Surdial Service Manual
Surdial Service Manual
Surdial Service Manual
PREFACE
Thank you for purchase of Single Patient Dialysis Machine, SURDIAL. The service manual is designed to give information required to check/maintain and repair SURDIAL a qualified service engineer and technician. Any operation or work contained in the manual should be informed by them. They should have knowledge and ability sufficient to replace microprocessor based electronic component with new one, and should have general knowledge concerning fluid lines of dialysis machine. Also they should read and full understand contents of the manual before executing component replacement or maintenance of SURDIAL. Use the manual by referring to the operation manual of SURDIAL. Generally, description common to the both manuals is minimal with exception that the description is contained in some chapters. Information required to operate SURDIAL is contained in the operation manual (and technical information is also found in some chapters) and information related to maintenance, component replacement and various settings of SURDIAL is contained in the service manual.
Description in the service manual is protected by copyright of the manufacturer. Copy, reproduction or preparation of version in any foreign language of the description partially or wholly should not be allowed without obtaining prior approval by the manufacturer.
CAUTION -1
DANGER Cases critically causing death or severe injury of user by misuse of the machine WARNING Cases potentially causing death or severe injury of user by misuse of the machine CAUTION Cases potentially causing injury of user and/or loss of property by misuse of the machine (2) NOTE Reference to operation of the machine
CAUTION -2
DANGER
Before use of the machine, read and understand this Operation Manual. The machine can be used safely and reliably when operated and maintained as specified in the manual. The machine shall be operated by well trained and qualified person only to avoid danger and/or the machine damage due to incorrect use. Be familiar with procedure how to stop the machine in emergency. Full understand procedure how to stop the machine to prevent incidence of serious problems. The machine shall be operated by well trained and qualified person only unless otherwise instructed formally. Be familiar with procedure how to take corrective actions if the machine is stopped by any reason. Take corrective actions specified in the manual, after checking the machine conditions. DO NOT touch board, wiring and terminal with hand in the case other than maintenance. DO NOT touch wiring and terminal not insulated. DO NOT touch board with wet hand. Turn OFF the power breaker and remove plug when touch terminal. Take the following care to avoid potential danger to patient when blood line connection and disconnection: DO NOT enter air bubbles into patient body. DO NOT connect blood line to the patient before completion of priming operation. DO NOT connect blood line to the patient during rinsing operation. DO NOT enter harmful virus or chemical into patient body. Check frequently that blood line is connected correctly to avoid danger to patient due to blood leak caused by disconnection of the line when incorrectly connected, and due to rupture of the line caused by excess pressure application.
CAUTION -3
WARNING
DO NOT use electric wave generating electronic device in any room or building where single patient dialysis machine is operated. If the device such as portable telephone, transceiver or radio control toy is operate or used in any place in hospital, malfunction of instrument used for medical treatment may be caused. Manage and instruct any person not to bring or use any electric wave generating device in hospital to avoid any failure. DO NOT change parameter setting during dialysis excluding the case of emergency. Change parameter setting before connecting with patient. Set parameter as intended after full understanding its function. DO NOT touch power cable on the floor to prevent electric shock due to fluid beak caused by the machine trouble. Provide drain port near the machine. DO NOT touch switch unnecessary for the machine operation during dialysis. DO NOT incline the machine at an angle 5 (Maximum) under loading any object on container support or hunger to prevent falling down of the machine. DO NOT load any object during transport. DO NOT incline the machine at an angle of 10 (Maximum) under no load to prevent falling down of the machine.
CONTENTS -1
CONTENTS
PREFACE ..................................................................................................................... PREFACE-1 CAUTIONS FOR SAFETY............................................................................................ CAUTION-1 DANGER........................................................................................................... CAUTION-2 WARNING......................................................................................................... CAUTION-3 CAUTION .......................................................................................................... CAUTION-4 1. APPLICATION .............................................................................................................. 1-1 2. CONTRAINDICATION ................................................................................................. 2-1 3. CAUTIONS.................................................................................................................... 3-1 4. SYMBOL FOR SAFETY................................................................................................ 4-1 5. FLOW CHART 5.1. Fluid and blood line ............................................................................................ 5-1 5.1.1. Flow chart ................................................................................................. 5-1 5.1.2. List of input components .......................................................................... 5-2 5.1.3. List of output components ........................................................................ 5-3 5.1.4. List of other components ......................................................................... 5-4 6. DISASSEMBLING AND REPLACEMENT 6.1. Input components................................................................................................ 6.1.1-1 6.1.1. Conductivity cell Assy (CD) ...................................................................... 6.1.1-1 6.1.2. Dialysate pressure sensor Assy (PD) ...................................................... 6.1.2-1 6.1.3. Blood leak sensor Assy (BLD) ................................................................. 6.1.3-1 6.1.4. Pressure SW: AW-3200-63-A (PS) .......................................................... 6.1.4.1 6.2. Output components............................................................................................. 6.2.1-1 6.2.1. Two way electromagnetic valve : AV-3200-318-SC (V2/V3/V12/V13/V14(V15/V17)) .......................................................................... 6.2.1-1 6.2.2. Two way electromagnetic valve: AV-3202-63-S (V4 / V11) ....................... 6.2.2-1 6.2.3. High vacuum electromagnetic valve: AV-3202-63-SH (V10) ..................... 6.2.3-1 6.2.4. Three way electromagnetic valve: AV-3302-63-S (V5 / V6 / V7 / V8)......................................................................... 6.2.4-1 6.2.5. Bellowphragm pump: VCP-60 (Vpa / VPb) ............................................... .6.2.5-1 6.2.6. Blood pump Assy (BP / BPC) .................................................................... .6.2.6-1 6.2.7. Micro gear pump Assy (P1/P2) .................................................................. .6.2.7-1 6.2.8. Venous clamp Assy (CLV) ........................................................................ .6.2.8-1
CONTENTS -2
6.3. Other components ............................................................................................ . 6.3.1-1 6.3.1. Deaeration bath Assy (AS 1) ................................................................. . 6.3.1-1 6.3.2. Deaeration bath Assy (AS2) .................................................................. . 6.3.2-1 6.3.3. Buffer tank W Assy (BTW)...................................................................... . 6.3.3-1 6.3.4. Buffer tank D Assy (BTD1 / BTD2)........................................................ . 6.3.4-1 6.3.5. Check valve(C1/C2) ................................................................................ . 6.3.5-1 6.3.6. Supply water filter (F) ............................................................................. . 6.3.6-1 6.3.7. Flow meter Assy (FM / FS) .................................................................... . 6.3.7-1 6.3.8. Reducing valve Assy (PR) ..................................................................... . 6.3.8-1 6.3.9. Relief valve(RV1/RV2/RV3) ................................................................... . 6.3.9-1 6.3.10. Sampling port Assy (SL) ...................................................................... . 6.3.10-1 6.3.11. Chamber Assy (VCa / VCb) ................................................................. . 6.3.11-1 6.3.12. Concentrate tank connectors(for A /B/disinfect concentrates) ................. . 6.3.12-1 7. CONSTRUCTION OF ELECTRICAL PART 7.1. Components of electrical part ............................................................................ . 7-1 7.1.1. Components at upper part of electrical part............................................ . 7-1 7.1.2. Component at lower part of electrical part .............................................. . 7-1 7.1.3. Placement of electrical part at machine .................................................. . 7-2 7.1.4. Components at left side in electrical POWER BOX ............................... . 7-3 7.1.5. Components at right side in electrical POWER BOX ............................. . 7-3 8. CONNECTION, REPLACEMENT AND ADJUSTMENT 8.1. Operation panel sheet ........................................................................................ . 8.1-1 8.2. Operation panel board ........................................................................................ . 8.2-1 8.3. LCD module ......................................................................................................... . 8.3-1 8.4. Bubble sensor board ........................................................................................... . 8.4-1 8.5. Dialysate pressure sensor board....................................................................... . 8.5-1 8.6. Main board ........................................................................................................... . 8.6-1 8.7. Venous and arterial pressure sensor boards ................................................... . 8.7-1 8.8. DSUB board ......................................................................................................... . 8.8-1 8.9. Buzzer board........................................................................................................ . 8.9-1 8.10. Sub-board .......................................................................................................... . 8.10-1 9. MAINTENANCE MODES 9.1. Display .................................................................................................................. 9.1-1 9.2. Maintenance modes ............................................................................................ 9.2-1 9.3. Maintenance mode menu screen....................................................................... 9.3-1 9.4. Maintenance mode 1 screen .............................................................................. 9.4-1
CONTENTS -3
9.5. Maintenance mode 2 screen .............................................................................. 9.5-1 9.6. Maintenance mode 3 screen .............................................................................. 9.6-1 9.7. Maintenance mode 4 screen .............................................................................. 9.7-1 9.8. Maintenance mode 5 screen .............................................................................. 9.8-1 9.9. Maintenance mode 6 screen .............................................................................. 9.9-1 9.10. Maintenance mode 7 screen ............................................................................ 9.10-1 9.11. Maintenance mode 8 screen ............................................................................ 9.11-1 9.12. Maintenance mode 9 screen ............................................................................ 9.12-1 9.13. Maintenance mode 10 screen.......................................................................... 9.13-1 10. ADJUSTMENT 10.1. Measurement of chamber capacity and adjustment of silicone volume ............... 10.1-1 10.2. Adjustment of venous and arterial pressure sensors........................................... 10.2-1 10.3. Adjustment dialysate pressure sensor ................................................................ 10.3-1 10.4. Adjustment of temperature sensor ...................................................................... 10.4-1 10.5. Adjustment of pressure SW ................................................................................. 10.5-1 10.6. Adjustment of blood leak sensor.......................................................................... 10.6-1 10.7. Adjustment of reducing valve............................................................................... 10.7-1 10.8. Adjustment of priming end pressure .................................................................... 10.8-1 10.9. Adjustment of closed circuit pressure .................................................................. 10.9-1 10.10.Adjustment of priming flow rate .......................................................................... 10.10-1 10.11.Adjustment of bypass flow rate .......................................................................... 10.11-1 10.12.Adjustment of gaps between housing and rotor rollers of blood pump............... 10.12-1 10.13. Adjustment of blood pump flow rate ................................................................. 10.13-1 10.14. Leak test and gap adjustment of clamp ............................................................ 10.14-1 10.15. Adjustment of bubble sensor ............................................................................. 10.15-1 10.16. Adjustment of conductivity and concentration ................................................... 10.16-1 10.17. Adjustment of contrast ...................................................................................... 10.17-1 11. DIP Switches (DIP SW's) 11.1. Operation of DIP SW's ........................................................................................ 11.1-1 11.2. Function's of DIP SW's ....................................................................................... 11.2-1 12. VARIOUS DATA 12.1. Loaded CPU and ROM........................................................................................ 12.1-1 12.2. Wiring in POWER box ......................................................................................... 12.2-1
1-1
1. APPLICATION
(a)
Single patient dialysis machine, SURDIAL is applied to treatment of patients with acute or chronic renal failure by dialysis when the application is instructed by doctor.
