maintenance manual ak200

GAMBRO

Maintenance ManualAK 200 S / AK 200 ULTRA S

05.2006

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front_rearAK200Smaint_en_4.pdf 2004-09-13 11:38:04front_rearAK200Smaint_en_4.pdf 2004-09-13 11:38:04

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2:1AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

Maintenance Manual

Preventive maintenance procedures forAK 200 S / AK 200 ULTRA S

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

Test equipment ............................................. 2:3

Preventive Maintenance: Base-kit............ 2:4Parts ................................................................ 2:4How to exchange the parts includedin the Base-kit ................................................. 2:5Actions to carry out after the partshave been exchanged ...................................... 2:8

Preventive Maintenance: A-kit ............... 2:23Parts .............................................................. 2:23How to exchange the exterior partsincluded in the A-kit ...................................... 2:24Actions to carry out after the parts havebeen exchanged ............................................. 2:25

Preventive Maintenance: B-kit ............... 2:26Parts .............................................................. 2:26How to exchange the parts includedin the B-kit .................................................... 2:27Actions to carry out after the parts havebeen exchanged ............................................. 2:29

2:2

Maintenance Manual

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

To ensure proper operation of the AK 200 S /AK 200 ULTRA S, a qualified service technicianmust perform a complete series of preventivemaintenance procedures at regular intervals.The maintenance and calibration informationthat you need to use is provided in this manual.

The preventive maintenance procedures havebeen devised to require a minimum of time whileensuring that the machine is maintained inoptimum operation condition.

Included in the preventive maintenance proce-dures are checks to verify normal machineoperation. Should the machine fail to pass any ofthese tests, repair or calibration might beneeded, then repeat the tests until the specifica-tions are met.

It is mandatory to perform at least a preventivemaintenance every second year.

A yearly maintenance is recommended. The rateof preventive maintenance might be differentdue to variations of the operating environment.

The AK 200 S / AK 200 ULTRA S will perform asdesigned only if it is used and maintained inaccordance with Gambros instructions.Any warranties made by Gambro with respect tothe AK 200 S / AK 200 ULTRA S are void if theequipment is not used in accordance with theinstructions provided. Gambro will not acceptresponsibility for any damage or injury resultingfrom improper use or maintenance or unauthor-ized repair.

To fulfill the preventive maintenance proceduresfor AK 200 S / AK 200 ULTRA S some parts mustbe exchanged. The necessary parts to be ex-changed are available in a Base-kit and twocomplementary kits:

Base-kit (K40165001)

A-kit (K40166001): Includes exterior parts

B-kit (K40167001): Overhauling service-kit

When performing preventive maintenanceprocedures or calibrations, which require accessto the interior of the machine, you must haveproper electrostatic safety devices (i.e. wristgrounding straps or grounding mats) in place toprevent damage to electrostatic sensitive compo-nents within the machine.

During repair of any of the parts in the flowpath, special care should be taken and a goodhygiene should be kept.

Note! After maintenance a disinfection programmust be performed before a treatment is per-formed.

Checklists are provided in the Spare PartsInstruction that is included in the maintenance-kits. The purpose of these checklists is to recordthe work done.

General


Maintenance Manual

Test equipment needed to perform maintenance

Test equipment

Test equipment: Tolerance: Manufacturer: Gambro Order number:

Conductivity measurement 0.1 mS/cm MESA, IBPPressure measurement 2mmHg to 200mmHg

1% beyond 200mmHgIf BPM is installed: 0.8mmHg

MESA, IBP, Druck

Temperature measurement: 0.2C MESA, IBPDigital Voltmeter 0.5% FlukeMeasuring glass 5 mlBlood leak Calibration Cover

N/A Gambro K40169001

Gauge pin kit for blood pump rollers (including three different pins)

T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)T = 1.6 (Stop pin = 1.6*2*0.7 = 2.2mm)T = 2.0 (Stop pin = 2.0*2*0.7 = 2.8mm)

T = wall thickness of the blood tubing

Gambro K40158001

Gauge pin kit for blood pump rollers(to be ordered separately)



Gambro K40158002K40158003K40158004

Calibration tube kit N/A Gambro K13983002Drip chamber N/ATube for calibration of priming detector

N/A

Safety tester According to IEC 60601-1 Rigel, Biotec, Metron*BPM test equipment N/A Gambro K22151001*BPM Cuff N/A Gambro 100900141*pH buffers 0.07 pH units pH 7 100810001

pH 9 100810002BVS test tool Gambro K22281001Magnet for blood pump cover Gambro K19049001

* If installed

2:4

Maintenance Manual


Preventive Maintenance: Base-kit

PartsThe Base-kit (K40165001) includes all partsnecessary to fulfill the mandatory preventivemaintenance procedures for AK 200 S /AK 200 ULTRA S.

