Interface disinfection

AquaBplus

Disinfection with
Puristeril 340 / Puristeril plus

Service Manual
Edition: 1/08.12
Part no.: 636 551 1
Table of contents

1 Index

2 Important information
2.1 How to use the Service Manual................................................................................................ 2-1
2.2 Significance of warnings .......................................................................................................... 2-1
2.3 Significance of notes ................................................................................................................ 2-2
2.4 Significance of tips.................................................................................................................... 2-2
2.5 Technician's qualification......................................................................................................... 2-2
2.6 Considerations for working on the device.............................................................................. 2-2
2.7 Technical documentation ......................................................................................................... 2-3
2.8 Warnings .................................................................................................................................... 2-3
2.8.1 Electrical warnings....................................................................................................................... 2-3
2.9 Addresses .................................................................................................................................. 2-4

3 Material
3.1 Material required........................................................................................................................ 3-1
3.2 Approved disinfectants............................................................................................................. 3-1
3.3 Concentration for use ............................................................................................................... 3-1
3.4 Test for absence of disinfectant .............................................................................................. 3-1

4 System configuration
4.1 Intended use .............................................................................................................................. 4-1
4.1.1 Interface disinfection process flowchart................................................................................. 4-1
4.2 Requirements............................................................................................................................. 4-2
4.3 Configuration ............................................................................................................................. 4-4
4.3.1 4008 hemodialysis system .......................................................................................................... 4-4
4.3.2 5008 / 5008S therapy system...................................................................................................... 4-5

5 Description of the procedure

5.1 Precautions ................................................................................................................................ 5-1
5.2 Disinfection ................................................................................................................................ 5-2
5.2.1 Disinfectant volume ..................................................................................................................... 5-2

Fresenius Medical Care Interface disinfectionAquaBplus SM-EN 1/08.12 iii

 5.2.2 Disinfection procedure ................................................................................................................. 5-3
5.2.3 Test for residual disinfectant on the reverse osmosis system ..................................................... 5-9
5.2.4 Test for residual disinfectant on the dialysis devices................................................................... 5-9
5.2.5 Disinfection of the devices ........................................................................................................... 5-9
5.2.6 Rinsing Granumix Plus .............................................................................................................. 5-10

6 Appendix
6.1 Protocol ...................................................................................................................................... 6-2

iv Fresenius Medical Care Interface disinfectionAquaBplus SM-EN 1/08.12

 Chapter 1: Index

1 Index
A T
Addresses 2-4 Technical documentation 2-3
Appendix 6-1 Technician's qualification 2-2
Approved disinfectants 3-1 Test for absence of disinfectant
3-1
C Tip, significance 2-2

Concentration for use 3-1

Configuration 4-4
W
Considerations for working on the Warnings 2-3
device 2-2 Warnings, significance 2-1

D
Description of the procedure 5-1
Disinfection 5-2

H
How to use the Service Manual 2-1

I
Important information 2-1
Intended use 4-1

M
Material 3-1
Material required 3-1

N
Note, significance 2-2

P
Precautions 5-1

R
Report 6-2
Requirements 4-2

S
System configuration 4-1

Fresenius Medical Care Interface disinfection AquaBplus SM-EN 1/08.12 1-1

Chapter 1: Index

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 Chapter 2: Important information

2 Important information

2.1 How to use the Service Manual

Purpose This document is intended for service technicians and is to be used for
first studies (to acquire a basic knowledge) and for reference purposes
(for TSC, maintenance and repair). The document does not replace the
training courses offered by the manufacturer.

Identification The document can be identified by the following information on the title
page and on the labels, if any:
– Document edition
– Document part number

Footer The footer contains the following information:

– Company name, e.g., Fresenius Medical Care
– Device type
– The English abbreviation for the type of document and the
international code for the language of the document, e.g., OP-DE
means Operating Instructions in the German language.
– Edition, e.g., 4/03.11 means, 4th edition, March 2011
– The page identification 1-3, for example, refers to chapter 1, page 3.