(b)
2-1
2. CONTRAINDICATION
Any application other than dialysis using SURDIAL is contraindicated.
3-1
3. CAUTIONS
Take care of the followings in use of the machine: 1. The machine shall be operated by well trained technician only. 2. Cautions for installation
(1) Install the machine at place without fear of contact with water. (2) Install the machine at place without fear of adverse effects caused by abnormal
atmospheric pressure, temperature and/or humidity; insufficient ventilation, direct exposure to sunlight; and dust, salt and/or sulfur containing air.
(3) Handle the machine under avoiding slant placement, vibration and shock during
as specified.
(6) Connect the machine with earth correctly.
adverse effects.
(5) Recheck integrity of lines connected to patient directly.
atmospheric pressure, temperature and/or humidity; insufficient ventilation, direct exposure to sunlight; and dust, salt and/or sulfur containing air.
3) Handle the machine under avoiding slant placement, vibration and shock during
6. If the machine is damaged, indicate the damaged conditions to request repair by specialist.
4-1
b) The symbol shown below means that electric shock is caused by contact with high voltage applied live part.
5-1
5. FLOW CHART
5.1. Fluid and blood lines
5.1.1. Flow chart
6-1
No. 1 2 3 4 5 6
Component Sensor holder O-ring Pin Pan head Phillips screw (small) Hose port CD harness #9315 P3 #9315 M3 x 8 #9193 #9344
Requirement 38 11 104 1
n 1 3
Note
Silicone rubber
38 12 104
42 12 002 71 32 100
3 0
1 1
Sensor
No. Component 1 Sensor BKT 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Cover Dialysate pressure sensor board Spacer Spring washer Small pan head Phillips screw Small pan head Phillips screw Small pan head Phillips screw Small pan head Phillips screw Manifold Holder Hose port Pressure sensor O-ring Small pan head Phillips screw
Requirement #9344 29 11 100 0 #9344 29 15 100 0 SBY-0159 BSB-310 For M3 M3 x 6 M3 x 6 M3 x 10 M3 x 6 #9344 29 12 100 0 #9344 29 13 100 0 #9193 42 12 002 3 P-8100-102G-10-SB P14 M3 x 10
n 1 1 1 4 4 4 2 3 2 1 1 2 1 1 2 Brass
Note
With spring/flat washers With spring/flat washers With spring/flat washers With spring/flat washers
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Component Upper body cover Body casing Light receiver holder Light emitter holder Condensing lens Rear body cover O-ring (1) O-ring (2) Light emitter element Light receiver element Light receiver board Light emitter board Main board L-shaped hose port Knob ....... fight
Requirement TM-0005-02 TM-0006-02 TM-0007-02 TM-0008-02 TM-0009-01 TM-0010-02 TK-0016-01 TK-0017-01 TK-0018-01 TK-0019-01 TE-0002-01 TE-0003-01 TE-0004-01 #9328 39 12 001 4 TK-0021-01 TK-0022-01
n 1 1 1 1 2 1 1 1 1 1 1 1 1 2 2 6
No. 1 2 3 4 5 6 7 8 9
Component Screw Bonnet Spring holder Spring Shaft Casing Diaphragm Valve body Screw
n 2 1 1 1 1 1 1 1 2
6.2.1-1
No. 1 2 3 4 5 6 7 8 9 10 Spring
Requirement D3K430
n 1 1 1 1
Note
Diaphragm holder Plunger Diaphragm Seat Spacer Valve body Screw Nut D3B1161 D3Y180
1 1 2 1 2 2
Plunger Assy
No. 1 2 3 4 5 6 7
Component Actuator Assy Back-less pipe Spring Plunger Diaphragm Valve body Screw
n 1 1 1 1 1 1 2
Note
No. 1 2 3 4 5 6 7
Component Actuator Assy Back-less pipe Spring Plunger Diaphragm Valve body Screw
n 1 1 1 1 1 1 2
Note
No. 1 2 3 4 5 6 7 8 9 10
Component Actuator Assy Push rod Diaphragm Valve body Stem Diaphragm Spring holder Spring Base Screw D3Y170 D3I660 D3A090 D3B990 D3I670 D3A090 D3H110 D3K150 D3F120 M3 x 50
Requirement
n 1 1 1 1 1 1 1 1 1 2
Note
6.2.6-2
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
Component Cover Hinge shaft Shaft A Shaft B BP rotor Roller Housing Rubber cap Packing Rubber sheet cover Magnet BKT (2) Pin Brush-less DC motor Bearing Limit SW Small pan head Phillips screw Small pan head Phillips screw Small pan head Phillips screw Small pan head Phillips screw Small pan head Phillips screw
Requirement #9314 61 23 114 0 #9193 61 16 010 0 #9314 61 17 185 0 #9314 61 19 102 0 #9314 61 16 168 1 #9314 61 18 188 0 #9331 61 11 002 2 #9314 61 27 100 1 #9314 61 28 197 0 #9314 61 12 001 0 #9314 61 29 219 0 #9314 61 13 237 0 FE6PF10G-314 687ZZ SS-01 M5 x 25 M5 x 12 M4 x 50 M2.3 x 10 M3 x 5
n 1 1 2 1 1 3 1 1 1 1 1 1 1 6 1 1 2 4 2 2 1 2 3 2 1 1 1 1 1 1
Note
Set screw with hexagonal cavity M5 x 12 Set screw with hexagonal cavity M4 x 6 Set screw with hexagonal cavity M3 x 5 Guide Ring type magnet Magnet holder E-ring Seal Small pan head Phillips screw Receiver metal #9193 61 12 010 0 14 x 4 x 3 #9193 61 18 010 2 E5 #9193 61 21 010 0 M3 x 4 #9314 61 32 001 1
6.2.7-2
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
Component Gear casing Mounting disk End disk Back casing Inner magnet Outer magnet Mounting plate Drive gear shaft Counter gear shaft Drive gear Counter gear Spring Teflon seal Gasket Motor flange Set screw with hexagonal cavity Small pan head Phillips screw Small pan head Phillips screw Small pan head Phillips screw Motor Hexagon headed bolt Spring washer Crown washer Small pan head Phillips screw Insulation collar Spring washer Capacitor cover Small pan head Phillips screw Capacitor Soundproof sheet Small pan head Phillips screw Hose port
Requirement
n 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Note
M3 x 8 M2.5 x 4 M3 x 30
#9193 42 12 002 3
6.2.8-2
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
Component Solenoid BKT Solenoid base Head guide Clamp guide Head Solenoid O-ring Spring Hexagon headed bolt
Requirement #9344 62 11 002 0 #9344 62 12 100 0 #9314 62 23 232 0 #9344 62 14 002 0 #9344 62 15 002 0 RGY-AC0 505DNP P6 No.1112 M3 x 8
n 1 1 1 1 1 1 2 1 3 7 4 1 1 1 1 1 1 1 1 2 2
Note
Small pan head Phillips screw M3 x 6 Small pan head Phillips screw M4 x 6 Hexagon nut Hexagon headed bolt Hexagon nut Sensor plate Hexagon headed bolt Hexagon nut Limit SW M5 M3 x 20 M3 #9314 62 16 001 1 M3 x 10 M3 SS-O1GL
Small pan head Phillips screw M2.3 x 10 Small pan head Phillips screw M5 x 10
6.3.1-1
No. 1 2 3 4 5 6 7 8 9
Component Casing (1) Casing (2)-L Float Metal mesh O-ring Small pan head Phillips screw Hexagon nut Flat washer Small truss Philips screw
Requirement #9193 34 11 006 2 #9193 34 12 006 0 #9193 34 14 002 2 #9193 30 15 002 2 G50 M4 x 15 M4 For M4 M4 x 8
n 1 1 1 1 1 4 4 4 2
Note
Requirement #9193 34 11 006 2 #9331 24 12 134 0 #9191 10 19 001 2 #9193 30 15 002 2 #0193 97 00 069 1 G50 OLV-2P (special) M4 x 20 M4 M4 x 8
n 1 1 1 1 1 2 1 4 4 2
Note
Metal mesh Plate O-ring Float SW Small pan head Phillips screw Hexagon nut Small truss Phillips screw