Note!As a complement to the Base-kit, two additionalkits are available; A- and B-kit.

Base-kit

Step Monitor Denomination Part no. Qty2, 3 BM/FM Air filter K11503001 34 AC/DC Air filter K18891001 1

5, 6 FM O-ring for BiCart- and SelectCart holder, upper and lower. 100319008 4

7 FM O-ring for ultrafilter holders 100319029 47 FM Square-ring for ultrafilter holders K14920001 28 FM Filter BiCart holder, upper and lower (50m) K16538C 29 FM Filter SelectCart holder, lower (50m) K16538C 110 FM Filter after the SelectBag holder (50m) K16538C 111 FM Filter heating vessel (250m) K14944001 112 FM V-ring heating vessel 100318086 213 FM Membrane for internal pressure regulator K40153001 114 FM Membrane for non-return valve K17989001 115 FM Sample port for 6 mm tube K20219002 116 FM Sealing ring (Inlet unit - heating vessel) K07994001 116 FM Ring (Inlet unit - heating vessel) K08227001 117 FM Sealing for infusion port K18184001 118 FM Label K24092001 1


Maintenance Manual

4. Change air filters in the AC/DC unit.

5. Change the upper and lower O-rings in theBiCart holder.

6. Change the upper and lower O-rings in theSelectCart holder.

How to exchange the parts included inthe Base-kit

1. First perform a combined heat disinfectionprogram with CleanCart C or liquid citricacid.Then perform a heat disinfection program incombination with CleanCart A or a Chemicaldisinfection program with sodium hypochlo-rite. Refer to the AK 200 S orAK 200 ULTRA S Operators Manual.

2. Change air filters in the Blood Monitor.

3. Change air filter in the Fluid Monitor.

o-ring

31

2

3

1

2

o-ring

Base-kit

2:6

Maintenance Manual


A B

7. Change the O-rings and square-rings in theultrafilter holders. (Only for AK 200 S withUFD-kit and AK 200 ULTRA S)

o-ring

square-ring

o-ring

8. Change the upper and lower filters on theBiCart holder (50 m).

9. Change the lower filter on the SelectCartholder (50 m).

10. Change the particle filter after the SelectBagholder (50 m).

11. Change the filter for the heating vessel(250 m).

12. Change the V-rings in the heating vessel.

Base-kit


Maintenance Manual

13. If ULTRA: Change the membrane for theinternal pressure regulator.

14. If ULTRA: Change the membrane for thenon-return valve.

Base-kit

15. Change the sample ports.

16. Change the sealing ring and the ring on theinlet unit inside the heating vessel.

Note! It is important that the sealing ring isre-assembled with its flat side according tothis illustration.

17. If ULTRA: Change the sealing for theinfusion port on the FM front.

080709

10

0605

080709

10

0605

18. Mark month and year for the next scheduledpreventive maintenance. Attach the label tothe rear cover of the machine.

2:8

Maintenance Manual


Actions to carry out after the partshave been exchanged

1. Check that the screws for the blood pump(s)are tightened.

2. Check that the screws for the hose clamps onthe water inlet and drain tube are tightened.

3. Check that the wheels are tightened.

4. Check that the screw for the infusion stand istightened.

5. Perform the Protective Earth Test (PET)according to instructions available inHCEN12190, Electrical safety inspections forAK-machines.

Base-kit


Maintenance Manual

TP2TP3

TP4

TP6

TP7

TP8

TP9TP10TP11

TP12TP13

TP14

TP15TP16

TP17TP18

TP19TP20

TP21

TP22

TP5

1074

E01342007

7. Check the protective earth resistance in FM.Measure between TP 7 (Z0VL) on the Powerdistribution board and the earth point on theback plate. Measure in M , should be> 1 M . The machine must be empty andswitched off during measurement.

6. Check the protective earth resistance in BM.Measure between TP 8 (Z0VL) on the BM-CPU board and the earth point on the bottomplate. Measure in M, should be > 1 M.The machine must be empty and switched offduring measurement.Note! The BM must be connected to the FM.