Organization of the To facilitate the use of documents from Fresenius Medical Care, the
chapters organization of the chapters has been standardized in all manuals.
There may therefore be chapters within this document without any
content. Chapters without content are identified.

Illustrations The illustrations used in the documents may differ from the original if
this does not have any influence on the function.

Changes Changes to documents will be released as new editions or

supplements. In general, this manual is subject to change without
notice.

Reproduction Reproduction, even in part, is only permitted with written approval.

2.2 Significance of warnings

Warning
Advises the operator that failure to observe this information can result
in personal injury.

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Chapter 2: Important information

2.3 Significance of notes

Note
Advises the operator that failure to observe this information can:
– cause damage to the equipment
– result in a specific function not being executed at all or not being
executed correctly

2.4 Significance of tips

Tip
Information providing useful tips for easy handling.

2.5 Technician's qualification

Requirements The interface disinfection must be performed by the technical service of

Fresenius Medical Care or a person authorized by them.
The interface disinfection may only be performed by persons qualified
to properly perform the interface disinfection based on their educational
background, training, knowledge and experience.
This includes:
– Participation in a technical training course for the AquaBplus
– Participation in a technical training course for performing the
interface disinfection
– Valid certificate for both training courses
– Instructions for performing the disinfection of the Fresenius systems
connected to the permeate ring main.

2.6 Considerations for working on the device

Requirements The technician must be familiar with the contents of the latest Operating
Instructions of the respective device.
The technician must be proficient in mechanics and electrical and
medical technology.

Authorized persons Start-up, expansions, adjustments, calibration, maintenance

procedures, modifications or repairs may only be carried out by the
manufacturer or manufacturer-authorized persons.

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 Chapter 2: Important information

Test equipment and The activities described in this document require the availability of the
accessories necessary technical test equipment and accessories.

Specifications Observe the information on the specifications.

Precautions Before turning power on, repair any visible damage.

Prior to opening the device and when working on the open device, the
following precautions must be observed:
– Protect the components against the ingress of fluids.
– Do not touch live parts.
– Disconnect and connect all jacks, connectors and components only
when the device is turned off.

ESD precautions When repairing the device and when replacing spare parts, observe the
applicable ESD precautions.

Spare parts Use only original spare parts.

For the identification and for ordering spare parts, test equipment and
tools, always use the electronic spare parts catalog.

2.7 Technical documentation

Upon request, circuit diagrams, descriptions and other documents are

made available by the manufacturer. These are intended to support
trained personnel of the responsible organization in servicing and
repairing the device.

2.8 Warnings

2.8.1 Electrical warnings

Warning
Risk of injury caused by electrical voltage.
Touching live parts will cause an electric shock.
– Disconnect the power plug before opening the device. Operating the
On/Off switch stops operation of the device, but does not disconnect
the device from the supply voltage!

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Chapter 2: Important information

2.9 Addresses

Please address any inquiries to:

Manufacturer Fresenius Medical Care AG & Co. KGaA

D-61346 Bad Homburg
Germany
Phone: +49 (0)6172 609-0
www.fmc-ag.com

International Fresenius Medical Care

service Deutschland GmbH
Service Support International
Hafenstrasse 9
D-97424 Schweinfurt
Germany
Phone: +49 (0)9721 678-333 (Hotline)
Fax: +49 (0)9721 678-130

Local service

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 Chapter 3: Material

3 Material

3.1 Material required

– Protective equipment (see Chapter 5.1 on page 5-1)

– Disinfectant
– Test for residual disinfectant

3.2 Approved disinfectants

Puristeril 340 or Puristeril plus

Note
Only approved disinfectants may be used.