No. 1 2 3 4 5 6 7 8
Component Lower tank Upper tank (B) BT bracket O-ring Small pan head Phillips screw Hexagon nut Hexagon headed Phillips screw Hexagon headed Phillips screw
n 1 1 1 1 4 4 2 2
Note
Silicone rubber With spring/flat washers With spring/flat washers With spring/flat washers
No. 1 2 3 4 5 6 7 8
Component Lower tank Upper tank (8) BT bracket O-ring Small pan head Phillips screw Hexagon nut Small truss Phillips screw
n 1 1 1 1 4 4 2 2
Note
Silicone rubber With spring/flat washers With spring/flat washers With Nylon washer
6.3.5-1 6.3.5. Check valve 6.3.5.1. Dialysate check valve: #919342300041(AC-2200-55-S) (C1)
No. 1 2 3 4 5 6
Component Body Seat holder Seat Spring Lock nut O-ring Sub-body
n 1 1 1 1 1 1 1
Note
No. 1 2 3 4 5 6 Casing
n 1 1 1 1 1 2
Note
Component
Requirement #9193 42 20 002 2 #9193 42 22 002 1 #9314 20 17 002 0 CF200 #9193 42 21 002 3 #9314 59 21 107 0
n 1 1 1 1 1 1
Note
Component L-shaped hose port Hose port Bracket Small pan head Phillips screw Photo-micro sensor Hexagon headed Phillips screw Hexagon headed Phillips screw
n 1 1 1 1 2 1 2 2 FM
Note
No. 1 2 3 4 5 6 7 8
Component Valve body Seat Packing Seat holder Spring Lock nut Casing Name plate
Requirement
n 1 1 1 1 1 1 1 1
Note
Sampling port
No. 1 2 3 4 5 6 7 8
Component Packing Bracket Syringe holder Packing (B) Valve Spring Body
Requirement #9331 34 #9344 34 #9331 34 #9193 69 #9331 34 #9193 88 #9331 34 18 16 12 53 17 67 11 100 0 100 0 110 0 004 2 100 0 004 1 100 2
n 1 1 2 1 1 1 1 1
Note
No. 1 2 3 4 5
Component Reducing valve Flange PR hose port Hose port Small truss Phillips screw
n 1 1 1 1 2
Note
6.3.9-1 6.3.9. Relief valve 6.3.9.1. Relief valve 1/2: AC-2200-55-TA / AC-2200-55-P (RV1/RV2)
No. 1 2 3 4 5 6 Body
Component
n 1 1 1 1 1 1 1
Note
6.3.11-1 6.3.11. Chamber Assy (VCa / VCb) 6.3.11.1. Chamber Assy (overall)
6.3.11-2
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Component Chamber frame Rubber sheet Sheet Bellowphragm pump T-pipe Viscous plug Polyurethane tube Shapper Hexagon head Phillips bolt T-pipe Silicone tube Shapper Nylon string Hexagon head Phillips bolt Hexagon head Phillips bolt
Requirement #9344 10 11 100 0 #9314 10 36 001 0 #9331 10 28 002 0 VCP-60 #9328 29 11 001 3 #9193 11 11 010 0 US code 15-10 SNP-4 M4 x 15 198-19-21-02E 6 1x3 SNP1.510C2 T18R M4 X 10 M4 x 15
n 1 1 2 2 2 2 10 8 1 2 3 4 4
Note
6.3.11-4
No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Diaphragm
Component Inner spacer Outer spacer Chamber Silicone oil Clamp Clamp fitting Shaft E-ring Bolt with thrust pad T-pipe Hose port Orifice Silicone tube Valve bracket Plate Hose port with flange O-ring 3 way electromagnetic valve Small pan head Phillips screw Hexagon headed bolt Spring washer Snapper
Requirement #9314 10 12 001 1 #9314 10 13 001 7 #9314 10 14 001 7 #9344 10 17 100 1 THF450-100* #9314 10 15 102 0 #9314 10 39 105 0 #9314 10 38 002 0 E-6 BJ746-08001 #9331 10 25 100 1 #9314 39 19 100 0 #9331 10 29 100 0 5 x 11 x 120L #9344 10 15 002 0 #9193 10 20 011 0 #9314 10 35 207 0 P10 AV-3302-63-S M4 x 6 M4 x 50 for M4 SNP-4
n 4 2 2 4 4 2 4 8 2 4 4 2 4 2 4 4 4 4 8 8 8 2
Note
No. 1 2 3 4 5 6 7
Component Connector holder Packing Holder base Nut Silicone tube .......... FEP tube Color seal
Requirement #9193 69 40 004 4 #9193 69 44 004 3 #9193 69 41 004 3 #9193 33 11 010 1 5 x 11 x 50L TF185 #9193 59 31 010 2
n 1 1 1 1 1 1 1
Note
6 x 8 x 330L Green
6.3.12-2 6.3.12. Concentrate tank connectors 6.3.12.1. Concentrate tank connector (for A and B concentrates)
No. 1 2 3 4 Socket
Component
n 1 1 1 1 1
Note
7.1
7.1.1. Components at upper part of electrical part Operation panel Operation panel board LCD module Bubble sensor board Electrical POWER BOX
7.1.2. Component at lower part of electrical part Diaysate pressure sensor board
Fig.7.1-3 Components al left side in electrical POWER BOX 7.1.5. Components at right side in electrical POWER BOX
8.1.1
[Connection]
Connect flexible cable to CN3 of [operation panel board].
[Adjustment]
Not required
8.1.2
[Replacement]
(1) Turn off power SW of machine. (2) Remove left side cover from upper part of machine (3) Disconnect flexible cable from connector by unlocking it.
CAUTION
Replace operation panel sheet after turning off power SW under care not to be charged with static electricity. Handle flexible cable carefully so that it is not folded and/or damaged. Otherwise malfunction may be caused. DO NOT apply excess external force to operation panel because key SW's and patterns encased in the panel may be folded and/or damaged, resulting in malfunctioning of them, in particular when the panel itself is stored or handled.
DO NOT reused removed panel sheet. Disconnect flexible cable from connector after unlocking it. If the cable is pulled out under unlocking the connector, electrodes placed at the connector surface may be separated, causing machine failure.
8.2.1
Operation panel board is positioned at rear side of operation panel placed at upper part of machine. Contrast of LCD is adjusted by VR1 of the board. Flow rate of blood pump is set by VR2 of the board. Clicking is caused by pressing each SW of operation panel (BZ1). Each LED of operation panel is ON or OFF according lo executed SW operation.
[Connection]
CN1: Connect to CN22 of [main board] through harness. CN2: Connect to CN10 of [main board] through harness. CN3: Connect to flexible cable of [operation panel). CN4: Connect to CN2 of [LCD module] through harness. CN5: Connect to CN1 of [LCD module].
[Adjustment]
See 10.17. Adjustment of contrast.
8.2.2
[Replacement]
(1) Turn off power SW of machine. (2) Remove left cover from upper part of machine. (3) Disconnect all connectors. (4) Remove green cap from upper part of knob of blood pump flow rate setting volume placed at front side of machine and loosen exposed screw by screwdriver under pressing the knob by hand to remove it. (5) Remove board fixing nuts from machine inside to remove the board. (6) Prepare new board. (7) Remove seal, if provided, from buzzer (BZ1). (8) Attach the new board. (9) Attach knob of blood pump flow rate setting volume under care of correct 0 point positioning. (10) Connect the all disconnected connectors. (11) Turn on power SW of machine. (12) Try to adjust contrast as per the procedure specified in 10.17. Adjustment of contrast. (13) Check correct functioning of each LED. (14) Check correct functioning of each SW of operation panel. (15) Return the removed cover to the original position.
