed:
4. Press the lit .
CALIBR LOW LEVEL HIGH
5. The calibration is now performed automati- ERROR 14 XX 70
cally and the calibration factor is written
into the EEPROM. If the problem remains, this means that the air
detector transducers are bad. The air detector
6. The calibration result is displayed: must be replaced.
The value under LEVEL is the new alarm limit, CALIBR COMP LEVEL
which shall be between 14 and 70. ERROR VERIFICATION FAILED
The value under TRANSMIT is the transmission The reason for the error is probably that the drip
level, which is normally 255 but can also be 160, chamber was touched during the calibration.
if the air detector transducers are exceptionally If the problem remains, some circuit is broken
good. on the BM CPU board.
Equipment needed: Temperature meter. Equipment needed: Adjustment kit for blood
pump rollers.
1. Place the Blood Monitor in service position.
Insert a gauge pin (with the same diameter as
2.* Make sure AK 200 S / AK 200 ULTRA S has the double wall thickness of the pump segment
been switched off for at least 30 minutes multiplied by 0,7), between one of the pressure
without beeing moved (to asure room rollers of the blood pump rotor and the pump
temperature on the main BM CPU board). path without using force.
3. Start the AK 200 S / AK 200 ULTRA S, A kit for adjustment of blood pump rollers,
enter the service menu and set the including three different gauge pins is available.
AK 200 S / AK 200 ULTRA S display to:
BM 0, “TEMP BM CPU BOARD”. Note! Check the distance between the pressure
roller and the blood pump path. It must not be
more than the diameter of the gauge pin in the
4. Press to enter the calibration routine.
measuring range of the blood pump path.
5. Read the room temperature on a Tempera- If necessary adjust the adjustment screw and
ture meter and set the “REF SET” value on check again.
the AK 200 S / AK 200 ULTRA S display to
the same value.
START
7. Press UF
STOP
to load the calibration value into
the EEPROM.
= Measuring range
BPM-test
If the displayed value is below 4 mm Hg/second If the result from the inflation speed test is
this test indicates that there is a change in the below the limit, check that the cuff hose is not
restriction for the valves affecting the time for kinked or squeezed and that cuff no. 3 is con-
the air within cuff and cuff hose to be let out. nected.
Check of pressure transducer calibra- If the result from the deflation speed test is
below the limit, check that the cuff hose is
tion, static pressure and over pressure
correctly connected to the cuff and that the tube
protection is not kinked or squeezed.
By entering this test mode it will be possible to Otherwise the failure is caused by the BPM and
check the actual pressure value for the BPM it must be replaced.
pressure on the AK 200 S / AK 200 ULTRA S
display.
P63 black
GXL-logging program
Procedure:
• Start the system and wait until the
AK 200 S / AK 200 ULTRA S has performed
Fch and the first self calibration.
• Volume Control mode
• Let the AK 200 S / AK 200 ULTRA S run for
at least 45 minutes, bypass off.
• Select suitable mode: BiCart, Acetate or
Liquid Bicarbonate.
• Set temperature value: 37.0 °C.
• Start the GXL-program on the PC.
Modem connection
P63 black
Logging values
Conductivity values correspond to the preset concentrate and set values. See page 2:55. The table is
valid for a main flow of 500 ml/min.
SRI 8 Degassing pressure X.X mm Hg **-580.0 +/-20.0 **-630.0 +/-20.0 **-580.0 +/-20.0
SRI 10 Flow out pressure X.X mm Hg -175.0 +/-40.0 -175.0 +/-40.0 -175.0 +/-40.0
SRI 6 HPG pressure X.X mm Hg ***-95 +/-25.0 ***-95 +/-25.0 ***-95 +/-25.0
SRI 7 SAG pressure X.X mm Hg -120 +/-50.0 -120 +/-50.0 -120 +/-50.0
SRI 4 PD pressure X.X mm Hg -125 +/-15.0 -125 +/-15.0 -125 +/-15.0
SRI 9 Flow in pressure X.X mm Hg +175 +/-50.0 +175.0 +/-50.0 +175.0 +/-50.0
SRI 71 A-pump deviation X.X % < +/-5.0% < +/-5.0%
SRI 72 B-pump deviation X.X % < +/-5.0% < +/-5.0%
SRI 73 Ac-pump deviation X.X % < +/-5.0%
SRI 97 Degassing pump duty cycle X.X % <75.0 % <70.0 % <70.0 %
SRI 31 Flow out pump duty cycle X.X % <50.0 % <50.0 % <50.0 %
SRI 35 Flow in pump duty cycle X.X % <50.0 % <50.0 % <50.0 %
SRI 0 System pressure X.X mm Hg 0.0 +/- 5.0 0.0 +/- 5.0 0.0 +/- 50
SRI 1 Venous pressure X.X mm Hg 0.0 +/- 5.0 0.0 +/- 5.0 0.0 +/- 5.0
SRI 82 Arterial pressure X.X mm Hg 0.0 +/- 5.0 0.0 +/- 5.0 0.0 +/- 5.0
SRI 24 Bloodleak detector value X 0 +/- 10 0 +/- 10 0 +/- 10
SRI 25 Flow rate channel 1 X.X ml/min 500 +/- 1 % 500 +/- 1 % 500 +/- 1 %
SRI 26 Flow rate channel 2 X.X ml/min 500 +/- 3 % 500 +/- 3 % 500 +/- 3 %
SRB 0 Level det. transmit level 255 or 160 X X X
SRB 89 Level det. comparation level min.14, max 70 X X X
During repair of any of the parts in the flow path, special care should
be taken and a good hygiene should be kept.
