Candela Gentlelase 9914-00-0880 User manual

Candela Corporation Proprietary

8501-00-1741, Revision A

July 2003

GentleLASE

(MGL)

Service Manual

Models: 9914-00-0880

9914-00-0890

9914-00-0910

9914-00-0930

Candela Corporation

530 Boston Post Road

Wayland, MA 01778-1886

Telephone (508) 358-7637

GentleLASE Service Manual Candela Corporation Proprietary

Page 2PROPRIETARY 8501-00-1741 RevisionA

Toll Free (800) 733-8550 ext.336 (Technical Assistance)

Toll Free (800) 73-LASER (Customer Service)

Candela Corporation Proprietary GentleLASE Service Manual

8501-00-1741, RevisionAPROPRIETARY Page iii

Caution

Use of controls or adjustments or performance of procedures other than

those specified herein may result in hazardous radiation exposure.

Caution

Federal (USA) law restricts this device to sale by or on the order of a

physician.

"Candela"

GentleLASE Service Manual Candela Corporation Proprietary

Page iv PROPRIETARY 8501-00-1741 RevisionA

TABLE OF CONTENTS

SECTION ONE THEORY OF OPERATION Revision

8501-00-1762 Theory of Operation, GentleLASE........................................................................A

SECTION TWO FIRMWARE DOCUMENT

1010-01-3020 Firmware Design Document, GentleLASE........................................................B2

1010-06-3020 Firmware Requirement Specification.................................................................B2

SECTION THREE SERVICE PROCEDURES

8503-01-0060 Inspection and cleaning of Optics.......................................................................02

8503-01-0821 Installation Procedure............................................................................................A

8503-01-0822 Routine Preventive Maintenance Procedure.....................................................A

8503-01-0560 Flashlamp Replacement Procedure..................................................................C

8503-01-0570 Laser Head Replacement....................................................................................D

8503-01-0600 Handpiece Lens Replacement procedure........................................................C

8503-01-0823 Temperature Calibration Procedure...................................................................A

8503-01-0776 DCD Pressure Verification....................................................................................A

8503-01-0824 High Voltage Calibration Procedure...................................................................A

8503-01-0825 Head Detector Calibration Procedure................................................................A

8503-01-0826 Laser Rail Alignment Procedure.........................................................................A

8503-01-0827 Focus Lens Replacement Procedure................................................................A

8503-01-0828 Aiming Beam Alignment Procedure....................................................................01

8503-01-0829 Calport Calibration Procedure.............................................................................A

8503-01-0830 Bubble Sensor Calibration Procedure...............................................................A

10-400-00144 GentleLASE System Performance & Usage Data Sheet................................C

10-040-01502 Form, Temp for Spot Size Verify...........................................................................02

8502-15-0208 Mini-GentleLASE PM Check List..........................................................................A

8502-00-0858 Treatment Guidelines............................................................................................B

Candela Corporation Proprietary GentleLASE Service Manual

8501-00-1741, RevisionAPROPRIETARY Page v

SECTION FOUR ENGINEERING DRAWINGS.................................................................................Revision

8501-02-1741 DRAWING PACKAGE A

Schematics Revision

7111-80-2230 Touch Panel Interface PCB...................................................................................06

7111-80-2510 HP Bulkhead PCB..................................................................................................01

7111-80-2520 DCD Canister PCB.................................................................................................03

7111-80-2610 AC Distribution PCB...............................................................................................08

7111-80-2620 HV Bleeder PCB......................................................................................................06

7111-80-2630 CPU / I/O PCB..........................................................................................................03

7111-80-2650 Energy Detector PCB.............................................................................................03

7111-80-2660 Delivery HP PCB.....................................................................................................03

7111-80-2670 HP Slider PCB.........................................................................................................02

7111-80-2680 HP Switch PCB........................................................................................................02

9914-80-0880 System Schematic..................................................................................................08

Diagrams

9914-84-0880 GentleLASE Functional Block Diagram..............................................................04

9914-91-0880 GentleLASE Family Tree.......................................................................................A

9914-91-0910 GentleLASE-LE Family Tree.................................................................................04

Assembly Drawings/BOMs

7121-00-6700 Bom, Laser Head Assembly................................................................................A

7121-99-6700 Laser Head Assembly...........................................................................................C

7122-00-3287 Bom, Fluid Section Assembly .............................................................................B

7122-99-3287 Fluid Section Assembly.........................................................................................C