CAUTION
Replace operation panel board after turning off power SW under care not to be charged with static electricity. It is recommended to replace the board after cooling to room temperature because temperature of resistors placed on the board immediately tuning off power is high, potentially causing burn. Handle flexible cable carefully so that it is not folded and/or damaged. Otherwise malfunction may be caused. Disconnect flexible cable from connector after unlocking it. If the cable is pulled out under unlocking the connector, electrodes placed at the connector surface may be separated, causing machine failure. Unlock as per the procedure specified in 8.1 Operation panel. LCD may not function normally after the board replacement. If so, adjust contrast.
8.3.1
[Connection]
CN1: Connect to CN5 of [operation panel board]. CN2: Connect to CN4 of [operation panel board] through harness.
[Adjustment]
See 10.17 Adjustment of contrast.
[Replacement]
(1) Turn off power SW of machine. (2) Remove left cover from upper part of machine. (3) Disconnect CN1 and CN2 from LCD module. (4) Remove 4 fixing screws or nuts to take out the module. (5) Prepare new LCD module. (6) Remove protective sheet from the new module surface. (7) Attach the module under care of correct positioning of UP mark on the board. (8) Connect CN1 and CN2 to LCD module. (9) Turn on power SW of machine. ( 1 0 ) Try to adjust contrast as per the procedure specified in 10.17 Adjustment of contrast.
8.3.2
CAUTION
DO NOT apply excess mechanical impact to LCD because it is constructed by glass. If broken, take care not to be injured by the glass fragments. If liquid crystal is leaked from damaged LCD and your skin or cloth is contaminated with the crystal, rinse out using soap immediately. Also oral contamination with it should be avoided. DO NOT scratch polarizing plate covering LCD because the plate is composed of soft material. Replace the module after turning off power SW under care not to be charged with static electricity. DO NOT try to disassemble LCD module because it is integrated as one unit. After the replacement, LCD may not function correctly. If so, try to adjust contrast.
8.4.1
[Connection]
CN601: Connect to connector of [bubble sensor]. CN602: Connect to CN3 of [main board] through harness.
[Adjustment]
See 10.15 Adjustment of bubble sensor.
[Replacement]
(1) Turn off power SW of machine. (2) Remove left cover from upper part of machine. (3) Disconnect all connectors. (4) Remove bubble sensor board under pressing spacer lock used to fix it. (5) Prepare new bubble sensor board. (6) Attach the new board and check correct locking. (7) Connect all the disconnected connectors. (8) Turn on power SW of machine. (9) Adjust the sensor as per the procedure specified in 10.15 Adjustment of bubble sensor. (10) Check correct function of bubble sensor. ( 1 1 ) Return the removed cover to the original position.
8.5.1
[Connection]
CN701: Connect to connector of [dialysate pressure sensor]. CN702: Connect to CN14 of [main board] through harness.
[Adjustment]
See 10.3. Adjustment of dialysate pressure sensor.
8.5.2
[Replacement]
(1) (2) (3) Turn off power SW of machine. Remove left cover from upper part of machine and left cover from lower part of it. Remove dialysate pressure sensor ASSY as per the procedure specified in 6.1.2 Dialysate pressure sensor ASSY. (4) Disconnect all connectors. (5) Loosen screws used to fix dialysate pressure sensor board to remove it. (6) Prepare new dialysate pressure sensor board. (7) Attach the new board. (8) Connect all the disconnected connectors. (9) Attach dialysate pressure sensor ASSY. (10) Turn on power SW of machine. (11) Adjust dialysate pressure sensor as per the procedure specified in 10.3. Adjustment of dialysate pressure sensor. (12) Check correct function of dialysate pressure sensor. (13) Return the removed covers to the original positions.
CAUTION
Replace dialysate pressure sensor board after turning off power SW of machine under care not to be charged with static electricity.
8.6.1
8.6.2
[Connection]
CN1: Connect to CN413 of (sub-board] through harness. CN2: Connect to [blood leak sensor] through harness. CN3: Connect to CN602 of [bubble sensor board] through harness. CN4: Not connected. CN5: Connect to CN408 of [sub-board] through harness. CN6: Not connected. CN7: Connect to [photo-sensor board of Bellowphragm pump A] through harness. CN8: Connect to [photo-sensor board of Bellowphragm pump B] through harness. CN9: Connect to CN502 of [DSUB board] through harness. CN10: Connect to CN2 of [operation panel board] through harness. CN11: Connect to CN701 of [arterial pressure sensor board] through harness. CN12: Connect to V3,V4,V9,V10,V12 and V17 through harnesses. CN13: Connect to CN701 of [venous pressure sensor board] through harness. CN14: Connect to CN701 of [dialysate pressure sensor board] through harness. CN15: Connect to LS2 and FS through harnesses. CN16: Connect to harness of LS3. CN17: Connect to LAMP through harness. CN18: Connect to harness of CLV. CN19: Connect to PS, FSW and LS1 through harnesses. CN20: Connect to V5,V6,V7 and V8 through harnesses. CN21: Connect to V2,V11,V13,V14 and V15 through harnesses. CN22: Connect to CN1 of [operation panel board] through harness. TM1: Connect to temperature sensors (T1,T2 and T3) and concentration sensor.
[Adjustment]
See 10.16. Adjustment of concentration.
8.6.3
ROM
(1) (2) (3) (4) (5) (6) (7) (8) (9) Turn on power SW of machine and record all set values. Turn off power SW of machine. Remove right cover from upper part of machine and right cover from DENSO box. Remove ROM using tool specially designed for the removal. Prepare new ROM. Attach the new ROM under care that it is positioned correctly and pins of it are not damaged. Turn on power SW of machine. If ROM of different version is attached, initialization alarm is actuated. Input all the set values recorded at step (1). procedure specified in "10.16. Adjustment of concentration". (11) Check correct function of machine. (12) Return the removed covers to the original positions.
CAUTION
Replace main board or ROM after turning off power SW of machine under care not to be charged with static electricity. After the board replacement, re-input set values. It should be noted that the values found in maintenance modes 5 and 6 are specific to machine.
NIPRO SURDIAL (SEM) ver. OR2102-9902
8.7.1
[Connection]
When used as venous pressure sensor: CN701: Connect to CN13 of [main board] through harness. When used as arterial pressure sensor: CN701: Connect to CN11 of [main board) through harness.
[Adjustment]
See 10.2. Adjustment of venous and arterial pressure sensors.
8.7.2
[Replacement]
(1) Turn off power SW of machine. (2) Remove right cover from upper part of machine and right cover from DENSO box. (3) Disconnect all connectors. (4) Remove snapper to take out tube. (5) Remove venous or arterial pressure sensor board under pressing spacer lock used to fix it. (6) Prepare new venous or arterial pressure sensor board. (7) Attach the new board and check correct locking. (8) Attach tube and snapper. (9) Connect all the disconnected connectors. (10) Turn on power SW of machine. (11) Adjust venous or arterial pressure sensor as per the procedure specified in 10.2. Adjustment of venous and arterial pressure sensors. (12) Check correct indication of venous or arterial pressure. (13) Return the removed covers to the original positions.
CAUTION
Replace venous or arterial pressure sensor board after turning off power SW of machine under care not to be charged with static electricity. Connect tube to left side of sensor and expose right side of it to atmosphere. If connected to the right side, measured pressure is incorrect. After connecting tube to sensor, attach snapper. If not attached, tube may be disconnected by pressure application, resulting in blood inflow. Connect tubes for venous and arterial pressure monitoring to respective boards correctly.
8.8.1
8.8.2
[Connection]
CN501: Connect to external monitor (option). CN502: Connect to CN9 of [main board] through harness. CN503: Connect to CN402 of [sub-board] through harness. CN504: Connect to CN810 of [buzzer board] through harness.
[Adjustment]
Not required
[Replacement]
(1) Turn off power SW of machine. (2) Remove right cover from upper part of machine and right cover from DENSO box. (3) If battery (option) is provided, disconnect its connector. (4) Disconnect all connectors. (5) Remove knob from BP BACKUP volume. (6) Remove spacer used to fix DSUB board and nuts used to fix the volume to take out the board. (7) Prepare new DSUB board. (8) Attach the new board. (9) Return the removed knob to BP BACKUP volume. (10) Connect all the disconnected connectors. (11) If battery (option) is used, connect its connector. Turn BP BACKUP volume to check correct blood pump operation under no power supply. (12) Turn on power SW of machine. (13) Check correct function. (14) Return the removed covers to the original positions.
CAUTION
Replace DSUB board after turning off power SW of machine under care not to be charged
with static electricity.
After the replacement, set BP BACKUP volume to OFF position. DO NOT miss parts used to fix. Spacer is fixed by nuts at its rear side.
8.9.1
[Connection]
CN801: Connect to CN504 of [DSUB board] through harness.
