baxter AK 98 Installation guide

AK 98
Machine Introduction
Training Material

Introduction Module
AK 98
Dialysis Machine
Reference:
AK 98
Operator’s Manual 3.xx
Chapters 2 & 3

3
INTENDED USE | Refer to Operator’s Manuals SW 3.xx
Special Considerations:
CAUTION!
If treating patients weighing below 25 kg it is recommended that UF supervision alarm limits are configured accordingly by
an authorized service technician.
CAUTION!
The treatment of patients with a weight below 25 kg shall be performed under the full supervision of the physician. In these
cases, additional measures to supervise the patient weight loss as per standard of care for low body weight is
recommended. Failure to do so could result in serious adverse consequences like hypovolemia and hypotension.
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4
AK 98
DIALYSIS MACHINE
Important Notice:
The contents of this training does not
replace the training by the local
healthcare provider. It does not replace
the users responsibility to read and
understand the full text of the Operator’s
manual prior to operating the machine.
If there are deviations between the
actions described here, and the
instructions contained in the Operator’s
Manual, then the information from the
Operator’s Manual takes precedence.
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LEARNING OBJECTIVES
The aim of this module is to obtain an overview of the
AK 98
dialysis machine with special focus
on:
•The blood part of the machine
•The fluid part of the machine
•The operator’s panel
•Setting of the treatment parameters and activating functions
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MACHINE EXTERNAL COMPONENTS | Blood Part
1. Remote Operator’s panel (not available in all markets)
2. Operator’s panel
3. Air detector
4. Venous pressure transducer connector
5. Arterial pressure transducer connector
6. Blood pump
7. Heparin pump
8. Priming detector
9. Arterial blood line clamp
10.Venous blood line clamp
11.Prime bucket (not available in all markets)
6
2
1
8
6
11
7
4
5
3
10
9
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MACHINE EXTERNAL COMPONENTS | Blood Part
11. Arm for dialyzer holder
12. Expansion chamber holder
13. Blood pressure monitor (BPM)
14. Blood line guides
15. Level adjustment knob
16. BPM cuff holder
17. Top tray
18. Infusion stand
11
16
12
15
17
18
13
14
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8
MACHINE EXTERNAL COMPONENTS | Fluid Part
1. Stand-by ports for dialysis fluid tubes
2. Dialysis fluid tube from machine to dialyzer (blue)
3. Dialysis fluid tube from dialyzer to machine (red)
4. Stand-by port for red concentrate connector
5. Stand-by port for blue concentrate connector
6. Concentrate connector, red
7. Concentrate connector, blue
1
7
4
5
6
2
3
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9
MACHINE EXTERNAL COMPONENTS | Fluid Part
1. Pick-up tube
2. Pick-up tube holder
3. BiCart
cartridge holder
4. Blood leak detector
5. Ultrafilter
6. Leakage detector tray
6
1
3
2
4
5
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10
MACHINE EXTERNAL COMPONENTS | Rear
1. Transportation handle
2. Air filters
3. Inlet water tube
4. Outlet tube (drain)
5. Citric acid inlet tube
6. Mains connection
7. Fuses
8. Main switch
1
2
63
7
5
4
8
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11
MACHINE EXTERNAL COMPONENTS | Rear
1. Ethernet port
2. USB port
3. External communication port
4. Potential equalisation connection
5. Remote panel contacts
4
5
1 2 3
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12
THE OPERATOR’S PANEL | Alarm Indication Light
•The machine has an
alarm indication
light
placed on the top of the operator’s
panel.
•It can either be a
blue
,
yellow
or
red
flashing light, depending on the
attention or alarm status.
•When there is no information to display,
the light is off.
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13
THE OPERATOR’S PANEL | Hard Buttons
Schedule indicator
Main switch indicator
Mute button
Blood pump increase
Blood pump start/stop button
Blood pump decrease
On / off button
Read instructions before use
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14
THE OPERATOR’S PANEL | Touch Screen Layout
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15
THE OPERATOR’S PANEL | Touch Screen Buttons
It is possible to set a
customized name, or
identifier for the machine.
The
BPM button
opens the
blood pressure menu.
The
machine state indicator
shows the current state
of the machine; functional check, treatment or
disinfection.
The
time indictor
shows
in h:mm the remaining
time in different machine
states.
The
BPM read-out field
shows the latest reading.
Pressing it performs a
single BPM reading.
The
Diascan button
opens the
Diascan
menu.
The
clearance read-out field
shows the data from the last
performed
Diascan
monitoring
system.
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16
THE OPERATOR’S PANEL | Arterial and Venous Pressure Controls
The
arterial and venous pressure controls
show the current pressure as a numerical value and
graphically as the grey pointer. The values in white text are the alarm limits, beyond these points,
alarms will be generated.
Pressing each area, when they are not flashing, opens the settings boxes where the alarm limits can
be adjusted.
Alarm limits
Current values
Alarm limits
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THE OPERATOR’S PANEL | Direct Actions to the Alarm Limits
Move the
lower alarm
limit
up/down
using the red
left and right
arrows
Move the
entire alarm
window
up/down
using the
green left and
right arrows
Widen
both the arterial and venous alarm limits to their widest point.
Centralize
the arterial and venous pressures around the current value.
Extend the alarm windows
for the arterial and venous pressures.
This functionality will automatically be deactivated as soon as the
treatment is finished.
Move the
upper alarm
limit up/down
using the red
left and right
arrows
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18
THE OPERATOR’S PANEL | Flow Paths
Depending on the status of the machine the flow paths are lit in different colors.
Treatment Bypass
Isolated ultrafiltration Incorrect dialysis fluid
Function Check
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19
THE OPERATOR’S PANEL | Treatment Overview Fields
Accumulated blood volume
treated in L. Pressing it opens the blood menu.
Accumulated heparin volume
delivered in mL. Pressing it opens the blood menu.
Accumulated ultrafiltration volume
in L. Pressing it opens the fluid menu.
Ultrafiltration rate
in L/h. Pressing it opens the fluid menu.
Blood flow rate
in mL/min. Pressing it opens the blood menu.
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20
THE OPERATOR’S PANEL | Alarms, Attentions & Graphs
When the machine has information to display to the operator it can be found in the
information field
.
•If it is an alarm then the
alarm tab
will be flashing.
•If it is an attention or operator message then the
information tab
will be flashing.
The
treatment graph tab
opens the treatment graphs, where key treatment parameters are displayed
in a graphical format.
Alarm tab
Information field
Information tab
Treatment graph tab
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