TP1 TP4TP3

TP7TP8

TP5TP6

TP2

E01345009

Base-kit

8. Erase the error code buffers. Enterservice menu > Diagnose > System >Errors > Erase

2:10

Maintenance Manual


9. BPM-test

Note!Following text is valid for machines equipped withthe SunTech blood pressure module (K24274001).For machines equipped with the Colin blood pres-sure module (K23564001), refer to HCEN9291,revision 07.2005 for technical and maintenanceinformation about BPM.

9.1 Test method:

- Attach BPM cuff, 100900141, tight to theBPM test equipment, K22151001.

- Start the AK 200 S / AK 200 ULTRA S withthe main switch and the ON/OFF button.

- Enter Service mode.

- Enter Diagnostics mode.

- Select BM, Others, BPM

9.2 BPM sub-tests

In the BPM service menu the following sub-tests are included:- Air leakage test: measures that the equip-ment is airtight.- Inflation speed test: measures the time to fillthe cuff with air.- Static pressure: Check of pressure trans-ducer calibration

Each of the tests can be carried out separatelybut the above order for carrying out the sub-tests is recommended.

Check that the results from the sub-tests notexceed following limits:- Air leakage: maximum 18 mmHg/ 3 min- Inflation speed: 2 -11 s- Static pressure: Maximum deviation fromreference to be within 3 mm Hg.50 3 mmHg150 3 mmHg250 3 mmHg

9.3 Check of air leakage

By entering this test mode the air leakagefor the BPM module, cuff hose and cuffwill be tested automatically.Before entering the test mode cuff and cuffhose to be connected to the AK 200 S /AK 200 ULTRA S.Cuff to be wrapped tight to the BPM testequipment.

BPM test equipment is used to simulatethe patient arm circumference. The airleakage is only tested for 90 sec but thevalue is recalculated for 3 minutes.If the displayed value is above 18 mm Hg /3 minutes, this indicates that there is apossible air leakage in the system.

It is of course also possible to perform thistest without the cuff and cuff hose con-nected but then the test will only checkfor air leakage within theAK 200 S / AK 200 ULTRA S. In this casereplace the cuff and cuff hose by a tube,which is closed.

9.4 Check of inflation speed

By entering this test mode the capacity forthe pump within the module will be testedautomatically. Before entering the testmode cuff and cuff hose to be connected tothe AK 200 S / AK 200 ULTRA S.

Cuff to be wrapped tight to the BPM testequipment. If the displayed time is above11 seconds, this test indicates that thepump is worn-out.

Base-kit


Maintenance Manual

9.5 Check of pressure transducer calibration andmeasured pressure

By entering this test mode it will be possible tocheck the actual pressure value for the BPMpressure on the AK 200 S /AK 200 ULTRA S display.

Before entering the test mode, pressure trans-ducer calibration tube kit K13983002 to beconnected to the BPM connector on the rear ofthe AK 200 S / AK 200 ULTRA S . No cuff andcuff hose to be connected.

Note! The pressure transducer calibration tubekit must be drained before being connected, tomake sure that no fluids or particles enters theBPM connector or tubings. This might otherwisedamage or destroy the sensitive BPM sensors.

When Measured pressure is displayed it ispossible to start applying the external referencepressure.

Note! Pressures shall be applied very carefullyso that no overpressures occur.

To check the actual pressure value, externalpressure reference instrument to be connectedand external pressure of 250, 150, 50 mm Hg tobe applied. Check deviation from referencepressure instrument for displayed value.

Base-kit

10. Calibrate the Priming detector (BM 6).

10.1 Enter Service/Calibr/BM and set theAK 200 S / AK 200 ULTRA S display to:

ROTCETED GNIMIRP 6 MB

10.2 Press to start calibration routine.

10.3

EBUT ECNEREFER YTPME TRESNI ydaer nehw yek TES sserP

10.4 The calibration is now performed automati-cally and the calibration factor is written intothe EEPROM.

10.5 The calibration value is now shown on theinformation display:

LEVEL DOOLB YDAERmrifnoC XX

10.6 Press the lit

to confirm.

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Maintenance Manual


Base-kit

11. Calibrate the Level detector(Air detector) (BM 5).

11.1 Enter Service/Calibr/BM and set theAK 200 S / AK 200 ULTRA S display to:

ROTCETED LEVEL 5 MB


11.3 Insert a filled drip chamber. It is recom-mended that both the water and the dripchamber have a temperature of approx.37 C. Make sure that the level detector anddrip chamber are dry and clean. If possible,the drip chamber shall be from the sametype of bloodline as will be used duringtreatment.