3.3 Concentration for use

3–6 % Puristeril 340 / Puristeril plus

3.4 Test for absence of disinfectant

With the peracetic acid test,

Fresenius article number 629 916 1

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Chapter 3: Material

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 Chapter 4: System configuration

4 System configuration

4.1 Intended use

Disinfection / sanitization followed by a flushing of the central permeate

supply involving the supply line of the dialysis device up to the internal
disinfection circuit of the dialysis device.

4.1.1 Interface disinfection process flowchart

Disconnection of all systems not included

in the disinfection process

↓
Turning on all dialysis systems integrated
in the process

↓
Interruption of the permeate flow to the
dialysis systems by opening the shunt
interlock

↓
Starting the Int. disinfection program on
the AquaBplus
Drawing in the standard disinfection
volume.

↓
Drawing the disinfectant into the dialysis
devicesby groups (for one minute)

↓
Continuing disinfection of the system and
of the ring main

↓
Rinsing the RO

↓
Rinsing the dialysis devices

↓
Standard disinfection of the dialysis
devices

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Chapter 4: System configuration

4.2 Requirements

– Knowledge of the topography of the ring main.

– Correct function of all affected components.
– Software 4.00 or higher for 5008 / 5008S hemodialysis devices.

Warning
All equipment or consumers not integrated in the disinfection process
must be disconnected prior to the disinfection.
A permeate tank, which might be present, must be disconnected from
the ring main and must be disinfected separately.
A concentrate mixing system, which may be present, must be
disconnected from the ring main.
A Granumix Plus must be in Standby mode or must be set to RO
disinfection via the control input. At the end of the rinse procedure, it
must be cleaned as specified in the chapter "Disinfection of the
permeate ring main" in the Service Manual of the Granumix Plus by a
technician who has attended a Granumix Plus training course.
If external water inlet filters are installed on the integrated hemodialysis
devices, these must be removed before performing the interface
disinfection.
Do not integrate any devices of other manufacturers into the disinfection
process!

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 Chapter 4: System configuration

Note
The disinfection should be performed by two persons, one of whom
must be a trained and authorized technician.
Performance of the interface chemical disinfection is the responsibility
of the responsible organization. Requirements are the knowledge of the
topography of the ring main, the proper function of all affected
components and compliance of the installation with the specifications
defined by Fresenius Medical Care.
Only devices of the 5008 / 5008S therapy system and of the 4008
hemodialysis system may be integrated in the disinfection process!
If the Flush path is integrated in the hemodialysis device, it must be
activated in the Setup menu (5008 only). On 5008 / 5008S therapy
systems the endless rinse program can only be started with the
ServiceCard. In 4008 devices, the program is part of the rinse programs
and can be started from there.
Mixing of disinfectants must be prevented:
Ensure that there is no disinfectant already present in the hemodialysis
devices, e.g., premature termination of a standard disinfection program
of the dialysis device.
Do not integrate any devices of other manufacturers into the disinfection
process!
The following principle must always be observed when performing a
chemical disinfection:
Rinsing of disinfectant from the overall system or absence of
disinfectant in the system always has priority over the efficacy of the
disinfection performed.

Note
The interface disinfection must be performed on a scheduled basis and
sufficient time must be reserved for this procedure.
Performance of the disinfection must be recorded!

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Chapter 4: System configuration

4.3 Configuration

Switch the reverse osmosis system to the Supply mode.

Disconnect the hemodialysis devices from the CDS (Central Delivery
System).

Warning
After an endless rinse program the system must be free from
disinfectant. Following this, a standard disinfection program must be
performed on the hemodialysis devices.

The Interface disinfection program will guide the technician through

the disinfection. Disinfectant must be added.

4.3.1 4008 hemodialysis system

Start the Endless rinse program and interrupt the program by opening
the shunt interlock.
– Lift the shunt interlock flap.
– The dialysate couplings must remain in the shunt interlock.

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 Chapter 4: System configuration

4.3.2 5008 / 5008S therapy system

The ServiceCard must be inserted.