[Adjustment]
Not required
[Replacement]
(1) (2) (3) (4) (5) (6) (7) (8) (9)
Turn off power SW of machine. Remove right cover from upper part of machine and right cover from DENSO box. Disconnect all connectors. Remove buzzer board under pressing spacer lock used to fix it. Prepare new buzzer board. Attach the new board and check correct locking. Connect all the disconnected connectors. Turn on power SW of machine. Make error to check buzzing.
CAUTION
Replace buzzer board after turning off power SW of machine under care not to be charged with static electricity.
8.10.1
8.10. Sub-board
[Connection]
CN401: Connect to P1 and P2 through harnesses. CN402: Connect to CN503 of [DSUB board] through harness. CN403: Connect to harness of BPC. CN404: Used to connect AC power supply to sub-board through harness. CN405: Used to connect AC power supply to sub-board through harness. CN406: Connect to FAN. CN407: Connect to SSR and relay for heater control through harnesses. CN408: Connect to CN5 of [main board] through harness. CN409: Connect to Vpa and VPb through harnesses. CN410: Connect to SP through harness. CN411: Used to connect DC+24V supply to sub-board through harness. CN412: Used to connect DC+5V, DC+12V and DC-12V supplies to sub-board through harnesses. CN413: Connect to CN1 of [main board] through harness. CN414: Connect to BATTERY. CN415: Connect to BP through harness.
8.10.2 TAB401: Connect to frame through harness. TAB402: Components are attached to the board of the part of AC110V machine. Not applicable when rating is AC230V. TAB403: Components are attached to the board of the part of AC110V machine. Not applicable when rating is AC230V.
[Adjustment]
Not required
[Replacement]
Sub-board
(1) Turn off power SW of machine. (2) Disconnect power plug from receptacle. (3) Remove left cover from upper part of machine and left cover from DENSO box. (4) Disconnect all connectors. DO NOT disconnect TAB402, TAB403 and CN416 when provided. (5) Remove sub-board under pressing spacer lock used to fix it. (6) Prepare new sub-board. Two types of the board shown below are available; one is for AC100V and other is for 230V. Select the type conforming to the rating. Board No. is silk screen printed at upper right side of sub-board. SBY0157 is for AC230V and SBY0163 is for AC110V. Unnecessary Nos. are soldered. And also, concerning SBY0163 for AC110V, components are attached to CN416.
8.10.3
Fuse
(1) Turn off power SW of machine. (2) Disconnect power plug from receptacle. (3) Remove left cover from upper part of machine and left cover from DENSO box. (4) Remove fuse. (5) Prepare new fuse. Select fuse to be replaced by referring to the following purposes and
ratings of fuses:
(6) Attach the new fuse. (7) Insert power plug in receptacle (8) Turn on power SW of machine (9) Check correct function of machine. (10) Return the removed covers to the original positions.
CAUTION
Replace sub-board or fuse after disconnecting power plug from receptacle. Only power SW OFF is insufficient to avoid danger because AC supply placed at left side in DENSO box is not disconnected, potentially causing electric shock. Handle sub-board under care not to be charged with static electricity. Power rating of sub-board should conform to that of power source of machine. Otherwise, fire and/or machine failure may be caused. Use fuse of correct rating. Otherwise, fire and/or machine failure may be caused.
9.1.1
9. MAINTENANCE MODES
9.1 Display
LCD is used to display various dialysis related information and setting screens by 40 letters in each of 4 lines. Many information and setting screens are available and desired screen can be displayed by SW operation on operation panel.
9.1.2
CAUTION
LCD is easily scratched. DO NOT press or scratch its surface by pencil point or hard tool. Glass is mainly used in LCD. DO NOT apply mechanical impact. DO NOT press operation panel SW by pencil point or hard tool.
9.2.1
Indication only
Mode to indicate information only. Setting is disabled.
9.2.2 (2) Press [F-3] or [F-4] SW to display 20. MAINTENANCE MODE FREE.
(4) Operation SW's [+]/[-] are displayed above [F-1][F-2] and items enabled to be set blink.
DANGER
Setting or setting change of item to be maintained during dialysis is danger. DO NOT set or change item to be maintained under the condition that patient is connected to machine. DO NOT change set value without direction of doctor or technician. Protect modes 2, 4, 5, 6 and 7 to prevent malfunction of machine always by setting 20.MAINTENANCE MODE FREE to OFF. Release the protection only when setting change is required.
CAUTION
If ROM of different version is loaded, some maintenance values may be initialized. In such case, reset the values. When ROM or main board is replaced, or CPU is reset, set maintenance mode values followed by checking them. It is recommended to record maintenance mode values. Use supplement of this service manual to record them.
9.3.1
INDICATION MODE1: DATA MODE2: ALARM SETTING MODE3: ALARM FORCED OFF MODE4: FUNCTION MONITOR MODE5: CONCENTRATE DATA MODE6: CHARACTERISITICS MODE7: SYSTEM MODE8: SERVICE FREQUENCY MODE9: MACHINE FILLING PROCEDURE MODE10: ALARM HISTORY
DESCRIPTION Dialysis related data indication mode Alarm setting mode Alarm release mode Function monitor and manual operation mode Concentration calibration mode Instrument adjustment mode System setting mode Operation frequency indicating mode Air purge mode Alarm history indicating mode
9.4.1
9.5.1
9.6.1
9.6.2
WARNING
DO NOT release any alarm during dialysis. Otherwise, machine failure may be caused.
CAUTION
9.7.1
9.7.2
FUNCTION WHEN SYMBOL IS MARKED WITH O IN DRAWING During power supply During power supply During power supply During power supply During power supply During power supply During power supply During power supply During power supply During power supply During power supply During power supply During power supply Shaded photo-sensor Shaded photo-sensor Shaded photo-sensor Shaded photo-sensor Coupler being set Overload detection Being clamped Pressurized water Float drop Air detection Burnt out Burnt out Original point detection. Rotation signal Original point detection Rotation signal CW rotation CCW rotation CW rotation CCW rotation
SYMBOL
COMPONENT
NOTE
V2~V4 Two way electromagnetic valve V10~V17 V5~V9 P1 P2 CLV FAN VPA VPa VPB VPb H BP SP PH1 PH2 PH3 PH4 LS2 LS3 LS5 PS FS FSW P1F P2F Three way electromagnetic valve Deaeration pump Dialysate pump Clamp Fan A chamber viscous pump A chamber viscous pump B chamber viscous pump B chamber viscous pump Heater Blood pump Syringe pump Viscous pump position sensor Viscous pump position sensor Viscous pump position sensor Viscous pump position sensor Coupler SW Syringe overload SW Clamp position sensor Pressure SW Flow sensor Float SW P1 pump fuse P2 pump fuse
DANGER
DO NOT operate any component manually under the condition that patient is connected to
CAUTION
Manual operation of any component should be performed by engineer familiar with its
pump failure.
9.8.1
CAUTION
Both BC1 and BC2 are bicarbonate dialysis modes. If different dialysate preparation information is registered, it is recommended to record that the information is registered in which mode BC1 or BC2 after checking concentrate type to be used.
9.8.2 9.8.2. When dialysis mode AC is set Currently set dialysis mode is found in screen title. If setting is protected, indication only is enabled and setting is disabled. Press [F-3] or [F-4] SW to check data. If not protected, press [F-1] or [F-2] SW to change setting. Press [F-5] SW to display maintenance mode menu screen.
INDICATION 1.VCa W+AC RATIO 2.VCb W+AC RATIO 3.THEORETICAL W+AC 4.CHAMBER 5.MODE 6.COND. W+AC 7.CONC. W+AC
DESCRIPTION Setting of [water : AC] ratio in A chamber Setting of [water : AC] ratio in B chamber Setting of theoretical [water + AC] concentration Indication of functioning chamber. Disabled setting Setting of dialysate preparation function at calibration Calibration of [water + AC] conductivity Calibration of [water + AC] concentration
CAUTION
AC is acetate dialysis mode. It is recommended to record registered information after checking concentrate type to be used. See Concentration Calibration Procedure.
9.9.2
INDICATION 18.BPF(OFFSET) 19.ROLLING TUBE TYPE 20.HEATER CONT.COEFFICIENT Kt 21.HEATER CONT.COEFFICIENT Kp 22.HEATER CONT.COEFFICIENT Ki 23.HEATER CONT.COEFFICIENT Kd 24. HEATER CONT.COEFFICIENT Kl 25. HEATER CONT.COEFFICIENT Kb 26.HEATER CONT.COEFFICIENT Lt1 27.HEATER CONT.COEFFICIENT Lt2 28.HEATER CONT.COEFFICIENT Lt3 29.TEMP.CORR.COEFFICIENT 30. T1 OFFSET 31.T2 OFFSET 32.13 OFFSET DESCRIPTION Indication of offset value to calibrate blood pump flow rate (instrument specific value) Setting of blood pump intended to be used Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in heater control Indication of coefficient in temperature calibration of conductivity Indication of T1 determined by input value added T1 temperature sensor value Indication of T2 determined by input value added T2 temperature sensor value Indication of T3 determined by input value added T3 temperature sensor value
DANGER
Change of setting other than calendar year, month and day; and clock hour and minute in maintenance mode 6 may cause significant changes of UF volume, conductivity (concentration) and dialysate temperature resulting in giving serious injury to patient. DO NOT change setting by any person other than engineer familiar with the setting. After setting change, perform trial test of instrument to check its normal function. Perform UF test to check that UF error is within specified range. Measure conductivity to check that difference between the measured one and set one is within specified range. Check that measured blood pump flow rate is within 5% of set flow rate. Check also that temperature control is normal and dialysate temperature is stabilized.