11.4 Press the lit

.

11.5 The calibration is now performed automati-cally and the calibration factor is writteninto the EEPROM.

11.6 The calibration value is now shown on theinformation display:

TIMSNART LEVEL YDAERmrifnoC YYY XX

The value under LEVEL is the new alarmlimit, it is recommended that this value isbetween 30 and 40 for best performance.The value under TRANSMIT is the trans-mission level, which is normally 255 but canalso be 160, if the air detector transducersare exceptionally good.

12. Measure the power on battery B1 on theBM-CPU board, exchange if the value isbelow 2,6 V (Note! The machine must beswitched on when measuring).


Maintenance Manual

= Measuring

13. Control of the blood pump occlusion

Check surface on the roller at the pump rotor, ifit is damaged exchange the unit. The roller unitshould easily go back to upper end position whenit has been pressed down to end position, ex-change unit if it gets stuck in any position.

Note! If the blood lines/infusion lines have adifferent wall thickness, the occlusion of theblood pump must be adjusted to the right size.

Use the gauge pins (stop/go) available in the kitK40158001. The kit includes following threedifferent gauge pins:



Use following formula to calculate which gagepin to use:2 * wall thickness * 0,7 (mm)

Check the range between the blood pump rollersand the path according to the picture below.Adjust range between the blood pump rollers andthe path if it is necessary.

The GO pin should barely pass within the cali-brating area.

The STOP pin is NOT allowed to pass in anypoint within the calibrating area.

Note! Put grease on the GO and STOP pinswhen not used and store gage in plastic bag toprevent it from corroding.

Note! The gauge pins can also be ordered sepa-rately:T=1.1 (white) K40158002T=1.6 mm (red) K40158003T=2.0 mm (blue) K40158004

Base-kit

2:14

Maintenance Manual


14. Enter Service/Calibr/BM and set theAK 200 S / AK 200 ULTRA S display to:

PRESSURE SYSTEM BM 1


14.2 Make sure that nothing is connected to thetransducer (zero pressure)

14.3 Check zero level of the System PressureTransducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).


PRESSURE ARTERIAL BM 2


15.2 Make sure that nothing is connected to thetransducer (zero pressure)

15.3 Check zero level of the Arterial PressureTransducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).

Base-kit


Maintenance Manual


PRESSURE VENOUS BM 3


16.2 Make sure that nothing is connected to thetransducer (zero pressure).

16.3 Check zero level of the Venous PressureTransducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).

17. Enter Diagnose/BM/Pumps and check thatthe blood pump(s) stops when the cover isopened.

18. Start the blood pump(s) and let it run atlowest possible speed. Open the blood pumpcover and place a magnet (1) on the sensorfor the cover. Stop the blood pump rotor bymanually grabbing the handle (2).Check that the power to the blood pumpmotor is switched off within 2 seconds.

1 2

Base-kit

2:16

Maintenance Manual


19. Enter Service/Calibr/FM and set theAK 200 S / AK 200 ULTRA S display to:

DEGASSING PRESSURE FM 7


19.2 Disconnect a tube to achieve zero pressure(see picture).

19.3 Check zero level of the Degassing PressureTransducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).


FLOW OUTPUT PRESSURE FM 8



20.3 Check zero level of the Flow Output Pres-sure Transducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).

Base-kit


Maintenance Manual


HIGH PRESSURE GUARD FM 10



22.3 Check zero level of the High PressureGuard Transducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).


FLOW INPUT PRESSURE FM 9



21.3 Check zero level of the Flow Input PressureTransducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).

Base-kit

2:18

Maintenance Manual



DIALYSIS FLUID PRESSURE FM 11



23.3 Check zero level of the Dialysis Fluid Pres-sure Transducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).

OR


SAFETY GUARD PRESSURE FM 12



24.3 Check zero level of the Safety Guard Pres-sure Transducer.Tolerance: 5 mmHg.Calibrate if necessary (see chapter calibrationfor details).

Base-kit


Maintenance Manual

25. If installed: Calibrate the pH-sensor(FM 13) with a buffer solution.

26. Remove the blood leak detector cover andclean the inside of the blood leak housing.

Mount a blood leak calibration cover. Makesure that the filter is in horisontal position,start the AK 200 S / AK 200 ULTRA S.