In the CLEANING menu, start Endless rinse.
Message displayed below the name of the program (e.g., Endless
rinse): Free Rinse or Test.
On completion of the initial test phase, the program can be interrupted
by opening the shunt interlock:
Open the shunt interlock flap.
Caution: The dialysate couplings must remain in the shunt interlock!

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Chapter 4: System configuration

The end of the initial test phase (after approx. 5 min) is indicated by the
fact that no additional program name is displayed below the name of the
program.
Do not terminate the program as otherwise the initial test phase will
have to be repeated.

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 Chapter 5: Description of the procedure

5 Description of the procedure

5.1 Precautions

Warning
When handling disinfectants, care must be taken not to spill any
disinfectant concentrate. To prevent acid burns, these fluids must
always be handled with care.
Observe the specifications on the safety data sheet and use the
personal protective equipment.
This includes particularly
– Acid-resistant protective clothing
– Protective gloves
– Tight-closing goggles
General safety precautions:
– Avoid any contact with eyes and skin.
– Do not breathe gases/vapors/aerosols.

First aid measures

General notes:
– Immediately take off contaminated, soaked clothing and ensure that
it is safely disposed of.
Following inhalation:
– Remove casualty to fresh air and keep at rest.
– Immediately seek medical advice.
Following skin contact:
– In case of contact with the skin immediately wash with water.
– Seek medical advice if irritation persists.
Following eye contact:
– In case of contact with eyes, rinse immediately with plenty of water
and seek medical advice.
Following ingestion:
– Immediately consult a physician.
– Do not induce vomiting.
– Rinse mouth and have the victim drink plenty of water.

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Chapter 5: Description of the procedure

5.2 Disinfection

5.2.1 Disinfectant volume

The disinfectant volume depends on the system type and on the total
length of the permeate ring main. The following table lists the required
disinfectant volumes, necessary to obtain approx. 4 % concentration in
the permeate, rounded up to container figures.

Note
For disinfection purposes, disconnect the tank control plug for tank
operation and deactivate the tank control in the Settings menu.

AquaBplus: Number of required containers in case of 5 kg containers

Total length of AquaBplus

ring main in System type (permeate output in liters/hour)
meters
500 1000 1500 2000 2500 3000

0–50 1 1 1 1 1 1

50–100 1 1 2 2 2 2

100–150 1 1 2 2 2 2

150–200 2 2 2 2 2 2

200–250 2 2 2 2 2 2

250–300 2 2 2 2 2 2

300–350 2 2 2 2 2 2

350–400 2 2 2 2 2 2

400–450 2 3 3 3 3 3

450–500 3 2 3 3 3 3

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 Chapter 5: Description of the procedure

AquaBplus B2 (double pass system): Number of required containers in case of 5 kg containers

Total length of AquaBplus B2 (double pass system)

ring main in System type (permeate output in liters/hour)
meters
500 1000 1500 2000 2500

0-50 2 2 2 3 3

50-100 2 2 2 3 3

100-150 2 2 3 3 3

150-200 2 3 3 3 3

200-250 3 3 3 3 3

250-300 3 3 3 3 3

300-350 3 3 3 3 3

350–400 3 3 3 3 3

400-450 3 3 3 3 3

450–500 3 3 4 4 4

The volume determined on the basis of the table is the volume required
for the disinfection of the reverse osmosis system. 1 (for up to 40
devices) to 2 additional containers (for up to 70 devices) with
disinfectant are required for the disinfection of the dialysis devices.
For the disinfection, the dialysis devices must be divided into groups.
8 liters of disinfectant are available for each group. This corresponds to
8 dialysis devices. Before the start of the disinfection, the dialysis
devices must therefore be divided into groups of 8 devices each. This
must be documented in the report in Chapter 6.1, step B.