7122-00-3289 Bom, Upper Chassis Assembly, ........................................................................A

7122-99-3289 Upper Chassis Assembly.....................................................................................B

7122-00-3292 Bom, AC Input Assembly.......................................................................................A

7122-99-3292 AC Input Assembly.................................................................................................B

7122-00-3297 Bom, Calibration Port Assembly, ........................................................................B

7122-99-3297 Calibration Port Assembly....................................................................................B

7122-00-3298 Bom, Laser Rail Assembly, .................................................................................05

7122-99-3298 Laser Rail Assembly..............................................................................................02

7122-00-3300 Bom, Fiber Receptacle Assembly, .....................................................................A

7122-99-3300 Fiber Receptacle Assembly..................................................................................A

7122-00-3301 Bom, Head Detector Assembly, ..........................................................................04

7122-99-3301 Head Detector Assembly......................................................................................02

7122-00-3302 Bom, HV Section Assembly .................................................................................A

7122-99-3302 HV Section Assembly.............................................................................................B

GentleLASE Service Manual Candela Corporation Proprietary

Page vi PROPRIETARY 8501-00-1741 RevisionA

Assembly Drawings/BOMs Cont. Revision

7122-00-3306 Bom, DCD Option Assembly, ..............................................................................B

7122-99-3306 DCD Option Assembly...........................................................................................A

7122-00-3316 Bom, DI Heat exchanger Assembly ...................................................................A

7122-99-3316 DI Heat exchanger Assembly...............................................................................A

7122-00-3317 Bom, Heater Manifold Assembly ........................................................................03

7122-99-3317 Heater Manifold Assembly....................................................................................A

7122-00-3319 Bom, Display Bezel Assembly, ...........................................................................A

7122-99-3319 Display Bezel Assembly........................................................................................A

7122-00-3325 Bom, Focusing Lens Assembly, .........................................................................02

7122-99-3325 Focusing Lens Assembly.....................................................................................05

7122-00-3326 Bom, Aiming Beam Assembly, ...........................................................................05

7122-99-3326 Aiming Beam Assembly........................................................................................02

7122-00-3327 Bom, Beam Shutter Assembly, ...........................................................................03

7122-99-3327 Beam Shutter Assembly........................................................................................A

7122-00-3333 BOM, Aiming Beam, Diode 650nm .....................................................................04

7122-99-3333 Aiming Beam, Diode 650nm................................................................................A

7122-00-3339 BOM, Distance Gauge Stick, MGL .......................................................................A

7122-99-3339 Distance Gauge Stick, MGL..................................................................................02

7122-00-3340 Bom, 6/8/10 mm Delivery System Assembly, w/DCD ....................................C

7122-99-3340 6/8/10 mm Delivery System Assembly, w/DCD................................................03

7122-00-3342 Bom, 12/15/18 mm Delivery System Assembly, w/DCD................................C

7122-99-3340 12/15/18 mm Delivery System Assembly, w/DCD................................03

7122-00-3309 Bom, 12mm Delivery System Assembly, w/DCD, MGL-LE, ..........................02

7122-99-3340 12/15/18 mm Delivery System Assembly, w/DCD...........................................03

7122-00-3341 Bom, 6/8/10 mm Delivery System Assembly, w/o DCD..................................B

7122-99-3341 6/8/10 mm Delivery System Assembly, w/o DCD.............................................03

7122-00-3343 Bom, 12/15/18 mm Delivery System Assembly, w/o DCD ............................B

7122-99-3341 12/15/18 mm Delivery System Assembly, w/o DCD........................................03

7122-00-3281 Bom, 12 mm Delivery System Assembly, w/o DCD, MGL-LE, ......................02

7122-99-3341 12/15/18 mm Delivery System Assembly, w/o DCD........................................03

7122-00-3348 BOM, DI pump MGL ...............................................................................................A

7122-99-3348 DI pump MGL...........................................................................................................A

7122-00-3349 BOM, DCD Valve, MGL...........................................................................................A

7122-99-3349 DCD Valve, MGL......................................................................................................B

7122-00-3350 BOM, 6/8/10 mm Lens Cap, MGL .......................................................................A

7122-99-3350 6/8/10 mm Lens Cap, MGL..................................................................................A

7122-00-3351 BOM, 12/15/18 mm Lens Cap, MGL ..................................................................A

7122-99-3351 12/15/18 mm Cap, MGL .......................................................................................A