Enter the Service menu, select calibration,FM, intern and Blood Leak Detector(FM24).Place A-pickup tube in concentrate contai-ner and let it stabilise for 15 minutes.

Note! Let the AK 200 S / AK 200 ULTRA Sstabilize at 37 C

Press to enter the blood leak calibra-

tion routine.

Check the blood leak detector limits 0 and100 10.Calibrate if necessary (see chaptercalibration for details).

27. Check the water level in the heating vessel,should be approximately 1cm above thecenterline, adjust if necessary.

28. Check the conductivity indications, at ap-proximately 14 mS/cm.

Use GXL fluid monitor screen and a refer-ence instrument connected to the dialysisfluid tubes.

The indicated conductivity values in GXLshould correspond to the indication on thereference instrument. The maximum devia-tion is 0.1 mS/cm.

29. Check the temperature indications, at ap-proximately 37 C.Use GXL fluid monitor screen and a refer-ence instrument connected to the dialysisfluid tubes.The indicated temperature value (at theconductivity cell 2, guard) should correspondto the indication on the reference instru-ment. The maximum deviation is 1.5 C.

If the deviation is more than the statedtolerance; the affected temperature trans-ducer must be exchanged.

30. Place the B-pickup tube in the concentratecontainer.Perform an FRN calibration. Enter servicemenu/Calibr/FM/Other/UF/Restr.

Base-kit

2:20

Maintenance Manual


31. Let the machine pass Fch. Check the DCleakage between TP 7 (Z0VL) on the Powerdistribution board and the earth point on theback plate. Measure in DC Voltage, should be< 1 V.

32. Check the DC leakage between TP 7 (Z0VL)on the Power distribution board and thecover on the Degass pump motor. Measure inDC Voltage, should be < 1 V.

33. Check the DC leakage between TP 7 (Z0VL)on the Power distribution board and theDegass pump head. Measure in DC Voltage,should be < 1 V.

34. Check the DC leakage between TP 7 (Z0VL)on the Power distribution board and thecover on the Flow Out pump motor. Measurein DC Voltage, should be < 1 V.

35. Check the DC leakage between TP 7 (Z0VL)on the Power distribution board and the FlowOut pump head. Measure in DC Voltage,should be < 1 V.

36. Check the DC leakage between TP 7 (Z0VL)on the Power distribution board and thecover on the Flow In pump motor. Measurein DC Voltage, should be < 1 V.

37. Check the DC leakage between TP 7 (Z0VL)on the Power distribution board and the FlowIn pump head. Measure in DC Voltage,should be < 1 V.

38. If ULTRA: Calibration of internal pressureregulator.

38.1 Press and set the main flow to

500 ml/min.

38.2 Choose or .

38.3 Press and switch to .

38.4 Connect the dialyzer coupling to the conduc-tivity cell on the reference instrument.

38.5 Adjust venous pressure to +100 mmHg andTMP to +400 mmHg.

38.6 Connect a tube between the infusion portand an external pressure reference instru-ment.

38.7 Press to obtain main flow through the

pressure regulator.

38.8 Adjust the pressure regulator to+55 mmHg 5 mmHg.

38.9 Press and remove the reference

instrument and tube.

Base-kit


Maintenance Manual

39. Perform a simulated treatment according tofollowing instruction:

If the BVS is installed, switch it on. The machine must be in volume control. Insert a filled venous drip chamber in the

level detector. When the priming button is flashing, simulate

a venous pressure of approximately 50 mmHg. (Insert the BVS test tool, K22281001). Set the UF-volume to 0.9 and treatment TIME

to 1:00h. Connect a T-piece to the dialysis tubings. Put

the end of the tube in a measuring glass filledwith more than 1 liter of water, approx. 37 C .

Press fluid bypass. Check that the tube to themeassuring glass is filled with water and allair bubbles are evacuated.

Set the blood pump speed to 200 ml/min, pressthe priming button and start the blood pump.

Press UF-rate and set priming UF rate andminimum UF-rate to 0.0 l/h.

Make sure the measuring glass is filled to 1.00liter adjust if necessary.

Note! It is very important to do the followingthings (A,B and C) more or less simultaneouslyi.e. within seconds.

A: Simulate blood in the priming detector.B: Make sure (again) that the measuring glass is

filled to 1.0 liter.

C: Press .

D: Press TMP when UF rate is approximately atset value (check bargraph).