5.2.2 Disinfection procedure

STANDBY

System\Service\Service routines 2/2

Start int. disinfection

To start the chemical interface disinfection, the option Start int.

disinfection must be selected from the Service routines menu and
the right + left + up + down keys must be pressed simultaneously.

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Chapter 5: Description of the procedure

DISINFECTION

Phase 0/7 Preparation

Setting fill level
Please wait

After successful completion of the T1 test, phase 0 will be started.

During this phase the level in the break tank is lowered to level 2 to start
the volumetric disinfectant supply.
When level 2 has been reached, the following screen will be displayed.

DISINFECTION

Phase 0/7 Preparation

Please add disinfectant

Terminate disinf.
Confirm

The disinfection can now be started or terminated by the operator.

Disinfection is continued by selecting the menu option Confirm.

Note
Before confirming the selected menu option Confirm with the Enter
key, the disinfection connector must be disconnected from the system
and must be connected to the disinfectant container.

Phase 1/7 Adding

disinfectant

DISINFECTION

Phase 1/7 Adding

Disinfectant being supplied

When level 3 has been reached:

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 Chapter 5: Description of the procedure

DISINFECTION

Phase 1/7 Adding disinf.

Terminate disinf. supply!

Disinfection connector
Please reinsert in original port!

Adding of disinfectant is stopped when enough disinfectant has been

drawn in to reach level 3 in the break tank. The operator is prompted to
reinsert the disinfection connector into its original port.
The operator can also prematurely terminate the aspiration of
disinfectant by reinserting the disinfection connector into its original
port. In this case the break tank will be filled up to level 3 with soft water.

Phase 2/7 Distribution When the disinfection connector is connected to its original port,
phase 2/7 Distribution will start.

DISINFECTION

Phase 2/7 Distribution -> 4:24

Permeate conductivity 23.6 µS/cm
Permeate temperature 18.9 °C

During this phase, the disinfectant is distributed in the system and the
ring main. During the first 12 seconds of the distribution phase, water
inlet valve V10 is opened to prevent possible loss of water by
compression of air in the system.

DISINFECTION

Phase 2/7 Distribution -> 4:24

Permeate conductivity 343.6 µS/cm
Start consumption
Start dwell phase
Repeat disinf. supply

On completion of the distribution phase, the operator can select if

adding of disinfectant is to be repeated or if the dwell phase or the
consumption phase should start. Adding of disinfectant must be
repeated until the number of disinfectant containers determined by
consulting the table in Chapter 5.2.1 has been drawn into the system.
The AquaBplus and the ring main(s) should be disinfected with a 3 to
6% concentration of disinfectant. The following conductivities can be
used as standard values:

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Chapter 5: Description of the procedure

Puristeril 340
Permeate conductivity + 300µS/cm
Puristeril plus
Permeate conductivity + 800µS/cm
If these values are not achieved, more disinfectant must be added. If
the target values have been achieved, phase 3/7 can be started with the
menu option Start consumption.

Phase 3/7 Consumption While consumption is in progress, the following screen will be
displayed:

DISINFECTION

Phase 3/7 Consumption

Permeate conductivity 333.2 µS/cm

Terminate consumption 44:57

On the HD devices (one group with 8 devices each):

Continue the Endless rinse program for 1 minute by closing the shunt
interlock. (No water alarms may occur during this time!).
To ensure that the concentration of the disinfectant is sufficient, observe
the aspiration time of 1 minute.
Interrupt the aspiration process by turning the devices off.
The consumption phase will be terminated at the end of the
consumption time of 45 minutes, when level 1 has been reached or if
Terminate consumption has been selected. After the disinfectant has
been drawn into the first 8 dialysis devices, more disinfectant must be
added on the reverse osmosis system. Before this can be done, the
current consumption phase must be terminated,
After the consumption phase has been terminated, phase 0/7 will restart
so that more disinfectant can be drawn into the system. To disinfect
another group of 8 HD devices, ¼ canister (approx. 1.1 liter) of
disinfectant must be drawn into the system. Aspiration is terminated by
reinserting the disinfection connector into its original port. In this case
the break tank will be filled up to level 3 with soft water. This procedure
must be repeated until disinfectant has been drawn into all dialysis
devices.