WARNING
DO NOT change "19.ROLLING TUBE TYPE" during dialysis to avoid trouble.
CAUTION
BP flow rate calibration (GAIN and OFFSET) values are those determined using standard NIPRO blood line. When blood line of smaller sized or other manufacturer is used, adjustment is required. Also when blood line of smaller sized is used, adjust gap between BP rotors and housing.
9.10.1
2. BP STOP AFTER POWER FAIL 3.V,A,DP ALARM RESETTING 4.DISINFECTION RATIO 5.ACID RATIO 6.VP MAX ALARM LIMIT 7.VP MIN ALARM LIMIT 8 AP MAX ALARM LIMIT 9.AP MIN ALARM LIMIT 10.DP MAX ALARM LIMIT 11.DP MIN ALARM LIMIT 12.INITIAL UF GOAL 13.INITIAL UF RATE 14. MINIMUM UF 15.ACID PORT OPTION 16.ART. PRESSURE OPTION 17.BACK UP OPTION 18.SYRINGE OPTION 19.CONSOLE MODE 20 MAINTENANCE MODE FREE
9.10.2
WARNING
Connection of each option should conform to its setting. Otherwise, disabled function of the option or malfunction of machine may be caused.
CAUTION
Set each item value after full understanding its function.
9.11.1
CAUTION
Once zero cleared, the cleared operation time or frequency can not be resumed.
9.12.1
9.13.1
INDICATION
DESCRIPTION Indication of day/month/year of alarm actuation Indication of time of error actuation Indication of error No. of actuated alarm
/ :
E
10.1.1
10. ADJUSTMENT
10.1. Measurement of chamber capacity and adjustment of silicone volume
10.1.1. Measurement of chamber capacity In the cases such as replacement of viscous chamber or viscous pump, silicone oil volume in the chamber may be changed. Measure the chamber capacity based on the below procedures and input the measured result into machine.
(1) Required devices Electronic balance ( 0.2g as minimum unit) Container (to be placed on the balance (2000mL) Forceps (2) Turn on power SW of machine. (3) Turn on [DIALYSIS] SW to shift to dialysis wait process. (4) Release setting protection by selecting ON of 20.MAINTENANCE MODE FREE in maintenance mode 7 screen. (5) Set machine operation to console mode by selecting ON of 19.CONSOLE MODE in maintenance mode 7 screen.
(6) By pressing [PRIP.] SW to shift to preparation process, machine is started from console mode. (7) Check dialysate temperature stabilization. (8) Isolate air discharge line of AS1 from drain line by clamping upper tube of AS1 by forceps or the like.
10.1.2
(9) Measure RO water weight discharged from each of A and B chambers when each of [V5 and V6] and [V7 and V8] are ON using electronic balance under referring to data displayed in maintenance mode 4 screen to derive each of the A and B chamber capacities respectively. Calculate mean value of 3 measurements for each of the chambers.
A chamber capacity : when V5 and V6 are ON B chamber capacity: When V7 and V8 are ON
(11) Turn on [DIALYSIS] SW to shift to dialysis wait process. (12) Release console mode by selecting OFF of 19.CONSOLE MODE in maintenance mode
7 screen.
Tissue paper or the like used to wipe off excess silicone oil (2) Turn on power SW of machine. (3) Turn on [DIALYSIS] SW to shift to dialysis wait process. (4) Release setting protection by selecting ON of "20.MAINTENANCE MODE FREE maintenance mode 7 screen. (5) Clamp plug snapper plug. (6) Turn on V4 manually in maintenance mode 4 screen.
provided tube
6 from the plug by twisting latch along tooth line using radio pliers to remove the
(7) Use silicone oil filled syringe 2 to add the oil to the chamber and use empty syringe from the chamber. (8) Connect one end of silicone tube
to aspirate it
3 to the syringe
clamped using
forceps. (9) Release the clamping and remove all air together with small volume of the oil from the silicone tube
(10) Add or aspirate required volume of the oil to or from the chamber under referring to the syringe calibration by taking correction of the removed oil volume in the step (9) into consideration followed by re-clamping the tube 5. Fig. 10.1-2 Adjustment of silicone oil volume
(11) Remove the silicone tube and re-attach the plug (12) Fix the plug securely with the snapper 6 and remove the forceps. (13) Turn off V4 manually in maintenance mode 4 screen. (14) Operate machine to measure the chamber capacity and input the measured result in
maintenance mode 6 screen.
(15) Protect setting by selecting OFF of "20.MAINTENANCE MODE FREE" in maintenance mode
7 screen.
DANGER
Take care for air not to be included in silicone oil to prevent conductivity (concentration) error or
WARNING
Use silicone oil of acceptable quality, viscosity, purity and the like specified by manufacturer. DO
Fig. 10.2-1 Venous and arterial pressure sensor boards (3) Turn on power SW of machine. (4) Turn on [DIALYSIS) SW to shift to dialysis wait process. (5) Release setting protection by selecting ON of 20.MAINTENANCE MODE FREE
maintenance mode 7 screen.
(6) Set 6.V.PRESS OFFSET value to 0mmHg in maintenance mode 6 screen. Record the
offset value to re-input it at the last step.
(7) Display venous pressure value in dialysis screen or maintenance mode 1 screen.
10.2.2
(8) Connect syringe and manometer to venous pressure inlet port as shown in the below Fig.
(9) Expose manometer to atmosphere and try to indicate venous pressure of 0mmHg in the screen
by turning VR701.
(10) Pressurize manometer to 300mmHg by advancing syringe plunger and try to indicate venous
pressure of 300mmHg in the screen by turning VR702.
(11) Repeat the above steps (9) and (10) until each of 0mmHg and 300mmHg is indicated.
Manometer reading 0 mmHg 300 mmHg Adjusting means PV_PCB VR701 PV_PCB VR702
(11) Input 6.V.PRESS OFFSET value recorded at the above step (6) in maintenance mode 6
screen.
(12) Protect setting by selecting OFF of 20.MAINTENANCE MODE FREE in maintenance mode 7
screen.
(13) Disconnect the syringe and manometer. (14) Return the removed covers to the original positions.
10.2.2. Adjustment of arterial pressure sensor (option) Adjust arterial pressure sensor based on the same procedures as the case of the venous pressure sensor. Offset value and adjusting means are as follows.
Offset value
7.A.PRESS OFFSET
Adjusting means
10.3.2
(8) Clamp tube connected to one side of dialysate pressure sensor using forceps and connect syringe and manometer to tube connected to other side of the sensor as shown in the below Fig.
Expose manometer to atmosphere and try to indicate dialysate pressure of 0mmHg in the screen by turning VR701. Pressurize manometer to 300mmHg by advancing syringe plunger and try to indicate dialysate pressure of 300mmHg in the screen by turning VR702. Repeat the above steps (9) and (10) until each of 0mmHg and 300mmHg is indicated.
(10)
(11)
(11) Input 8.D.PRESS OFFSET value recorded at the above step (6) in maintenance mode
6 screen.
(12) Protect setting by selecting OFF of 20.MAINTENANCE MODE FREE in maintenance mode
7 screen.
(13) Remove the syringe and manometer. (14) Return the removed covers to the original positions.
10.4.1
10.4.2
(8) Adjust by checking indicated value when the resistor is connected. Check the value in maintenance mode 6 screen and input offset value.
(9) Remove the resistor from terminal bed and attach temperature sensor followed by
connecting it as shown in Fig. 10 4-1 under care of correct color matching of harness (W: white; R: red).
(10) Protect setting by selecting OFF of 20.MAINTENANCE MODE FREE in maintenance
mode 7 screen.
(11) Return the removed covers to the original positions.
10.5.1
(2) Remove right cover from lower part of machine to expose pressure SW. (3) Turn on power SW of machine. (4) Turn on [DIALYSIS] SW to shift to dialysis wait process. (5) Clamp tube connected to one side of pressure SW using forceps and connect syringe and manometer to tube connected to other side of it as shown in the below Fig.
10.5.2
(7) Apply pressure to pressure SW by gradual advancement of syringe plunger. (8) Adjust pressure SW so that it is ON at a pressure between 514.5 and 588mmHg (0.7 and 0.8 kgf/cm2) by loosening set nut using spanner followed by turning adjusting screw. ON of pressure SW can be found by ON of PS in maintenance mode 4 screen or clicking of micro SW. (9) After the adjustment, tighten the set nut. This may cause small change of pressure when pressure SW is ON. Recheck the ON pressure. (10) Then retract the syringe plunger gradually to check that pressure SW is OFF at a pressure of 441 mmHg (0.6kgf/cm2).