Note! Make sure that the blood pump is notstopped by any alarm during this test since thismay affect the accumulated UF volume.All kind of fluid alarms (conductivity etc.) have tobe avoided.

Check the residual volume at TIME=0:00 Approved residual volume:

100 ml 50 ml. Approved difference between actual

UF volume and UF Supervisionvolume is 120 ml.

The BVS test tool simulates a hemoglobinvalue within the range 60 160 g/l.

When inserted into the BVS unit it is possibleto check the switch, that a reference value istaken and that a graph is shown on the infor-mation display when the BVS key is pressed.

The value for relative blood volume will beapprox. 0 % with some deviations. Do notethat the blood flow must be more than 180 ml/min for 5 minutes before a reference value istaken.

Base-kit

2:22

Maintenance Manual


40. Check that the overload protection on theheparin pump is working.

41. Check the arterial clamp by attaching thecalibration tube set into the arterial clamp.Enter priming mode and create a leveldetector alarm to get the clamp closed. Applya pressure of 600 mmHg. Check that thepressure does not fall more than 30 mmHg in15 seconds.

42. Check the venous clamp by attaching thecalibration tube set into the venous clamp.Enter priming mode and create a leveldetector alarm, by lowering the level in thedrip chamber, to get the clamp closed.Apply a pressure of 600 mmHg.Check that the pressure does not fall morethan 30 mmHg in 15 seconds.

43. If installed: Check the battery backup bydisconnecting the mains plug. Let the ma-chine run for at least 1 minute.

Note! This is not a capacity test of thebackup batteries. Instructions how to per-form a capacity test of the backup-batteries,refer to chapter Calibration in AK 200 S /AK 200 ULTRA S Service Manual.

44. Reconnect the mains plug to the outletsupply of an electrical safety tester.

Perform the Earth Leakage Test (ELT) andthe Patient Earth Leakage Test (PLT) ac-cording to instructions available inHCEN12190, Electrical safety inspections forAK-machines.

45. Perform heat/chemical disinfection.

Base-kit


Maintenance Manual

Preventive Maintenance: Supplementary A-kit

PartsThe A-kit is designed to be used as a complemen-tary addition to the Base-kit for the preventivemaintenance procedures of AK 200 S andAK 200 ULTRA S.

The A-kit (K40166001) includes following exteriorparts:

Note!All parts in the A-kit are possible to exchangewithout opening the dialysis machine.

A-kit

Step Monitor Denomination Part no. Qty1 FM Pick-up tube (red) K13467002 12 FM Pick-up tube (blue-white) K13467001 13 FM Dialyser connector set (blue) K14082002 1

3,4 FM Locking ring (Dialyser connector) K22591001 24 FM Dialyser connector set (red) K14081002 14 FM Conical filter L50824001 14 FM O-ring for conical filter 100319046 14 FM Nipple K13736001 15 FM Non-return valve K17978001 16 FM Washer, blood pump rotor K07316001 4

2:24

Maintenance Manual


A-kit

1. Change the pick-up tube A (red).

2. Change the pick-up tube B (blue-white).

3. Change the dialyser connector set blue andthe locking ring.

5 mm

4. Change the dialyser connector set red,locking ring, nipple, conical filter and O-ring.

5 mm

How to exchange the exterior partsincluded in the A-kit

5. Change the non-return valve on the waterinlet tube.

6. Add/change the washers for the blood pumprotors.


Maintenance Manual

Actions to carry out after the parts havebeen exchanged

1. First perform a heat disinfection program.Refer to the AK 200 S or AK 200 ULTRA SOperators Manual.

2. After the heat disinfection; re-tighten the nutsof the dialyser connector set to the machine.

3. Let the machine pass FCH.A leakage test of the dialyser connector set ispeformed in state 24.

5 mmNuts

A-kit

4. Control of the blood pump occlusion

Check surface on the roller at the pump rotor, ifit is damaged exchange the unit. The roller unitshould easily go back to upper end position whenit has been pressed down to end position, ex-change unit if it gets stuck in any position.

Note! If the blood lines/infusion lines have adifferent wall thickness, the occlusion of theblood pump must be adjusted to the right size.

Use the gauge pins (stop/go) available in the kitK40158001. The kit includes following threedifferent gauge pins:



= Measuring

Use following formula to calculate which gagepin to use:2 * wall thickness * 0,7 (mm)

Check the range between the blood pump rollersand the path according to the picture below.

Adjust range between the blood pump rollers andthe path if it is necessary.