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Phase 4/7 Dwell phase
Phase 5/7 Rinse phase 1
Phase 6/7 Idle time
Phase 7/7 Rinse phase 2
Fresenius Medical Care Interface disinfection AquaBplus
Chapter 5: Description of the procedure
DISINFECTION
Phase 4/7 Dwell phase
Permeate conductivity 333.2 µS/cm
Permeate temperature 22.6 °C
During the dwell phase, the disinfectant is circulated in the system and
in the ring main(s) just like during the distribution phase.
DISINFECTION
Phase 5/7 Rinse phase 1 -> 14:44
Rinse volume 54 L to 200 L
Permeate conductivity 243.3 µS/cm
Permeate temperature 22.6 °C
Once the dwell phase is complete, rinse phase 1 will automatically be
started. During the first rinse phase, the programmed rinse volume is
being rinsed from the system and the ring main(s).
DISINFECTION
Phase 6/7 Idle time -> 4:59
When the programmed volume has been reached, the system will
automatically start the idle time. This idle phase lasts 5 minutes.
On completion of the idle time, the system will automatically start rinse
phase 2.
While rinsing of the reverse osmosis system is in progress, rinsing on
the dialysis device is started. Restart the endless rinse on the devices
(on 5008 devices with the ServiceCard).
SM-EN 1/08.12 5-7
Chapter 5: Description of the procedure

DISINFECTION

Phase 7/7 Rinse phase 2

Rinse volume 14 L to 200 L
Permeate conductivity 4.7 µS/cm
Permeate temperature 18.5 °C

During the rinse phase, the programmed rinse volume is being rinsed
from the system and the ring main just as during the first rinse phase.
This rinse phase can be repeated as often as required.

DISINFECTION

Phase 7/7 Rinse phase 2

Rinse volume 134 L to 200 L
Check for residual disinfectant!
Repeat Rinse 54 sec
Test OK

When 66% of the programmed rinse volume has been reached, the
operator is prompted to test for residual disinfectant.
If there is still disinfectant in the system or the ring main, the rinse
procedure must be repeated.

DISINFECTION

Phase 7/7 Rinse phase 2

Rinse volume 200 L to 200 L
Check for residual disinfectant!
Repeat Rinse 03:59:59
Test OK

When the rinse volume has been reached and there is no operator
input, the AquaBplus will perform a rinse at regular intervals. The
interval will be taken from the "Automatic rinse - Rinse - Interval"
setting. If Automatic rinse has been deactivated, this interval will be
4 hours. A timer with the respective interval will be started and the
remaining time until the next rinse will be displayed next to the
parameter Repeat Rinse.

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 Chapter 5: Description of the procedure

5.2.3 Test for residual disinfectant on the reverse osmosis system

The test for residual disinfectant with the peracetic acid test strip must
be performed at the last user point in the permeate ring main or ring
mains, at all unused permeate couplings, on the drain and the overflow
of the reverse osmosis system.

Warning
The reverse osmosis system and the ring main must be checked for the
absence of residual disinfectant with peracetic acid test strips. Observe
the instructions for use of the test strips used.
If the test shows a residual concentration of peracetic acid, the rinse
program must be repeated until all residual disinfectant has been
completely removed.

5.2.4 Test for residual disinfectant on the dialysis devices

4008 series:
If absence of disinfectant has been ensured on the drain of the 4008,
the Endless rinse program can be terminated.
To check the Flush for absence of disinfectant, turn the dialysis device
off and on again. After turning power On, the device will perform the
Flush cycles and the test for absence of disinfectant can be carried out.
As long as residual disinfectant is still present, start further Flush cycles
by turning the device off/on.
5008 / 5008S:
In 5008 / 5008S devices the Flush is rinsed during the entire Endless
rinse program. The Endless rinse program must therefore be performed
until absence of disinfectant has been ensured both on the drain and on
the Flush.