8901-00-9301 PM Kit MGL...............................................................................................................01

Candela Corporation Proprietary GentleLASE Service Manual

8501-00-1741, RevisionAPROPRIETARY Page vii

SECTION FIVE REFERENCE

GentleLASE Service Manual Candela Corporation Proprietary

Page viii PROPRIETARY 8501-00-1741 RevisionA

AK 200 S - Operator’s manual

Program version 8.xx

1. Before you get started - general information

2. Description - the machine and its components

3. Controlling the machine - general guidelines

4. Hemodialysis, double needle treatment

5. Hemodialysis, single needle treatment

6. Isolated UF

7. Profiling

8. Hemodiafiltration, low volume

9. BVS - Blood Volume Sensor

10. BPM - Blood Pressure Monitor (option)

11. Diascan

12. Hygiene and maintenance

13. Technical data and specifications

14. Alarm list, Attention alarm list and Technical alarm list

15. Major changes in operator’s manual

16. Index

HCEN9751 Revision.12.2005

Program version 8.xx

Contents

1. Before you get started - general information

Howtousethismanual ....................................... 1:2

Deﬁnitionsofexpressionsusedinthismanual .................. 1:4

Generalprecautionsbeforeuse ................................. 1:5

Intendeduse ............................................... 1:8

Safetyphilosophy ........................................... 1:9

The preparation of dialysis ﬂuid ................................ 1:12

Inletwaterrequirements .................................... 1:12

Preparation of the dialysis ﬂuid .............................. 1:12

UFD- UltraﬁlteredDialysisFluid(option) ...................... 1:12

Ultraﬁlters;frequencyofchange ............................. 1:12

List of concentrates, accessories and disposables, for use with the

AK200S .................................................. 1:13

Concentrates .......................................... 1:13

Lines ................................................ 1:14

Dialyzers/Ultraﬁlter .................................... 1:14

Infusion ﬂuidforlowvolumeHDF ........................ 1:15

Bloodpressuremeasurementaccessories .................... 1:15

Listofsymbols ............................................. 1:16

CE-marking ................................................ 1:18

Manufacturer ............................................ 1:18

2. Description - the machine and its components

Bloodmonitor .............................................. 2:2

BM200-SinglePump,BM202-DoublePump ................. 2:2

Fluidmonitor .............................................. 2:4

FM202-AcetateandBicarbonate ............................ 2:4

Rearofthemachine-withoutoptions ........................... 2:6

Rearofthemachine-optionsincluded ........................... 2:8

Monitorstand .............................................. 2:10

MS 200: Adjustable height: ﬁve ﬁxedpositions .................. 2:10

MS 202: Electrically adjustable height . ........................ 2:12

3. Controlling the machine - general guidelines

Operator’spanel ............................................ 3:2

Hygienegroup .............................................. 3:4

Modegroup ................................................ 3:5

Concentratestand-bymode ................................. 3:6

Procedureformanualactivation ........................... 3:7

Resume ﬂuidpreparation ................................ 3:7

Therapygroup .............................................. 3:9

Treatmentoverviewgroup .................................... 3:10

Bargraphdisplay ....................................... 3:10

Flowdiagram ......................................... 3:10

Timedisplay .......................................... 3:11

Parameterbuttonsandtheirdisplays ............................. 3:12

Reset possibilities ......................................... 3:16

Alarms .................................................... 3:17

Alarmindicators .......................................... 3:17

HCEN9751 Revision.12.2005

Program version 8.xx

Alarmfunctionoftheparameterbuttons ....................... 3:18

Override possibilities ......................................... 3:20

Stand-bygroup ............................................. 3:22

Displayandsettinggroup ..................................... 3:23

Informationdisplay ..................................... 3:23

Treatmentoverviewscreen .................................... 3:24

ParametersshownonTreatmentoverviewscreen ................ 3:25

Functioncheckoverviewscreen ................................ 3:26

TestsshownonFunctioncheckoverviewscreen ................. 3:27

Theeightcommandments ..................................... 3:28

Settingofparameters ......................................... 3:29

Downloadingtreatmentparameters ............................. 3:32

Procedure ............................................... 3:33

The ultraﬁltrationcontrol ..................................... 3:34

Protective system for ultraﬁltration ........................... 3:35

Powerfailure ............................................... 3:38

Returningthebloodduringapowerfailure ..................... 3:38

Batteryback-up .......................................... 3:38

Recoveryfromashortpowerfailure .......................... 3:39

Recirculationduringtreatment ................................. 3:40

Reconnectionofthepatient ................................. 3:40

Changeofbloodpumpsegment ................................ 3:42

BiCart/SelectCartchangeduringtreatment ........................ 3:43

4. Hemodialysis, double needle treatment

Doubleneedletreatment ...................................... 4:2

Checkbeforestartingthemachine ............................ 4:2

Startthemachine ......................................... 4:2

Functioncheck ........................................ 4:3