The GO pin should barely pass within the cali-brating area.

The STOP pin is NOT allowed to pass in anypoint within the calibrating area.

Note! Put grease on the GO and STOP pinswhen not used and store gage in plastic bag toprevent it from corroding.

Note! The gauge pins can also be ordered sepa-rately:T=1.1 (white) K40158002T=1.6 mm (red) K40158003T=2.0 mm (blue) K40158004

2:26

Maintenance Manual


B-kit

Preventive Maintenance: Supplementary B-kit

PartsThe B-kit is designed to be used as a complemen-tary addition to the Base-kit for the preventivemaintenance procedures of AK 200 S andAK 200 ULTRA S.

The B-kit (K40167001) includes followingoverhaul parts:

Step Monitor Denomination Part no. Qty

1 FM Spike kit BiCart- and SelectCart holder (PEEK lower) K21557006 2

2 FMComplete valves: FOVA, DIVA, TAVA, BYVA, DRVABCVA, TPVA, PBVA

K15235A 8

3 FM Recirculation valve (complete) K15514002 14 FM Silicon tube (3x2mm) 100312032 7m4 FM Silicone tube 2x1,5 100312166 1m5 FM Santoprene tube 100312141 2m6 BM Venous pressure line (complete) K21353A 17 BM Arterial pressure line (complete) K15145001 18 BM System pressure line (complete) K21358A 19 BM Pump tube (air pumps) K22114001 39 BM Strap (air pumps) 100314015 3


Maintenance Manual

1. Change the lower complete spike house andO-rings in the BiCart and SelectCart holder.Assemble according to machine configuration.

2. Change following complete valves:FOVA, DIVA, TAVA, BYVA, DRVA, BCVA,TPVAand PBVA.

3. Change complete Recirculation valve.

4. Change all the Silicone tubes in the fluidmonitor.

5. Change all the Santoprene tubes in the fluidmonitor.

How to exchange the parts included inthe B-kit

B-kit

6. Change the (complete) venous pressure line.

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Maintenance Manual


9. Change the pump tubes for the air pumps.Clean the rollers with ethanol (70 %).

7. Change the (complete) arterial pressure line.

8. Change the (complete) system pressure line.

B-kit


Maintenance Manual

Actions to carry out after the parts havebeen exchanged

1. First perform a heat disinfection program.Refer to the AK 200 S or AK 200 ULTRA SOperators Manual.

2. Let the machine pass FCH.

3. Perform a BiCart / SelectCart primingaccording to the Operators Manual.

B-kit

2.2 Slutkontrol

2.2.1 Elektrisk kontrol

2.2.1.1 Lkstrm- og isolationsstest Den elektriske kontrol skal indeholde relevante udvalgte mlevrdier.

OK St X

Fejl/kommentarer/udskiftninger/mlinger Skriv kun hvis ndvendig

1 Udfr elsikkerhedstest

2.2.2 Slutvurdering af udstyrets tilstand OK

St X Fejl/kommentarer/udskiftninger/mlinger Skriv kun hvis ndvendig

1 Hvordan vurderes samlet stand

God St X

Middel St X

DrligSt X

2.2.3 Servicemrkat OK


1 Pst FV mrke

2.2.4 Slutbemrkninger OK


1 Skriv eventuelle slutbemrkninger

2.3 Reservedelsforbrug OK


1 Reservedelsforbrug samt pris

2.4 Tidsforbrug

2.5 Underskrift (PC-tekst er nok)

Time(r)