SW function ON OFF
ON/OFF pressure 514.5 to 566 mmHg (0.7 to 0.6kgf/cm2) 441 mmHg( 0.6kgf/cm2)
(11) Remove the syringe and manometer and return the pressure SW connection to the original. (12) Return the removed cover to the original position.
10.6.1
NOTE
Clean the Blood leak detector, before you calibrate it. Blood leak detector which is not cleaned detect blood leak even it does not happen blood leak.
(1) Required device Precision screwdriver (2) Remove left cover from lower part of machine to expose blood leak sensor. (3) Remove 2 screws used to fix the sensor and take out it without disconnecting tubes. (4) Remove the sensor cover.
(10) Adjust R47 to try to set 7.BLD SENSE VALUE to 80055 in maintenance mode 1 screen. (11) Repeat the above steps (9) and (10) until each of 055 and 80055 is set. (12) Attach the removed sensor cover to the sensor to return it to the original position. (13) Return the removed left cover to the original position.
10.7.1
(2) Remove right cover form lower part of machine to expose reducing valve. (3) Turn on power SW of machine. (4) Turn on [DIALYSIS] SW to shift to dialysis wait process. (5) Press [PREP.] SW to shift to preparation process. Water may be used instead of concentrate. (6) Check water temperature stabilization. (7) Clamp tube connected to IN of reducing valve V10 using forceps and disconnect silicone tube from the valve to connect it to manometer through connection means.
10.8.1
(2) Remove right cover from lower part of machine to expose relief valve 1. (3) Turn on power SW of machine. (4) Turn on [DIALYSIS] SW to shift to dialysis wait process. (5) Press [PREP.] SW to shift to preparation process. Water may be used instead of concentrate. (6) Check water temperature stabilization. (7) Clamp tube connected to IN of V11 using forceps and disconnect silicone tube from V1 connect it to manometer through connection means.
Fig. 10.8-1 Connection of manometer (8) After lifting manometer sufficiently, release the clamping followed by lowering it to align chamber horizontally. (9) Check visually water discharge from machine and set the manometer indication to 698 to 735mmHg (0.95 to 1.00kgf/cm2) during stop of the discharge by loosening set nut of valve 1 followed by turning the valve. Take care for silicone tube not to be twisted. (10) Tighten the set nut. This may cause small change of the set value. Check the value again.
(11) (12)
Remove the manometer and the connection means to return to the original condition. Return the removed cover to the original position.
10.9.1
(2) Remove left cover from lower part of machine to expose relief valve 2. (3) Turn on power SW of machine. (4) Turn on [DIALYSIS] SW to shift to dialysis wait process. (5) Connect concentrate to machine. (6) Press [PREP.] SW to shift to preparation process. (7) Set dialyzer and blood line to machine. (8) Check stabilization of dialysate temperature and conductivity and release of bypassing. (9) Full open NV2 to run dialysate at the maximum flow rate. (10) Adjust blood pump flow rate so that dialysate pressure becomes 0mmHg. (11) Loosen set nut of relief valve 2 and turn the valve body to adjust dialysate flow rate indicated by flow mater to 600mL/min. Take care for silicone tube not to be twisted. (12) Tighten the set nut. This may cause small change of the dialysate flow rate. Check the flow rate again. (13) Turn NV2 to adjust dialysate flow rate to 500mL/min. (14) Return the removed cover to the original position.
(13) (14)
Protect setting by selecting OFF of 20.MAINTENANCE MODE FREE in maintenance mode screen. Return the removed cover to the original position.
10.10.2
(7) By pressing [PRIP.] SW to shift to preparation process, machine is started from console mode. (8) Check dialysate temperature stabilization. (9) Measure discharge flow time from start of discharge to end of discharge. Discharge flow is intermittent.
10.12.1
10.12. Adjustment of gaps between housing and rotor rollers of blood pump
10.12.1. Adjustment by water head pressure Adjust the gaps by application of water head pressure to blood line set to blood pump based following procedures.
(1) Required devices Blood line Water receiver Water bottle Hexagon wrench (1.5mm) (2) Turn off power SW of machine. (3) Set rolling tube of blood line to blood pump and connect water bottle to inflow end of t?? (4) Prime blood line with water from the bottle by gravity flow of water. (5) After the priming completion, turn rotor of blood pump manually to occlude rolling tube of 3 rollers of the rotor.
Fig. 10.12-1 Adjustment of gaps between housing and rotor rollers of blood pump
(6) Lift the bottle 1 so that height of water level in it from center of the rotor becomes above Open outflow end of the rolling tube above water receiver. (7) Loosen set screw 3 of the roller by hexagon wrench 2. Turn shaft 4 by screw repeat
narrowing and widening of gap between the roller and housing of blood pump set the gap to allow water discharge from the outflow end. (8) Tighten the set screw 3 at a moment when the water discharge is stopped by turning 4 slowly. (9) Repeat the above procedures until all the gaps are adjusted.
10.11.1 10.11. Adjustment of bypass flow rate During V9 is OFF (that is, dialysate line is bypassed), adjust dialysate flow rate by turning adjustment screw of pinch cock 1 (PC1) under monitoring flow rate indication of flow meter based on the following procedures. (1) Remove left cover form lower part of machine to expose PC1. (2) Turn on power SW of machine. (3) Turn on [DIALYSIS] SW to shift lo dialysis wait process. (4) Press [PREP.] SW to shift to preparation process. Engage coupler with bypass connect
dialysate concentrate is not used, connect dumm? resistor to conductivity sensor.
(5) Check stabilization of dialysate temperature and concentration. (6) Check that [BYPASS] SW is OFF (released bypassing and dialysate flow through coupler (7) Adjust dialysate flow rate to 500ml/min by turning adjusting screw of NV2 under monitor
dialysate flow rate indication of flow meter.
(8) Turn on [BYPASS] SW to bypass dialysate line. (9) Adjust bypass flow rate to 500ml/min by turning adjusting screw of PC1 under monitor
bypass flow rate indication of flow meter. Tube should be centered at PC1 and plates of should be aligned correctly.
Fig. 10.11-1 Correct and incorrect conditions of pinch cock 1 (PC1) (10) Turn off [BYPASS] SW and wait for 1 to 2 minutes. (11) Turn on and off [BYPASS] SW several times to check that dialysate flow rate is 500ml/min
when bypassed and not bypassed.
(12) Apply adhesive or the like to adjusting screw of PC1 for fixing. (13) Return the removed cover to the original position.
10.12.2
Fig. 10.12-2 Adjustment of gaps between housing and rotor rollers of blood pump
(6) Connect syringe 1 and manometer 5 to inflow end of the tube and open outflow end o?? above water receiver. (7) Loosen set screw 3 of the roller by hexagon wrench 2. Turn shaft 4 by screwdriver repeat narrowing and widening of gap between the rotor and housing of blood pump. Initially turn the shaft to stop water discharge from the outflow end when a water pressure 0.2kgf/cm2 is applied to the tube through the inflow end by operating the syringe. (8) Tighten the set screw 3 at a moment when the water discharge is started under the pressure application by turning the shaft 4 slowly. (9) Repeat the above procedures until all the gaps are adjusted.
10.13.1
(6) Place electronic balance or measuring cylinder below outflow end of the line to measure
discharged water weight or volume.
(9) Input 18.BPF(OFFSET) value of blood pump flow rate in maintenance mode 6 screen
10.13.2 (10) Set blood pump flow rate to 400ml/min and operate the pump. (11) Measure actually discharged water weight or volume/minute (ml/min). (12) Input 17.BPF(GAIN) value of blood pump flow rate in maintenance mode 6 screen value
t?? to adjust the actual flow rate to about 400ml/min. Decrease (increase) the value if the a?? flow rate is higher (lower) than the set flow rate.
(13) Repeat the above procedures (7) to (12) until each of the actual flow rates of 50 and
400ml/min is obtained.
Blood pump flow rate 50ml/min 400ml/min Adjusting value Maintenance mode 6 screen 18.BPF(OFFSET) Maintenance mode 6 screen 17.BPF(GAIN)
Rolling Tube.
(2) Change NORMAL to SMALL at [19.ROLLING TUBE TYPE] in Maintenance mode 6
Adjusting value Maintenance mode 6 screen 18.BPF(OFFSET) Maintenance mode 6 screen 17.BPF(GAIN)
10.14.1
(3) Turn on [DIALYSIS] SW to shift to dialysis wait process. (4) Set manometer, connection means and syringe to clamp as shown in Fig. 10.14-1 (a). (5) Turn on BUBBLE SW to operate the clamp after bubble introduction into venous tube. (6) Set manometer indication to 150mmHg by pressurizing the venous tube using the syringe followed by clamping line between the syringe and manometer using forceps to maintain the pressure as shown in Fig. 10.14-1(b). (7) After the clamping, leave to stand for about 90 seconds to record the pressure A. (8) Additionally leave to stand for about 120 seconds to record the pressure B. (9) Additionally clamp line between the clamp and manometer using forceps as shown in Fig. 10.14-1(c). (10) After the clamping, additionally leave to stand for about 120 seconds to record the pressure C. (11) Derive leak value from the recorded pressures A, B and C. If the value is not acceptable, adjust the clamp gap and re-check. Leak value (mmHg) = Leak value from clamp and test setup Leak value from test setup =(AB)(BC)
Acceptable range Clamp leak value 1.00mmHg
Fig. 10.14-1
10.14.2 10.14.2. Gap adjustment of clamp If leak from the clamp is detected, adjust the clamp gap based on the following procedures.