Selectconcentrates ..................................... 4:4

Connectconcentrates ................................... 4:6

SelectCartandSelectBagtogetherwithBiCart ............. 4:7

AcidicconcentrateandBiCart .......................... 4:8

Acidic concentrate and liquid bicarbonateconcentrate ....... 4:8

Acetateconcentrate .................................. 4:8

Startthemachine-continued ................................ 4:9

Attachingthedialyzerandthebloodlines ...................... 4:11

Dialyzer .............................................. 4:11

Arterialbloodline ...................................... 4:12

Preparationsiftheheparinpumpistobeused ............. 4:14

Venousbloodline ...................................... 4:16

Priming ................................................. 4:17

Primingandrinsingtheextracorporealcircuit ................ 4:17

Initiating ................................................ 4:19

Setthetreatmentparameters .............................. 4:19

Connectthepatient ..................................... 4:20

Startthetreatment ........................................ 4:21

Pressurealarmlimitssetting .............................. 4:22

Venous/Arterialpressure .............................. 4:22

TMP ............................................. 4:22

Discontinuing ............................................ 4:24

AutomaticemptyingofBiCart,SelectCartandSelectBag ........ 4:24

Discontinuingprocedure ................................. 4:25

HCEN9751 Revision.12.2005

Program version 8.xx

Conﬁrmtreatmentend ............................... 4:25

If desired, start emptying BiCart or BiCart, SelectCart and

SelectBag .......................................... 4:25

Returntheblood .................................... 4:25

After-treatmenthandlingofthemachine .................. 4:26

5. Hemodialysis, single needle treatment

Singleneedletreatment ....................................... 5:2

General ................................................. 5:2

Glossaryofsingleneedleparametersandkeyterms ............ 5:3

Singleneedletreatmentwithtwobloodpumps-BM202only ......... 5:4

Preparations ............................................. 5:4

Arterialbloodline ...................................... 5:4

Venousbloodline ...................................... 5:5

Priming ................................................. 5:6

Primingandrinsingtheextracorporealcircuit ................ 5:6

Priming and rinsing procedure in double needle mode, ﬁnishing

insingleneedle/doublepumpmode ..................... 5:6

Priming and rinsing procedure in single needle/double pump

mode ............................................. 5:9

Initiating ................................................ 5:11

Setthetreatmentparameters .............................. 5:11

Alwayscheck/adjust .................................... 5:11

Connectthepatient ..................................... 5:12

Startthetreatment ........................................ 5:13

Pressurealarmlimitssetting .............................. 5:15

TMP ............................................. 5:15

Venous/Arterialpressure .............................. 5:15

Discontinuing ............................................ 5:17

Singleneedletreatmentwithonebloodpump ..................... 5:18

Preparations ............................................. 5:18

Singleneedle/singlepumpsettings ........................ 5:19

Connectthepatient ..................................... 5:19

Forbothpressure-andtime-controlledphases ............. 5:19

Startthetreatment ........................................ 5:21

Forbothpressure-andtime-controlledphases ............. 5:21

Onlyforpressure-controlledphases ..................... 5:21

Onlyfortime-controlledphases ........................ 5:22

Discontinuing ............................................ 5:23

Double needle to single needle treatment - change during treatment . . 5:24

Resumetreatment ...................................... 5:24

Singleneedle/singlepumpsettings ........................ 5:24

Onlyforpressure-controlledphases ..................... 5:25

Onlyfortime-controlledphases ........................ 5:26

Discontinuing ......................................... 5:27

6. Isolated UF

7. Profiling

Proﬁling of Na+and HCO3-dialysis ﬂuidconcentration ............. 7:2

Proﬁling of ultraﬁltrationrate .................................. 7:4

HCEN9751 Revision.12.2005

Program version 8.xx

Operation ................................................. 7:5

CurveSetting/Change/Cancellation: ..................... 7:5

Activation ......................................... 7:5

Veriﬁcation ........................................ 7:5

Activation of proﬁlingwithalreadypresetmodels ................ 7:7

Veriﬁcation ........................................ 7:7

8. Hemodiafiltration, low volume

General ................................................... 8:2

ProtectivesystemforlowvolumeHDF ........................ 8:2

The following conditions have to be met in order to fulﬁlthe

accuracyofthemeasuringsystem .......................... 8:3

Startup ................................................... 8:4

Primingandrinsing .......................................... 8:6

Initiatingandstarting ......................................... 8:7

Bolus infusion possibility ................................... 8:8

Hemodiaﬁltration,lowvolume,singleneedle,singlepump ......... 8:8

9.BVS-BloodVolumeSensor

General ................................................... 9:2

BVtextinformation ..................................... 9:3

Alarm .................................................. 9:4

Graphs .................................................... 9:5

BVSON/OFF ............................................. 9:6

BVSOff ................................................ 9:6

BVSOn ................................................ 9:7

10.BPM - Blood Pressure Monitor (option)