Dato Underskrift

OK: OKbeskrivelse: Kommentare punkt0,1: text0,1: text0,2: punkt0,4: text0,4: text0,3: punkt0,2: punkt0,5: text0,5: punkt0,3: punkt0,6: text0,6: punkt0,7: text0,7: punkt0,8: text0,8: punkt0,9: text0,9: punkt0,10: text0,10: punkt0,11: text0,11: punkt0,12: text0,12: punkt0,16: text0,16: text0,17: text0,18: text0,14: punkt0,14: punkt0,17: punkt0,15: text0,15: punkt0,18: punkt1,1: text1,1: punkt1,3: text1,3: text1,2: punkt1,4: text1,4: punkt1,5: text1,5: punkt1,2: punkt1,8: text1,8: punkt1,7: punkt1,6: text1,7: kommetare 9,1: Kommentare - 9.1 punkt9,1: text9,1: kommetare 9,3: Kommentare - 9.3 kommetare 9,2: Kommentare - 9.2 punkt9,3: punkt9,2: text9,3: text9,2: text9,4: kommetare9,4: Kommentare - 9.4 punkt9,4: text10: punkt10: text1,11: Level =Transmit =kommetar1,11: Kommentare - 11 punkt1,11: kommetar1,14: Kommentare - 12 kommetar1,15: Kommentare - 15 punkt1,14: text1,14: zero leve =punkt1,15: text1,15: zero level =kommetar1,16: Kommentare - 16 punkt1,16: text1,16: zero level =kommetar1,17: Kommentare - 17 punkt1,17: text1,17: kommetar1,18: Kommentare - 18 punkt1,18: text1,18: text1,12: Batt =kommetar1,12: Kommentare - 12 punkt1,12: kommetar1,19: Kommentare - 19 punkt1,19: text1,19: Zero level =kommetar1,21: Kommentare - 21 punkt1,21: text1,21: Zero level =kommetar1,22: Kommentare - 22 text1,22: Zero level =punkt1,22: kommetar1,23: Kommentare - 23 kommetar1,24: Kommentare - 24 punkt1,23: text1,23: Zero level =text1,24: Zero level =punkt1,24: kommetar1,20: Kommentare - 20 punkt1,20: text1,20: Zero level =kommetar1,28: Kommentare - 28 punkt1,28: text1,28: kommetar1,29: Kommentare - 29 punkt1,29: text1,30: punkt1,30: text1,29: kommetar1,30: Kommentare - 30 punkt9,5: text9,5: kommetar1,31: Kommentare - 31 punkt1,31: text1,31: kommetar1,37: Kommentare - 37 kommetar1,32: Kommentare - 32 punkt1,37: punkt1,32: punkt1,33: punkt1,35: text37: text1,32: text1,38: kommetar1,33: Kommentare - 33 kommetar1,38: Kommentare 38 text1,33: punkt1,38: text1,34: kommetar1,34: Kommentare - 34 punkt1,34: kommetar1,35: Kommentare - 35 text1,35: kommetar1,36: Kommentare - 36 punkt1,36: text1,6: text1,36: kommetar1,13: Kommentare - 13 punkt1,13: text1,13: kommetar1,39: Kommentare - 39 punkt1,39: text1,39: kommetar1,25: Kommentare - 25 punkt1,25: text1,25: kommetar1,26: Kommentare - 26 punkt1,26: text1,26: kommetar1,27: Kommentare - 27 punkt1,27: text1,27: kommetar1,40: Kommentare - 25 punkt1,40: text1,40: kommetar1,41: Kommentare - 41 punkt1,41: text1,41: kommetar1,42: Kommentare - 42 punkt1,42: text1,42: kommetar1,43: Kommentare - 43 punkt1,43: text1,43: punkt1,44: kommetar1,44: Kommentare - 44 text1,44: kommetar1,45: Kommentare - 45 punkt1,45: text1,45: punkt2,1: text2,5: punkt2,5: text2,6: punkt2,6: punkt0,13: text0,13: kommentar 2,2: Kommentare - 2 kommentar 2,3: Kommentare - 3 kommentar 2,4: Kommentare - 4 punkt2,2: punkt2,3: text2,1: text2,2: text2,3: text2,4: punkt2,22: punkt2,33: punkt2,44: text2,22: text2,33: text2,44: punkt2,11: text2,11: kommentar2,11: Kommentare - 1 kommentar2,44: Kommentare - 4 kommentar2,22: Kommentare - 2 kommentar2,33: Kommentare - 3 kommentar2,55: Kommentare - 5 kommentar2,66: Kommentare - 6 punkt3,4: punkt3,5: punkt3,3: punkt3,6: text3,3: text3,6: punkt3,2: text3,2: text3,5: text3,1: text3,4: punkt3,7: punkt3,8: punkt3,9: text3,7: text3,8: text3,9: punkt3,1: kommentar3,111: Kommentare kommentar3,222: Kommentare kommentar3,333: Kommentare punkt3,111: text3,111: punkt3,222: text3,222: punkt3,333: text3,333: god: middel: drlig: 400: 500: 600: 700: maaling: service: slutbe: reserv: 800: underskrift: dato: tid: serienummer: id nr:

maintenance manual ak200

Documents

ultra s hcen12088

rateof preventive maintenance

yearly maintenance

parts havebeen

parts includedin

kit k40166001

parts mustbe

necessary parts