Note
Continue the Endless rinse of all integrated hemodialysis devices until
absence of disinfectant has been ensured on the drain and Flush (if
present) of all devices.

5.2.5 Disinfection of the devices

Warning
After an endless rinse program the system must be free from
disinfectant. Following this, a standard disinfection program must be
performed on the integrated hemodialysis devices as specified in the
respective Operating Instructions.

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Chapter 5: Description of the procedure

Use the form provided (see Chapter 6.1 on page 6-2) to document the
disinfection process!

5.2.6 Rinsing Granumix Plus

Warning
At the end of the free rinse procedure, the Granumix Plus (if present)
must be rinsed and checked for residual disinfectant by a trained
technician as specified in the chapter "Disinfection of the permeate ring
main" in the Granumix Plus Service Manual.

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 Chapter 6: Appendix

6 Appendix

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Chapter 6: Appendix

6.1 Protocol

Step A - Reverse osmosis system disinfection report

Report on the disinfection of the reverse osmosis system, the permeate ring main and
the supply lines of hemodialysis devices and on the standard mandatory disinfection of
hemodialysis devices after this disinfection process.
Note: Should problems occur during the disinfection, immediately inform the
manufacturer!

Customer: Date:

City: Technician 1:

Phone: Technician 2:

RO system serial no.: Type of RO system:  Aqua Bplus

 Aqua Bplus Duo

Permeate output: Length of permeate ring Ring 1: ______________________

main: Ring 2: ______________________

RO system equipment code: Disinfectant  Puristeril 340

 Puristeril plus

Permeate conductivity (before disinfection) ______________________ μS/cm

Start of disinfection / aspiration of disinfectant Time: Volume:
Number of disinfectant containers:
Permeate conductivity before aspiration into the hemodialysis ______________________ μS/cm;  OK
devices:
Permeate conductivity after aspiration into the hemodialysis ______________________ μS/cm;  OK
devices:
Dwell time: Time, from: Until:
Dwell time, hemodialysis device (first and last group): Time, from: Until:
Time, from: Until:
Total number of rinse cycles / rinse volume per cycle:
Permeate conductivity (after disinfection) ______________________ μS/cm;  OK
Test for residual disinfectant in reverse osmosis system: Absence  OK
of disinfectant?
Restore the original values on the reverse osmosis system in case these have been changed for the interface
disinfection.

All systems have been disinfected according to instruction procedure and have been checked for absence of disinfectant.
Signature technician 1: Signature technician 2:
Signature / date, customer:

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 Chapter 6: Appendix

Step B - Disinfection report for hemodialysis device and other components

Report on the disinfection of the reverse osmosis system, the permeate ring main and
the supply lines of hemodialysis devices and on the standard mandatory disinfection of
hemodialysis devices after this disinfection process.
Note: Should problems occur during the disinfection, immediately inform the
manufacturer!

Customer: Date:

City: Technician 1:

Phone: Technician 2:

RO system serial no.: Page ____ of ____

No./serial no.: Type

before start of disinfection

e.g. 5008S, Aquator,

Absence of disinfectant

Absence of disinfectant
Attention 8 devices per

Granumix, Granumix plus

Number of the group,

Not integrated

Disconnected
disinfection
performed
Integrated

Standard
group

.
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Fresenius Medical Care Interface disinfection AquaBplus SM-EN 1/08.12 6-3

Chapter 6: Appendix

The complete system has been disinfected according to instruction procedure and has been checked for absence of
disinfectant.

Signature technician 1: Signature technician 2:

Signature / date, customer:

6-4 Fresenius Medical Care Interface disinfection AquaBplus SM-EN 1/08.12