General ................................................... 10:2

Patientfactorswhichaffectreadings .......................... 10:3

Handling ................................................ 10:5

TheBPMscreens ........................................... 10:6

BPMbuttonpressedonce .................................. 10:6

BPMbuttonpressedtwice .................................. 10:7

Alarm .................................................... 10:8

Alarmlimitssetting ....................................... 10:8

Mode ..................................................... 10:9

Start/Stop .................................................10:10

Start ...................................................10:10

Stop ...................................................10:10

11.Diascan

General ................................................... 11:2

Application .............................................. 11:2

Howthemeasuringprocessisperformedbythemachine .......... 11:2

GlossaryofDiascanparametersandkeyterms .................. 11:3

Precautionsbeforeuse ..................................... 11:4

Handling ................................................ 11:5

Screens ................................................. 11:5

The ﬁrstscreen ........................................... 11:6

HCEN9751 Revision.12.2005

Program version 8.xx

Measurementmode ..................................... 11:6

Alarmlimitforclearance ................................. 11:6

Measurementresultvalues ............................... 11:7

Thesecondscreen ........................................ 11:8

Distributionvolume .................................... 11:8

Distribution volume calculation using the Watson formula . . . . 11:9

Forecast ..............................................11:10

Target ...............................................11:10

AlarmlimitforKt/V ...................................11:10

Measurement result values when distribution volume has not been

set ..................................................11:11

Secondscreensymbol ...................................11:11

Measurement result values when distribution volume has been set . 11:12

Thethirdscreen ..........................................11:13

Latestmeasuredvalues ..................................11:13

Accumulatedandforecastvalues ..........................11:13

Timetotarget .........................................11:14

Thirdscreensymbols ...................................11:14

Alarms .................................................11:15

Clearancealarmlimit ....................................11:15

Kt/Valarmlimit .......................................11:15

Step-by-stepinstructionsformeasuringclearanceandKt/V ..........11:16

Singleclearancemeasurementcheck ..........................11:16

Continuousmeasuringofclearance ...........................11:18

SingleKt/Vandclearancemeasurementcheck ..................11:20

ContinuousmeasuringofKt/Vandclearance ...................11:22

12.Hygiene and maintenance

Generalhygieneandmaintenance ............................... 12:2

Glossaryofdisinfectionterms ............................... 12:3

Disinfectionhistory ....................................... 12:4

Listofdisinfectionscreensymbols ......................... 12:4

Scheduleforhygieneandmaintenance ......................... 12:6

Whenthemachineisplannednottobeinuse ................ 12:7

Characteristics of different disinfection, decalciﬁcation and cleaning

agents .................................................. 12:8

Hygiene-Heatdisinfection .................................... 12:9

General-Heatdisinfection ................................. 12:9

PerformingHeatdisinfectionprogram ........................12:11

PerformingHeatdisinfectionprogramwithCleanCart ............12:12

Performing Heat disinfection program with liquid citric acid . . . . . . . 12:13

Performing integrated Heat disinfection program with WRO 300 H . . 12:14

AutomaticstartofHeatdisinfectionprogram ...................12:16

AutomaticswitchoffafterHeatdisinfectionprogram .............12:17

IntegratedHeatdisinfection .................................12:17

Hygiene-Chemicaldisinfection ................................12:18

General-Chemicaldisinfection ..............................12:18

Chemicaldisinfectants .....................................12:19

PerformingChemicaldisinfectionprogram .....................12:20

Filling the machine with chemical disinfectant ................12:21

ResidualtestafterChemicaldisinfection .......................12:23

CentralChemicaldisinfection ...............................12:24