Checklists for each sub-test are included in the end of this manual. The
purpose of these checklists is to record the work done and to trend the
readings from the ELT/PLT- tests.
NOTE
The machine shall not be connected to mains power during this test.
Digital Multimeter:
Manufacturer: e.g. Fluke
Resistance: accuracy ± 0.5 %
Safety tester:
According to IEC 60601-1
Suggested Manufacturer: Metron, Rigel, Biotec
Safety
tester
Feed water AK-machine
mains prot. earth leakage current
earth enclosure
Drain
lead to GND lead to lead AC/DC lead ISO
outlet power
Inlet Power
Mains voltage to
the AK-machine
*The total earth leakage current is the sum of the readings from both
mains cables (to the heater rods and to the ACDC).
NOTE
Make sure that the machine does not perform a taration (self calibration)
during the measurements.
Patient
leakage
current Safety
Dialysis fluid tubes tester
AK-machine
mains prot. earth leakage current
earth enclosure
230 VAC
Access-
leakage current
Inlet Power
AC/DC lead ISO
outlet power
Mains voltage to
the AK-machine
Note! There must be a main flow during this test. Check that the
Bypass button is switched off.
AK 95 / AK 95 S
AK 200 / AK 200 ULTRA / AK 200 S / AK 200 ULTRA S
Visual inspection
Visual inspection of the AK-machine according to section 2.
File the highest earth leakage current value when the machine is running
according to section 4.3:
Earth leakage current value: _______ µA
Note!
Check that the highest measured readings don’t exceed the limit values
described in section 4:3
File both the highest AC-reading and the highest DC-reading when the
machine is running according to section 4.4:
AC-reading: _______ µA
DC-reading: _______ µA
Note!
Check that the highest measured readings don’t exceed the limit values
described in section 4:4
Date:__________________________
Signature:_______________________
Other comments:
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
___________________________________________________________
Select
INVA detector cell B
return
valve FOVA Restrictor
Pressure Filter
regulator Feeding pump A Flow Flow
P
output output
Filter
BCVA Feeding pump B pump pressure
BiCart
TPVA ZEVA
Filter BiCart
Blood leak
Bubble trap detector UF-measuring
Flow input EVVA EMVA cell
pressure P T
Cond
Flow input cell C
Deairating 2 1
Restrictor pump
Pure Particle P chamber with
water filter PD level detector TAVA
inlet P
SAG Safety HPG
Drain P by-pass
BYVA
unit
DIVA
Pure water
SelectBag concentrate
SelectCart concentrate
A concentrate
B concentrate
Dialysis fluid
Dialysate
AK 200 S UFD Flow path
Flow Recirculation Expansion
restrictor RFVA valve chamber
Select
INVA detector cell B
return
valve FOVA Restrictor
Pressure Filter
regulator Feeding pump A Flow Flow
P
output output
Filter
BCVA Feeding pump B pump pressure
BiCart
TPVA ZEVA
Filter BiCart
Blood leak
Bubble trap detector UF-measuring
Flow input EVVA EMVA cell
pressure P T
Cond
Flow input cell C
Deairating 2 1
HCEN10398
Restrictor pump
Pure Particle P chamber with
water filter PD level detector TAVA
inlet P
SAG Safety HPG
FIVA Dialysis fluid
Drain P by-pass
filter BYVA
unit
U8000S DIVA
Pure water
SelectBag concentrate
SelectCart concentrate
A concentrate
B concentrate
Dialysis fluid
Dialysate
Ch12_3_FM_flow diagram.pdf 2006-07-11 11:56:02
AK 200 ULTRA
S S Flow path
Flow Recirculation Expansion
restrictor RFVA valve chamber
Water filter U8000S Mixing Degassing Degassing
FLVA Heating Over Flow chamber DRVA pressure chamber with
vessel flow restrictor
Degassing level detector
P
Flow Filter PAVA C P M restrictor
restr- Heat Filter
ictor Ex-
changer
T T
Cond T P
pH-sensor
Non- cell A
Non- Degassing
return
return valve pump P
LDVA T
valve Control pump
Level Cond
Select
INVA detector cell B
return
valve FOVA Restrictor
C
Pressure Filter
regulator Feeding pump A Flow Flow
M P
output output
Filter
Feeding pump B
Y
MY
TPVA ZEVA
CY
Filter BiCart
Blood leak
CMY
Bubble trap detector UF-measuring
K
Flow input EVVA EMVA cell
pressure P T
Cond
Flow input cell C
Deairating 2 1
HCEN10399
Restrictor pump
Pure Particle P chamber with
water filter PD level detector TAVA
inlet P
SAG Safety CWVA HPG
Pressure Dialysis fluid
Drain P by-pass
HDVA regulator filter BYVA
unit