(1) Required devices Spanner (x 2) (2) Remove left cover from upper part of machine to expose clamp. (3) Turn off power SW of machine. (4) Push rear side 1.3 to 1.5mm. (5) Release the push and loosen 3 set bolts using spanner to make the solenoid free. (6) Adjust the gap to 1.3 to 1.5mm by loosening set screw (nut) screw
1 of the clamp by finger to check me gap. In general, the gap is adjusted to 2 used to fix solenoid to upper part of the clamp 3 followed by turning adjusting
4. If venous tube of smaller diameter is used, reduce the gap of 1.3 to 1.5mm. The
adjustment is enabled only in direction to reduce the gap. To enlarge the gap, turn the adjusting screw 4 followed by shifting the solenoid 5. (7) Under solenoid (5) fits to screw (3) correctly, tighten the 3 set bolts 2 to fix the solenoid to upper pad of the clamp using spanner. (8) Push rear side of the clamp by finger to check the adjusted gap.
Adjusting value Clamp gap 1.3 to 1.5mm ( 1)
(9) After checking correct gap adjustment, tighten the set screw (nut) 3. (10) Perform the leak test again to check whether the gap is correctly adjusted. (11) Return the removed cover to the original position.
10.15.1
(2) Remove left cover from upper part of machine to expose bubble sensor board. (3) Set tester to DC range and connect test PIN602 of bubble sensor board to (+) probe of the tester and PIN601 of the board to (-) probe of it. (4) Set standard tube filled with about 37C water to bubble detector and adjust voltage indication of the tester to the maximum by turning VR601. (5) Check that the adjusted voltage is 1.6 to 1.8V. (6) Remove the tube from the detector and check that the voltage indication is reduced to 0.5V. (7) Set blood line to blood pump. (8) Operate the pump at a flow rate of 200mL/min to re-circulate 37C water through the line. (9) Turn on BUBBLE DETECTOR SW and introduce 0.05ml of bubble into the line using microsyringe under care for the bubble is not divided. Check that bubble alarm is actuated when the bubble passes through the detector sensor. (10) Return the removed cover to the original position.
10.16.1
10.16.2
(1) Turn on power SW of machine. (2) Turn on [DIALYSIS] SW to shift to dialysis wait process. (3) Press [F- 5] SW to display setting II screen. (4) Press [F- 3] or [F-4] SW to blink 4.MODE. (5) Press [F-1] or [F-2] SW to select dialysis mode. (6) Check the selected mode.
BC1(BICARBONATE1) : Bicarbonate dialysis mode 1 BC2(BICARBONATE2) AC(ACETATE) :Bicarbonate dialysis mode 2 :Acetate dialysis mode
10.16.3
(3) Press [F- 3] or [F-4] SW to blink item to be inputted. (4) Press [F- 1] or [F-2] SW to input data. (5) Input the following values by referring to concentrate data specified in the operation
manual. 1.VCa W+A RATIO 2.VCb W+A RATIO 3.THEORETICAL W+A(mmol/L 4.VCa W+B RATIO 5.VCb W+B RATIO : Dilution ratio of A concentrate in chamber a : Dilution ratio of A concentrate in chamber b : Theoretical concentration of diluted A concentrate : Dilution ratio of B concentrate in chamber a : Dilution ratio of B concentrate in chamber b
6.THEORETICAL W+B(mmol/L) : Theoretical concentration of diluted B concentrate (6) Press [F-5] SW to display setting II screen.
(7) Press [F-3] or [F-4] SW to blink item to be inputted. (8) Press [F-1] or [F-2] SW to input data. (9) Input the following values by referring to concentrate data specified in the operation
manual. 1.BC(W+A+B) : Final concentration (theoretical concentration of diluted A concentrate + that of diluted B concentrate) 2.BC(W+A) : Theoretical concentration of diluted A concentrate
10.16.4
(3) Press [F-3] or [F-4) SW to blink item to be inputted. (4) Press [F-1] or [F-2] SW to input data. (5) Input the following values by referring to concentrate data specified in the operation manual.
1.VCa W+AC RATIO : Dilution ratio of acetate concentrate in chamber a 2.VCb W+AC RATIO : Dilution ratio of acetate concentrate in chamber b 3.THEORETICAL W+AC(mmol/L) : Theoretical concentration of diluted acetate
(7) Press [F-3] or [F-4] SW to blink item to be inputted. (8) Press [F-1] or [F-2] SW to input data. (9) Input the following value by referring to concentrate data specified in the operation manual. 3.AC(W+AC) : Theoretical concentration of diluted acetate concentrate
preparation components.
(5) Connect the concentrate to concentrate connector. (6) Press [PREP.] SW to shift to preparation process to start dialysate preparation. (7) Wait until conductivity (mS/cm) is stabilized under monitoring 9.COND. W+A+B. (8) After the stabilization, take dialysate specimen from sampling port. (9) Measure the specimen concentration (mmol/L) using separately available concentration meter.
It is possible to derive the concentration by converting conductivity measured using any conductivity meter to the concentration by referring to conversion Table.
(10) Check that the measured concentration (mmol/L) is equal to theoretical concentration of diluted
A concentrate (3.THEORETICAL W+A). If not equal, change dilution ratios of 1.VCa W+A RATIO and 2.VCb W+A RATIO to adjust them.
Calculate each of the changed dilution ratios roughly by application of the below formula: New dilution ratio = [Theoretical concentration of diluted A concentrate X Current dilution ratio] [Measured concentration] New dilution ratio: dilution ratio after adjustment Input of
1 into 1.VCa W+A RATIO and 2.VCb W+A RATIO AA. AA 1 in 1.VCa W+A RATIO and 2.VCb W+A RATIO BB.BB
Measured concentration : Concentration measured using meter (mmol/L) Theoretical concentration of diluted A concentrate A: (mmol/L) Indicated in 3.THEORETICAL W+A (11) After the adjustment, wait until indicated conductivity is stabilized. (12) Take dialysate specimen again from sampling port to measure its concentration using
concentration meter. Repeat the adjustment until the measured concentration (mmol/L) becomes equal to theoretical concentration of 3 THEORETICAL W+A.
10.16.8 10.16.4. Calibration of indicated conductivity and concentration After adjustment completion of each dilution ratio and conductivity stabilization, calibrate indicated conductivity and concentration in maintenance mode 5 screen.
(6) Press [F -1] or [F-2] SW to input the measured conductivity into 9.COND. W+A+B. (7) Convert the measured conductivity to concentration (mmol/L) by referring to conversion Table
when available. If not available, measure the specimen concentration using separately available concentration meter.
(8) After obtaining the concentration, press [F-3] or [F-4] SW to blink 10.CONC. W+A+B. (9) Press [F-1] or [F-2] SW to input the obtained concentration into 10.CONC. W+A+B.
(8) (9)
After obtaining the concentration, press [F-3] or [F-4] SW to blink 7.CONC. W+AC Press [F- 1] or [F-2] SW to input the obtained concentration into 7.CONC. W+AC.
10.17.1
11.1.1
Fig. 11.1-1 Main board and dip SW's (2) Check Nos. of dip SWs; SW1 to SW4 from the left in sequence. (3) By shifting each dip SW to UP, it is turned on and by shifting it to DOWN, it is turned off.
11.2.1
11.2.2. Dip SW2 By turning on dip SW2, indication of adjustment mode in LCD is enabled for use by the manufacturer only. Keep dip SW2 OFF during any process other than execution of maintenance.
11.2.3. Dip SW3 By turning on dip SW3, service frequency indicated in maintenance mode menu 8 screen can be cleared to 0. Turn on dip SW3 to display maintenance mode menu 8 screen for indicating [CLEAR] SW and for blinking service frequency. Select item to be cleared and press [CLEAR] SW. Keep dip SW3 OFF during any process other than execution of maintenance.
CAUTION
Usable functions are limited to those operated by SW1 and SW3. DO NOT operate SW2 because it is intended to be used by manufacturer only. Keep all dip SW's OFF during any process other than execution of maintenance.
12.1.1
Symbol
Designation
CPU type
ROM type
ROM indication
CPU
Main board
PD784031
HN27C4096AG-10
1 2 3
2 The last letter of version No. indicates language (E: ENGLISH; S: SPANISH).
12.2.1