PerformingcentralChemicaldisinfection ......................12:24

HCEN9751 Revision.12.2005

Program version 8.xx

Hygiene-Rinse/Drain .......................................12:25

PerformingRinse/Drainprogram ............................12:25

PerformingRinse/DrainprogramwithCleanCart ................12:26

AutomaticstartofRinse/Drainprogram .......................12:28

AutomaticswitchoffafterRinse/Drainprogram ................12:29

Maintenance - the ﬂowpath ...................................12:30

The ﬂowpath ............................................12:30

Cleaning .............................................12:30

Decalciﬁcation ........................................12:30

Ultraﬁlter;howtochange ...................................12:31

Ultraﬁlterreplacementreminder ...........................12:32

Maintenance-theexteriorofthemachine ........................12:33

Theoutside .............................................12:33

Toptray ................................................12:33

Bloodpump .............................................12:33

Bloodleakdetector .......................................12:33

BPMcuff ...............................................12:34

13.Technical data and specifications

Performance and speciﬁcation-ControlSystem .................... 13:2

BloodFlowControl .................................... 13:2

AirDetection ......................................... 13:3

HeparinAdministration ................................. 13:3

BloodVolumeSensor(BVS) .............................. 13:3

BloodPressureMonitor(BPM) ........................... 13:3

Dialysis ﬂuidpreparation ................................ 13:4

Dialysis ﬂuidpreparation(BiCartSelectmodeonly) ............ 13:5

Ultraﬁltrationcontrol ................................... 13:5

Substitution ﬂuid(LowvolumeHDF) ...................... 13:5

Proﬁling ............................................. 13:5

Diascan .............................................. 13:6

DisinfectionandCleaning ................................ 13:6

Watersupply .......................................... 13:9

Drain ................................................13:10

Powersupply ..........................................13:10

Connectionofexternalequipment .........................13:10

BatteryBack-up .......................................13:12

Performance and speciﬁcation-Supervisorysystem .................13:13

BloodPressureSupervision ..............................13:13

AirDetection .........................................13:14

HeparinAdministration .................................13:14

Dialysis ﬂuidpreparation ................................13:14

Dialysis ﬂuidpreparation(BiCartSelectmodeonly) ............13:14

Ultraﬁltration .........................................13:15

Substitution ﬂuid(LowvolumeHDF) ......................13:15

Bloodleakdetection ....................................13:15

Physicaldata ...............................................13:16

References ............................................13:16

Materials in contact with water, concentrates and dialysis ﬂuid .........13:17

Polymers .............................................13:17

Metals ...............................................13:17

Others ...............................................13:17

Environmentaldata ..........................................13:18

HCEN9751 Revision.12.2005

Program version 8.xx

Operation ............................................13:18

Transportationandstorage ...............................13:18

Electromagneticenvironment .............................13:18

Standards ..................................................13:22

14.Alarm list, Attention alarm list and Technical alarm

list

Alarmlist .................................................. 14:2

Attentionalarmlist .......................................... 14:9

Technicalalarmlist ..........................................14:45

15.Major changes in operator’s manual

16.Index

HCEN9751 Revision.12.2005

Program version 8.xx

Figures

2. Description - the machine and its components

Figure2:1 Bloodmonitor ................................... 2:2

Figure2:2 Fluidmonitor .................................... 2:4

Figure2:3 Rearofthemachine-withoutoptions ................. 2:6

Figure2:4 Rearofthemachine,optionsincluded ................. 2:8

Figure 2:5 Monitor stand, ﬁve ﬁxedpositions .................... 2:10

Figure2:6 Monitorstand,electricallyadjustable .................. 2:12

3. Controlling the machine - general guidelines

Figure3:1 Operator’spanel .................................. 3:3

Figure3:2 Concentratestand-bymode,activation ................. 3:7

Figure3:3 Flowdiagram .................................... 3:10

Figure3:4 Treatmentoverviewscreen .......................... 3:24

Figure3:10 Functioncheckoverviewscreen ..................... 3:26

Figure3:11 Tempbuttonandtheinformationdisplay ............. 3:28

Figure3:13 Tempbuttonandtheinformationdisplay ............. 3:29

Figure3:14 Downloadingtreatmentparameters .................. 3:32

4. Hemodialysis, double needle treatment

Figure4:1 SelectBicarbonateandtypeofconcentrate ............. 4:4

Figure4:2 SelectSelectBag .................................. 4:5

Figure 4:3 Connect the SelectCart cartridge and the SelectBag . . . . . . . 4:7

Figure4:4 ArterialbloodlineinHD,set-up ..................... 4:13

Figure4:5 Changepositionoftheheparinpumpholder ............ 4:14

Figure4:6 Syringeattachedtoheparinpump .................... 4:14

Figure4:7 VenousbloodlineinHD,set-up ..................... 4:16

5. Hemodialysis, single needle treatment

Figure 5:1 Arterial blood line with expansion chamber in HD, single

needle/doublepump,set-up ........................ 5:4

Figure 5:2 Venous blood line with expansion chamber in HD, single

needle/doublepump,set-up ........................ 5:5

Figure 5:5 Venous blood line with attached expansion chamber in HD,

singleneedle/singlepump,set-up .................... 5:18

7. Profiling

Figure 7:1 3 different graphs for proﬁling sodium and bicarbonate . . . 7:2

Figure 7:2 Proﬁling,Degressivegraph ......................... 7:3

Figure 7:3 Proﬁling,Progressivegraph ......................... 7:3

Figure 7:4 Linear graph for UF rate proﬁling .................... 7:4

8. Hemodiafiltration, low volume

Figure8:1 InfusionlineinHDFlowvolume,set-up ............... 8:5

9.BVS-BloodVolumeSensor

HCEN9751 Revision.12.2005

Program version 8.xx

Figure9:1 BVS,relativebloodvolumegraph .................... 9:3

Figure9:2 BVS,relativebloodvolumegraph .................... 9:4

Figure9:3 BVS,combinationofgraphs ........................ 9:5

Figure9:4 BVS,graphswithoutrelativebloodvolumegraph ........ 9:6

Figure 9:5 BVS turned on before the reference value has been acquired 9:7

Figure 9:6 BVS, the reference value not related to the treatment start . 9:7

Figure9:7 BVS,interruptedrelativebloodvolumegraph ........... 9:8

10.BPM - Blood Pressure Monitor (option)

Figure 10:1 BPM, screen with latest measured values and graph . . . . . . 10:6

Figure10:2 BPM,screenwiththe8latestmeasuredvalues .......... 10:7

Figure10:3 BPM,settingthealarmlimits ....................... 10:8

Figure10:4 BPM,measurementcheckinprogress ................10:10

11.Diascan

Figure11:1 Diascanscreens,withoutsetdistributionvolume ........ 11:5

Figure11:2 Diascanscreens,setdistributionvolume .............. 11:5

Figure11:3 FirstDiascanscreen .............................. 11:6

Figure 11:4 First Diascan screen with measurement result values . . . . . 11:7

Figure11:5 SecondDiascanscreen ............................ 11:8

Figure11:6 TheWatsonscreen ............................... 11:9

Figure 11:7 Second Diascan screen with set distribution volume . . . . . 11:10

Figure 11:8 Second Diascan screen with measurement result values,

distributionvolumenotset .........................11:11

Figure 11:9 Second Diascan screen with measurement result values, set

distributionvolume ...............................11:12

Figure11:10 ThirdDiascanscreen ............................11:13

Figure11:11 Diascan,activatedsinglemeasurementcheck ..........11:16

Figure11:12 Diascan,activatedcontinuousmeasuring .............11:18

Figure11:13 Diascan,activatedsinglemeasurementcheck ..........11:20

Figure11:14 Diascan,distributionvolumeset ....................11:21

Figure11:15 Diascan,activatedcontinuousmeasuring .............11:22

Figure 11:16 Diascan, distribution volume, Kt/V target and alarm limit

set ............................................11:23

12.Hygiene and maintenance

Figure12:1 Heatdisinfection ................................12:11

Figure12:2 AutoHeat ......................................12:16

Figure12:3 Chemicaldisinfection .............................12:20

Figure12:4 Rinse/Drain ....................................12:25

Figure12:5 AutoRinse .....................................12:28

Figure 12:6 Ultraﬁlterreplacement ............................12:32

Figure 12:7 BPM cuff, removal procedure of rubber bladder from cloth

bag

1. Small hole

2.Largehole ....................................12:34

HCEN9751 Revision.12.2005

Program version 8.xx

Chapter 1

Before you get started - general

information